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A Case Study Of Blue-Collar Worker Retirement Investment Decisions, Mark Eldridge Griffin

Walden Dissertations and Doctoral Studies

The finances of blue-collar workers were the most acutely impacted as these workers lost their jobs during the Great Recession of 2007 through 2009. The literature revealed a minimal understanding of how blue-collar workers allocated funds for their retirement, and what their investments might be when they invested. To address this problem, the current qualitative study addressed (a) how blue-collar workers chose to invest or not invest for retirement and (b) how blue-collar workers diversified their portfolio if they chose to invest. Theoretical foundations of the study were based on regret theory and prospect theory. A nonrandom purposeful sample of …

Incorporating Ada Best Practice Guidelines In Electronic Medical Records To Improve Glycemic Management In Hospitals, Jennifer Claudette Benjamin

Walden Dissertations and Doctoral Studies

Aggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the electronic medical record (EMR) of hospitalized diabetics. Kotter's organizational change process guided the project. The project question investigated whether nurses' use of ADA Best Practice Guidelines incorporated into the …

Elementary (K-5) Teachers' Perceptions Of Differentiated Instruction, Christopher Maddox

Walden Dissertations and Doctoral Studies

Differentiated instruction is a pedagogical method used by classroom teachers to enhance student learning. Researchers have described how students benefit from differentiated lessons, but have not explored the relationship between teachers' perceptions of differentiation and student success. This gap is problematic because teachers' instruction directly affects student achievement. The purpose of this hermeneutic phenomenological study was to explore how elementary (K-5) teachers define, familiarize, use, and perceive differentiation. The conceptual framework was rooted from a synthesis of ideas found in current refereed literature, and the educational concepts and constructionist theories of Piaget and Vygotsky. Purposeful sampling identified 12 participants for …

The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata

Walden Dissertations and Doctoral Studies

By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address …

Communication Skills Of Novice Psychiatric Nurses With Aggressive Psychiatric Patients, Rose Moss

Walden Dissertations and Doctoral Studies

Communication Skills of Novice Psychiatric Nurses with Aggressive Psychiatric Patients

by

Rose L. Moss

MS, University of Hartford, 1996

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

March 2015

The transition from novice nurse to a competent psychiatric staff nurse is often associated with major communication challenges, primarily when caring for aggressive patients. Guided by Peplau's theory, this quantitative study assessed the communication skills of novice psychiatric nurses (N = 25) who worked 24 months or less in the state psychiatric hospital with aggressive psychiatric patients. Additionally, certain demographic data …

Meaningful Use Of Electronic Medical Recording To Improve Diabetic Treatment Compliance Of American Diabetic Association Treatment Standards, Tamara Ann Parrish

Walden Dissertations and Doctoral Studies

Diabetes affects approximately 10% of the American population with an annual expenditure of approximately $174 billion dollars. The utilization of electronic medical records (EMR) combined with the meaningful use (MU) initiative may ensure that diabetic patients receive the recommended preventative care. Dorthea Orem's self-care deficit theory and the transtheoretical model of behavior change was utilized to design this quality improvement project. Medical professionals at a small private practice received education on American Diabetic Association (ADA) treatment standards and how to use the EMR system to track patients receiving the recommended diabetes care. The project question examined the effectiveness of provider …

Taking A Transformative Leadership Approach To Stakeholder Trust, Christopher Roszak

Walden Dissertations and Doctoral Studies

Business leaders struggle with the application of appropriate leadership models to retain stakeholder trust. The purpose of this phenomenological study was to explore the lived experiences of mortgage and investment leaders and stakeholders on applying various leadership models to restore stakeholder trust. Stakeholder and stewardship theories formed the conceptual framework of this study. A purposive sample of 20 stakeholders from the investments and mortgage industry in central Colorado participated in semistructured interviews. The research questions were on a leader's application of various leadership traits to restore stakeholder trust. Six themes emerged following coding and reduction using a modified van Kaam …

A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth

Walden Dissertations and Doctoral Studies

Since 2001, increased policy attention and federal funding mechanisms have required more effective disaster response by government actors and private sector organizations, including the health care system. However, there is limited scholarly evidence documenting which structural elements have been associated with efficacious regional coalitions. This study addressed the gap by examining whether the number of different participating disciplines (a proxy for coalition roles), community setting, and prior weather-related disaster declaration influenced the number of activities (a proxy for coalition responsibilities) conducted by the health care coalition. Social network theory was the theoretical lens with which the study results were used …

Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks

Walden Dissertations and Doctoral Studies

Recent studies have shown significant improvements in the attachment security of adult therapy clients during therapy, supporting Bowlby's theory that such improvement can be influenced by secure-base caregiving provided by mentors such as therapists. However, because these studies did not measure the secure-base variable, its relationship to client attachment development remains unknown. The present study is the first to evaluate that relationship by measuring clients' pre and posttherapy attachment security using the Relationship Scales Questionnaire and therapists' secure-base caregiving using the Client Attachment to Therapist and Working Alliance Inventory, Short Form. Of 21 initially insecure client participants, 17 experienced high …

The Impact Of A Multifaceted Intervention On Student Math And Ela Achievement, Olivean Strachan

Walden Dissertations and Doctoral Studies

Closing the achievement gaps in mathematics and English language arts (ELA) is an ongoing challenge for most New York City Public school administrators. One New York school experiencing this problem implemented a broad intervention including (a) the Children First Intensive (CFI) program, which includes using data to inform instructional and organizational decision-making; (b) added baseline and post assessments; and (c) differentiated instruction including student conferences. The effects of the intervention had not been evaluated within the context of implementation. The purpose of this quantitative study was to evaluate the impact of the multifaceted learning gaps' intervention on 6th grade student …

Glioblastoma Multiforme: Geographic Variations In Tumor Size, Treatment Options, And Survival Rate, Susan Rebecca Nohelty

Walden Dissertations and Doctoral Studies

Glioblastoma multiforme (GBM) is a destructive brain cancer that results in death 12 to 15 months after diagnosis. The purpose of this retrospective study was to determine if variations in tumor size at diagnosis, treatment options, and survival rate occur in GBM patients living in urban and rural areas of the United States. Using the behavior model of health services as the theoretical framework, this study used secondary data sets of GBM cases reported from 1988 to 2011 from the Surveillance, Epidemiology, and End Results program. Tumor size was measured in millimeters; treatment was evaluated by ascertaining the number of …

Cortisol Levels And Voltage Conditions Of College Students, Adriana Steffens

Walden Dissertations and Doctoral Studies

There is a limited research base on low voltage brain conditions, which are characterized by electrical activity being measured at below 20 microvolts. The purpose of this study was to examine the relationship between saliva cortisol levels and voltage using an EGG in a college student population. Illuminating this relationship is important to inform how low voltage conditions can affect daily memory and cognitive functioning of undergraduate college students that may be a result of stress. The college student population may be vulnerable to the low voltage condition because of stress from the transition between teenage and adult life and …

Exploring Knowledge Management Practices In Service-Based Small Business Enterprises, Orlando Skelton

Walden Dissertations and Doctoral Studies

Small business enterprises (SBEs) are significant contributors to business growth and employment in the United States, but despite governmental support, the failure rate of SBEs is high. Some small business leaders lack the critical management skills to detect or discover when underperformance in revenue-generation is due to gaps in organizational knowledge or business practices associated with managing knowledge assets. Guided by the knowledge-based view of the firm, the purpose of this multiple case study was to address that gap by exploring the skills needed by leaders to understand how deficiencies in their knowledge management practices contribute to underperformance. Semistructured interview …

Perceived Factors Contributing To Coronary Heart Disease In African American Women, Funmilola O. Sholanke

Walden Dissertations and Doctoral Studies

African American women (AAW) suffer from disproportionately high death rates due to coronary heart disease (CHD) compared to Caucasian women. Although there have been a number of studies targeting African American adults with CHD in clinical interventions, very few studies have addressed the social determinants of health and the influence of AAW's perceptions of health factors on health outcomes. The purpose of this phenomenological study was to fill the gap in the existing knowledge base by examining the lived experiences of 10 AAW diagnosed with CHD with a focus on the perceptions of environmental, socioeconomic, and cultural factors related to …

Assessing Student Leadership Competencies And Adequacy Of Preparation In Seminary Training, Valerie Miles-Tribble

Walden Dissertations and Doctoral Studies

As more seminary student-practitioners seek non-pastoral leadership roles in faith-based

and secular organizations, the complexities of the roles demand leadership competencies beyond traditional religious study. Limited research assessing leadership competencies in seminary contexts raises uncertainty about whether leadership preparation needs are addressed adequately in seminary. This quantitative study focused on whether or not student self-assessed adequacy of preparation is related to, affected by, or influenced by self-assessed leadership competencies, individually or in the aggregate. The theoretical foundation joined Evers, Rush, and Berdrow's learner-centered theory that urges student input on competency development needs and Boyatzis's leadership competency theory that frames a …

School Leaders' Perceptions Of Students' Antisocial Behaviors, Faye Britt

Walden Dissertations and Doctoral Studies

There was a problem regarding students' antisocial behavior in a small rural school district in Washington State. Public data within the district indicated increasing incidents of students' antisocial behaviors. However, perceptions of school leaders regarding this problem were not known. As a result, there was a need to gain an understanding about school leaders' perceptions of students' antisocial behaviors in order to suggest potential solutions to reduce students' antisocial behaviors, as these perceptions are closely associated with their intent to address the problem. Bandura's theory of self-regulation provided the conceptual framework for collecting and analyzing data. Using an instrumental case …

Perceptions Of Role Conflict And Workplace Stress Among Women Working In Two Traditionally Male Professions, Timothy Herley

Walden Dissertations and Doctoral Studies

Role conflict and workplace stress can result in psychological and physical disorders. Research has indicated that societal forces are ingrained concerning how gendered behaviors are manifested in the workplace. However, research has not included women working in male-dominated professions, nor has research examined how stress and role conflict might differ for women in these professions. Understanding the different experiences of women in two distinct professions might illuminate the diversity of experiences in these understudied environments. This quantitative study, based on role-congruity and transactional stress theories, examined and compared women's perceptions of role conflict and stress in 2 male-dominated professions. A …

Interpersonal Safety Of Active Duty Women In The Deployed Environment Of Bagram Afghanistan, Cynthia Tara Ferguson

Walden Dissertations and Doctoral Studies

In the United States Armed Forces, 30% of women in the military suffer physical assault each year; in 2009, there were 22 reported cases of sexual assault in the U.S. Central Command. Aggravated assault, gang violence, sexual assault, homicide, and suicide can damage the morale of military personnel at a deployed site and collectively cost millions of dollars over time. Interpersonal violence in the United States military is destructive to the military system and directly diminishes mission readiness. This study was designed to illuminate the environmental, cultural, and political influences that affect interpersonal safety among military women in the deployed …

The Creation Of A Pacemaker Clinic At A Federally-Funded Patient-Centered Medical Home: A Quality Improvement Project, Tony Anno

Walden Dissertations and Doctoral Studies

It is common for clinicians to implant medical devices, such as permanent pacemakers and implantable defibrillators, for cardiac diseases. These medical devices require follow-up care at regular intervals to ensure proper device function and optimal outcomes. Currently, many individuals without insurance or financial resources lack access to recommended follow-up care after implantation of a cardiac device. The purpose of this project was to determine the number of individuals who have had a medical device implanted without insurance coverage over a 3-year period, and then to establish a clinic that provides this service. The standard of care and operating procedure for …

Educators' Perspectives On Secondary Education Alternative Placement, Student Recidivism, And Treatment Models, John Anthony Anzalone

Walden Dissertations and Doctoral Studies

The recidivism rate for disciplinary offenses has increased during the last 8 years in the secondary student population of a sizeable, urban school district in the southwest United States. Recidivism for this district is the act of committing a second disciplinary offense during a single calendar year following completion of a behavior program. Guided by Erikson's theory of social development, this case study was designed to collect a purposeful sample of 21 educators' perceptions of the impact of recidivism on students' education and the effectiveness of treatment models to reduce recidivism. Data were collected from qualitative semi-structured interviews and field …

Predictors Of Recidivism For Offenders With Mental Illness And Substance Use Disorders, Linda Buckmon

Walden Dissertations and Doctoral Studies

Mental illness and substance use disorders have been determined to be leading predictors for recidivism among criminal offenders in the United States who are released to community supervision. Women make up an increasing in percentage of this criminal justice population; however, few studies have explored the role that gender plays in determining men and women's recidivism. Offender's education, employment, and peer association have also been reported to be predictors increasing the likelihood of recidivism among criminal offenders. This study was designed to determine if gender, mental illness, substance use disorder, employment, education, and peer association predicted recidivism. Differential association theory …

Police Perceptions And Decision Making Related To Domestic Minors Trafficked Through Prostitution, Donna Sue Belin

Walden Dissertations and Doctoral Studies

In spite of a paradigm shift redefining domestic minors trafficked through prostitution as victims instead of criminal offenders, many police officers experience uncertainty in the way they evaluate the nature of domestic minor sex trafficking (DMST) and assess the culpability status of prostituted minors. This problem often results in revictimizing children and hindering their ability to access needed services. The purpose of this multiple case study was to explore police officers' perceptions of minors engaged in prostitution and derive an understanding of the experiences, beliefs, and values that underlie these perceptions. The study also focused on how these factors influence …

Factors Contributing To Loss Of Nursing Intellectual Capital, Vera Ligia Grover

Walden Dissertations and Doctoral Studies

In a Level II trauma center, experienced nurses are retiring from nursing positions, which is causing an unstable workforce. According to the literature, there are not enough experienced nurses to mentor the new nurses. Evidence suggests that experienced nurses are associated with improved patient outcomes and that experienced nurse mentors can improve the work environment for less experienced nurses. Focusing on Watson's theoretical framework of caring and Covell's theoretical framework of intellectual capital, this phenomenological study explored the lived experiences of a small group of nurses. Five nurses with 15 years of experience and who had served as mentors were …

Development Of An Evidence-Based Nursing Orientation Program For A Community Health System, Janet Brooke Cuddy

Walden Dissertations and Doctoral Studies

Through discussion with the community health system's administration, it was identified that their current nursing orientation program was not well structured or comprehensive. The nursing staff also reported dissatisfaction with the current program. Therefore, a Doctor of Nursing Practice project commenced to develop an evidence-based nursing orientation program for Registered Nurses (RN) and Licensed Practical Nurses (LPN) at a community health system in Virginia. The Competency Outcomes Performance Assessment model guided development of the project through a comprehensive literature review to identify evidence-based data for competencies, learning strategies, and performance evaluations. This review highlighted the importance and benefits of nursing …

Infidelity, Trust, Commitment, And Marital Satisfaction Among Military Wives During Husbands' Deployment, Myriam Levesque Mccray

Walden Dissertations and Doctoral Studies

Over 1.5 million U.S. soldiers have deployed oversees since the beginning of the War on Terror in 2001; consequently, spouses are faced with new physical, emotional, and psychological challenges. Many researchers have documented the effects of deployment on marriages and families. However, few researchers have explored the correlates of trust, marital commitment, and marital satisfaction for wives during deployment. This quantitative study, grounded in risk and resilience theory and interdependence theory, used a web-based survey to investigate the relationship between perceived likelihood of spousal infidelity, trust, marital commitment, and marital satisfaction in a sample of 127 military wives whose husbands …

Project Duration, Budget, Individual Role, And Burnout Among Construction Managers, Matthew M. Motil

Walden Dissertations and Doctoral Studies

Professionals who experience burnout are less productive and lead to decreases in both profitability and human resource (HR) capital. The purpose of this correlational study was to examine the relationship between construction project duration; project budget; an individual's role on a project; and Maslach's three dimensions of burnout, (a) professional efficacy, (b) emotional exhaustion, and (c) cynicism, for the target population of construction management team members working within the Midwestern United States. Using data from an online survey, a multiple linear regression analysis was used, along with a separate multiple linear regression model, to quantify the relationship of each dimension …

Inventory Optimization In Manufacturing Organizations, Scott William Lemke

Walden Dissertations and Doctoral Studies

Inventories totaling 1.7 trillion U.S. dollars represent an opportunity for U.S. manufacturers. This exploratory case study researched supply chain strategies used to manage inventory in manufacturing operations of a U.S. manufacturing company. A mature value chain contained within a single organization using the value chain framework was the basis for this study. Individual interviews conducted with 16 managers responsible for defining and implementing inventory control strategies, and 4 internal users provided primary information for the study. Other sources of information included a value chain map created through the observation of operations, various inventory measurements, and policies and guidelines related to …

School Administrator And Staff Member Perceptions Of A Teenage Pregnancy Prevention Program, Sharon Lacretia Mcconnell-Smith

Walden Dissertations and Doctoral Studies

Mississippi is among the states with the highest teenage pregnancy rates, and the study site is among the high schools with the highest teenage pregnancy rates in the state. The purpose of this qualitative case study was to identify successful practices and areas for improvement in the implementation of a teenage pregnancy prevention program (TPPP) at the study site based on the perspectives of school administrators and staff members. Bandura's social cognitive theory provided a conceptual framework for considering behaviors and the social contexts in which they occur. Twelve participants were interviewed, including 3 administrators and 9 staff members. Data …

Perceived Self-Efficacy Of Secondary General Education Teachers In The Inclusion Classroom, Pamela Sime-Cummins

Walden Dissertations and Doctoral Studies

Teacher self-efficacy (TSE) has been linked to the academic success of students. This association has been found in contexts where teachers have received training relevant to working with the student population being served. In the suburban Pennsylvania school district targeted in this study, there was little district-sponsored professional development (PD) available to general education teachers regarding strategies for teaching students with disabilities in the inclusion setting. The purpose of this quasi-experimental study was to determine whether a difference exists in perceived TSE when instructing in the inclusion setting compared with the traditional setting, and whether an association exists linking prior …

Nurses Knowledge, Skills, And Attitude Toward Electronic Health Records (Ehr), Sharon L. Adams

Walden Dissertations and Doctoral Studies

Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve …