Digital Commons Network^™

Exploring Incivility Toward Employee Absenteeism, Productivity, And Effective Communication: Veterans Health Administration, Sharron Miller

Walden Dissertations and Doctoral Studies

Uncivil behavior in the workplace can cause absenteeism or low job performance among employees, yet little academic literature addresses this relationship, particularly in the public sector. The purpose of this phenomenological study was to use the transactional analysis of communication (TAC) model to explore the ramifications of incivility in the Veterans Health Administration (VHA). The central research questions focused on employee perceptions of incivility and effective communication within the VHA. Twelve VHA employees were recruited for participation through a snowball sampling technique. Data were collected through in-depth interviews with the participants along with some VHA archived video training. Data were …

A Comparison Of Dominant Intellectual Strengths And Learning Styles In College Freshmen, Jessica Mioduszewski

Walden Dissertations and Doctoral Studies

Remediation has become a compensatory way for an increasing number of students to attend college. The problem addressed in this study was whether student intellectual strengths and learning style preferences were, in part, related to placement or enrollment in remediation courses. The purpose of this quantitative study was to assess whether a particular learning style or dominant intellectual strength was characteristic of freshmen enrolled in remediation courses compared to freshmen not enrolled in remediation courses. This study filled a gap in the literature as no studies have analyzed the combination of learning style preferences with dominant intellectual strengths in an …

Association Of Bisphenol A And C-Reactive Protein Concentrations With Cardiovascular Diseases, Hassan Salim Naji

Walden Dissertations and Doctoral Studies

Bisphenol A (BPA), a widely used chemical in plastic, has drawn wide attention due to its presence in many consumer products and the environment. The purpose of this study was to examine the association between urinary BPA and the reporting of cardiovascular diseases (CVD), and then to examine the effect of C-reactive protein (CRP) as a moderating variable. The data used in this research were extracted from the National Health and Nutrition Examination Survey collected in 2009-2010. Guided by the advanced epidemiological triangle, analysis involved 2 stepwise binary logistic regressions. The first step suggested that the controls were significant in …

School Bullying And Teacher Professional Development, Demita Sidonia Parson

Walden Dissertations and Doctoral Studies

Bullying has become a serious concern in many American public middle schools in recent years. Inadequate professional development (PD) in bullying prevention and response strategies has compounded this problem. The overarching purpose of this study was to increase understanding of the growing problem of school bullying. Bronfenbrenner's socioecological theory, which states that environment and relationships influence student behavior, served as the conceptual framework for this qualitative study. Guiding research questions, grounded in socioecological theory, were used to examine middle school teachers' views of PD and their perceived skills in responding to or preventing bullying. Through purposeful sampling, 8 middle school …

Interdisciplinary Bedside Rounding: Patient Satisfaction With Nursing Communication And Decreased Hospital Readmissions, Luanne Parks

Walden Dissertations and Doctoral Studies

There is a lack of quality communication among health care professionals and patients in the hospital setting, which can negatively impact patient satisfaction and increase hospital readmission rates. Interdisciplinary bedside rounding (IBR) is a method of rounding that uses direct communication and discussion of the patient at the bedside, and the use of IRB may improve the quality communication among health care professionals and patients. The purpose of this program outcomes evaluation project was to evaluate whether IBR increased patient satisfaction with nursing communication and if IBR decreased hospital readmission rates. The Iowa model of evidence-based practice provided a framework …

Can Nurse-Facilitated Support Groups Foster Self-Awareness?, Althea Lenore Phillips

Walden Dissertations and Doctoral Studies

Students with learning disabilities (LDs) represent 9% of students attending college, and college administrators must comply with a large number of federal requirements outlining the provision of educational services for students with LDs, including offering support groups. Nurse-facilitated support groups, held within the university setting, could provide effective social support, increasing likelihood of college success among students with LDs. The purpose of this project was to develop a plan for implementing nurse-facilitated support groups for students with LDs within the student health services (SHS) department at a university designed to improve their coping skills on personal, social, and academic levels. …

Academic Achievement Of Esl Learners At A Teaching Hospital Training Programs, Abdul Fattah Rachdan

Walden Dissertations and Doctoral Studies

Many students in an allied health program at a Middle Eastern Arab university were experiencing difficulties with courses taught in English, resulting in poor academic achievement, low grade point averages, a high failure rate amongst its first year students, and an adverse impact upon a future skilled and educated work force for the region. Tinto's theory of institutional action for students' success served as the conceptual framework for the inquiry that used a qualitative explanatory case study method to examine the experiences of those students who were facing difficulties with their studies. To address questions about why students were failing …

Cultural Competence In Certified Registered Nurse Anesthetists, Martina Renee Steed

Walden Dissertations and Doctoral Studies

For several decades, the field of nursing has focused on the integration of cultural competence content into its prelicensure educational programs. Despite this focus, little is known about the cultural competence of nurses extending their education past initial licensure into an advanced practice nursing specialty, such as nurse anesthesia. Researchers in other fields have found that provider race and previous cultural competence training are associated with higher levels of cultural competence. This research, guided by the culture care diversity and universality theory, sought to determine the relationship between the two subscales, Cultural Awareness and Sensitivity (CAS) and the Cultural Competence …

Nursing Faculty Perceptions Of And Responses To Student Incivility, Lori Linn Theodore

Walden Dissertations and Doctoral Studies

Student incivility has become a problem in nursing schools around the country. Researchers have noted that uncivil behavior that goes unaddressed may compromise the educational environment. Nursing faculty have differing standards about uncivil behavior; thus, students experience inconsistencies in approaches to incivility. The purpose of this mixed-methods explanatory study was to explore nursing faculty experiences with, understandings of, and responses to student incivility. The conceptual framework was Clark's continuum of incivility and the conceptual model for fostering civility in nursing education. Descriptive analysis of the level and frequency of uncivil behaviors of nursing faculty members (17 full-time and 15 part-time), …

Effect Of Social Support And Hiv-Related Stigma On Depression In Hiv/Aids Patients, Chinedu Anthony Umeadi

Walden Dissertations and Doctoral Studies

HIV has remained a public health problem in Nigeria. The purpose of this cross-sectional study was to examine the effect of social support and HIV-related stigma on depression in people living with HIV/AIDS (PLWHA) and to examine the moderating effect of sociodemographic factors, Quality of Life (QOL), and time since HIV diagnosis on this relationship. This study was based on the social cognitive theory. Data were collected from 98 PLWHA attending the antiretroviral clinic of Federal Medical Center, Umuahia, Nigeria. Regression analyses were used to examine the relationships between the variables. Some 24.5% of the study participants were depressed. Significant …

The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent

Walden Dissertations and Doctoral Studies

Breastfeeding self-efficacy is considered one of the key components of a successful breastfeeding experience. The benefits of breastfeeding are well established in the literature and have been widely communicated to the public, resulting in an increasing trend of breastfeeding initiation. However, the United States still falls short of Healthy People 2020 breastfeeding goals. The purpose of this project was to examine the effects of a standardized hospital-based prenatal breastfeeding class on breastfeeding self-efficacy. Dennis's breastfeeding self-efficacy theory was the foundation for the breastfeeding self-efficacy tool used in this project. A quasi-experimental design used a convenience sample of 30 breastfeeding class …

Reasons For Living And Self-Reported Suicidal Behavior Among A Sample Of U.S. Army Personnel, Deborah Elaine Willis

Walden Dissertations and Doctoral Studies

Suicidal Behavior in the U.S. Army is a problem that persists despite significant efforts to promote help-seeking behaviors and the investment of millions of dollars to develop resilience-building interventions. Evidence-based literature supports the use of reasons for living as a protective factor against suicidal behavior in clinical and nonclinical samples, yet it has rarely been studied in an active duty (AD) Army population. This study examined the relationship between self-reported reasons for living and self-reported suicidal behavior, to determine if high levels of reasons for living correlated with low risk of suicidal behavior, over and above demographics, depression, stressful life …

Strategies To Decrease Health-Related Employee Absenteeism, Devin Warnsley

Walden Dissertations and Doctoral Studies

Health-related absenteeism could significantly affect organizational productivity because of the additional resources needed to compensate for the missing worker's absence. Work productivity is critical for business sustainability as companies continue to create a lean workforce and decrease operating cost. The purpose of this single case study was to explore strategies that organizational leaders at a university in the southeastern United States used to successfully decrease occurrences of health-related employee absenteeism. The conceptual framework for this study was the theory of planned behavior. A purposive sample of 10 management, 5 faculty, and 5 staff members participated in structured interviews. Secondary data …

The Severity Of Obstructive Sleep Apnea And Hypertension Among Middle Aged Asians, Michel Juson Benin

Walden Dissertations and Doctoral Studies

This study examined the prevalence rate of obstructive sleep apnea (OSA) as an independent variable in association with hypertension as an outcome. Studies conducted outside of the United States suggest that differences in craniofacial features among middle-aged Asians increase the prevalence of OSA in comparison to Caucasians with similar age and lower BMI. No similar study had been conducted in the United States. The sufficient component cause theory guided this study and was able to describe the association between OSA and hypertension among middle-aged Asians. The objective of this cross sectional retrospective study was to determine the prevalence rate of …

Strategies Utility Managers Used To Implement Renewable Energy Technologies In The Caribbean, Nneka Cori-Anne Archer

Walden Dissertations and Doctoral Studies

Government officials in the Caribbean are encouraging the production of electricity from renewable energy sources to reduce the impact of high electricity rates to customers due to region's dependency on imported fossil fuel. The purpose of this single-case study was to explore the strategies electric utility managers in the Caribbean used to implement renewable energy technologies. The diffusion of innovation theory served as the conceptual framework for the study. Three managers of an electric utility in the Caribbean, who had created strategies to implement renewable energy technologies, participated in face-to-face semistructured interviews. These managers provided in-depth information on approaches used …

Strategies To Improve The Financial Performance Of State-Owned Enterprises In Ghana, Solomon Bonney

Walden Dissertations and Doctoral Studies

Abstract

The deteriorating financial performance of state-owned enterprises (SOEs) has been an increasing concern for the government of Ghana. The contributions of SOEs to the gross domestic product (GDP) of the Ghanaian economy have declined, leading to the loss of job opportunities because of the unprofitability and rising debt levels. SOE managers need to adopt strategies to improve the financial performance of their organizations so they can contribute to the GDP and generate employment opportunities. Government, SOE management, and employees will benefit from profitable and sustainable SOEs that have the ability to contribute to the national development agenda. The purpose …

Chlamydia Trachomatis And Neisseria Gonorrhoeae: Impact Of Health Literacy On Prevalence, Patricia Alice Abshier

Walden Dissertations and Doctoral Studies

Millions of dollars are spent each year on preventing sexually transmitted diseases (STDs), yet the rates of chlamydia trachomatis (chlamydia) and neisseria gonorrhoeae (gonorrhea) infection continue to be high. Health literacy and its impact have been recognized in diabetes maintenance, control of hypertension, medical adherence, and reproductive health outcomes, yet no research has been conducted regarding the relationship between health literacy and chlamydia and gonorrhea prevalence. This study examined the relationship between health literacy scores and chlamydia and gonorrhea prevalence health literacy scores and reproductive health/STD knowledge, and reproductive health/STD knowledge and chlamydia and gonorrhea prevalence. Participants included 114 women …

A Phenomenological Study Of African American Males Who Drop Out, Adrianna Starr Davis

Walden Dissertations and Doctoral Studies

Although school districts in Florida have reported a decrease in the overall dropout rate, the dropout rate among African American males remains higher than it does for any other ethnic group. Guided by Ogbu's oppositional culture theory, the purpose of this phenomenological study was to investigate the high dropout rate among African American males and determine some of the social, cultural, educational, and economic elements that may hinder African American males from completing high school. A purposive sample of 10 African American males who dropped out of high school and who were between the ages of 18 and 35 was …

Determining Sustainable Strategies For Directors Of Microfinance Banks In Nigeria, Josephine Aruoriwo Diete-Spiff

Walden Dissertations and Doctoral Studies

The Nigerian microfinance banks often close their offices abruptly, leading to the loss of shareholders' funds. The purpose of this phenomenological study was to explore strategies microfinance bank directors use to maintain business sustainability. The concepts of microfinance banking, sustainability value, and strategic management theory formed the conceptual framework for this study. Twenty managing directors from microfinance banks in the Anambra state of Nigeria participated in semistructured interviews. The data analysis process involved the use of Moussakas' modified van Kaam process, which resulted in the emergence of 3 themes: strategic management, fear of microlending, and maintaining sustainability. The emergent themes …

Screening For Peripheral Artery Disease, Cheryl Gordon

Walden Dissertations and Doctoral Studies

Peripheral artery disease (PAD) affects 8 to 10 million Americans, and the incidence of PAD is expected to increase as the population ages. A high percentage of the PAD is undiagnosed prior to the onset of a serious cardiovascular event; therefore, the inability to screen and diagnose for PAD in the early stages could hinder efforts to decrease adverse consequences of cardiovascular disease. Individuals with PAD have a 3 to 5 times increased risk of cardiovascular disease (CVD) mortality when compared to people without PAD. Guided by the Stetler model, the purpose of this project was to evaluate the relationship …

Implications Of Maternal Perpetrated Interparent Violence For The Behavior Of Female Adolescents: A Phenomenological Study, Georgette Merlena Percy Hinds

Walden Dissertations and Doctoral Studies

Interparent violence (IPV) is a global family issue. Witnessing IPV confuses children and adolescents about the parental relationship. Adolescent females often perceived fathers as strong and depend on them for safety, security, and support. It is unclear how witnessing maternal perpetrated IPV (MPIPV) affects adolescent females' socialization and development, the perception they have of their fathers, and the meaning they ascribe to father abuse. The purpose of this phenomenological study was to contribute to the literature, provide an understanding of MPIPV implications for adolescent females' social development, and bring more awareness to the lived experiences of witnessing MPIPV. Social learning, …

A Quantitative Study Of Multilayered Market Systems And Small And Medium-Sized Enterprises, Mukhail Hamza

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprises (SMEs) account for approximately 50% of the world's gross domestic product. However, these economic agents suffer from inadequate access to liquid funds to finance their operations. The liquidity gap has led to early bankruptcy and liquidation, stagnant growth and development, and fewer employment opportunities. The problem under study was the effect of funding limitations on SMEs' business operations and growth. The purpose was to examine the impact of multilayered capital systems as alternative funding for SME growth. This study was informed by Gilbrat's law and the theory of financial exclusion. The research questions addressed the use …

Predictors Of Cervical Cancer Screening Among Hispanic Women In The United States, Benedicta Ngozi Ilouno

Walden Dissertations and Doctoral Studies

Minority women groups in the United States have the highest incidence and mortality rates of cervical cancer. Hispanic women have the highest incidence rate and the second highest mortality rate of the disease. Researchers have examined the lower rates of cervical cancer screening among Hispanic women, as compared to other groups of U.S. women, but researchers have not examined the extent to which socioeconomic status, acculturation, and sexual activity impact Hispanic women's compliance with screening. The purpose of this study was to examine the association between compliance with cervical cancer screening and acculturation, socioeconomic status, and sexual activity among U.S. …

Small And Medium Enterprises' Profitability Elements In Green Energy Transactions, Humphrey Edereka Great

Walden Dissertations and Doctoral Studies

As the primary drivers of Nigeria's economy, small and medium scale enterprise (SME) leaders rely on standby generators for sustainable business operation. Because of this reliance, over 56% of the SMEs operate far below capacity from the effects of power shortages. Guided by the strategic contingency theory, this study explored the profitability strategies of business leaders faced with electricity disruptions within Abuja Federal Capital Territory while adopting corporate social responsibility (CSR) and green practices. Data collection was through face-to-face semistructured interviews using open-ended questions. Participants consisted of 12 business leaders selected from 4 SME categories within Abuja that have imbibed …

Counselor Supervisors' Perceptions Of Tertiary Trauma, Eric David Jett

Walden Dissertations and Doctoral Studies

Vicarious trauma impacts counselors in various ways: by diminishing their feelings of importance in the profession, hindering their completion of adequate work with clients, and negatively affecting their personal life choices. Although numerous qualitative and quantitative studies have been conducted on vicarious trauma over the past 20 years, there is a rarity of research investigating the implications of trauma for counseling supervisors. The purpose of this study was to examine the lived experiences and perceptions of tertiary trauma among 11 counselor supervisors from Oklahoma and Missouri who were providing active supervision. This study was approached through a hermeneutic phenomenological methodology. …

Psychosocial Factors And The Persistence Of Underprepared, African American Community College Students, Denise Michelle Mccory

Walden Dissertations and Doctoral Studies

This study examined a problem at a large community college in the Midwest United States, where African American students experienced poor developmental education outcomes and low degree completion. Those outcomes had negative effects on the institution and the surrounding community. This qualitative case study was framed in Astin's theory of involvement, which attributes students' behaviors, whether productive or unproductive, to their levels of motivation. Purposeful sampling was used to select 20 African American students who successfully completed the developmental education sequence. The participants were interviewed to determine how psychosocial factors impacted their decisions to persist through their courses. The data …

Health Literacy And Health Decision Making Attitudes In People With Human Immunodeficiency Virus, Christine Miranda

Walden Dissertations and Doctoral Studies

Health literacy has been recognized as a vital issue in the self-care management of persons living with HIV/AIDS (PLWHA). The purpose of this study was to determine the impact of functional, communicative, and critical health literacy dimensions on positive and negative attitudes toward health decision making. The transtheoretical model of health behavior change (TTM) provided the theoretical framework to explain this association. A culturally-adapted survey was used in this cross-sectional study to measure health literacy dimensions, positive and negatives attitudes toward health decision making, and other factors in 100 Puerto Ricans living with HIV/AIDS. Demographic factors and clinical and immunological …

Acculturation In Marital Satisfaction Among Mixed Caucasian And Asian American Heterosexual Couples, Lotes Nelson

Walden Dissertations and Doctoral Studies

The growing population of the United States is linked to the increasing migration of individuals from other countries. With migration comes the development of cross-cultural and interracial romantic relationships, many leading to marriages. This qualitative grounded theory study sought to understand how a migrant partner's adjustment process, acculturation, contributes to cross-cultural marriages. The main research question and purpose of this study was to investigate the role of acculturation in marital satisfaction among mixed Caucasian and Asian American heterosexual couples. This study utilized multiple data sources and a purposive sampling of 11 mixed Asian and Caucasian heterosexual married couples, with one …

Exploring The Lack Of African Americans In The Department Of Defense Senior Executive Service Corps, Audrea Maria Nelson

Walden Dissertations and Doctoral Studies

There is a lack of African American representation in the Department of Defense's (DoD's) Senior Executive Service (SES) Corps. In 2011, only 11.4% of the DoD's SES members were African American. This disparate representation is problematic because it contradicts the creation of a diverse workforce, which in turn limits opportunities for African Americans to join the elite DoD SES Corps. The purpose of this phenomenological study was to explore the perceptions of 9 African American SES members in the Office of the Secretary of Defense, Defense Agencies, and Defense Field Activities to determine factors contributing to their promotions into the …

Coping Responses To Positive Genetic Suceptibility Test Results For Alzheimer's Disease, Diana Elaine Neverson

Walden Dissertations and Doctoral Studies

Genetic susceptibility test results have been found to cause differences in coping behavior following testing for the APOE-ε4 gene, associated with Alzheimer's disease. Coping behaviors differ within the first 12 months of testing. Currently, no studies have been conducted beyond the first 12 months comparing positive (P) and negative (N) groups or how sex relates to coping behavior based on positive test results. Based on the theory of primary and secondary control, and theory of stress, appraisal, and coping this study compared differences in coping strategies based on genetic test results and between sexes with positive test results beyond the …