Digital Commons Network^™

The Relationship Between Terrorism, Oil Prices, And Airline Profitability, Ubirathan Miranda

Walden Dissertations and Doctoral Studies

Given the financial challenges faced by the airline industry, understanding of the combined effect of terrorism and the price of petroleum on airline profitability is imperative. The purpose of this correlational study was to determine if a combination of terrorism and the price of petroleum significantly predicted airline profitability, and which variable was the most significant. This study collected samples of financial records from major American commercial passenger and cargo airlines on costs of fuel (n = 84) and airline profitability (n = 84). The terrorism data (n = 84) were comprised of terrorist attacks on petroleum infrastructure in oil-producing …

Diffusion Of Electronic Health Records In Rural Primary Care Clinics, Patricia Lynn Mason

Walden Dissertations and Doctoral Studies

By the end of 2015, Medicare-eligible physicians at primary care practices (PCP) who do not use an electronic health record (EHR) system will incur stiff penalties if they fail to meet the deadline for using EHRs. Yet, less than 30% of rural primary clinics have fully functional EHR systems. The purpose of this phenomenology study was to explore rural primary care physicians and physician assistants' experiences regarding overcoming barriers to implementing EHRs. Complex adaptive systems formed the conceptual framework for this study. Data were collected through face-to-face interviews with a purposeful sample of 21 physicians and physician assistants across 2 …

Relationship Between Bootstrap Financing, Number Of Employees, And Small Business Success, Robin Marie Schofield

Walden Dissertations and Doctoral Studies

Small business entrepreneurs face high failure rates, yet the success of local, state, and national economies relies on the success of small business. With a lack of capital commonly cited as a reason for failure, entrepreneurs must find ways to predict business survival. Grounded in pecking order and enactment theory, the purpose of this correlational study was to examine the efficacy of bootstrap financing and numbers of employees in predicting business survival, measured by the business age. The research question was answered by using a predictive correlational quantitative research method with a cross-sectional survey design. The central question was whether …

Biopsychosocial Factors That Discriminate Between White Collar Offenders And Business Professionals, Susan Lynn Zukowski

Walden Dissertations and Doctoral Studies

White collar crime is pervasive with a larger financial impact to society than violent or street crime, yet it has been understudied. Violent and street offender research has moved beyond the examination of motive and opportunity to study personality, demographics, sociological influences, and psychological influences on development and criminal behavior; however, the bulk of white collar offender research has focused on greed as a motivator and organizational opportunity. Legislative efforts have attempted to curtail white collar crime, but incidents of crime continue to rise, resulting in a continued need to understand white collar offenders and the influences on offender behavior. …

Motivating Higher Education Faculty For Technology Integration: A Private College's Approach, Jacinth Coultman

Walden Dissertations and Doctoral Studies

Some faculty in higher education are not embracing technology in their face-to-face classes. The purpose of this qualitative case study was to identify and describe faculty members' techniques for improving the technological integration within the curriculum at an urban college. This study investigated the incorporation of professional development activities within the college structure to determine if these mandated requirements resulted in enhanced technology use. Interview and observation data on technology integration practices were collected from 15 faculty members who taught within 5 departments of an urban college for 5 or more years. A combination of open and axial topic and …

Understanding The Lived Experiences Of Women With Spinal Cord Injury Who Undergo Urinary Diversion Surgery, Sukhpinder K. Dhillon

Walden Dissertations and Doctoral Studies

Following spinal cord injury (SCI), bladder management is of primary importance. As an activity of daily living (ADL), it affects community integration and quality of life (QOL). Women with SCI have neurogenic bladders that require self-catheterization, but they are unable to catheterize the native urethra, thus making bladder management physically and emotionally challenging. The purpose of this study was to understand the experiences of women with SCI who undergo urinary diversion surgery for bladder management. Qualitative data were collected using semistructured interviews from 10 women with SCI after urinary diversion surgery for bladder management. Qualitative Nvivo analysis of interview data …

Coalitions Members' Perceived Methods To Prevent Adolescent Marijuana Usage After Legalization, Lanise A. Hutchins

Walden Dissertations and Doctoral Studies

Community coalitions have had successful reductions in adolescent substance abuse, and the legalization of marijuana presents an opportunity for these coalitions to re-evaluate their current methods and messages for preventing adolescent marijuana usage. Using the theory of planned behavior, the purpose of this qualitative study was to determine how legalization of marijuana for recreational purposes affects the methods and messages of coalitions and how the coalition members perceive their efforts to reduce adolescent marijuana usage post-legalization in Colorado. Participants were obtained by recommendations from the executive director in each of four coalitions. A purposive sample of 12 coalition members was …

Affect Intensity As A Moderator Of The Relationship Between Emotional Intelligence And Transformational Leadership, Robert Taylor Schaefer

Walden Dissertations and Doctoral Studies

Researchers have reported mixed findings on the relationship between emotional intelligence (EI) and transformational leadership, leading many to suspect the presence of moderating variables. This study was conducted to address the problem by analyzing the moderating effect that affect intensity may have upon this relationship. Based on a theoretical framework consisting of ability-based EI and the full-range theory of leadership, it was hypothesized that EI would be positively correlated with transformational leadership. In addition, based upon the arousal regulation theory of affect, it was hypothesized that affect intensity would be a statistically significant moderator of that relationship. A convenience sample …

The Value Of Diagnostic Software And Doctors' Decision Making, Babatunde Ayodele Alaofin

Walden Dissertations and Doctoral Studies

The prevalence of medical misdiagnosis has remained high despite the adoption of diagnostic software. This ongoing controversy about the role of technology in mitigating the problem of misdiagnosis centers on the question of whether diagnostic software does reduce the incidence of misdiagnosis if properly relied upon by physicians. The purpose of this quantitative, cross-sectional study based on planned behavior theory was to measure doctors' opinions of diagnostic technology's medical utility. Recruitment e-mails were sent to 3,100 AMA-accredited physicians through their database that yielded a sample of 99 physicians for the study. One-sample t tests and, where appropriate because of non-normal …

General Strain Theory As A Predictor Of Occupational Fraud, Timothy Bergsma

Walden Dissertations and Doctoral Studies

The world economy loses an estimated $3.5 trillion annually due to fraud. A weakened economy leads to additional hardships for individuals, families, and organizations. General strain theory (GST) posits that certain strains lead to negative emotional responses, and the result is delinquent behavior. The purpose of this research was to analyze the relationship between strain and occupational fraud through the theoretical framework of GST. The research questions addressed (a) occupational frauds as measured by strain levels of perpetrators, (b) the relationship between strain scores and the different occupational fraud types, and (c) the significance of the relationship between fraud motivation …

The Complexities Of Female Sexuality: Narratives Of Women Who Have Experienced Both Heterosexual And Same-Sex Marriages, Krista Anne Butland

Walden Dissertations and Doctoral Studies

Due to social stigma, millions of sexual minorities have concealed their true sexual identities by entering into heterosexual relationships and marriages. Eventually, some transition to same-sex relationships and are able to live authentic lives. This latter group had identified as genuinely heterosexual, never questioning their sexuality until a particular time in their lives when same-sex desires spontaneously appeared. The experiences of transitioning from heterosexual to same-sex partners are not well known, particularly for women who have been legally married to both men and women. Diamond's dynamical systems theory for same-sex sexuality and McCarn and Fassinger's lesbian identity formation model provided …

A Proposal For The Development And Validation Of A Diabetic Self-Management Education (Dsme) Program, Melissa Sue Garrison

Walden Dissertations and Doctoral Studies

The World Health Organization has estimated that by 2030, approximately 350 million people will be diagnosed with Type 2 diabetes mellitus (T2DM). Currently, 18.8 million people are diagnosed with T2DM. An additional 7 million people have high blood sugar but have yet to have an official diagnosis of diabetes. The literature supports early identification and prevention are key to reducing the severity of T2DM its complications. The Health Belief Model, the Chronic Care Model and Orem's Theory of Self-Care guided the current proposal, whose purpose was to develop and validate a new T2DM DSME module. A validation of the DSME …

Personality, Coping, And Burnout In Online Doctoral Psychology Students, Michelle Linn Grigsby

Walden Dissertations and Doctoral Studies

Completion times for doctoral psychology students are twice as long as those of other disciplines, and the attrition rate is over half of the matriculated students. Research indicates that (a) burnout plays an integral part in delayed completion and attrition for doctoral students and (b) personality and coping influence the development of burnout. In an effort to support prevention and intervention strategies, this study explored the gap in research regarding moderating effects of coping styles on the relationship between personality traits and burnout levels in online doctoral psychology students, as this population is growing at a significant rate and possesses …

Exploring Yoga As A Holistic Lifestyle For Sustainable Human And Environmental Health, Julia A. Leischner

Walden Dissertations and Doctoral Studies

Improved health indicators, mental and physical health outcomes, and sustainable lifestyle practices have been found among yoga practitioners. The purpose of this study was to examine the impact of mixed styles of yoga practice on the health and behaviors of yoga practitioners. The relationship between yoga and body mass index (BMI), self-reported disease diagnosis, participation in other types of physical activity, adoption of healthy and sustainable lifestyle and dietary behaviors, perceived improvements in medical conditions that yoga was used to treat, quality of life resulting from yoga practice, and the reasons for beginning and continuing yoga were observed and tested …

Mortality Salience Effects On Gender Stereotype Attitudes And Sexism, And The Moderating Effect Of Gender Role Conflicts, Gary Evan Leka

Walden Dissertations and Doctoral Studies

Research on existential mortality fears has indicated that death reminders impact individuals at the cognitive and behavioral levels. One way people cope with this threat is through cherishing cultural values that provide life with meaning. However, little research has explored how death reminders impact cultural standards regarding gender. These cultural values often manifest through various means by male and female groups. Guided by terror management theory, which posits that people address threats to their existence by engaging in culturally-sanctioned behaviors to enhance their self-esteem, the purpose of this study was to examine the effect of mortality salience (MS) on male …

Transformational Leadership And Safe Driving Performance In The U.S. Electric Utility Industry, Mackington Joseph

Walden Dissertations and Doctoral Studies

Transformational leadership (TL) has been found popular in many industries in the United States and abroad for the perceived transformational leaders' effectiveness in improving occupational safety. There is a lack of empirical evidence to confirm these claims for safe occupational driving. This phenomenological study attempted to fill this knowledge gap in the electric utility industry where employees must drive in all weather conditions to restore power to customers. The conceptual framework for the study was based on leadership and motivation theories of Burns and Maslow. The research questions explored the influence of (a) TL on safe driving performance improvement in …

A Grounded Theory Study Of Navigating The Cycle Of Decline In Public School Teaching, Jenny Sanders

Walden Dissertations and Doctoral Studies

Excessive teacher turnover has considerable financial, logistical, and academic implications for public education. The purpose of this study was to develop a grounded theory (GT) that conceptualized the experiences of former Georgia public school teachers in order to better understand voluntary teacher attrition. Informed by Ryan and Deci's self-determination theory, this GT study provided insight into the process by which teachers arrive at the decision to leave public schools. Interviews with 12 former Georgia public school teachers were conducted. A constant comparative analysis was used to develop the theory of navigating the cycle of decline, which accounts for the general …

Correctional Nurses' Knowledge And Perceptions Of Methicillin-Resistant Staphylococcus Aureus, Deborah Winbush

Walden Dissertations and Doctoral Studies

Since 1999, Methicillin-resistant Staphylococcus aureus (MRSA) outbreaks have occurred in many correctional facilities. Even after the Federal Bureau of Prisons developed clinical practice guidelines on the management of MRSA within correctional facilities, the prevalence of MRSA decreased only insignificantly. Other researchers suggested infection control compliance was equally as important as developing clinical practice guidelines in reducing the incidence of MRSA. Several studies identified the healthcare professionals' nonadherence and inconsistencies to clinical practice guidelines as contributors to MRSA transmission. Accordingly, this project was designed to develop evidence-based recommendations for improving nurse professionals' adherence to MRSA practice guidelines in correctional settings. Using …

Shared Trauma And Resiliency Among Military Mental Health Veterans: A Heuristic Inquiry, Tashina Miller

Walden Dissertations and Doctoral Studies

With the wars in Iraq and Afghanistan lasting over a decade, hundreds of military mental health providers have deployed to hostile environments and some on multiple occasions. Military mental healthcare providers can experience symptoms of acute and chronic stress resulting from exposures to horrific events while caring for soldiers in a deployed environment. Indeed, in treating these soldiers, clinicians may continue to experience the same traumatic events as their clients. The purpose of this phenomenological study was to understand and describe shared trauma and resilience for military mental health professionals who have deployed. The concept of shared trauma was defined …

Why Some Women Eat Too Much: A Qualitative Study Of Food-Dependent Women, Gigi Van Ostrand

Walden Dissertations and Doctoral Studies

Obesity has become a worldwide epidemic and limiting one's food intake, or dieting, is usually unsuccessful. The purpose of the study was to explore the effect of food addiction (FA) on the current clinical and behavioral epidemic of obesity. FA, synonymous with food-dependency, is tentatively defined as an eating disorder based on substance dependence, as defined by the Diagnostic and Statistical Manual of Mental Disorders. Measurement of FA has been operationalized by the Yale Food Addiction Scale (YFAS) by applying the diagnostic criteria of substance dependence to eating behaviors. This study was based on the biological theory of chemical addiction …

Mri As An Adjunct To Conventional Mammography Screening For Cancer In Dense Breast Tissue, Rachel Sunmattie Connett

Walden Dissertations and Doctoral Studies

Diagnostic methods to effectively image dense breast tissue (DBT) can pose challenges for breast cancer screening. While conventional mammography is the gold standard for breast cancer screening, this technique has a low sensitivity to DBT and can miss about 78% of cancers in DBT, but magnetic resonance imaging (MRI) has a high sensitivity for imaging DBT, and produces a smaller number of false positives. The purpose of this study was to determine the extent to which conventional mammograms can miss breast cancer in women with DBT and to determine if an adjunct method of imaging DBT might detect breast cancers …

Moderating Effect Of Psychological Hardiness On The Relationship Between Occupational Stress And Self-Efficacy Among Georgia School Psychologists, Jennifer B. Crosson

Walden Dissertations and Doctoral Studies

School psychologists have unique advisory, consultative, interventional, and therapeutic leadership functions within schools. Consequently, they are confronted with increased levels of occupational stress, which test their cognitive appraisal, coping mechanisms, and feelings of self-efficacy. Although studies have included school psychologists, none have examined the moderating effect of psychological hardiness on the relationship between occupational stress and self-efficacy. A cross-sectional, nonexperimental, and quantitative design used convenience, single-stage, and self-administered web-based surveys with 112 Georgia school psychologists. Using a framework structured by the theory of psychological hardiness, self-efficacy theory, and transactional model of stress and coping, sequential multiple linear regression revealed that …

Analysis Of An Early Intervention Reading Program For First Grade Students, Elizabeth Nicole Matthews

Walden Dissertations and Doctoral Studies

Poor early literacy performance in public elementary schools has been a concern for many years. To that end, the purpose of this study was to examine an Early Intervention Program (EIP) in a public school. First grade students at the participating elementary school struggled with reading skills and were not meeting the grade standards of the local school district. In order to remedy this problem, the school implemented early support to provide struggling students with specific and targeted small group reading instruction. This quantitative program evaluation was intended to explore the effect of the EIP used at the participating elementary …

The Association Of Maternal Health Literacy Levels And Preterm Birth, Aimee Moynihan

Walden Dissertations and Doctoral Studies

According to the CDC, each year approximately 0.06 % of the world's population dies in infancy. The March of Dimes indicated that the leading causes of infant mortality include birth defects, preterm birth, low birth weight, sudden infant death syndrome, maternal complications of pregnancy, and respiratory distress syndrome, most of which are considered preventable with access to adequate prenatal care by mothers. The goal of this study was to examine the association between maternal health literacy levels and preterm birth. This research was based on the theoretical framework of the Interaction Model of Client Health Behavior. The hypothesis for this …

Predictors Of Physician Use Of The New Nia Alzheimer's Assessment Protocols, Richard Norman Schultz

Walden Dissertations and Doctoral Studies

Consensus is lacking on early diagnostic criteria and the exact symptoms of Alzheimer's disease (AD). A new, in-office test may help physicians detect the early symptoms of AD, based upon new National Institute of Aging (NIA) criteria. However, a gap exists in knowledge regarding physicians' current use or intent to use the new protocols. Choreographing the descriptive AD terminology in the Diagnostic and Statistical Manual of Mental Disorders IV-TR and the International Classification of Diseases (ICD-10) is recommended. Thus, the purpose of this study was to understand possible contributing factors to physician's use or intent to use of the new …

Oral Care Practice Guidelines For The Care-Dependent Hospitalized Adult Outside Of The Intensive Care Unit Setting, Cynthia Susan Drapal

Walden Dissertations and Doctoral Studies

Many nurses lack evidence-based knowledge to deliver appropriate oral care, view oral care in the care-dependent patient as a comfort measure, and give it a low clinical priority. An estimated 44%-65% of hospitalized care-dependent patients do not receive adequate oral care, an intervention that can prevent aspiration pneumonia or pneumonitis. The purpose of this project was to develop a policy for use of an oral assessment tool and evidence-based guidelines for oral care in hospitalized care-dependent adults outside of the intensive care unit setting at a regional health system in the Southeast United States. The project used the theoretical foundations …

A Transition-To-Practice Residency That Supports The Nurse Practitioner In A Critical Access Hospital, Nancy Jean Stock

Walden Dissertations and Doctoral Studies

Access to health care in rural communities is challenged by workforce shortages. Nurse practitioners (NPs) have been filling the gap created by physician migration into specialty areas. Flex hospital legislation allows critical access hospitals (CAHs) to staff the emergency department with NPs or physician assistants without on-site physicians. NP education often lacks emergency and trauma curriculum, resulting in gaps in education and practice expectations and leading to significant role transition stress and turnover. The purpose of this project was to construct an evidence-based transition-to-practice residency program to support NPs providing emergency department care in the CAH. Theoretical frameworks used to …

Extended Instruction In Business Courses To Enhance Student Achievement In Math, Lessie Mcnabb Houseworth

Walden Dissertations and Doctoral Studies

Poor achievement on standardized math tests negatively impacts high school graduation rates. The purpose of this quantitative study was to investigate if math instruction in business classes could improve student achievement in math. As supported by constructivist theory, the students in this study were encouraged to use prior knowledge and experiences to make new connections between math concepts and business applications. The key research question examined if there was a significant increase in the standardized mathematics test scores of students enrolled in business classes with extended mathematics instruction compared to the standardized test scores of students not enrolled in business …

Technology As A Health Intervention And The Self-Efficacy Of Men, Karen Denise Maxwell

Walden Dissertations and Doctoral Studies

Mortality rates in the United States are higher for men than they are for women as a result of chronic diseases such as heart disease, cancer, and diabetes. Despite these disproportionate rates, few health interventions are targeted to men, and limited knowledge exists regarding the specific components needed to design technology health tools to appeal to men. The purpose of this quantitative study was to examine the relationship between the use of technology health tools and the role of self-efficacy in men and the influence on participation in healthy lifestyle behaviors. A quasi-experimental design was used to analyze data collected …

The Design And Implementation Of A Relationship-Based Care Delivery Model On A Medical- Surgical Unit, Paula Ann Rodney

Walden Dissertations and Doctoral Studies

The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit

by

Paula A. Rodney

MSN, California University of Pennsylvania, 2011

BSN, University of Virginia, 1979

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

April 2015

Patient satisfaction and clinical outcomes have become important issues in healthcare since the introduction of the Value Based Purchasing Program. Patient satisfaction, as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, was declining and hospital-acquired pressure ulcers (HAPU), falls, and catheter-associated urinary tract infections (CAUTI) were …