Digital Commons Network^™

Quality Initiative To Reduce Falls In An Acute Care Setting, Janet Maxine Belcher

Walden Dissertations and Doctoral Studies

Falls are the most frequently reported incidents among hospitalized patients in the United States with at least 4 falls per 1,000 patient days occurring annually. Falls are related to high rates of mortality and morbidity and high hospital costs. The purpose of this project was to evaluate a fall prevention quality initiative to reduce falls in an acute care facility by educating staff on an evidence-based fall prevention protocol. The project sought to explore whether implementation of an evidence-based fall prevention initiative in educating nurses would affect the nurses’ professional knowledge and the number of patient fall incidences in the …

Treatment Plans For Diabetes Management During Hurricane Maria In Puerto Rico, Joel De La Cruz Oller

Walden Dissertations and Doctoral Studies

The purpose of this study was to evaluate the health outcomes of diabetic patients in Puerto Rico, before, during, and after Hurricane Maria, in 2017. The Department of Health in Puerto Rico provided the secondary data for the variables low-density lipoproteins (LDL) cholesterol, hemoglobin A1C (HbA1c), mortality, and consumer price index (CPI). The inclusion criteria were participants for whom electronic data were available before, during, and after Hurricane Maria; the sample size was 450. The theoretical framework for this investigation was the health outcomes and impact assessment. The data were analyzed by univariate and analysis of variance (ANOVA) to compare …

African American Women Bloggers’ Lived Experiences With Digital Entrepreneurship: A Transcendental Phenomenological Study, Melissa Mcdowell

Walden Dissertations and Doctoral Studies

The professionalization of blogs has elevated blogging to an organizational field whereby bloggers develop a legitimate career path. For many minority women bloggers, the transition from being traditionally employed to managing a one-person digital enterprise is often met with racial and gender imbalances created by nontraditional modes of work. The purpose of this qualitative transcendental phenomenological study was to gain a deeper understanding of how African American women bloggers described their lived experiences with managing a one-person digital enterprise and the implications of their racial and gender identity within this nontraditional mode of work. To address this gap, a transcendental …

Prayer As A Predictor For Burnout Among Psychiatric Nursing Assistants, James Michael Rose Ii

Walden Dissertations and Doctoral Studies

The psychiatric nursing assistants who care for psychiatric patients in inpatient hospitals, like others who work in the human service field, experience some degree of burnout during their careers. This research used Pargament’s theory of religious coping to examine prayer as a predictor variable for a decrease in burnout experienced by psychiatric nursing assistants. The Maslach Burnout Inventory-Human Services Survey and the Prayer Functions Scale were used to examine the predictor variables of prayer, gender, and years of service in correlation to the 3 dimensions of burnout. An N = 97 was obtained from the psychiatric nursing assistant population from …

Experiences Of Police Officers Who Have Received Crisis Intervention Team Training, Ashley D. Yinger

Walden Dissertations and Doctoral Studies

Police officers are often the frontline responders to calls involving people in mental distress. The lack of specialized mental health training can influence stigmatization and criminalization of people with a serious mental illness (SMI). Crisis intervention team (CIT) training is a tool to provide law enforcement with specialized mental health training to enhance their skills and comfort level when responding to crisis calls. There is a gap in the research examining officers' experiences with CIT training and how they apply that training when encountering people who have a SMI. The purpose of this qualitative case study was to explore a …

Evidence-Based Diagnosis Of Posttraumatic Stress Disorder Using Quantitative Electroencephalography, Roger Yoder

Walden Dissertations and Doctoral Studies

Diagnosing post-traumatic stress disorder (PTSD) is challenging and is currently, diagnosis through self-administered checklists. Because a diagnosis of PTSD can open up significant benefits to compensation, education, and medical care, people can tailor their responses to the checklist to help ensure a diagnosis of PTSD. The purpose of the study was to examine the utility of the quantitative electroencephalograph for diagnosing PTSD. Frequency and presence of biomarkers and alpha brain wave symmetry in the frontal and parietal lobes were examined. Research questions involved examining the presence of alpha wave imbalance across the frontal lobe and between the right and left …

Lived Experiences Of African Americans 65 And Older After Rural Hospital Closures, Derrick Mike

Walden Dissertations and Doctoral Studies

African Americans 65 and older have had varied experiences due to losing immediate access to nearby hospitals for urgent treatment for emergency medical conditions. This phenomenological study was conducted to explore the lived experiences of those residing in areas after a rural hospital closure occurred. The hospital was the primary and nearest facility for receiving immediate access to urgent treatment. The research questions focused on the encounters experienced by the participants after the hospital closure. The Health Belief Model was the conceptual framework used for this study. The method and data analysis procedures included interviews, field notes, a life-course chart, …

Emotional Intelligence, Turnover Intention, And Commitment Among Nonprofit Employees, Tabitha Brewster

Walden Dissertations and Doctoral Studies

Employee turnover is a persistent problem contributing to financial issues and declining

productivity in nonprofit organizations. Nonprofits cannot fulfill their core missions of

providing services to people in need when managing staffing disruptions. Measuring

employee turnover intention can determine the probability of employee turnover, and a

potential predictor of turnover intention is emotional intelligence, an area unstudied in the

nonprofit sector. This study was designed to explore this relationship, in addition to the

employee's commitment to the organization. The population consisted of 273 nonprofit

employees older than 18 years, working in a nonsupervisory capacity. They completed an

online survey consisting …

The Impact Of Perceived Stress, Happiness, And Religiosity On Political Orientation, Bryant Daniels

Walden Dissertations and Doctoral Studies

Increasing stress levels over the past 30 years have reached an all-time high, which has also correlated with an increase in medical insurance costs due to the adverse effects on life expectancy, obesity rates, and non-communicable disease deaths. An additional social problem affecting the U.S. is a 20-year increase in political dichotomy. Research has shown a distinction between liberals and conservatives on a variety of characteristics ranging from sleep patterns, disgust, personality, and even cleanliness. This current study used two other characteristics that correlate with both stress and political orientation, and they are happiness and religiosity. The purpose of this …

Exploring The Competencies Of Educators Who Serve Transgender Learners In Secondary School, Genevieve C. Godin

Walden Dissertations and Doctoral Studies

The majority of transgender youth have learning experiences in school that are less than optimal; however, there is a paucity of research on the competencies of educators of transgender learners that could ameliorate the comorbidities and adversities they endure in secondary school. The purpose of this study was to explore what knowledge, attitudes, and skills educators apply to serve transgender learners in secondary school. The conceptual framework of servant leadership was used in this inquiry. A single case study design was used to examine a secondary school participating in the Alberta Sexual Orientation and Gender Identity Educator Network that serves …

Oligarchic Cartelization In Post-Suharto Indonesia, Bonifasius -. Hargens

Walden Dissertations and Doctoral Studies

A few ruling individuals from party organizations overpowered Indonesia's post-authoritarian, representative democracy. The legislative process of the 2017 Election Act was the case study employed to examine this assumption. The underlying thinking was that there was a contest between “wealth power” (oligarchy) and “participation power” (democracy). The power of wealth controls the party and government institutions. Notwithstanding the presence of participation power, there was, however, no balance between wealth power and participation power, because the formal control of politics was in the hands of party oligarchs. The study purpose was to bridge the gap in knowledge by exploring how the …

Adolescent Substance Abuse Screening, Wesley W. Lynch

Walden Dissertations and Doctoral Studies

Adolescent substance use is a key public health problem in rural Ohio. Primary care nurses lack substance use screening knowledge and skills. Early screening and detection of possible substance use issues aids in directing patients to appropriate health services. This project involved the implementation of an educational intervention on the CRAFFT screening tool for primary care nurses in rural Ohio. Guided by Kurt Lewin's 3-step model to emphasize prevalence of substance use and need for screening among adolescents, the purpose of this project was to provide training on the CRAFFT screening approach and share guidelines to implement routine substance abuse …

Marital Outcomes And Attachment In Children Of Divorce Versus Children Of Intact Families, Julirae Gunter Castleton

Walden Dissertations and Doctoral Studies

Previous studies have investigated many aspects of the lives of children of divorce, including delinquency, emotional aspects, and attachment; however, they have not investigated the patterns of marital partnership formation and persistence among children of divorce who were raised in long-term blended families versus children of other types of families. Based on attachment theory, this study compared adult children from 4 family types: children of divorce raised in (a) long-term blended families, (b) single parent families postdivorce, (c) serial matrimony families postdivorce, and (d) children raised in intact families. A quantitative, causal-comparative, ex post facto survey design was employed with …

Engaging External Stakeholders To Improve Public-Private Partnership Water Project Completion Rates, John Paul Kolman

Walden Dissertations and Doctoral Studies

Public-private partnership (PPP) water projects may have competing external stakeholders, resulting in a disproportionately high project failure rate when compared to other types of infrastructure projects. Private companies and local governments use PPP projects as a means to bridge deficiencies in local government funding and knowledge to assist in bringing improved water to their communities. The purpose of this qualitative single case study was to examine strategies leaders use to engage their external stakeholders in improving their PPP project completion rates. The study was grounded in Freeman's stakeholder theory. The participants consisted of 3 leaders who recently completed stakeholder activities …

Strategies For Information Technology Employee Retention, Stephen Horton

Walden Dissertations and Doctoral Studies

Information technology (IT) employee retention is essential to IT departments tasked with supporting the goals and objectives of the organization. IT employees manage, support, and direct IT to drive business, pursue innovation, and create a competitive edge. The purpose of this qualitative exploratory multiple case study was to identify strategies that IT managers use to retain IT employees in order to support the goals and objectives of the IT organization. The population for this study consisted of 5 IT managers in the transportation industry. The IT managers selected for this study had subordinates and delegation duties and worked for employers …

Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients, Sirfornia L. Deasfernandes

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) is a chronic condition that affects millions of individuals in the United States. There is no cure for CHF, but medical interventions can help treat the symptoms and improve health outcomes. The purpose of this quantitative study was to determine if telehealth services help to reduce the readmission status of patients diagnosed with CHF. The theoretical framework used in this study was the individual and family self-management theory to help focus on self-management behaviors that contribute to improving the patients' health outcomes. The research questions were focused on addressing CHF patients receiving telehealth services and whether …

Successful Strategies To Lead Change Initiatives, Lorice S. Edwards Brown

Walden Dissertations and Doctoral Studies

As financial systems, global trade, and the regulatory environment integrate, business leaders are often ill equipped to develop and implement strategies to lead changes in organizations. Business leaders who lead change initiatives without proven sustainability strategies are highly susceptible to business closure. Grounded in Lewin's theory of change, the purpose of this qualitative multiple case study was to explore successful strategies some business leaders used to develop and manage change initiatives to remain operable beyond 5 years. The participants included 4 industry business leaders with a minimum of 5 years of successful change leadership experience. The data collection included semistructured …

Perceptions Of The Value Of Financial Education In African American Creditworthiness, Melvin Thomas Miller

Walden Dissertations and Doctoral Studies

Research suggests a disparity for African Americans within the banking system, as they are denied credit at a higher rate than other ethnic groups. The purpose of this phenomenological study was to explore the perceptions of African Americans financial training in regards to qualifying for consumer loans. The conceptual framework was based on seminal theories on credit risk assessment and critical race theory. The research questions were designed to address banking officials' perceptions of financial training and the effectiveness of training in improving African Americans' credit. A phenomenological design was employed with the purposeful sample of 9 banking officials within …

Educating Nurses About Poststroke Depression And Using The Phq-2/9, Mary Mcmullen

Walden Dissertations and Doctoral Studies

Stroke has affected more than 7 million people and up to 33% of those patients reporting depression. The lack of screening for depression for patients post stroke can delay treatment for depression and hinder or lengthen recovery. The purpose of this project was to develop a nursing staff education program on using the Patient Health Questionnaire (PHQ) tools (PHQ-2 and PHQ-9) at the bedside to detect signs and symptoms of depression and identify nurse-driven interventions. Using the Johns Hopkins nursing evidence-based practice model and Orem's self-care model for guidance, an interdisciplinary team was assembled to collaborate on the development. A …

Experiences Of Adult Survivors Of Child Sexual Assault As Parents Advising Their Children’S Sexual Exploration, Neysa Rhodes

Walden Dissertations and Doctoral Studies

One form of child abuse is childhood sexual assault (CSA). A gap in the literature exists concerning how adult survivors of childhood sexual assault (ASCSA) experience parenting their children during their exploration of sex. This descriptive phenomenological study was designed to explore the lived experiences of ASCSA parents helping their children explore sex. Attachment theory provided the conceptual framework. Data were collected from questionnaires completed by 5 participants recruited through websites offering supportive services to adults who experienced CSA. Gregorio’s steps of phenomenological analysis were used to analyze the data. Results indicated two themes regarding the perception of parenting skills: …

Evaluation Of A New Nurse Mentor Program, Corinne Romano

Walden Dissertations and Doctoral Studies

Novice nurses in the facility had a turnover rate of 32% in 2017 and 2018, despite participation in a novice nurse residency program. This project was the 3-month formative evaluation of a 1-year mentor program designed for novice nurses. The mentor program had been created to augment the residency program and support practice transition for novice nurses. The project questions explored the results of the process evaluation at the 3-month mark of the year-long mentorship program for the first cohort and recommendations to the mentor coordinators for continuous quality improvement. This quality improvement project followed the PDSA (plan-do-study-act) methodology. The …

Exploring The Effectiveness Of The Psychiatric Emergency Response Team At A Washington State Hospital, Laura Kay Schilling

Walden Dissertations and Doctoral Studies

Patient-to-staff assaults have become a barrier to workplace safety at U.S. psychiatric hospitals. Assaults on staff result in loss of productive social service for the mentally ill; increases in labor, industrial, and medical costs from claims; and psychological scars, such as posttraumatic stress disorder, that may never completely heal. The purpose of this quantitative study was to explore the effectiveness of the Psychiatric Emergency Response Team (PERT) at the Washington state hospital in reducing patient assaults on staff. There is very little research to substantiate the effectiveness of the PERT program as a conduit of workplace safety in psychiatric institutional …

Personality, Job Satisfaction, And Turnover In Long-Term Care Nursing Assistants, Sarah Elizabeth Shanks

Walden Dissertations and Doctoral Studies

There is a clear association between nursing assistant (NA) turnover and resident outcomes which may be caused by poor compensation, organizational culture, and staffing mix. However, very limited literature is available exploring intrinsic variables of NAs, specifically personality, leading to turnover. Guided by the five-factor personality theory and Herzberg’s two-factor motivation hygiene theory, the purpose of this quantitative study was to examine the relationship between the five-factor personality traits of open-mindedness, conscientiousness, agreeableness, extraversion, and neuroticism; length of employment; and job satisfaction among NAs working in long-term care. The Nursing Home Certified Nursing Assistant Job Satisfaction Questionnaire was used to …

Factors Associated With Incarceration Of Adolescents With Learning Disabilities, Sabine Silien Charles

Walden Dissertations and Doctoral Studies

Incarceration of adolescents in the United States has grown substantially during the last 3 decades with nearly 53,000 adolescents held every day in correctional facilities. Many researchers have raised concerns about the greater percentage of adolescents with learning disabilities (LDs) in the juvenile system. In the state of Washington, one study in residential placements showed approximately 20% of youth incarcerated had a diagnosed LD. The purpose of this quantitative cross-sectional study was to use the therapeutic change, length of stay, and recidivism in incarcerated juvenile offenders in Washington state, 2008–2015 data set to examine possible factors associated with incarceration of …

African American Noncustodial Fathers’ Perceptions Of Fatherhood Programs, Melissa Marie Smith

Walden Dissertations and Doctoral Studies

Fatherhood programs have varying intentions, including encouraging peer interaction among fathers, supporting healthy father-child relationships, developing positive family dynamics, and identifying parenting strategies. However, much less is known about how fatherhood programs fulfill the needs of fathers as examined by the theory of Maslow’s hierarchy of needs. The purpose of this qualitative generative research study was to explore African American noncustodial fathers’ experiences of fatherhood program in which they participated, and how these programs fulfilled their needs as framed by those from Maslow’s hierarchy of needs. The research question for this study focused on how African American noncustodial fathers perceive …

Career Development Professionals' Perceived Self-Efficacy With Baby Boomers From The Automotive Industry, Rhonda Ann Suggs

Walden Dissertations and Doctoral Studies

The labor market has shifted toward automation with an aging workforce as jobs transitioned from vocational to career. Following the Great Recession, career development professionals struggled to prepare older workers for an evolving, competitive, global workforce for the generation known as baby boomers that prefer to remain in the workforce. The problem in this study was the gap between the career development needs of baby boomers from the automotive industry and the levels of support provided by career development professionals who serve this population. Grounded in Bandura’s social cognitive theory, the purpose of this comparative quantitative study was to determine …

Institution-Sponsored Acculturative Support Of East Asian Students At An American Univerisity, Jason Tannenbaum

Walden Dissertations and Doctoral Studies

Acme University’s (AU) Strategic Plan values international student wellbeing and campus globalization; however, East Asian students (EASs) who enroll at this American university face significant linguistic and cultural barrier during their time on campus. International students typically experience acculturation-induced stress when they enter a new educational system and social environment. AU acknowledged the absence of university-sponsored programs that foster communication/acculturation between EASs and their American peers. The purpose of this study was to explore how EASs perceived interactions with their American peers (AP) on campus as the EASs attempted to acculturate. The conceptual framework used to inform the qualitative bounded …

The Influence Of Internalized Self-Prejudice On Anti-Gay Hate Crime Motivation, Ross Michael Templeton

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgendered, and queer (LGBTQ) community continues to be negatively impacted by high rates of anti-gay hate crime. Gay-rights activists continue to press for public policy changes to improve equality and reduce anti-gay sentiment. However, these efforts have not succeeded in reducing the number of attacks. Little is understood about what motivates perpetrators to commit violent acts against members of the LGBTQ community. This study explored how social coalitions and individual sexual identity development impact the motivation behind anti-gay hate crime from the perspective of convicted anti-gay hate crime offenders. The theoretical frameworks proposed for this study …

Experience Of Academic Motivation Among Disadvantaged High School Graduates, Jamaal Anthony Thomas

Walden Dissertations and Doctoral Studies

Impoverished students face obstacles that influence academic achievement and motivation. These young people are disadvantaged by their circumstances and are at risk for missing opportunities that could prepare them for meaningful careers and improved quality of life. The purpose of this qualitative study was to gain a deeper understanding of academic motivation in academic scholarship students who attended disadvantaged schools. Social identity theory provided the theoretical framework for a narrative analysis of the experience of academic motivation, academic achievement, and social identity. Five female and 4 male college students were interviewed. The thematic analysis revealed 4 themes: motivated by overcoming …

Bioterrorism: Exploring Factors For Improving Nurse Preparedness, Policies, And Practices, Leone Okey Tom-James

Walden Dissertations and Doctoral Studies

Ebola virus release/attack in New Jersey could go unnoticed but have immediate and long-lasting effects on the broader population and security. The risk underscores the need to prepare and enhance the state’s efforts to deal with a release and treat the confirmed cases. This descriptive single case research explored factors for improving nurses’ preparedness, policies, and practices for a bioterrorism release/attack. The epidemiological triangle conceptual framework was used descriptively in exploring, and developing a knowledge base of Ebola virus pathogenicity, characteristics, routes of transmission, and infection. The unit of analysis was Summit Ridge Genesis Healthcare Center. The theory of robust …