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Walden Dissertations and Doctoral Studies

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Strategies To Reduce Employee Turnover To Increase Profitability In A College Workplace, Cremaya Pariscene Lewis-Wilson Jan 2019

Strategies To Reduce Employee Turnover To Increase Profitability In A College Workplace, Cremaya Pariscene Lewis-Wilson

Walden Dissertations and Doctoral Studies

Employee turnover disrupts organizational functioning, service delivery, and administration. The purpose of this qualitative single case study was to explore strategies that some college administrators used to reduce employee turnover in the workplace to increase profitability. The population for the study included 3 administrators in a senior (4-year) college in the southeastern region of the United States who developed and implemented successful strategies to reduce employee turnover. Data were collected from semistructured interviews with college administrators and from publicly available organizational documents. Transformational leadership was the conceptual framework for this study. Data analysis included inductive analysis guided by transformational leadership …


Strategies To Reduce Hospital-Acquired Conditions, Steven G. Littleson Jan 2019

Strategies To Reduce Hospital-Acquired Conditions, Steven G. Littleson

Walden Dissertations and Doctoral Studies

Hospital-acquired conditions cause harm to patients and increase mortality. In addition to lowering the quality of patient care, hospital-acquired conditions also negatively affect financial performance, which makes them a business problem for hospital administrators. The purpose of this single case study, which was grounded in the theory of high reliability, was to explore strategies used to reduce the number of hospital-acquired conditions. The sample consisted of 13 senior leaders of a large academic medical center in the southeastern United States, who shared successful strategies used to reduce hospital-acquired conditions. Data collection took place through semistructured interviews and a review of …


Los Angeles Community-Based Associate Social Workers' Understanding Of Culture And Therapy, Christine Cearfoss Jan 2019

Los Angeles Community-Based Associate Social Workers' Understanding Of Culture And Therapy, Christine Cearfoss

Walden Dissertations and Doctoral Studies

Social workers have no clear professional guidelines about the application of culturally competent mental health service delivery. Without culturally competent mental health service delivery, clients from diverse cultures do not access needed mental health services and they experience less effective therapy treatment outcomes and overall disparity of service delivery throughout the therapeutic process. The purpose of this descriptive case study was to better understand how community-based social workers are delivering culturally competent services to clients. The theoretical framework for the study was multiculturalism and the primary research questions addressed how associate clinical social workers who provide in-home mental health services …


Preventing Obesity And Type 2 Diabetes In Immigrant Populations, Maxwell K. Chikuta Jan 2019

Preventing Obesity And Type 2 Diabetes In Immigrant Populations, Maxwell K. Chikuta

Walden Dissertations and Doctoral Studies

Obesity-related diseases have been increasing in African immigrants throughout the United States. Although research has been done to identify risk factors associated with many ethnic groups in the United States, only a few studies exist that explore obesity and type 2 diabetes diseases among Central African immigrants. The conceptual framework for this qualitative case study was social constructivism and the health belief model. The primary research question addressed the potential underlying causes for an increase in obesity and type 2 diabetes among Central African Immigrants. The secondary research questions explored how culture, illiteracy, and religion contribute to the problem of …


Strategies Used By Healthcare Supervisors For Employee Retention, Serrita Chaney Jan 2019

Strategies Used By Healthcare Supervisors For Employee Retention, Serrita Chaney

Walden Dissertations and Doctoral Studies

Healthcare supervisors who lack effective employee retention strategies could negatively affect patient well-being, employee performance, and organizational functions. The purpose of this single case study was to explore strategies that healthcare supervisors used to improve employee retention in 1 health care organization in southeast Georgia. Vroom expectancy theory was the conceptual framework for the study. Data were collected from semistructured interviews with 5 healthcare supervisors in a medium-sized healthcare organization who had hiring responsibilities and a history of implementing successful strategies to improve employee retention. Data were analyzed using coding and word frequency to discern patterns. Three significant themes emerged …


Strategies For Oil And Gas Asset Retirement Sustainability In Alberta, Canada, Ikenna Uhuegbulem Jan 2019

Strategies For Oil And Gas Asset Retirement Sustainability In Alberta, Canada, Ikenna Uhuegbulem

Walden Dissertations and Doctoral Studies

Oil and gas companies in Alberta, Canada lose millions of dollars per year due to ineffective management of retired assets. Ineffective management of inactive oil and gas assets in Alberta has led to over 80,000 inactive wells, highlighting the practice of prolonged deferment of asset end-of-life costs. Using the corporate sustainability model and asset management concept model as frameworks, this multiple case study was conducted to explore the strategies that asset managers in small- and medium-sized oil and gas companies used to manage retired assets effectively to increase organizational sustainability. The population for the study included 3 business leaders of …


Success And Failure Of Drug Rehabilitation: Pets Accompanying Clients To Treatment, Rikki Schwab Jan 2019

Success And Failure Of Drug Rehabilitation: Pets Accompanying Clients To Treatment, Rikki Schwab

Walden Dissertations and Doctoral Studies

This research addresses the use of canine animals in substance abuse treatment. There is research that addresses the importance of animals regarding therapy and mental illness, as well as research on the comorbidity of severe mental illness and substance abuse disorder. However, there is no research that looks at utilizing canines in substance abuse therapy. The purpose of this research was to examine the utilization of canine animals in rehab for those with substance abuse issues. The theoretical foundation for this study is the theory of contextualism. This theory focuses on humans with animals. To address the gap in research, …


Comparison Of Army Veterans' And Nonveterans' Individual Work Performance, Petrina Veola Stack Jan 2019

Comparison Of Army Veterans' And Nonveterans' Individual Work Performance, Petrina Veola Stack

Walden Dissertations and Doctoral Studies

Business managers lack knowledge and understanding of the transferability of Army veterans' individual work performance (IWP) in the private sector, which results in organizations' failure to hire Army veterans who possess strong IWPs. The purpose of this nonexperimental, cross-sectional study was to compare Army veterans' and nonveterans' transferable IWP as defined by task performance (TP), contextual performance (CP), and counter-productive work behavior (CWB). The IWP framework provided the theoretical foundation for this study. The research question examined how veterans' IWPs compared to those of nonveterans. The sample frame included U.S. Army civilian veterans and nonveterans at a large military installation …


Predictors Of Admission For Stroke Or Transient Ischemic Attack Patients, Jessica Janice Tucker Jan 2019

Predictors Of Admission For Stroke Or Transient Ischemic Attack Patients, Jessica Janice Tucker

Walden Dissertations and Doctoral Studies

Approximately 11% of patients diagnosed with a stroke or a transient ischemic attack are readmitted to the hospital, creating a cost burden of nearly $2 billion per year for Medicare beneficiaries. Because researchers and policy makers consider hospital readmission for patients with strokes or transient ischemic attack to be an indicator for the delivery of quality care, the Centers for Medicare and Medicaid Services has imposed financial penalties of up to 3% of a hospital's Medicare reimbursement in 1 year for excessive readmissions, potentially impacting the financial sustainability of various healthcare organizations. The ecological systems theory allows for the understanding …


Family Predictive Factors Of Rural Malaria Prevalence In Nsukka, Eastern Nigeria, Gabriel Ugwuja Ugwu Jan 2019

Family Predictive Factors Of Rural Malaria Prevalence In Nsukka, Eastern Nigeria, Gabriel Ugwuja Ugwu

Walden Dissertations and Doctoral Studies

Children in early childhood are still suffering from burdens of malaria-related morbidity and mortality. There have been insufficient studies on how family-level factors may predict the prevalence of malaria (PoM), and negatively impact the control of malaria in rural areas, especially among children. In this study, potential family factors were explored to address the challenges associated with the increase in PoM among the children in rural areas of Nsukka. Socioecological framework guided this study at the interpersonal level. The quantitative cross-sectional study used secondary data from Demographic and Health Surveys (DHS) of 2015 in Nsukka rural communities. Data were analyzed …


Exploring Strategies For Implementing Information Security Training And Employee Compliance Practices, Alan Robert Dawson Jan 2019

Exploring Strategies For Implementing Information Security Training And Employee Compliance Practices, Alan Robert Dawson

Walden Dissertations and Doctoral Studies

Humans are the weakest link in any information security (IS) environment. Research has shown that humans account for more than half of all security incidents in organizations. The purpose of this qualitative case study was to explore the strategies IS managers use to provide training and awareness programs that improve compliance with organizational security policies and reduce the number of security incidents. The population for this study was IS security managers from 2 organizations in Western New York. Information theory and institutional isomorphism were the conceptual frameworks for this study. Data collection was performed using face-to-face interviews with IS managers …


Perceived Approaches To Abating Microplastic Pollution In Chicago-Area Waterways, Edmund Uchechukwu Okoli Jan 2019

Perceived Approaches To Abating Microplastic Pollution In Chicago-Area Waterways, Edmund Uchechukwu Okoli

Walden Dissertations and Doctoral Studies

Microplastics have increased water pollution, particularly in urban areas like Chicago. The purpose of this study was to explore how conflicts of interests and belief systems among different stakeholders can impede efforts for developing or revising plastic pollution mitigating laws. The theoretical foundation was Sabatier's advocacy coalition framework, which addresses public policies from the perspective of individual or organizational convictions. The research question addressed how policy makers can build coalitions among diverse stakeholders to formulate policies aimed at reducing microplastic pollution. A qualitative case study design included a document review and 12 semistructured interviews of participants drawn from 3 major …


Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook Jan 2019

Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook

Walden Dissertations and Doctoral Studies

Military cultural competence has gained attention due to the past 15 years of military conflict and ongoing deployment of troops around the globe. Returning veterans, particularly those who go on to experience homelessness, have reported negative experiences and adverse treatment from programs that were designed to support them. Those experiences have resulted in perceived barriers to access or use of such services. Researchers have established the need for increased levels of military cultural competence to develop rapport with veterans and their families when delivering community-based social and healthcare services. Bandura's self-efficacy theory was the theoretical framework of this study. This …


Reducing Operational Costs In The Trucking Industry To Increase Profitability, Theophlius Bush Ii Jan 2019

Reducing Operational Costs In The Trucking Industry To Increase Profitability, Theophlius Bush Ii

Walden Dissertations and Doctoral Studies

Leaders of small trucking businesses who fail to reduce operational cost and increase profitability can experience reduced profits and sustainability challenges. During the first 2 years of operation, 75% of small trucking businesses in the United States fail. The purpose of this single case study was to explore the strategies that successful leaders of small trucking businesses implemented to retain talented employees after downsizing. Transformational leadership was the conceptual framework for the study. The population for the study included 3 business leaders in a small trucking business in the southeastern region of the United States who had successfully reduced operational …


Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015, Rafael Duncan Escandon Jan 2019

Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015, Rafael Duncan Escandon

Walden Dissertations and Doctoral Studies

Globalization in clinical research and development has increased since the 1990s. Products approved in the United States (U.S.) and European Union (EU) include increasing numbers of research participants from low- and middle-income countries. The purposes of this quantitative correlational study were to investigate the lag time, or drug lag, between U.S. approval and the approval of selected drugs in all countries that hosted their pivotal clinical trials. The study population was limited to products approved first in the U.S. between 2006 and 2015. The health capability model and research for health justice framework were the theoretical frameworks for the study. …


Connecticut Primary Care Physicians And Chronic Lyme Disease, Yvette P. Ghannam Jan 2019

Connecticut Primary Care Physicians And Chronic Lyme Disease, Yvette P. Ghannam

Walden Dissertations and Doctoral Studies

The prevalence of chronic Lyme disease (CLD) remains relatively unknown in Connecticut because there is not an agreement on what CLD is and how it should be diagnosed in addition to which pathological agent causes CLD. The aim of this quantitative study was to assess whether there were significant differences between two groups of primary care physicians (PCP) working in Connecticut from two different points in time regarding their knowledge in the diagnosis, treatment, and management of CLD. A knowledge, attitude, and practice model was used as the underlying theoretical framework for this study. A random cross-sectional survey was mailed …


Academic Accountability Between Charter And Public-School Principals In New Jersey, Nicole Goodman Jan 2019

Academic Accountability Between Charter And Public-School Principals In New Jersey, Nicole Goodman

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore school principals' accountability with student academic performance. Charter and public-school principals are responsible for the learning process and academic development. Previously published literature did not reveal a clear understanding of the policies and practices that contributed in obtaining the desired student academic outcomes. Parsons's theory of action served as the foundation for analyzing principals' decisions to achieve accountability and comply with the policies established by the regulating authorities. A snowball sampling of school principals included a public charter school principal and 5 traditional public-school principals in the state of New Jersey. A …


Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede Jan 2019

Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede

Walden Dissertations and Doctoral Studies

In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …


The Experience Of Parents Of Children With Autism Participating In Aba Treatment, Monica Labrie Jan 2019

The Experience Of Parents Of Children With Autism Participating In Aba Treatment, Monica Labrie

Walden Dissertations and Doctoral Studies

Having a child with autism results in a unique set of challenges for both parents and siblings. Applied behavior analysis (ABA) has significant empirical support demonstrating its effectiveness as a treatment for children with autism. However, effective behavioral interventions should also consider how the family is affected. The purpose of this phenomenological study was to explore the lived experiences of 8 parents of children with autism who have received ABA treatment and their perceptions of how the family system is impacted by ABA outcomes, specifically focusing on parental well-being and sibling relationship quality. A family systems theoretical framework and phenomenological …


Small Business Responses To Reduce Impacts From Natural Disasters, Lenox Lemar Godfrey Jan 2019

Small Business Responses To Reduce Impacts From Natural Disasters, Lenox Lemar Godfrey

Walden Dissertations and Doctoral Studies

Florida is a hurricane-prone state, and not all small business owners are prepared to survive in the wake of a hurricane or flood event, as only 14% of small business owners prepare for natural disasters compared to 44.9% for large corporations. Small business owners can enhance the survivability of their companies with well prepared disaster plans. The purpose of this qualitative case study was to explore strategies 5 small business owners in northwest Florida implemented to avoid permanent business closure after a natural disaster. The conceptual framework was the theory of planned behavior. Data were collected through interviews with 5 …


Revenue Diversification To Improve And Maintain Service Offerings Of Nonprofit Organizations, Ganga Kosala Bandara Heengama Jan 2019

Revenue Diversification To Improve And Maintain Service Offerings Of Nonprofit Organizations, Ganga Kosala Bandara Heengama

Walden Dissertations and Doctoral Studies

Leaders of nonprofits businesses adopt revenue diversification strategies to create innovative program services, creative ways to source materials, utilize volunteers and community partnerships, and identify business solutions related to solving societal problems. To continue providing services, it is crucial for nonprofit leaders to maintain adequate financial resources. The purpose of this single-case study was to explore revenue diversification strategies used by 3 leaders of a nonprofit organization in western California of the United States using Markowitz's modern portfolio theory as the conceptual lens. Data were collected through in-depth semistructured interviews and examination of organizational documents, internal archival data, and online …


Evaluation Of Shared Governance Implementation At A Community Hospital, Teresa Nardontonia Jan 2019

Evaluation Of Shared Governance Implementation At A Community Hospital, Teresa Nardontonia

Walden Dissertations and Doctoral Studies

Shared governance is a model in which staff collaborate through a decentralized decision-making structure, sharing ownership and accountability and partnering to make decisions about clinical practice, professional development, patient experience, quality improvement, and research. The hospital shared governance project team aligned its shared governance model with the American Nurses Credentialing Center Pathway to Excellence standards. The purposes of this project were to do a process evaluation of shared governance implementation at one 64-bed community hospital in central Florida and make recommendations for continuous quality improvement. The project followed the plan-do-study-act methodology developed by Deming. Through the collection of meeting minutes …


Improving Compassion Fatigue And Vicarious Trauma Knowledge For Psychiatric Nurses, Natalie P. Rebelo Jan 2019

Improving Compassion Fatigue And Vicarious Trauma Knowledge For Psychiatric Nurses, Natalie P. Rebelo

Walden Dissertations and Doctoral Studies

Nurses are exposed to traumatic patients and high stress regularly; this repeated exposure can increase rates of compassion fatigue and vicarious trauma. When nurses are not properly educated about compassion fatigue and vicarious trauma, it can impact their ability to provide effective patient care and result in harmful effects including insecurity, altered cognitive functioning, loss of empathy and diminished self-esteem. This project focused on educating psychiatric nurses regarding compassion fatigue and vicarious trauma. The theory guiding the project was the Neuman's system model. Fifty-six psychiatric nurses were administered a pretest consisting of 10 multiple choice test questions. They were educated …


Quality Improvement Initiative To Improve Patient Attendance In Diabetes Self-Management Education Classes, Charon Denise Randel Jan 2019

Quality Improvement Initiative To Improve Patient Attendance In Diabetes Self-Management Education Classes, Charon Denise Randel

Walden Dissertations and Doctoral Studies

Diabetes self-management education (DSME) is a key resource in the battle against diabetes and its secondary effects. This quality improvement project was conducted to address the decreased attendance rates of DSME classes in a community health center in the southern United States. The practice question for this project explored process-related strategies to increase patient attendance in DSME classes. Based on review of patient reports of reasons for nonattendance and an evaluation of peer reviewed literature on improving attendance in DSME, the following strategies were implemented: (a) alternative solutions such as providing patients with the dates for a year of initial …


Influence Of Administrators Support On Third Grade Student Behavior In Schools, Alicia Vink Jan 2019

Influence Of Administrators Support On Third Grade Student Behavior In Schools, Alicia Vink

Walden Dissertations and Doctoral Studies

Research indicated that teachers' perceptions of administrator support behaviors, behavioral interventions, and students' classroom behaviors have a strong connection to students' academic outcomes. A lack of administrator support practices present challenges to teachers' effectiveness and students' academic and social success. The purpose of this quantitative study was to address the relationships among teachers' perceptions of administrator support, the FAST (Families and Schools Together) behavioral intervention program, and teachers' perceptions of student classroom behavior. Spillane's distributed leadership theory was used as a framework. The data were a subset of archival data from a target population of approximately 200 teachers working at …


A Thematic Analysis On How Forensic Psychologists Conduct Personal Injury Evaluations, Denise M. Autret Jan 2019

A Thematic Analysis On How Forensic Psychologists Conduct Personal Injury Evaluations, Denise M. Autret

Walden Dissertations and Doctoral Studies

Psychological evaluations administered by forensic psychologist in personal injury cases are surrounded by complex issues. Although empirically-based research has legitimized that psychological damages do exist in personal injury cases there is a missing link in the way forensic psychologists are conducting these evaluations. Prior researchers suggested that some personal injury evaluations had been dismissed or overlooked due to a lack of a standard of care. Addressing the current literature, this study examined how a diverse group of 14 licensed forensic psychologists, operating in different judicial jurisdictions (Daubert, Frye, and Independent) were conducting personal injury evaluations and their perspectives on the …


Strategies For Improving Data Protection To Reduce Data Loss From Cyberattacks, Jennifer Elizabeth Cannon Jan 2019

Strategies For Improving Data Protection To Reduce Data Loss From Cyberattacks, Jennifer Elizabeth Cannon

Walden Dissertations and Doctoral Studies

Accidental and targeted data breaches threaten sustainable business practices and personal privacy, exposing all types of businesses to increased data loss and financial impacts. This single case study was conducted in a medium-sized enterprise located in Brevard County, Florida, to explore the successful data protection strategies employed by the information system and information technology business leaders. Actor-network theory was the conceptual framework for the study with a graphical syntax to model data protection strategies. Data were collected from semistructured interviews of 3 business leaders, archival documents, and field notes. Data were analyzed using thematic, analytic, and software analysis, and methodological …


An Ecological View Of Urban Kindergarten Reading Instructional Practices, Deborah Ann Clark Jan 2019

An Ecological View Of Urban Kindergarten Reading Instructional Practices, Deborah Ann Clark

Walden Dissertations and Doctoral Studies

Kindergarten students who are identified as at risk in reading often enter school with deficiencies in early reading skills. Little research exists for this vulnerable population on reading instruction in large, urban, school systems. The purpose of this multiple case study, which was guided by Bronfenbrenner's ecological theory of human development, was to describe urban kindergarten teachers' beliefs about the environmental factors that contribute to students' at-risk reading status, instructional practices employed to remediate reading, and teacher reports about systems in place to support student reading development. The multiple case study design included (a) structured interviews, (b) observations of kindergarten …


Language Immersion Teachers' Perspectives Of Foreign Language Learning For Students With Disabilities, Chunling Zhang Jan 2019

Language Immersion Teachers' Perspectives Of Foreign Language Learning For Students With Disabilities, Chunling Zhang

Walden Dissertations and Doctoral Studies

Foreign language learning for students with disabilities can be different from that of their nondisabled peers because of their special needs. Understanding the perspectives of language immersion teachers regarding their challenges and the support needed while working with students with disabilities in language immersion programs is important because such programs are growing rapidly nationwide. In addition, there is little research on the perspectives of these teachers in elementary school settings. The purpose of this qualitative study was to develop a deeper understanding of foreign language learning needs of students with disabilities from language immersion teachers' perspectives. Ajzen's theory of planned …


The Use Of Dialectical Behavioral Therapy With The Native American Population In The Southwest, Joseph Elias Woodruff Jan 2019

The Use Of Dialectical Behavioral Therapy With The Native American Population In The Southwest, Joseph Elias Woodruff

Walden Dissertations and Doctoral Studies

Compared to other races, Native Americans have significantly higher rates of suicide and substance abuse. Dialectical behavioral therapy is an evidence-based program with efficacy for reducing suicidality and comorbid disorders within general populations but may not be effective for Native Americans because it is based in Western ideology. The purpose of this phenomenological study was to explore the lived experiences of Native American therapists who use DBT with Native American populations. Using biosocial theory, I investigated the perceptions and lived experiences of 8 Native American therapists through a phenomenological approach. The research questions encompassed the experiences, including the cultural appropriateness, …