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Insecticide Treated Nets As An Effective Malaria Control Strategy In Liberia, Taiyee Nelson Quenneh
Insecticide Treated Nets As An Effective Malaria Control Strategy In Liberia, Taiyee Nelson Quenneh
Walden Dissertations and Doctoral Studies
Malaria is a vector-borne disease that presents the most persistent and serious public health burden in Liberia. Numerous studies have examined the relationship between ITN use and malaria prevalence. However, little research has explored the effectiveness of ITNs in controlling malaria among children in postwar Liberia. The aim of this study was to examine the association between ITN ownership, parental economic status, ITN installation support, and malaria prevalence among children. This was a quantitative cross-sectional study guided by the health belief model. The study used secondary data from the 2011 Liberia Malaria Indicator Survey. Chi-square for association and Logistic regression …
Affecting Teen Attitudes Through Positive Media Portrayals Of Teens With Autism Spectrum Disorder, Sheila Orta
Affecting Teen Attitudes Through Positive Media Portrayals Of Teens With Autism Spectrum Disorder, Sheila Orta
Walden Dissertations and Doctoral Studies
A lack of knowledge about individuals with autism spectrum disorder (ASD) can create stereotypes, which serve as barriers to interaction. Television is a component in the development of social attitudes in teenagers. Using social learning theory as a framework, the purpose of this quantitative 2-group, posttest only, experimental design was to determine whether observational learning could be effective in generating positive teen attitudes toward peers with ASD. Senior high school students (N = 130) completed the Attitude Toward Disabled Persons (ATDP) Survey to determine whether observing a video clip can positively affect the attitudes of teens about their peers with …
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
Walden Dissertations and Doctoral Studies
The Patient Protection and Affordability Act of 2010 (PPACA) addressed the access to healthcare in the United States. One of the problems of this healthcare access was rooted in disproportionally lower access among minority populations. The purpose of this quantitative study, guided by the consumer behavior theory, was to examine the association between race/ethnicity and enrollment within the Covered California-?¢ (CoveredCA) Insurance Exchange. A cross-sectional study design was used to investigate the association between race/ethnicity and the use of Covered CA health benefit exchange. Logistic regression analysis was used to examine the relationship between enrollment and race/ethnicity, having adjusted for …
The Move From Recorded To Bedside Shift Report: Evaluating Barriers To Full Implementation, Elizabeth Jackson Cipra
The Move From Recorded To Bedside Shift Report: Evaluating Barriers To Full Implementation, Elizabeth Jackson Cipra
Walden Dissertations and Doctoral Studies
Many sentinel events in acute care centers can be attributed to miscommunication of patient information at shift change. A growing body of evidence supports the implementation of bedside shift report as the standardized approach to ensure effective communication by staff. The purpose of this study was to identify the barriers that impede nurses from fully participating in bedside shift report in order to create an educational initiative to develop the nursing staff's proficiency in performing bedside report. Lewin's change theory served as the framework for the project. Data for the staff development project were collected using a focus group approach …
Chiropractic Student Infection Control Practices And Methicillin-Resistant Staphylococcus Aureus Skin Infections, Jonathon Todd Egan
Chiropractic Student Infection Control Practices And Methicillin-Resistant Staphylococcus Aureus Skin Infections, Jonathon Todd Egan
Walden Dissertations and Doctoral Studies
Chiropractic training involves many hours of skin contact, and chiropractors have manual contact with millions of patients annually, but chiropractic has only had professional clinical hygiene guidance since 2010. Methicillin-resistant Staphylococcus aureus (MRSA) is the most common cause of cultured skin and soft tissue infection (SSTI) in the United States. Using the epidemiologic triad of person, place, and time as a framework, this quantitative, cross-sectional study obtained the first assessment of MRSA SSTI incidence among chiropractic students and its association with infection control behaviors (hand and table hygiene, sharing gowns, and sharing lotion) and initiation of patient care. The study …
Associations Between Healthcare Facility Types And Healthcare-Associated Infections, Aretha D. Miller
Associations Between Healthcare Facility Types And Healthcare-Associated Infections, Aretha D. Miller
Walden Dissertations and Doctoral Studies
Healthcare-Associated Infections (HAIs) continue to be an epidemiological issue burdening patients and public health systems worldwide. The purpose of this study was to determine if specific healthcare facility types (Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities) were associated with particular categories of HAIs: Ventilator-Associated Pneumonias (VAPs), Central Line-Associated Bloodstream Infections (CLABSIs), and Catheter-Associated Urinary Tract Infections (CAUTIs). The theoretical framework for this study was the environmental determinants of infectious disease framework. A single research question focused on whether an association existed among the specified health care facility types and HAIs. Three independent categorical variables were …
The Impact Of Treatment Programs In Reducing The Incarceration Rate For Children With Incarcerated Parents, Chandra Valencia Thornton
The Impact Of Treatment Programs In Reducing The Incarceration Rate For Children With Incarcerated Parents, Chandra Valencia Thornton
Walden Dissertations and Doctoral Studies
Research has found that children who experience the incarceration of a parent may experience behavioral, psychological, and emotional problems. Studies have identified treatment programs and interventions designed to alleviate the long-term effects of parental incarceration on children. Limited research exists on the impact of treatment programs and interventions on these children. The purpose of this research was to determine if treatment programs are successful in reducing future incarceration rates for adults that experienced the incarceration of a parent during childhood. Research questions examined how treatment programs and interventions impacted the sample population. A phenomenological approach guided the study methods and …
The Relationship Of General Science Grades To Program Completion In An Associate Degree Nursing Program, Catherine Edlebeck
The Relationship Of General Science Grades To Program Completion In An Associate Degree Nursing Program, Catherine Edlebeck
Walden Dissertations and Doctoral Studies
High attrition of nursing students in the United States may contribute to a shortage of registered nurses and inefficient use of scarce resources. The purpose of this study was to explore the relationship between nursing student grades in 3 science prerequisites and length of time to program completion on each of the study college's 4 campuses. Ausubel's theory of subsumption, wherein a learner's ability to meaningfully learn new data depends on the existing cognitive structure within which the new material is assimilated, was used as a theoretical framework. Prerequisite science course grades for 575 nursing students attending a Midwestern technical …
Using The Power Of 3 With Total Joint Surgery Patients, Lynda M. Sanchez
Using The Power Of 3 With Total Joint Surgery Patients, Lynda M. Sanchez
Walden Dissertations and Doctoral Studies
The purpose of patient education is to provide patients and their families with the tools needed to care for themselves after discharge from the hospital, but shortened hospital stays, limited health literacy, language, and age can impede the patient's comprehension of the information provided. Researchers have found that the lack of effective patient education is related to 30-day hospital readmissions. The Power of 3 educational tool, designed by Sanchez and Cooknell, addressed the factors that impeded effective patient teaching by using the adult learning theory and low health literacy concepts. The Power of 3 was implemented as a quality improvement …
Factors Of Resilience That Support University Art And Design Students, Ruth C. Morgan
Factors Of Resilience That Support University Art And Design Students, Ruth C. Morgan
Walden Dissertations and Doctoral Studies
Graduation rates in bachelor's degrees in the United States continue to be lower than stakeholders expect, despite the many advantages of college completion. This phenomenological study investigated the interplay between resilience, coping strategies, and college completion for undergraduate art and design students in an effort to improve graduation rates. The purpose of this study was to address gaps in the literature regarding art and design students' resilience and academic success. Findings were interpreted using 3 conceptual frameworks: resilience theory, Bronfenbrenner's ecology of human development, and Dweck's theory of mindsets and self-beliefs. Research questions guiding this study addressed the external and …
Analyzing Interrelationships Between Food Safety Practices And Inspections Among Food Staff In Manitoba, Kirandeep Kaur Brar
Analyzing Interrelationships Between Food Safety Practices And Inspections Among Food Staff In Manitoba, Kirandeep Kaur Brar
Walden Dissertations and Doctoral Studies
The incidence and prevalence of food safety practices among food staff working in food establishments in Manitoba is underrepresented and has not been adequately reviewed and researched. Uncertified food staff are at higher risk of not following food safety practices that can cause contamination of food and result in foodborne illness. The purpose of this quantitative study was to determine the prevalence of food safety practices among food staff in Manitoba and to determine the relationship between food safety certification and routine health inspections. Pender's health promotion model and Bandura's social cognitive theory were used to explain the relationships and …
Relationship Of Institutional Characteristics To Cacrep Accreditation Of Doctoral Counselor Education Programs, Ronnie Louis Pace Jr
Relationship Of Institutional Characteristics To Cacrep Accreditation Of Doctoral Counselor Education Programs, Ronnie Louis Pace Jr
Walden Dissertations and Doctoral Studies
There is a lack of accredited doctoral-level counselor education and supervision (CES) programs available to meet the documented and growing need for more qualified and competent professional counselors. The problem addressed via this study is the shortage of trained doctoral-level counselors and counselor faculty to train other counselors due to the lack of accredited doctoral-level CES programs. The purpose of this study was to better understand the factors that may influence or predict an institution's decision to pursue Council for Accreditation of Counseling and Related Educational Programs (CACREP) accreditation in order to increase the number of programs that pursue specialized …
Evaluation Of Active And Passive Neonatal Tetanus Surveillance Systems In Katsina State, Nigeria, Shafique Sani Nass
Evaluation Of Active And Passive Neonatal Tetanus Surveillance Systems In Katsina State, Nigeria, Shafique Sani Nass
Walden Dissertations and Doctoral Studies
The incidence and mortality rates of neonatal tetanus (NNT) remain underreported in Nigeria. This cross-sectional study was guided by the Mosley and Chen's model for the elements of child survival in developing countries. The goals of the study were twofold: (a) to compare the NNT prevalence and the mortality rates from the existing surveillance system and active surveillance of health facility records in 7 selected health facilities from 2010 to 2014 in Katsina state, Nigeria and (b) to assess the associations between selected NNT risk factors, number of maternal tetanus toxoid injections, frequency of antenatal visits, place of delivery, and …
Development Of Evidence-Based Scenario With High Fidelity Simulation To Improve Nursing Care Of Chest Pain Patients, Ma Zolaica Paragas
Development Of Evidence-Based Scenario With High Fidelity Simulation To Improve Nursing Care Of Chest Pain Patients, Ma Zolaica Paragas
Walden Dissertations and Doctoral Studies
Cardiovascular disease remains the leading cause of mortality in the United States, and a primary educational objective is to develop professional competency among nurses to ensure the provision of safe and effective care to the cardiac patient. Benner's theory of novice-to-expert led to the development of an evidence-based scenario for the care of the patient with chest pain using risk-free high-fidelity simulation environments that focused on assessment, history taking, and communication, while evaluating improvements in the competency of nurses providing care to chest pain patients. Thirty-six nurses volunteered in the study. Feedback from nurse educators, which led to modifications to …
The Correlation Of Leader Traits And Learning Organizational Culture, Mark Reginald Porter
The Correlation Of Leader Traits And Learning Organizational Culture, Mark Reginald Porter
Walden Dissertations and Doctoral Studies
Many researchers in numerous studies have focused on leadership style and organizational cultures, but there is an absence of research regarding leader personality traits and productive work cultures in Alberta's oil and gas industry. The purpose of this correlational study was to assess the relationship between leader traits and preestablished learning organization culture benchmarks within Alberta's oil and gas industry. Learning organization culture is an extension of Senge's learning organization theory. Simple random sampling was used to attain a population comprised of 52 employees in Alberta's oil and gas industry who were accountable to an organizational supervisor. Data were collected …
Preparing Early Learners For Kindergarten Success, Deidre Stewart
Preparing Early Learners For Kindergarten Success, Deidre Stewart
Walden Dissertations and Doctoral Studies
Many early childhood learners enter kindergarten not academically and social-emotionally prepared. This qualitative study explored teachers' perceptions of what constitutes high-quality learning concerning kindergarten readiness and parents' understanding and support of kindergarten readiness. The conceptual framework is based on recent studies by early childhood researchers on how and what early learners should experience during their pre-k years. The research questions focused on teachers' understanding of structural quality and process quality, kindergarten readiness, and age- appropriate curriculum. In addition, parents' understanding of kindergarten readiness and what types of learning opportunities they offer their children were examined. Through purposeful sampling, 16 teachers …
Psychological Capital As A Mediator Between Team Cohesion And Productivity, Robert John Cesaro
Psychological Capital As A Mediator Between Team Cohesion And Productivity, Robert John Cesaro
Walden Dissertations and Doctoral Studies
Organizations attempting to optimize productivity are seeking new ways to develop psychological capital in teams. The researcher conducted a quantitative study to determine whether team cohesion, as assessed by the Revised Group Environment Questionnaire (RGEQ), impacts team productivity, as assessed by the Performance Measurement Team (PMT) Manufacturing Resource System (MRS); whether this relationship can be attributed to a team's level of psychological capital, as assessed by the Psychological Capital Questionnaire (PCQ-12); and whether psychological capital mediates the relationship between team cohesion and team productivity. Forty-five PMTs in a large U.S. defense manufacturing organization were surveyed using the PCQ-12 and the …
The Impact Of Post Traumatic Stress Disorder On Recurrent Violent Behavior Among African American Males, Adrian Cox
The Impact Of Post Traumatic Stress Disorder On Recurrent Violent Behavior Among African American Males, Adrian Cox
Walden Dissertations and Doctoral Studies
African American men in their late teens to early 20s account for nearly half the victims of violent crimes. This mixed methods social epidemiological study was designed to identify the social determinants of violence as described by a purposive sample of young adult African American men (n=353) who have experience as a victim or witness to any type of violence to determine the impact post traumatic stress disorder (PTSD) symptoms have on recurrent violent injury. The pathways to recurrence model shaped the theoretical framework of this study. Quantitative data were collected using the Past Feelings and Acts of Violence (PFAV) …
Multinational Corporations' Return On Investment Optimization In Nigeria's Business Environment, Funlola Francesca Fajinmi
Multinational Corporations' Return On Investment Optimization In Nigeria's Business Environment, Funlola Francesca Fajinmi
Walden Dissertations and Doctoral Studies
Trade between the United States and Africa decreased 32% from US$125 billion, in 2011, to US$85 billion, in 2013; however, MNCs from other regions have continued to increase investments in Africa. Multinational corporations (MNCs) generate most of their return on investment (ROI) from the Western world. Globalization, increasing middle classes in emerging markets, and decreasing population in the Western world have lead to unsustainable ROI. Nigeria, the most populous and largest economy in Africa and the 27th largest economy in the world, offers new opportunities with an annual growth rate forecast of 6% to 8%. Utilizing the diamond theory of …
Relationship Between Stress And Young Adults' Complementary And Alternative Medicine Use, Anupama Kizhakkeveettil
Relationship Between Stress And Young Adults' Complementary And Alternative Medicine Use, Anupama Kizhakkeveettil
Walden Dissertations and Doctoral Studies
Complementary and alternative medicine (CAM) refers to a group of diverse medical and healthcare systems, practices, and products not treated as conventional medicine. The body of literature on stress and stress management among young adults has not addressed the use of CAM modalities for stress management among this population. The theoretical foundation of the study was based upon the transactional model of stress and coping, which describes stress as an interaction between an external stressor and the resources available to eliminate the stressor. The purpose of this quantitative study was to examine whether variables such as exposure to CAM, stress …
Identifying The Beliefs And Barriers To Mammography In Rural African Women, Linda Harper Mangum
Identifying The Beliefs And Barriers To Mammography In Rural African Women, Linda Harper Mangum
Walden Dissertations and Doctoral Studies
Breast cancer is the most commonly diagnosed cancer in African-American (AA) women and is the second leading cause of cancer-related deaths in the United States among AA women ages 40 to 55 years of age. The 5-year breast cancer survival rates for AA women (78%) are lower than are those of Caucasian women (90%). The purpose of this project was to describe the benefits and barriers toward screening mammograms for breast cancer in AA women living in the Southside Health District in Virginia. The subscales of The Champion's Mammography Beliefs and Attitudes Questionnaire (MBAQ, 1999), which is based on the …
Revenue Losses: Exploring Strategies Required By Managers To Inhibit Movie Piracy, Nana Aishat Shaibu Akaeze
Revenue Losses: Exploring Strategies Required By Managers To Inhibit Movie Piracy, Nana Aishat Shaibu Akaeze
Walden Dissertations and Doctoral Studies
The piracy of movie products resulted in 72,000 lost jobs and $4.5 billion in lost wages to the United States economy in 2012. The purpose of this multiple case study was to explore what strategies movie corporation managers use to inhibit piracy of movie products to achieve profitability. The sample consisted of 6 movie industry managers who managed movie corporations for not less than 5 years in New York City. The conceptual framework for this study was based on the general systems theory. Data were collected through face-to-face semistructured interviews. Transcript review and member checking were used to ensure credibility …
Transformational Leadership In The Public Sector, Glenda Bumgarner
Transformational Leadership In The Public Sector, Glenda Bumgarner
Walden Dissertations and Doctoral Studies
Senior leaders in state government public sector agencies must manage employee performance to ensure quality services to the citizens they serve. Limited academic research exists to study the barriers that these leaders acknowledge as deterrents to managing employee performance. The purpose of this qualitative study was to understand the reasons that public sector leaders at the Ohio Department of Transportation (ODOT) were challenged to manage employee performance and explore the role of transformational leadership. The ODOT was selected for this research because two prior worker surveys conducted by the agency revealed that employee performance accountability was an issue of concern. …
The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin
The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin
Walden Dissertations and Doctoral Studies
Osteoporosis is considered to be the most adverse public health disease associated with substantial mortality among postmenopausal women. Hysterectomy, surgically induced menopause, contributes to the early onset of menopause. However, there was no evidence of an association between early menopause following hysterectomy and osteoporosis among postmenopausal women. The purpose of this quantitative study was to examine the association between demographic and behavioral factors and the prevalence of osteoporosis among hysterectomized postmenopausal women. The integrated theory of health behavior change theoretical framework guided study. Cross-sectional secondary data from the 2009-2010 National Health and Nutrition Examination Survey were used. Multiple logistic regression …
Gender Pay Disparity Among Women, Garnise Ann Dennis
Gender Pay Disparity Among Women, Garnise Ann Dennis
Walden Dissertations and Doctoral Studies
Irrespective of professional experience and educational background, gender pay disparity is a problem in the federal government. Women have to overcome salary barriers, such as agency segregation, position segregation, and invisible barriers known as the glass ceiling and the glass wall. Recent studies have indicated that human capital variables, people skills, discrimination, and policies all contribute to gender pay disparity in America's workforce. However, there are limited studies that focus on the indirect factors that also contribute to gender pay inequality. The purpose of this quantitative research was to investigate the relationship between wages and job responsibility (as defined by …
Lived Experiences Of Women From The Odi Community In Nigeria Of Female Genital Mutilation, Doris Atibinye Dotimi
Lived Experiences Of Women From The Odi Community In Nigeria Of Female Genital Mutilation, Doris Atibinye Dotimi
Walden Dissertations and Doctoral Studies
Female genital mutilation (FGM) is a public health challenge because it jeopardizes the health of women and girls. FGM is condemned worldwide but, it is still practiced in the Odi community of Nigeria. The literature on women's lived experiences of FGM in other parts of the world was reviewed, but knowledge is lacking on the lived experiences of women from Odi community in Nigeria. The purpose of this phenomenological study was to explore their lived experiences, their perspectives on the current legislation for the prevention of FGM, and their perspectives on the cultural myths surrounding the practice. The phenomenological lens …
Perceptions And Behaviors Of Caribbean And South American Women Of Color Living In The United States Towards Breast Cancer, Bernadette Serena Loncke
Perceptions And Behaviors Of Caribbean And South American Women Of Color Living In The United States Towards Breast Cancer, Bernadette Serena Loncke
Walden Dissertations and Doctoral Studies
Breast cancer is a global public health issue, and even though the incidence and mortality rates for this disease have declined, a substantial gap in mortality rates between U.S. women of color and European American women remains. Strategies have been initiated to decrease this gap, but they have not addressed the special needs of women of color residing in the United States, who tend to be diagnosed only after they have developed late-stage breast cancer. The purpose of this phenomenological study was to understand the perceptions and behaviors of 20 first-generation Caribbean and South American-born women of color living in …
Caregivers' Perceptions Of An Early Diagnosis Of Alzheimer's Disease In African Americans, Stanita Jackson
Caregivers' Perceptions Of An Early Diagnosis Of Alzheimer's Disease In African Americans, Stanita Jackson
Walden Dissertations and Doctoral Studies
Alzheimer's disease (AD) is significantly more prevalent among African Americans than within the general population, but rates of early detection are lower in the African American community. Researchers have demonstrated that both pessimistic Alzheimer's-directed health beliefs, and negative perceptions of the effectiveness and the accessibility of medical care act as barriers to care seeking by African American family members of individuals with the disease. Recent research into causal judgments made by potential caregivers about individuals with undiagnosed AD suggests that gender bias and errors in attribution may constitute covert barriers to both lay and professional interpretations regarding the need for …
Executive Compensation, Firm Performance, And Net Community Benefits Within Nonprofit Urban Hospitals, Terry Deshawn Long
Executive Compensation, Firm Performance, And Net Community Benefits Within Nonprofit Urban Hospitals, Terry Deshawn Long
Walden Dissertations and Doctoral Studies
Nonprofit hospitals are under increased pressure to maintain financial stability and compliance with Internal Revenue Service (IRS) net community benefit requirements. Boards of directors are not always confident that the compensation packages awarded to executives stimulate them to act in the organization's best interest. The principal-agent theory formed the basis of this correlational study. Archival data from National Center for Charitable Statistics, Guidestar, and the Center for Medicare & Medicaid Services were collected from 117 nonprofit urban hospitals for the fiscal year 2013. Regression analysis was used to determine the significance of relationships between return on assets (ROA), change in …
The Relationship Between Suicide Ideation And Adult Support Among African American Adolescent Lesbians, Latonya Jill Watters
The Relationship Between Suicide Ideation And Adult Support Among African American Adolescent Lesbians, Latonya Jill Watters
Walden Dissertations and Doctoral Studies
The suicide rate among African-American youths has significantly increased in recent years. Studies have indicated that racism, sexism, and homophobia put African-American adolescent lesbians (AAALs) at high risk for suicide. Earlier studies recognized the importance of adult support for adults, but the relationship between the AAAL suicide rate and the level of adult support has never been formally studied. Based on social support theory, this survey study examined the relationship between adult social support and attitudes toward homosexuality (as the independent variables) and suicidality and hopelessness (as the dependent variables) in a convenience sample of 200 self-identified 13-to-19-year-old AAALs. Data …