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Reducing Clabsi Rate Among Icu Patients, Rita L. Walker
Reducing Clabsi Rate Among Icu Patients, Rita L. Walker
Walden Dissertations and Doctoral Studies
Approximately 55% of intensive care unit (ICU) patients require the use of a central venous catheter (CVC). CVCs are often an essential component of care; however, CVCs can create avenues for pathogens to enter the bloodstream and cause a central line-associated bloodstream infections (CLABSI), which can lead to increased mortality and morbidity, prolonged length of stay, increased cost of care, decreased patient satisfaction, and increased workload. In 2017, the CLABSI rate at the project site was 4.3 per 1,000 catheter days as compared to the national rate of 0.8 per 1,000 catheter days. Based on Piaget's theory of constructivism, a …
The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells
The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells
Walden Dissertations and Doctoral Studies
Parenting stress (PS) is a phenomenon experienced by all parents to varying degrees due to the demands of meeting a child's needs. This distinct type of stress is caused by an imbalance between the perceived demands of parenting and the perceived coping resources available to parents. The construct of twice-exceptionality (2E) is defined as the co-occurrence of giftedness and disability or possessing both high cognitive abilities and at least 1 of 13 potential disabilities identified under the Individuals with Disabilities Education Act of 2004. The purpose of this study was to understand how PS is experienced by parents of children …
Generational Differences In The Level Of Commitment In The U.S. Marine Corps, Nadya Yvonee Yassa-Lopez
Generational Differences In The Level Of Commitment In The U.S. Marine Corps, Nadya Yvonee Yassa-Lopez
Walden Dissertations and Doctoral Studies
Generational differences directly impact the culture and discipline in the U.S. Marine Corps. Previous research suggests that Generation Y's characteristics do not align with traditional military service. The specific problem is that there is a gap in the research and scholarly literature on the level of commitment of Generation Y compared to Generation X Marines. The purpose of this nonexperimental, quantitative study was to examine the influence on Marine Corps culture due to the level of commitment of active duty, enlisted Generation Y Marines compared to active duty, enlisted Generation X Marines. The theoretical frameworks for this study were the …
Health Literacy And Hypertension Management In Haitian Immigrants, Suzie Jean
Health Literacy And Hypertension Management In Haitian Immigrants, Suzie Jean
Walden Dissertations and Doctoral Studies
Patient compliance and health care communication are impacted by health literacy. Poor health choices, frequent hospital visits, noncompliance with health regimens, and higher health costs are all associated with low health literacy. The purpose of this cross-sectional study was to determine whether there was an association between health literacy as measured by primary language spoken in the home (Creole vs. English) and hypertension self-management as measured by regular use of medication and cutting down on foods high in salt, and whether there was an association between Haitian men, women, their education level, or level of poverty in relation to health …
Professional Identity Differences In Novice Counselors, Mary Dolores Katalinic
Professional Identity Differences In Novice Counselors, Mary Dolores Katalinic
Walden Dissertations and Doctoral Studies
Many researchers have found that differences exist in counselors' professional identity (PI) associated with gender, learning opportunities, and specialty area. However, researchers have not focused on the impact of counselors' type of education program (online vs traditional) to PI. The purpose of this study was to address this gap and determine if differences exist in PI across program types for novice counselors. The framework for this study was built around the concept of PI, defined as including knowledge, expertise, professional roles, attitudes, behaviors, and interactions. The research question was designed to examine the differences in PIs across traditional and online …
Relationship Between Liquidity, Asset Quality, And Profitability Of Mortgage Banks In Nigeria, Olabanjo Johnson Obaleye
Relationship Between Liquidity, Asset Quality, And Profitability Of Mortgage Banks In Nigeria, Olabanjo Johnson Obaleye
Walden Dissertations and Doctoral Studies
Liquidity (LQ) and asset quality (AQ) management present significant challenges to mortgage bankers in their efforts to improve profitability (PR). When liquidity increases, there is no positive impact on mortgage asset growth; however, this trend indicates that asset management and liquidity positions are not well managed. To run a viable mortgage business, mortgage bankers need to have a good grasp of the association between LQ, AQ, and PR. Anchored in the profit theory paradigm, the purpose of this multiple regression study was to examine the relationship between LQ, AQ, and PR of mortgage banks (MBs) in Nigeria. Archival financial data …
Strategies To Minimize The Bullwhip Effect In The Electronic Component Supply Chain, Augustina Tina Onuoha
Strategies To Minimize The Bullwhip Effect In The Electronic Component Supply Chain, Augustina Tina Onuoha
Walden Dissertations and Doctoral Studies
Supply chain leaders in the information technology industry face challenges regarding their ability to mitigate amplified demand and supply variability in a supply chain network--the bullwhip effect--and reduce adverse implications on their component supply chain networks. The purpose of this multiple case study was to explore the strategies supply chain leaders in the United States used to reduce the bullwhip effect. Bullwhip effect theory served as the conceptual framework. Participants in the study were 5 purposefully selected supply chain leaders in the state of Texas who successfully implemented strategies to reduce the bullwhip effect on their networks. Data were collected …
A Qualitative Grounded Theory Approach To Reducing Breast Cancer Disparities In The Latina Population, Dbora Schrett
A Qualitative Grounded Theory Approach To Reducing Breast Cancer Disparities In The Latina Population, Dbora Schrett
Walden Dissertations and Doctoral Studies
Breast cancer is the leading cause of death among Latinas. Several barriers persist when accessing health care and utilization of healthcare services such as annual mammograms, leading to a late-stage diagnosis or death related to breast cancer illness. Consequently, this study was important to further examine potential risk factors such as beliefs, cultural context, health insurance, and socioeconomic status for this population. Further, gaps in research provide limited evidence of risk factors adversely influencing high morbidity and mortality incidence. The purpose was to focus on disparities in breast cancer experiences within Latina communities in the United States. A qualitative foundation …
How And Why International Nongovernmental Organizations Fill The Global Governance Institutional Gap, Joel James Weaver
How And Why International Nongovernmental Organizations Fill The Global Governance Institutional Gap, Joel James Weaver
Walden Dissertations and Doctoral Studies
Global governance refers to global cooperation through existing and developing structures, groups, and initiatives, yet little academic research focuses on the role of international nongovernmental organizations (INGOs) in promoting global governance. Using Benet's polarities of democracy as the theoretical foundation, the purpose of this critical case study was to explore why and how INGOs address the gap in global governance institutions in terms of humanitarian support. Data collection involved open-ended interviews with 12 members of an international, nonprofit service organization that provides humanitarian support services to a global community. Interview data were inductively coded and subjected to a thematic analysis …
Moderating Effect Of Job Level On Work-To-Family Conflict And Job Attitudes, Shanu Loganathan
Moderating Effect Of Job Level On Work-To-Family Conflict And Job Attitudes, Shanu Loganathan
Walden Dissertations and Doctoral Studies
Past research has shown the likelihood of work-to-family conflict in employees' struggle to manage work, family, and personal life, however, work-to-family conflict remained unexamined in employees' job attitudes at different job levels. Previous studies highlighted that employees at higher job level experience greater work-to-family conflict than employees at lower job level. The purpose of the study was to examine the moderating effects of job level (supervisory or managerial and nonsupervisory or nonmanagerial) on the relationships between work-to-family conflict and job attitudes (job satisfaction, work engagement, organizational commitment, and turnover intention). In this quantitative study, the theoretical framework included conflict theory …
Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti
Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti
Walden Dissertations and Doctoral Studies
Drawing on Bowen's family systems theory, this study was designed to fill a gap in research regarding how raising a child with autism impacts the systemic functioning of a family unit, and provide evidence of the need for more comprehensive resources and support for families of children with autism. In this study, families of children with autism were invited to complete the Parenting Stress Index and the Strengths and Difficulties Questionnaire. These measures were used to determine the relationship between the level of problem behavior of a child with autism and the level of problem behavior of a typically-developing sibling …
Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang
Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang
Walden Dissertations and Doctoral Studies
Every year thousands of patients in the United States undergo cardiothoracic surgery. These patients have high levels of anxiety because they do not know what to expect. At the same time, many nurses on the cardiac telemetry/surgical floor are not aware that effective preoperative teaching can make a significant difference in patients' outcomes; thus, nurses had focused on postoperative teaching. The purpose of this project was to develop a preoperative teaching program through which nurses could help patients undergoing open heart surgery. The mentioned above practice initiative used Neuman's systems model as a framework. The project used a before-and-after design: …
Improving Nursing Knowledge, Satisfaction, And Retention In Long Term Care, Ghislaine Barry
Improving Nursing Knowledge, Satisfaction, And Retention In Long Term Care, Ghislaine Barry
Walden Dissertations and Doctoral Studies
Through advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the …
How Naturalized African-Americans Experience Racial Microaggressions In U.S. Federal Agencies, Casimir Yem Bilong
How Naturalized African-Americans Experience Racial Microaggressions In U.S. Federal Agencies, Casimir Yem Bilong
Walden Dissertations and Doctoral Studies
The Civil Rights Act was enacted more than 5 decades ago, and its provisions forbade discrimination on the basis of race in hiring, promoting, and firing. Yet some researchers argue that racial discrimination issues are still prevalent in the United States. They contend that modern racial discrimination is more covert and takes the form of racial microaggressions, which are subtle conscious or unconscious insults and derogatory attitudes directed towards minorities. Researchers have not fully addressed the prevalence of racial microaggressions in U.S. workplaces, however. The purpose of this qualitative phenomenological study was to explore the lived experiences of naturalized African-Americans …
Mindfulness Meditation: A Self-Awareness Approach To Weight Management, Michelle Brown
Mindfulness Meditation: A Self-Awareness Approach To Weight Management, Michelle Brown
Walden Dissertations and Doctoral Studies
Obesity is a crucial health care issue that has a global effect on the health care industry. Not only does obesity decrease the patients' quality of life, it also places an astronomical burden on health care delivery systems. The purpose of this quality improvement project was to establish a weight management program derived from evidence-based research. The research question is can the utilization of mindfulness meditations and practices with traditional weight loss methodologies produce sustainable weight loss? Pender's health belief model was the conceptual framework utilized to guide and provides structure for this project. The health belief model has been …
Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades
Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades
Walden Dissertations and Doctoral Studies
Understanding safety factors in construction is critical to reducing accident frequency and severity. Grounded in the safety performance model, this study was conducted to examine the impact of psychological capital (PsyCap), which consists of the shared variance of hope, efficacy, resilience and optimism, and Past, Present, and Future thinking perspectives, on safety climate and performance. A nonexperimental quantitative design was used to determine whether PsyCap and thinking perspectives of construction project employees predicted safety performance and/or moderated the relationship between safety climate and performance across construction sites in different countries. 411 construction employees were recruited via a multistage and clustering …
U.S. Individuals' Perceptions Of Government Electronic Surveillance After Passage Of The Usa Patriot Act, Floyd Edwards
U.S. Individuals' Perceptions Of Government Electronic Surveillance After Passage Of The Usa Patriot Act, Floyd Edwards
Walden Dissertations and Doctoral Studies
Since the implementation of the USA Patriot Act in October 2001, public trust in the U.S. federal government to protect individuals' right to privacy has been affected negatively. Many studies have addressed this topic, but few have delved deeply into the reasons behind the distrust. The purposes of this qualitative study were, to explore the perceptions and attitudes of U.S. citizens regarding the effect of the USA Patriot Act on their right to privacy, to determine whether a loss of trust in the government occurred, and to identify the factors contributing to the lack of trust. The theoretical foundation for …
Preference For Internet Therapy Versus Traditional Therapy To Treat Postpartum Depression, Megan E. Ford
Preference For Internet Therapy Versus Traditional Therapy To Treat Postpartum Depression, Megan E. Ford
Walden Dissertations and Doctoral Studies
A growing body of research has emerged about effective treatments for postpartum depression, specifically how the internet could become a pivotal and vital option for women with postpartum symptoms. With that in mind, the purpose of this quantitative study was to investigate whether women suffering from postpartum depression preferred traditional therapy treatment or internet therapy treatment. The nonexperimental survey design was used to assess differences between groups related to stigma, satisfaction with treatment, and perceived quality of treatment received. Data collected from a sample of 78 adult females, who had previously received postpartum depression therapy treatment, indicated there was no …
Maternal Socioeconomic Status And Human Papilloma Virus Vaccine Uptake, Shawn Lockett
Maternal Socioeconomic Status And Human Papilloma Virus Vaccine Uptake, Shawn Lockett
Walden Dissertations and Doctoral Studies
There are more than 79 million people in the U.S. currently infected with human papillomavirus (HPV), with an estimated 14 million new infections annually. There is a lack of knowledge about the maternal socioeconomic influences and uptake of the HPV vaccine series. Infection with HPV can cause cervical cancer in women, and there are over 11,000 cervical cancer diagnoses in the U.S. responsible for 4000 deaths annually. Vaccination coverage to prevent HPV infection does not meet the Healthy People 2020 goals of an 80% vaccination rate in the U.S. In this study, associations were tested between maternal SES variables and …
Implementation Of A Diabetic Resource Toolkit In A Veterans Administration Emergency Department, Caroline Hairston
Implementation Of A Diabetic Resource Toolkit In A Veterans Administration Emergency Department, Caroline Hairston
Walden Dissertations and Doctoral Studies
Diabetes is the 7th leading cause of death in the United States. Uncontrolled diabetes and lack of self-care knowledge leads to increased emergency department (ED) visits, utilizing limited health care resources. The practice-focused question asked whether a patient-focused diabetic self-care toolkit could decrease the number of diabetes-related ED visits. The purpose of this project was to reduce the number of diabetes-related ED visits and was supported by the social cognitive theory. The sources of evidence included the facility's ED Information System (EDIS) data and a patient survey developed by the project lead. There were 149 participants (135 males and 14 …
Managing Employee Motivation Through The Process Of Government Furloughs, Kim Charisc Hill
Managing Employee Motivation Through The Process Of Government Furloughs, Kim Charisc Hill
Walden Dissertations and Doctoral Studies
Budget constraints will cause federal furloughs to continue through 2035. Federal furloughs such as the one in 2012-2013, affected 800,000 out of 2.7 million federal employees. This dramatic workforce reduction caused remaining employees to experience stress and morale issues in the workplace. The purpose of the research was to understand how managers comprehend and experience the impact of extrinsic and intrinsic motivation on remaining employees' performance and attitudes during the furlough process. The theoretical foundation and conceptual framework were designed using both intrinsic and extrinsic motivation concepts and theories. Aspects of self-determination theory and hierarchy motivation theory were used to …
Staff Education Module For Bar Code Medication Administration, Francoise Juste
Staff Education Module For Bar Code Medication Administration, Francoise Juste
Walden Dissertations and Doctoral Studies
Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the United States, the absence of a BCMA nursing staff educational module affected the use of this safety tool leading to an increase of medication errors. The purpose of this DNP project was to develop a comprehensive educational module to promote BCMA in the pediatric unit of the …
Identity Style Preference And Marriage Among Black Americans, Russell Klumpp
Identity Style Preference And Marriage Among Black Americans, Russell Klumpp
Walden Dissertations and Doctoral Studies
Blacks marry less and divorce more than any other racial demographic in the United States. The purpose of this quantitative study was to examine identity style preferences in relation to attitudes toward marriage and marital satisfaction among Black Americans. Identity style is the way in which a person approaches and processes information that has the potential to affect self-identity. Identity style theory suggests there are three primary styles (informative, normative, and diffuse-avoidant) and that each person will eventually settle upon a preferred style. All participants in this study were United States citizens, over the age of 18, and self-identified as …
Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde
Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde
Walden Dissertations and Doctoral Studies
The complex challenges facing the sexual assault nurse examiners program in a midwest state are underreporting, late reporting, and poor coordination of care for pediatric victims of child maltreatment with sexual abuse. The main objective of this quality improvement project was the identification of necessary practice-related approaches to care to decrease barriers associated with reporting suspicions of abuse or neglect. An evidence-based, multidisciplinary assessment clinical toolkit that followed clinical components of trauma-sensitive, child-centered screenings triggering a coordinated response to conduct a forensic medical exam within 96 hours of the alleged incident was evaluated. During 3 rounds of surveys following the …
Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer
Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer
Walden Dissertations and Doctoral Studies
The September 11, 2001 terrorist attacks exposed considerable breakdowns in communications interoperability and information sharing among first responders. Multijurisdictional responses to the active-shooter incidents at the University of Texas in 2010; Sandy Hook Elementary of Newtown, Connecticut in 2012, and the Reynolds High School shooting of Multnomah County, Oregon in 2014 were replete with interoperability failures as well. Recent multijurisdictional response events continue to illuminate difficulties with first-responder interoperability and minimal research exists to promote understanding of the interoperability challenges of university police departments. The purpose of this study was to explore the barriers that impede communications of campus based …
Impediments Of Self-Managed Type 2 Diabetes In Mgbidi Women, Nigeria, Augustina Oha
Impediments Of Self-Managed Type 2 Diabetes In Mgbidi Women, Nigeria, Augustina Oha
Walden Dissertations and Doctoral Studies
Type 2 diabetes is a complex metabolic disorder characterized by hypoglycemia or hyperglycemia that affects fat, protein, and carbohydrate metabolism. Researchers have identified that for individuals with Type 2 diabetes, staying on interventions for diabetes self-management is sometimes difficult and challenging. It is an increasing public health concern, especially in certain minority populations and in many developing and developed nations. This is especially true for the population of women 40 years and older in Mgbidi, Nigeria. In the Enugu State of Nigeria, women bear most of the burden of Type 2 diabetes when compared to the males in the state. …
Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage
Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage
Walden Dissertations and Doctoral Studies
Depression is the leading cause of disability in the United States. Insufficient evidence is available about the types of follow-up care that may be most effective. The purpose of this quantitative, retrospective cohort study was to determine whether remission of depression symptoms was associated with recommended follow-up care when controlling for age, gender, and number of previous episodes of depression, and whether symptom reduction was more likely for those who completed a course of treatment from a mental health specialist in comparison to those who were treated by their primary care providers (PCPs) when controlling for the same variables. The …
Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna
Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna
Walden Dissertations and Doctoral Studies
Sport-related injuries (SRI) can be foreseen and averted when mechanisms and risk factors are completely understood. An appreciation of the relationship between sport-related concussion (SRC) and lower extremity musculoskeletal injuries (LEMI) is emerging amid professional and collegiate athletes. However, findings of such a relationship in adults may not be generalizable to younger populations, and the literature has not addressed this relationship in adolescents. The purpose of this cross-sectional quantitative study was to examine the relationship between SRC and LEMI in high school athletes. The dynamic model of etiology in sport injury provided the study's conceptual framework. A de-identified secondary dataset …
Leaders' Strategies To Support And Accommodate Employees With High-Functioning Autism, Jonathan Pierce
Leaders' Strategies To Support And Accommodate Employees With High-Functioning Autism, Jonathan Pierce
Walden Dissertations and Doctoral Studies
Leaders often lack strategies to create supportive and accommodating workplaces that capitalize on the unique skillset of autistic employees. Research has shown that employers benefit from creating supports; however, there is a lack of research on how or why organization leaders provide support and accommodations. The purpose of this descriptive case study was to identify leaders' strategies for supporting autistic employees. The research question centered on managements' support and accommodations for employees while capitalizing on their strengths. The conceptual framework included labor process to address management extracting benefits from labor, and resource-based theory to examine gaining a competitive advantage by …
Social Media Marketing Among Small Retail Clothing Businesses, Irene Michel Abrons
Social Media Marketing Among Small Retail Clothing Businesses, Irene Michel Abrons
Walden Dissertations and Doctoral Studies
Social media marketing influences consumer trust in businesses, and trust accounts for about 37% of consumer purchasing decisions. The purpose of this multiple case study research was to identify the barriers to social media marketing that owners of small retail clothing businesses must overcome to be competitive. The conceptual framework was the technology acceptance model. Collected data consisted of company documents and semistructured interviews with 3 small retail clothing business owners in Chicago, Illinois, who had experience with social media marketing. Data analysis consisted of an open coding approach and member checking. The study revealed the small business owners who …