Digital Commons Network^™

Assessment Of Risk Perception For Lyme Disease In New Jersey, Sunungurai Tongesayi

Walden Dissertations and Doctoral Studies

Lyme disease (LD) is emerging as one of the major global health challenges of the 21st century. Although data on the diagnosis and treatment of LD is available, research focusing on people's perceptions of LD appears to be limited. Because individual perceptions can significantly affect compliance with preventative measures, such data are critical for the design and successful implementation of interventions to control the disease. The purpose of this qualitative phenomenological study was to explore risk perceptions and knowledge of LD among residents of a county in the U.S. state of New Jersey where the disease is prevalent. The health …

Women's Empowerment As A Policy For Poverty Reduction In Haiti, Flore Saint.Louis Weinstein

Walden Dissertations and Doctoral Studies

Women represent more than 50% of the population of Haiti and embody the poorest group due to their lack of socioeconomic development. Numerous nongovernmental organizations (NGOs) including diaspora NGOs (DINGOs) have engaged in the fight to reduce poverty in Haiti by enabling empowerment programs to help women become self-reliant. The programs appear to be ineffective because the level of poverty remains high and there has been little research on the relative effectiveness and sustainability of the programs implemented by the DINGOs. Using the feminist theories of DeBeauvoir and Friedan in conjunction with the empowerment theory of AlMaseb and Julia as …

Exploring Employee Engagement Strategies From The Employee Perspective: A Case Study, Harley R. Barmore

Walden Dissertations and Doctoral Studies

Small businesses, which are important to the success of local communities, continue to fail at a much higher rate than their larger counterparts. Employee disengagement contributes to small businesses failure and is often precipitated by a misalignment of leader intent and employee perception of engagement strategies. The purpose of this case study, grounded in prevailing engagement theories, was to explore the alignment of employee perceptions to leaders' engagement strategies. Research questions elicited employee perceptions of leader engagement strategies and how these perceptions influenced their attitudes toward work. Data were collected from employees and the owner of a small Midwestern, privately …

Time And Transitions As Predictors Of Effective Postdeployment Resilience, Ricarlos Marcell Caldwell

Walden Dissertations and Doctoral Studies

Since 9/11 over 2.77 million U.S. service members have deployed 5.4 million times to a theater of war with the majority serving in the U.S. Army. The increased stress inherent in a single combat deployment grows exponentially with each subsequent deployment, resulting in behavioral issues and suicide attempts and ideations. This study's purpose, following resilience theory, was to explore the associations of military life experiences (permanent changes of station, promotions, retirements, etc.) and deployment characteristics (number of deployments, operational specialties, combined lengths of deployments, etc.) to postdeployment resilience in U.S. military personnel. The study's design was a quantitative correlational research …

Safe Chemical Handling By Agrochemical Users In Plateau State, Nigeria, Adaobi Ifeoma Ekwempu

Walden Dissertations and Doctoral Studies

Agrochemical use has been increasing in both developing and the developed nations. The unsafe handling and use of agrochemicals can lead to accumulation of hazardous chemicals in the body, causing adverse effects on health. This quantitative cross sectional study sought to understand the level of awareness, practices, and perceptions of safe chemical handling by agrochemical using the Theory of Planned Behavior. This study was conducted among 260 farmers in Plateau State, Nigeria. Data on background knowledge and practices of safe agrochemical handling by farmers were collected using a structured paper based, interviewer-€administered questionnaire. Descriptive statistics revealed that the most practiced …

Recruiting Strategies For Increasing The Number Of Emergency Medical Technician Personnel, Carolyn Denise Mack

Walden Dissertations and Doctoral Studies

Demand for the emergency medical technician (EMT) is 2 times greater than that of all other occupations. Sustainability of ambulance services (AS) personnel is dependent upon the recruitment of EMTs into the industry. The purpose of this multiple case study was the exploration of the recruiting strategies that AS administrators used to increase the number of EMTs. Herzberg's 2 factor theory of motivation was the conceptual framework for this study. The data collection instrument included semistructured interviews with 6 AS company executives in southeastern New Mexico and southwestern Texas. Secondary data and document from each state's emergency medical services personnel …

Strategies For Mitigating The Effects Of Crisis In Microfinance Institutions In Ghana, Akorfa Ahiafor

Walden Dissertations and Doctoral Studies

Ghana has experienced an unprecedented failure of microfinance institutions. Within a period of 8 years from 2011 to 2019, the Bank of Ghana has revoked the license of over 489 microfinance institutions. The purpose of the exploratory multiple case study was to explore strategies that microfinance managers apply to mitigate the effects of crisis to remain sustainable. The targeted population was composed of owner-managers from 6 microfinance companies in Ghana and 6 consultants who overcame the microfinance crisis and remained in practice. The situational crisis communication theory and the team leadership model were the conceptual frameworks for this study. Methodological …

Faculty And Administrator Perceptions Of The Attrition Of Female Expatriate Esl Teachers' In Saudi Arabia, Salisha Bhola

Walden Dissertations and Doctoral Studies

Colleges in Saudi Arabia require students to take content classes in English. As the number of English learners in Riyadh continues to grow, it is important to retain quality English as Second Language (ESL) teachers. The problem investigated in this study was the high attrition of female expatriates teaching ESL at an all-female university. The purpose of this qualitative case study was to explore teacher and administrators' perceptions about the attrition of female expatriate ESL teachers at the university. The conceptual framework was Herzberg's motivation-hygiene theory, which focuses on influences that motivate or demotivate employees. The research questions explored why …

Recommendations For African American Family Caregivers Of Adult With Congestive Heart Failure., Callista Chika Ejim

Walden Dissertations and Doctoral Studies

African Americans suffer disproportionately higher incidence of congestive heart failure (CHF) at an earlier age of onset and with more rapid progression compared to other races. Due to this escalating prevalence of CHF within the African American population and the lack of culturally responsive support for the caregiving role, African American family caregivers of adult CHF patients face greater challenges and suffer increased caregiver burden, stress, depression, and financial strain compared to European American caregivers. The purpose of this project was to conduct a systematic literature review to find the recommendations that target African American family caregivers of adult CHF …

Strategies For Mitigating Employee Turnover In The Nigerian Financial Services Industry, Oluwabukunmi Fapohunda

Walden Dissertations and Doctoral Studies

Business owners and leaders have committed resources, time, and funding to understand and mitigate the phenomenon of employee turnover. The purpose of this study was to explore the strategies that managers used to mitigate employee turnover in the financial services industry in Nigeria. The transformational leadership model was the conceptual framework for this single case study. Semistructured face-to-face interviews were conducted with 10 middle-level managers who had experience and knowledge of employee turnover at an organization in the financial services industry in Nigeria. The company's policy documents and audited financial statements were also reviewed. Thematic coding was used for data …

Health System Access To Maternal And Child Health Services In Sierra Leone, Alhassan Fouard Kanu

Walden Dissertations and Doctoral Studies

The robustness and responsiveness of a country's health system predict access to a range of health services, including maternal and child health (MCH) services. The purpose of this cross-sectional study was to examine the influence of 5 health system characteristics on access to MCH services in Sierra Leone. This study was guided by Bryce, Victora, Boerma, Peters, and Black's framework for evaluating the scaleup to millennium development goals for maternal and child survival. The study was a secondary analysis of the Sierra Leone 2017 Service Availability and Readiness Assessment dataset, which comprised 100% (1, 284) of the country's health facilities. …

Evidence-Based Practice Self-Study Education Program For Staff Nurses On Genomics, Nancy L. Norman-Marzella

Walden Dissertations and Doctoral Studies

Nurses routinely obtain genomic data when collecting family health histories. However, they report low confidence in their knowledge and understanding of genomics and the genetically engineered medications prescribed for their patients. The purpose of this project was the development and implementation of an evidence-based online education program about genetics and genomics to increase the nurses' understanding and ability to provide competent care for their patients receiving treatments based on the science of genomics. Knowles's principles of adult learning theory guided the development and delivery of the online education project to 12 medical-surgical registered nurses employed in a hospital in the …

Impact Of Socioeconomic Status And Health-Seeking Behavior On Malaria In Pregnancy, Ifeanyi Livinus Udenweze

Walden Dissertations and Doctoral Studies

Malaria in pregnancy remains a public health challenge in Nigeria despite the fund appropriation for malaria control. The health challenges of malaria in pregnancy vary with populations and there is limited knowledge on the impact of the socioeconomic status and health-seeking behavior on malaria in pregnancy in Nigeria. The objective of this cross-sectional quantitative survey was to examine whether socioeconomic status and health-seeking behavior predict malaria in pregnancy in Nigeria using the social cognitive theoretical model. The data from a 2015 Nigeria Malaria Indicator Survey was used in this study. Data were analyzed using chi-square, binary, and multivariate logistics regression …

Association Of Health Facility Delivery And Risk Of Infant Mortality In Nigeria, Susan Adaku Ukwu

Walden Dissertations and Doctoral Studies

Infant mortality (IM) incidence in health facility systems during or after infant delivery is

substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill

birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health

facility delivery centers were examined. The Mosley and Chen theoretical framework

informed this study and was used to explain the relationship between SBAs, prenatal

care, and providers of prenatal care and IM. One hundred and sixty infant deaths were

examined among mothers who used an SBA versus those who did not, mothers who had

prenatal care versus those without, …

Policy Knowledge Communication In Nursing, Curtiss John Vavra

Walden Dissertations and Doctoral Studies

Evidence-based practices in nursing improve patient outcomes, decrease healthcare costs, and can be implemented with policies and procedures. However, there is limited literature describing how nurses acquire policy knowledge, the dissemination of which may require a significant investment of resources by a hospital. The purpose of this study was to learn more about how nurses obtain policy knowledge. Rogers's diffusion of innovations theory guided the examination of communication channels and how they relate to the formation of policy knowledge. The research questions were designed to gather information on the relationship of policy communication channels, demographic factors, and the frequency of …

Millennials Leaving Religion: A Transcendental Phenomenological Research Study On Religious Disaffiliation, Elizabeth Ann Rainwater

Walden Dissertations and Doctoral Studies

Religious disaffiliation among Millennials has increased significantly in the past decade alongside rapidly changing social relationships amplified by social media applications. In the United States, many Millennials claim no religious identity with many leaving their religion for a variety of reasons. The purpose of this qualitative phenomenological study was to explore the lived experiences of religiously disaffiliated Millennials regarding their psychological health and well-being. Self-determination theory fulfilled the theoretical framework for examining the lived experiences of young adults regarding their well-being after religious disaffiliation. A purposive sample of 12 male and female religiously disaffiliated Millennials was recruited for semistructured interviews. …

Predictors Of Cervical Cancer Screening Among Hispanic Women In Texas, Madhu Ravindranath

Walden Dissertations and Doctoral Studies

Hispanic women in Texas show higher cervical cancer incidence rates as compared to all women in the United States. The rate of cervical cancer in the United States has reduced mostly due to regular cervical cancer screening. However, high cervical cancer among Hispanics in Texas may reflect low cervical cancer screening. The purpose of this quantitative study was to examine the insurance status (independent variable) and cervical cancer screening (dependent variable) among low-income Hispanic women, living in Texas Health Service Regions (HSRs), after controlling for age, marital status, and personal health care provider. The theoretical framework used in this study …

Leader Readiness In A Volatile, Uncertain, Complex, And Ambiguous (Vuca) Business Environment, Karen Rimita

Walden Dissertations and Doctoral Studies

Organizational leaders in the 21st century face relentless changes in the business environments in which they operate. The diversity, intensity, and rapidity of these changes create volatility, uncertainty, complexity, and ambiguity (VUCA), which challenge leaders on ways to lead effectively as existing methods prove inadequate. The problem in this study was that of inadequate leader preparedness to lead and win in VUCA environments. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of 15 Nigerian corporate executives about their VUCA business environment and the strategies they employed for VUCA-readiness and success within the manufacturing sector. The …

Use Of Mobile Telephones: Experiences Of First Responders In Rural African Communities, James Harding

Walden Dissertations and Doctoral Studies

Emergency medical technicians (EMTs) usually participate in disaster response in rural African communities. Disasters in African communities are often characterized by huge fatalities, which are associated with a slow pace of response. The use of information and communication technology in disaster response is recognized as an effective conduit for enhancing response. Previous research indicates the efficacy of the use of mobile telephones in disaster response in advance countries. However, there remains a critical gap in the available literature on the experiences of EMTs with the use of mobile telephones in disaster response in rural African communities. The purpose of this …

Public Officials' Defense Of Bribery As A Culturally Acceptable Behavior In Ghana, Agyena Osei Joseph

Walden Dissertations and Doctoral Studies

The prevalence of bribery in Ghana has increased significantly since the mid-2000s and has received considerable attention in both local and international media, as well as among empirical researchers. Although researchers have examined factors that influence the giving and acceptance of bribes in Ghana, limited theoretical research exists concerning the ways public officials in Ghana defend their corrupt behavior. The purpose of this study was to examine ways bribees in Ghana defend their illegal actions, using Sykes and Matza’s neutralization theory. Data were collected from telephone interviews with 11 Ghanaian public officials who have served sentences for bribery; their statements …

Predictors And Risk Factors Of Ebola Virus Disease In Sierra Leone, Kandeh Kamara

Walden Dissertations and Doctoral Studies

Sierra Leone had the highest number of cases of Ebola virus disease in history during the 2014 Ebola epidemic. The purpose of this quantitative, cross-sectional study was to examine the relationship between sociocultural and behavioral risk factors and Ebola status among women and men ages 15 to 49 years in Sierra Leone. The ecological model served as the theoretical framework. Secondary data were collected from the Sierra Leone Ebola Disease Survey. Results of chi-square tests revealed that attending a funeral (p = .001), touching a dead body at a funeral (p = .023), contact with a sick person (p = …

Urban Development Of A City In Niger Delta Region Of Nigeria, Chinyere Emmanuel Igwe

Walden Dissertations and Doctoral Studies

The issue of indiscriminate urban expansion is not uncommon in Africa. It has created haphazard, unplanned, and unapproved development that negatively affected urban planning for cities in the Niger Delta Region in Nigeria. Using Stone's urban regime theory, the purpose of this phenomenological study was to explore from the perspective of developers, associations, and government agencies (referred to as stakeholders), the roots causes of indiscriminate urban development and their activities in the process in the Niger Delta Region. Data were collected through semi structured telephone interviews with 10 participants who had at least 5 years experience working in public and …

Relation Between Employee Learning, Emotional Intelligence, And Organizational Performance, Jose A. Lopez-Martinez

Walden Dissertations and Doctoral Studies

Many managers of Puerto Rican corporations have not been able to assist employees in their recovery from the devastation left by Hurricane Maria. This lack of assistance has resulted in high employee attrition rates, low productivity, anxiety, isolation, anguish, despair, panic attacks, and depression. Scholarly literature lacks research on emotional intelligence and learning in corporate, postdisaster contexts; both capacities may mitigate employee stress due to the uncertainty inherent in postdisaster conditions and motivate employees to persevere in the face of adversity. The purpose of this quantitative study was to assess the relationship between employee learning, emotional intelligence, and organizational performance. …

Self-Concealment, Perceived Discrimination, And African American Treatment Choices For Major Depression, Danita Morales Ramos

Walden Dissertations and Doctoral Studies

African Americans have a higher proclivity to depression than other ethnic groups in the United States and also have a greater propensity to avoid seeking professional mental health treatment. The available research has shown that racial and cultural barriers such as perceived discrimination and self-concealment are the primary factors that negatively affect African Americans' attitudes toward mental health itself and mental health treatment. Perceived discrimination and self-concealment may also negatively affect whether African Americans seek help for depression and from whom, but further investigation was needed. The quantitative survey study provided answers to which factors influence whether and where African …

Barriers That Prevent Adult Latino Students From Attaining A College Degree, Laly J. Rodriguez

Walden Dissertations and Doctoral Studies

The U.S. Latino community is underrepresented among those with college degrees, and high college dropout rates among Latinos have contributed to that underrepresentation. The purpose of this qualitative case study was to explore why Latinos are at increased risk for dropping out of college compared to their White counterparts. Tinto's theory of student integration and the geometric model of student persistence and achievement were used to guide the study. Data were collected from 12 Latino students at risk for dropping out at a college in the northeastern United States who were enrolled in a degree program but were considering dropping …

Adherence To Art Among Hiv Infected Female Sex Workers In Nigeria, Abass Babatunde Yusuf

Walden Dissertations and Doctoral Studies

A lack of adherence to antiretroviral therapy (ART) increases the risk of onward human immunodeficiency virus (HIV) transmission and mortality. The purpose of this cross-sectional study based on Andersen's conceptual framework was to test the associations between age, marital status, job/occupational status, education, membership in a peer support group, community, and facility ARV drug refill and alcohol and substance use, and adherence to ART among female sex workers (FSWs) who are 15 years and older in Rivers and Cross Rivers states Nigeria. Data were abstracted from existing program data collected between January 2015 and December 2017 by Heartland Alliance International, …

Elder Abuse In Illinois: A Two–Pronged Approach To Assessing The State's Response, Angelique Marie Pass

Walden Dissertations and Doctoral Studies

The Adult Protective Services Program is tasked with enforcing the standards and policies created at the federal level relating to how provider agencies should respond to elder abuse. What has yet to be explored is whether the Adult Protective Services Program is efficiently responding to the issue of elder abuse through its monitoring and evaluation protocols, which are based on the current policies. The purpose of this study was to explore the role of the 13 planning and service areas in their response to elder abuse. The response to elder abuse is guided by the current policies and funding strategies …

Student Retention At Online Learning Institutions, Johnetta P. Banks

Walden Dissertations and Doctoral Studies

At a local community college in Texas, student retention remained a concern as enrollment was increasing while online student retention was decreasing. The purpose of this study was to examine student retention in online courses at the college. The conceptual framework that guided the project study was Tinto’s integration model, which provided insight as to why students choose to leave or continue their educational journey. The overarching question that guided the study queried the factors influencing students’ decisions to take online courses at the higher education level. A qualitative case study was used to capture information on 10 students regarding …

Feeding Practices And Nutritional Status Of Infants In Northwest Nigeria, Michael Enyi Enwere

Walden Dissertations and Doctoral Studies

Infants and young children in the Northwest province of Nigeria are susceptible to malnutrition. Inappropriate and inadequate breastfeeding and complementary feeding result in stunting, underweight, and wasting. The purpose of this cross-sectional study was to examine current feeding practices of infants not older than 2 years and their nutritional status in Northwest Nigeria. The theory of planned behavior was adopted in this research. With a total sample size of 3,861, multiple linear regression was adopted as a predictive analysis to delineate the correlation between two or more independent variables and one continuous dependent variable. Also, adopted was an independent t …

Association Between Recruiters' Perceptions Of Education Delivery Mode And Applicants' Workplace Readiness, Alan Mark Faingold

Walden Dissertations and Doctoral Studies

The academy, its faculty, and recruiters have discordant views about credentialed graduates’ workplace viability. As the powerful gatekeepers between education and the employment market, recruiters’ perceptions of college credentials may dictate applicants’ interview progression. Although nearly 100% of today’s college administrators believe higher education programs prepare students for the workplace, less than 12% of recruiters deem graduates ready to succeed in organizational settings after graduation. The purpose of this study was to investigate differences in recruiters’ perceptions of online and face-to-face higher education credentials as indicators of applicants’ workplace readiness. The theoretical foundation of this study was Spence’s signaling theory …