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Walden Dissertations and Doctoral Studies

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Nurse Leaders’ Perspectives On Animal-Assisted Interventions, Samantha Vita Abate Jan 2020

Nurse Leaders’ Perspectives On Animal-Assisted Interventions, Samantha Vita Abate

Walden Dissertations and Doctoral Studies

Knowledge deficits and unfavorable attitudes are commonly cited barriers that prevent adoption of animal-assisted interventions (AAIs). Nurse leaders’ (NLs’) knowledge of and attitudes toward AAIs have not been well documented in the literature. The purpose of this study was to identify NLs’ perspective on AAI, including their usage, knowledge, and attitudes. This information may be helpful in overcoming common barriers to AAI usage. The theory of transformational leadership guided this 3-manuscript dissertation study, which included 3 studies on NLs’ use of AAIs, the relationship between NLs’ knowledge of AAIs and NLs attitudes toward AAIs, and the potential impact of AAI …


Strategies Used In Ehealth Systems Adoption, Joshua Adams Jan 2020

Strategies Used In Ehealth Systems Adoption, Joshua Adams

Walden Dissertations and Doctoral Studies

Failure to adopt an interoperable eHealth system limits the accurate communication exchange of pertinent health-care-related data for diagnosis and treatment. Patient data are located in disparate health information systems, and the adoption of an interoperable eHealth system is complex and requires strategic planning by senior health care IT leaders. Grounded in DeLone and McLean’s information system success model, the purpose of this qualitative case study was to explore strategies used by some senior information technology (IT) health care leaders in the successful adoption of an eHealth system. The participants were 8 senior health care IT leaders in the eastern United …


Association Between Metabolic Syndrome And Second Primary Cancer Among Colorectal Cancer Patients, Olukayode Ayodeji Agbeyomi Jan 2020

Association Between Metabolic Syndrome And Second Primary Cancer Among Colorectal Cancer Patients, Olukayode Ayodeji Agbeyomi

Walden Dissertations and Doctoral Studies

Colorectal cancer (CRC) is the third most common diagnosed cancer in both women and men in the United States. The gradual increase of incidence of second primary cancer (SPC) among CRC individuals has been a concern in recent times. Many CRC survivals have been forced back to be hospitalized for life-threatening cancers that are nonmetastatic cancers of CRC. Literature has suggested that there may be a relationship between metabolic syndrome (MetS) and CRC cases. The importance of early surveillance, detection, and treatment of SPC in CRC patients is significant to achieve better survival rates. The aim of this retrospective quantitative …


Strategies For Teaching New Mothers The Importance Of Vaccination, Halimat Akojie Jan 2020

Strategies For Teaching New Mothers The Importance Of Vaccination, Halimat Akojie

Walden Dissertations and Doctoral Studies

Vaccinations provide protection against a number of severe childhood communicable diseases, such as polio, measles, and pertussis. However, not all parents follow the recommended immunization schedules for their young children, a decision which could lead to increased disease incidence and prevalence. The purpose of this DNP project was to address the gap-in-practice related to ineffective strategies to reduce vaccination refusal among parents. This systematic review sought to understand strategies effective at teaching new mothers the importance of vaccinating their children. The theoretical foundation for addressing this question is Rogers’ protection motivation theory, which explains that sources of information, mediating cognitive …


Drug Control Officers' Perception Of Nigeria's Narcotics Control Policy, Olufemi Ajayi Jan 2020

Drug Control Officers' Perception Of Nigeria's Narcotics Control Policy, Olufemi Ajayi

Walden Dissertations and Doctoral Studies

The Nigerian government’s cannabis prohibition policy has failed to achieve the suppression of supply and reduction of demand for drugs. The purpose of this qualitative case study was to explore the policy implementation experiences of Nigeria’s drug control officers regarding Nigeria’s drug control policies. The theoretical foundation was social construction theory. Data were collected from reviews of public documents and in-depth interviews with 15 active or retired drug control officers. Data were sorted, organized, and coded through directed content analysis to identify themes. The themes that emerged included defective nature and content of the policy, poor policy implementation, and unfavorable …


Strategies For Providing Quality Patient Care In The Healthcare Industry, Daniel Joseph Ambrosio Jan 2020

Strategies For Providing Quality Patient Care In The Healthcare Industry, Daniel Joseph Ambrosio

Walden Dissertations and Doctoral Studies

In the United States, there is a lack of quality healthcare, which can negatively impact patient care, so it is important for healthcare leaders to effectively utilize their resources to enhance quality patient care. Grounded in the resource advantage and total quality management theories, the purpose of this qualitative single case study was to explore strategies healthcare leaders at a large healthcare organization used to deliver quality patient care. The participants included 3 senior executive leaders at a healthcare organization in the Eastern United States. Data were collected through semistructured interviews, an analysis of organizational documents, and the client’s Baldrige …


Improving Suicide Prevention In The Emergency Department, Crystal Hartis Andrews Jan 2020

Improving Suicide Prevention In The Emergency Department, Crystal Hartis Andrews

Walden Dissertations and Doctoral Studies

Suicide is a leading cause of death and a significant public health problem in the United States, especially among the youth population. The wide variability of screening practices and limited educational programs for nurses in terms of identification and management of individuals at risk for suicide exists. The purpose of this project was to conduct a systematic review to identify evidence available in support of adequately preparing nurses to conduct suicide screening and inform suicide prevention efforts for youth in emergency departments. Results from the literature review were correlated to formulate recommendations for improving suicide screening practices through the provision …


Strategies To Implement Big Data Analytics In Telecommunications Organizations, Delton Aneato Jan 2020

Strategies To Implement Big Data Analytics In Telecommunications Organizations, Delton Aneato

Walden Dissertations and Doctoral Studies

Information Technology (IT) leaders who do not invest in big data projects may struggle to gain a competitive advantage and business insights to improve performance. Grounded in the Kotter’s change and Six Sigma models, the purpose of this qualitative multiple case study was to explore strategies IT leaders used to implement big data analytics successfully. The participants comprised 4 IT leaders from 2 telecommunication organizations in the United States of America, who effectively used strategies to promote and maximize competitive advantage using big data analytics. Data were collected from semistructured interviews, company documents, and project-related documents and were analyzed using …


Obesity And Overweightness Among African-American Adolescent Population And Health-Related Quality Of Life, Emmanuel Anene Jan 2020

Obesity And Overweightness Among African-American Adolescent Population And Health-Related Quality Of Life, Emmanuel Anene

Walden Dissertations and Doctoral Studies

Obesity and overweightness are a significant public health problem and a risk factor for many chronic diseases. The purpose of this study was to find the associations between gender, race, physical activity, and health-related quality of life (HRQOL) among obese and overweight African American adolescents aged 12 to 19 years. An improved understanding of the health issues could help this population live a longer quality life and prevent serious health implications in adulthood. A quantitative approach with a sample size of 331 was used. The control variables were age and household income, the dependent variable was HRQOL, and the independent …


Perceptions Of Home-Based Parental Involvement And Middle School Students' Science Outcomes, Staicy Anthony Jan 2020

Perceptions Of Home-Based Parental Involvement And Middle School Students' Science Outcomes, Staicy Anthony

Walden Dissertations and Doctoral Studies

A low-income, urban school district has consistently failed to achieve the state’s target science performance index for several years at the middle school level. Studies have suggested that parental involvement affects student achievement. Middle school administrators and science teachers lack an understanding of home-based parental involvement behaviors regarding students’ science outcomes. There is a need for increased home-based parental involvement to enhance science outcomes among middle school students. The purpose of this basic qualitative study was to fill the gap in practice by exploring administrators’ and science teachers’ perceptions of home-based parental involvement behaviors regarding middle school students’ science outcomes. …


Mothers’ And Community Stakeholders’ Perspectives About The Vitamin A Supplementation Program In Nigeria, Olufolakemi Mercy Anjorin Jan 2020

Mothers’ And Community Stakeholders’ Perspectives About The Vitamin A Supplementation Program In Nigeria, Olufolakemi Mercy Anjorin

Walden Dissertations and Doctoral Studies

Vitamin A deficiency (VAD) affects about one third of children under the age of five in Nigeria. There is low uptake of biannual Vitamin A supplementation (VAS) used since year 2010 as the national response to addressing VAD among children 6 to 59 months. Yet, there is limited research on barriers or facilitators to uptake of VAS. The purpose of this study was to examine the perspectives of stakeholders about the VAS program in Nigeria. The theoretical underpinning was the social marketing framework. The central question related to the views of stakeholders toward the VAS program, and their perception about …


An Educational Program For Providers On Asthma Management For Pediatric Clients, Ngozi Anyatonwu Jan 2020

An Educational Program For Providers On Asthma Management For Pediatric Clients, Ngozi Anyatonwu

Walden Dissertations and Doctoral Studies

Asthma, a chronic inflammatory respiratory disease, is the third-ranking cause of hospitalization among children under the age of 15. Of the 25 million Americans living with asthma, 6.2 million are children under the age of 18. In 2018, more than 11.4 million people with asthma, including more than 3 million children reported having one or more asthma exacerbations. The burden of pediatric asthma accounts for more than 13.8 million missed school days among children ages 5 to 17 years, $3 billion in losses due to missed work, $29 billion due to asthma-related mortality and $50.3 billion in medical costs. Asthma …


Predictors Of Colorectal Cancer Screening Among Maryland Adults, Aged 50–75 Years, Pamela Manwi Asangong Jan 2020

Predictors Of Colorectal Cancer Screening Among Maryland Adults, Aged 50–75 Years, Pamela Manwi Asangong

Walden Dissertations and Doctoral Studies

Screening plays an essential role in reducing colorectal cancer (CRC) incidence and mortality rates, yet CRC screening use remains low in Maryland and lower in some age and racial/ethnic groups with limited resources to participate in CRC screening programs. The purpose of this quantitative, cross-sectional study is to investigate whether age group, sex, race/ethnicity, education level, income level, health insurance coverage, and access to health care professional can predict an individual, 50–75 years of age, in Maryland to take action to fully meet the United States Preventive Services Task Force CRC screening test recommendation within the recommended time interval. The …


Leadership Strategies To Manage Workplace Conflict, Omari Asante Jan 2020

Leadership Strategies To Manage Workplace Conflict, Omari Asante

Walden Dissertations and Doctoral Studies

Workplace conflict can be counterproductive to organizational goal attainment and can cause dysfunction and unhealthy competition among organizational members. When left unchecked, workplace conflict can negatively impact teams’ performance and result in substantial financial losses to organizations. However, when properly managed, workplace conflict can lead to positive relationship building, peer learning, enhanced communication, innovation, and high motivation. Grounded in transformational leadership theory, the purpose of this qualitative single case study was to explore leadership strategies senior account managers use to manage workplace conflict. Participants were 8 senior account managers who had successfully implemented leadership strategies for managing workplace conflict in …


The Lived Experience Of Child Marriage And Its Health Effects Among Young Mothers In Nigeria, Anastasia Iliwo Ashi Jan 2020

The Lived Experience Of Child Marriage And Its Health Effects Among Young Mothers In Nigeria, Anastasia Iliwo Ashi

Walden Dissertations and Doctoral Studies

Child marriage has life-threatening implications for the mental, physical, and psychological development of the girl-child. In Sub-Saharan Africa, and other resource poor settings, child brides and very young mothers undergo various negative experiences including economic hardship and health challenges such as obstetric fistulas, birth complications, and even death. The purpose of this phenomenological study was to describe the lived experiences of child marriage and its effect on maternal health among young mothers in Nigeria. The social ecological model provided the conceptual framework for this study. Ten young women ages 18-24 years who had been child brides when age 12-16 years …


Evaluating An Incentive Program To Improve Teamwork And Productivity In The Operating Room, Christopher Bejil Jan 2020

Evaluating An Incentive Program To Improve Teamwork And Productivity In The Operating Room, Christopher Bejil

Walden Dissertations and Doctoral Studies

The operating room (OR) is a complex system that must run efficiently to remain profitable and of value to its multiple stakeholders who include the patient, surgeon, OR staff member, and hospital administration. The OR at the practice site struggled with teamwork and efficiency in the areas of first-case on-time starts, turnover time, and last-case out times, resulting in a less than favorable impact on the organizational bottom line. The practice-focused question asked if a performance-based incentive bonus program can improve OR efficiency in the department’s three major problem areas. Using Gittell’s relational coordination theory as a framework, the practice …


Faculty Evaluation Of Underperforming Nursing Students In Clinical Settings, Melody Lynn Bethards Jan 2020

Faculty Evaluation Of Underperforming Nursing Students In Clinical Settings, Melody Lynn Bethards

Walden Dissertations and Doctoral Studies

Difficulty in evaluating underperforming nursing students in clinical settings is a problem for many nursing programs. The subjective nature of evaluations and faculty reluctance to provide negative evaluations have implications for subsequent patient care. A descriptive single case study research design was used to explore the experiences of clinical faculty evaluating underperforming nursing students in clinical settings at a U.S. Midwest community college. Gagné's learning outcomes and the National League for Nursing (NLN) Clinical Nurse Educator Core Competency: Implements Effective Clinical Assessment and Evaluation Strategies provided the conceptual framework for the study. The research questions focused on how nursing faculty …


Marketing Training Strategies That Pharmaceutical Sales Managers Use To Reduce Unethical Behavior, Aseel Bin Sawad Jan 2020

Marketing Training Strategies That Pharmaceutical Sales Managers Use To Reduce Unethical Behavior, Aseel Bin Sawad

Walden Dissertations and Doctoral Studies

Some pharmaceutical company sales representatives are using bribes to encourage increasing prescribing medication. GlaxoSmithKline paid $31 billion on a felony charge related to bribing doctors to prescribe the company’s medications. Using Hunt and Vitell’s general theory of marketing ethics, the purpose of this qualitative multiple case study was to explore strategies some sales managers in the pharmaceutical industry used to improve marketing training to reduce unethical sales representative behavior. Data were collected from the company’s reports and documents provided by sales managers and semistructured interviews with 5 sales managers of different pharmaceutical companies in the northeast region of the United …


Family Members’ Lived Experiences Of Chronic Migraine, Elizabeth Biddle Jan 2020

Family Members’ Lived Experiences Of Chronic Migraine, Elizabeth Biddle

Walden Dissertations and Doctoral Studies

Chronic migraine (CM) is a growing phenomenon in the United States and has been recognized as a disabling headache disorder. CM negatively affects the quality of life not only of CM sufferers but also their family members. The lived experiences of the family member of CM sufferers has not been sufficiently investigated. The purpose of this study was to gain in-depth insight into the lived experiences of family members who lived with CM sufferers. The phenomenological approach, guided by the social support theory, was used to investigate the lived experiences of family members who live with CM sufferers through open-ended …


Pain Assessment Strategies For People With Cognitive Impairment In Nursing Home Settings, Meskelo Tsegaye Bobo Jan 2020

Pain Assessment Strategies For People With Cognitive Impairment In Nursing Home Settings, Meskelo Tsegaye Bobo

Walden Dissertations and Doctoral Studies

Assessment of pain in patients with a diagnosis of dementia or cognitive impairment continues to be underdiagnosed as there are no objective ways of assessing their pain. Available evidence also indicates that these patients are not receiving satisfactory pain management. Due to a lack of self-reporting of pain, accurate assessments of pain are challenging. This systemic review aimed to find a pain assessment strategy effective in identifying pain in patients with a diagnosis of dementia. Kolcaba's theory of comfort was used as the theoretical framework for the study. The databases of Medline, Cochrane Database of Systematic Reviews, Embase, and Cumulative …


Leadership Strategies To Achieve Organizational Excellence, Cherron Lakisha Blakely Jan 2020

Leadership Strategies To Achieve Organizational Excellence, Cherron Lakisha Blakely

Walden Dissertations and Doctoral Studies

Inadequate quality management tools and processes can lead to inefficient hospital operations and poor organizational performance. Community hospital leaders who fail to improve operations and organizational performance risk negatively impacting patient care and profitability. Grounded in the theory of high-performance work systems (HPWS), the purpose of this qualitative single case study was to explore strategies community healthcare leaders use to effectively employ quality management approaches to improve operations and achieve organizational excellence. The participants comprised 5 community healthcare leaders in the northeast United States who effectively used quality management approaches to improve operations and achieve organizational excellence. Data were collected …


Geospatial Analysis Of Flooding In The Cypress Creek Watershed Due To Urban Sprawl, Michael Roland Boucher Jan 2020

Geospatial Analysis Of Flooding In The Cypress Creek Watershed Due To Urban Sprawl, Michael Roland Boucher

Walden Dissertations and Doctoral Studies

Harris County, Texas, experiences flooding almost every year, and the situation is getting worse. Uncontrolled development is leading to an increase in flooding events. This study investigated how rapid urbanization and sprawl led to a higher frequency and intensity of flooding in the Cypress Creek watershed in northern Harris County. According to urban ecology, the basis of the theoretical framework, the human actions on the environment are not just bystanders, but direct contributors as inputs. In this case, the outputs are the intensity of the flooding events caused by Hurricane Ike, the Memorial Day flood of 2016, and Hurricane Harvey. …


Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James Jan 2020

Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James

Walden Dissertations and Doctoral Studies

On entry into the nursing profession, new graduate nurses (NGNs) possess some knowledge and skills competency but self-report learning gaps in various areas. Experienced nurses have reported that new nurses do not always have knowledge and competency in essential nursing skills. Undergraduate nursing programs and organization orientation programs provide valuable foundational knowledge but are sometimes limited in providing multiple exposures to content. Lagging skills acquisition contributes to self-doubt, lack of confidence and high attrition among NGNs. There is little data in the literature about the provision of supplemental education to new nurses immediately after orientation, and this doctor of nursing …


Strategies For Enhancing Organizational Performance By Advancing Women To Leadership Positions, Veronica Denise Brown Jan 2020

Strategies For Enhancing Organizational Performance By Advancing Women To Leadership Positions, Veronica Denise Brown

Walden Dissertations and Doctoral Studies

Approximately 45% of the U.S. labor force comprises women, but less than 5% work in executive positions due to ineffective succession strategies. Human resource (HR) managers who fail to implement succession strategies are at risk of losing competitive advantage and lower organizational performance due to a lack of equitable promotional and hiring processes for future female leaders. Grounded in the social role theory, the purpose of this qualitative multiple case study was to explore succession strategies HR managers in the home improvement industry use to advance qualified women for leadership positions to improve organizations’ performance. The participants comprised 6 HR …


Effective Marketing Strategies Of Profitable Small Businesses, Xoriunstance T. Brown Jan 2020

Effective Marketing Strategies Of Profitable Small Businesses, Xoriunstance T. Brown

Walden Dissertations and Doctoral Studies

The inability to achieve profitability can negatively impact business operations. Small independent insurance agency owners who fail to maintain profitability are at a higher risk of failure. Grounded in the dynamic capabilities model, the purpose of this qualitative multiple case study was to explore effective marketing strategies leaders of small independent insurance agencies use to achieve and maintain profitability. The participants comprised 3 independent insurance agents in Fort Lauderdale, Florida, who effectively used marketing strategies to achieve and maintain profitability. Data were collected from semistructured interviews, company websites, and company documents. Yin’s 5-step thematic analysis, which included compiling, disassembling, interpreting …


African American Sibling Survivors Of Homicide Victims: A Phenomenological Study, Terra Natia Brown Jan 2020

African American Sibling Survivors Of Homicide Victims: A Phenomenological Study, Terra Natia Brown

Walden Dissertations and Doctoral Studies

African American bereavement experiences are underrepresented in the literature in comparison to Caucasian experiences. Due to cultural differences, the available literature may be misleading and unhelpful to African Americans dealing with grief. Therefore, the purpose of this study was to fill the void in the literature regarding African American bereavement. Guided by attachment theory and social constructivism as the theoretical frameworks, this study explored the lived bereavement and grief experiences of 12 African American siblings bereaved by homicide. A qualitative phenomenological approach was used to gain firsthand knowledge of the siblings’ bereavement experiences via semi-structured interviews, which allowed the participants …


Narratives Of Black Male Law Enforcement Officers Racial Profiling Experiences, Dujuan Brown Jan 2020

Narratives Of Black Male Law Enforcement Officers Racial Profiling Experiences, Dujuan Brown

Walden Dissertations and Doctoral Studies

The research problem and purpose of this study was to examine the personal narratives of Black male law enforcement officers with racial profiling and police violence. It was believed that narratives would reveal the existence and negative effects of duality victims and possible offenders for the participants in this study. The theory of social behaviorism by Mead was used as a lens for theoretical foundation and conceptual framework. Mead asserted that racial profiling and police violence acts are forms of social behaviorism and assimilation into law enforcement for Black male officers. The research question for the study inquired about the …


Ebola Outbreak In Liberia And Sierra Leone: Role Of Nonmedical Emergency Management Agencies, Eugene Owusu Afrifa Jan 2020

Ebola Outbreak In Liberia And Sierra Leone: Role Of Nonmedical Emergency Management Agencies, Eugene Owusu Afrifa

Walden Dissertations and Doctoral Studies

The 2014 Ebola crisis killed 11,315 people across 6 countries, making it the deadliest crisis globally since the virus was discovered in 1976. However, the roles played by nonmedical emergency management agencies (EMAs) in Liberia and Sierra Leone during that crisis remain unknown. The purpose of this study was to bridge the gap in knowledge by documenting the roles which were played or should have been played by EMAs in Liberia and Sierra Leone in responding to the 2014 Ebola crisis involving policymaking in emergency management (EM). The research questions focused on the roles that were played or should have …


Demographic, Lifestyle, And Psychosocial Predictors Of Obesity Among Nigerian Igbo Immigrants, Ahamefula Arthur Duru Jan 2020

Demographic, Lifestyle, And Psychosocial Predictors Of Obesity Among Nigerian Igbo Immigrants, Ahamefula Arthur Duru

Walden Dissertations and Doctoral Studies

Obesity is known as a risk factor for chronic diseases, and a contributor to health disparities among minorities and vulnerable persons. There is a paucity of data on Nigeria Igbos on obesity risks in the United States; therefore, studying obesity in this population may help policymakers tailor interventions that could reduce the prevalence of obesity. The purpose of the study was to examine the predictors of obesity among Nigerian Igbo immigrants in the United States. This study sought to examine lifestyle, psychosocial, and demographic factors as unique predictors of obesity in Nigeria Igbo immigrants. The social-ecological model and acculturation theory …


Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin Jan 2020

Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin

Walden Dissertations and Doctoral Studies

In Nigeria, skin bleaching, a practice that can create significant health problems, represents a persistent social issue. The behavior has become widespread due to unfettered access to various brands of bleaching creams. The purpose of this study was to gather data to (a) seek an understanding of the deeper motivations underlying the decision to engage in skin bleaching or skin whitening among female tertiary students and (b) examine the awareness among such students of public policy on skin bleaching creams. The case study qualitative research design was employed to enable skin bleaching cream users to share their motivations and experiences. …