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Comparing African- And U.S.-Born Blacks At Stage Of Diagnosis And Treatment For Nonsmall Cell Lung Cancer, Relindis K. Fofung
Comparing African- And U.S.-Born Blacks At Stage Of Diagnosis And Treatment For Nonsmall Cell Lung Cancer, Relindis K. Fofung
Walden Dissertations and Doctoral Studies
Lung cancer is a disease with a high mortality rate for the U.S. Black population. There had been considerable research done on different population demographics, necessary to achieve the Healthy People 2020 overarching goals to eliminate health disparities, gain health equity and maintain quality health. Yet, the African-born Black (AFBB) population has been understudied for nonsmall cell lung cancer (NSCLC). This study sought to determine whether within race differences in stage at diagnosis and treatment of NSCLC exists between AFBB and American-born Blacks (AMBB) populations in the United States. The study data is secondary data collected as part of the …
The Effect Of Higher Education Classroom Management Behavior Strategies On Learning, Kalebra Henderson Henderson
The Effect Of Higher Education Classroom Management Behavior Strategies On Learning, Kalebra Henderson Henderson
Walden Dissertations and Doctoral Studies
Higher education instructors experience many uncivil behavior challenges among students in the classroom that affect learning. The purpose of this qualitative study was to investigate the effect of higher education classroom management behavior strategies on learning. Guided by Bandura's social learning theory and Piaget's cognitive theory, the research questions were designed to explore the perceptions of instructors and students about classroom management behavior strategies used in college settings and how student classroom incivility affects learning. The study included a panel of experts to aid in determining the feasibility of the project study protocol, testing the adequacy of research instruments, and …
Hypertension Management Through Community Outreach Services For Inmates Released From Jail, Janet Baby Wurie
Hypertension Management Through Community Outreach Services For Inmates Released From Jail, Janet Baby Wurie
Walden Dissertations and Doctoral Studies
Hypertension (HTN) is the most common chronic disease among jail inmates. Many inmates treated for HTN while incarcerated in the Fairfax County Jail do not continue treatment when they return to their communities. Factors that contribute to discontinuing HTN management once the inmate returns to the community include homelessness, low income, and lack of access to care. The purpose of this quality improvement project was to educate inmates with HTN about community-based outreach services for HTN management and continuity of care while in the community. The outcome measured was the number of inmates who returned to jail reporting use of …
The Influence Of Public Policy Interventions On Millennial Distracted Driving Behavior, Karen Anne Versuk
The Influence Of Public Policy Interventions On Millennial Distracted Driving Behavior, Karen Anne Versuk
Walden Dissertations and Doctoral Studies
Despite recent public policy initiatives limiting or banning forms of distracted driving resultant from cellular phone use, crashes remain on the rise. Individuals from the millennial generation, ages 16 to 35, appear to be most susceptible to distracted driving. Understanding the behaviors, attitudes, and habits of millennials is critical to developing effective policy for behavior change. A dual task ethnographic study framed by Skinner's theory of behavior modification and Maslow's hierarchy of needs motivational model, was used to investigate to what extent millennials feel public policy has influenced their driving, and if additional policy initiatives are required to deter distracted …
Succession Planning Strategies Of Faith-Based, Nonprofit Leaders Of The Boomer Generation, Leigh Byers
Succession Planning Strategies Of Faith-Based, Nonprofit Leaders Of The Boomer Generation, Leigh Byers
Walden Dissertations and Doctoral Studies
Formal succession planning strategies for retiring Baby Boomer generation of leaders in nonprofit organizations (NPOs) are nonexistent in many NPOs, including faith-based NPOs. Top NPO leaders possess vital organizational knowledge and experience. The lack of strategic succession planning adversely affects organizational sustainability and mission fulfillment. Guided by the conceptual framework of knowledge transfer, the current study supplies a description of succession planning strategies used in faith-based organizations that have Boomer leaders. This multiple case study included 3 faith-based NPOs in Miami-Dade and Broward Counties in Florida and their top-level leaders. They supplied descriptions of formal succession planning strategies through semistructured …
Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek
Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek
Walden Dissertations and Doctoral Studies
Research in the late 1990s and early 2000s projected that the number of people aged 50 and older who needed treatment for illicit drug use and abuse of prescribed medications to increase from approximately 1.7 million in 2001 to approximately 4.4 million in 2020. The purpose of this study was to examine how gender, marital status, employment status, and primary referral source predicted treatment outcomes with this older population. Of interest was how these predictions could better prepare treatment providers to treat individuals born between 1946 and 1964 who are addicted to substances. This quantitative study used an archival database, …
The Relationship Between Physical Fitness And Academic Achievement In Sixth Grade Students, Shannon Usco Shook
The Relationship Between Physical Fitness And Academic Achievement In Sixth Grade Students, Shannon Usco Shook
Walden Dissertations and Doctoral Studies
Researchers have reported on the relationship between academic achievement and physical fitness levels. At one rural middle school, 25% of the students enrolled were either overweight or obese and failing at least one course. Educators at the local site were seeking methods to improve the academic achievement of their students. The purpose of this quantitative study was to examine the relationship between academic achievement and physical fitness of middle school students at the study site. Framed by the theoretical connection between improved physical fitness levels and academic achievement, the research questions examined the relationship between physical fitness levels of 6th …
U.S. Federal Government Telework Management Strategies, Blaine Edward Mills
U.S. Federal Government Telework Management Strategies, Blaine Edward Mills
Walden Dissertations and Doctoral Studies
The Telework Enhancement Act of 2010 dramatically increased teleworking opportunities for federal employees. The increase in the number of teleworking employees presented numerous challenges for federal managers attempting to establish social networks, teamwork, and organizational commitment for their employees. This study used the case study design with a socio-technical conceptual framework as the basis to explore the strategies managers used. Data were collected via semistructured interviews with federal managers of teleworkers located in the Midwest region of the United States. A coding strategy was employed to organize the transcripts from the interviews into themes, and methodological triangulation was utilized by …
Predictive Ability Of Emotional Intelligence Scores On Employee Self-Reported Perception Of Comprehensive Organizational Credibility Inventory, Leif Allen Ford
Predictive Ability Of Emotional Intelligence Scores On Employee Self-Reported Perception Of Comprehensive Organizational Credibility Inventory, Leif Allen Ford
Walden Dissertations and Doctoral Studies
Research has shown that emotional intelligence (EQ) is positively related to beneficial outcomes in organizations. Research has also found that negative perceptions of organizational credibility (OC) can result in adverse economic and social costs for organizations and communities. To date, the existing research has failed to examine whether employee EQ might affect employee perceptions of OC. A quantitative, non-experimental study was conducted using a sample of employees in large health and medical organizations throughout the United States. The variables in the study were measured using the Assessing Emotions Scale and the Comprehensive Organizational Credibility Inventory. Multiple regression analyses and Pearson …
Perioperative Orientation, Education, And Mentoring (Poem) Program, Esther M. Johnstone
Perioperative Orientation, Education, And Mentoring (Poem) Program, Esther M. Johnstone
Walden Dissertations and Doctoral Studies
Perioperative registered nurses (RNs) are vital to the provision of safe patient care for those undergoing invasive and surgical procedures within acute care settings. Unrealistic transition-to-practice (T2P) expectations for novice RNs (newly licensed and experienced RNs new to perioperative nursing) have resulted in significant turnover and attrition rates as high as 45%. A T2P program, known as the Perioperative Orientation, Education, and Mentoring (POEM) program, was developed to address attrition and turnover through mentoring and professional development. The POEM program was a pilot program implemented at a large academic medical center. An evaluation tool known as the Surgical Skill Assessment …
Direct-To-Consumer Advertisements And Medical Services Utilization Among Adult Dermatology Patients In The United States, Heribert Zouetchou
Direct-To-Consumer Advertisements And Medical Services Utilization Among Adult Dermatology Patients In The United States, Heribert Zouetchou
Walden Dissertations and Doctoral Studies
Pharmaceutical product claim and help-seeking advertisements have prompted the types and purposes of medical dermatology service(s) that patients have used in the United States. Indeed, researchers have demonstrated that 94% of working nurse practitioners affirmed receiving from their patients a request for a cancer drug advertised. However, adult dermatology patients members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic in Houston, Texas, have not been of interest for any study so far. The purpose of this quantitative study was to assess the relationship between product claim, help-seeking, types, and purposes of medical dermatology services used amongst males and …
The Experiences Of High School Teachers Who Have Encountered Burnout, Jimmie Lee Mckinley
The Experiences Of High School Teachers Who Have Encountered Burnout, Jimmie Lee Mckinley
Walden Dissertations and Doctoral Studies
This qualitative case study addressed the impact of administration and school leadership on teachers who encounter burnout. The purpose of this project study was to examine this phenomenon through the experiences of Grades 9-12 classroom teachers, which ultimately could reduce the amount of early retirees, reduce the amount of illnesses among teachers, and increase the enthusiasm and vitality of educators. The conceptual framework was based on Bandura's social learning theory. Interview data were collected from four high school educators using purposive sampling, through semi structured face-to-face inter-views, and were coded using a line-by-line content analysis for emergent themes. Findings included …
Developing Generation-Based Volunteer Management Practices, Tonya Renee' Howard
Developing Generation-Based Volunteer Management Practices, Tonya Renee' Howard
Walden Dissertations and Doctoral Studies
Many nonprofits seek a volunteer base that includes the experience and maturity of the Silent and Baby Boomer Generations as well as the creativity and advanced technological knowledge of Generations X, Y, and Z. Published literature recommends implementing multigenerational volunteer programs to increase the representation of multiple generations. However, there is no literature providing guidance to create volunteer management practices that simultaneously recruit and retain those generations. The purpose of this qualitative study was to explore the lived experiences of 5 generations of volunteers. The research questions for this phenomenological study addressed perspectives that may contribute to developing generation-based volunteer …
Predictors Of Job Satisfaction Among Telecommuters, Lashawn Johnson
Predictors Of Job Satisfaction Among Telecommuters, Lashawn Johnson
Walden Dissertations and Doctoral Studies
With millions of people telecommuting each day, business leaders need to understand the factors contributing to job satisfaction among telecommuters. Drawing from the theory of purposeful work behavior, the purpose of this correlational study was to provide decision makers with information about the factors associated with job satisfaction among telecommuters. The research question addressed the relationship between gender, age, and level of telecommuting and job satisfaction. Using multiple linear regression analysis of 65 telecommuter survey respondents, the results (F(3,61) = 2.4, p > .05) indicated that no statistical significant relationships were found between job satisfaction and the predictor variables; however, the …
Knowledge Sharing In Multicultural Organizations, Stephen Joseph Mcgrane
Knowledge Sharing In Multicultural Organizations, Stephen Joseph Mcgrane
Walden Dissertations and Doctoral Studies
Knowledge management is critical to achieving competitive advantage in the marketplace. The prominence of multicultural organizations also requires an understanding of knowledge-sharing behavior in multicultural teams. In spite of the need to accommodate these new conditions, a gap exists in the research on knowledge sharing in multicultural organizations. The purpose of this study was to examine factors that affect knowledge sharing in a multicultural context. In the research questions I examined the role that culture, monetary rewards, social units, and diversity play in knowledge sharing in a multicultural environment. This study used Hofstede's cultural dimension theory, Sveiby's knowledge-based theory, and …
The Role Of Socio-Demographics Factors In Voluntary Counselling And Testing Uptake In South-Africa., Felix Ikechi Woke
The Role Of Socio-Demographics Factors In Voluntary Counselling And Testing Uptake In South-Africa., Felix Ikechi Woke
Walden Dissertations and Doctoral Studies
Many researchers have alluded to the inequity in distribution of HIV preventive services in South Africa (SA). Other researchers have demonstrated that socio-demographic factors are main determinants of distribution of preventive services like voluntary counseling and testing (VCT) in SA. VCT is a primary HIV prevention tool through which infected persons enter the treatment, care, and support programs; identifying the impact of socio-demographic determinants (SDDs) on VCT uptake in SA could help direct VCT services to areas and individuals that need them most. The research question in this study examined what and how SDDs impact the uptake of VCT in …
Healthy Weight Maintenance: Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis
Healthy Weight Maintenance: Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis
Walden Dissertations and Doctoral Studies
Medical and economic costs for obesity are estimated at $147 billion per year, yet less than 1/3 of overweight individuals successfully maintain weight loss. The literature is replete with descriptions of the problem and research on treatments, yet demonstrations of effective loss and maintenance are lacking. Missing is an understanding of the experiences of individuals who successfully maintained healthy weight loss, which could provide insights regarding effective psycho-social interventions. The purpose of this qualitative narrative study was to explore key events and experiences in the lives of former weight cyclers. The primary phenomena of interest included weight cycling and sustained …
Issues Affecting Sexual Decisions Among Black Women In The Era Of Hiv/Aids, Saecilia Jackson
Issues Affecting Sexual Decisions Among Black Women In The Era Of Hiv/Aids, Saecilia Jackson
Walden Dissertations and Doctoral Studies
HIV/AIDS became a significant concern in the United States (U.S.) during the 1980s and in recent years has increased the most among people living in underserved urban areas, particularly impacting Black women ages 24-35. Guided by the social learning theory, this phenomenological study explored the lived experiences and behaviors of Black women in the south in order to understand their sexual health decisions and how those decisions impact the spread of HIV/AIDS among this group. The central research question focused on understanding the sexual decision making of Black women in Georgia, from the perspective of the client and provider. Convenience …
How Social Media Affects The Annual Fund Revenues Of Nonprofit Organizations, Kelley Lynn Malcolm
How Social Media Affects The Annual Fund Revenues Of Nonprofit Organizations, Kelley Lynn Malcolm
Walden Dissertations and Doctoral Studies
Social media's impact on nonprofit organizations' annual fund revenues has not been widely studied. The purpose of this case study was to examine how one organization used Facebook and Twitter to build and maintain relationships with its constituents and how those relationships affected annual fund revenues. The organization selected was a national voluntary health nonprofit that conducts research on pediatric brain tumors causes and treatments and provides support to families facing a diagnosis. Hon and Grunig's measurements for long-term organization-public relationships and Kelly's theory of fundraising were the conceptual basis for this study. Data were collected through interviews with employees …
Exploring Knowledge Management Models On Information Technology Projects, Alan Richard Foote
Exploring Knowledge Management Models On Information Technology Projects, Alan Richard Foote
Walden Dissertations and Doctoral Studies
One way an organization manages the knowledge of its people is in information technology (IT) projects. Organizations develop IT projects for many socially responsible reasons, including improved health care services and better community services. IT projects do not always achieve the goals of the organization when the knowledge of the stakeholders is not managed for these objectives. For this study the purpose was to address the use of knowledge management (KM) in project management (PM) to improve the success of IT projects in achieving the organizational goals. The research questions were based on KM including its tools and techniques to …
A Case Study On Undergraduate Entrepreneurial Constructivist Learning In Morocco, Said Benamar
A Case Study On Undergraduate Entrepreneurial Constructivist Learning In Morocco, Said Benamar
Walden Dissertations and Doctoral Studies
Jobs are available for university graduates with entrepreneurship skills, but unemployment in Morocco persists because of the dissociation between university entrepreneurship graduate skills and professional market demand. While university graduates have achieved academic standards, they have lacked the entrepreneurial attributes to be employable. The purpose of this case study was to explore the use of entrepreneurship learning initiatives at Université Internationale de Casablanca (UIC), a private for-profit university, to promote students' employability. The constructivism and learning paradigm frameworks served as the theoretical foundations of this project study. The research questions addressed the effectiveness of entrepreneurship learning strategies in the promotion …
Life Events, Initial Sexual Behaviors, And Teenage Pregnancy Among African American Females, Yonzetta Brook Tillman
Life Events, Initial Sexual Behaviors, And Teenage Pregnancy Among African American Females, Yonzetta Brook Tillman
Walden Dissertations and Doctoral Studies
Teenage pregnancy is disproportionate between African American and Caucasian females. This disproportion is notable because African American teenagers are 3 times more likely to become pregnant than their Caucasian counterparts are. The purpose of this study was to determine whether a relationship exists among major life events, sexual behaviors, and resultant teenage pregnancy among African American females in the United States. The theoretical framework for this study was social learning theory. Three key research questions focused on relationships among (a) major life events and initial sexual behavior, (b) ethnicity, and (c) teenage pregnancy. Independent variables were life event and ethnicity, …
Health System Predictors Of Antenatal Care Compliance Among Rural Congolese Women, Ngashi Ngongo
Health System Predictors Of Antenatal Care Compliance Among Rural Congolese Women, Ngashi Ngongo
Walden Dissertations and Doctoral Studies
Fewer rural Congolese women complete 4 antenatal care (ANC) visits than do urban women, despite high maternal and child mortality rates. This quantitative cross-sectional survey applied Andersen's behavioral model of service utilization to examine whether the ANC facility type, provider type, provider gender, time to ANC facility, cost, and number of services can predict ANC compliance among rural women. The study was a secondary analysis of the 2015 Maternal and Child Health (MCH) survey, which comprised 1,280 eligible women selected through stratified random sampling. The analysis included bivariate and multivariate logistic regressions. The findings showed that women seen in private …
Factors Associated With Late Stage Diagnosis Of Cervical Cancer In The United States, Marianne S. Pelletier
Factors Associated With Late Stage Diagnosis Of Cervical Cancer In The United States, Marianne S. Pelletier
Walden Dissertations and Doctoral Studies
Cervical cancer represents a significant public health problem in the United States. According to the Centers for Disease Control and Prevention, the prognosis is related to stage at diagnosis, with the 5-year survival rate being 91.2% for early stage disease and only 17.0% for those with late stage disease. There is a gap in the literature examining the association of insurance status with late stage cervical cancer diagnosis across a large segment of the United States population. There is also a gap in the literature examining women residing in the United States with late stage cervical cancer diagnosis and identifying …
Comparison Of Classroom Settings On Seventh Grade English Language Arts Tennessee Comprehensive Assessment Program Achievement (Tcap), Deangela Anita Graham
Comparison Of Classroom Settings On Seventh Grade English Language Arts Tennessee Comprehensive Assessment Program Achievement (Tcap), Deangela Anita Graham
Walden Dissertations and Doctoral Studies
The purpose of this study was to identify an effective strategy to increase English Language Arts (ELA) proficiency in middle schools. This study assessed the outcome of classroom looping in an urban middle school. Vygotsky's theory of social development was the theoretical framework of this study. Two research questions explored statistical differences between scale and number correct scores on the standardized ELA Tennessee Comprehensive Assessment Program (TCAP). Classroom settings (looping and traditional) served as independent variables, and ELA TCAP assessments were used as the dependent variable. This study included a random sample of 188 students (94 looping and 94 traditional) …
Relationship Between Financial Knowledge And Business Performance For Truck Owner-Operators, Tahsen H. Alqatawni
Relationship Between Financial Knowledge And Business Performance For Truck Owner-Operators, Tahsen H. Alqatawni
Walden Dissertations and Doctoral Studies
Owner-operator lack of knowledge about financial and operation costs is a serious impediment to business survival. The purpose of this correlational study was to examine the relationship between the knowledge of financial and operational costs among trucking owner-operators and their business performance. The theoretical framework for the study was the resource-based theory and knowledge gap theory. A convenience sample of 78 owner-operator truckers across the United States participated in this study. The response rate was 17% for a web-based survey that was distributed to owner-operators in Facebook, and 83% for the paper-based surveys from the owner-operators who were visiting more …
Strategic Managerial Responses To Critical Service Events In Restaurants, Douglas Grant Edwards
Strategic Managerial Responses To Critical Service Events In Restaurants, Douglas Grant Edwards
Walden Dissertations and Doctoral Studies
Inappropriate managerial responses to critical service events (CSEs) in restaurants contribute to an increased rate of customer defection and restaurant failure. Some restaurant managers lack employee-training strategies that may enhance service recovery from CSEs. This case study explored what employee-training strategies participants deemed essential to enhance service recovery to CSEs. The population for this study was restaurant managers from a U.S. regional chain in South Carolina with at least 3 years of employee-training experience. Organizational learning theory was the conceptual framework for this study. Data collection included semistructured face-to-face interviews with restaurant managers and an exploration of company archival documents …
Developing Policies And Guidelines To Prevent Medication Errors And Ades In Nursing Homes, Marion Johnson
Developing Policies And Guidelines To Prevent Medication Errors And Ades In Nursing Homes, Marion Johnson
Walden Dissertations and Doctoral Studies
According to the National Patient Safety Foundation, more than 1.5 million Americans are affected by medication errors because of varied factors including miscommunication, bad handwriting, name confusion, poor packaging, and metric or other dosing unit errors. This project addressed medication errors and adverse drug events by developing policy and practice guidelines to support and aid the utilization of health information technology (HIT) systems in addressing medication errors and adverse drug events at a local nursing home in Cincinnati, Ohio. The National Quality Strategy Framework was used by a team of interdisciplinary stakeholders as a guide for the development of policies …
Relational Intelligence: A Framework To Enhance Interprofessional Collaborative Care, Elizabeth Ekole
Relational Intelligence: A Framework To Enhance Interprofessional Collaborative Care, Elizabeth Ekole
Walden Dissertations and Doctoral Studies
Many studies have reported that the training for practitioners does not stimulate reflexes that contribute to the tenets of teamwork and collaboration. No studies were found to investigate relational intelligence (RQ) in pharmacist-physician relationships as a catalyst for collaborative and hence cost effective quality care. This study addressed the role and potential opportunity to promote RQ as a critical leadership skill in the collaboration between pharmacists and physicians. Using RQ as the conceptual framework, this phenomenological study explored how pharmacists and physicians in a hospital setting perceive RQ as a leadership skill when working collaboratively. A total of 10 participants …
Infant-Driven Feeding Vs. Scheduled Feeding: The Effect On Hospital Length Of Stay, Lori L. Messer
Infant-Driven Feeding Vs. Scheduled Feeding: The Effect On Hospital Length Of Stay, Lori L. Messer
Walden Dissertations and Doctoral Studies
Developmental delays related to feeding dysfunction in premature infants can lead to lengthy hospitalizations and increased healthcare costs initially and throughout the first year of the child's life. The purpose of this project was to use readiness-to-feed assessments to evaluate the impact of an infant-driven feeding protocol on length of stay. The project compared the length of stay of 2 groups of infants: a demand fed according to a readiness-to-feed protocol (protocol group, n = 14) and a traditionally fed according to scheduled, volume-driven feedings (traditional group, n = 15). The logic model served as the change management framework and …