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Impact Of Palliative Care On Patients With Severe Chronic Obstructive Pulmonary Disease, Celena Romero
Impact Of Palliative Care On Patients With Severe Chronic Obstructive Pulmonary Disease, Celena Romero
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) requiring long-term oxygen therapy (LTOT) is an incurable lung disease often complicated by other comorbidities. Research is limited for hospitalized COPD exacerbations with LTOT and palliative care services. The purpose of this quantitative research study was to determine the correlation between palliative care interventions and COPD patient outcomes specific to an intensive care unit (ICU) stay, invasive mechanical ventilator support, physician orders for cardiopulmonary resuscitation (CPR) code status, and hospital discharge to hospice care. The theoretical base for this study was Donabedian's quality improvement theory. The quasi-experimental, nonequivalent groups design divided COPD hospitalized patient sample …
Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt
Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt
Walden Dissertations and Doctoral Studies
Type 2 diabetes (T2DM) is a health epidemic that continues to worsen. A major concern is that treatment adherence rates hover around 50%, despite the introduction of new medications, treatments, and technology. Lack of adherence by patients can lead to complications like blindness, kidney disease, and amputations. While there have been many studies conducted to evaluate patient factors related to adherence, fewer studies have been conducted to evaluate the role of the physician-patient relationship. The purpose of this study was to examine the correlation between the physician-patient relationship and patient treatment adherence, and examine the moderators of age, education, ethnicity, …
Development Of A Staff Education Module On Adolescent Obesity, Deborah Ann Stallworth
Development Of A Staff Education Module On Adolescent Obesity, Deborah Ann Stallworth
Walden Dissertations and Doctoral Studies
Adolescent obesity is a growing health concern in the United States due to its increasing prevalence and comorbidities that can reduce longevity and increase morbidity. Advanced practice nurses (APNs) providing care in school-based health centers (SBHC) located in marginalized communities are uniquely positioned to work with adolescent students challenged with obesity. The management of adolescent obesity requires advanced skills and knowledge to promote healthy lifestyles, prevent obesity, and to directly address the many factors that contribute to the condition. The purpose of this project was to develop an education program for APNs to prepare them to work with students in …
Sustainability Strategies For Successful Small Businesses, Barbara Stovall
Sustainability Strategies For Successful Small Businesses, Barbara Stovall
Walden Dissertations and Doctoral Studies
Small businesses struggle to survive for longer than 5 years because owners lack knowledge of strategies to sustain financial capital. The purpose of this multiple case study was to explore strategies small business owners used to maintain financial capital to ensure survivability for longer than 5 years. The sample included 3 successful service- related small business owners located in the southeastern United States. Systems theory and the theory of entrepreneurship provided the conceptual framework for the study. Data collection involved face-to-face, semistructured interviews and a review of company websites and organizational documents. Member checking enhanced the credibility of the findings. …
Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason
Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason
Walden Dissertations and Doctoral Studies
In society, individuals tend to be socialized into roles that take on characteristics of masculine and feminine. Studies exist on the role strain experienced by heterosexual couples dealing with a life-threatening illness due to this characterization. The scholarly literature lacks studies on the understanding of roles, as well as possible role strain, in lesbian, gay, bisexual, transgender, and queer (LGBTQ) couples when dealing a life-threatening illness. The purpose of this qualitative case study was to explore the role strain experiences of LGBTQ couples who are living with cancer diagnoses of a partner. Biddle's role strain theory provided the conceptual framework …
Barriers To Daiy Blood Glucose Self-Monitoring In Type 2 Diabetes Mellitus, Sylvain N. Tientcheu
Barriers To Daiy Blood Glucose Self-Monitoring In Type 2 Diabetes Mellitus, Sylvain N. Tientcheu
Walden Dissertations and Doctoral Studies
Routine blood glucose monitoring by patients with Type 2 diabetes mellitus (T2DM) is needed for effective management of T2DM; however, 75% of monitoring logs are returned incomplete during monthly provider follow-up appointments. As a result, effective management of the patient's medical condition is limited. To better understand the reasons for noncompliance, a quality improvement project (QIP) was initiated between July 01, 2017 and September 30, 2017, to identify barriers that prevented patients from self-monitoring of blood glucose (SMBG). No formal assessment of the patients' responses had been done, and, as a result, the deidentified, qualitative responses from the QIP were …
Improving Nutrition Among Supplemental Nutrition Assistance Program Recipients Using A Monetary Incentive Model, Jezabel Urbina
Improving Nutrition Among Supplemental Nutrition Assistance Program Recipients Using A Monetary Incentive Model, Jezabel Urbina
Walden Dissertations and Doctoral Studies
The Supplemental Nutrition Assistance Program (SNAP) is the United States' largest government assistance program that aims to alleviate food insecurity. The SNAP program allows low-income individuals and families the ability to purchase nutritious foods through a monthly benefit. However, the current body of literature presents evidence of the program's counterproductive effect. The purpose of this study was to determine whether incentivizing SNAP recipients to purchase additional fruits and vegetables was beneficial in increasing such purchases. Social cognitive theory was used as a theoretical framework to address research questions associated with shopping patterns and attitudes and beliefs. This quantitative study used …
Strategies To Reduce Employee Turnover In The Durable Goods Industry, Mary Jane Burnett
Strategies To Reduce Employee Turnover In The Durable Goods Industry, Mary Jane Burnett
Walden Dissertations and Doctoral Studies
Some durable goods industry leaders lack strategies needed to successfully reduce voluntary employee turnover, which is detrimental to organizational performance and decreases an organization's competitive advantage. The purpose of this qualitative single case study was to explore the strategies durable goods industry leaders used to reduce employee turnover in their organizations. The population consisted of 4 durable goods industry leaders in the southeastern region of the United States who had at least 3 years of managerial experience in reducing employee turnover. The conceptual framework was the transformational leadership theory of Bass. Methodological triangulation was used to increase the validity and …
Phenomenological Dynamic Of How Adhd Student Recidivism Affects Alternative Education Teacher Services, Lisa A. Charette
Phenomenological Dynamic Of How Adhd Student Recidivism Affects Alternative Education Teacher Services, Lisa A. Charette
Walden Dissertations and Doctoral Studies
The research problem in this study involved the student cycling, or recidivism, problem associated with specialized education environments. In particular, alternative education students with attention deficit hyperactivity disorder are cycling in and out of alternative and regular education at a concerning frequency. This student recidivism problem affects the services of teachers who are trying to transform them into permanent regular education learners. The purpose of this study was to obtain specific information from these teachers, via the research questions, as it applies to the theoretical foundation of Bandura's self-efficacy construct, and methodological design of the study. The qualitative method of …
Effective Strategies To Reduce Employee Turnover In The Retail Industry, Robert Clayton
Effective Strategies To Reduce Employee Turnover In The Retail Industry, Robert Clayton
Walden Dissertations and Doctoral Studies
Employee turnover negatively affects retail organizations and can lead to poor financial performance, a decrease in competitive advantage, loss of productivity, deficiencies in retaining external customers, and economic failures. The purpose of this single case study was to explore strategies that retail store leaders from the Illinois area of the United States use to reduce frontline employee turnover. Herzberg's 2-factor theory provided the framework for the study. Data were collected from documents pertaining to retention methods and through face-to-face semistructured interviews with 7 leaders of a retail company in the Illinois area who had experience with effective employee retention strategies. …
The Survival Of Healthcare In Rural Texas, Destin Cook
The Survival Of Healthcare In Rural Texas, Destin Cook
Walden Dissertations and Doctoral Studies
Over 80 rural hospitals have closed in the United States since 2010, representing about half of all hospital closures during this period, and another 600-700 rural hospitals are at risk of closing shortly. The purpose of this qualitative exploratory multiple case study, which was based on transformational leadership and diffusion of innovation theories, was to gain a common understanding of financial problems and operational inefficiencies that may be impacting rural hospital leaders in the state of Texas. Data collection involved semi-structured interviews with 4 senior healthcare leaders from 3 separate regions in Texas. Data analysis included compiling, sorting, fragmenting, and …
The Impact Of Interprofessional Collaboration On Diabetes Outcomes In Primary Care Settings, Charette Coleman Deloach
The Impact Of Interprofessional Collaboration On Diabetes Outcomes In Primary Care Settings, Charette Coleman Deloach
Walden Dissertations and Doctoral Studies
Inadequate interprofessional collaboration (IPC) and communication among health care professionals are associated with medical errors and mortality. Guided by the theory of goal attainment and the chronic care model, a systematic review was conducted to explore the evidence related to whether interprofessional collaborative primary care can have a positive effect on health outcomes for patients living with diabetes (PLWD). The systematic review followed the Joanna Briggs Institute method for systematic reviews and results were complied with the PRISMA evidence-based minimum set for reporting. Data were analyzed to identify if IPC positively impacted the health outcomes of PLWD, as evidenced by …
Recidivism Rates Among Biological Fathers And Parental Figures Who Commit Child Sexual Abuse In Hawai'i, Stephanie Dixon Dixon
Recidivism Rates Among Biological Fathers And Parental Figures Who Commit Child Sexual Abuse In Hawai'i, Stephanie Dixon Dixon
Walden Dissertations and Doctoral Studies
Sex offenders are commonly grouped into categories based on the characteristics (e.g., victim age, relationship to offender) of their victims for criminal sentencing and treatment purposes. The purpose of this quantitative, quasi-experimental study was to address the gap in the lack of literature comparing recidivism rates among biological fathers and male parental figures who committed incestuous child sexual abuse in Hawai'i against children 15 years or younger. This study was the first attempt in the state to examine the number of inmates who had completed their maximum sentences and were later returned to prison for new felony incest offenses. Secondary …
Successful Strategies Of Small Business Owners To Recruit Veterans, Michelle Duncan
Successful Strategies Of Small Business Owners To Recruit Veterans, Michelle Duncan
Walden Dissertations and Doctoral Studies
Approximately 300,000 highly skilled veterans leave military service every year, yet some small business owners lack strategies to recruit these skilled workers. The specific business problem addressed in this multiple case study was that some small information technology business leaders lack strategies to recruit military veterans. The research sample included 3 owners of small businesses serving the information technology industry in the mid-Atlantic region of the United States who developed and implemented successful strategies for recruiting veterans. Data were collected from interviews and review of documents. Data analysis resulted in the identification of 3 major themes: understanding of veterans as …
Human Resources Strategies For Retaining Employees In St. Lucian Banks, Thecla Fitz-Lewis
Human Resources Strategies For Retaining Employees In St. Lucian Banks, Thecla Fitz-Lewis
Walden Dissertations and Doctoral Studies
Retention issues have been a challenge for human resources (HR) leaders for years. Organization HR leaders face employee retention challenges that lead to the loss of talented employees and a decline in the organization's quality of service, which negatively affects profitability. Based on Schultz's human capital theory, the purpose of this multiple case study was to explore strategies HR leaders used to retain employees. Data collection included company archival documentation review and face-to-face semistructured interviews with 11 purposefully selected HR leaders from 3 banks in the northern region of St. Lucia. Data analysis included using Yin's 5-step method, coding the …
Intrinsic And Extrinsic Job Motivators Predicting Likelihood Of Employee Intent To Leave, Rachara Jefferson
Intrinsic And Extrinsic Job Motivators Predicting Likelihood Of Employee Intent To Leave, Rachara Jefferson
Walden Dissertations and Doctoral Studies
An employee's intent to leave an organization is the most common predictor of employee turnover. Employee turnover can cost an organization 150% to 250% of a worker's annual compensation to replace and train an employee. Understanding employee intent to leave is vital for federal agency leaders to help reduce turnover. Grounded in Herzberg's 2-factor model, the purpose of this correlational study was to examine the likelihood of employee perceptions regarding work experience, leadership practices, and supervisor relationships with employees predicting employee intent to leave. Archival data were analyzed for 297 employees who completed the 2015 Federal Employee Viewpoint Survey. The …
Curricular, Instructional, And Co-Curricular Factors Perceived To Influence Students Dropping Out, Kimberly Jones
Curricular, Instructional, And Co-Curricular Factors Perceived To Influence Students Dropping Out, Kimberly Jones
Walden Dissertations and Doctoral Studies
District administrators face concerns over students dropping out of school without a high school diploma. District personnel in a Mississippi urban school district identified specific curricular, instructional, and co-curricular factors that prompted students to leave school. The purpose of this bounded qualitative case study was to explore perceptions of principals, teachers, and counselors regarding factors that influenced students' disengagement and dropping out of school. Battin-Pearson's theory of academic mediation, which attributes poor academic performance and student-centered learning to students dropping out, framed this study. The research questions focused on how district personnel identified and monitored at-risk students and provided interventions …
Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly
Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly
Walden Dissertations and Doctoral Studies
The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …
Management Strategies In Elementary Inclusion Classrooms, Ron Lilie
Management Strategies In Elementary Inclusion Classrooms, Ron Lilie
Walden Dissertations and Doctoral Studies
The increasing popularity of inclusion classrooms has placed a large number of students with special needs with the ones without disabilities. Often, general education teachers lack sufficient training in proven inclusion practices that is necessary to cope with the increase in diverse learning needs. The absence of sufficient training can lead to disruptive behavior and also, induce more stress in the classroom for the educator and the students. The qualitative case study aimed to explore the strategies and techniques used by elementary school teachers to successfully manage inclusion classrooms and to learn how the teachers handled stress. Vygotsky's sociocultural theory …
Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster
Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster
Walden Dissertations and Doctoral Studies
Every year, several documented data breaches happen in the United States, resulting in the exposure of millions of electronic records. The purpose of this single-case study was to explore strategies some information technology managers used to monitor employees and reduce internal theft and loss. The population for this study consisted of 5 information technology managers who work within the field of technology in the southwestern region of the United States. Participants were selected using purposeful sampling. The conceptual framework for this study included elements from information and communication boundary theories. Data were collected from semistructured interviews, company standard operating procedures, …
Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia
Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological research study was to determine the psychological and emotional effects of female deployment on male spouses. The current research was designed to study the emotional and psychological experiences of male spouses of deployed women. The research question was focused on understanding the lived experience of the male spouses of their deployed active duty wives. The intent was to describe male spouses' lived experiences, focusing on mental health, physical health, marital problems, caregiving, and other reintegration related problems as well as the role transfer stress experienced by these male spouses of deployed wives. Gender role …
Stressors And Time-To-Degree For Online Social Sciences Doctoral Programs, Brandy R. Nelson
Stressors And Time-To-Degree For Online Social Sciences Doctoral Programs, Brandy R. Nelson
Walden Dissertations and Doctoral Studies
U.S. doctoral program completion rates have remained persistently low in the humanities and biomedical sciences despite educators' efforts. A variety of factors, including stress and dissitation advisor-related issues, were associated with high attrition rates and extended time-to-degree for PhD candidates. The purpose of this correlational study was to examine relationships among life stressors, advisor-related factors, and time-to-degree for a convenience sample of 74 online social sciences doctoral degree holders. Holmes and Rahe's work on stress and Tinto's framework for education program attrition provided the framework for the study. Linear regression and Pearson's correlation statistics were used to examine the relationships …
Influence Of An Educational Program On Opioid Drug Abuse, Gloria Nkiru Nnah
Influence Of An Educational Program On Opioid Drug Abuse, Gloria Nkiru Nnah
Walden Dissertations and Doctoral Studies
Prescription opioid abuse in the United States is an alarming health issue. In 2015, approximately 2 million people abused prescription opioids, and 12 million individuals misused their prescription opioid pain relievers. The percentage of individuals who died as a result of opiate abuse increased from 22% in 2013 to 76% in 2014. The purpose of this project was to evaluate the influence of an inner-city drug treatment (DTBF) program on opioid users' behavior. The practice question addressed whether knowledge of signs and symptoms of opioid withdrawal obtained from the DTBF program resulted in a significant behavioral change in opioid use …
Evaluation Of The Effectiveness Of An Established Glycemic Monitoring Program In A High School Setting For Adolescents With Type I And Type Ii Diabetes Mellitus, Tabatha Lee Obeda
Evaluation Of The Effectiveness Of An Established Glycemic Monitoring Program In A High School Setting For Adolescents With Type I And Type Ii Diabetes Mellitus, Tabatha Lee Obeda
Walden Dissertations and Doctoral Studies
Adolescents with Type I and Type II diabetes need to monitor blood glucose and food intake, administer insulin, and participate in activities including physical education during school hours to maintain glycemic control. Glycemic management programs (GMPs) exist for the improvement of diabetes management during school hours. The purpose of this project was to evaluate a GMP in a school system in a rural area in the Southeastern United States. The goal was to determine if the existing GMP met objectives and to make recommendations for continuation, revision, or discontinuation of the GMP. The logic model provided the basic framework for …
Sexual History Screening Tools For Individuals With Developmental Disabilities, Sarah Musu Onyenwe
Sexual History Screening Tools For Individuals With Developmental Disabilities, Sarah Musu Onyenwe
Walden Dissertations and Doctoral Studies
Individuals with developmental disabilities are at high risk for sexual abuse, exploitation, sexually transmitted diseases and unwanted pregnancies. Thorough screening by clinicians in outpatient settings recommending preventative measures to promote reproductive and sexual health, and developing caregiver trust are essential. The aim of this systematic review was to provide screening tools to assist clinicians in assessing the sexual histories of individuals with developmental or intellectual disabilities. The Iowa model and the cognitive behavioral theory were used as the theoretical frameworks that guided and informed this project. A total of 148 articles were sought and, of the 34 articles reviewed, 19 …
Professional School Counselors And Motivational Interviewing With Student Clients, Robert Pincus
Professional School Counselors And Motivational Interviewing With Student Clients, Robert Pincus
Walden Dissertations and Doctoral Studies
Mental health counselors who counsel adolescents suffering from substance abuse and obesity issues have successfully used motivational interviewing with their clients; however there is little data that has explored motivational interviewing when it has been used to address academic concerns in schools. The purpose of this study was to explore the experiences of school counselors who have used motivational interviewing to improve student academic performance. This heuristic phenomenological qualitative study examined the perceptions and experiences of professional school counselors who had used motivational interviewing in their schools. Criterion sampling was used to recruit 9 middle and high schools counselors from …
Sexual Orientation And Intimate Partner Violence Among Women Who Have Sex With Women, Shanna Renn Smith
Sexual Orientation And Intimate Partner Violence Among Women Who Have Sex With Women, Shanna Renn Smith
Walden Dissertations and Doctoral Studies
Limited knowledge exists about sexual orientation and intimate partner violence among women who have sex with women. These women are at risk for adverse physical and mental health hygiene outcomes that may result from unhealthy lifestyles secondary to intimate partner violence. The purpose of this study was to examine the association between sexual orientation and intimate partner violence among women who have sex with women. The constructs of the biopsychosocial model guided the study and examination of the relationships among biological factors (sexual orientation), social contexts (support of family and friends and use of community services), and psychological influence (mental …
Maternal Characteristics And The Risk Of Cleft Lip And Palate In The United States, Letha Thomas
Maternal Characteristics And The Risk Of Cleft Lip And Palate In The United States, Letha Thomas
Walden Dissertations and Doctoral Studies
Cleft lip with or without cleft palate (CLP) is an ongoing public health issue across the globe, and in the United States. The estimated number of babies born each year in the United States with cleft palate (CP) is about 2,650, while CLP affects approximately 4,440 babies. The purpose of this quantitative cross-sectional study was to determine if there is a relationship between CLP and maternal characteristics such as reproductive history (advanced maternal age, maternal obesity, prenatal visits, month prenatal care began, number of pregnancies, gestational age at birth, assisted reproductive technology used, gestational diabetes, and hypertension), socioeconomic status of …
Beliefs Influencing Hiring Agents' Selection Of Qualified Autistic Candidates, Angela Marie Mai
Beliefs Influencing Hiring Agents' Selection Of Qualified Autistic Candidates, Angela Marie Mai
Walden Dissertations and Doctoral Studies
Qualified and capable working age autistics face an 83% unemployment rate, thus, straining the economy and deteriorating their quality of life. This research examines potential contributing factors by inquiring what hiring agents' beliefs may be influencing their selection of qualified autistic candidates. This quantitatively weighted, concurrent, mixed methods (QUAN > qual), multiple linear regression study measured the influence of hiring agents' control, normative, and behavioral beliefs upon their selection of qualified autistic candidates. Through the theoretical lens of Ajzen's theory of planned behavior, conceptually crystallized with other validated theories; a representative, simple, random probability sample of hiring agents throughout the contiguous …
Hoteliers' Perceptions Of Sustainable Practices On Small Hotel Optimization: A Phenomenology Inquiry, Keneika Rowe
Hoteliers' Perceptions Of Sustainable Practices On Small Hotel Optimization: A Phenomenology Inquiry, Keneika Rowe
Walden Dissertations and Doctoral Studies
The management practices of the hotel industry are under scrutiny for having an adverse impact on the environment. This study addressed the problem that hoteliers in Jamaica only focus on foreign exchange earnings and job creation, rather than on sustainable development in their operations. There is a lack of research on small hoteliers' integration of sustainable practices in their operations. The purpose of this phenomenological study was to explore and understand the lived experiences of 8 small hotel managers on the effect sustainable practices have on small hotel optimization. The conceptual framework consisted of stakeholder theory and corporate social responsibility. …