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Transition Of Care Guideline For Reducing Heart Failure Hospital Readmission, Geeti Farrahi
Transition Of Care Guideline For Reducing Heart Failure Hospital Readmission, Geeti Farrahi
Walden Dissertations and Doctoral Studies
Heart failure (HF) patients are among the populations with the highest rates of hospital readmission within 30 days of discharge. Because of the 2010 Health Care Reform legislation, healthcare organizations are subject to financial penalty when a patient population exhibits excess readmissions. A significant reason for readmission of HF patients is a gap in the transition of care from hospital to home. The purpose of this doctoral project was to develop a practice guideline of best practices for transitioning HF patients from hospital to home. The transitional care model and care transitions intervention provided the theoretical underpinnings for developing this …
How Servant Leadership Impacts Interpersonal Conflict Between Employees And Their Supervisors, Thomas Brandon Fields
How Servant Leadership Impacts Interpersonal Conflict Between Employees And Their Supervisors, Thomas Brandon Fields
Walden Dissertations and Doctoral Studies
Managing interpersonal conflict between employees and their supervisors continues to be a challenge for all employees. Researchers have studied how leadership styles relate to conflict management in organizations, but little is known about how servant leadership relates to conflict management in the workplace. Servant leadership is a management style in which one motivates his or her employees by serving them. The purpose of this dissertation was to investigate how 7 servant leadership dimensions exhibited by supervisors correlated with 5 conflict management styles used by employees when employees had a conflict with their supervisor. A web-based survey invitation was shared with …
Predicting Certification Success For The Family Nurse Practitioner, Tammy Lee Gravel
Predicting Certification Success For The Family Nurse Practitioner, Tammy Lee Gravel
Walden Dissertations and Doctoral Studies
High-stakes licensure or certification examinations are required for many health professions disciplines to ensure safe entry-level practice. Accrediting agencies set a benchmark for graduates' first-time licensure or certification success as a measure of program effectiveness. Failures of graduates on licensure or certification examinations may directly affect the school's recruitment and retention of qualified students and faculty, as well as institutional financial viability. A health science university has added Health Education System, Inc. (HESI) standardized examinations using computer adaptive testing into the family nurse practitioner (FNP) master's program to support certification success, although research on these advanced practice examinations as related …
Assessing Nurses' Safety Attitudes In Preventing Clabsi, Seraphine Ikwueme
Assessing Nurses' Safety Attitudes In Preventing Clabsi, Seraphine Ikwueme
Walden Dissertations and Doctoral Studies
Central line-associated bloodstream infection (CLABSI) has been widely studied because of its impact on patient morbidity, mortality, and overall health care costs. Research has shown that nurses' attitudes and perceptions regarding safety are critical to developing and maintaining clinical environments that are safe, prevent CLABSI, and assure better health outcomes. The practice-focused question for this project sought to determine the safety attitudes exhibited by registered nurses on a medical-surgical unit at the practice site. The Stetler model was used as a framework to guide the study. The Safety Attitude Questionnaire (SAQ) measured attitudes and perceptions regarding teamwork, safety, job satisfaction, …
Perceptions Of People's Experiences Regarding Gun Violence, Charles M. Ndikum
Perceptions Of People's Experiences Regarding Gun Violence, Charles M. Ndikum
Walden Dissertations and Doctoral Studies
Gun violence is a problem in many communities across the United States that are characterized by poverty, and lack of quality education, yet little is known about the experiences of victims of gun violence in these places. The purpose of this phenomenological study was to better understand how people who have been victims of gun violence perceive problems and solutions associated with the production, distribution, and ownership of guns. Based on the theoretical framework of Rousseau's social contract theory, this study explored gun violence from the perspectives of 10 victims whose lives were directly or indirectly affected by gun violence …
Nursing Faculty's Integration Of Quality And Safety Competencies As A Curricular Framework, Florianne Mereigh-Frederick
Nursing Faculty's Integration Of Quality And Safety Competencies As A Curricular Framework, Florianne Mereigh-Frederick
Walden Dissertations and Doctoral Studies
The call to better prepare nurses in safety and quality performance resulted from the concern of the Institute of Medicine regarding egregious gaps and errors in U.S. hospitals that resulted in serious injuries and patient deaths. Quality and safety education for nursing (QSEN) competencies were set forth in 2005 to enhance nursing curricula and nursing students' preparation for practice; however, QSEN's integration and implementation have been gradual and inconsistent. This qualitative interpretive study was guided by Senge's principles of the learning organization and Benner's professional development model. Using face-to-face interviews, the perspectives of 9 full-time nursing faculty members at 2 …
Strategies To Sustain A Physician-Led Primary Care Practice, Ashley Polidori
Strategies To Sustain A Physician-Led Primary Care Practice, Ashley Polidori
Walden Dissertations and Doctoral Studies
Since 2008, physician-led primary care practices have decreased as physician's encounter sustainability challenges because of government regulations and the requirements of the Affordable Care Act. The problem is that some physician-led primary care practice leaders lack strategies to sustain a medical practice longer than 5 years. The purpose of this study was to explore strategies primary-care practice leaders use to sustain a practice longer than 5 years. This study followed a case study design, including a purposeful sampling of 3 physician-led primary care practice leaders in southern Indiana. Open-ended semistructured interviews were conducted and triangulated with company policies and procedures …
A Case Study Of Overcrowding In A County Jail In The Southeast United States, Marquice Robinson
A Case Study Of Overcrowding In A County Jail In The Southeast United States, Marquice Robinson
Walden Dissertations and Doctoral Studies
For the past several decades, the county jail in a large metropolitan city in the southeast United States has been overcrowded, which has resulted in violence within the jail, excessive costs to the Sheriff's Office, and a requirement of Federal oversight of the jail from 2005 to 2015. In spite of these events, little is understood about why jail overcrowding is prevalent in the county and what impacts overcrowding may have on the communities around the jail. Using Shaw and McKay's social disorganization theory as the foundation, the purpose of this case study was to understand the unique circumstances around …
Motivation Strategies For Improving Consistency In Live-Entertainment Employees' Performances, Anthony G. Ricotta
Motivation Strategies For Improving Consistency In Live-Entertainment Employees' Performances, Anthony G. Ricotta
Walden Dissertations and Doctoral Studies
The lack of discrete motivation strategies to improve the consistency of employees' performances was the problem that instigated this research. The purpose of this single-case study was to explore the motivation strategies live-entertainment artistic directors (ADs) use to improve consistency in the artists' performances. Data were collected within an international live-entertainment company to uncover whether artists self-determined the approach to improving consistency in performance or whether consistency occurred from strategies developed by the ADs. Data were collected from face-to-face interviews with ADs and senior ADs and performance evaluations of employees, and then analyzed using Miles, Huberman, and Saldana's data analysis …
Changes In Beliefs About Aggression In Baton Rouge Youth Peace Olympics Participants, Shonta Manuel
Changes In Beliefs About Aggression In Baton Rouge Youth Peace Olympics Participants, Shonta Manuel
Walden Dissertations and Doctoral Studies
Youth violence in the Baton Rouge inner-city area continues to create heightened concerns for the communities as well as the financial and healthcare systems. Even though violence prevention programs are in place in the area, no decline has been recorded in those who are being affected by violence. Due to lack of research in this field, a need for a sound research study exists to understand how Youth Peace Olympics (YPO) community-based program may be related to changes in attitudes about aggression and violence. A correlational cross-sectional research design was used to evaluate participants' beliefs about aggression, measured using the …
Religious Orientation And Communication As Predictors On Military Spouses' Perception Of Marital Happiness After A Second Deployments, Stephanie Santana
Religious Orientation And Communication As Predictors On Military Spouses' Perception Of Marital Happiness After A Second Deployments, Stephanie Santana
Walden Dissertations and Doctoral Studies
Military spouses are often left at home when their service member deploys to areas outside the United States. These deployments can have a lasting impact on the military spouses' perception of marital happiness. Communication problems can occur within the marriage and military spouses may use their religious orientation to alleviate the stress that comes from deployments. This quantitative study used an online survey method to conduct bivariate correlations and multiple regression analysis from a sample of 128 military spouses. This study focused on the family stress theory and used the Kansas Marital Satisfaction Scale, Extrinsic and Intrinsic Religious Orientation Scale, …
Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas
Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas
Walden Dissertations and Doctoral Studies
The cost of healthcare in the United States has increased due to growing numbers of patients who live with chronic health problems, such as heart disease. The cost of healthcare is compounded by the cost in terms of complications of cardiovascular disease secondary to medication non-adherence. Education about medication use and adherence, safety, and side effects was needed for patients in a cardiovascular unit to improve adherence to medications as prescribed. Results of a health care provider (HCP) and nursing staff needs assessment provided by the site showed the need for improved cardiovascular medication education. The project focused question asked …
Associations Between Substance Abuse And Mental Illness Among Sexual Minority Adults, Blanche O. Wright
Associations Between Substance Abuse And Mental Illness Among Sexual Minority Adults, Blanche O. Wright
Walden Dissertations and Doctoral Studies
Sexual minorities (lesbians, gays, and bisexuals) have a greater risk for substance abuse and mental illness than sexual majorities (heterosexuals). Associations between substance abuse and mental illness among sexual minority adults have not been widely studied. The purpose of this quantitative cross-sectional study was to use the 2015 National Survey on Drug Use and Health data from the Substance Abuse and Mental Health Administration to study the association of substance abuse (alcohol; hard drugs such as heroin, cocaine, methamphetamine; and hallucinogens), prescribed drugs (pain relievers, tranquilizers, sedatives, stimulants, psychotherapeutic, and inhalants, as well as marijuana) and mental illness (no past …
Relational Aggression Among Adolescent African American Females, Latoshia S. Daniels
Relational Aggression Among Adolescent African American Females, Latoshia S. Daniels
Walden Dissertations and Doctoral Studies
Relational aggression includes manipulative behaviors such as gossiping, spreading rumors, or practicing exclusion to intentionally destroy a peer's social reputation. Aggressive behaviors such as those found in relational aggression contribute to unsafe school environments. Research on relational aggression has increased in recent years, yet there is minimal research on relational aggression among African American adolescent females. The research questions were What is social workers' understanding of relational aggression? and How do social workers' cultural awareness and general understanding of African American females' relationships and interpersonal connections impact their ability to connect with their clients in the therapeutic relationship? The purpose …
Leadership Strategies To Improve Volunteer Retention, Rudene Pauline Glass
Leadership Strategies To Improve Volunteer Retention, Rudene Pauline Glass
Walden Dissertations and Doctoral Studies
Nonprofit leaders face challenges retaining volunteers to support their organizations' human resources. The shortage of volunteers threatens nonprofit sustainability with increasing personnel cost for maintaining quality services. Grounded by Burns's transformational leadership theory, the purpose of this multiple case study was to explore strategies nonprofit leaders from southeastern Michigan used to improve volunteer retention. Data were collected through face-to-face semistructured interviews with 3 nonprofit leaders and a review of organizational documents such as volunteer implementation plans, strategic plans, and volunteer committee notes. Data were analyzed using a methodological triangulation process of sorting comments, which involved a chronological review of the …
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez
Walden Dissertations and Doctoral Studies
Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …
Progression Of Clinical Self-Efficacy Among Baccalaureate Nursing Students, Christine Lee Hamilton
Progression Of Clinical Self-Efficacy Among Baccalaureate Nursing Students, Christine Lee Hamilton
Walden Dissertations and Doctoral Studies
Clinical self-efficacy, or the confidence that nursing students have in their ability to successfully perform nursing clinical skills, is imperative for the safe and effective practice of nursing. A gap in knowledge exists about the change in clinical self-efficacy as baccalaureate nursing (BSN) students move through a nursing program, in which they learn and practice clinical skills in laboratory and clinical settings. Guided by Bandura's social cognitive theory, the purpose of this quantitative study was to determine the relationship between clinical experience within a nursing program and the reported clinical self-efficacy of BSN students in the sophomore, junior, and senior …
Effects Of Cinema On Juror Decision Making, Jededia Higgins
Effects Of Cinema On Juror Decision Making, Jededia Higgins
Walden Dissertations and Doctoral Studies
Previous research has demonstrated how different forms of media, such as news, television, and music, can affect an individual's perceptions and attitudes. However, little research exists on how these effects may have an impact in the courtroom beyond pre-trial publicity. This could pose a threat to the constitutional right of a fair trial; and understanding this threat may be vital to impartiality in the trial process. Using cultivation theory and the CSI effect as a theoretical basis, this study examined how attitudes toward, and perceptions about, mock trial vignettes were affected by exposure to entertainment media in the form of …
Teacher Descriptions Of Oppositional Defiant Disorder And Bully-Victim Behavior Among Middle School Male Students, Randy Heller
Teacher Descriptions Of Oppositional Defiant Disorder And Bully-Victim Behavior Among Middle School Male Students, Randy Heller
Walden Dissertations and Doctoral Studies
While current psychological theory and research suggest conceptual associations between bullying and behavioral disorders, there is a gap in the literature examining such relationships. Although contemporary theories of aggression describe emotional, social, and cognitive risk factors that are common both, associations between bully-victim patterns and ODD have not been studied to date. This exploratory study addressed this gap by surveying 27 teachers to assess their reports of aggressive behaviors and socioemotional patterns of 58 male middle school students who were identified through school investigations as involved in bullying incidents. Between-group differences for students classified as bullies, victims, or bully-victims were …
Custodial Parental Perceptions And Experiences Of Noncustodial Parents And Child Support, Breanne Marie Nguyen
Custodial Parental Perceptions And Experiences Of Noncustodial Parents And Child Support, Breanne Marie Nguyen
Walden Dissertations and Doctoral Studies
Child support is a means to financially support children, yet fewer than half of children eligible for child support receive full payment, with many receiving none. Child support nonpayment is a national concern that has led to negative repercussions for non-intact families, the community, and economic system. In some cases, noncustodial parents have an inability to pay. The purpose of this descriptive, phenomenological study was to understand custodial parental perceptions and experiences of noncustodial parent's inability to pay their child support. Social learning theory served as the conceptual framework for the study. In-depth interviews were conducted with a sample of …
Strategies Business Managers Use To Engage Employees In The Chemical Industry, Akeem A. Adeyemi
Strategies Business Managers Use To Engage Employees In The Chemical Industry, Akeem A. Adeyemi
Walden Dissertations and Doctoral Studies
Lack of employee engagement in the workplace is one of the leading causes of lost productivity in the United States, estimated to cost organizations between $450 to $550 billion per year. The purpose of this single case study was to explore the strategies that some business managers in the chemical industry use to engage employees and increase productivity. The population for the study consisted of 5 small chemical business managers of a chemical company in the northeastern United States that demonstrated success in engaging employees. The conceptual framework for the study was social exchange theory. Data were collected from small …
Evaluation Of The Bedside Swallow Screen, Ruby Ben
Evaluation Of The Bedside Swallow Screen, Ruby Ben
Walden Dissertations and Doctoral Studies
Dysphagia is a leading complication of a stroke. A nurse-driven bedside swallow screen can identify dysphagia and decrease the risk for complications such as aspiration pneumonia. At the project site, the use of the bedside swallow screen was at 33%; there was noncompliance with the use of the bedside swallow screen by the emergency department nurses. The purpose of the doctoral project was to increase the use of the bedside swallow screen. Published outcomes, research, and reports generated from archived data were the sources of evidence. The six sigma methodology was used to inform the quality improvement doctoral project. At …
Etiology Of Water Quality Perceptions And Beverage Preferences Of Black Children And Adolescents, Forkpayea K. Johnson
Etiology Of Water Quality Perceptions And Beverage Preferences Of Black Children And Adolescents, Forkpayea K. Johnson
Walden Dissertations and Doctoral Studies
The purpose of this phenomenological qualitative study was to examine the etiology of water quality perceptions and beverage preferences of Black children and adolescents, which addressed a current gap in the literature on this topic. This study was guided by Festinger's social comparison theory, which supports the notion that children and adolescents' perceptions and preferences are influenced by their social network and those with whom they have a close association. In this study, children and adolescents' water quality perceptions were examined as well as the development and factors affecting those perceptions. Whether social factors such as peer or parental influence …
Oral Glucose Insulin Secretion Test For Identifying Patients With Insulin Resistance, David Kershner
Oral Glucose Insulin Secretion Test For Identifying Patients With Insulin Resistance, David Kershner
Walden Dissertations and Doctoral Studies
Insulin resistance is an increasing public health issue with the current literature, suggesting reduced sensitivity of insulin leads to adult onset diabetes and associated downstream pathologies that reduce life expectancy. The main objectives of this study were to evaluate the ability of the Oral Glucose Insulin Secretion Test (OGIST) to identify insulin resistance and examine differences in the insulin sensitivity based on gender, age, and ethnicity. This study was supported by the insulin resistance theory which focuses on the reduced ability of insulin to bind to the cellular insulin receptor, reducing the sensitivity of insulin. The OGIST lab results of …
Strategies For Selecting And Individualizing Training For Employee Positioning, Reba Michelle Royster
Strategies For Selecting And Individualizing Training For Employee Positioning, Reba Michelle Royster
Walden Dissertations and Doctoral Studies
Lack of effective selection and training of employees for positioning within a business can have extensive financial repercussions. Fostering mentoring relationships between leaders and employees increases competitive advantage and institutional financial growth. However, there is limited research that supports the role of mentoring leadership styles for improving organizational productivity. The purpose of this single case study was to explore strategies used by business managers to select and individually train employees for opportunities within the organization to achieve job-person fit. The sample included 5 business managers employed within a medium-sized organization in a consultation firm in the mid-Atlantic region of the …
Staff Education And Training For The Maternal Cardiac Arrest, Kimberly Sue Gililland
Staff Education And Training For The Maternal Cardiac Arrest, Kimberly Sue Gililland
Walden Dissertations and Doctoral Studies
Maternal cardiac arrest is among the most frightening events that can happen on the labor and delivery unit. A maternal arrest can have catastrophic results. Staff must be vigilant, competent, and ready to handle the maternal arrest emergency at all times. A maternal cardiac arrest requires coordination among multiple disciplines and precise performance is paramount in saving not one life, but two. The purpose of the project was to establish a clinical training course for maternal arrest intended for education to improve staff knowledge during a maternal cardiac arrest. Evaluation of the knowledge and skills were through an exam, participation …
Understanding Social Workers' Knowledge Of Foster Care Drift, Joey Gardner
Understanding Social Workers' Knowledge Of Foster Care Drift, Joey Gardner
Walden Dissertations and Doctoral Studies
Foster care drift is the extended stay in foster care without attaining family reunification or permanency with another placement. When foster care youth experience foster care drift, they face the possibility of aging out of the foster care system. Interventions and policies have been implemented to aid family service workers during the process of permanency planning; however, a great number of foster care youth remain in care. This study explored the perceptions of social work professionals regarding foster care drift regarding issues and challenges that social workers engaged in foster care placement face regarding foster care drift. The ecological system …
Relative Effectiveness Of Nutritional And Physical Programs On Young, Rural, Impoverished Students, Dora Ida Justice
Relative Effectiveness Of Nutritional And Physical Programs On Young, Rural, Impoverished Students, Dora Ida Justice
Walden Dissertations and Doctoral Studies
Over the past several decades, childhood obesity has continued to rank as an epidemic, particularly in rural, impoverished areas in the United States. Therefore, researchers have affirmed the necessity of exploring solutions to the epidemic, including the need to develop and implement programs that target at-risk behaviors of childhood obesity. In this quantitative, quasi-experimental study, the focus was to determine whether public school-based programs teaching nutrition, physical education, and dietary choices could increase the nutritional knowledge, physical activities, and dietary behaviors of students attending second and third grade in rural, impoverished communities of West Virginia. The theories that served as …
Survivors' Experiences Of Pet Abuse Within The Cycle Of Domestic Violence, Taylor Chastain Johnson
Survivors' Experiences Of Pet Abuse Within The Cycle Of Domestic Violence, Taylor Chastain Johnson
Walden Dissertations and Doctoral Studies
Domestic violence is a pervasive issue that impacts all members of a household, including pets. There is comprehensive quantitative evidence to suggest that domestic violence and pet abuse commonly co-occur; however, as the personal accounts of pet-owning survivors have started to emerge through qualitative investigation, more research is needed to understand the unique experiences of pet abuse that take place alongside instances of domestic violence. This phenomenological investigation utilized control balance theory and a feminist framework to uncover the experiences of survivors who entered their pets into an animal care program specifically designed to help during times of domestic violence …
Effective Strategies For Building Trust In Virtual Teams, Alphonse Shefa Kwaye
Effective Strategies For Building Trust In Virtual Teams, Alphonse Shefa Kwaye
Walden Dissertations and Doctoral Studies
Virtual teams often fail to achieve their objectives because virtual team leaders lack strategies for nurturing trust among dispersed team members. The purpose of this single case study was to explore strategies virtual team leaders in large corporate banks use to build trust among virtual team members. The population of this study included 6 virtual team leaders from a large corporate bank located in the northeast region of the United States. The interpersonal trust theory was the conceptual framework of this study. Data were collected via semistructured telephone interviews and review of company documents. The data analysis process included content …