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Cardiovascular Exercise Participation And Obstructive Sleep Apnea Among Adults Over Normal Weight In The United States, Marytherese Agwara

Walden Dissertations and Doctoral Studies

Obstructive sleep apnea (OSA) is a type of sleep apnea that is common, complicated, and a major contributor to cardiovascular diseases, neurocognitive impairment, and mortality. This disease has additional negative impacts on patients' lives by contributing to daytime sleepiness and low productivity at work as well as absenteeism and work-related injuries. Several studies have been conducted to assess the relationship between cardiovascular exercises and OSA; however, a definite conclusion is lacking. The purpose of this quantitative cross-sectional study was to assess the relationship between cardiovascular exercise participation and OSA by examining the relationship between total cardiovascular exercise participation per week …

Understanding Caregiver Perceptions Of Attachment With Drug Exposed Foster Children, Sarah Elizabeth Barr

Walden Dissertations and Doctoral Studies

Lacking a healthy attachment to a caregiver and having in-utero methamphetamine exposure have been linked to a variety of cognitive delays, developmental delays, and mental health issues throughout a person's lifespan. It is unknown if there is a relationship between in-utero methamphetamine exposure and the ability to build a healthy attachment to a caregiver. The purpose of this generic qualitative study was to improve understanding of the perceptions of caregivers about attachment efforts for foster children under the age of 3, who have had in-utero methamphetamine exposure. This study was guided by attachment theory. Purposeful sampling was used to select …

Drugs, Alcohol, And The Community College Student-Athlete: A Narrative Study, Kevin A. Berg

Walden Dissertations and Doctoral Studies

Research shows that student-athletes, whether at the high school or collegiate ranks, experience higher rates of alcohol consumption than their non-athlete student counterparts. However, one population that has not been studied is the community college student-athlete. Traditional community college students have different risk categories and needs than traditional 4-year university students. In this study, community college student-athletes provided their views and perceptions on drugs and alcohol. To obtain data, a qualitative narrative analysis was completed by interviewing 13 community college student-athletes to identify their views and opinions on drugs and alcohol. Once the interviews were completed, transcription and coding were …

Effects Of Canines On Humans' Physiological And Perceived Stress, Beth Marie Bowin

Walden Dissertations and Doctoral Studies

The bond between pet and owner has been shown to decrease stress-related physical, mental, and emotional disorders by lowering blood pressure and heart rate. The purpose of this study was to examine whether a nonpet canine would have the same effect in reducing physical symptoms of stress as a known dog. Human-animal bond theory, Human pressor test. Data were analyzed using repeated measures, analyses of variance, and t tests. Results indicated that interaction with a strange dog lowered heart rate and blood pressure significantly faster in the experimental group than in the control group. The positive social change implications of …

Effect Of Supportive Versus Assertive Case Management On Inpatient Psychiatric Hospitalization For Patients With Schizophrenic Diagnoses, Quentin Brown

Walden Dissertations and Doctoral Studies

Schizophrenia has been a public mental health barometer for many decades, and health professionals and government agencies continue to look for treatment options that produce the best outcomes. The purpose of this study was to determine the effectiveness of assertive community treatment (ACT) and supportive case management (SCM) outpatient treatment interventions as an alternative to inpatient psychiatric hospital care. Social cognitive learning theory and choice theory provided the framework for the study. Archival data from inpatient psychiatric hospitalizations for 153 adult men and women with a primary diagnosis of schizophrenia who received ACT or SCM services were analyzed using regression …

An Education Program For Improving Knowledge Of Experienced And Aspiring Mentors, Joy-Marie Quiambao Calunsag

Walden Dissertations and Doctoral Studies

Using a staff development approach, this doctor of nursing practice project addressed the preparation of nurses who serve in the role of mentors. Developed and carried out in an American Nurses Credentialing Center Magnet-designated hospital, the primary aim of the project was to develop and implement a staff education program for mentors focusing on best-practice strategies for mentoring new nurses. The secondary purpose was to conduct a literature review on evidence-based practice strategies for mentoring new nurses. This project was guided by Knowles' adult learning theory and Benner's novice to expert model. A 2-hour education program was attended by 16 …

Exploring The Ethical Leadership Of Bank Managers, Jeannette Devine

Walden Dissertations and Doctoral Studies

Ethical dilemmas in banks have resulted in financial losses. A bank manager's ethical leadership strategy can affect the direction, success, operations, and profits of banks. The purpose of this multiple case study was to explore the ethical leadership strategies of bank managers that promoted profitability. This study's conceptual framework was Bandura's social learning theory. Data were collected from semistructured, face-to-face interviews with a sample of 2 bank managers from different Maryland banks and a review of these banks' documents. Member checking was conducted to verify the trustworthiness of the findings. Data were analyzed using Yin's 5-step approach. Themes that emerged …

Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons

Walden Dissertations and Doctoral Studies

Violence is among the most serious threats to the health and safety of young people between the ages of 10 and 24 in the United States. The purpose of this cross-sectional quantitative study using secondary data from the CDC's 2015 National Hospital Ambulatory Medical Care Survey (NHAMCS) data set was to examine the characteristics (age, sex, race and ethnicity, insurance or payer source, and housing status) of young people between the ages of 10 and 24 who seek medical care for assault-related injuries through the emergency department (ED). The social ecological model was used to examine the complex interplay between …

Development Of A Standardized Oral Care Staff Education Program, Katrina Detoye

Walden Dissertations and Doctoral Studies

Hospital-acquired infections such as nonventilated hospital-acquired pneumonia (NV-HAP) are significant patient safety concerns. The lack of oral care in the nonventilated acute care patient population is a major contributor to NV-HAP. Nursing staff are on the frontline in the provision of oral care to hospitalized patients, but a lack of knowledge regarding the relationship between oral care and NV-HAP was identified as a gap in practice at the project site. The purpose of the project was to develop a staff education program on oral care of the nonventilated patient population. The practice-focused question addressed whether an evidence-based education for nurses …

The Experiences Of Witnesses To Prison Sexual Violence: A Case Study, Edyth Zada Hendricks

Walden Dissertations and Doctoral Studies

Prison sexual violence is prevalent and impacts the witnesses to it. Previous literature has fully discussed the victims of prison sexual violence; however there remains an important gap in the current literature regarding the experiences of witnesses. The purpose of the present qualitative case study was to explore the lived experiences of witnesses to prison sexual violence. The theoretical foundation of this study was the self-categorization theory linked to the prison code of silence. Four ex-inmates answered semi structured interview questions. Transcripts were coded and themes developed. Five themes that emerged were exposure (to prison sexual violence), ineffective guards, avoidance …

Perceptions Of Online Cheating: Impact Of Age, Gender, And Sexual Preference, Rosanna Helen Kallay

Walden Dissertations and Doctoral Studies

The current quantitative study examined perceptions of online infidelity using ANCOVA calculations to determine if significant differences existed between variables of gender, age, orientation. The study considered the applicability of sexual strategy theory (SST) in today's culture and whether it remains relevant in current to today's relationships. SST and previous research suggested a clear trend in differences in perceptions of infidelity based on gender and age, with more mixed results in differences based on sexuality. This study expanded previous research by surveying 148 younger and older demographics, as well as men and women who are in opposite-sex and same-sex relationships. …

A Comparison Of Motivational Differences Among Older Marathon Runners And Their Injury Status, Marsha Renee Kaufman

Walden Dissertations and Doctoral Studies

Despite the high occurrence of running-related injuries, master level runners, those aged 40 years and older, account for 50% of all marathon finishers. What is not known is the common motive sustaining participation, especially among this age demographic. The self-determination theory was the theoretical framework to support how behavior is regulated by the individual. The purpose of this quantitative research was to identify a difference in the motives (psychological, physical, social, and achievement) and their subcategorical motives (health orientation, weight concern, affiliation, recognition, psychological coping, life meaning, self-esteem, competition, and personal goals) via the Motivations of Marathoners Scales by master …

Practicing Self-Efficacy And Transparency To Achieve Long-Term Recovery And Reduce Recidivism, Lisa Kent

Walden Dissertations and Doctoral Studies

There is limited data about the positive application of self-efficacy and the practice of transparency for individuals in recovery to achieve long-term recovery from substance addiction and criminal recidivism. The purpose of this qualitative phenomenological study was to gain more insight and knowledge about how the application of self-efficacy and the practice of transparency help individuals in recovery achieve long-term recovery from substance addiction and criminal recidivism for two or more years. The conceptual framework used to guide this study was Albert Bandura's self-efficacy theory. This study is significant because it explains that long-term recovery is not an easy task …

Evaluation By Geospatial And Spatiotemporal Distribution Of Tularemia Cases In Arkansas, Toni Kathleen Beavers

Walden Dissertations and Doctoral Studies

Tularemia is a vector-borne disease of global concern with diverse regional foci. Arkansas is an endemic state with differences in case distribution and land suitability supporting host and vector sustainment. The aim of this study was to conduct a geospatial and spatiotemporal assessment of factors associated with case distribution and timeliness and completeness of public reporting. Guided with direction from spatial epidemiology and nidality, referring to the association of ecology, climate, and proximity of disease, analysis included secondary data collected from the Arkansas Department of Health between 1995 and 2018. Using Poisson-based software, 2 clusters were found: a high-risk cluster …

Sustainable Development Economy: Macroeconomic Policy And Microeconomic Impact Of Public Private Partnerships, Richard Berkshire

Walden Dissertations and Doctoral Studies

The impact of public private partnership (PPP) on Dallas, Texas economic development activities is debated through many forms of academic studies. The purpose of this study was to bridge the research gap in PPP impact on sustainable economic development from the perspectives of PPP practitioners. The central research question focused on the PPP executives' perspective on the evaluation of PPP programs within a 5-year period (2005 - 2010) in Dallas, Texas. The theoretical framework of this study was based on the policy feedback theory. A qualitative case study design was the case study approach and purposeful sampling interviews were the …

Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount

Walden Dissertations and Doctoral Studies

Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how …

Factors Contributing To High Readmissions For Congestive Heart Failure Among African Americans, Shavonda Caprice Devereaux

Walden Dissertations and Doctoral Studies

Abstract

African Americans are disproportionately affected by heart failure, with prevention and treatment of heart failure being a public health concern in the United States. The purpose of this retrospective quantitative study was to examine the primary variable race, specifically African Americans, and how this variable relates to 30-day readmission post discharge when controlled with geographic location (urban vs. rural), gender, and insurance status. The expanded chronic care model was used as a framework to shape health promotion, prevention efforts, and social determinants of health and to enhance community involvement related to chronic disease issues. The research questions were focused …

Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt

Walden Dissertations and Doctoral Studies

Over 43 million Americans suffer from mental illness annually with 40% seeking support from clergy (Polson & Rogers, 2007) who claim to be ineffectively prepared (Farrell & Goebert, 2008). This study investigated if mental health training administered to clergy would increase their knowledge of various mental disorders, alter their opinion regarding helpful resources, grow their self-confidence to help individuals experiencing mental health issues, and increase clergy's willingness to refer out. The theoretical basis for this research was attribution theory that attempts to explain social perceptions (Mannarini & Boffo, 2013) and the struggle individuals (i.e. clergy) have regarding the causation of …

Nurse Practitioner Attitudes, Perceptions And Knowledge About Antimicrobial Stewardship, Evelyn C. Fabian

Walden Dissertations and Doctoral Studies

Resistance to antibiotics has increased dramatically in the United States, with serious associated medical, social, and economic consequences. The purpose of this project was to assess nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship and knowledge in the management of anaerobic infections as well as resistant gram-negative bacteremia. Data were collected using a web-based survey in a hospital facility. The practice question explored whether nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship significantly increased after an education program on antimicrobial stewardship. The project was framed by Knowles's adult learning theory. A 16-item survey was administered before and after …

Psychiatric Nurses' Knowledge Of Suicide Prevention, Wanda F. France

Walden Dissertations and Doctoral Studies

Suicide is a major health concern worldwide. Nurse practitioners must possess suicide assessment skills and treatment knowledge to ensure appropriate identification of persons with suicidal ideation. The purpose of this project was to assess psychiatric nurse practitioners' knowledge of suicide prevention in rural Kentucky. The conceptual framework was Orlando's nursing process theory, which emphasizes the importance of nurse-patient interaction. A 13-item survey of suicide-related knowledge and skills was administered to 10 psychiatric nurse practitioners in rural Kentucky. Only 3 participants responded correctly to a question related to suicidality in persons with borderline personality disorder. Regarding competency and support for assessing …

An Exploration Of Military Doctoral Students' Journey To Degree Completion, Nicola Jane Hall

Walden Dissertations and Doctoral Studies

Little is known about the experiences of doctoral students who are active duty military or veterans seeking a degree in counselor education and supervision (CES). The purpose of this research was to positively impact the counseling profession by ensuring adequate representation of military-competent counselors through an exploration of the academic journey of military students. This research sought to highlight military students' perceptions of barriers and contributors to degree completion. Selection criteria for participants involved any United States military personnel classified as active or inactive. These military personnel had to have earned within the past 12 months or were currently enrolled …

First-Year Students' Reasons For Withdrawing From College, Margaret Ann Nelson

Walden Dissertations and Doctoral Studies

Retention of first-year students was a problem at a private 4-year university in the Southeastern United States. The purpose of this qualitative case study was to examine the reasons entering first-year students who were part of the Promise Program withdrew from the university during their first year. Tinto's model of student attrition provided the conceptual framework for the study. Research questions addressed students' rationale for selecting the school, their perspectives on the main causes of first-year attrition, their expectations of campus support services, and their recommendations for how to decrease student attrition. Data were collected from semistructured interviews with 7 …

Staff Education Program On Diabetes Using Self-Care Behaviors, Ruth Adhiambo Ogot

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus affects patients' health across the globe and is costly to manage. The chronic high blood sugar of diabetes is linked to cardiovascular and kidney damage, impaired functional status, and multiple organ failure. To lessen the complications associated with diabetes and promote self-care in those with the disease, health care professionals must be vigilant in offering diabetes education to patients with each clinic or primary care visit. Lack of diabetic educators in the clinic that provided the setting for this study indicated a need to increase clinical staff competency in teaching self-care and diabetes management to patients. …

Extent, Correlates, And Consequences Of Careless And Inattentive Responding In Certification Job Analysis Surveys, Patricia M. Muenzen

Walden Dissertations and Doctoral Studies

Survey data quality is influenced by the care and attention that respondents take in answering questions. Careless and inattentive (CI) responding is a confound in survey data that can distort findings and lead to incorrect conclusions. This quantitative study explored CI responding in job analysis studies supporting occupational certification programs and its relationship to survey features, data quality measures, and test content validity. Satisficing theory served as the framework, and secondary analysis of 3 job analysis surveys was undertaken. Results indicated that 9-33% of respondents engaged in CI responding, with the rate differing by CI index used (Mahalanobis distance, long …

Differences In At-Risk Children's Preschool Assessment By Teachers' Level Of Education, Folashade Z. Olayinka-Bello

Walden Dissertations and Doctoral Studies

Despite state requirements, standards, and recommendations from various early childhood agencies, huge differences exist in levels of education held by teachers of 4-year-olds in early childhood classrooms, which may affect the quality of service they offer to children as well as students' performance on assessments. This quantitative study determined whether significant differences existed between assessment scores of at-risk children taught by teachers with different levels of education and years of experience using standardized assessments (Teaching Strategies GOLD [TSG] and Phonological Awareness Literacy Screening [PALS]). The theoretical framework for this study was Bronfenbrenner's ecological theory of human development. Data were analyzed …

Evaluating Counseling Modality Based On Recidivism For Misdemeanor Offenders, Erin D. Prisbrey

Walden Dissertations and Doctoral Studies

Illegal substance use in the United States is a growing problem, and a western state has a higher than average rate of drug offenders. Many courts, including misdemeanor courts, have limited to no budget for drug treatment programs outside of the drug court treatment programs. As such, many court-ordered drug treatment programs, when drug counseling is ordered in exchange for a reduction in charges, are outsourced to privately owned companies. The drug counseling entails a single 8-hour outsourced drug counseling course, which includes either in-person, online, or correspondence-based counseling. The purpose of this study was to investigate the effectiveness of …

Pull And Push Factors That Influence A Student's Decision To Drop Out Of School, Monica Ruth Rouse

Walden Dissertations and Doctoral Studies

The high school dropout rate in the United States has historically been and continues to remain a persistent concern. The dropout epidemic has primarily been studied through a quantitative lens focused on the final decision to dropout rather than the complex sequence of events that factor into the dropout decision. The purpose of this study was to explore the pull/push factors that influenced a student's decision to drop out of high school. In this qualitative study, attention was given to both understanding how students described their reasons for dropping out of school and identification of any factors that could have …

The Relationship Between Limited Partner Availability, Masculine Ideologies, And Condom Use, Diakima Y. Thomas

Walden Dissertations and Doctoral Studies

One in every 4 people living with the Human Immunodeficiency Virus (HIV) are women. The leading cause of infection is heterosexual contact. The purpose of this quantitative, correlational study was to examine the relationship between gender ratio perception and masculine ideology and a woman's decision to use condoms during her sexual activity. The theory of gender and power and the theory of planned behavior served as the theoretical frameworks for this study. The perceptions of gender ratios, as measured by the Gender Ratio Imbalance Beliefs and Behaviors Scale (GRIBBS) subscale, GRIBeliefs, and masculine ideologies, as measured by the Gender Role …

Institutional Isomorphism And Human Trafficking Investigations, Regina Warren

Walden Dissertations and Doctoral Studies

Human trafficking exists domestically and internationally, and each year thousands of men, women, and children are trafficked into lives of involuntary servitude. Law enforcement efforts to investigate human trafficking across the United States are similar in nature; yet, prior research had not investigated the possible causes of these similarities. Utilizing institutional theory, this research investigated whether institutional isomorphic pressures have any impact on the formalization of human trafficking investigations. Data were collected from 26 municipal police organizations in a mid-Atlantic state on departmental human trafficking policies and practices via Farrell's understanding law enforcement responses to human trafficking survey instrument. Logistic …

Reducing Patient Falls And Decreasing Patient Safety Attendant Utilization With Careview Communication Technology, Maura Marisela Stanford

Walden Dissertations and Doctoral Studies

Attention to quality outcomes, cost reduction, value-based purchasing, and improved initiatives for hospital-acquired conditions (HACs), as well as labor utilization savings, provide a foundation for hospitals to achieve safety and quality outcomes. Falls resulting in fractures, joint dislocation, or other physical injuries are considered HACs and can produce unexpected consequences such as an increase in costs related to an increased length of stay. The CareView Communications system, a fall prevention management program that uses video surveillance technology, offers a strategy to prevent patient falls by customizing patient rounding, conducting fall risk assessments, and generating reports. Guided by Donabedian's framework, this …