Digital Commons Network^™

Strategies For Nursing Staff Working In A Correctional Facility., Ima James

Walden Dissertations and Doctoral Studies

As primary care providers in correctional facilities, correctional nurses are expected to balance inmates' healthcare needs with the security demands of the facility. This project explored whether an evidence-based education program could provide strategies for promoting health, a healthy work environment, and a sense of well-being to improve the knowledge, coping skills, and well-being of nurses working in a correctional occupational setting. Twenty nurses participated in an educational intervention project that was guided by the transactional theory of stress. Using a pretest/posttest design, data were collected over a 2-week period and calculated using means and percentages. The descriptive statistics using …

Dark Triad Personality Traits Prediction Of Managers' Mind-Set In Business Organizations, Robert Kabat

Walden Dissertations and Doctoral Studies

Presence of the Dark Triad traits of Machiavellianism, narcissism, and psychopathy in the workplace, especially among managers, has received increased attention due to the implications for organizations. One way to influence behavior in business organizations is through controlled interventions to change individual mind-sets. A review of the extant literature indicated that the relationship between Dark Triad traits and mind-set had not been sufficiently examined. A quantitative study was conducted to examine whether a manager's Dark Triad traits predict their mindset. To explore this relationship, a sample of 153 managers' responses was collected online. The Short Dark Triad measure was used …

Dissertation Mentor Communication Style And Behavior As Predictors Of Student Stress And Satisfaction, Julienne Inez King

Walden Dissertations and Doctoral Studies

Many graduate students (60%) do not complete their program of study. It is important for

universities to find ways to increase student completion rate. The general problem is that

online U.S. universities are faced with a high rate of PhD student drop out resulting in an

increased number of students not being able to complete their doctoral studies. The

purpose of this multiple linear regression study was to identify predictor variables of

dissertation student stress and overall dissertation satisfaction. Deci and Ryan's self

determination theory and Lazarus' theory of cognitive appraisal were used to guide this

research to identify how …

Effectiveness Of Physiological Alarm Management Strategies To Prevent Alarm Fatigue, Amy Clemens

Walden Dissertations and Doctoral Studies

There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to …

Building A Compassion Fatigue Toolkit, Stephanie C. Correa

Walden Dissertations and Doctoral Studies

Compassion is an important tenet of nursing care delivery. When compassion is compromised, such as with compassion fatigue (CF), not only is patient care compromised, but also caregivers can be physically and psychologically affected, resulting in stress and burnout. The purpose of this project was to create a web-based educational toolkit focused on prevention of CF, establish the content validity of the elements in this toolkit, and make recommendations regarding its implementation and sustainability. Watson's theory of human caring guided this project. Ten experts with at least 10 years of experience and CF knowledge, a bachelor's degree in nursing, and …

Instructional Practices Of Career And Technical Teachers Toward English Language Learners, Alan Kendall Crouch

Walden Dissertations and Doctoral Studies

In Midwestern high schools, English language learners (ELLs) who are enrolled in Career and Technical Education (CTE) classes transition from school to the workforce at unacceptably low levels. This loss of opportunity has been linked to CTE instructional practices. The purpose of this study was to explore the instructional practices used by CTE teachers to support ELL instruction and how the teachers perceive those practices to improve ELL transition from school to the workforce. The conceptual framework included Freire's critical consciousness theory, which holds that it is important to include learners in the learning process. The framework grounded the study …

Validating Bloom's Revised Taxonomy As A Rubric For Assessing Middle School Students' Levels Of Thinking, Siri Torrence Deforest Reynolds

Walden Dissertations and Doctoral Studies

Educators in a rural charter middle school in the United States were challenged with the reliable assessment of student thinking skills even though the development of higher order thinking was an espoused goal for the school. The purpose of this study was to validate a new rubric based on Bloom’s Revised Taxonomy (BRT) to reliably assess student levels of thinking as reflected in the students’ written work. A quantitative, nonexperimental design was used. The focus of the research questions was on the BRT rubric’s reliability and validity. Interrater reliability was assessed using Krippendorff’s alpha. Validity was explored by assessing the …

A Survey Study Of Elementary Teachers' Perceptions Of Student Classroom Behavior, Duane L. Davis

Walden Dissertations and Doctoral Studies

In a midwest, rural, and high-poverty elementary school, teachers expressed concerns about difficult student behaviors in their classrooms. It was important to address the problem because student misbehavior disrupts the learning of all students in the classroom. To provide information to the school that could inform possible interventions, a survey was conducted that measured the perceptions of 24 classroom teachers about concerning student behaviors, their methods of dealing with such behaviors, their needs for further support, and their confidence in dealing with difficult student behaviors. The conceptual frameworks that guided this study were the behaviorist theories of Watson and Skinner. …

Relationship Of Years Of Experience To Aggression, Empathy, And Alcohol Intake Among Attorneys, Ashley Frantz

Walden Dissertations and Doctoral Studies

Attorneys are at an increased risk of negative psychological and physical effects due to stressors in their careers. The purpose of this study was to identify if sex crime attorneys and homicide attorneys identify with significant psychological changes throughout their careers. The framework for this study was theoretical in nature and utilized the social cognitive processing theory. This quantitative study (N = 28) included the use of the Alcohol Use Disorders Identification Test, the Buss-Perry Aggression Questionnaire, and the Multi-Dimensional Emotional Empathy Scale. A minimal significance was found correlating a decrease in aggression to years of experience as an attorney. …

Self-Injurious Behavior And Social Media Use By Adolescents, Victoria Lynn Fye

Walden Dissertations and Doctoral Studies

There is a surprising dearth of research related to the phenomenon of self-injurious behavior/nonsuicidal self-injury (SIB/NSSI), such as cutting. Research conducted on SIB has revealed that this maladaptive behavior is more common among adolescents than other populations. The act of posting SIB on social media deserves research attention, as it seems to contradict what had previously been considered a very private behavior. The goal of this qualitative case study was to better understand why adolescents engage in SIB as well as investigate why they post these behaviors on social media. Merton's theory of social strain and anomie, which focuses on …

Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George

Walden Dissertations and Doctoral Studies

Pediatric bipolar disorder (PBD) is a growing public health problem in the United States, especially among adolescent children. Despite awareness of the diagnosis and the effects that it has on the child, little attention has been given to the effects that PBD has on the guardian. The purpose of this qualitative phenomenological study was to explore the factors influencing guardians' experiences related to PBD. Penchansky and Thomas' Theory of Access and Family Systems Theory were used in this study to explore guardians lived experiences of PBD, its effects on the entire family system, and mental health service treatment. This approach …

Relationship Between Perceived Contribution, Professional Respect, And Employee Engagement, Rafael Eustacio Guarin

Walden Dissertations and Doctoral Studies

Disengaged employees are a threat to a company's survival in a highly competitive world. Despite employee engagement benefits, the mediation of interactions between leaders and followers and the specific drivers of engagement remain poorly understood. This correlational study was grounded on leader member exchange (LMX) theory and examined the relationship between 2 dimensions of LMX (perceived contribution and professional respect) and employee engagement. In this study, 68 manufacturing employees from the southern region of the United States responded to 2 surveys to measure the LMX dimensions and the level of employee engagement. Using multiple regression analysis, the existence of a …

Citizen Perceptions Of Law Enforcement Shootings Involving Imitation Firearms, Kristine Angela Gregory

Walden Dissertations and Doctoral Studies

The purpose of this qualitative ethnographic study was to explore citizen perceptions of the phenomenon of law enforcement shootings involving an imitation firearm. A secondary purpose was to document knowledge of current imitation firearm policies and thoughts on the effectiveness of said policies. Kingdon's multiple streams approach was used as the theoretical framework. This theory addressed the sources of power that influence policy decisions, the stakeholders involved in agenda setting, and factors that shape policy debates. Data were collected using a combination of secondary data analysis, field observations and semi structured, face-to-face interviews with 23 citizens. Sampling strategies included a …

Reducing 30-Day Readmissions For Patients With Stroke, Faith Omomen Ighile

Walden Dissertations and Doctoral Studies

In a stroke-certified 500-bed acute care hospital, the 30-day readmission rates for patients discharged to rehabilitation centers or skilled nursing facilities were higher than the rates for patients discharged to home. A review of data by the stroke team showed 44 patients readmitted within 30 days of initial stroke discharge between October 2016 and January 2017. The rate of re-admission for those discharged home was 41% (18 patients), whereas the rate for those discharged to acute inpatient rehabilitation, long-term acute care, or skilled nursing facilities was 59% (26 patients). The practice-focused question for this project assessed whether using a re-admission …

Evidenced-Based Staff Education Program For Novice Perioperative Nurses, Marjorie Jasinski

Walden Dissertations and Doctoral Studies

Knowledge of surgical procedures, instruments, and supplies is essential to the perioperative nurse working in the operating room (OR). Nursing school curricula do not specifically educate surgical nurses; therefore, it is difficult to fill open OR positions with experienced perioperative nurses. The purpose of this doctoral project was to develop a perioperative educational program for RNs newly hired in the OR. The practice-focused question asked whether an evidence-based staff education program for the novice perioperative nurse would increase the nurse's knowledge of OR procedures and protocols for patient management. The novice-to-expert framework was used to explore how adult learners acquire …

Resilience And Healthy Adult Relationships Post-Childhood Maltreatment, Nicole Sharie Jackson

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand the role of resilience and protective factors (PFs) in the life of women who have experienced childhood maltreatment (CHM). A further purpose was to understand how women who faced CHM develop resilience, and how the proper use or misuse of PFs later affected their adult relationships, whether intimate, social, or familial. Resiliency theory was the theoretical foundation that informed the study. A qualitative methodology with an interpretative phenomenological analysis design was used in this study. Participants included 7 women who were recruited through social media support groups for adult survivors of child …

Middle School Teachers' And Administrators' Experiences When Students Transition, Thomas L. Jones

Walden Dissertations and Doctoral Studies

Student discipline and subsequent placements are a common problem in education. This qualitative phenomenological study addressed a gap in the literature by discovering the experiences of middle school teachers and administrators regarding student discipline, classroom removal, and assignment of students to alternative education. This research describes the development of an interview protocol based on critical incident theory and demonstrates its usage in drawing out thick, rich descriptions which help increase the trustworthiness of qualitative research. Initial interview data are presented to highlight the utilization of critical incident theory to elicit specific information about how participants experienced various critical interactions that …

Acuity-Based Nurse Staffing And The Impact On Patient Outcomes, Sara Kollman

Walden Dissertations and Doctoral Studies

The costs of healthcare in the United States are of national concern. The systematic review of the literature (SRL) explored the practice-focused nursing question regarding the relationship between the use of acuity-based staffing (ABS) models and positive patient outcomes. Analyzing the impact of ABS models on patient quality outcomes and the potential economic value could provide evidence essential for the healthcare executives responsible for fiscally prudent labor management and for creating an evidence-based business case for adequate, patient-centric nurse staffing. The synergy model for patient care and Covell's nursing intellectual capital theory guided the doctoral project. The Preferred Reporting Items …

Association Of Adaptive Early Phase Study Design And Late Phase Study Results In Oncology, Donna Elise Levy

Walden Dissertations and Doctoral Studies

This quantitative study assessed the association of the design methods used for early phase oncology studies (adaptive versus traditional) and the outcome of late stage clinical trials. Differences by cancer type and by drug classification were also assessed. The theoretical and conceptual frameworks used were the general systems theory and the design and evaluation of complex interventions, respectively. Units of analysis were individual oncology studies in the ClinicalTrials.gov database and Bayesian logistic modeling was applied on a random sample of 381 studies initiated after November 1999 to December 2016. When assessing study design and outcome, there were lower odds of …

Perception Of Self-Worth In African-American Adult Female Children Of Alcoholic Parents, Tahira Lodge

Walden Dissertations and Doctoral Studies

Parental alcoholism is a major risk factor for their children's future alcohol abuse and dependence during adulthood. Thus, the purpose of this descriptive phenomenological study was to understand African-American adult female children's perceptions of self-worth, their lived experiences, and their quality of life as it relates to parental alcoholism. The research focus and questions were addressed by applying the conceptual framework of Bowen's family systems and Covington's self-worth theories. Semi-structured interviews were used to collect data from 8 African-American adult female children of alcoholics. Subsequent data analysis and thematic coding were employed by using Colazzi's 7-step method to ensure rigor. …

Contributors To The Development Of Intercultural Competence In Nursing Students, Esther Zazzi

Walden Dissertations and Doctoral Studies

Nurses deal more effectively with cultural diversity when they have an ethnorelative orientation toward cultural difference and commonality on the Intercultural Development Continuum, which was the theoretical framework of this study. Scholarly literature shows limited knowledge on what fosters nurses' intercultural development. Thus, this quantitative, retrospective study was the first investigation in health care in Switzerland conducted on nursing students' orientation on the Intercultural Development Inventory (IDI) and the relationship to student demographic variables. The sample for this secondary data analysis consisted of the IDI results from nursing students enrolled between 2010 and 2016 at the largest nursing college in …

Strategies For Small Business Sustainability, Victor K. Adoukonou

Walden Dissertations and Doctoral Studies

Small businesses represent more than 99% of all employers in the United States, but more than 50% of small businesses have failed before 5 years. Climate change, digitization, and social media contribute to a paradigm shift in consumers' habits, as more consumers have become environmentally and social justice conscious. Business leaders who are unable to follow the consumers' trends and changes of habit may not succeed in sustaining their businesses. The purpose of this multiple case study was to explore strategies owners of small businesses in the District of Columbia use to sustain their businesses for longer than 5 years …

Relationship Among Compensation, Benefits, Intrinsic Motivators, And Potential Referral Candidates, Nathaniel Ryan O'Bear

Walden Dissertations and Doctoral Studies

High rates of turnover among truck drivers in the United States limit the abilities of organizations to effectively move freight if organizational leaders cannot efficiently and economically replace drivers. The purpose of this correlational study was to examine the relationship among compensation, benefits, intrinsic motivators, and potential referral recruiting in transportation organizations. Herzberg’s 2-factor theory was the theoretical framework for this study. Secondary data were collected for 566 Class A truck drivers from an Illinois-based partner organization’s 2018 employee satisfaction survey. The results of the multiple linear regression analyses indicated a significant relationship exists, F(3,562) = 258.323, p < .001, R2 = .580, among compensation (β = .231, p < .001), benefits (β = .101, p < .002), intrinsic motivators (β = .554, p < .001), and potential referral recruiting in transportation organizations. Overall, the independent variables accounted for 58% of the variance in the dependent variable with intrinsic motivators having the largest effect. The implication of these findings for positive social change includes equipping business leaders with information about motivational factors for recruiting drivers through referrals, which might increase community employment levels to improve the standard of living.

Psychological Relationship Between Acculturation And Caribbean Immigrants In The Northeast United States, Lisa Chamberlain- Gordon

Walden Dissertations and Doctoral Studies

Caribbean immigrants' challenges with acculturation following immigration to the United States, could result in acculturative stress, discrimination, stereotyping, and mental health issues. This study examined the relationship between cultural levels of interaction (LCI), acculturation orientation levels (AOLs), and acculturation levels (ALs) as well as examined the relationship between acculturative stress levels (ASLs), mental health problems, and discrimination/ stereotyping among Caribbean immigrants, age 25-54, in a northeast U.S. metro. Bourhis' interactive acculturation model was the theoretical foundation for this study. It was hypothesized that (a) there would be a relationship between LCI measured in language, food, religion, and education and AOL …

U.S. Policymakers' Perspectives Regarding The Causes Of Terrorism And The Impact On U.S. Counterterrorism Policy, Jeffrey David Mcmanus

Walden Dissertations and Doctoral Studies

U.S. counterterrorism policy appears to be influenced by different perspectives, as evidenced by conflicting statements by U.S. presidents regarding the causes of terrorism. Academic theories are not always applied by U.S. government employees who develop, influence, and implement counterterrorism policy. The purpose of this qualitative phenomenological study was to understand U.S. government policymakers' perspectives on the causes of terrorism, the influences on these views, and the impact on U.S. counterterrorism policy. Six theories regarding the causes of terrorism provided the theoretical framework. Additional theories related to individual and organizational impact on decision-making provided a broader conceptual framework. Data were collected …

Relationship Between Novice Counselors' Supervisory Attachments And Boundary Practices And Perceptions, Glenda Hill Nanna

Walden Dissertations and Doctoral Studies

Novice counselors may struggle to understand and follow ethical guidelines for boundary behaviors with clients. When counselors violate therapeutic boundaries, harmful consequences can result for clients and counselors. The purpose of this quantitative study was to examine the possible relationship between novice counselors' (NCs') attachment to supervisors and NCs' ethical perceptions and boundary practices. This study addressed the possible predictor variables of age, gender, relationship status, and practice setting. Bowlby's attachment theory provided the framework for the study. Survey data from 114 NCs were analyzed using descriptive statistics and hierarchical linear regression. Each regression analyzed predictors of age, gender, relationship …

Education Program For Critical Care Nurses On Preventing Catheter-Associated Urinary Tract Infections, Olatunde Olatunji

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions …

A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa

Walden Dissertations and Doctoral Studies

Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …

Enterprise Resource Planning Implementation In One Government Agency, Stephen N. Strayer

Walden Dissertations and Doctoral Studies

Ineffective enterprise resource planning (ERP) implementation strategies can have a negative impact on business competitive advantage. Business leaders who struggle to maintain global operations and audit readiness are at high risk of failure. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore the strategies business leaders used to promote an awareness of the effects of performance on competitive advantage. The participants comprised of 22 business leaders on a military base in the state of Washington who effectively used ERP systems to increase global operations, audit readiness, and maximize competitive advantage. Data were …

Effects Of Medical Professionals' Communication With Men Sleeping With Men And Hiv/Aids, Dawne D. Dickerson

Walden Dissertations and Doctoral Studies

The human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) initially emerged in the 1980s and ever since, a battle has been underway with regard to understanding some of the root issues attributed to behavior and HIV/AIDS. AIDS is prevalent in the men sleeping with men (MSM) community. There is lack of studies evaluating the quality and quantity of communication between MSM and medical professionals, which can be a catalyst to help reduce HIV/AIDS within this community. The aim of this quantitative study was to evaluate the relationship between quantity and quality of medical professionals' communication and regular HIV …