Digital Commons Network^™

Algebraic Content And Pedagogical Knowledge Of Sixth Grade Mathematics Teachers, Mariyam Shahuneeza Naseer

Walden Dissertations and Doctoral Studies

Algebra test scores of the Maldivian students from grade 6 through 12 are the lowest compared to any other area of mathematics. Algebra is a fundamental topic in mathematics and lays the foundation for mathematical reasoning and complex problem-solving. Research shows that strengthening algebra instruction could improve student achievement. This concurrent mixed methods study examined the algebraic content and pedagogical knowledge of 5 sixth grade mathematics teachers who teach in 5 different schools across the Maldives. Shulman's major categories of teacher knowledge and Ball, Thames, and Phelps' domains of mathematical knowledge for teaching guided this study. The research questions examined …

The Relationship Between School Type And Mental Health Of Lesbian, Gay, Bisexual, Transgender, And Questioning Young Adults, Steven Vincente Spencer

Walden Dissertations and Doctoral Studies

Gay-straight alliance (GSA) clubs may positively affect mental health for lesbian, gay, bisexual, transgender, and questioning (LGBT) students, but little research has studied schools that primarily enroll LGBT students. Guided by neofunctional and sexual stigma theory, the purpose of this study was to determine if graduates of LGBT high schools have better mental health than LGBT and heterosexual graduates of mainstream high schools. A snow ball sample, of 183 graduates of high schools in the United States and 95 graduates from high schools in other countries, 80% who identified as LGBT, completed an online survey consisting of 5 short mental …

Examining Nurse Practitioners' Perceptions And Beliefs Regarding Hospice Referrals For African Americans, Karen Jackson Mcclary

Walden Dissertations and Doctoral Studies

Terminally ill patients often have difficult choices at the end-of-life, and electing to receive hospice services is one of them. Hospice has been linked to improved quality of life and death and is accessible to terminally ill patients. Despite the accessibility, African American patients often make the decision to forgo hospice services. The purpose of this descriptive study was to explore perceptions and beliefs of nurse practitioners (NPs) regarding the lack of utilization of hospice for African American patients and the feasibility of NPs for initial referral for terminally ill African American patients. The research questions addressed whether an NP's …

Accounting Strategies For Small Business Law Firms' Sustainability, Karen Ann Adams

Walden Dissertations and Doctoral Studies

Small business family law firms generate jobs within the local community, but often fail because of suboptimal accounting strategies. A multiple case study was used to research the accounting strategies small business family law firm owners use to succeed in business beyond 5 years. The population for this study was three small business owners of family law firms located in West Chester, Pennsylvania. The small business family law firm owners had achieved and maintained profitability of their businesses for a minimum of 5 years. Financial literacy theory and the leadership skill model comprised the conceptual framework for this study. Data …

Effects Of Information Technology Risk Management And Institution Size On Financial Performance, Shaun D'Olene Kecia Barrett

Walden Dissertations and Doctoral Studies

A negative relationship exists between unmanaged IT risk and financial performance of institutions of varying sizes. The purpose for this quantitative correlation study was to examine the relationship between IT risk management, institution size, and the financial performance of credit unions in Jamaica. Information Systems Audit and Control Association (ISACA) risk IT model provided the theoretical framework for the study. Audited financial statements and a web-based survey provided data for this study. One hundred and thirty employees from 13 credit unions in Jamaica participated in the study. Results of the multiple regression tests confirmed a statistically significant relationship between IT …

An Evaluation Of Champs For Classroom Management, Vernessa Evans

Walden Dissertations and Doctoral Studies

Teacher education programs focus on preparing teachers to instruct students, but they usually do not focus on preparing teachers to manage students’ behavior, which may prevent teachers from providing effective instruction. This project study evaluated a classroom behavior management model, CHAMPS, designed to help teachers manage student behavior so they can focus their time and energy on instruction and student success. Positive Behavior Systems (PBS), used in the field of behavioral management, served as the theoretical foundation for this study. The evaluation design followed Stufflebeam’s (2003) Context, Input, Process, and Product (CIPP) by employing the outcome-based approach, which evaluated the …

Geographical Effects On Adult Sickle Cell Disease Treatments, Morbidity, And Mortality, Paula Busbee

Walden Dissertations and Doctoral Studies

A small percentage of patients with sickle cell disease (SCD) have experienced an increase in life span by 10 years, while others with the same disease continue to die prematurely. The purpose of the study was to evaluate whether or not regional location was a barrier to care for adults with SCD in relation to emergency department visits and health outcomes at 16 and 21 years after the approval of hydroxyurea therapy as treatment. Secondary data were sourced and a retrospective quantitative correlational design was used to examine the effect of hydroxyurea treatment approval on emergency department visits and mortality …

Perceptions Of Employed People With Narcolepsy, Chantelle L. Jones

Walden Dissertations and Doctoral Studies

Many companies have used perceptions of their employees to understand how sleep disorders affect their working environment. Sleep disorders have had an undesirable effect on employee performance and often result in employee modifications to accommodate their condition in the workplace. Though information is available concerning employees' experiences pertinent to working with sleep disorders, research focusing on how employees with narcolepsy perceive their work environment appears to be missing from the literature. The purpose of this study was to gain understanding of perceptions of employees with narcolepsy about their work environment and strategies that may influence others to promote positive health …

Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols

Walden Dissertations and Doctoral Studies

In the United States, about 8.5 million women live with osteoporosis. Osteoporosis is a debilitating systemic skeletal disorder characterized by low bone mass and reduced bone mineral density that occurs with the loss of estrogen. The mortality rate for this group is about 3 to 4 times higher than other women and as many as 1 in 3 experience a fracture. Guided by the Health Belief Model, this project evaluated how a bone health fact sheet impacts knowledge about osteoporosis and self-efficacy for preventative behavioral change in premenopausal women (age 40-58 years). The project also evaluated if an electronic medical …

Multimedia Technologies' Influence On Language Acquisition In English Language Learners, Larissa Karina Parrilla

Walden Dissertations and Doctoral Studies

English as a Second Language (ESL) learners at the upper elementary level have struggled to demonstrate the vocabulary required to read in English at grade-level. Although multimedia technologies have demonstrated positive effects as language acquisition educational tools at the university level, it remains unclear how useful they are for language acquisition at the elementary level. This quasi-experimental study used dual coding theory as a framework to examine the relationship between the level of reading comprehension upper elementary students developed and their construction of word meanings through use of multimedia technologies. The study utilized convenience sampling of 85 students divided into …

Same-Sex Relationships Among African American Women Previously In Heterosexual Relationships, Patricia Lynn Smith

Walden Dissertations and Doctoral Studies

In the United States, same-sex relationships have been a popular topic for the past decade, largely in relation to marriage. This phenomenological study examined the life experiences of African American women currently in same-sex relationships but previously in heterosexual relationships. Exploring the participants' experiences to the fullest extent was important to understand each person's journey through the stigma and biases that she faced when making life choices. Given the rarity of literature on the subject matter, professional practitioners and clinicians may not know how to assist these women. Queer and social identity theories were applied in exploring the directed research …

Success Strategies Saudi Entrepreneurs Used To Navigate Through Regulations In Jeddah, Farah Mehar Spencer

Walden Dissertations and Doctoral Studies

Saudi Arabian entrepreneurs face major difficulties with the country's complex regulatory system. Based on Schumpeter's theory of entrepreneurship, the purpose of this phenomenological study was to reveal the lived experiences of Saudi entrepreneurs in navigating regulatory procedures in Jeddah. Data were collected through prolonged, face-to-face phenomenological interviews with 22 Saudi businesspeople who started successful businesses. The van Kaam method and member checking helped validate the transcribed data, which were subsequently coded into 4 themes. Four themes emerged from the data analysis: (a) obstacles in regulatory processes, (b) lack of information, (c) cumbersome procedures and need for alternatives to stringent protocols, …

Patient Safety: Improving Medication Reconciliation Accuracy For Long-Term Care Residents, Annisa Leachman Stover

Walden Dissertations and Doctoral Studies

Patient Safety: Improving Medication Reconciliation Accuracy

for Long-Term Care Residents

by

Annisa L. Stover

MSN, Southern University, 2008

BSN, Our Lady of the Lake College, 2005

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2016

During transition of care, inaccurate medication reconciliation is associated with increased risk of adverse events for patients. Older adults are the population most often affected by medication errors, and long-term care facilities struggle to accurately document medication reconciliation. Errors are more common at hospital discharge, but the critical moment for detecting and resolving them …

Electronic Learning Management System Integration Impact On Tertiary Care Hospital Learners' Educational Performance, Ahmad Tassi

Walden Dissertations and Doctoral Studies

Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer hospital nurses a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting nurse educators in overcoming many of the obstacles in responding to nurses' needs in the clinical areas. This project used a randomized, 2-group posttest-only experimental design to measure the effect of treatment at a targeted hospital. The experimental group received a new instructional approach using an Electronic Learning Management System (ELMS) and the control group …

Investigating How Families Experience School Criminalization, Monique Tate

Walden Dissertations and Doctoral Studies

Public school students across the United States have been criminalized for minor youth behavior issues such as truancy, defiance, and minor fighting incidents. The presence of law enforcement is expanding in school spaces, increasing the likelihood of young students facing court systems for minor offenses. Criminalization of students is counterproductive considering schools are designed to promote student growth and development. Little is known about how students and parents experience school criminalization. The purpose of this multi-case study, based on Freire's conceptual framework of critical consciousness, was to investigate how a small group of families experienced school criminalization. Three families of …

Managing Effective Communication After A Crisis, Enid Alane Thompson

Walden Dissertations and Doctoral Studies

Despite the effects of natural disasters on small business owners, the owners' communication strategies to alleviate loss to their companies' profitability remain problematic. The purpose of this qualitative descriptive multiunit case study was to explore what communication strategies some small business owners developed and implemented for facilitating resuming their business operations after a natural disaster. The targeted population consisted of 2 small business owners located along the Belmar Boardwalk in Belmar, New Jersey. The conceptual framework for this study was Coombs' situational crisis communication theory. The case data collected were from semistructured interviews and company documents. Employing member checking and …

Health Care Team Members' Perceptions Of Changes To An Electronic Documentation System, Carol Von Michaelis

Walden Dissertations and Doctoral Studies

Policy makers view electronic medical records as a way of increasing efficiency in the U.S. health care system. However, hospital administrators may not have the clinical background to choose a documentation system that helps the health care team safely increase efficiency. The purpose of this case study was to examine health care team members' attitudes and perceptions of quality of care and efficiency amid a documentation system change. The theory of change was the theoretical foundation for the study. The 6 research questions were designed to elicit information about what the health care team experienced when a documentation system changed …

An Evaluation Of Individuals' Construction Of Personal Trust In Organizations, Colin Edward Armour

Walden Dissertations and Doctoral Studies

Trust is in decline within organizations resulting from poor management and ethical indifference. Failing to address trust perceptions has led to stress between management and employees. Researchers have studied organizational trust as a constant quality within groups but have neglected the uniquely individual constructs of trust that inhibit trust-building efforts. The purpose of this quantitative study was to evaluate how personal constructs of trust may affect outcomes at the organizational level among workers and managers in hierarchal structured organizations. The topics of the research questions addressed the extent which cultural values and the relative trust situation affected individuals' perceptions of …

Differentiated Instruction, Teacher Immediacy, And Students' Mathematic Success, Katherine Ann Albanese-Benevento

Walden Dissertations and Doctoral Studies

This study investigated the role of both arts-integrated instruction (art activities as part of math instruction) and teacher immediacy (teacher caring behaviors) levels on students' math achievement. Although students from low socio-economic culturally diverse school districts have shown improvement in academic test scores, their scores are still significantly lower than scores of students from other school districts. Research has shown that when there is an increase in teacher immediacy, students' academic success increases. Despite this known correlation, there is a lack of literature on the ways that arts integration, combined with teacher immediacy, can affect academic success. Constructivist theories, experiential …

The Effects Of A Reading Comprehension Intervention Package On Increasing Third Grade Students' Comprehension Skills, Marilyn P. Card

Walden Dissertations and Doctoral Studies

Increasing students' reading comprehension involves the use of targeted strategies and effective instruction. Previous research has shown that instruction in individual skills such as vocabulary acquisition, reading fluency, writing, and story mapping help increases students' reading comprehension. However, few studies have explored combining these skills and their cumulative effects, if any, on reading comprehension. The purpose of this quasi-experimental secondary analysis study was to examine the effects of adding a reading comprehension instruction package (RCIP), which includes vocabulary acquisition, reading fluency, and writing, to instruction in story mapping alone. Constructivist theory was used as the theoretical framework for this study. …

African American High School Graduates' Perceived Academic Success Factors, Paula Williams Harris

Walden Dissertations and Doctoral Studies

A large number of African American students attending a low performing, urban high school in Tennessee demonstrated a lack of understanding in reading/language arts by scoring below proficient on the end of course (EOC) exam in reading/language arts. The purpose of this case study was to examine the perceptions of 10 African American graduates who scored proficient on the reading/language arts EOC exam to seek factors they associated with their academic success. This study was guided by Deci and Ryan's self-determination theory. The research question addressed the perceived factors that African American graduates associated with their academic success. Purposeful sampling …

Health Information Technology Implementation Strategies In Zimbabwe, Nixjoen Mandaza Mapesa

Walden Dissertations and Doctoral Studies

The adoption rate of health information technology (HIT) remains low in developing countries, where healthcare institutions experience high operating costs and loss of revenue, which are related to systems and processes inefficiency. The purpose of this case study was to explore strategies leaders in Zimbabwe used to implement HIT. The conceptual framework of the study was Davis's technology acceptance model (TAM). Data were gathered through observations, review of organizational documents (i.e., policies, procedures, and guidelines), and in-depth interviews with a purposive sample of 10 healthcare leaders and end-users from hospitals in Zimbabwe who had successfully implemented HIT. Transcribed interview data …

Female Circumcision: A Phenomenological Study Of Somalian Immigrant To The United States, Emmanuel Fai Tatah

Walden Dissertations and Doctoral Studies

Female circumcision (FC) is the partial or total removal of the female genitalia for nonmedical reasons. This study was designed to examine the lived experiences of Somali women who underwent FC before coming to the United States. FC is widely carried out in Somalia with a prevalence of 98%, making Somalia the country with the highest percentage of circumcised women. There are short- and long-term consequences associated with FC such as bleeding, infection, and death. Therefore, it is important to understand how Somali women who underwent FC think and feel about circumcision, why they would continue the practice, and whether …

Small Business Strategies For Sustainability Beyond 10 Years, Gabriel E. Warren

Walden Dissertations and Doctoral Studies

Small businesses are vital to the health of the United States economy, as they account for approximately 50% of all jobs and 99% of all firms. Historically, there has been a problem with small businesses being able to sustain their operation beyond 10 years. The purpose of this multiple case study was to explore the business strategies some small business owners used to sustain their company beyond 10 years of operation. The sample consisted of 3 small business owners who have been in operation for 10 or more years in Birmingham, Alabama. The conceptual framework for this study was the …

Frontline And Middle-Level Nursing Leader Transition Within The Military Health System, Rudolph George Newman

Walden Dissertations and Doctoral Studies

Healthcare delivery within the military requires a multifaceted approach to achieve the desired outcomes of safe, effective, patient-centered, timely, efficient, and equitable health care. The prospect of maintaining a cycle of continuous process improvements within military clinical settings hinge on frontline leaders and middle-level managers who must be prepared to execute the mission and motivate, supervise, coach and mentor the staff. This project showcases a review of current literature translated into the development of an evidence-based Transformational Leadership Induction Program (TLIP) module that consisted of 4 subsections: the environment of care, clinical decision support systems, human resources management, and change …

What Are The Perspectives Of Osteoporosis Screening Among Black Women?, Angela Alsberry Wilkins

Walden Dissertations and Doctoral Studies

Osteoporosis is a serious disease which often brings pain, disability, hospitalization, and even death. An increasing number of studies have been conducted on the prevention and treatment of osteoporosis in White women, yet a paucity of research exists to explain disparities in screening and treatment of osteoporosis in Black women. This narrative study describes the perspectives of Black women regarding individual barriers to osteoporosis screening. The purpose of this study was to better understand the perspectives of Black women regarding prevention of and screening for osteoporosis. Selections included purposive, criterion sampling of 10 Black women who were 50 years and …

The Impact Of Religiosity And Gender On Attitudes Toward Juvenile Sex Offenders, Angela Marie Barteau

Walden Dissertations and Doctoral Studies

Personal characteristics of mental health professionals can impact their attitudes toward juvenile sex offenders (JSOs) and affect treatment. The correlation between mental health professionals' religiosity and their attitudes has not been examined, and there is limited research about the correlation between professionals' gender and attitudes. The purpose of this study was to examine how mental health professionals' religiosity and gender related to their attitudes toward JSO treatment. Labeling theory provided the theoretical foundation for this study. This theory posits that individuals label certain populations, such as sex offenders, as deviant and this labeling perpetuates a cycle of criminal behavior. Using …

Hospital Profiling Of The Cesarean Delivery Procedure For The State Of Georgia, 2012, Denise Frances Giles

Walden Dissertations and Doctoral Studies

Approximately 35.1% of live births for the state of Georgia were delivered by the cesarean delivery procedure with significant variation among hospitals. The purpose of this research was to develop a population-based hospital profiling methodology for study of the cesarean delivery procedure. This was a retrospective, observational design, using a 2012 linked dataset that included maternity deliveries from all nonfederal hospitals. The research was guided by Robson 10 Group Classification System, propensity score methodologies, and ethical precepts, for the development of hospital profiles and the study of variations in the cesarean delivery procedure. Key research questions aimed to determine whether …

Job Satisfaction, Life Satisfaction And The Unemployed Spouse, Julie Anchustigui

Walden Dissertations and Doctoral Studies

The recent economic recession has led to a large number of dual-income families losing their second income or having a smaller overall household income as a result of hourly wage cuts. Previous research has examined how job satisfaction can spill over into home life satisfaction; however, literature on how life satisfaction can affect job satisfaction is scarce. Based on theories of job satisfaction, personality, conservation of resources, and affective spillover, this study examined whether job satisfaction of the working partner was affected when the other became unemployed. Measures of job satisfaction, life satisfaction, personality, spousal status, and some demographic data …

Predictors Of Excessive Alcohol Consumption Among U.S. Business Travelers, Jennifer Clore Barrickman

Walden Dissertations and Doctoral Studies

Excessive alcohol consumption (EAC) is an important public health problem. Several researchers have examined work-related influences on EAC, but few have investigated the predictors of EAC related to business travel. This study measured the association between EAC and frequency of business travel, duration of business travel, and job industry among U.S. business travelers. Research was conducted within the social-ecological theoretical framework. Snowball sampling was used to gather data from 187 business travelers. Data were evaluated using bivariate analysis to assess the association between measures of EAC and each independent variable. Multiple logistic regression was used to adjust for covariates. Respondents …