Digital Commons Network^™

Writing Center Editor Strategies For Addressing Student Academic Entitlement In Intervention Editing, Sarah Ann Matthey

Walden Dissertations and Doctoral Studies

Not all students who enroll in postsecondary institutions have the skills needed to be successful in higher education in reading and writing. At a for-profit, online university in Minnesota, many students were not completing 4 weeks of a remedial writing program, Intervention Editing (IE). According to internal surveys and personal communications, students' struggles to complete IE were partly due to academic entitlement (AE). AE is defined as students placing the responsibility for their academic success on third parties rather than on themselves. Using the theory of self-efficacy as a framework, the purpose of this intrinsic case study was to determine …

The Perception Of African American Clergy Regarding Mental Health Services, Tamara White

Walden Dissertations and Doctoral Studies

The rise in diagnosable mental illness disorders in the United States is a major concern. However, researchers indicate that African Americans are far less likely to seek mental health treatment than Caucasian Americans. This qualitative, phenomenological study addressed a research gap regarding the beliefs, perceptions, stigmas, and practices of African American clergy regarding their promotion of mental health services. Two conceptual frameworks consisting of the sociocultural theory and the social learning theory guided the study. There were two research questions used to guide the exploration of the purposive sampling of 6 African American clergy from major African American denominations across …

Small Business Crisis Management Strategies, Dovie Wilson

Walden Dissertations and Doctoral Studies

The absence of adequate crisis management strategies in small firms could result in a premature small business closure. A qualitative multiple-case study was used to explore the crisis management strategies that 3 small business owners have used to survive an unexpected operational interruption. The small business owners in this study were from different industries in the southeast region of the United States and each owner owned a business for more than 5 years and had survived at least a single crisis. The theory of crisis management and crisis intervention theory were the conceptual frameworks for this study. Data collection occurred …

Exploring Small Business Strategies In Halifax, Nova Scotia, Oluwatoyin Oluremi Akindoju

Walden Dissertations and Doctoral Studies

Small business owners contribute 39% of Canada's gross domestic product and account for 67% of new jobs created, but only 50% survive beyond the first 5 years of existence. The purpose of this multiple case study was to explore what strategies some small business owners in Halifax, Nova Scotia used to sustain their business operations beyond the first 5 years. The study population consisted of 6 small business owners of professional firms located in Halifax, Nova Scotia who had succeeded in business beyond the first 5 years. The conceptual framework that grounded this study was the systems theory. Data were …

Culture And Attitudes Regarding Physical Punishment Of Children In Akwa Ibom State Of Nigeria, Alfred Aniefiok Bassey

Walden Dissertations and Doctoral Studies

This study examined whether cultural factors could predict parents' attitudes toward the use of harsh physical punishment on their children in Akwa Ibom state in Nigeria. Presuming that most people disapprove of child abuse, different cultural groups may define the parental behaviors that constitute abuse differently, and such variances may result in a disparity of identification of parents from some cultures as more abusive than others. Four different independent cultural variables were measured: (a) conflict tactics, (b) nurturance, (c) drinking, and (d) valuing children. Form P, Part E of Dimension of Disciplinary Inventory (DDI) was used to measure parents' perception …

History Of Pregnancy-Loss And Maternal Socioeconomic Factors As Predictors Of Under-Five Child Mortality, Henry Chukwunonso Debem

Walden Dissertations and Doctoral Studies

Nigeria is one of the countries with the highest Under-5 Mortality rates (U5M) estimated at 117 deaths/1000 live births. Despite public health control initiatives, no significant improvement in U5M has been demonstrated. The purpose of the study was to determine whether history of Adverse Pregnancy Outcomes (APO) and maternal socioeconomic factors could predict the death of children before their fifth birthday, using the life course health development and fetal programming theories. The study population was women in their reproductive age (15- 49 years). The study was a secondary data analysis of the datasets obtained from three Nigeria Demographic and Health …

The Lived Experiences Of Immigrant Canadian Women With The Healthcare System, Salma Debs-Ivall

Walden Dissertations and Doctoral Studies

Immigrants to Canada report better health status than the Canadian-born population when they first arrive in Canada, a phenomenon called the Healthy Immigrant Effect. However, by the fourth year after immigration, immigrants report a health status that is worse than that of the Canadian-born population. Visible minority immigrant women report the largest deterioration in health. The purpose of this qualitative study was to explore the lived experiences of visible minority immigrant women with encounters with the Canadian healthcare system to examine the multiplicative impact of gender, ethnicity, and immigration on their health. This phenomenological study, guided by Crenshaw's feminist intersectionality …

Industry Best Practices Contributing To Small Business Success, Timothy John Giardino

Walden Dissertations and Doctoral Studies

Small business owners generate jobs within the local community, but half of new business owners often fail to sustain operations for the first five years. The purpose of this qualitative descriptive study was to explore strategies that small business owners in central Texas used to sustain their businesses beyond the first 5 years. Schumpeter's theory of economic development grounded the study. Data collection included semistructured face-to-face interviews with a purposeful sample of 20 small business owners due to their success in creating strategies resulting in sustaining their businesses beyond 5 years in a postrecession business environment. All interpretations from the …

Self-Care Activities And Nurse Manager Well-Being, Gretchen Eileen Johnson

Walden Dissertations and Doctoral Studies

The role of the nurse manager is important in organizations and influences outcomes such as the safety and quality of care provided on a unit, satisfaction, turnover of nursing staff, and overall health of the work environment. Stressors for managing nurses can impair physical and emotional health and lead to poor patient and staff satisfaction, safety, and outcomes. The evidence-based practice project will explore nurse managers' well-being and self-care activities. The theoretical framework of the project is the Relationship-Based Care Model as well as Kotter's change theory. The literature suggests that self-care activities can reduce stress and improve well-being. A …

Examining The Relationship Between Emotional Intelligence And Interpersonal Forgiveness Among Internet Users, Noelle Lowry

Walden Dissertations and Doctoral Studies

Emotional Intelligence (EI) and forgiveness both involve interpreting emotional content. Empirical study of a relationship between these two constructs is lacking. This is a problem as many psychological studies infer a relationship between these two constructs. The purposes of this study were to explore whether EI and forgiveness are correlated and to identify whether predictor variables (empathy, life satisfaction, emotional management, and emotional understanding) contribute to the probability of forgiveness within an interpersonal relationship. A quantitative, nonexperimental research design, based on the theory of mind, was used to answer two research questions: Does a correlational relationship exist between the two …

Risk Factors Associated With Severe Acute Respiratory Infections Cases, Ryan Gatdula Ortiguerra

Walden Dissertations and Doctoral Studies

The close proximity of the United States to the Mexican border poses a concern for communicable diseases because of the high flow of population movement. The purpose of this retrospective, quantitative study was to identify risks associated with respiratory diseases using an analysis of archived data from the Severe Acute Respiratory Illness (SARI) surveillance program. Based on the epidemiologic triangle theory, demographic and etiologic factors were analyzed to examine any associations with SARI in this population. Between 2010 and 2012, 798 subjects enrolled in this program, with 336 (42.1%) testing positive for respiratory pathogens. Chi square analysis determined that age …

Veterans First Contracting Program Preference Hierarchy: Effect On Veteran-Owned Small Business, Harry Parker

Walden Dissertations and Doctoral Studies

U.S. Department of Veterans Affairs (DVA) leaders created a Veterans First Contracting Program (VFCP) under Public Law 109-461 to provide procurement opportunities for veteran-owned small businesses (VOSBs) and service-disabled veteran-owned small businesses (SDVOSBs). However, DVA leaders established a preference hierarchy that increased opportunities for SDVOSBs and decreased opportunities for VOSBs. Research was lacking regarding the effects of the preference policy on VOSBs as a distinct small business category. The purpose of this phenomenological study was to explore and understand the experiences of 20 VOSB owners actively enrolled in the VFCP from Maryland, Virginia, and District of Columbia. Through the lens …

The Need For Soft Skills In A Medical Assistant Program, Micheal L. Randolph

Walden Dissertations and Doctoral Studies

There is a perceived soft skills problem within the medical assistant program (MAP) at a 2-year technical college in the Midwestern United States. Soft skills refer to relational skills such as practicing self-management, communicating with various groups, adapting to change, negotiating, and resolving conflict. The purposes of this intrinsic case study were to (a) understand the perspectives of faculty, staff, and leadership regarding students' soft skills ability within the study MAP and (b) identify important soft skills needed in the workplace. An integrative conceptual framework that drew upon vocational and organizational theories was used as a theoretical framework for the …

Strengthening Participatory Democracy Through Participatory Budgeting, Babatunde Adesegun Sobanjo

Walden Dissertations and Doctoral Studies

Although participatory budgeting (PB) was introduced in Sub-Saharan Africa in 2005, it has yet to be widely adopted. While PB has great potential to enhance citizen participation in the democratic process, little academic research has focused on the utility of PB as a mechanism for citizen empowerment in the region. The purpose of this case study was to gain further understanding of the role of civil society in educating and empowering the citizens of Ijede LCDA in Lagos State, Nigeria to participate effectively in budgetary decision-making processes. The data were gathered from 15 semi-structured, one-on-one interviews of purposefully selected participants …

Development Of Assessment And Screening Tool To Assist With Prevention And Identification Of Charcot Foot In Type 2 Diabetics, Louise S. Wade

Walden Dissertations and Doctoral Studies

Abstract

Development of Assessment and Screening Tool

to Assist with Prevention and Identification of Charcot Foot in Type 2 Diabetics

by

Louise Wade MSN, RN

MS, West Texas A&M University, 2010

BS, West Texas A&M University, 2010

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2016

Abstract

According to the World Health Organization, up to 50% of type 2 diabetic patients

develop neuropathy, which may cause major infections, amputation, and Charcot foot due

to impaired sensation. Early recognition and care is essential for treatment of Charcot

foot and prevention …

The Impact Of Transportation Infrastructure On Nigeria's Economic Developmeny, William A. Agbigbe

Walden Dissertations and Doctoral Studies

The United Nations Development Programme (UNDP) described Nigeria's road networks as one of the poorest and deadliest transportation infrastructural systems in the world. Data from the UNDP and the World Bank (WB) show that Nigeria has suffered transportation infrastructure deficits; these data also illustrate Nigeria as one of the lowest indices in economic development in the last decade. This qualitative case study addressed the impact of a lack of investment in transportation infrastructure in the form of road networks on Nigeria's economic development. The purpose of the study was to understand the relationship between the investment in road networks and …

Promoting Annual Depression Screening In A Federally Qualified Healthcare Center, Denise Lesley Alleyne

Walden Dissertations and Doctoral Studies

According to the World Health Organization, depression affects about 350 million people worldwide. In 2014, only 50% of the adult patients were screened for depression in the community-based Federally Qualified Healthcare Center (FQHC) for which this doctorate of nursing practice (DNP) project was developed. In an effort to meet the 100% benchmark set nationally for the screening of adult patients in the primary care settings, the FQHC's quality improvement team now requires that 80% of adult patients in the clinic be screened for depression. Framed within the Iowa model of evidence-based practice, the purposes of this project were to: (a) …

Association Between Haart And Metabolic Syndrome Components Among Hiv-Positive Adults In Southeastern Nigeria, Bridget Okiemute Amechi

Walden Dissertations and Doctoral Studies

Highly active antiretroviral therapy (HAART) contributes to metabolic disorders and the growing prevalence of metabolic syndrome (MetS) in human immunodeficiency virus (HIV)-infected patients. Hypertension, obesity, and hyperglycemia (components of MetS) are risk factors for cardiovascular disease. Studies have shown that HIV patients on HAART have a 2-fold risk of dying from MetS. There are no such studies in Umuahia; hence the need for this study to fill this gap. Using a sample size of 192 medical records of HIV-infected patients in Federal Medical Centre, Umuahia, and applying metabolic syndrome theory, this study examined the relationships among types of HAART regimen, …

Cross-Age Peer Mentoring To Improve Sixth-Grade Student Reading, Christina L. Belotti

Walden Dissertations and Doctoral Studies

In a middle school in the southern United States, administrators and teachers are concerned that approximately 40% of sixth-grade students are reading below grade level despite intervention programs. The purpose of this mixed-methods case study was to inquire whether a cross-age peer mentoring program would improve sixth-graders' reading achievement and motivation to read. The theoretical framework for the study was Vygotsky's constructivist theory, with a focus on scaffolding. Research questions focused on sixth-grade students' perception of their participation in a cross-age peer mentoring program and the effect of the program on reading achievement and motivation. Data were collected through pre- …

High School Teachers' Perceptions Of Mental Health And Adolescent Depression, Christine Ann Breuer

Walden Dissertations and Doctoral Studies

Adolescents have a high rate of untreated mental health issues, specifically related to depression. Current literature does not indicate the impact of teachers' attitudes toward mental health on their decisions to refer students for services. This study provides understanding specifically, how teachers' beliefs about mental health, as well as their age, gender, ethnicity, years of education, and years of teaching, were analyzed to determine the impact each these characteristics had on the decision to refer a student for services. 92 high school teachers participated in this quantitative study by completing a survey measuring their attitudes of mental health, and then …

Fall Safety Bundle, Baili Denise Campbell

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services (CMS) report thousands of falls in hospitals each year. The CMS does not reimburse hospitals for fall related injuries, costing the hospital system organization for which this DNP project was designed millions of dollars each year. Framed within the Iowa model of evidence-based practice and using a team approach, the purpose of this project was to develop an evidence-based (EB) fall safety bundle for use by nursing staff and a curriculum to educate staff on prevention strategies. The components of the EB fall bundle kit were approved by the stakeholder committee. Evaluation of …

Single Mothers Of Young Children And Continuing Education, Jackiethsha Lynette Fluellen

Walden Dissertations and Doctoral Studies

The number of households headed by single mothers living in poverty exceeds that of all other categories of poverty-stricken households, and poverty impacts the children negatively in various ways. When single mothers choose not to continue their education, they lessen their chances of finding higher paying jobs and raising their families out of poverty. The purpose of this phenomenological study was to better understand why some single mothers decided to continue into higher education. The study considered the decisions of 6 single mothers of young children in Montgomery County, Texas, and the obstacles they overcame while completing their education. The …

Integrated And Reducing Re-Entry Into The Criminal Justice System, Scott Huntington

Walden Dissertations and Doctoral Studies

Numerous studies have focused on the effectiveness of integrated treatment services for people with cooccurring disorders (CODs) within the criminal justice system (CJS). However, there has been a paucity of research on the effectiveness of community-integrated treatment services with CODs and influences on decreasing their interaction within the CJS. This study quantitatively examined the possible relationships between integrated treatment services and CODs and their effect on decreasing interactions within the CJS. The sample (N = 320) consisted of people with CODs from a community-based facility. The statistical analysis was a 2-way (2 x 2) and 3-way (2 x 2 x …

Improving Communication Between Cancer Patients And Providers During A 15-Minute Office Visit: A Systematic Review Of The Literature, Dr. Tammy Elizabeth Manganelli

Walden Dissertations and Doctoral Studies

Patients undergoing chemotherapy treatments for cancer often experience adverse side effects, including cognitive deficits. These deficits impact the patient's ability to communicate effectively with their oncology provider. Ineffective communication can adversely affect patient outcomes and decrease patient-provider satisfaction. The resulting poor communication can contribute to poor patient outcomes. This systematic literature review focused on assistive communication tools that could be used in an outpatient oncology setting to improve patient-provider communication. The literature review findings led to the development of a resource for providers that includes 15 communication tools that can be used to assess and improve communication in cancer care. …

Professional Development Of Head Start Teachers In Emotional And Instructional Support, Marilyn Mcleod Harris

Walden Dissertations and Doctoral Studies

In the southwest region of Tennessee, a local Head Start program classroom assessment scoring system's (CLASS) scores fell in the lowest 10% among national Head Start programs in emotional and instructional support. Since 2012, the Office of Head Start has released reports showing that the average Head Start program has low performance CLASS emotional and instructional support scores. The purpose of this exploratory case study was to investigate the professional development of local Head Start teachers with low CLASS scores in emotional and instructional support. Knowles's adult learning theory of andragogy was the overall conceptual framework and the concentrated theory …

Retention Of Direct Care Professionals Supporting Intellectually Disabled Individuals, Melanie Opalka-Bentler

Walden Dissertations and Doctoral Studies

In the health and human service industry, employee turnover affects business practices and causes disruption of the lives of vulnerable individuals with intellectual disabilities receiving support. Using a human capital conceptual framework perspective, the purpose of this multiple case study was to explore strategies used to increase employee retention. The criteria for participation included organizational leaders from 3 Pennsylvania human service agencies that supported individuals with intellectual disabilities, tracked employee turnover for at least 2 years, and developed strategies to increase employee retention. Organizational leaders volunteered to participate and the first 3 organizations meeting the criteria were selected. Data collection …

Perception Of Cervical Cancer Screening Among Immigrant African Women Residing In Houston, Texas, Esther Ifeomadiniru Orji

Walden Dissertations and Doctoral Studies

Perception of cervical cancer screening among Immigrant African women residing in Houston, Texas

Esther I. Orji

M.Ed., University of Lagos, 2002

B. Ed, Abia State University, 1998

A.C. E. University of Benin, 1990

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Public Health

Walden University

August 2016

Disparities in cervical cancer screening participation still exist especially among immigrant and minority women compared to non immigrant populations. Research investigators through multiple studies have explored reasons for non participation in cervical cancer screening among immigrant and minority women. However, there was limited research specifically on …

A Phenomenological Study Of The Roles Of Principals In Special Education, Sarah Marie Parker

Walden Dissertations and Doctoral Studies

At the time of this study, there is intensified awareness of the importance of special education and the appropriate implementation of supports and services for the students identified as having special needs. In the United States, understanding special education laws, the needs of students with special needs who are served in the school building, and effective ways to interact with staff members and families about special education are important components of principal leadership success. Principal supervisors and others who provide training and ongoing professional development for principals and potential school leaders need to understand more about issues principals face in …

Measuring Knowledge And Attitudes Of Clinicians About Motivational Interviewing With Troubled Adolescents, Sophia Joseph Parrilla

Walden Dissertations and Doctoral Studies

Adolescents with acting-out behavior have an increased risk of dropping out of high school, incarceration, and early mortality. Researchers have indicated the need for studies using motivational interviewing (MI) to promote behavioral change. There is a gap in the literature about the efficacy of MI with adolescents and clinicians' knowledge of, and attitude toward, MI. Using self-determination theory as the grounding theory, this study examined the knowledge and attitudes of 73 clinicians on the island of St. Croix, Virgin Islands, about knowledge and attitudes of MI and whether it predicted the use of MI as a therapeutic intervention for adolescents …

A Multiple Case Study On Leader Support, Breastfeeding, And Work Commitment, Lisa Marie Rancourt

Walden Dissertations and Doctoral Studies

In the United States, over 50% of women return to paid work after becoming mothers. Mothers who breastfeed are more likely to stop working than peers who chose to use infant formula. The purpose of this research was to explore work commitment among new mothers during the first year of their infant's life. Many of these mothers had skills that were imperative to organizational success, making their retention a priority. The relationship between leadership support for dual roles as mothers and employees had not received attention previously in the literature. This multiple case study analyzed the perceptions of new mothers …