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Effect Of Violent And Nonviolent Risk Factors On Depression In Postpartum Mothers, Brandi Reliance Spaulding
Effect Of Violent And Nonviolent Risk Factors On Depression In Postpartum Mothers, Brandi Reliance Spaulding
Walden Dissertations and Doctoral Studies
The purpose of this quantitative, nonexperimental study was to analyze and explore the predictors for postpartum depression (PPD) and the strength of these predictors using a secondary data set from the Fragile Families and Child Wellbeing Study from Princeton, Pennsylvania State, and Columbia Universities. By incorporating the biopsychosocial model and feminist theory as the theoretical frameworks for this research, PPD was conceptualized as a serious, multidimensional psychological condition. Using logistic regression, many predictors were identified as etiological for PPD, including subjective attitudes about ideal and introjected characteristics ascribed to women as primary caretakers. These beliefs prevent the extension and acceptance …
Entrepreneurial Qualities For Successful Development And Sustainability Of New Small And Medium-Sized Enterprises, Brock Allyn Zehr
Entrepreneurial Qualities For Successful Development And Sustainability Of New Small And Medium-Sized Enterprises, Brock Allyn Zehr
Walden Dissertations and Doctoral Studies
Entrepreneurial small businesses are significant to the U.S. economy, as they represent 99% of employer firms and employ 49% of the private sector. Nearly half of new businesses fail within the first 5 years of operation. While external factors beyond the control of business owners account for some failures, many occur because of managerial inadequacies. The purpose of this phenomenological study was to explore the lived experiences of successful entrepreneurs to understand the qualities needed to create and sustain new small and medium-sized enterprises (SMEs) beyond 5 years. The sample consisted of 21 entrepreneurs from Northeastern Indiana who created and …
Exploring Leadership Strategy Influence On Nursing Personnel Retention Within Safety-Net Hospitals, Carl Brown
Exploring Leadership Strategy Influence On Nursing Personnel Retention Within Safety-Net Hospitals, Carl Brown
Walden Dissertations and Doctoral Studies
Frequent turnover among a hospital's nursing staff can profoundly impact organizational operating costs. With a national turnover rate of 17% in 2015, understanding the impact of management approaches on nurse attrition is vital to business success. Guided by Homan's social exchange theory, the purpose of this single case study was to explore leadership strategies used by safety-net hospital leaders to increase nursing personnel retention. Data collection consisted of semistructured interviews from a purposive snowball sampling of 8 senior directors working at a safety-net hospital in southern Maryland. Additional information collected involved documents and artifacts related to human resources management policies …
Transcriptome Analysis Of Vaccine Responses To Francisella Tularensis Or Venezuelan Equine Encephalitis Virus, Rebecca Ann Erwin-Cohen
Transcriptome Analysis Of Vaccine Responses To Francisella Tularensis Or Venezuelan Equine Encephalitis Virus, Rebecca Ann Erwin-Cohen
Walden Dissertations and Doctoral Studies
The lack of vaccines for emerging and re-emerging diseases highlights technical gaps and indicates a need for innovative approaches to produce new vaccines. Vaccines may be improved by knowledge of host responses to vaccination, disease pathogenesis, and the effect of age and genetics on vaccine outcome. This study's purpose was to quantitatively assess the molecular epidemiology of Francisella tularensis (Ft) and Venezuelan Equine Encephalitis Virus (VEEV). Study results support the Epidemiology Nexus model which holds that association of changes in gene expression to vaccination facilitate understanding the mechanisms of immune development and link public health and disease epidemiology. My research …
Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Walden Dissertations and Doctoral Studies
Missed psychotherapy appointments inhibit mental health treatment, limit the availability of treatment to those waiting for care, and reduce clinician revenue. Previous research has revealed that the factors that predict missed appointments vary depending on the geographic location in which that research is conducted. There is not a complete understanding of the characteristics of people who miss appointments in a rural context. This study used information from 281 client records to examine the predictive relationships among missed appointments and the distance traveled to the clinic, mental health diagnosis, age, and gender at a rural outpatient mental health clinic. The purpose …
Exploring Strategies To Gain Frontline Employee Buy-In During Change Initiatives In Manufacturing, Charles James Iv
Exploring Strategies To Gain Frontline Employee Buy-In During Change Initiatives In Manufacturing, Charles James Iv
Walden Dissertations and Doctoral Studies
The high failure rates of change initiatives threaten the sustainability of commercial printing operations. The focus of this qualitative multicase study was to research the strategies commercial printing managers use to succeed in gaining frontline employee buy-in during change initiatives to improve productivity and profitability in a manufacturing environment. The participants included four commercial printing managers from the Midwestern United States. Each manager had implemented successful change initiatives in the past 2 years and maintained profitability of the business for 12 months before the study. McGregor's (1960) Theory Y served as the basis for the conceptual framework. Data collection included …
The Development And Content Validation Of An Adult Obesity Educational Program, Abel Okuma
The Development And Content Validation Of An Adult Obesity Educational Program, Abel Okuma
Walden Dissertations and Doctoral Studies
Overweight and obesity in patients with intellectual and developmental disabilities (IDD) are at epidemic levels in the United States. The problem identified for this DNP project is the incidence of overweight and obesity in IDD. The framework used involved the quality model for improvement. For this DNP project a new program called the Daily-Enhanced Physical Activities Program (DEPA) was developed to promote weight loss, reduce sedentary activities, and optimal body mass index (BMI) for IDD patients. Local experts consisting of two registered nurses, two physical therapists, and one direct support personnel working with IDD patients were recruited. Each expert reviewed …
Grit, Student Engagement, And Academic Performance At A Historically Black Community College, Sharonica Marie Nelson
Grit, Student Engagement, And Academic Performance At A Historically Black Community College, Sharonica Marie Nelson
Walden Dissertations and Doctoral Studies
Obtaining a college degree benefits individuals and society, yet only 20% of students are graduating from community colleges. At many institutions, graduation rates have decreased over the last 5 years, including one historically Black community college in the southern United States. To explore possible causes of low graduation rates at this unique and understudied type of college, this correlational study examined the relationships among student engagement, academic performance, and grit-persistence and passion toward long-term goals. Tinto's theory of student persistence served as the theoretical framework for this study. The convenience sample included 116 college students who already had a first-year …
How Tenure In Higher Education Relates To Faculty Productivity And Retention, Cindy Kay Manjounes
How Tenure In Higher Education Relates To Faculty Productivity And Retention, Cindy Kay Manjounes
Walden Dissertations and Doctoral Studies
Some public university systems are considering abolishing tenure as a cost-saving mechanism, but little is known about how this change may impact organizational outcomes related to faculty retention and research productivity. Using Almendarez' human capital theory, the purpose of this concurrent mixed methods study was to explore how tenure relates to faculty retention and productivity at a convenience sample of public universities in mid-western states. Qualitative questions focused on faculty perceptions of factors that affected retention and productivity. Quantitative data from the Integrated Postsecondary Education Data System and publicly available information from institutions was used to explore questions about relationships …
Small Retail Business Owner Strategies Needed To Succeed Beyond 5 Years, Colonel Jaime Solis
Small Retail Business Owner Strategies Needed To Succeed Beyond 5 Years, Colonel Jaime Solis
Walden Dissertations and Doctoral Studies
Small businesses accounted for 99% of the firms in private industry, provided 38% of the goods and services sold in the United States, and hired 55% of the labor force each year between 2012 and 2015. From 1993 to 2013, small firms accounted for 63% of new work generated while more than 50% of U.S. small businesses failed inside of 5 years and at least 20% failed during the first year. The purpose of this multiunit case study was to explore the strategies small retail businesses used to achieve sustainability beyond 5 years in a purposefully selected county in Virginia. …
Parental Perceptions Of Childhood Overweight And Obesity In Four-Year-Olds In Northeastern North Carolina, Crystal Keyes Terry
Parental Perceptions Of Childhood Overweight And Obesity In Four-Year-Olds In Northeastern North Carolina, Crystal Keyes Terry
Walden Dissertations and Doctoral Studies
Childhood obesity has increased due to factors such as more television time, less outside play, parents' lack of education about nutritious meals, and eating more fast food versus home cooked meals. Research has been performed on many school-aged children; however, there is a gap in research as it pertains to preschool children. Preschool age learning is when children are most receptive to habit-forming activities. The purpose of this transcendental phenomenological study was to assess the parental perceptions of 11 preschool parents in rural Northeastern North Carolina of 4-year-old children who have been told by a health care professional that their …
Motivation For Volunteering With Older Adults In A Rural Community, Tonia Maria Truesdell
Motivation For Volunteering With Older Adults In A Rural Community, Tonia Maria Truesdell
Walden Dissertations and Doctoral Studies
The Baby Boomer generation in the United States is growing older, and the number of adults age 65 years or older is expected to double by 2050. The increase in older adults combined with the reduction in services to older adults has created a gap in available social services and volunteers are needed to fill those gaps. This quantitative, nonexperimental study was designed to identify the motivations of volunteers who served the socialization needs of isolated older adults in a rural U.S. community. The functional approach theory was utilized to explain how volunteers engage in the same volunteer activity for …
Teaching Through The Lens Of Humane Education In U.S. Schools, Kristine Cecilia Tucker
Teaching Through The Lens Of Humane Education In U.S. Schools, Kristine Cecilia Tucker
Walden Dissertations and Doctoral Studies
Humane education (HE) is a specialized niche in higher education and adult learning. HE provides a curricular framework positioning environmental ethics, animal protection, human rights, media literacy, culture, and change processes as the nexus for understanding and inspiring social change. Research-derived experiences illuminating how educators conceptualize and implement HE in U.S. schools are absent from the scholarly literature. Facing this gap, practitioners and administrators of HE programs cannot access nor apply research-derived practices to inform instruction. To address this gap, a conceptual framework was advanced weaving together HE teaching experience, Freirean philosophy, hyphenated selves, reflection-in-action, transformative learning, and transformative education …
Determinants Of Obesity Among Deaf And Hard Of Hearing Adults, Lindsay Buchko
Determinants Of Obesity Among Deaf And Hard Of Hearing Adults, Lindsay Buchko
Walden Dissertations and Doctoral Studies
Trends of obesity increased over the last 3 decades with the obesity rate doubling from 1980 to 2010. People with disability are more likely to experience health disparities including obesity compared to the general population. Yet research on the determinants of obesity such as self-efficacy, hearing levels, and deaf acculturation styles among those who are deaf or hard of hearing (HoH) is limited. This cross-sectional study, using the social cognitive theory framework, examined BMI and self-efficacy differences between deaf/HoH adults and hearing adults, aged 20 years and older. This study also examined the associations between BMI or self-efficacy and factors …
Assessment Of Detroit Hospital Preparedness For Response To An Improvised Nuclear Attack, Sharri Suesette Andersen
Assessment Of Detroit Hospital Preparedness For Response To An Improvised Nuclear Attack, Sharri Suesette Andersen
Walden Dissertations and Doctoral Studies
An improvised nuclear device (IND) is considered by the DHS to be the most catastrophic terrorist incident that could befall the United States, causing severe economic damage, extensive property damage, and enormous loss of life. Effective response to an IND is best accomplished with preparation including emergency operations plans (EOP) specific to an IND and training for staff on how to respond. The literature documents several areas of weakness in U.S. health services' preparation that affects entire communities and puts lives at risk. The purpose of this study was to assess the strengths, weaknesses, and gaps in Detroit, Michigan hospitals' …
Time To Diagnosis Of Second Primary Cancers Among Patients With Breast Cancer, Edward Okezie Irobi
Time To Diagnosis Of Second Primary Cancers Among Patients With Breast Cancer, Edward Okezie Irobi
Walden Dissertations and Doctoral Studies
Many breast cancer diagnoses and second cancers are associated with BRCA gene mutations. Early detection of cancer is necessary to improve health outcomes, particularly with second cancers. Little is known about the influence of risk factors on time to diagnosis of second primary cancers after diagnosis with BRCA-related breast cancer. The purpose of this cohort study was to examine the risk of diagnosis of second primary cancers among women diagnosed with breast cancer after adjusting for BRCA status, age, and ethnicity. The study was guided by the empirical evidence supporting the mechanism of action in the mutation of BRCA leading …
Generic Drugs : Physician Prescribing Practices For Brand Name And Generic Medications, Tamuno Raymond George
Generic Drugs : Physician Prescribing Practices For Brand Name And Generic Medications, Tamuno Raymond George
Walden Dissertations and Doctoral Studies
Brand-name drug costs continue to create a burden for many US seniors who receive care from healthcare institutions. Generic medication is as therapeutic as is brand-name drugs and, in most cases, costs far less. Despite this cost difference, physicians continue to prescribe brand-name drugs. The purpose of this cross-sectional study was to explore physicians' patterns of prescribing brand-name drugs over generic drugs. This study was guided by the medical home model, which was developed in 1967 by the American Academy of Pediatrics. The study incorporated a purposeful sampling approach with a sample size of 151 physicians. Multiple linear regression was …
Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico
Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico
Walden Dissertations and Doctoral Studies
Organizations incur $83 billion per year in losses because of negative consumer experiences. Leadership behaviors and the various aspects of organizational life affect employee-customer interactions. With psychological empowerment theory as a theoretical framework, the purpose of this correlational study was to investigate the relationship between the independent variables of psychological empowerment (PE), dimensions of PE (e.g., meaning, self-efficacy, influence), tenure, education, and the dependent variable of customer orientation (CO). Employees of a regional grocery retailer in the northeastern United States comprised the population of the study. Data collection involved the use of paper surveys to measure individual worker levels of …
Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy
Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy
Walden Dissertations and Doctoral Studies
Tennessee education leaders must improve their student retention strategies to increase financial stability and enhance the state's ability to support businesses and jobs through a well-educated workforce. The focus of this qualitative multiple case study was on 6 Tennessee community colleges where leaders had demonstrated successful strategies for retaining students resulting in increased revenues and financial stability. The advocacy/ participatory worldview provided a conceptual framework for identifying and comparing themes regarding Tennessee higher education leaders' retention strategies. Data collection included interviews and review of organizational retention reports on strategies as well as college, state, and federal findings on retention. Federal …
K-12 Educational Technology Implementations: A Delphi Study, Jennie L. Vandykgibson
K-12 Educational Technology Implementations: A Delphi Study, Jennie L. Vandykgibson
Walden Dissertations and Doctoral Studies
The use of educational technologies is a key component of education reform. In its current national technology plan, Future Ready Learning: Reimagining the Role of Technology in Education, the U.S. Department of Education asserts that educational technologies can transform student learning. Successful integration of educational technology could increase student achievement and transform the setting to bring about positive social change. The purpose of this study was to provide a group of expert panelists an opportunity to identify strategies and guidelines to create an effective educational technology plan. Data were gathered using a modified Delphi technique from 7 teachers, 8 administrators, …
Clergy Characteristics As Predictors Of Mental Health Literacy, Jodi Vermaas Vermaas
Clergy Characteristics As Predictors Of Mental Health Literacy, Jodi Vermaas Vermaas
Walden Dissertations and Doctoral Studies
The mental health literacy (MHL) rates of Christian clergy in the United States remains underinvestigated in the current literature. This gap of knowledge is problematic for the large numbers of individuals with mental illness who seek assistance from clergy and may receive inadequate care for their concerns. As theoretically designated by the behavioral models of health care and MHL research, denomination-type, educational variables, and demographic characteristics were investigated as potential predictors of MHL. A sample of 238 Christian clergy from throughout the United States completed the web-based Mental Health Literacy Scale and demographic questionnaire. Results of analysis of variance (ANOVA) …
Emotional Dysregulation And Adaptive Skills Among Siblings Of Bipolar Children, Nikki Marie Woller
Emotional Dysregulation And Adaptive Skills Among Siblings Of Bipolar Children, Nikki Marie Woller
Walden Dissertations and Doctoral Studies
The purpose of this study was to understand the effects of pediatric bipolar disorder on child siblings. A quantitative quasi-experimental research design was used. According to family systems theory, which was used in the formation of this study, all family members are interconnected and affect each other in a variety of ways. The research questions investigated whether children demonstrated more emotional dysregulation and fewer adaptive skills when a bipolar sibling was living in the home than when there was no bipolar sibling. The matched comparison study used 2 groups of children: those with bipolar siblings and those without bipolar siblings. …
Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus
Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus
Walden Dissertations and Doctoral Studies
Poor oral care is detrimental to the overall health of the population. In the United States, oral health diseases affect millions of individuals, especially children and adolescents. Guided by the health belief model, the purpose of this study was to identify parents' perceived barriers to oral health care access among their 5- to 10-year-old children. A phenomenological approach was used to gather data and thematically analyze interview data from 20 parents who were recruited from a health center in the northeastern United States. All participants had at least one child between 5-10 years old and all identified as under-served. Data …
Promoting Shared Decision Making Through Patient Education Of Labor Inductions, Lenora W.Y. Low
Promoting Shared Decision Making Through Patient Education Of Labor Inductions, Lenora W.Y. Low
Walden Dissertations and Doctoral Studies
The induction of labor is medically indicated for many conditions in which delivering the baby outweighs the risk of continuing the pregnancy. Patients admitted for the induction of labor require adequate information to actively participate in decision making that affects their plan of care. The purpose of this quality improvement project was to improve the quality of healthcare delivery and promote patient engagement by providing consistent education using a teaching tool. The project question addressed the impact of a labor-induction teaching tool on improving patient education, participation, and overall satisfaction. The Plan-Do-Study-Act (PDSA) model was used to plan, implement, and …
Knowledge, Attitudes, And Beliefs About Preconception Care Among American Adolescent Females, Lynette Collins Collins
Knowledge, Attitudes, And Beliefs About Preconception Care Among American Adolescent Females, Lynette Collins Collins
Walden Dissertations and Doctoral Studies
Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females' knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited …
Delaying First Pregnancies: Canadian Women's Knowledge And Perception Of The Consequences, Deborah Haynes
Delaying First Pregnancies: Canadian Women's Knowledge And Perception Of The Consequences, Deborah Haynes
Walden Dissertations and Doctoral Studies
Many women aged 20-30 are postponing their first pregnancies until their mid 30s and beyond, which has resulted in compressed childbearing years and/or infertility. Little is known about the knowledge and understanding that Canadian women of advanced age (age 35-45) possess of their reproductive capacity. This phenomenological study sought to explore these women's knowledge and perception of their reproductive capacity in relation to the timing of first pregnancy. Research questions using the constructs of Ajzen's theory of planned behavior were developed to explore how the behavioral, normative, and control beliefs of women's childbearing behaviors were based on their perceptions of …
Female Police Officers' Perceptions And Experiences With Marginalization: A Phenomenological Study, Dr. Arlether Ann Wilson
Female Police Officers' Perceptions And Experiences With Marginalization: A Phenomenological Study, Dr. Arlether Ann Wilson
Walden Dissertations and Doctoral Studies
There is a lack of female police officer representation in police departments nationwide. Women's position, or lack thereof, in law enforcement is a topic of discussion in many police literature reviews. However, there were minimal studies detailing female police officers' personal experiences in the law enforcement profession. The purpose of this phenomenological study was to describe and understand the perceptions and lived experiences of female police officers, as well as the impact those experiences had on their careers. Female participants from 3 police departments formed the purposive sample that included 8 full-time female police officers. The feminist theory helped to …
Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue
Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue
Walden Dissertations and Doctoral Studies
Anecdotal evidence indicated vaccine coverage disparities among foster-care (FCA) and natural-home adolescents (NHA). Arkansas laws require 5 vaccines for school entry (FVSE) to prevent 9 common childhood diseases. The study problem was that Pulaski County, Arkansas adolescent birth cohort (PCABC) immunization rates were low compared to U.S. adolescents for these FVSE. This study examined the extent to which (1) PCABC immunization rates were significantly different from those estimated for U.S. adolescents in 2006–2008, (2) NHA and FCA immunization rates were different in 2003– 2008; (3) sociodemographic variables mediate associations between home of residence (HOR), NHA or FCA, and up to …
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
Walden Dissertations and Doctoral Studies
The role of hospitals as partners in community health improvement is changing, especially for nonprofit hospitals receiving tax exemptions in exchange for providing benefits to the community. There are examples of reported health improvement activities funded through hospitals' charitable donations, but there's a gap in the literature on the effect of policy and legislation on hospitals' investments in community building activities that address the social determinants of health. Grounded in eco-social theory, this quantitative, correlational study compared secondary data from CA's nonprofit hospitals' annual 2009 and 2012 reports to determine what, if any, changes have occurred in the hospitals' investments …
Relationship Between Emotional Intelligence And Servant Leadership In Banking, Curtis J. Gregory
Relationship Between Emotional Intelligence And Servant Leadership In Banking, Curtis J. Gregory
Walden Dissertations and Doctoral Studies
U.S.-based financial institutions have experienced significant failure rates since the mid-1980s. The problem within the U.S.-based banking industry is that the focus of leadership development has been primarily on cognitive abilities, whereas interpersonal skills, such as emotional intelligence, have been neglected. Research has focused on U.S. bank failures from a risk mitigation, economic, or legislative perspective, creating a gap in research on leadership behavior. The purpose of this correlation study was to determine whether a significant relationship exists between emotional intelligence and servant leadership among leaders in the U.S. small business banking industry. The theoretical framework compared intelligence types to …