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Using Administrative Healthcare Records To Identify Determinants Of Amputee Residuum Outcomes, Judith Gail Walden
Using Administrative Healthcare Records To Identify Determinants Of Amputee Residuum Outcomes, Judith Gail Walden
Walden Dissertations and Doctoral Studies
In the United States, the number of major limb amputees is predicted to exceed several million in the coming decades. For those amputees using a prosthesis, their quality of life (QoL) is often modulated by residuum limb problems resultant from its use. Multiple factors preclude quality evidence-based medicine (EBM) research in the field of prosthetics, leading to greater health risk from prosthetic prescription ambiguity. Positive social change is integral to good QoL; studies support administrative healthcare (AHc) as useful to support such, especially in the absence of EBM. This study utilized Veterans Healthcare Administration (VHA) AHc data to discriminate determinants …
Antecedents Of Employees' Behavioral Intentions Regarding Information Technology Consumerization, Alain Ouattara
Antecedents Of Employees' Behavioral Intentions Regarding Information Technology Consumerization, Alain Ouattara
Walden Dissertations and Doctoral Studies
The majority of organizations worldwide have adopted IT consumerization. However, only a small percentage of them explicitly manage the dual use of personal devices and applications for work purposes. This correlational study used the extended unified technology acceptance and use technology model (UTAUT2) to examine whether employees' perceptions of habit, effort expectancy, performance expectancy, facilitating conditions, hedonic motivation, social influence, and price value can predict IT consumerization behavioral intentions (BI). A pre-existing UTAUT2 survey instrument was used to collect data from employees (N = 112) of small- and medium-sized organizations across different industries in Ontario, Canada. The regression analysis confirmed …
Paths To Tier 1 Genomics Implementation: A Survey Of Chronic Disease Directors, Amy Ponte
Paths To Tier 1 Genomics Implementation: A Survey Of Chronic Disease Directors, Amy Ponte
Walden Dissertations and Doctoral Studies
Although evidence is currently available for population-based genetic screening and testing of individuals and their family members for certain hereditary chronic disease conditions (Tier 1), few states have integrated these genomic applications into chronic disease prevention programs. State and territorial chronic disease directors (CDDs) could provide the leadership needed to deliver these applications in more states. The purpose of this study was to determine whether an association exists between current chronic disease genomics funding or specific state genomic activities and the level of knowledge and interests in genomics by these directors. Rogers's diffusion of innovations (DIT) theory was used to …
Cervical Cancer Prevention Screening: A Quality Improvement Project To Reduce Variation And Increase Timeliness In Managing And Reporting Abnormal Papanicolaou Smear Results, Dana Greene Rader
Walden Dissertations and Doctoral Studies
Cervical cancer is the fifth most common cancer in United States with more than 12,000 women diagnosed each year and more than 4,000 preventable deaths with minorities disproportionally represented. Cervical cancer prevention strategies rarely focus on the management of abnormal screening results. The purpose of this quality improvement project was to standardize the management program for abnormal cervical cancer screening results within an integrated health delivery system serving a large minority community. The Plan-Do-Study-Act model guided a comprehensive program evaluation with process improvement, including the creation of an electronic quality data reporting tool to formalize the work process and a …
Teacher Perceptions Of The Successful Implementation Of Co-Teaching Services, Vanna Raybould
Teacher Perceptions Of The Successful Implementation Of Co-Teaching Services, Vanna Raybould
Walden Dissertations and Doctoral Studies
This project study addressed a lack of consistent instructional delivery of co-teaching practices in a rural high school in middle Georgia. Though co-teaching services are provided, teachers are not implementing co-teaching models with fidelity. Because co-teaching teams are not trained together, teachers' efficacy in the delivery of co-taught instruction has often been negatively affected. This project study provided insight into the perceptions of co-teachers regarding the implementation of co-teaching practices. Bandura's self-efficacy theory served as the conceptual framework for this study. Using a qualitative, bounded, single case study design, the study explored the perceptions of co-teachers and the planning practices …
Roles And Services Of Probation Officers Among Rural Female Juvenile Offenders, Amy Marie Warmingham
Roles And Services Of Probation Officers Among Rural Female Juvenile Offenders, Amy Marie Warmingham
Walden Dissertations and Doctoral Studies
Each year, hundreds of thousands of youth move through juvenile justice systems in the United States, and the number of female offenders is increasing. At the probation level, there appears to be a lack of services, such as mentoring, mental health services, sex education, and counseling, to meet the gender-specific needs of female juvenile delinquents in rural settings. The purpose of this study was to discover county probation officers' perceptions of girls' needs and the officers' decision-making processes related to recommending services. This case study was based on feminist criminology theory. The research questions sought to learn how probation officers …
Impact Of A Standardized Tool On Handoff Quality In Nurse Change-Of-Shift Reports, Wilma Lonzame Ayala
Impact Of A Standardized Tool On Handoff Quality In Nurse Change-Of-Shift Reports, Wilma Lonzame Ayala
Walden Dissertations and Doctoral Studies
Within the context of healthcare delivery, human lives are at risk when health care professionals fail to communicate effectively. Audits by The Joint Commission from 1995 to 2005 revealed that 65% of sentinel events occurred as a result of staff miscommunication, prompting the requirement that standardized handoff tools be deployed. Therefore, this project was completed to improve safety in the hospital through implementation of a standardized tool that could enhance the quality of nurse handoff communication. Mohorek & Webb's (2015) linear model of communication, which emphasizes the importance of encoding, transmission, and decoding in the communication process, provided the framework …
College Faculty Members' Perceptions Of Students' Writing Abilities, Deborah Bellamy
College Faculty Members' Perceptions Of Students' Writing Abilities, Deborah Bellamy
Walden Dissertations and Doctoral Studies
The college open door policy initiated in the 1960s made access to higher education available for more students in the United States. People who were once excluded from enrolling in college now have an opportunity to earn a college degree. Some first-time students, significantly underprepared in writing, have been required to enroll in developmental or remedial writing courses before entering college-level English despite research indicating that taking noncredit courses increases the time for college completion and the cost of college, while also reducing the likelihood of completion. This illustrative case study, guided by the constructivist approach to instruction, was designed …
The Role Of Inflammatory Biological Markers In Novel Pharmacotherapies For Populations With Depression, Stacey Boyer
The Role Of Inflammatory Biological Markers In Novel Pharmacotherapies For Populations With Depression, Stacey Boyer
Walden Dissertations and Doctoral Studies
Current interventional pharmaceutical therapies targeted for depression are not adequate to achieve sufficient remission following treatment. Researchers explored inflammatory biomarkers as a way of understanding why treatment for depression is effective for some and not others. The purpose of this secondary data analysis study was to determine if there was a relationship between inflammatory biomarkers and treatment efficacy in persons diagnosed with depression who have demonstrated a previous lack of remission. Using the immune-cytokine paradigm of depression (POD) allowed depression to be viewed as multifaceted and a potential signal of chronic immune system activation. This secondary data analysis included findings …
Chronically Homeless Transgender Women Obtaining Social Services From Outreach Workers, Larry Jack Cameron
Chronically Homeless Transgender Women Obtaining Social Services From Outreach Workers, Larry Jack Cameron
Walden Dissertations and Doctoral Studies
In the United States, homelessness is often connected to traumatic events such as domestic violence, job loss, or post incarceration experiences, frequently resulting in substance use disorders, medical issues, and related mental illnesses. Although researchers have considered how homelessness and social service interventions affect sexual and gender minority youth, they have not adequately studied the causes and effects of homelessness among transgender women. The purpose of this interpretive phenomenological study was to bridge this gap in knowledge by exploring the experiences of chronically homeless transgender women. The research question focused on the lived experiences of chronically homeless transgender women who …
Effective Cyber Security Strategies For Small Businesses, Kimberly Diane Cook
Effective Cyber Security Strategies For Small Businesses, Kimberly Diane Cook
Walden Dissertations and Doctoral Studies
Disruptive technologies developed in the digital age expose individuals, businesses, and government entities to potential cyber security vulnerabilities. Through the conceptual framework of general systems theory, this multiple case study was used to explore the strategies among owners of 4 retail small- and medium-size enterprises (SMEs) in Melbourne, Florida, who successfully protected their businesses against cyber attacks. The data were collected from a review of archival company documents and semistructured interviews. Yin's 5-phased cycles for analyzing case studies provided the guidelines for the data analysis process. Three themes emerged from thematic analysis across the data sets: cyber security strategy, reliance …
Improving Workflow At The Point Of Care Using The Electronic Health Record, Rox Ann Sparks
Improving Workflow At The Point Of Care Using The Electronic Health Record, Rox Ann Sparks
Walden Dissertations and Doctoral Studies
The electronic health record (EHR) is an important part of the effort to improve health care and reduce costs in the United States. Primary care providers, among the largest group of caregivers in the nation, often experience difficulty with implementation and utilization of EHRs. Efforts to enhance the provider's effectiveness in the use of the EHR should result in improved patient outcomes as well as decreasing the overall cost of health care. Guided by the diffusion of innovation theory, this project was initiated to develop a plan for improved usage of the EHR in a primary care setting. A survey …
Exploring Personal And Societal Expectations Of Blind Veterans, Malinda L. Wimbs
Exploring Personal And Societal Expectations Of Blind Veterans, Malinda L. Wimbs
Walden Dissertations and Doctoral Studies
More U.S. men and women are returning from military service obligations with physical and mental disabilities which complicate their transition to civilian life. Few researchers, however, have examined the post service experiences of blind veterans and whether they are affected by societal expectations of people living with disabilities. The purpose of this qualitative study was to gain knowledge about the experiences of U.S. veterans who suffered vision loss, and the influence of societal expectations on their lives. Hermeneutic phenomenological methodology was used to explore the personal meanings 8 veterans, who lost their vision during active service, attached to their experiences …
Examining The Retention Of African American Young Adults In Their Childhood Church, Stacia Lynn Alexander
Examining The Retention Of African American Young Adults In Their Childhood Church, Stacia Lynn Alexander
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine the reasons for the decline of young adult church attendance after an affiliation with church during childhood. Religion plays an important role in the lives of African Americans as a coping mechanism for loss, adversity, racism, and trauma. In addition, spiritual exploration is a component of psychological development during maturation. Using the social identity theory, the study explored the impact of childhood church affiliation and coping styles of young adults. African American Youth between 18 and 30 years old were randomly selected to complete a combination of questions from the Lasting Faith …
Teachers' Stage Of Concern And Self-Efficacy Regarding Teaching Students In An Inclusive Classroom, Sonya Yvette Avery
Teachers' Stage Of Concern And Self-Efficacy Regarding Teaching Students In An Inclusive Classroom, Sonya Yvette Avery
Walden Dissertations and Doctoral Studies
Federal legislation mandates inclusion of students with special needs in general classrooms. Teachers in the Shelco school system implemented this mandate to teach in an inclusive classroom given limited professional development, and a desire for more. To determine their preparedness to teach with inclusion, 44 general education teachers participated in this correlational study. Two surveys were administered: Teachers' Self-Efficacy Survey and Stages of Concern Questionnaire. Scores were combined to identify and recommend groups of teachers for differentiated professional development. Social constructivism, which focuses on how learning is affected by social concepts such as self-efficacy and concerns, was the theoretical framework. …
Special Education Teachers' Experiences And Perceptions Of Instructing Students With Learning Disabilities, Kala Harris Johnstone
Special Education Teachers' Experiences And Perceptions Of Instructing Students With Learning Disabilities, Kala Harris Johnstone
Walden Dissertations and Doctoral Studies
An urban middle school in the northeastern United States was having a problem with low performance on state annual reading tests on the part of students with learning disabilities. Consequently, the middle school was not meeting the reading academic targets that were set by the Department of Education in the northeastern United States. The purpose of this exploratory qualitative case study was to explore special education teachers' experiences and perceptions about how teaching reading to students with learning disabilities was affecting special education teachers' pedagogy. Glasser's choice theory, which theorizes that an individual's behavior is chosen, formed the conceptual framework.- …
The Effect Of Hospital Nurse Basic Psychological Needs Satisfaction On Turnover Intention And Compassion Fatigue, David Stephen Klein
The Effect Of Hospital Nurse Basic Psychological Needs Satisfaction On Turnover Intention And Compassion Fatigue, David Stephen Klein
Walden Dissertations and Doctoral Studies
Nursing is a stressful occupation, which can often lead to compassion fatigue (CF) and turnover intention (TI). When their basic psychological needs (BPN) of competence, relatedness, and autonomy are not met, registered nurses (RNs) may develop a higher propensity to experience CF and TI. Amid projected nursing shortages, the loss of these health care providers may threaten the quality of patient care. Although there is research on BPN and their relationship with well-being and functioning, research is lacking on the relationship between BPN satisfaction, CF and TI among RNs. Researchers have also not examined whether RNs' BPN satisfaction moderates the …
Exploring Customer Service Through Hospital Management Strategies, Delores Leonard Leonard
Exploring Customer Service Through Hospital Management Strategies, Delores Leonard Leonard
Walden Dissertations and Doctoral Studies
Patient demand for a better quality of healthcare and services has increased as insurance companies have decreased payments to hospitals. The purpose of this qualitative single exploratory case study was to explore hospital managers' strategies to improve customer service. Data were gathered from semistructured interviews with 5 hospital managers who implemented customer service strategies in their hospital systems, hospital policy and procedure documents, and qualitative data from the Consumer Assessment of Healthcare Providers and Systems Hospital Compare website. Expectation-confirmation theory served as the conceptual framework that grounded the study. Data were analyzed using methodological triangulation, and 3 themes emerged: the …
Registered Nurse Job Satisfaction And Nursing Leadership, Maria Candida Libano
Registered Nurse Job Satisfaction And Nursing Leadership, Maria Candida Libano
Walden Dissertations and Doctoral Studies
Job dissatisfaction among nurses may contribute to disengagement and withdrawal from the profession. The degree of leadership support in the workplace influences job satisfaction, and when nurses are satisfied with their job, they provide better patient care. Guided by the social cognitive theory, which asserts a relationship between behavior change and one's surroundings, this quantitative, exploratory project sought to determine the type of nursing leadership practiced in the facility where the project took place, whether nurses were satisfied with their job, and if patients were satisfied with their care. Participants in the project included 55 registered nurses and 5 nurse …
Five Factor Personality Traits In Schizophrenics With A History Of Violent Behavior, Ashley Lust
Five Factor Personality Traits In Schizophrenics With A History Of Violent Behavior, Ashley Lust
Walden Dissertations and Doctoral Studies
The diagnosis of schizophrenia has been associated with increased risk of violence and aggression. However, the extent of this association in relation to displayed personality traits among individuals diagnosed with schizophrenia have not been fully investigated. The lack of research has resulted in an inability to determine why only some individuals with schizophrenia display violent tendencies when others do not. Guided by Costa and McCrae's five-factor model of personality and Eysenck's theory of personality and crime, the purpose of this study was to investigate the relationship between the five personality traits and the display of violence among individuals with schizophrenia, …
The Perceptions Of Video Surveillance And Its Influence On Cargiver Stress In The Home Care Setting, Asuncion Neri-Candelaria
The Perceptions Of Video Surveillance And Its Influence On Cargiver Stress In The Home Care Setting, Asuncion Neri-Candelaria
Walden Dissertations and Doctoral Studies
Given the stress involved in caring for elders, the propensity for abuse among the older adult population continues to be a problem, as the number of caregivers providing care in the home is increasing to meet the demand of an increasing population of older adults. One solution is to implement video surveillance in the home. The purpose of this phenomenological, retrospective and prospective study was to describe the perceptions and experiences of caregivers that affect stress in the home care setting and to describe participants' perceptions about the impact of video surveillance in the home environment on caregiver stress and …
Teachers' Perceptions Of Teach For America Training And Classroom Management In Urban Middle Schools, Tenechia Platt
Teachers' Perceptions Of Teach For America Training And Classroom Management In Urban Middle Schools, Tenechia Platt
Walden Dissertations and Doctoral Studies
Teach for America (TFA) is an alternative certification program that recruits and trains college graduates and places them in urban public school settings to combat teacher shortage and to decrease achievement disparities between urban and suburban school districts. Teachers prepared by the TFA program have struggled to establish and maintain effective classroom management. The purpose of this case study was to explore TFA teachers' perceptions of the emphasis placed on classroom management during their TFA training and to identify strategies that were taught to assist TFA teachers working in urban middle schools. The conceptual framework for the study was comprised …
Differentiation Of Self As A Predictor Of Vicarious Trauma In Mental Health Professionals, Denise Purvis
Differentiation Of Self As A Predictor Of Vicarious Trauma In Mental Health Professionals, Denise Purvis
Walden Dissertations and Doctoral Studies
Mental health professionals in all settings work with clients who are affected by trauma. Traumatic events expose mental health professionals to the negative psychological and emotional impact of witnessing and listening to client stories. Vicarious trauma is the emotional consequence of this empathic engagement with clients. The purpose of this correlational study was to identify predictors of vicarious trauma in mental health professionals that had not been studied before. The theoretical framework guiding the study was the Bowen family systems theory and the construct of differentiation of self. A regression analysis was conducted with a purposive sample of 83 licensed …
The Link Between Therapists' Social Class Attributions And Treating Clients Of Low Socioeconomic Status, Dan Sharir
The Link Between Therapists' Social Class Attributions And Treating Clients Of Low Socioeconomic Status, Dan Sharir
Walden Dissertations and Doctoral Studies
Social class may impact the ways people are perceived and treated by others. The social class attributions of therapists may influence the manner in which they conceptualize their clients' problems and their relationship with their clients. There is a gap in the literature concerning the link between therapists' social class attributions and their responses toward low socioeconomic status (SES) clients in actual clinical settings, which could impact the therapists' interaction with their clients and the treatment process. The purpose of this qualitative descriptive case study was to examine the links between therapists' social class attributions and their experiences with low …
Strategies In Outsourcing R&D Processes To Maintain Market Competitiveness, Berina Yerkic-Husejnovic
Strategies In Outsourcing R&D Processes To Maintain Market Competitiveness, Berina Yerkic-Husejnovic
Walden Dissertations and Doctoral Studies
In the 21st century, managing outsourced research and development (R&D) processes is critical to an organization's success. Guided by the logistic outsourcing theory developed by de Boer, Gaytan, and Arroyo, the purpose of this single case study was to explore strategies and processes organizational leaders used to manage outsourced R&D to maintain market competitiveness. Semistructured interviews were conducted with 5 purposefully selected business leaders who were responsible for outsourcing R&D in a single Fortune 500 corporation in the Mid-Atlantic region of the United States. Company records were also gathered as data. Yin's 5-step process for a case study and key …
Strategies For Improving Labor Productivity In Construction Companies, Lakew G. Buli
Strategies For Improving Labor Productivity In Construction Companies, Lakew G. Buli
Walden Dissertations and Doctoral Studies
Even with advanced technology and new project management methodologies, construction company leaders continue to face challenges to improve labor productivity. This multiple case study was an exploration of the strategies that construction company leaders use to improve labor productivity in Doha, Qatar. The case population consisted of 6 construction company leaders operating in Doha, Qatar, who successfully identified and implemented strategies to improve labor productivity. The conceptual framework for this study was the expectancy theory. The data collection process included semistructured interviews and company documentation. Data were compiled and organized, disassembled into fragments, reassembled into a sequence of groups, and …
Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant
Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant
Walden Dissertations and Doctoral Studies
Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …
The Use Of Humor With Families During Pediatric Trauma Intake Assessments, Letitia Batton
The Use Of Humor With Families During Pediatric Trauma Intake Assessments, Letitia Batton
Walden Dissertations and Doctoral Studies
Traditionally from a positive psychological view, humor is regarded as an adaptive force, a vital aspect of healing, and possibly a beneficial coping tool when faced with traumatic circumstances. Despite these beliefs, little is known about how humor relieves stress with parents in the initial intake assessment when their child has been traumatically injured. The purpose of this phenomenological study was to explore social workers' use of humor during pediatric trauma assessments. A sample of 6 parents were from pediatric parent trauma support groups to participate in this study, which employed a subject-intensive theoretical framework. Face-to-face interviews and participant observation …
Emergency Medical Service Career Longevity: Impact Of Alignment Between Preemployment Expectations And Postemployment Perceptions, Michael Joseph Belotto
Emergency Medical Service Career Longevity: Impact Of Alignment Between Preemployment Expectations And Postemployment Perceptions, Michael Joseph Belotto
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to investigate whether there were differences between the preconceived notions of emergency medical technicians and paramedics prior to entering the profession and their notions of the vocation after facing the realities of the job. The contribution of alignment or misalignment to job satisfaction and the intention to leave the profession was also further investigated. This research is important as there currently is a gap in the literature pertaining to the factors affecting career longevity of emergency medical service (EMS) professionals. The degree of fit between individual and occupational characteristics guided this phenomenological study …
Violent Aggression Exposure, Psychoemotional Distress, Aggressive Behavior, And Academic Performance Among Adolescents, Joyce Renee Evans
Violent Aggression Exposure, Psychoemotional Distress, Aggressive Behavior, And Academic Performance Among Adolescents, Joyce Renee Evans
Walden Dissertations and Doctoral Studies
Sixty percent of youth indicate exposure to violence. Such exposure is a noted risk factor for youths' well-being, including cognitive, emotional, and behavioral development. However, there is a gap in the literature regarding whether exposure to violence predicts impaired academic performance. The purpose of this quantitative study was to test a model with cognitive, behavioral, and emotional sequelae of exposure as mediators of the relationship between exposure to violence and academic performance among adolescents who are at risk for exposure and attend inner-city high schools. Ninety-nine students, primarily female and African-American, in Grades 10 to 12 at two public schools …