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Walden Dissertations and Doctoral Studies

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Teachers Who Question Pull Out And State Testing For Learning Disabled Students, Karen G. Gary Jan 2020

Teachers Who Question Pull Out And State Testing For Learning Disabled Students, Karen G. Gary

Walden Dissertations and Doctoral Studies

General and special education teachers in a northern California school district (NCSD) have concerns about the academic performance of students with learning disabilities (SwLD) as they frequently have deficits in English language arts and math on state-mandated assessments. Teachers at NCSD were concerned about the pull-out model where SwLD are often educated outside of the general education classroom and routinely miss classroom instruction. The purpose of the study was to explore the general and special education teachers’ perceptions about the current pull-out model for SwLD as preparation for the state-mandated assessments. This case study was guided by constructivist theory. Purposeful …


Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin Jan 2020

Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin

Walden Dissertations and Doctoral Studies

Effective preceptor-guided clinical orientation programs (PGCOP) help new graduate nurses (NGNs) across the theory-practice gap to provide safe, effective, and efficient patient care. This constructivist-designed qualitative program evaluation study explored NGNs’ and preceptors’ perceptions of a local hospital’s PGCOP as an effective transition vehicle. The conceptual framework combined Knowles’ andragogical process model for learning with the new world Kirkpatrick model evaluation model. The sample included 7 NGNs who graduated in the past year and had no prior orientation experience and 5 preceptors employed by the study site for at least 1 year. A goal-free approach guided data collection with face-to-face …


Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie Jan 2020

Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie

Walden Dissertations and Doctoral Studies

An operational problem exists in which some healthcare organizations cannot maintain a suitable supporting data transfer system, which impacts the integrated laboratory data transfer portals designed to receive and send secure patient laboratory results and reports. This quantitative study examined whether an association exists between patient reporting turnaround times and specific test code nomenclatures used when comparing an older referral laboratory interface (RLI) laboratory information system (LIS) to the newer electronic orders and resulting (EOR) system using the Covance expanded laboratory management services (ELMS) NexGEN database from 2016-2020. The Donabedian model served as the framework for this study. The sampling …


Employment Of Individuals With Intellectual Disabilities: A Case Study Of Time Management And Job Training Skills, Lynn E. Shoemaker Jan 2020

Employment Of Individuals With Intellectual Disabilities: A Case Study Of Time Management And Job Training Skills, Lynn E. Shoemaker

Walden Dissertations and Doctoral Studies

AbstractDespite existing legislation and provision of post-secondary transition plans to bridge the gap between secondary school and the workplace for individuals with intellectual disabilities (ID), workplace sites in rural central Ohio have continued to have a hiring rate of individuals with ID that is lower than the national average. The focal point of this qualitative project study was the exploration of time management and job training skills and their incorporation into the workplace and post-secondary transition plans for individuals with ID in rural central Ohio. This qualitative project study was based on the belief that individuals should be part of …


The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham Jan 2020

The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham

Walden Dissertations and Doctoral Studies

The number of elderly people living with terminal diagnoses has increased, along with the need for hospice nurses with specialized training to provide high-quality personal care that addresses their unique, critical needs. Research on nurses and other professionals who function in a demanding environment has demonstrated the experience of work stress, and negative physical and psychological consequences. However, little is known about the unique work stress and challenges of hospice nurses who care for the dying elderly. This study explored the meaning of hospice nurses’ experience of work stress and coping. Giorgi’s empirical phenomenological approach guided the development of the …


Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham Jan 2020

Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham

Walden Dissertations and Doctoral Studies

Sexual assault, a form of sexual violence, is an egregious crime that continues to be a serious and significant public health problem which affects millions of people each year in the United States and globally. Sexual assault may have lasting and devastating negative physical and emotional consequences. Knowledgeable nurses can have a positive impact on a survivor’s safety and recovery. The purpose of this project was to develop a Clinical Practice Guideline (CPG) for nurses who provide the initial care when patients present in the emergency room following sexual assault. The conceptual framework used for this project included Knowle’s Theory …


Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley Jan 2020

Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley

Walden Dissertations and Doctoral Studies

The cost of voluntary employee turnover is extremely high for organizations in the United States. In 2017, organizations lost over 114 million dollars in profits due to voluntary employee turnover. Business leaders who do not implement the retention strategies to prepare and maintain talent are at risk of losing employee productivity, translating into the organization's profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies 6 managers from Tallahassee, Florida used to reduce voluntary employee turnover. Data were collected using semistructured interviews and company archival documents. Data were analyzed using …


Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady Jan 2020

Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady

Walden Dissertations and Doctoral Studies

School counselors are the epitome of social change agents and advocates for children. Working mothers, particularly those who serve as school counselors, have reported experiences of fatigue, burnout, anxiety, and stress. Researchers have established the need to address the distinctive juncture of motherhood and school counselor responsibilities, as well as the overlap in demands. Rotter’s social learning theory was used as the theoretical framework of this study. This quantitative cross-sectional study examined the relationship between secondary traumatic stress and locus of control as predictors of burnout among working mothers in the school counseling profession. Survey data were collected from 72 …


Implementing A Cauti Bundle In The Adult Hospitalized Trauma Population, Sabrina Marcella Braun Jan 2020

Implementing A Cauti Bundle In The Adult Hospitalized Trauma Population, Sabrina Marcella Braun

Walden Dissertations and Doctoral Studies

The use of an indwelling catheter is a common occurrence in the hospital setting. Careful evaluation of the initial indication for catheterization and need for continued catheterization is necessary to mitigate the complications of catheter insertion, which includes urinary tract infection. Catheter associated urinary tract infections (CAUTI) are the most common healthcare-associated infection in the United States, with > 30% of these infections reported. More than 560,000 hospital acquired urinary tract infections occur annually. CAUTI and its complications increase morbidity and mortality, hospital length of stay, readmission rates, cost, and the use of antimicrobial medication. CAUTI was identified as an outlier …


Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam Jan 2020

Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam

Walden Dissertations and Doctoral Studies

Patients suffering from chronic obstructive pulmonary disease (COPD) not only face difficulties managing their disease but are also faced with a higher risk of being readmitted to a hospital after an initial visit for acute exacerbation of their condition. Despite hospitals’ many attempts to offset this burden, readmission reduction programs are not effective. The purpose of this quantitative study was to further research an organization’s specific population surrounding patient comorbidities, reasons for readmissions, and demographic characteristics that may lend insight into reasons for readmissions. The research design was a retrospective analysis of a health system’s electronic medical record with a …


A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion Jan 2020

A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion

Walden Dissertations and Doctoral Studies

Organizational leaders are challenged with loss of productivity due to lack of employee engagement, making employee engagement a top priority for organizational executives worldwide. Grounded in Emerson’s social exchange theory, the purpose of this quantitative correlational study was to examine the relationship between manager-employee relationship and employee rewards and employee engagement. Employees (N = 31) of a U.S. organization completed the Intrinsic Work Rewards Survey, Extrinsic Rewards on Creativity Measure, and the Work and Well-being Survey. The results of the multiple linear regression indicated a statistically significant relationship, F(2, 28) = 32.875, p < .001, R2 = .701. Employee rewards was the only statistically significant predictor of employee engagement (t = 6.074, p < .001). A recommendation is for organizational leaders to establish reward programs that address employee needs for compensation, achievement, and development. This implications for positive social change include the potential for employees to benefit from financial stability and well-being. The organization may achieve higher performance and profitability, enabling the organization to invest in job creation and community economic development.


Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis Jan 2020

Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis

Walden Dissertations and Doctoral Studies

The foci of existing literature related to counselor wellness are on counselors as individuals, and researchers have failed to consider counselors as part of a larger system. Researchers have found that demanding work environments are more likely to lead to compassion fatigue and burnout for counselors which pose threats to the well-being of clients. The organizational culture also affects counselor self-efficacy, which influences the emotional state of the counselors. Limited research exists on institutional-level factors, such as the organizational culture, in counselor wellness which demonstrates the importance of this study. The purpose of this quantitative nonexperimental survey study was to …


Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye Jan 2020

Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye

Walden Dissertations and Doctoral Studies

Many nonprofit organizations (NPO) leaders lack formal strategies to recruit volunteers. Nonprofit leaders without effective volunteer recruitment strategies may lack the workforce necessary to achieve the organization’s mission to support organization beneficiaries. Grounded in the strategic human resource management theory, the purpose of this qualitative, single case study was to explore strategies 3 leaders of a nonprofit organization located in the U.S. state of Colorado use to recruit volunteers. Data were collected from semistructured interviews, organizational documents, public and government data, and the organization’s website. The data were analyzed using Yin’s five-step thematic analysis process and the Baldrige Performance Excellence …


Increasing Compliance Of Chlorhexidine Wipes To Prevent Hospital-Acquired Infections, Kelly Jean Dunn Jan 2020

Increasing Compliance Of Chlorhexidine Wipes To Prevent Hospital-Acquired Infections, Kelly Jean Dunn

Walden Dissertations and Doctoral Studies

AbstractHealthcare-acquired infections (HAIs) are complications of healthcare linked to increased mortality, morbidity, and length of stay. Assiduous surveillance and constant reeducation can decrease HAI incidence and reduce the healthcare burden caused by these events. Evidence has demonstrated that using 2% chlorhexidine wipes instead of bathing with soap and water greatly reduces the bacteria on the skin and prevents infections such as catheter-associated urinary tract infections and central line-associated bloodstream infections. The practice-focused question for this quality assurance doctoral project was to evaluate if an educational intervention improved compliance of chlorhexidine wipe use among ICU nurses with the hope of improving …


Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner Jan 2020

Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner

Walden Dissertations and Doctoral Studies

Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …


Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham Jan 2020

Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham

Walden Dissertations and Doctoral Studies

Military members and their families face unique stressors related to separation and reintegration. These life-changing events can lead to domestic violence, divorce, depression, suicide, and behavioral problems within the family. It was unknown whether the implementation of a nursing clinical practice guideline (CPG) would help nurses to identify family functioning concerns or psychosocial issues enabling earlier interventions. The purpose of this doctoral project was to create a CPG that can be used at military treatment facilities (MTFs) to screen military members and their families to identify family functioning concerns so that the provider can make referrals as needed. The circumplex …


The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint Jan 2020

The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint

Walden Dissertations and Doctoral Studies

The nursing shortage in the United States has led to a call for nursing education reform. Current clinical educational methods precipitate nursing student performance anxiety (PA). PA can inhibit the clinical judgment, reasoning, critical thinking, and the adaptability required for advancing healthcare initiatives and reducing the nursing shortage. PA has not been defined nor addressed in undergraduate nursing education. The purpose of this descriptive phenomenological study was to explore the lived experiences of associate degree (AD) nursing program faculty in addressing student PA as it occurs in the clinical setting. Specifically, how faculty define PA and recognize, address, and assess …


Battered Women's Help-Seeking In The Rural Southwestern United States, Celina Gerese Bryant Jan 2020

Battered Women's Help-Seeking In The Rural Southwestern United States, Celina Gerese Bryant

Walden Dissertations and Doctoral Studies

Many victims of domestic violence who seek help are never able to break the cycle of abuse. Many studies address the stages and types of domestic violence, but few focus on successful recovery from abuse. The purpose of this study was to fill the gap in the literature concerning battered women's help-seeking processes in rural southwestern United States. The specific focus was on how victims and survivors of intimate partner violence seek help for domestic violence issues and whether their help-seeking processes determine successful recovery from domestic violence situations. This study was a qualitative case study based on symbolic interactionism …


Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock Jan 2020

Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock

Walden Dissertations and Doctoral Studies

The child welfare system (CWS) serves around half a million families each year in America. Of those, in Texas, hundreds of thousands of African American families represent the greatest percentages of families in the CWS when compared with their respective numbers in the general population. In 2013, African American children made up about 13.9% of the overall population of children in the United States; however, these children represented close to 26% (or 101,938) African American children in the system with CWS. Child Protective Services (CPS) has various programs and services, including parent education referrals to social services agencies that carry …


Occupational Stress And Coping Strategies Among Prison Educators In State Prisons, Vanessa Burrison-Meade Jan 2020

Occupational Stress And Coping Strategies Among Prison Educators In State Prisons, Vanessa Burrison-Meade

Walden Dissertations and Doctoral Studies

Correctional education in the United States can be traced back to 1789. Its main purpose was to teach inmates literacy so that they could read the Bible. Because most of the inmates in the U.S. state prison system will be released in modern times, they will need as much education as possible to adapt to civilian life. The purpose of this qualitative phenomenological study was to explore the experiences of 6 correctional educators belonging to the Correctional Education Association who are employed at maximum and medium secured prison regarding their strategies for handling stress and coping in their classrooms. The …


The Relationship Between Intimate Partner Violence And Youth Violence: A Systematic Literature Review, Donna M. Butler Jan 2020

The Relationship Between Intimate Partner Violence And Youth Violence: A Systematic Literature Review, Donna M. Butler

Walden Dissertations and Doctoral Studies

Youth are responsible for a great number of violent acts committed in the United States. Experiencing or witnessing some type of violence at home during childhood increases the possibility of engaging in violent behaviors as a youth. At present, no systematic literature reviews examined the impact of intimate partner violence (IPV) on the development of youth violence. IPV includes various types of abuse that one member of a couple commits against the other member. The purpose of this systematic literature review was to examine the literature and analyze the relationship between IPV and youth violence. Bandura’s social learning theory and …


Victims Of Intimate Partner Violence And Workplace Instability, Robert Boyd Cannon Jr Jan 2020

Victims Of Intimate Partner Violence And Workplace Instability, Robert Boyd Cannon Jr

Walden Dissertations and Doctoral Studies

The effects of intimate partner violence (IPV) on victims’ employment status is well-documented. The purpose of this study was to examine the implications of domestic violence on the status and stability of employment for victims who work in the public sector. The study’s 2 research questions asked how victims’ perspectives on IPV could provide insights to (a) help public sector employers improve victims’ employment stability and (b) create policies and practices that support victim disclosure. A phenomenological approach was used to understand the experience of victims of IPV and unstable employment. The theoretical framework derived from feminist theory and focused …


The Impact Of The Exercise Of Self-Care Agency And Compassion Satisfaction On The Professional Social Worker, Elaine Franks Carter Jan 2020

The Impact Of The Exercise Of Self-Care Agency And Compassion Satisfaction On The Professional Social Worker, Elaine Franks Carter

Walden Dissertations and Doctoral Studies

Few studies have provided empirical data on the relationship between compassion satisfaction and self-care agency in professionals like the professional social worker, even though compassion satisfaction could be a prime motivator for continued work in the field of social work. To address this gap, this quantitative study addressed the research question asking if there was a statistically significant linear relationship between the exercise of self-care agency and compassion satisfaction. This study centered on theories related to the compassion satisfaction and the compassion satisfaction/compassion fatigue theories of Stamm (2010), and self-care agency and the theories of self-care/self-care deficit of Orem (1980; …


Predictors For Passing The Psychology License Exam, Edith Chaparro Jan 2020

Predictors For Passing The Psychology License Exam, Edith Chaparro

Walden Dissertations and Doctoral Studies

Psychology license exam takers who do not pass the exam cannot practice psychology independently, have difficulty securing employment, and may lose current jobs. Despite the increased number of psychologists entering the field and the increase in ethnic minority students in doctoral-level psychology programs, there is scarce recent research on predictors of license exam pass rates. The purpose of this quantitative nonexperimental study was to examine whether APA internship match rates, GRE scores, percentage of ethnic minority students, gender, program type, rate of admittance, and years to completion predict license exam pass rates. The triarchic theory of intelligence served as the …


Formerly At-Risk, Undergraduate Alumni’S Mentoring Experiences At A Historically Black University, Calaundra M. Clarke Jan 2020

Formerly At-Risk, Undergraduate Alumni’S Mentoring Experiences At A Historically Black University, Calaundra M. Clarke

Walden Dissertations and Doctoral Studies

As evidence of the continuing attainment gap, students from low-socioeconomic backgrounds have a lower enrollment and completion rate in higher education. Although studies have documented that mentoring programs have the capability to address a variety of problems these students may face in completing college, there appeared to be limited research on examining their experiences in mentoring programs at historically Black colleges and universities (HBCUs). The purpose of this basic qualitative study was to understand the mentoring experiences of formerly at-risk, HBCU, undergraduate alumni. Astin’s theory of student involvement and Tinto’s theory of student retention provided the framework for understanding the …


Impact Of Mentoring On First Year Nursing Student Anxiety, Heather Ann Clesi Jan 2020

Impact Of Mentoring On First Year Nursing Student Anxiety, Heather Ann Clesi

Walden Dissertations and Doctoral Studies

First-year nursing students (FYNS) experience anxiety that can decrease academic achievement and result in attrition from the nursing program (NP). Research has not evaluated the impact of faculty mentoring (FM) offered by the NP on FYNS anxiety level and academic achievement in didactic courses. This study, guided by Neuman’s system model, used a descriptive cross-sectional design. An online survey link was distributed to FYNS in a southwestern state via NP directors and social media. FYNS were asked if their NP offered FM and were sorted into groups based on their response. Responses were received from 321 participants with 75 meeting …


Impacting Nonprofit Financial Sustainability And Mission, Jarhal Duncan Jan 2020

Impacting Nonprofit Financial Sustainability And Mission, Jarhal Duncan

Walden Dissertations and Doctoral Studies

Nonprofits in the United States have been struggling to maintain financial sustainability and create new pathways to accomplish its mission. The research problem was that there was limited research on leadership strategies for nonprofits to facilitate the balance of achieving the organizational mission and financial sustainability. The purpose of this study was to increase the understanding of how current leaders of niche-based nonprofit organizations use strategies to impact financial sustainability and maintain the mission of the nonprofit organization. Building on this understanding can help address this issue. Theoretical frameworks such as Resource Dependence Theory and General Systems Theory help develop …


Prevention Of Care Of Catheter-Associated Infections In Long Term Care, Maureen Edozie Jan 2020

Prevention Of Care Of Catheter-Associated Infections In Long Term Care, Maureen Edozie

Walden Dissertations and Doctoral Studies

The incidence of catheter-associated urinary tract infections (CAUTI) in long-term care settings ranges from 1.5 to 3.3 per 1,000 catheter days for adult. Over 380,000 nursing home residents are hospitalized due to infections each year. Staff education using Agency for Healthcare Research and Quality (AHRQ) practice guidelines showed knowledge gained. The use of an evidence-based practice guideline developed AHRQ has been shown to significantly reduce the rate of CAUTI in the long-term care residents. The clinical practice problem was a CAUTI rate higher than the national average in the long-term care facility of interest due, in part to inconsistent nursing …


Accelerated Baccalaureate Nursing Student And Faculty Perceptions Of Blended Learning, Emily Elliott Jan 2020

Accelerated Baccalaureate Nursing Student And Faculty Perceptions Of Blended Learning, Emily Elliott

Walden Dissertations and Doctoral Studies

In response to the demand for baccalaureate-educated nurses, nursing schools offer an accelerated baccalaureate of science in nursing (BSN). The problem is nursing programs have used blended learning approaches, but it is unclear whether and in what ways accelerated BSN students benefit from this learning design. The purpose of this qualitative case study was to explore how faculty and students perceived the benefits and challenges of an accelerated BSN program utilizing a blended learning format. Knowles’s adult learning theory served as the conceptual framework through which interview data were analyzed. Participants included 6 faculty and 7 students from 1 school …


The Effectiveness Of The Biopatch Disc In Decreasing Mrsa In Peripherally Inserted Intravenous Catheters, Ketha Franklin Jan 2020

The Effectiveness Of The Biopatch Disc In Decreasing Mrsa In Peripherally Inserted Intravenous Catheters, Ketha Franklin

Walden Dissertations and Doctoral Studies

Methicillin-resistant Staphylococcus aureus (MRSA), drug-resistant bacterial infection, is a pressing global health care issue that decreases patients’ quality of life and places a high burden on health care delivery systems. The purpose of this quality improvement evaluation project was to evaluate an infection prevention management program derived from evidence-based research to decrease the incidence of MRSA in peripherally inserted intravenous catheters (PIVs) in acute care settings through the utilization of the Biopatch disc. The practice-focused question addressed whether the use the Biopatch disc over a 6-month period in acute care would coincide with a reduction of the incidence of MRSA …