Digital Commons Network^™

Financial Accountability In U.S. Nonprofit Organizations, Evangeline Asafor Ngwashi

Walden Dissertations and Doctoral Studies

Financial accountability is a pressing issue in United States NPOs because there is a demand, by donors and the public they serve, to implement clear accountability practices. The purpose of this study was to explore and document the financial oversight and accountability policies and procedures that successful NPOs employ to maintain clear financial accountability practices. The theoretical framework underlining this qualitative phenomenological study was a combination of social construction theory and institutional rational choice theory. The research question was focused on understanding essential financial oversight and accountability policies and procedures that should be designed for NPOs to create and maintain …

Strategies To Improve Adoption Of The Federal Enterprise Architecture Framework, Michael John Caruso

Walden Dissertations and Doctoral Studies

The U.S. federal government spends millions of taxpayer dollars to implement the federal enterprise architecture framework (FEAF). This qualitative multiple case study extracted successful FEAF implementation strategies used by agencies in the Washington, DC, metropolitan area. The population for this study included 10 information technology (IT) planners in 3 federal agencies. Data were collected from semistructured interviews and triangulated in comparison to 33 public documents. General system theory was used as a conceptual framework for the study, and data analysis included reviews of the academic literature, thematic analysis, and member checking to identify themes and codes related to successful aspects …

Barriers Encountered By African American Women Executives In Fortune 500 Companies, Sonia Marlene Greene

Walden Dissertations and Doctoral Studies

African American women's (AAW) presence has increased in the corporate workforce, but this increase has not transferred to a comparable rise in leadership positions. The purpose of this transcendental phenomenological study was to explore the lived experiences AAW faced relating to race and gender differences that influenced their leadership development and limitations on advancement in Fortune 500 corporations. The research problem addressed in this study was the underrepresentation of AAW in senior leadership positions within Fortune 500 corporations and what can increase their representation and retention in senior level positions. The 10 participants included African American women holding senior level …

Relationship Between Spirituality And Perceived Social Support With Success In Alcoholics Anonymous, Mala Sita Hosmane

Walden Dissertations and Doctoral Studies

Failure in treatment and Alcoholics Anonymous (AA) leads to continued addiction, but practitioners need to learn which factors predict better outcomes in AA to make better referrals. Here, the predictive relationship between spirituality and perceived social support with success in AA was examined based on Frankl's theory on meaning in life. A quantitative, correlational design was used to determine whether there was a statistically significant predictive relationship between spirituality, as measured by the Assessment of Spirituality and Religious Sentiments, and perceived social support, as measured by the Multidimensional Scale of Perceived Social Support, with success in AA, as measured by …

Best Practice Suicide Screening/Assessment Tools For The Emergency Department, Katheryn M. Spirito

Walden Dissertations and Doctoral Studies

Patients presenting to the emergency department (ED) often suffer from more than physical ailments when seeking care and treatment. Some of these patients have emotional ailments and suicidal ideation when they come to the local ED. The lack of recognition of at-risk patients by health care providers can lead to poor patient outcomes and death. The focus of this project was to understand which valid and reliable suicide assessment tools described in the literature were considered the best evidence-based instruments to identify ED patients who were at risk for suicide. Peplau's theory of interpersonal relations guided this project. A systematic …

A Constructivist Grounded Theory Study Of Counselors' Preparedness To Counsel Refugees, Shadin Riem Atiyeh

Walden Dissertations and Doctoral Studies

A gap exists in the current literature on the training needs of professional counselors so they can meet the increasing demand for counseling services among refugee populations. The purpose of this constructivist, grounded theory study was to explore the perceptions of professional counselors related to their preparedness to demonstrate multicultural competence when counseling refugees. A constructivist grounded theory approach following Charmaz's principles guided the investigation into perceptions of professional counselors towards counseling with refugee clients. The author conducted a qualitative demographic form, individual interviews, and a focus group with professional counselors who had experience working with refugees. Sample included 21 …

Implementing A Self-Scheduling Model To Decrease Nurse Turnover In Medical-Surgical Nursing, Rebecca Fuentes

Walden Dissertations and Doctoral Studies

Nurses may experience job stress and burnout due to the amount of hours worked and demanding schedules. At one hospital, nurse turnover rates were high in medical-surgical units. Surveys and interviews conducted by hospital administration found that the bedside nurses were dissatisfied with scheduling practices and that this dissatisfaction could lead to heightened turnover. The purpose of this project was to determine if the implementation of a self-scheduling model would decrease nurse turnover on a medical-surgical nursing unit. This quality improvement project focused on facilitating the empowerment of nurses through a self-scheduling model; it followed the quality improvement steps of …

The Relationship Of Nurse Manager’S Leadership Styles In Maintaining A Just Culture, Aida Solomon

Walden Dissertations and Doctoral Studies

Healthcare leaders must establish a just culture to mitigate preventable medical deaths that occur at 250,000 per year, making medical errors the 3rd leading cause of death in the United States. However, there is a gap in knowledge regarding the attributes of nurse manager leadership styles that contribute to promoting a just culture at the unit level. Guided by the full range leadership theory and the just culture model, the purpose of this descriptive correlational study was to determine the relationship between nurse manager transformational, transactional, and laissez-faire leadership styles and unit level just culture perceptions and the differences between …

Religious Coping And Ptsd Symptom Management Among African Americans: A Clergy Perspective, Barbra Talley

Walden Dissertations and Doctoral Studies

Data indicated that although African Americans reported fewer occurrences of traumatic events than that of their racial/ethnic counterparts, however, the degree of traumatic events experienced by African Americans tends to be more serious and violent in nature. More so, lower recovery outcomes associated with PTSD among African Americans have been attributed to varying factors, such as financial restrictions, strained health care access, ineffective coping strategies as well as a mistrust of medical and clinical approaches, thus leading African Americans to seek faith-based approaches. This phenomenological study investigated clergy perspectives on religious coping constructs relative to the management of PTSD symptoms. …

Evaluation Of A Postpartum Hemorrhage Protocol, Lori M. Davies

Walden Dissertations and Doctoral Studies

Postpartum hemorrhage is a leading cause of maternal death, yet many deaths related to hemorrhage might be prevented with early recognition and intervention. The birthing unit of a U.S. community hospital formed an interprofessional task force to plan and implement a postpartum hemorrhage protocol that would provide the obstetric team with the knowledge, skills, and tools needed for early identification and quick action when hemorrhage occurred. Lewin's model of change provided a framework for protocol implementation. The purpose of this doctoral project was to evaluate this quality improvement project. Secondary data internal to the organization were collected and analyzed to …

The Relationship Between Methods Of Calculating The Ahi And Daytime Sleepiness, Severity Of Sleep Apnea, And Cpap Pressure Settings, Kathryn J. Kane

Walden Dissertations and Doctoral Studies

Sleep apnea impacts one's mental and physical health, and has social consequences which affect all of society. Not only is there is a weak correlation between the severity of sleep apnea and daytime sleepiness as reported on the Epworth Sleepiness Scale (ESS), but there is also a weak correlation between the severity of sleep apnea and prescribed treatment as indicated by 95th percentile pressure on a continuous positive airway pressure (CPAP) machine. This poses difficulty for providers as well as patients throughout screening and treatment. The purpose of this study was to use a biopsychosocial approach to perform a within-subjects …

Hiring Individuals With Ambulatory Disabilities: An Employer's Perspective, Lindsay Aslan

Walden Dissertations and Doctoral Studies

Statistics show that approximately 30.6 million individuals in the United States had an ambulatory disability (AD), the most prevalent disability in the country. In 2010, 17.5% of the disabled population was employed, and only 5% of that employed population had an AD. The purpose of this multiple case study was to understand the decision-making process of small businesses owners in New Jersey when deciding on whether to hire those with AD. Ajzen's theory of planned behavior was utilized in this study to make predictions and explain why individuals engage in a behavior. Interviews were conducted with 16 participants and 22 …

Improving Lesbian, Gay, Bisexual, And Transgender Health Care Outcomes, David Agosto

Walden Dissertations and Doctoral Studies

Many lesbian, gay, bisexual, and transgender (LGBT) individuals report experiencing discrimination in their health care that leads to avoidance of regular appointments with providers. Lack of regular primary care can delay diagnoses of preventable conditions and increase patient risks for chronic disease complications. A systematic review of the literature was conducted to understand LGBT cultural competencies for nursing and other health care providers. The Cochrane Handbook for Systematic Reviews and Melnyk's levels of evidence framed this systematic literature review. Articles for inclusion were limited to those published in English between 2008 and 2018. Keywords used in the literature search included …

Adhd And Self-Regulation In The Workplace, Kristine Lynne Barnett

Walden Dissertations and Doctoral Studies

Attention-deficit/hyperactivity disorder (ADHD) diagnosed during childhood can continue into adulthood, but most research on the topic has been done on children and adolescents. This research focus has thus often left out the population of adults with this disorder. In particular, there is little research on the role that self-regulation plays in the lives of adults on several life domains, especially in the workplace. The purpose of this qualitative, phenomenological study was to understand the role that self-regulation plays in the occupational functioning of adults with ADHD. Self-regulation theory provided the tenets that were used to examine how adults with ADHD …

Physical Activity, Healthcare Use, And Medication Use In Diabetes Patients, Julie Kwon Evans

Walden Dissertations and Doctoral Studies

Physical Activity, Healthcare Use, and Medication Use in Diabetes Patients

by

Julie Kwon Evans

MS, The Chicago School of Professional Psychology, 2013

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

November 2019

Race As A Predictor Of Recidivism Risk: An Epidemiological Analysis, Femi Folorunsho

Walden Dissertations and Doctoral Studies

Prisoner recidivism is a problem of great social importance, as recidivism represents a failure of the rehabilitative goal of incarceration. The problem addressed in this study was the lack of accurate estimates of race as a predictor of recidivism risk in the United States, after taking demographics and criminal variables into account. Applying the life-course theory of recidivism, the purpose of this archival, epidemiological study was to calculate whether recidivism risk varied based on race, across different seriousness levels of commitment offense and number of prior arrests, among a sample of male federal prisoners released from custody. A Cox proportional …

Career Pathway And Leadership Attributes Of Academic Administrators At Historically Black Colleges And Universities, Dyanne Mitchell-Williams

Walden Dissertations and Doctoral Studies

Academic administrators at historically Black colleges and universities (HBCUs) are faced with multiple challenges regarding retention of students, funding, and maintaining status as an HBCU, yet little is understood about how and why leaders choose a particular career pathway. This lack of understanding creates opportunities for failure related to turnover in leadership, funding discrepancies, and lower rates of retention and persistence for students. Using Maslow's needs theory as the foundation, the purpose of this descriptive study was to better understand the career pathways of established executive level leaders atin HBCUs in order to determine attributes of success among leaders with …

Training Frequency And Anxiety: Do Cpr Manikins Lend To Delivering High-Quality Cpr?, Steven Marks

Walden Dissertations and Doctoral Studies

Cardiopulmonary resuscitation (CPR) manikins are an educational technology tool employed to train nurses to perform high-quality CPR during real-life cardiac arrest events. However, a gap exists between CPR skills learned in training and those used in real life. The purpose of this quantitative study was to examine how CPR feedback and anxiety in registered nurses affect CPR performance on a manikin. Distributed practice and attentional control theory served as the foundations for this study. The research questions addressed the influence of demographic factors, real-time CPR feedback, and simulated hospital noises on CPR performance using CPR manikins. The study included a …

Factors Influencing Success In Day Treatment Programs For Children Ages 5 To 10, Leah Morken

Walden Dissertations and Doctoral Studies

Improving the success rates of children in mental health treatment is an important step to bettering lives. Day treatment programs are intermediate level treatment modalities that help children who are struggling with their mental health. Success rates differ for children in day treatment programs and several studies have been done evaluating various factors. This research addressed whether a child who had been exposed to trauma showed as much success in a program as a child that had not been exposed to trauma. Other variables were to determine if children have different levels of success based on their diagnosis. The study …

An Instructional Module For Nurses To Teach Patients With Gestational Diabetes Mellitus, Josephine Onyekachi Ollawa

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus (GDM) is a carbohydrate metabolism issue during pregnancy that is dangerous for mother and the baby. GDM occurs in 1 out of 3 diabetic women in 16.2% of live births. GDM knowledge and treatment practices among nurses were found inadequate when nurses’ effectiveness in treating a disease they have a shallow knowledge about (GDM) was investigated in the local medical facility. A GDM instructional module was applied and its effectiveness in promoting nurse’s use of GDM education as a treatment strategy tested. The total concept for knowledge and care, empowerment and the social cognitive theories grounded this …

Teachers’ Perceptions And Strategies Implementing The Alabama Reading Initiative To Teach Literacy, Latanya Williams-Collins

Walden Dissertations and Doctoral Studies

A report from a 2015 descriptive study of the Alabama Reading Initiative (ARI) showed that 85% of the participants who were trained in strategies to address students’ reading difficulties in high school were not implementing them. Teachers’ implementation of ARI was the focus of this study. Pragmatism was the epistemological framework of the study, and Roger’s diffusion of innovation theory was the conceptual framework used to support the study. The purpose and corresponding research questions examined the extent of ARI implementation, reasons for not implementing those strategies, and ideas for future professional development in ARI. Six content-area teachers who taught …

Third-Grade Reading Teachers' Views On Achieve3000 For The Florida Standards Assessment Test, Ennis L. Brinson

Walden Dissertations and Doctoral Studies

Educators are challenged with meeting the academic needs of students, particularly in the subject area of reading. School districts purchase tools such as Achieve3000 to help students improve their proficiency in reading; however, implementation of such interventions has not been explored from the educators' perspective. This study explored 3rd grade reading teachers' views on Achieve3000 as a tool for improving reading proficiency and preparedness for the Florida State Standards English Language Arts assessment. The conceptual framework included the theory of social validity and current research as it related to differentiated instruction. This study utilized a basic qualitative approach to answer …

Wellness Paradigms In Predicting Stress And Burnout Among Beginning Expatriate Teachers, Kimala Proctor

Walden Dissertations and Doctoral Studies

Research indicates that the current teacher shortage is in part due to stress and burnout. A topic that has not been examined is beginning expatriate English medium teachers (EMTs) with 5 years or less of teaching experience in the United Arab Emirates and the relationship between using individualized, self-initiated wellness paradigms and stress, job burnout, and intent to leave the teaching profession. The transactional model of stress and coping, Maslach's multidimensional theory of burnout, and the health promotion model were used to evaluate the moderating effects of the EMTs' burnout and stress levels on their wellness and intent to leave. …

African American Male Veterans' Perceptions Regarding Factors That Influence Community College Completion, Author Edward Solomon

Walden Dissertations and Doctoral Studies

African American, male, veteran (AAMV) students are not completing their degrees at a

local community college. The purpose of this qualitative research study was to examine veteran student perspectives regarding factors that influence community college completion to better understand their unique needs as veteran students. The conceptual framework was Bean and Metzner's model of nontraditional student attrition. The Schlossberg situation, self, support, and strategies transition model served as a foundation to examine each veteran student's personal experience of navigating available community college services to reach their educational goals. Data were collected from interviews with 10 AAMV students. Interview transcripts were …

Strategies To Access Business Loans For Small And Medium Enterprises In Jordan, Saleh Ahmed

Walden Dissertations and Doctoral Studies

Abstract

Business financing is crucial to the development and performance of small and medium enterprises (SME) in developing countries. Obtaining loans by SMEs in Jordan is vital for creating employment, reducing poverty ratio, and augmenting SMEs growth. The purpose of this qualitative multiple case study was to discover strategies SME owners use to access credit. The population comprised of 3 SME owners in Jordan who successfully accessed credit. The conceptual frameworks for this study were the social capital theory and the pecking order theory. Data were gathered using semistructured interviews and companies' archived records. Data were analyzed using thematic analysis; …

Compassion Fatigue In Registered Dietitians Who Treat Patients With Eating Disorders, Caryn Alyce Honig

Walden Dissertations and Doctoral Studies

Registered dietitians who treat patients with eating disorders may be at risk for developing compassion fatigue due to exposure to patients' chronic complications. Dietetic courses and programs do not comprise coping and resilience training, therefore, dietitians who work with these patients may need additional education. The purpose of this basic qualitative research study was to investigate the perceptions of practicing registered dietitians and dietetic educators on the risk of compassion fatigue, investigate ways to manage and prevent the development of compassion fatigue, and explore the possible need for professional education. Knowles's theory of andragogy provided the conceptual framework as perceptions …

Probabilistic Algorithms, Lean Methodology Techniques, And Cell Optimization Results, Michael Mccurrey

Walden Dissertations and Doctoral Studies

There is a significant technology deficiency within the U.S. manufacturing industry compared to other countries. To adequately compete in the global market, lean manufacturing organizations in the United States need to look beyond their traditional methods of evaluating their processes to optimize their assembly cells for efficiency. Utilizing the task-technology fit theory this quantitative correlational study examined the relationships among software using probabilistic algorithms, lean methodology techniques, and manufacturer cell optimization results. Participants consisted of individuals performing the role of the systems analyst within a manufacturing organization using lean methodologies in the Southwestern United States. Data were collected from 118 …

Meanings Of Preconception Health To Overweight Women In An Economically Depressed County, Valeria Ninette Balogh

Walden Dissertations and Doctoral Studies

The intention-behavior gap between receiving professional health information and transitioning to improved health behaviors prior to conception is not well understood. In order to improve preconception health across the board, a more integrative understanding of the problem must present itself. This study combined elements from the theory of planned behavior, self-determination theory, and the bioecological model of human development as it's foundation. Qualitative phenomenology and semistructured face-to-face interviews were used to gain a deeper understanding of the ways in which nine overweight and obese women described preconception intentions and beliefs and the bioecological experiences leading to those beliefs. Interpretation of …

Development Of Nursing Education For An Observation Unit, Donna Mckinney

Walden Dissertations and Doctoral Studies

As healthcare continues to face scrutiny related to the cost and quality of patient care, organizations are challenged with providing the right care to patients in the right setting. Some healthcare organizations are implementing observation units to provide appropriate care to a specific subset of patients. The purpose of this project was to develop education for nursing staff who will work on the dedicated observation unit and are unfamiliar with the care requirements. Benner's novice-to-expert theory was used as the framework for the project. This theorist posits that nurses transitioning to a new area require new knowledge and skills to …

The Challenges Of Virtual Leadership Affecting Project Delivery In The Public Sector, Verna-Kay Smith

Walden Dissertations and Doctoral Studies

Leaders of the U.S. government and U.S. organizations continue to seek information to mitigate risk and improve project deliverables in virtual environments. The problem addressed in this study was the rapid growth of technology in virtual workplaces that causes organizational leaders to concentrate on infrastructure and technology. The purpose of the exploratory case study was to understand the challenges virtual leaders encounter in the government environment that affect project delivery. The research questions were designed to examine the challenges virtual team leaders encounter while maintaining their roles and responsibilities to complete a project successfully in a timely manner. The theory …