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Walden Dissertations and Doctoral Studies

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Foster Parents' Attachment Style As A Moderator Of Children's Negative Behaviors And Placement Disruption, Alicia Araiza Jan 2017

Foster Parents' Attachment Style As A Moderator Of Children's Negative Behaviors And Placement Disruption, Alicia Araiza

Walden Dissertations and Doctoral Studies

There is a demonstrated association between children's negative behaviors, placement disruption, and foster parents' attachment style in early childhood; however, there is an absence of research examining this relation among foster children in middle childhood. Researchers have found that in early childhood, children respond more favorably to foster parents with a secure attachment style, while greater placement disruption is associated with foster parents having an insecure attachment style. The purpose of this study was to examine the association between foster children's negative behaviors, placement disruption in foster children during middle childhood, and foster parents' attachment style. Bowlby's and Ainsworth's attachment …


Exploring Social Support Networks Of African American Emancipated Foster Care Women, Donna Marie Barrett Jan 2017

Exploring Social Support Networks Of African American Emancipated Foster Care Women, Donna Marie Barrett

Walden Dissertations and Doctoral Studies

Many youth exit the United States foster care system each year and face challenges related to housing, employment, health care, and education. After emancipation, foster youth can experience family instability, educational disruption, incarceration, unemployment, unstable housing, and emotional problems at a much higher rate than youth in the general population. The purpose of this qualitative case study was to examine the experiences of African American foster women and the social support they received in finding housing upon exiting foster care system. Bronfenbrenner's ecological theory provided a conceptual framework of social interrelation for the study. Data were collected from a purposeful …


Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono Jan 2017

Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono

Walden Dissertations and Doctoral Studies

Inadequate leadership is the reason workplace accidents in the mining industry remain high, making the industry one of the most hazardous operational activities in the world. Unsafe leadership practices may result in death or injury to workers. A group of 30 mining company leaders from 3 gold mines in Zimbabwe revealed an exception to these hazardous practices, however, notable through their outstanding safety improvement records. To better understand what these practitioners were doing, this multicase study research design explored their strategies to improve the workplace safety environment in the mines. Data were collected using audio-recorded semistructured interviews and document analyses. …


Satisfaction Of Community College Students Transferring To A Public Research Institution In Southern California, Patricia Danylyshyn-Adams Jan 2017

Satisfaction Of Community College Students Transferring To A Public Research Institution In Southern California, Patricia Danylyshyn-Adams

Walden Dissertations and Doctoral Studies

At a large public research university in Southern California, community college transfer students reported dissatisfaction with their undergraduate college experience. Dissatisfied students may not graduate, may not network with undergraduates at their alma mater, and may not contribute financially to their alma mater. The purpose of this qualitative case study was to explore why students were dissatisfied with their college experience. Data collection included semi structured interviews with 11 community college transfer students enrolled at the university. The conceptual framework was based on Astin's student involvement theories. The data were analyzed by looking for codes that emerged from the student …


The Relationship Between Coping Strategies And Burnout For Caregivers Of Adjudicated Youth, Debra Marie Dix Jan 2017

The Relationship Between Coping Strategies And Burnout For Caregivers Of Adjudicated Youth, Debra Marie Dix

Walden Dissertations and Doctoral Studies

In the human services field little is known about the impact of coping strategies on the problem of burnout for primary caregivers of delinquent youth in placement. The purpose of this correlational research was to examine the relationship between coping strategies, youth psychopathology, and burnout. This study was based on Maslach's theory of burnout and Lazarus and Folkman's transactional model of stress and coping. To assess the prevalence of burnout and coping strategies, 82 primary caregivers of adjudicated youth in placement in the state of Michigan, completed self-report questionnaires: the Maslach Burnout Inventory, the Brief COPE Inventory, and the Child …


The Impact Of Education And Gender On The Facilitation Of The Duluth Model Anger Management Course, Charlise Gloria Hogue-Vincent Jan 2017

The Impact Of Education And Gender On The Facilitation Of The Duluth Model Anger Management Course, Charlise Gloria Hogue-Vincent

Walden Dissertations and Doctoral Studies

Domestic violence, specifically intimate partner violence (IPV), is a major social problem in the United States despite legislative efforts aimed at reducing it. The Duluth model, which is the preeminent domestic violence intervention model used in the United States, is a male-only group intervention based on feministic views that domestic violence stems from men's behaviors to assert power and control in relationships. While the model is widely emulated, its policies and practices are under scrutiny from researchers who question the program efficiency, pointing to high recidivism rates. Guided by feminist theory, the purpose of this generic qualitative study was to …


Therapeutic Alliance Between African American Clients And European American Providers: A Phenomenological Study, Dr. Pamela Johnson-Hood Jan 2017

Therapeutic Alliance Between African American Clients And European American Providers: A Phenomenological Study, Dr. Pamela Johnson-Hood

Walden Dissertations and Doctoral Studies

African Americans do not seek mental health help at the same rate, as do European Americans; furthermore, African Americans who do seek help tend to leave therapy prematurely. A poor therapeutic alliance between African American clients and European American clinicians may be one reason that African Americans do not seek therapy or leave prematurely. The purpose of this phenomenological study was to understand the lived experience of African American clients in therapeutic relationship with European American clinicians. Rogers' theory of therapeutic alliance, which included empathy as a key concept, served as the conceptual framework of this study. Through purposeful sampling …


Bupivacaine With Fentanyl To Treat Labor Pain: A Quality Improvement Initiative, Irvin Lee Jan 2017

Bupivacaine With Fentanyl To Treat Labor Pain: A Quality Improvement Initiative, Irvin Lee

Walden Dissertations and Doctoral Studies

Epidurals used for labor are common regional anesthesia techniques that are easily placed and controlled, while providing the most reliable method of pain relief in obstetrics for parturient women. Local anesthetics, narcotics, and/or combinations of the two are administered through epidurals to treat labor pain. Hence, the choice of medication is important, as it can highly influence outcomes of pain relief. The purpose of this DNP project was to evaluate the effectiveness of a new service line medication, bupivacaine 0.1% with fentanyl 2mcg/ml, to treat labor pain in parturient women at a rural community hospital in southern California guided by …


The Impact Of Parental Divorce On Orthodox Jewish Marital Relationships, Eliyahu Melen Jan 2017

The Impact Of Parental Divorce On Orthodox Jewish Marital Relationships, Eliyahu Melen

Walden Dissertations and Doctoral Studies

While there is ample research showing that adult children of divorced parents have more positive attitudes toward divorce and lower marital commitment, there has been no such research focused specifically on the Orthodox Jewish (OJ) population, which tends to view divorce more negatively. Prior to this study, it was thus unclear if the findings of existing research on marital competence applied to OJ children of divorce. Driven by social exchange theory, this study was designed to discover (a) whether OJ adult children of divorce differ significantly from OJ adult children of intact marriages in their marital commitment and marital satisfaction; …


Age As A Predictor Of Factors Involved In Targeted School Violence, Wendy Leigh Rippon Jan 2017

Age As A Predictor Of Factors Involved In Targeted School Violence, Wendy Leigh Rippon

Walden Dissertations and Doctoral Studies

Targeted school violence (TSV) in the United States is increasing, causing a loss of innocent lives and challenges for teachers and students in building rapport. In addition, TSV increases levels of anxiety and makes it difficult for parents and community members to believe students are safe while at school. Several studies have highlighted the fact that age may be a factor in school shootings, calling for future research to determine if age is indeed influential. The problem is to date age has not been established as a predictive factor, even though the extant research is beginning to identify possible variances. …


Servant Leadership And Affective Commitment To Change In Manufacturing Organizations, Jeffrey Schulkers Jan 2017

Servant Leadership And Affective Commitment To Change In Manufacturing Organizations, Jeffrey Schulkers

Walden Dissertations and Doctoral Studies

Organizational change initiatives in the United States frequently fail with estimated failure rates as high as 90%. Change failure rates resulting from underused and poorly trained front-line managers (FLMs) remained high, with no signs of improvement in the past 2 decades. The purpose of the correlational study, grounded in servant leadership theory, was to examine the relationship between employee perceptions of their FLM's servant leadership dimensions and employee affective commitment to change. A purposive, nonprobability sample of 107 employees of a U.S. manufacturing organization that had recently undergone organizational change completed a questionnaire for the study. Results of the multiple …


An Evidenced-Based Pain Management Module To Improve Clinicians' Knowledge, Mark A. Wells Jan 2017

An Evidenced-Based Pain Management Module To Improve Clinicians' Knowledge, Mark A. Wells

Walden Dissertations and Doctoral Studies

Chronic pain syndrome continues to be a national health concern among all medical specialties. It has an impact on the entire health care system and if current trends continue, the economic impact alone will exceed 100 billion dollars. In 2014, 254 million prescription opioids were written in the United States. During this time, an increase in prescription opioid related deaths was seen, with approximately 20,101 deaths occurring in 2015. Properly trained clinicians across the health care system are needed to achieve successful patient outcomes, while reducing cost, morbidity, and mortality. The purpose of the scholarly project was to develop a …


Perceptions Of Educational Accountability Among Single African American Mothers, Tierra Winston Jan 2017

Perceptions Of Educational Accountability Among Single African American Mothers, Tierra Winston

Walden Dissertations and Doctoral Studies

The construct of educational accountability formally originated in 2001 as a means to improve education standards by holding teachers accountable for student academic progress; however, the definition of educational accountability for parents continues to be illusive. The purpose of this generic, qualitative study was to explore the perceptions of educational accountability among single, African American mothers of high school-aged children. The research question asked about how the beliefs of educational accountability among single African American mothers related to any involvement in their children's education. Azjen's theory of planned behavior, which outlines the relation of intention to action, was the framework …


The Role Of Prenatal Care And Systematic Hiv Testing In Preventing Perinatal Transmission In Tanzania, 2011-2012, Nkembi Lydie Bianda Jan 2017

The Role Of Prenatal Care And Systematic Hiv Testing In Preventing Perinatal Transmission In Tanzania, 2011-2012, Nkembi Lydie Bianda

Walden Dissertations and Doctoral Studies

In 2012, Tanzania, the prevalence of HIV infection among Tanzanian women was 6.3%; that same year, 18% of Tanzanian children were born already infected with HIV. The purpose of this study was to determine the importance of prenatal care attendance on comprehensive knowledge of HIV mother-to-child transmission (MTCT), and HIV testing and counseling, as well as awareness of HIV testing coverage services, in Tanzania. The study population was Tanzanian women of childbearing, aged 15 to 49 years old. Guided by the health belief model, this cross-sectional survey design used secondary data from the 2011-2012 Tanzania Demographic Health Survey. Independent variables …


The Relationship Between Athletic Development Personality Factors And Decision Making, Herbert Degraffe Jan 2017

The Relationship Between Athletic Development Personality Factors And Decision Making, Herbert Degraffe

Walden Dissertations and Doctoral Studies

Ineffective leadership that results from personality defects, ineffective core executive functions, and emotional decision making can lead to destructive actions and executive failures that affect organizational effectiveness. The purpose of this correlational study was to determine if athletic development personality factors correlate with decision making at the executive leadership level. The research questions focused on determining if there was a relationship between athletic development personality factors and decision making. Social exchange theory, social representations theory, and leadership theories comprised the theoretical framework. Participants included 124 executive decision-makers from the United States, the United Kingdom, South Africa, India, and Singapore who …


Medical Laboratory Managers Success With Preanalytical Errors, Huong Q. Ly Jan 2017

Medical Laboratory Managers Success With Preanalytical Errors, Huong Q. Ly

Walden Dissertations and Doctoral Studies

Clinicians rely heavily on accurate laboratory results to diagnose and treat their patients. Laboratory errors can occur in any area of total testing phases, but more than half of the errors occur in the preanalytical phase. Framed by the total quality management theory, the purpose of this multiple case study was to explore medical laboratory managers' strategies to reduce preanalytical errors. A purposive sample of 2 organizations with laboratories in southern California participated in semistructured face-to-face interviews. Company A had 2 participants and 3 participants participated in the study from Company B. Each participant had at least 5 years of …


The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities, Akudo Okeorji Jan 2017

The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities, Akudo Okeorji

Walden Dissertations and Doctoral Studies

Falls and complications from falls are a common problem among adults aged 65 years and older. About 60% of older adults fall every year, causing injuries, hospitalization, nursing home placement, and even death. Most studies on falls among skilled nursing facility (SNF) residents focus on fall preventive measures that fail to include staffing variables such as nursing hours. Although researchers have examined the relationship between nursing staff and patient outcomes in hospital settings, similar studies have not occurred in long-term care facilities. The purpose of this retrospective longitudinal study was to determine whether a correlation exists between nursing staff hours …


Sustainability And Social Responsibility In Small Food Enterprises: Barriers And Enablers, Aurora Dawn Reinke Jan 2017

Sustainability And Social Responsibility In Small Food Enterprises: Barriers And Enablers, Aurora Dawn Reinke

Walden Dissertations and Doctoral Studies

Small to medium enterprises (SMEs) in the food industry contend with a variety of corporate sustainability and social responsibility (CSSR) issues, ranging from the environmental impact of food waste to human health concerns about specific ingredients and production methods. In this qualitative multicase study, based on the conceptual frameworks of strategic development, stakeholder management, and institutional theory, I explored barriers and enablers for Washington, DC-based food SMEs as they proactively addressed CSSR issues. I interviewed five SME owner-managers. The transcripts were then coded and analyzed. Three themes emerged. Strategic development tended to be ad hoc and experimental, but with equal …


10,000 Step Challenge For Bedside Registered Nurses Working 12 Hour Shifts, Katherine Louise Schnebly Jan 2017

10,000 Step Challenge For Bedside Registered Nurses Working 12 Hour Shifts, Katherine Louise Schnebly

Walden Dissertations and Doctoral Studies

Obesity is a pandemic that directly affects chronic health problems and mortality. Researchers have shown that more than 54% of nurses are obese. The increasing rate of obesity among nurses and the long hours they work make healthy lifestyles, including daily physical activity, difficult. Tracking daily activity using a pedometer or fitness application has shown improved awareness and sustainability of daily physical activity. This project was an investigation of the daily steps of bedside nurses working a 12-hour shift, and their subsequent awareness of their daily physical activity. Pender's Health Promotion Model was used to consider motivating factors for improving …


Wellness Education And Job-Related Injuries And Illnesses For Federal Employees, Eunice Scott Jan 2017

Wellness Education And Job-Related Injuries And Illnesses For Federal Employees, Eunice Scott

Walden Dissertations and Doctoral Studies

Work-related injuries and illnesses may lead to absenteeism, which affects the level of productivity. The purpose of this study was to determine the success of an employee workplace training program on work-related injury and illness rates at selected federal districts within a federal organization. Newman's model, which describes internal and external factors that may have an effect on an individual's health, was the framework that guided this project. A pre-post design was used to compare data from 2 publically available data sets, the Occupational Safety and Health Administration Illness and Injury and the Voice of the Employee Survey, for the …


Predictors And Moderators Of Sexual Distress In Women With Persistent Genital Arousal Disorder, Lisa Squibb Jan 2017

Predictors And Moderators Of Sexual Distress In Women With Persistent Genital Arousal Disorder, Lisa Squibb

Walden Dissertations and Doctoral Studies

Persistent Genital Arousal Disorder (PGAD) is a complex, poorly understood condition characterized by unremitting, unwanted, distressing genital arousal which occurs frequently and for extended periods of time, often in the absence of sexual stimuli. The pathophysiology is unknown. Researchers have hypothesized underlying disorders of neurological, vascular, pharmacological and psychological origins. Possible causalities have been suggested including anxiety disorder, SSRI use, and pudendal nerve neuropathies among others. Despite the uncertainty of etiology, other aspects of the disorder are clearer, including distress and poor quality of life for many. In this study, I used a biopsychosocial model to examine three potential psychological …


Designing And Evaluating An Educational Initiative Promoting Condom Use Among Hiv+ Hispanic Men, Gilberto Andino Jan 2017

Designing And Evaluating An Educational Initiative Promoting Condom Use Among Hiv+ Hispanic Men, Gilberto Andino

Walden Dissertations and Doctoral Studies

In 2013, the Centers for Disease Control and Prevention estimated that between 252,000 and 312,000 Hispanic men and women in the United States were unaware of their risk for transmitting HV/AIDS. Guided by the logic model and Leininger's theory, the purpose of this project was to design a culturally sensitive HIV/AIDS educational program for HIV+ Hispanic males and to evaluate the program content with the staff at a medical center in South Florida, with the goal of implementing the program at that center. The educational program content focused on increasing the knowledge of Hispanic HIV+ men on the effectiveness of …


The Effects Of Policy Gaps On Governance In Ghana, Jojo Benin Jan 2017

The Effects Of Policy Gaps On Governance In Ghana, Jojo Benin

Walden Dissertations and Doctoral Studies

The need for governance institutions in Ghana to focus on policy results that impact directly on citizen's wellbeing rather than results that are achieved immediately after implementing program of activities has become more relevant than ever before due to widening policy gaps (the difference between policy intention and policy outcome) in Ghana. Defective policy implementation by the Ghanaian Civil Service is widening policy gaps in Ghana. With the aid of the institutional analysis and development framework, this quantitative study examined the relationship between policy gaps and governance in Ghana. Empirical data were collected from 539 Civil Servants in Ghana using …


The Influence Of Cardiovascular Disease Risk Factors On Exercise Participation, Chadrick Cooper Jan 2017

The Influence Of Cardiovascular Disease Risk Factors On Exercise Participation, Chadrick Cooper

Walden Dissertations and Doctoral Studies

The study's purpose was to analyze whether the control (sustained healthy level) of independent cardiovascular disease risk factors could be used to significantly predict aerobic exercise status. The health belief and ecological model helped describe health awareness, autonomy, and ecological influences that could also influence the control of each risk factor. Multiple logistic regression analysis of behaviors and demographics was utilized to assess relationships of met aerobic recommendations to hypertension, diabetes, obesity, tobacco/alcohol use, diet, physical activity limitations, mood, and socio-economic status. The study consisted of 340 African American participants (37% male 63% female), between the ages of 30-64 who, …


The Association Between Medical Marijuana Laws And Maternal Marijuana Use, Joseph Timothy Jones Jan 2017

The Association Between Medical Marijuana Laws And Maternal Marijuana Use, Joseph Timothy Jones

Walden Dissertations and Doctoral Studies

Marijuana is the most common illicit drug that is abused by pregnant women, and recently many states have adopted various levels of relaxed marijuana policies. The purpose of this study was to evaluate a potential association between residing in a state that allows medical marijuana use and maternal marijuana usage. Grounded in the theory of planned behavior, this study evaluated the prevalence and extent of maternal marijuana use in states that allow and states that do not allow medical marijuana use using the National Survey of Drug Use and Health (NSDUH). It was anticipated that more lenient subjective norms toward …


The Relationship Between Hispanics/Latino Men Who Have Sex With Men And Women Cultural Beliefs, Risk Behaviors And Self-Disclosure, Donnalee Maria Lawson-Williams Jan 2017

The Relationship Between Hispanics/Latino Men Who Have Sex With Men And Women Cultural Beliefs, Risk Behaviors And Self-Disclosure, Donnalee Maria Lawson-Williams

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate the relationships among cultural/spiritual beliefs, risk behaviors, and disclosure among Hispanic/Latino men who have sex with men and women (MSMW). Minority men who have sex with men are disproportionately affected by HIV, in particular MSM who are Hispanic/Latino or African American. Limited research is available on the link between Hispanic/Latino MSMW, their cultural/spiritual beliefs, risk behavior, and disclosure about risk behaviors to friends and family. The data were obtained from the SJS Project, which used survey methods to gather data on participants from all 50 states and Puerto Rico. Among the participants …


The Impact Of Nursing Interventions On Pediatric Pressure Injuries, Charleen Singh Jan 2017

The Impact Of Nursing Interventions On Pediatric Pressure Injuries, Charleen Singh

Walden Dissertations and Doctoral Studies

Hospitalized children are vulnerable to pressure injuries. Multiple methods are available to decrease pressure injuries. One specific method is the pediatric pressure injury prevention bundle, which includes device rotation, moisture management, positioning, skin assessment, and support surface management. Although this prevention bundle is available nationwide, it is not known if this type of bundled methodology helps decrease pressure injuries in hospitalized children. Secondary data regarding nursing interventions implemented as a bundle and pressure injury rates from a large pediatric hospital consortium were used to address this gap in the literature. The research questions explored the impact of the pressure injury …


Evaluating Factors Used By Mental Health Professionals To Access Juvenile Adjudicative Competency, Heidi M. Wennesheimer Jan 2017

Evaluating Factors Used By Mental Health Professionals To Access Juvenile Adjudicative Competency, Heidi M. Wennesheimer

Walden Dissertations and Doctoral Studies

Mental health professionals (MHPs) evaluate juveniles' competency to stand trial (JAC) for the courts more than any other psychological issue, but little research has been done about JAC. Only 2 previous studies have examined assessment procedures and tools used by MHPs to evaluate JAC. This quantitative nonexperimental study examined ratings by 44 MHPs in Wisconsin and Illinois for the importance of considering 6 different research-based factors linked to lifespan developmental theory and the usefulness of 3 assessment tools that have all been recommended previously by professional best practice guidelines to evaluate JAC. This study examined 2 levels of an independent …


Parental Perspectives On Vaccinating Children Against Preventable Childhood Diseases, Karen Charles Jan 2017

Parental Perspectives On Vaccinating Children Against Preventable Childhood Diseases, Karen Charles

Walden Dissertations and Doctoral Studies

Childhood immunization has been one of the most important public health measures in the 20th century. In the United States, 95% of avoidable childhood diseases have been prevented through vaccinations. However, there have been growing concerns around the safety of vaccines, and this increased uncertainty has led to decreases in vaccination participation and increases in cases of preventable diseases. As such, is it important to understand why parents are not vaccinating their children. A qualitative approach was utilized to conduct this study. Flyers to recruit participants were distributed by healthcare providers and were posted in church facilities. Ten parents of …


Teacher Perceptions Of A Full-Service Community School Strategy For Language Arts Students, Jaclyn Marie Dorrman Jan 2017

Teacher Perceptions Of A Full-Service Community School Strategy For Language Arts Students, Jaclyn Marie Dorrman

Walden Dissertations and Doctoral Studies

Students of all abilities at a Full-Service Community School (FSCS) in northern New Jersey are not meeting federal and state accountability requirements in language arts. Research studies indicated that the FSCS strategy can improve instructional practices, which will improve academic success. For this qualitative case study, the purpose was to document and analyze the strengths and weaknesses of the FSCS academic component for language arts used by 8 teachers from kindergarten to 6th grade. The conceptual framework that guided this study was grounded in the central understanding of Vygotsky and the constructivist theory of Bruner. The perceptions of language arts …