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Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson
Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson
Walden Dissertations and Doctoral Studies
Employees who develop and report nontraumatic acute low back pain that occurs while performing work duties, or shortly thereafter, are classified as having occupational isolated acute low back pain (OIALBP). The purpose of this project was to identify and implement an evidence- based time frame to refer occupational isolated acute low back pain patients (OIALBPPs) to physical therapy (PT) that returns them to full duty work (FDW) more quickly. The diffusion of innovation theory aided the project leader and health care providers to develop strategies to overcome barriers in implementing the project's results into the practice. A total of 932 …
Mitigating The Effects Of Withdrawal Behavior On Organizations, James Fitzgerald Alexander
Mitigating The Effects Of Withdrawal Behavior On Organizations, James Fitzgerald Alexander
Walden Dissertations and Doctoral Studies
Withdrawal behaviors such as absenteeism, tardiness, turnover intention, and employee disengagement adversely affect organizations, costing billions of dollars annually. However, there is limited research on the best practices for minimizing the effects of employee withdrawal. The purpose of this qualitative case study was to explore best practices leaders need to mitigate the effects of withdrawal behaviors on organizations. The social learning theory (SLT) served as the conceptual framework for this study. Ten participants were interviewed, including 4 healthcare leaders and 6 health service workers from a correctional facility nursing department in the Southeastern United States. Scholars have indicated that correctional …
Using Sbar To Decrease Transfers From The Long-Term Care To The Emergency Room, Phyllis Marie Bowers Garrett
Using Sbar To Decrease Transfers From The Long-Term Care To The Emergency Room, Phyllis Marie Bowers Garrett
Walden Dissertations and Doctoral Studies
Care of the elderly, long-term care resident in the emergency department is an issue of importance because of the overall impact on healthcare costs, potential for negative outcomes for the resident, and the loss of revenue. The purpose of this project was to decrease avoidable transfer of residents to the Emergency Department. Using the Antecedent, Target, Measurement logic model, poor quality assessment data was deemed the antecedent of the avoidable transfer. The goal of the project was the implementation of a standardized process of assessment that would have decreased avoidable transfer of the resident. The project would have involved training …
Veterans' Perceptions Of Military Stigma And The Shame Associated With Combat-Related Posttraumatic Stress, Alexander J. Buelna
Veterans' Perceptions Of Military Stigma And The Shame Associated With Combat-Related Posttraumatic Stress, Alexander J. Buelna
Walden Dissertations and Doctoral Studies
Military stigma is a heavy burden of social stigma internalized by veterans who are diagnosed with posttraumatic stress disorder (PTSD) during post-deployment psychological screening. PTSD is classified as a mental disorder associated with widespread reluctance to seek medical assistance. Among military veterans who suffer from combat-related posttraumatic stress (PTS), military stigma is considered a widespread problem. The purpose of this phenomenological study was to explore veterans' perceptions of various aspects of military stigma, including post-deployment psychological screening, the diagnosis of PTSD, and factors associated with reluctance to seek medical assistance for PTS. In-depth interviews were conducted with a convenience sample …
Orientation Of Nurses Transitioning Into Hospital Specialty Units, Mary Laly Chacko
Orientation Of Nurses Transitioning Into Hospital Specialty Units, Mary Laly Chacko
Walden Dissertations and Doctoral Studies
Competency-based nurse orientation programs focus on the new nursing graduate and experienced nurse employees' ability to perform skills necessary in a new work setting. The purpose of this project was to develop a learner-focused and competency-based orientation program for new nursing employees at a large urban hospital to enhance patient safety and nurse retention. The Johns Hopkins nursing evidence-based practice model and guideline were used in the selection of articles with higher levels of evidence and research quality for the critical appraisal of literature in support of the program development. The best practices for nursing orientation content and delivery for …
Effectiveness Of Early Childhood Programs On The Literacy Achievement Of Kindergarten Children, Lashia Cox
Effectiveness Of Early Childhood Programs On The Literacy Achievement Of Kindergarten Children, Lashia Cox
Walden Dissertations and Doctoral Studies
Early childhood development programs enhance children's development of knowledge, skills, and processes. Despite efforts to improve early childhood education in the United States, poor student performance in early literacy and kindergarten achievement is still occurring, and questions remain unanswered about the utility of early childhood education programs. Drawing from the theory of constructivism, the purpose of this quantitative, quasi-experimental, retrospective study was to determine the effectiveness of early childhood programs on the literacy achievement of kindergarten children. The research question addressed the differences in literacy achievement of kindergarten children based on the early childhood programs they attended. Using repeated measures …
Differences In Treatment-Seeking And Treatment-Adherence Factors For Tuberculosis In Armenian Versus Non-Armenian Populations Of Los Angeles County, Tanya Marie Ferguson
Differences In Treatment-Seeking And Treatment-Adherence Factors For Tuberculosis In Armenian Versus Non-Armenian Populations Of Los Angeles County, Tanya Marie Ferguson
Walden Dissertations and Doctoral Studies
Tuberculosis (TB) is a deadly, yet curable, infectious disease that continues to be a global health threat. Armenia suffers from rising TB incidence and mortality rates. Armenians living in Los Angeles (LA) County, where TB incidence is higher than national averages, is the second largest Armenian community in the world; therefore implications are that many TB cases are attributed to this group. Using the social ecological model as a theoretical framework, this concurrent, mixed-methods study compared Armenians to non-Armenians in LA County about their knowledge of TB and perceived barriers to seeking and adhering to treatment. Bivariate chi-square analysis from …
Facilitating The Acquisition Of Social Skills Through Service Learning, Becky J. Hendrickson
Facilitating The Acquisition Of Social Skills Through Service Learning, Becky J. Hendrickson
Walden Dissertations and Doctoral Studies
Deficits in communication affect individuals with autism regarding the ability to access a free and appropriate education as well as quality of life. This research study explored the effects of a service-learning project on acquisition of social skills and reduction of problem behaviors for students who have autism. The conceptual framework for this study was based on Maslow's theory of motivation and Erickson's 8 stages of personality development. A mixed-methods design with sequential transformative strategy was used to collect quantitative data from 5 elementary students who have autism during involvement in service learning; the Social Skills Improvement System was used …
Perceived Impact Of Prevention And Relationship Enhancement Program (Prep) On Marital Satisfaction, Angel Shantella Pierce
Perceived Impact Of Prevention And Relationship Enhancement Program (Prep) On Marital Satisfaction, Angel Shantella Pierce
Walden Dissertations and Doctoral Studies
Married couples often face serious issues that require them to make difficult decisions in their relationships. Many couples turn to marital counseling as a means to improve the marriage. The purpose of this phenomenological study was to understand and describe the experiences of heterosexual married individuals who participated in the Prevention and Relationship Enhancement Program (PREP) and how they felt their participation had influenced their perceived satisfaction in their marriages. The theoretical framework that guided this study was social exchange theory, which is a basis for thinking about the influence individuals have on each other in personal relationships. The research …
African American Single Mothers' Perceptions Of Physical Activity, Sheryl Lynn Richard
African American Single Mothers' Perceptions Of Physical Activity, Sheryl Lynn Richard
Walden Dissertations and Doctoral Studies
Insufficient physical activity detracts from healthy living and has a disparate impact on African American women and their female children. The extensive body of prior research addressing preventable chronic disease and other consequences of insufficient physical activity includes limited information specific to African American single mothers. The purpose of this descriptive phenomenological study was to gain an understanding of African American single mothers' perceptions of physical activity. Specifically investigated were African American women's familial influences and potential effects of these influences on their children's health behaviors. The health belief model served as the theoretical framework for this study and provided …
Role Of Outsourcing In Stress And Job Satisfaction Of Information Technology Professionals, Janell Renee Robinson
Role Of Outsourcing In Stress And Job Satisfaction Of Information Technology Professionals, Janell Renee Robinson
Walden Dissertations and Doctoral Studies
Information technology (IT) outsourcing poses a potential job loss threat to IT professionals, which can decrease job security, job satisfaction, and organizational commitment. The problem that this study addressed was the perceived role of IT outsourcing in the job stress, job dissatisfaction, and turnover intention of IT professionals. The purpose of this study was to explore how job-related stress, job dissatisfaction, and turnover intention within the IT profession are influenced by outsourcing as perceived by IT workers themselves. Phenomenology was the methodology used, and the person-environment fit theory formed the theoretical framework for this study. The research questions addressed outsourcing …
Oral Health Status And Oral Hygiene Knowledge, Attitudes, And Practices Of Jail Inmates, April Lee Wendling
Oral Health Status And Oral Hygiene Knowledge, Attitudes, And Practices Of Jail Inmates, April Lee Wendling
Walden Dissertations and Doctoral Studies
The oral health and hygiene of incarcerated populations, both in the United States and globally, is known to be poorer than that of the general population. This study examined the prevalence of dental caries and periodontal disease and the relationships between oral health status and the oral health knowledge, attitudes, and practices of jail inmates housed in a large metropolitan jail located in the midwestern United States. This cross-sectional study collected data from 100 inmates using a 21-item closed-ended questionnaire in addition to oral examinations conducted by the jail's dentist to determine the extent of dental caries and periodontal disease …
Gender And Racial/Ethnic Differences In The Effects Of Child Sexual Abuse, Sandra Gray
Gender And Racial/Ethnic Differences In The Effects Of Child Sexual Abuse, Sandra Gray
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) has been linked to a number of adverse effects including hypersexuality (HYP), substance use (SUB), suicidality (SUI), and depression (DEP). Despite a plethora of research on CSA, little is known about how it affects adolescents and the cultural factors that influence their coping styles. This study was founded on social-cultural coping theory and the model of traumagenic dynamics of sexual abuse, suggesting that CSA consequences lead to maladaptive coping mechanisms influenced by sociocultural factors. Using archival data, log-linear analysis was conducted to examine gender differences within racial/ethnic groups in HYP, SUI, DEP, and SUB among adolescent …
A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower
A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower
Walden Dissertations and Doctoral Studies
Today's methadone patients differ from those of the past due to increases in polydrug use, mental health issues, and medical needs. Patients requiring methadone treatment for their opiate addiction are now older than those who initially presented for treatment when methadone treatment first started. The number of older opiate users will continue to grow as the population continues to age. Although previous studies on opiate addiction focused on using methadone in treatment of younger adults, this study used phenomenological methodology to explore the lived experiences of opiate addicted methadone users between the ages of 50 to 55, an understudied population. …
A Delphi Study Of Effective Practices For Developing Competency-Based Learning Models In Higher Education, Lisa Monica Mcintyre-Hite
A Delphi Study Of Effective Practices For Developing Competency-Based Learning Models In Higher Education, Lisa Monica Mcintyre-Hite
Walden Dissertations and Doctoral Studies
Currently, there is an increase in competency-based education programs in higher education institutions in response to student and employer needs. However, research is lacking on effective practices for developing competencies, assessments, and learning resources for these programs. The purpose of this qualitative Delphi study was to gather expert opinions about effective practices for developing competencies, assessments, and learning resources in competency-based programs in higher education. The conceptual framework was based on principles of andragogy, critical subjectivity, and social constructivism. Ten long-term specialists in developing competency-based programs in higher education served as participants. Data from 3 rounds of interviews were coded …
Supervisor Perceptions Of Entry-Level Doctorate And Master's Of Occupational Therapy Degrees, Sherry Lynne Muir
Supervisor Perceptions Of Entry-Level Doctorate And Master's Of Occupational Therapy Degrees, Sherry Lynne Muir
Walden Dissertations and Doctoral Studies
In occupational therapy (OT), there is a push to encourage the entry-level doctorate (eOTD) over the master's of OT (MOT), without having identified which degree develops therapists who can best meet the needs of clients, while providing the fewest negative consequences for stakeholders. This collective case study assessed whether there are differences between OTs with MOT and with eOTD. Each supervisor's experiences with the two degree groups represented a separate case, then all were collectively considered. The central research question was whether OT supervisors, who have observational knowledge of clinical performance, perceived differences between MOTs and eOTDs in factors that …
The Aftermath Of Violence: The Lived Experience Phenomena Of Assault In Nursing, Kathleen Clark
The Aftermath Of Violence: The Lived Experience Phenomena Of Assault In Nursing, Kathleen Clark
Walden Dissertations and Doctoral Studies
Despite the high incidence of violence directed at registered nurses while on duty, there is limited qualitative data that explores the lived experience of returning to the workplace after an assaultive incident. This phenomenological study sought to explore and analyze the phenomena of registered nurses who are employed in high-risk settings. The research questions considered the detailed descriptions of the experiences of nurses returning to the workplace. The conceptual framework was resiliency, as these participants continued to survive and thrive after the adverse assaultive events. Data were collected using in-depth interviews from purposeful sampling. Registered nurses working in the high …
Marketing Strategies Restaurant Leaders Use To Develop Their Customer Base, Carrie Weinreich
Marketing Strategies Restaurant Leaders Use To Develop Their Customer Base, Carrie Weinreich
Walden Dissertations and Doctoral Studies
Surviving past the first year of operation is a growing concern for independent, full-service restaurants. Some restaurant leaders lack the marketing strategies necessary to develop a loyal customer base and survive beyond the first year of operation. The purpose of this multiple case study was to explore the marketing strategies that independent, family-oriented, full-service restaurant leaders located in the Pittsburgh, PA, metro area in business for at least 5 years have used to develop their customer base during the first year of operation. This study was guided by the 7Ps of marketing theory, which emphasizes how people, including customers and …
A Study Of Collaborative Leadership In South Carolina Alcohol Enforcement Teams, Michael Dale George
A Study Of Collaborative Leadership In South Carolina Alcohol Enforcement Teams, Michael Dale George
Walden Dissertations and Doctoral Studies
In 2007 South Carolina funded 15 regional coordinators to work with local law enforcement agencies and alcohol and drug commissions to create 16 community alcohol enforcement teams to improve enforcement of underage drinking laws. Previous researchers have suggested that collaborative leadership is needed for effective teams, yet little is known about the factors that serve as barriers to and facilitators of, collaborative leadership in alcohol enforcement teams. The purpose of this phenomenological study was to explore the lived experiences of coordinators involved in leading the alcohol enforcement teams in South Carolina. The theoretical framework used was Cameron, Quinn, DeGraff, and …
Senior Army Women's Leader Behaviors And Their Civilian Career Transition, Sharon R. Hamilton
Senior Army Women's Leader Behaviors And Their Civilian Career Transition, Sharon R. Hamilton
Walden Dissertations and Doctoral Studies
Female retired Army colonels (FRACs) have significant potential to contribute to civilian organizations. To take advantage of that talent, it is important to have a better understanding of their behaviors based on their dual identities as women and leaders. The purpose of this qualitative case study was to understand the under researched factors accounting for the development of FRACs' leader behaviors and the transfer of those behaviors to civilian careers. The 4 underlying meta categories of leadership behavior formed the conceptual framework. The theory of planned behavior was used to explore potential influences on FRAC leader behavior development. The 3 …
Improving Self-Management In Patients With Chronic Conditions, Jeryl Yvette Horton
Improving Self-Management In Patients With Chronic Conditions, Jeryl Yvette Horton
Walden Dissertations and Doctoral Studies
Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics' waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining …
Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson
Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson
Walden Dissertations and Doctoral Studies
Many transitional challenges have affected female veterans after returning from serving in the war in Iraq and Afghanistan. The number of females joining the military and becoming involved in combat has increased within the past 10 years. Research exists on the transitional challenges of male veterans. However, little research exists on the reintegration challenges faced by female veterans. As these females become veterans, they are more visible in the Veterans Affairs Health Care System. Given this increase in number of female veterans, it is important to address transitional challenges experienced by females who served in Operations Enduring Freedom and Operation …
Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra
Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra
Walden Dissertations and Doctoral Studies
An increasing number of older adults must continue working, which requires that they maintain their competencies and work skills, including use of mobile technology (MT). However, little is known about older adult adoption of MT in relation to work. This study used Rogers's diffusion of innovation theory and Davis's technology acceptance model as a framework. The purpose of this exploratory sequential mixed methods study was to examine the experiences of older adults' who adopted MT in the emergency communications (EC) field. Participants came from an emergency services LinkedIn group. Data sources included surveys completed by 85 respondents and interviews of …
The Impact Of School Uniforms On School Climate, Attillah N. Brookshire
The Impact Of School Uniforms On School Climate, Attillah N. Brookshire
Walden Dissertations and Doctoral Studies
Approximately half of the public schools in the United States require uniforms or a formal dress policy and many are intended to reduce discipline problems and improve school climate. A suburban school district in Georgia recognized that there was an increase in discipline problems in their schools that affected the school climate. In an effort to promote school safety and improve climate, stakeholders at a district campus adopted a uniform policy. The purpose of this survey study was to examine the differences in perceived school climate between a district campus with a uniform policy and a similar campus with no …
Decoding Metacommunication Patterns From African American Single Mothers To Sons, Michael-Kamau Henderson
Decoding Metacommunication Patterns From African American Single Mothers To Sons, Michael-Kamau Henderson
Walden Dissertations and Doctoral Studies
With a significant number of African American single-parent families responsible for raising a generation of male children, the focus of this qualitative case study was on exploring the African American single mother-son dyad to identify metacommunicative signals delivered from mothers to sons. This study was grounded in a theoretical framework combining attachment theory and social learning theory. The research questions focused on identifying metacommunication messages passed from mothers to sons and how metacommunication patterns influence the youth's social identity. Four single mothers with adolescent sons and 4 unrelated adult sons of single mothers participated in semistructured interviews. Data were collected …
Teacher Perspectives On Increasing Fourth-Grade Reading Behaviors, Theresa Evans Hunter
Teacher Perspectives On Increasing Fourth-Grade Reading Behaviors, Theresa Evans Hunter
Walden Dissertations and Doctoral Studies
Elementary students in the United States are expected to read proficiently in order to be successful on high-stakes assessments. Researchers have found that many elementary students lack the motivation to become frequent readers. The purpose of this qualitative case study was to explore the reading motivational techniques used at a local district to encourage elementary students to become frequent readers. Framed by Skinner's operant conditioning theory and the focus on motivators and their effects on learning outcomes, the research questions explored teachers' perceptions of the motivators that increase student reading in the elementary grades. Data for the study were collected …
Teacher And School Administrator Perceptions Of Their Learning Community, Donald G. Mulligan
Teacher And School Administrator Perceptions Of Their Learning Community, Donald G. Mulligan
Walden Dissertations and Doctoral Studies
Charter schools are often characterized as professional learning communities (PLCs). However, researchers have noted the importance of self-reflection of school staff related to their role as a PLC because perceptions can influence the effectiveness of achieving the full implementation of a PLC. The purpose of this quantitative study was to explore the perceptions of teachers and administrators at a large New York school district's 2 charter schools concerning their school site as a learning community. This study was grounded in social constructivist leadership theory in order to analyze a professional learning community as the social unit. Research questions examined differences …
The Effects Of Downsizing On Organizational Culture In The Newspaper Industry, Marcella Sweeney
The Effects Of Downsizing On Organizational Culture In The Newspaper Industry, Marcella Sweeney
Walden Dissertations and Doctoral Studies
The purpose of this case study was to explore the effects of downsizing on organizational culture based on the perceptions of contractors who work for an independent distributor in a large metropolitan city in the southern United States. Organizational culture is important to a company's overall success. Organizational culture theory was the basis for the conceptual framework of this study. Using a purposeful sampling approach and methodological triangulation of sources, 3 newspaper delivery contractors who experienced downsizing described their lived experiences. Participants completed the Organizational Culture Assessment Instrument (OCAI) and a qualitative questionnaire. The OCAI survey results were scored and …
Tools That Measure Caring: A Systematic Literature Review Of The Impact Of Caring, Jennifer Drake
Tools That Measure Caring: A Systematic Literature Review Of The Impact Of Caring, Jennifer Drake
Walden Dissertations and Doctoral Studies
Technology and the complexity of the patient care can take the nurse's attention away from caring for the patient to caring for the technology. The purpose of this systematic review was to gather evidence from the literature on tools for measuring caring and the outcomes in order to make that body of knowledge easily accessible to the direct care nurse for implementation. Jean Watson's theory of human caring 'the theoretical framework that guided and informed this DNP project' focuses on human caring processes and experiences. It assumes that effective caring promotes health and outcomes of the nurse and patient. By …
Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres
Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres
Walden Dissertations and Doctoral Studies
Water is critical for food production, food security, and health. Water quality management influences freshwater sustainability, land, and energy administration. Global agriculture accounts for more than 70% of all water consumption; the fertilizer, manure, and pesticide overspills are chief sources of water pollution worldwide. On a global scale, food-related waste directly impacts local food production and water resource management. The purpose of this multiple-case study on the food and beverage (FB) industry in the State of Georgia was to identify successful strategies for improving water management efficiency. The concepts of systems thinking, adaptive resource management, and integrated water resource management …