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Walden Dissertations and Doctoral Studies

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Early Recognition And Treatment Of Acquired Pneumonia, Michael Lamorgese Jan 2018

Early Recognition And Treatment Of Acquired Pneumonia, Michael Lamorgese

Walden Dissertations and Doctoral Studies

Sepsis is a life-threatening organ dysfunction disease process that costs the healthcare system millions of dollars each year. By using existing assets, the number of patients admitted to the hospital suffering from sepsis secondary to community-acquired pneumonia can be reduced. The purpose of this project was to improve and expand the scope of practice of the registered nurse working in a private medical office to initiate treatment for suspected CAP using evidence-based practice. Data from the last quarter of 2017 and the first quarter of 2018 were compared. The purpose of comparing these data sets was to examine outcomes of …


Department Structure And Leadership Functions For Advanced Practice Providers, Deondela Love Jan 2018

Department Structure And Leadership Functions For Advanced Practice Providers, Deondela Love

Walden Dissertations and Doctoral Studies

Department structure and leadership functions can influence work climate. In one healthcare system, advanced practice providers (APPs) worked in a decentralized structure with multiple leaders. This project explored the impact of the change to centralized leadership for APPs working in an academic healthcare system in which employee turnover was high and satisfaction was low. An ad hoc committee led by the chief medical officer created a centralized department with a designated leader. Surveys and interviews were used to identify the benefits of the strategies implemented and understand whether the change in organizational structure resulted in an improved work climate for …


Cultural Sensitivity And African American Women's Compliance With Breast Cancer Screening, Cynthia Payne Jan 2018

Cultural Sensitivity And African American Women's Compliance With Breast Cancer Screening, Cynthia Payne

Walden Dissertations and Doctoral Studies

Although the incidence of breast cancer is almost the same for middle-aged African American and Caucasian women, the rate of patients' following breast cancer screening and following up recommendations differs. African American women are less likely to follow recommendations and have higher mortality rates when compared to Caucasian women. One factor thought to affect compliance with breast cancer screening and follow up is culturally sensitive communication. This purpose of this quantitative correlational study was to determine if the culturally sensitive communication of a medical center influenced compliance with breast cancer screening and follow up and if compliance has an effect …


A Transition Quick-Guide For Educating Youth With Hemophilia, Joetta Smith Jan 2018

A Transition Quick-Guide For Educating Youth With Hemophilia, Joetta Smith

Walden Dissertations and Doctoral Studies

A 2009-2010 National Assessment Survey of youth with special needs such as hemophilia showed that 40% of youth between the ages of 12 and 17 had a transition plan before transitioning to adult care services. The lack of a transition plan caused youth to fall into a fragmented care gap when transition services are inadequate. During the gap, youth with hemophilia increased use of the emergency room and were hospitalized for complications such as frequent joint or muscle bleeding and joint disability. As a result, the health status of affected youth becomes fragile and health care costs escalate. The practice …


Victims' Perspectives Of Management's Interventional Efforts Regarding Relational Aggression In The Workplace, Don Simmons Jan 2018

Victims' Perspectives Of Management's Interventional Efforts Regarding Relational Aggression In The Workplace, Don Simmons

Walden Dissertations and Doctoral Studies

Relational aggression (RA) is a social phenomenon that can severely impact organizational profitability and employee productivity. A gap in the literature exists concerning appropriate interventions to manage RA. The purpose of this study was to explore successful interventions that have been used to manage RA. The theoretical framework was informed by psychological contract theory. Data were collected via semistructured face-to-face interviews with 12 victims, and then analyzed using data management, reading and memorization, description, classification, interpretation, and representation. NVivo software was used to organize the data in this study. The research consisted of 3 subquestions addressing the role of written …


The Relationship Between Education Levels And Public Opinion Before The Iraq War, Damion Steele Jan 2018

The Relationship Between Education Levels And Public Opinion Before The Iraq War, Damion Steele

Walden Dissertations and Doctoral Studies

Researchers have found that higher education is known to stabilize political opinions and thought to enhance critical thinking skills. The role that an individual's level of education plays in shaping public opinion during a foreign affairs crisis, within the context of repetitious and uniform news media coverage, has yet to be determined. The theoretical foundation of agenda-setting explains how salience is created by emphasizing certain messages and influencing public opinion and may bypass education and political knowledge. The purpose of this quantitative study was to examine the relationship between education level and public opinion immediately before the Iraq War. The …


Leadership Styles Manufacturing Business Managers Use To Reduce Workplace Injuries, Joe Sparks Jan 2018

Leadership Styles Manufacturing Business Managers Use To Reduce Workplace Injuries, Joe Sparks

Walden Dissertations and Doctoral Studies

The cost of workplace injuries is a major concern for business managers. Business managers in the production, transportation, and material moving industries experience the highest injury rate with an annual average of 198.5 lost days away from work. The purpose of this single case study was to explore transformational leadership skills and strategies used by manufacturing business managers to reduce workplace injuries. The conceptual framework for this study was Bass and Burns's transformational leadership theory. Data collection included semistructured interviews to elicit narratives from 3 managers from a metal manufacturing company located in the southeastern United States about the leadership …


Educating Staff Members In An Outpatient Clinic On Hypertension Management, Helen Anyiam Jan 2018

Educating Staff Members In An Outpatient Clinic On Hypertension Management, Helen Anyiam

Walden Dissertations and Doctoral Studies

An educational module on hypertension was created in response to the recurring pattern of patient visits with hypertension and an observed knowledge gap among nursing staff in an outpatient clinic located in the southern United States. The educational module was patterned after Joint National Committee-8 and American College of Cardiology guidelines involving patient lifestyle modification and provided clinic staff with information on hypertension diagnosis and self-management for use in patient education. The module was reviewed by a panel of 3 experts who approved it for appropriateness and clarity of content and made one minor recommendation for revision. The education materials …


Initial Drug Court Risk Assessment Scores And Probationers' Completion Of Drug Court Programs, Carina T. Atkins Jan 2018

Initial Drug Court Risk Assessment Scores And Probationers' Completion Of Drug Court Programs, Carina T. Atkins

Walden Dissertations and Doctoral Studies

Drug offenders continue to cost citizens and governments money, while drug courts attempt to rehabilitate offenders and reduce recidivism. The Level of Service Inventory-Revised (LSI-R) is a risk assessment tool used by courts and probation offices to determine needs and risks of offenders, and often determine levels of supervision. The purpose of this quasi experimental study was to determine if there is a statistically significant association between the initial LSI-R scores of offenders entering drug courts and their successful completion of the drug court program. Therapeutic jurisprudence theory, the theoretical framework for this study, suggests that the courts and the …


The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss Jan 2018

The Impact Of Length Of Stay On Therapeutic Effectiveness Of Multidimensional Treatment Foster Care, Dawn M. Breikss

Walden Dissertations and Doctoral Studies

Youth who are placed in the Multidimensional Treatment Foster Care (MTFC) program come from families with multiple risk factors. The MTFC program is based on social learning theory, which posits that youth learn from modeling those in their environment. It is unclear whether motivation for social learning decreases over time. Past research has indicated that there is an efficacious time period for treatment in the MTFC program (6 to 9 months). The purpose of this quantitative study was to examine the behavior effects of remaining in treatment foster care for an extended length of time. This was measured through pre- …


Exploring The Cultural Intelligence Of Nurse Leaders, Valerie D. Campbell Jan 2018

Exploring The Cultural Intelligence Of Nurse Leaders, Valerie D. Campbell

Walden Dissertations and Doctoral Studies

Today, nurses represent many cultures and ethnic backgrounds. In their leadership style, nurse leaders must learn to embrace cultural intelligence or cultural quotient (CQ), that is, an extension of emotional intelligence that affords them the ability to manage a culturally diverse workforce. Historically, CQ has been relevant to business, locally and globally. But it is also important to explore the CQ of nurse leaders. Scholarly studies show that leaders with CQ are responsible for developing innovative employee behaviors, forward-thinking ideas, and creativeness in the workplace. CQ has a theoretical foundation in the 2003 research of Early and Ang who focused …


The Effect Of Cultural Awareness Training On Staff In Intergovernmental Service Agreement Facilities, Steven Alan Coffman Jan 2018

The Effect Of Cultural Awareness Training On Staff In Intergovernmental Service Agreement Facilities, Steven Alan Coffman

Walden Dissertations and Doctoral Studies

No system-wide diversity training exists at Immigration and Customs Enforcement Intergovernmental Service Agreement (IGSA) facilities. This study was conducted to determine if diversity training has a short-term effect on cultural awareness of staff in these facilities in the midwestern United States. This information is important to administrations in IGSA facilities when deciding to include diversity training in the annual required training of staff, as the efficacy and relevance have been unknowns. The theoretical foundation of this study is Smircich's organizational culture theory. A nonequivalent control group research design was utilized to collect survey data from 48 participants at 2 midwestern …


Race, Gender, And Retention In A Diabetes Self-Management Program, Marcia Kaye Bygrave Jan 2018

Race, Gender, And Retention In A Diabetes Self-Management Program, Marcia Kaye Bygrave

Walden Dissertations and Doctoral Studies

Diabetes has quickly become an epidemic in the United States and affects all genders and races. Some ethnic groups are at greater risk for being diagnosed and face devastating health consequences due to poor diabetes self-management. Diabetes self-management education (DSME) is considered to be a positive step toward patient self-efficacy and diabetes management. The benefits of diabetes self-management education can only be realized if patients diagnosed with diabetes not only enroll, but complete the program. The purpose of this research study was to investigate the association between race and gender and dropout rates among participants enrolled in a DSME program. …


A Phenomenological Analysis Of Military Personnel's Experiences Of Toxic Leadership, Nikeisha Sewell Johnson Jan 2018

A Phenomenological Analysis Of Military Personnel's Experiences Of Toxic Leadership, Nikeisha Sewell Johnson

Walden Dissertations and Doctoral Studies

The existing quantitative literature on toxic leadership in the military has primarily explored negative outcomes, gendered military experience, and toxic leadership separately; however, relatively few studies have included all 3. The unidentified connection was critical in determining how toxic leadership varied and left a gap for further research to be conducted from a qualitative, phenomenological perspective. Therefore, this study addressed the manner in which encounters with toxic leadership differed across gender and military rank according to those experiencing it. Using a convenience sampling method, data were gathered through semi structured interviews with 12 Army veterans. Thematic analysis of the data …


Strategies To Generate Employee Engagement, Diane Marie Marshall Jan 2018

Strategies To Generate Employee Engagement, Diane Marie Marshall

Walden Dissertations and Doctoral Studies

When leaders use an ineffective communication strategy, it leads to decreased employee engagement, and thus increases the potential for lost productivity and profitability. The purpose of this case study was to explore effective communication strategies managers used to improve employee engagement and increase productivity as well as profitability. The motivating language theory served as the conceptual framework for this study. A semistructured interview technique was used to interview 3 purposefully selected managers in the northeastern region of the United States about the successful strategies they generated to improve employee engagement. Two themes emerged from data analysis: creating a culture that …


Health Care Services For Child Survival And Performance-Based Management In Three Kosovo Municipalities, James Mugaju Jan 2018

Health Care Services For Child Survival And Performance-Based Management In Three Kosovo Municipalities, James Mugaju

Walden Dissertations and Doctoral Studies

After the Republic of Kosovo's declaration of independence in 2008, new municipal structures were created with the charge of monitoring the delivery of health care services; yet, no mechanism for monitoring performance was ever implemented. With the public value theory as the foundation, the purpose of this multiple case study of 3 Kosovo municipalities was to understand issues surrounding the capacity of local government health department to monitor their performance related to the delivery of services. Relevant data were collected through focus-group discussions with 10 nurses, 9 directors of family medicine centers, and 12 municipal program managers. Purposeful semistructured interviews …


Social Media Marketing Strategies Used By Small Retail Businesses, Rochelle Shivon Jordan Jan 2018

Social Media Marketing Strategies Used By Small Retail Businesses, Rochelle Shivon Jordan

Walden Dissertations and Doctoral Studies

Developing effective social media marketing (SMM) strategies to engage customers is a challenge for business leaders. The purpose of this multiple case study was to explore the SMM strategies used by small business retailers to engage customers. The conceptual framework for this study was Rogers's diffusion of innovations theory. Participants included 5 small business retailers who had been in business for at least 5 years, used effective SMM strategies to engage customers, and were located in the southwest region of the United States. Data were collected through semistructured, face-to-face interviews. Data analysis resulted in 3 emergent themes: (a) marketing strategies …


Latent Tuberculosis Infection Treatment Completion And Predictors Of Noncompletion Among Visa Holders In The Rural Setting, Scott Hutton Jan 2018

Latent Tuberculosis Infection Treatment Completion And Predictors Of Noncompletion Among Visa Holders In The Rural Setting, Scott Hutton

Walden Dissertations and Doctoral Studies

Latent tuberculosis infection (LTBI), a product of exposure to Mycobacterium tuberculosis (Mtb), can lead to tuberculosis (TB) and further cause death if untreated. Fortunately, TB can be prevented with LTBI treatment. Targeting newly arrived visa holders for LTBI screening and treatment is an effective strategy for decreasing future TB burden. However, LTBI treatment completion rates are low, and researches had primarily focused on the nonrural U.S. setting. This study, using a retrospective cohort design under the epidemiological disease triangle framework evaluated (a) the treatment completion rates for 2 cohorts of visa holders (i.e., immigrants, N = 31 and refugees, N …


Compliance Strategies To Reduce The Risks Of Money Laundering And Terrorist Financing, Cassandra Nottage Jan 2018

Compliance Strategies To Reduce The Risks Of Money Laundering And Terrorist Financing, Cassandra Nottage

Walden Dissertations and Doctoral Studies

Ineffective compliance programs expose banking and trust companies to increased risk of money laundering (ML) and terrorist financing (TF). Using risk management theory, the purpose of this multiple case study was to explore compliance strategies that Bahamian bank and trust company managers use to reduce ML/TF risks. Study participants comprised 7 senior risk and compliance managers experienced in risk strategy development and implementation. Semistructured interview data were triangulated with data collected from internal policy and procedural documents, publicly available papers of the Financial Action Task Force on Money Laundering (FATF), the Basel Committee on Banking Supervision (BCBS), and the Central …


Implementation Of Food Safety Regulations In Food Service Establishments, Steve Randolph Mcallister Jan 2018

Implementation Of Food Safety Regulations In Food Service Establishments, Steve Randolph Mcallister

Walden Dissertations and Doctoral Studies

Food service businesses in the United States have experienced millions of dollars in losses caused by foodborne illness outbreaks, which can lead to bankruptcy and business closures. More than 68% of all foodborne illness outbreaks occur in food service establishments. The purpose of this descriptive case study was to explore the strategies leaders of food service establishments use to implement food safety regulations. Force field analysis was the conceptual framework for this study. The population for the study consisted of 3 leaders of food service establishments located in the southeastern region of the United States. Data were collected using semistructured …


Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson Jan 2018

Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson

Walden Dissertations and Doctoral Studies

High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …


Nursing Candidates' Perceptions Of The Greatest Challenges To Becoming A Professional Nurse, Lee Ann Williams Jan 2018

Nursing Candidates' Perceptions Of The Greatest Challenges To Becoming A Professional Nurse, Lee Ann Williams

Walden Dissertations and Doctoral Studies

Nursing candidates' overall goal is to become a professional nurse. To reach this goal, the student must graduate from an associate or baccalaureate nursing program and pass the state board, National Council Licensure Examination (NCLEX). Student retention in nursing programs and passing the NCLEX continue to be a problem for educational institutions throughout the United States. The purpose of this study was to examine nursing candidates' perceptions of their greatest challenges in becoming a professional nurse. Wenger's social learning systems and the community of practice comprised the conceptual framework that guided this study. The research questions pertained to nursing students' …


Seat Belt Fit A Mechanism Of Injury During A Motor Vehicle Crash, Jacoba Hendrika Viljoen Jan 2018

Seat Belt Fit A Mechanism Of Injury During A Motor Vehicle Crash, Jacoba Hendrika Viljoen

Walden Dissertations and Doctoral Studies

Seat belts save lives; however, unintentional injuries are still the leading cause of death for those between 1 and 44 years in the United States. Seat belts also cause injuries during motor vehicle crashes (MVCs) and obesity changes how seat belts fit. The purpose of this retrospective causal inference quantitative study was to reduce the knowledge gap in scholarly research on seat belt fit in relation to blunt cerebrovascular injuries (BCVI) during MVCs and seat belt compliance. The theoretical framework used was based on H.W. Heinrich's domino theory. The research questions focused on the following dependent variables: BCVI, compliance, and …


Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman Jan 2018

Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman

Walden Dissertations and Doctoral Studies

Chronic pain is a significant problem in the U.S. pediatric population, conservatively estimated to affect 15% to 20% of children. Few studies have focused on coping strategies African American children use to manage chronic pain. The purpose of this study was to examine coping strategies used by African American children and adolescents ages 11 to 18 years suffering from chronic pain and to examine gender and age differences in this population. The gate control theory provided the framework for the study. The Pain Coping Questionnaire was used to measure coping strategies in a convenience sample of 44 children and adolescents …


Faculty Perspectives On Redesigning Classrooms With Active Learning Technology Tools, Zhanat Alma Burch Jan 2018

Faculty Perspectives On Redesigning Classrooms With Active Learning Technology Tools, Zhanat Alma Burch

Walden Dissertations and Doctoral Studies

Effective integration of active learning technology tools in classrooms is a key component of 21st century higher education classrooms. Challenged with outdated technology access and traditional classrooms, a local university in North Carolina initiated a strategic plan to update classrooms and laboratories with the 21st century technology. The problem of the study was that limited information existed regarding faculty perceptions regarding benefits of and barriers to integrating active learning technology tools. The goal of this study was to uncover the faculty members' views and perceptions about redesigning classrooms with the active learning technology tools. The technology acceptance model (TAM) framework …


Strategies To Combat Tenant Fraud In The Rental Housing Market, Dr. Gwendolyn B. Dawson Jan 2018

Strategies To Combat Tenant Fraud In The Rental Housing Market, Dr. Gwendolyn B. Dawson

Walden Dissertations and Doctoral Studies

Many business executives lack strategies to detect and eliminate tenant fraud in subsidized rental housing. The purpose of this multicase study was to explore strategies some business executives used to detect and eliminate tenant fraud in subsidized rental housing. The conceptual framework used to guide this study was the theory of planned behavior. Data were gathered using semistructured interviews with 6 purposively selected business executives of public housing authorities, supplemented with a review of policies and procedures that business executives used. Yin's 5-step analysis, which entails examining, categorizing, tabulating, creating a data display, and testing the data, guided the process …


The Lived Experiences Of African-American Male Exoffenders In The Northeast United States, Jacqueline Grant Jan 2018

The Lived Experiences Of African-American Male Exoffenders In The Northeast United States, Jacqueline Grant

Walden Dissertations and Doctoral Studies

Discrimination, racism, and class bias affects the accessibility of resources available to African American males who are exoffenders. The purpose of this phenomenological study was to explore the lived experiences of African American, male exoffenders' ability to access resources postincarceration. Guided by Bell and Freeman's critical race theory, a purposeful sample of 6 African American, male exoffenders were recruited from 2 reentry programs in the Northeast United States. A semistructured interview approach was employed to examine the life history, details of experience, and reflection on the meaning of the lived experience from the participants. The modified Stevick, Colaizzi, and Keen …


The Relationship Between Certified Registered Nurse Anesthetists' Emotional Intelligence And Burnout, Dianna Marie Heikkila Jan 2018

The Relationship Between Certified Registered Nurse Anesthetists' Emotional Intelligence And Burnout, Dianna Marie Heikkila

Walden Dissertations and Doctoral Studies

Certified Registered Nurse Anesthetists (CRNAs) administer more than 43 million anesthetics within the United States and practice in every setting where there is anesthesia. Stress and burnout can be a common problem for CRNAs. The purpose of this correlation study was to examine the relationship between emotional intelligence (EI) and burnout syndrome among CRNAs. The research questions assessed CRNAs and the relationship between EI and burnout syndrome, the burnout score and the four dimensions of EI, and EI and the three dimensions of burnout. Certified and recertified CRNAs (N = 506) completed the Wong and Law Emotional Intelligence Scale, the …


Decreasing Operating Room Delays For Surgical Orthopedic Patients, Jacqueline P. Ogunjulugbe Jan 2018

Decreasing Operating Room Delays For Surgical Orthopedic Patients, Jacqueline P. Ogunjulugbe

Walden Dissertations and Doctoral Studies

The operating room (OR) at the project site was experiencing surgical delays for orthopedic surgical patients due to unavailable instruments, which led to a decrease in the efficiency of OR utilization. The purpose of this project was to decrease operating room delays for the orthopedic surgical patients. The practice-focused question explored whether a multidisciplinary approach to the procurement of instruments and supplies for the orthopedic surgical patient would help to ensure an on-time surgery start, resulting in increased efficiency in the utilization of the OR from 42% to 65% within a 9-month period. Lewin's change model was used to guide …


Meta-Analysis Of The Effectiveness Magnitude Of Hypnosis On Posttraumatic Stress Disorder Treatment, Gueorgui Klissourov Jan 2018

Meta-Analysis Of The Effectiveness Magnitude Of Hypnosis On Posttraumatic Stress Disorder Treatment, Gueorgui Klissourov

Walden Dissertations and Doctoral Studies

The increased intensity of modern life and the experiences in combat situations has brought on enormous stress and has led many individuals to develop posttraumatic stress disorder (PTSD). Hypnosis is one of the treatment methods available to professionals and has been proven to provide fast, reliable results in multiple studies. Despite these results, the lack of understanding of the physiological effects of hypnosis on the brain has prevented its use as a common treatment method for PTSD. By examining the differences between the effectiveness of hypnosis in military and civilian populations, the aim of this meta-analysis was to isolate the …