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Nursing Leadership And Employee Satisfaction Perception In A Virtual Work Environment, Angelique Duffy
Nursing Leadership And Employee Satisfaction Perception In A Virtual Work Environment, Angelique Duffy
Walden Dissertations and Doctoral Studies
Virtual team leaders in health care must have the right resources available to help them effectively perform their jobs. Better performance from the leader may lead to greater employee satisfaction. The problem addressed by this study was the impact of leadership style on employee satisfaction of virtual nurses. The purpose of this quantitative correlational study was to investigate the relationship between the leadership styles of virtual nursing environment leaders as perceived by virtual employee nurses and the nurses' satisfaction as measured by the Multifactor Leadership Questionnaire-short form. Building on the theoretical foundation of Bass's 1990 work, this study examined the …
A Phenomenological Study On The Challenges Experienced By Kinship Adopters, Allyson Foster Hamlin
A Phenomenological Study On The Challenges Experienced By Kinship Adopters, Allyson Foster Hamlin
Walden Dissertations and Doctoral Studies
This research addressed the social and emotional challenges kinship adoptive families have encountered when their adopted child's trauma symptomology surfaces. The unique relationship between the adoptive relative and the kinship child offered a different view on the coping techniques used by kinship families and uncovered areas where resources could support permanency. In this phenomenological study, 12 interviews with relative adoptive parents guided by the attachment and family system theories, offered insight to what fosters or degrades the bond with the adopted child. Using post-adoption resource events, service agencies, and community resources, this study recruited participants through flyers posted on websites, …
Creation Of A Diabetic Health Literacy Program For Staff Of A Rural Federally Qualified Healthcare Center, Cathy Jones
Creation Of A Diabetic Health Literacy Program For Staff Of A Rural Federally Qualified Healthcare Center, Cathy Jones
Walden Dissertations and Doctoral Studies
Adult residents in rural communities have a higher incidence of chronic diseases. This fact coupled with low health literacy and a lack of primary and specialty care services makes the management of diseases such as diabetes difficult. The purpose of this doctoral project was to develop a diabetic health literacy program for staff of a rural federally qualified health care center (FQHC) that is the largest primary care center within a 5-county area in a rural mid-Atlantic region of the United States. Most residents have difficulty understanding diabetic information as it is presented to them, which leads to an increase …
Length Of Pretrial Detainment For Inmates With Mental Illness, Maria Pereira-Sosa
Length Of Pretrial Detainment For Inmates With Mental Illness, Maria Pereira-Sosa
Walden Dissertations and Doctoral Studies
There has been an increase in the number of individuals with mental illness being housed in correctional facilities over the last 50 years. In this study, the length of pretrial detention was compared for inmates who have a mental illness and are compliant with psychiatric medications, inmates who have a mental illness and are noncompliant or not prescribed psychiatric medication, and inmates with no mental illness. I also examined if inmates who have a mental illness have less severe charges and if there was a difference in the classification of mental health diagnoses for inmates who are and are not …
Breastfeeding Perceptions, Rates Of Initiation, And Duration Among Urban And Rural Women, Shaunta N. Rutherford
Breastfeeding Perceptions, Rates Of Initiation, And Duration Among Urban And Rural Women, Shaunta N. Rutherford
Walden Dissertations and Doctoral Studies
Breastfeeding is the optimal feeding method for infants up to the age of 2. Breast milk is suited to fulfill the nutritional needs of infants while providing immunological and neurological benefits. Breastfeeding rates of initiation and duration are low in the United States, especially in the state of Georgia. The purpose of this cross-sectional study was to investigate how breastfeeding initiation and duration, self-efficacy, perceptions, and community breastfeeding resources differ based on geographical location. The social ecological model was used as the theoretical framework for this study. An online and in-person survey that combined the Iowa Feeding Attitude Scale, Breastfeeding …
Cultural Perspectives On African American Adolescent Sexual Risk Behavior In Central Mississippi, Debra Suzette Smith
Cultural Perspectives On African American Adolescent Sexual Risk Behavior In Central Mississippi, Debra Suzette Smith
Walden Dissertations and Doctoral Studies
In 2015, Mississippi had the 3rd highest adolescent birth rate in the United States, high rates of sexually transmitted diseases, and enduring racial disparities between African American and White teenagers. Few researchers have described the immediate cultural environment to determine how it may influence the sexual behaviors and attitudes of African American teens. The purpose of this qualitative ethnographic study was to describe the sociocultural environment of African American adolescents in Mississippi that influences their sexual behavior by exploring the knowledge, feelings, experiences and beliefs of African American adults. The social cognitive theory was used as a theoretical framework to …
Clinical Practice Guideline For Differentiating Risk Factors For Avoidable And Unavoidable Pressure Ulcers., Vivian Suarez-Irizarry
Clinical Practice Guideline For Differentiating Risk Factors For Avoidable And Unavoidable Pressure Ulcers., Vivian Suarez-Irizarry
Walden Dissertations and Doctoral Studies
Pressure ulcers (PUs) present intrinsic risk factors that are not consistently identified by clinical assessments. The objective of this project was to develop a clinical practice guideline (CPG) to provide nurses with guidance in identifying and differentiating how intrinsic and extrinsic risk factors are associated with populations at risk for developing avoidable and unavoidable PUs. CPG development followed a systematic method to search the literature, organize findings, and assess the strength of the resulting evidence and its applicability to the CPG. Quality of the CPG was assessed by a panel of 8 health care professionals using the Appraisal of Guidelines …
Improving Outcomes For Congestive Heart Failure Patients, Diana Lee Collins
Improving Outcomes For Congestive Heart Failure Patients, Diana Lee Collins
Walden Dissertations and Doctoral Studies
Managing patients diagnosed with congestive heart failure (CHF) requires coordination with subspecialties and frequent outpatient monitoring. The lack of communication among health care providers and patients can result in a gap in practice when managing patients with CHF in the outpatient setting. Guided by the chronic care model, this quality improvement project was an initiative to develop and implement a 6-week self-care management program provided by nurse practitioners in an outpatient primary care practice. The goal of the project was to improve the day-to-day self-care management of patients with CHF and addressed the practice-focused question of whether a 6-week CHF …
Association Of Dietary Intake With Suicidal Ideation Or Suicide Attempts In Adolescents, Zenobia J. Bryant
Association Of Dietary Intake With Suicidal Ideation Or Suicide Attempts In Adolescents, Zenobia J. Bryant
Walden Dissertations and Doctoral Studies
Suicide is among the leading cause of adolescent deaths worldwide and thus a significant public health concern. Risk factors for suicidal behavior include drinking alcohol, smoking, and engaging in risky sexual behaviors. One area of concern is dietary patterns and their association with depressive symptoms and suicidal ideation. Bandura's social cognitive theory emphasizes the assumption that one can perform specific actions to bring about desired outcomes. The primary research questions for this quantitative, retrospective, cross-sectional study concerned whether there is a statistically significant interaction between fruit and vegetable intake and suicidal ideation or suicide attempts. Data from 71,776 adolescents in …
Executive Succession In Community Action Agencies In A Southern State, Johnnie Faye Campbell
Executive Succession In Community Action Agencies In A Southern State, Johnnie Faye Campbell
Walden Dissertations and Doctoral Studies
Without adequate succession planning (SP) for executive directors, nonprofit organizations risk losing their mission and direction and their ability to sustain the quality of program and services and maintain superior leadership. The purpose of this study was to determine the degree to which SP was being developed and implemented in community action agencies (CAAs) in a southern state. This study also focused on the challenges that these organizations experienced from not implementing SP. This single case study design was based on the theoretical framework of organizational change, using Lewin's 3-stage model. Identified through purposive and snowball sampling, 17 participants from …
Examining New Teachers' Perceptions Of Preparedness, Allison Cugini
Examining New Teachers' Perceptions Of Preparedness, Allison Cugini
Walden Dissertations and Doctoral Studies
Attrition rate is high for beginning teachers in an urban school district in the Northeast United States. Without a proper support system in place, new teachers struggled transitioning from their preparation programs into the classroom. This study focused on recent graduates from a teacher preparation program at a large local university. The purpose of this study was to investigate the perceptions of preparedness of recent graduates from the Teacher Education Accreditation Council (TEAC) accredited preparation program. The TEAC standards provided the conceptual framework which informed the interview guides. The research questions focused on the perceived readiness of new teachers, the …
Prekindergarten Teachers' Experiences Teaching Preliteracy To English Language Learners, Sangeeta Dwarka
Prekindergarten Teachers' Experiences Teaching Preliteracy To English Language Learners, Sangeeta Dwarka
Walden Dissertations and Doctoral Studies
Pre-K teachers in Metro Georgia have little to no training in working with English language learner/dual language learner (ELL/DLL) students, nor do they know how to instruct these students to meet Pre-K preliteracy criteria. As Pre-K classrooms contain increasing numbers of ELL/DLL students, the purpose of this qualitative case study was to explore teachers' need to support emergent literacy for ELL/DLL students in the Pre-K setting. The theoretical foundations for this study included Vygotsky's sociocultural theory and Kreshan's theory of language acquisition. Thirteen teachers participated in the study. Selection criteria was (1) having 2 years of teaching experience and (2) …
Age, Gender, Income, And Social Support As Predictors Of Single Parent Resiliency, Ebonnie Leavern Simmons-Hall
Age, Gender, Income, And Social Support As Predictors Of Single Parent Resiliency, Ebonnie Leavern Simmons-Hall
Walden Dissertations and Doctoral Studies
Nearly 50% of children younger than 18 years will be raised by a single parent at some point prior to adulthood. Of developed countries, the United States currently has the highest percentage of single parents. Although much research has examined factors that contribute toward the negative outcomes of single parents, few studies have focused on factors that contribute toward positive outcomes for single parents. Using the strength-based construct of resiliency as a theoretical framework, this study examined whether gender, age, income, and perceived familial social support individually or in linear combination could predict resiliency in single parents. This study involved …
Spatiotemporal Variations In Coexisting Multiple Causes Of Death And The Associated Factors, Emmanuel Oluwatobi Salawu
Spatiotemporal Variations In Coexisting Multiple Causes Of Death And The Associated Factors, Emmanuel Oluwatobi Salawu
Walden Dissertations and Doctoral Studies
The study and practice of epidemiology and public health benefit from the use of mortality statistics, such as mortality rates, which are frequently used as key health indicators. Furthermore, multiple causes of death (MCOD) data offer important information that could not possibly be gathered from other mortality data. This study aimed to describe the interrelationships between various causes of death in the United States in order to improve the understanding of the coexistence of MCOD and thereby improve public health and enhance longevity. The social support theory was used as a framework, and multivariate linear regression analyses were conducted to …
Elements Of Expatriate Adjustment In Host Country Organizations, Denise Suzanne Schickel
Elements Of Expatriate Adjustment In Host Country Organizations, Denise Suzanne Schickel
Walden Dissertations and Doctoral Studies
Globalization and international business increasingly require the services of skilled expatriates in overseas offices. Over the past 50 years, numerous studies have focused on various factors affecting expatriate adjustment, primarily through quantitative research, reaching no conclusions on what factors in cross-cultural training would guarantee expatriate success. Expatriate failure has high personal and organizational costs. The purpose of this study was to use the qualitative methodology of narrative inquiry to investigate the adjustment, transition, and repatriation experience as a holistic process. Two theoretical constructions, Bandura's social learning theory, applied to the learning process in an international assignment, and social identity theory, …
A Phenomenological Investigation Of Adult Daughters Of Childhood Paternal Abandonment, Mary Spencer
A Phenomenological Investigation Of Adult Daughters Of Childhood Paternal Abandonment, Mary Spencer
Walden Dissertations and Doctoral Studies
A father's abandonment of his minor daughter can leave an indelible impression on her psyche -- one that can forever affect her intimate romantic relationships. The purpose of this qualitative phenomenological study was to explore where women who were abandoned by their fathers prior to the age of 18 are today as adults in terms of their intimate romantic relationships and how they develop and engage in these relationships. The research questions examined how a daughter being abandoned by her father prior to the age of 18 relates to where she is today in her adult intimate romantic relationships and …
Social Support, Psychological Distress, And Behavioral Outcomes Among Palliative Care Caregivers, Monique Lashone Aguirre
Social Support, Psychological Distress, And Behavioral Outcomes Among Palliative Care Caregivers, Monique Lashone Aguirre
Walden Dissertations and Doctoral Studies
Social support and acute care facility providers need information about how to help improve the practices and knowledge of caregivers related to the stages of palliative care. The purpose of this study was to examine whether there was a significant association between social support and psychological distress and behavioral outcomes among palliative care caregivers, and to determine to what extent social support buffered psychological distress and behavioral outcomes. The quality-of-life model guided the study. The study used a quantitative cross-sectional research design with secondary data analyses. The sample included 320 adult family caregivers who were part of a telephone survey …
Women's Perceptions Of Flourishing Through Quilting As A Leisure Activity, Cathy Lynn Ferrarese
Women's Perceptions Of Flourishing Through Quilting As A Leisure Activity, Cathy Lynn Ferrarese
Walden Dissertations and Doctoral Studies
Quilting is a self-chosen leisure activity for millions of women in the United States. Previous research on quilting suggested that quilting is influenced by the emotional state of the quilter. However, the emotional experiences generated during quilting have not been fully explored. The purpose of this qualitative narrative study was to explore quilters' perceptions of what quilting as a leisure activity does to enhance their well-being and increase flourishing. Positive psychology well-being theory was the theoretical foundation for the study. Semistructured interviews with 12 adult women who quilt as a leisure activity were the basis of the narrative inquiry. Data …
Interpreting Middle And High School Teacher Concerns Toward Rti Implementation, Kim E. Davis
Interpreting Middle And High School Teacher Concerns Toward Rti Implementation, Kim E. Davis
Walden Dissertations and Doctoral Studies
Research exists about secondary school Response to Intervention (RTI) models, but little is known about the concerns of middle and high school teachers who are working together to implement RTI practices as a shared responsibility. The extensive body of documentation on RTI at the elementary level has not helped educators develop systematic RTI implementation practices across all levels (Ehren, 2013). The purpose of this quantitative study was to determine whether there were differences in practice concerns, if any among middle school and high school teachers' RTI practice concerns when measured by the Impact Stage of the Stages of Concern Questionnaire …
Teachers' Perceptions About Reading Instruction In Elementary Inclusion Classrooms, Elizabeth Ann Kempf
Teachers' Perceptions About Reading Instruction In Elementary Inclusion Classrooms, Elizabeth Ann Kempf
Walden Dissertations and Doctoral Studies
Researchers argued that special education students should learn alongside regular education students because involvement with peers affects special education students' ability to assimilate information. However, inclusive elementary classroom teachers in a local Texas school were struggling to meet the learning needs of their diverse student populations in reading instruction. The purpose of this study was to explore teachers' perceptions about reading instruction in an inclusion setting and to investigate what teachers believe was needed to improve the effectiveness of their practice. King-Sears's inclusion instructional model served as the conceptual framework to guide this study. The research questions were focused on …
Leadership Strategies For Retaining Mariners Aboard State Maritime Academy Training Ships, Augusta D. Roth
Leadership Strategies For Retaining Mariners Aboard State Maritime Academy Training Ships, Augusta D. Roth
Walden Dissertations and Doctoral Studies
The shortage of qualified merchant marines in the United States requires State Maritime Academy (SMA) leaders to develop competitive retention strategies to retain merchant mariners aboard training vessels. The purpose of this single case study was to identify retention strategies that U.S. SMA leaders used to retain mariners aboard training ships. The conceptual framework of this study was Vroom's expectancy theory. The study participants consisted of 5 SMA leaders overseeing the mariners aboard a training vessel. Semistructured interviews and review of SMA documents pertaining to employment strategies provided the study data. The data analysis included collecting and coding data, and …
Leadership Strategies To Retain Key Employees, Keith Reginald Stafford
Leadership Strategies To Retain Key Employees, Keith Reginald Stafford
Walden Dissertations and Doctoral Studies
Retention of key employees protects a firm's investment in its human resources. Employee retention is an issue in the insurance sector, particularly among sales employees. The purpose of this descriptive study was to explore leadership strategies used by insurance sales managers to retain key employees. Herzberg's dual factor theory and Adams's equity theory were used to explore insurance sales managers' insights into leadership strategies. Semistructured interviews were conducted with 15 insurance sales managers in southern California to elicit the strategies they used to maintain their key salespeople. Data were analyzed using the modified Van Kaam method. Seven themes emerged from …
Strategies Construction Managerial Leaders Use To Counteract Material Cost Overruns, Daniel John Van Der Kuyp
Strategies Construction Managerial Leaders Use To Counteract Material Cost Overruns, Daniel John Van Der Kuyp
Walden Dissertations and Doctoral Studies
The project cost overruns instigated through the loss of construction materials lowers the profitability of each stakeholder significantly. The purpose of this single case study was to explore strategies managerial leaders of a large construction firm used to counteract material cost overruns successfully. The diffusion of innovation theory was the conceptual framework for this study. The target population consisted of 6 managerial leaders with experience in large construction projects adhering to waste management standards and industry certifications. Data were collected using semistructured interviews and review of company documentation. The data analysis approach involved the content analysis research method to interpret …
Reducing Lateral Violence Among Nurses Through Staff Education, Alexandra Lindsay Tripp
Reducing Lateral Violence Among Nurses Through Staff Education, Alexandra Lindsay Tripp
Walden Dissertations and Doctoral Studies
Most nurses experience lateral violence (LV) during their careers. LV can be detrimental to nurses' livelihoods and careers, to facilities due to nurse replacement costs, to the nursing profession due to attrition, and to patient safety. The purpose of this staff education project was to educate registered nurses on the issue of LV and to equip nurses to respond to their aggressors. The project question addressed whether education would increase awareness of LV and empower nurses to stand up to their aggressors. The theory of the nurse as the wounded healer, social learning theory, and the theory of reciprocal determinism …
Impact Of Self-Efficacy And Time On Skin Cancer Protective Behaviors, Abbie Goldbas
Impact Of Self-Efficacy And Time On Skin Cancer Protective Behaviors, Abbie Goldbas
Walden Dissertations and Doctoral Studies
Skin cancer incidence is increasing while the rates of other cancers is declining. The purpose of this quantitative study was to determine whether health self-efficacy predicted skin cancer protective behaviors. The theory of health self-efficacy provided the framework for the study. Secondary data were collected from the 2008 and 2014 Health Information National Trends Surveys. The study sample included women 18-34 years of age because this population is especially vulnerable to skin cancer. Results of logistic regression analyses indicated that higher levels of health self-efficacy predicted greater sunscreen use, but higher health self-efficacy levels did not predict avoidance of tanning …
Direct Supervisor Influence On Nurse Engagement, Kelly Elaine Tapp
Direct Supervisor Influence On Nurse Engagement, Kelly Elaine Tapp
Walden Dissertations and Doctoral Studies
Nurse engagement is essential for organizational success. If organizations can engage nurses, they may be able to improve organization and patient outcomes. The purpose of the evidence-based practice project was to use current evidence of direct supervisor influence on nurse engagement to create an educational program for clinical leads to use in their interactions with direct reports. The relationship-based care model was used as a framework for the project, and concepts included work engagement, nurse engagement, recognition versus meaningful recognition, professional development, communication, transformational leadership, and authentic leadership. Before and after attending the education program, clinical leads were given a …
Strategies For Used Car Dealership Owners To Sustain Business In A Competitive Environment, Jude Thaddeus Suh
Strategies For Used Car Dealership Owners To Sustain Business In A Competitive Environment, Jude Thaddeus Suh
Walden Dissertations and Doctoral Studies
Small used car dealership ventures experience high business failures in the marketplace. Grounded in the resource-based view (RBV) theory, the purpose of this multiple case study was to explore strategies used car dealership owners and managers employ to remain profitable and sustain operations for longer than 5 years. In this study, 10 participants, including 5 owners and 5 managers from small used car dealerships in Colorado participated in face-to-face semistructured interviews. These participants have developed successful strategies to remain profitable for at least 5 years. Using methodological triangulation, field notes and documentary evidence supplemented the data collected through semistructured interviews. …
The Relationship Between Law Enforcement Agency Size And Police Stress, William Warner
The Relationship Between Law Enforcement Agency Size And Police Stress, William Warner
Walden Dissertations and Doctoral Studies
Researchers have found that law enforcement officers often experience stress. The purpose of this quantitative study was to determine if the size of the law enforcement agency (small, medium, or large) had any significant influence on how police officers perceive stress in their profession from a cognitive appraisal perspective with regards to Administrative/Organizational Pressure, Physical/Psychological Threats, and Lack of Support. Members of law enforcement (N = 144) from Utah and New York were surveyed utilizing Spielberger et al.'s Police Stress Survey. Archival data were provided by the National Police Suicide Foundation. Stress index scores were calculated manually for each survey …
Retention Strategies For Millennial Long-Haul Truck Drivers, Debra A. Washington
Retention Strategies For Millennial Long-Haul Truck Drivers, Debra A. Washington
Walden Dissertations and Doctoral Studies
A persistent truck driver shortage and high driver turnover at common carriers limit the effectiveness of some U.S. supply chains. Most driver vacancies result from job hopping, especially among younger drivers. A multiple case study was conducted to explore strategies that some leaders of U.S. common carriers have used to retain millennial-age long-haul truck drivers. Data sources consisted of semistructured, in-person and phone/videoconference interviews; participant observations; and company documents. The sample population was 9 leaders from 6 different common carriers with operations in the southwestern region of the United States who successfully retained millennial long-haul drivers. The conceptual framework was …
The Efficacy Of Neurofeedback In The Treatment Of Autism., Rosemary Akhavan
The Efficacy Of Neurofeedback In The Treatment Of Autism., Rosemary Akhavan
Walden Dissertations and Doctoral Studies
Autism is a disorder that impairs the development of a person's ability to interact with other people and to relate productively with the outside world. There are many types of interventions being used to treat autism, but there are no cures or definitive treatments for this disorder. A biological theoretical foundation was the basis of this study, as recent neuroimaging techniques have demonstrated that autism is a neurological disorder that reveals distinct abnormalities in the brain. The purpose of this study was to examine the efficacy of neurofeedback (NFB) in the treatment of autism. NFB has shown promise of improving …