Digital Commons Network^™

Understanding The Lived Experiences Of Hispanic Immigrants With Diabetes Toward Disease Self-Management, Dahlia Connors

Walden Dissertations and Doctoral Studies

The Hispanic population has a higher incidence of diabetes and poorer health outcomes compared to other populations in the United States. Although previous research has reported that cultural and ethnic beliefs play a role in poorer diabetes self-management by Hispanic individuals, limited studies have been focused on the barriers to self-management from the perspectives of Hispanic immigrants. The purpose of this qualitative study was to gain an understanding, through oral history narrative, of the experiences of Hispanic immigrants living with diabetes. In this study, the influence of cultural and ethnic beliefs on diabetes self-management in Hispanic immigrants in the Bronx …

Effect Of Differentiated Instruction On Reading Comprehension Of Third Graders, Deborah Davidsen

Walden Dissertations and Doctoral Studies

The performance measures from the Progress in International Reading Literacy Study revealed no measurable growth in the U.S. average reading scores of 4th graders for the period between 2011 and 2016. Therefore, the diverse learning needs of students need to be customized if the education system is to accomplish its goal to graduate well-informed individuals capable of sustaining a lifestyle conducive to a democratic society. The purpose of this study was to investigate the effect of differentiated instruction on 3rd graders' reading comprehension. The theoretical foundation for this teaching approach was Vygotsky's zone of proximal development. The research question focused …

Leadership Strategies To Reduce Employees' Occupational Stress, Ransford George Davidson

Walden Dissertations and Doctoral Studies

Job-related aspects of the work environment, such as work pressure, workload, leadership, and management support cause occupational stress and increase costs to organizations. Grounded in the job demands-resources model theory, the purpose of this single case study was to explore strategies some bank managers use to reduce employees' occupational stress. The interview process included 5 managers employed at a bank in the Caribbean who successfully implemented strategies that reduced employees' occupational stress. The data collection and analysis process involved face-to-face, semistructured interviews and analysis of organizational documentation. Using the exploratory approach in data analysis, data were systematically integrated, evaluated, and …

Impact Of Nongovernmental Organizations Promoting And Developing Women's Human Rights In Lebanon, Wissam Abdo El-Haybi

Walden Dissertations and Doctoral Studies

Domestic violence is a global issue and is one of the most widespread violations to human rights. The purpose of this qualitative case study was to examine strategies applied by 3 nongovernmental organizations (NGOs) to sustain and develop women's human rights. The theoretical foundation for this study was based on Sabatier and Jerkins' advocacy coalition framework and Jones and McBeth's theory of narrative policy. The research question was focused on the influence Lebanese laws have on domestic violence in supporting NGOs in promoting women's human rights. A case study design was used to answer the research question and in-depth interviews …

Meta-Analysis Of The Efficacy Of Neurofeedback, Sarah Fifer

Walden Dissertations and Doctoral Studies

Decreases in overall well-being and daily functioning result from unpleasant and uncomfortable symptoms associated with physical health and mental health disorders. Neurofeedback training, rooted in the theory of operant conditioning, presents the possibility of increasing brain wave regulation, decreasing symptoms experienced from abnormal brain wave activity, and increasing overall well-being and daily functioning. The efficacy of neurofeedback for physical and mental health outcomes is unclear, contributing to confusion about the treatment and any potential benefits. In order to assess the efficacy of neurofeedback in the alleviation of physical health and mental health symptoms, a systematic review and meta-analysis of neurofeedback …

Relationship Between Prekindergarten To Grade 12 Teachers' Mindfulness And Self-Efficacy, Ketra Gardner

Walden Dissertations and Doctoral Studies

Teachers throughout the United States show low levels of self-efficacy which not only affects their own well-being in the profession but also their students' opportunity to learn. The gap in the literature addressed by this study is the relationship between self-efficacy and mindfulness. Grounded in Shapiro's model of mindfulness and Bandura's theory of self-efficacy, the purpose of this study was to explore the relationship between prekindergarten to grade 12 teachers' 5 facets of mindfulness scores and their perceived level of self-efficacy score at Regional School District (RSD, a pseudonym). The study is a nonexperiemental correlational design for which 130 prekindergarten …

Perceptions Of Word-Of-Mouth Referral Programs On Recruiting Clients, Jean Louise Goers

Walden Dissertations and Doctoral Studies

Abstract

Word-of-mouth (WOM) personal referrals are more efficient and influential than other forms of advertising; however, there is a lack of information regarding the value of referral programs. The purpose of this qualitative case study was to explore the perceptions of business owners, staff, and customers of alternative health care organizations in a Midwestern U.S. state about efficient referral strategies, measuring the effect of those strategies, and motivations of consumers to make referrals. Maslow's hierarchy of needs theory of motivation and customer decision-making theories provided the conceptual framework. The research questions addressed how industry leaders perceived and ranked referral strategies …

Mentoring Elements That Influence Employee Engagement, Lee Thornton Fountain

Walden Dissertations and Doctoral Studies

Employee disengagement is a significant issue for leaders and managers in many organizations. The general problem is the workforce in many American organizations includes disengaged employees. In 2016, only 33% of the workforce in the United States was engaged. The purpose of this quantitative study was to examine the relationship between the independent variables of mentoring, which include role modeling, acceptance and confirmation, and mentoring friendship functions with a dependent variable of employee engagement. The moderating variable of perceived organizational support was measured to test the strength or weakness of the effects that mentoring has on employee engagement. The theoretical …

Southwest Border Patrol Agent Perceptions Of Job-Related Threats And Dangers, Heidi Hamburger

Walden Dissertations and Doctoral Studies

The U.S. Southwest Border is associated with highly politicized topics, yet the lived experience of Border Patrol agents is not one of them. Border Patrol agents face risks to their personal safety and security as they attempt to safeguard the national security of the United States while implementing the policies of their organization, which are sometimes at odds with the beliefs and expectations of agents in the field. The purpose of this phenomenological study was to explore perceptions and lived experiences related to the threats and dangers that Border Patrol agents face as they protect the U.S. Southwest Border. The …

Empowering Teachers Through Empathy To Decrease Special Education Referral Rates, Amy Heger

Walden Dissertations and Doctoral Studies

As mandated in Maryland public schools, principals cannot suspend students for infractions coded in the categories of disrespect and insubordination. To manage these behaviors, teachers need effective supports from educational leaders. The purpose of this case study was to explore a possible relationship between administrative supports and special education office referrals for disrespect and insubordination at a rural East Coast 8-12 school. The administration provided differentiated professional development by offering options that would meet the varied needs of teachers for classroom management. The theoretical foundation for this study was Maslow's hierarchy of needs, which was used to assess teachers' needs …

Exploring Relationships Of Meaning, Co-Occurring Diagnoses, And Attitudes About Substances, Misty Grant

Walden Dissertations and Doctoral Studies

It is increasingly important to understand the factors associated with individuals struggling with addiction and their quality of life, especially with those struggling with co-occurring diagnoses (CODs). The purpose of this study was to explore the extent to which meaning, and CODs of anxiety and depression predict an individual's attitudes and beliefs about addiction among persons receiving treatment for substance use disorders (SUDs). The theoretical foundation used to guide this study was logotherapy, which emphasizes the importance of increasing meaning in life through choices, while also centering on being able to find meaning in all situations. A cross-sectional correlation design …

Strategies To Retain Employees In The Health Care Industry, Francelia Luis Knight

Walden Dissertations and Doctoral Studies

Health care leaders who fail to apply effective retention strategies could negatively affect employee well-being, patient outcomes, and business performance. The purpose of this single case study was to explore effective strategies that leaders used to retain employees in a health care organization. Human capital theory was the conceptual framework for the study. Data were collected via on-site semistructured interviews with 10 leaders of a Texas health care organization who had a history of retaining employees for a minimum of 2 years from the date of hire, and from the review of organizational documents pertaining to employee retention. Data were …

Strategies For Shipping Temperature-Sensitive Medical Devices Using Cognitive Mapping, Eric C. Guynes

Walden Dissertations and Doctoral Studies

Supply chain management (SCM) practitioners who ship temperature-sensitive diagnostic medical devices (DMDs) to clinicians must use effective cold chain management (CCM) strategies to avoid temperature excursions that contribute to medical device errors. Such errors have caused patient harm and death, which costs the U.S. health care system billions of dollars per year. The purpose of this qualitative multiple case study was to explore strategies for selecting and managing cold chain shipping solutions (CCSSs) requiring SCM executives to trade cost for regulatory compliance and predictability when mitigating temperature variations that occur during shipping. The conceptual framework for the study was the …

Examining The Relationship Between Organizational Climate And Organizational Citizenship Behaviors Within Hospitals, Michelle Christine Maus

Walden Dissertations and Doctoral Studies

Members of the healthcare industry have not fully understood organizational climate factors that enhance organizational citizenship behaviors (OCBs). This lack of understanding can result in negative patient outcomes. The purpose of this cross-sectional quantitative study was to examine the relationships between organizational climate factors and OCBs of employees at hospitals via person-organization fit theory. More, specifically, the purpose of this research was to explore (a) the relationships between organizational climate variables (i.e., welfare, autonomy, involvement, effort, training, integration, and supervisory support) and OCBs (n = 218), (b) differences in OCB scores between hospital leaders (n = 72) and followers (n …

Effects Of Entertainment-Education Versus Elearning On Pharmaceutical Sales Ethical Decision-Making, Brian G. Miller

Walden Dissertations and Doctoral Studies

Ethics and compliance training of sales managers in the U.S. pharmaceutical industry showed little evidence that eLearning interventions developed to address employees' (a) awareness of unethical sales practices, (b) ability to judge a selling practice as unethical, and (c) intentions to speak up about unethical sales practices have had the desired effects. The purpose of this study was to compare the effectiveness of an entertainment-education video to an eLearning course, to improve ethical issue awareness, ethical judgment, and speaking-up behaviors in the pharmaceutical sales profession. Social cognitive theory and the extended elaboration likelihood model provided a theoretical framework for studying …

Challenges For Providers Working In Assertive Community Treatment, Ngozi Nkechi Orabueze

Walden Dissertations and Doctoral Studies

This project explored the challenges confronting clinicians who work with the Assertive Community Treatment Program (ACT), a government-sponsored clinic-based program providing services for individuals with persistent and recurrent mental health challenges in a large metropolitan city in the southern United States. The project involved semi-structured interviews with 15 health care clinicians to explore what they perceived as challenges and their recommendations for addressing them. Themes were organized around the 6 dimensions of the the relationship-based care model: leadership, teamwork, professional nursing, care delivery, resources, and outcomes. Identified patient challenges included transportation, lack of health insurance, housing, acceptance of certified peer …

Corporate Governance Strategies To Improve Organizational Performance In The Accounting Industry, Andress Walker

Walden Dissertations and Doctoral Studies

Corporate governance is a leading factor in organizational performance, financial reporting, and stakeholder satisfaction. The purpose of this multiple case study was to explore strategies that senior managers in the accounting industry implement to enforce corporate governance and improve organizational performance. The conceptual framework for the study was stakeholder theory. The population for this study included 3 senior managers of 3 different organizations in the accounting industry located in western United States. Data were collected through semistructured face-to-face interviews and from review of documented corporate governance strategies. The data analysis consisted of the following steps: compiling the data, disassembling the …

Ethical Decision-Making In Construction Engineering Projects, Monique Sidaross

Walden Dissertations and Doctoral Studies

Problems exist with ethical decision-making in U.S. construction engineering projects.

The purpose of this study was to explore factors that affect ethical decision-making in engineering construction in the United States. The general concepts of marketing ethics, Kohlberg's discussion of ethical and moral reasoning development, and Gillian's discussion of ethical care served as the basis of the conceptual framework. Factors that inhibit ethical decision making were addressed in the research questions. The resulting narrative framework included implementable initiatives based on these factors that could improve the quality of ethical decision-making and the impact of these initiatives on the cost and quality …

Development Of Patient-Centered Team-Based Care Certification, Stephanie Lynn Stewart

Walden Dissertations and Doctoral Studies

Accountable care units (ACU-?¢) provide a new model for integrated patient care. The ACU-?¢ promotes patient centeredness in nursing units as team members work collaboratively with physicians to improve patient outcomes and reduce unwarranted variations. A health system in the southeastern United States incorporated the ACU-?¢ as part of their care model. These units were held accountable for their clinical, service, and cost outcomes but lacked a validation process to demonstrate the effective utilization of their data. The purpose of this DNP project was to create a patient centered care (PCC) certification process, guided by the Donabedian model, that would …

Social Support And Psychotherapy For Asian And Pacific Islanders With Hiv/Aids, Venus Vacharakitja

Walden Dissertations and Doctoral Studies

HIV/AIDS rates among Asian and Pacific Islanders (APIs) have increased steadily in recent years. The Health Resources and Services Administration reported in 2011 that people living with HIV/AIDS experience psychiatric disorders at a rate 4 to 8 times higher than the general population, with as many as 60% experiencing depression. Studies show that short-term psychotherapy reduces depression and anxiety in people with HIV/AIDS, and studies have indicated that patients have better health outcomes when they receive psychotherapy in conjunction with medical treatment. It is not known how social support relates to psychotherapy attendance or health outcomes as measured by CD4 …

Childhood Lead Exposure And Adult Verbal Comprehension And Perceptual Reasoning, Carrie A. Wonderly

Walden Dissertations and Doctoral Studies

Lead neurotoxicity is considered a problem in young children and the long-term effects of lead exposure on them have yet to be determined. Studies have been completed to determine how lead exposure has affected children through their most important developmental stages. However, there is a lack of research to uncover any long-term effects lead may have as children enter adulthood. The purpose of this study was to determine long-term effects of lead exposure on IQ. The theoretical foundation for this study is the Cattell Horn Carroll theory of intelligence, which is based on fluid (novel experiences) and crystallized (previous experiences) …

Perceptions And Experiences Of Students Who Withdrew From College Prior To Degree Attainment, Enedine B. Andre

Walden Dissertations and Doctoral Studies

Nationally an estimated 41% of traditional students who begin seeking an undergraduate degree do not persist through degree attainment. Guided by Tinto's theory of student departure and the theory of social integration, the purpose of this study was to identify the reasons students withdrew from college prior to degree completion. A qualitative case-study design was implemented, and 13 former college enrollees were purposefully selected for individual semistructured interviews. The students graduated from one high school in the Southeastern United States. Data analysis was conducted using open coding procedures with iterative recategorization to identify key themes. Findings indicated that inadequate preparation, …

Cultural Perspectives On Communication In Community Leadership, Abeer Anwar

Walden Dissertations and Doctoral Studies

Effective communication is important, particularly for the over 26 million immigrant workers with non-English speaking backgrounds who have entered the U.S. workforce. The research problem addressed the disillusion of non-English speakers in the workplace because of the communication gap. The purpose of this study was to explore and describe the experiences of non-English speaking immigrant workers in overcoming language and cultural communication challenges at work. The research question focused on how non-English speakers or English as a Second Language (ESL) speakers describe their communication experiences in the workplace. The theoretical framework was based on the cultural approach to organizations and …

Living With Muscular Dystrophy: Sexual Education, Leanne Beers

Walden Dissertations and Doctoral Studies

Sexual pleasure and intimacy are fundamental and innate human needs. Individuals with physical disabilities often find it difficult to meet these needs because of such factors as impaired mobility and lack of knowledge about sexual health. People with physical disabilities are often seen as asexual and not capable of having sex, and sexuality is often not considered a concern among this population. These misconceptions can result in individuals with physical disabilities not receiving basic sex education or advice and guidance when issues arise. Not receiving this attention may impede disabled individuals' sexual potential and personal relationships. This study's focus was …

Investigating Relationships Among Counselors' Gender, Race, Multicultural Competency When Counseling Sexual Minorities, Laverne Marie' Boone

Walden Dissertations and Doctoral Studies

Gay and lesbian individuals are marginalized, stigmatized, and can face bias in the counseling environment. There is a gap in the literature regarding research on gender, race, and multicultural competency and negative racial attitudes towards sexual minorities. This study examined whether multicultural competency (measured by the Multicultural Counseling Knowledge and Awareness Scale) moderates any associations of gender and race with attitudes towards sexual minorities (measured by Attitudes Towards Lesbians and Gay Men Scale) to examine if the role of multicultural competency differs across groups. The sample consisted of 20 White and 14 Non-White participants who were between 30-40 years of …

Metacognitive Reading Strategy And Emerging Reading Comprehension In Students With Intellectual Disabilities, Natasha Cox-Magno

Walden Dissertations and Doctoral Studies

Historically, students with intellectual disabilities (ID) have low reading comprehension skills that can impede their overall academic success. There is a gap in practice regarding the identification and effective use of evidence-based reading comprehension instructional strategies for students with ID. Guided by Piaget's and Vygotsky's constructivist theories, the purpose of this study was to test the effectiveness of a metacognitive reading strategy on the emerging reading comprehension (ERC) skills of kindergarten students with ID. A single-participant, multiple baseline design with graphical visual analysis was used across 4 kindergarten students with ID to illustrate the influence of the reading intervention. All …

Credit Recovery And Grade Point Average In An Alternative High School System, Antoinette Marie Cunningham

Walden Dissertations and Doctoral Studies

Abstract

The dropout rates of African American and Hispanic students in the United States are significantly higher than that of White students. Failure to obtain a high school diploma has adverse economic and social implications for these students and for society. The purpose of this study was to assess the relationship between a credit recovery program with key demographic variables and high school GPA, which is a graduation antecedent, for students in an alternative school. Knowles' framework of adult learning theory was used to examine how participation in the credit recovery process in a system of predominantly African American-serving alternative …

Impact Of Individualized Learning Plans On Educational Completion Among Incarcerated Youth, Laura Lee D'Anna

Walden Dissertations and Doctoral Studies

Interruptions to juvenile detainees' education often delay their progress toward high school completion. Implementing an individualized learning plan (ILP) has been suggested as a solution to this problem. The purpose of this case study was to explore how ILPs facilitate attainment of graduation among incarcerated youth. The study was guided by the Washington State legislative framework for individualized learning plans and the efforts of the Office of Juvenile Justice and Delinquency to increase educational opportunities. Three research questions were formulated to explore perceptions of local juvenile detention center educators and administrators regarding their experiences in the development, implementation, and effectiveness …

Small Business Restaurant Marketing Strategies For Sustainability, Lyle John Hubbard

Walden Dissertations and Doctoral Studies

Approximately 52% of food and accommodation businesses survive 5 years or more. Small business restaurant owners face greater challenges in marketing and sustainability than larger and well-established chain restaurants. The purpose of this multiple case study was to explore the successful marketing strategies of small business restaurant owners who sustained their businesses 5 years or more. The population was small business restaurant owners in Eugene, Oregon. The conceptual framework for this study was Porter's 5 forces. Data collection included semistructured interviews with 4 business owners, and data analysis consisted of coding and thematically analyzing interview data and data collected from …

Advanced Practice Nurse Intervention And Heart Failure Readmissions, Tanesha Kemble

Walden Dissertations and Doctoral Studies

Heart failure (HF) is one of the main reasons for hospitalizations and readmissions. A local hospital collaborated with a skilled nursing facility (SNF) in 2012 with the goal of reducing systolic HF readmissions. This collaboration consisted of having an Advanced Practice Nurse (APN) who specializes in cardiac care follow up with all patients discharged from the hospital to the SNF with a diagnosis of systolic HF. The practice-focused question for this project addressed whether early follow-up and continuity of care by a cardiac APN would decrease hospital readmission within 30 days in patients with systolic HF who are discharged to …