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Walden Dissertations and Doctoral Studies

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Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares Jan 2020

Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares

Walden Dissertations and Doctoral Studies

Obesity poses an escalating threat to public health in many countries. A better understanding of the psychological construct of obesity and alternative approaches for treating it are needed. The purpose of this study was to examine secondary data to measure the effects of a program using group play in sand on self-perceptions of obese Danish women. The framework was based on elements from the Bandura’s social learning theory and conception of self-efficacy integrated with the concept of body image perception. Participants (N = 34) were obese women in Copenhagen, Denmark, who used group play in sand as their therapy program. …


Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze Jan 2020

Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze

Walden Dissertations and Doctoral Studies

In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …


Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson Jan 2020

Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson

Walden Dissertations and Doctoral Studies

Military families represent an under-researched and unique population in U.S. society. Little is known about the effects that extended separations have on military families and/or about the daily challenges such families face. This basic qualitative inquiry examined military spouses’ perception of how social media and digital face-to-face communication with deployed parents influenced their children’s behaviors and attitudes toward school. It also examined the perceptions of teachers who teach or taught military children whose parents were deployed. The study’s conceptual framework consisted of Bandura’s social cognitive theory of self-efficacy and Ainsworth and Bowlby’s attachment theory. The research questions for this study …


Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat Jan 2020

Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat

Walden Dissertations and Doctoral Studies

The World Health Organization considers hip replacement one of the main public health concerns of this 21st century. An enhanced recovery after surgery (ERAS) approach has proved to be an effective and efficient approach to treat patients in need of a hip replacement. The quality of life (QOL) of patients who have undergone a hip replacement surgery with an ERAS approach has not been documented due to its recent development as a possibility for hip surgery. The objective of this study was to compare QOL, length of stay (LOS), and surgery risks of patients undergoing hip replacement surgery with or …


The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart Jan 2020

The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart

Walden Dissertations and Doctoral Studies

Data-driven research is an ethical precept for nearly every profession, and it holds a particular importance within any human-services field, including public health education. This research study used a phenomenological methodology and Brofenbrenner’s theoretical framework to construct descriptive themes, investigating how public school instructors' personal beliefs impact teaching practice. Ten in-depth face-to-face interviews were conducted with public high school teachers who self-identified as being involved with sex education instruction. Participants were selected from several public Minnesota high schools responsible for providing sex education to public school students in Grades 9 to 12. The findings revealed several themes relating to how …


Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner Jan 2020

Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner

Walden Dissertations and Doctoral Studies

A local school district adopted technology initiatives with the goal of transforming pedagogy to create 21st-Century learning experiences. The problem addressed in this study was high school teachers from 1 of the district's 4 high schools did not integrate technology in ways that transformed pedagogy and enhance students’ learning experiences. The purpose of this qualitative case study was to explore teachers' perspectives of and experiences and challenges with integrating technology in transformational ways. Mishra and Koehler’s technological pedagogical and content knowledge framework guided this study. The research questions were designed to understand teachers’ experiences, perspectives, and challenges integrating technology in …


Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas Jan 2020

Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas

Walden Dissertations and Doctoral Studies

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs …


Teachers’ Perspectives On Positive Behavior Intervention And Support In The Classroom, Corlett Pinnock Jan 2020

Teachers’ Perspectives On Positive Behavior Intervention And Support In The Classroom, Corlett Pinnock

Walden Dissertations and Doctoral Studies

Positive behavior intervention and support (PBIS) is a data-driven approach to promoting productive student behaviors and learning. A key facet of sustainable success when using PBIS is evaluation. More insight is needed on the perspectives that teachers have about PBIS and as well as details about whether and why it is accepted. The purpose of this phenomenological study was to examine the perceptions of teachers at 3 high schools in Western Jamaica as it relates to a PBIS pilot program. Twenty-six teachers from 3 schools in Region 4 in Jamaica were interviewed with the aim of understanding how teachers received …


Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens Jan 2020

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …


Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu Jan 2020

Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu

Walden Dissertations and Doctoral Studies

AbstractSchool counselors should be well-adjusted in their personal and professional lives and possess a keen, accurate perception of their self-care practices. However, people drawn to careers in school counseling are often at risk of developing burnout due to high professional demands and limited resources supporting their self-care and well-being. The purpose of this quantitative correlational study was to investigate the relationship between the independent variables of self-care practices, years of work experience, and educational settings and the dependent variable of levels of burnout among practicing school counselors in K-12 suburban educational settings in the Mid-Atlantic region of the United States. …


A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim Jan 2020

A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim

Walden Dissertations and Doctoral Studies

AbstractIn 2017, The Joint Commission issued a sentinel event alert regarding inadequate nurse hand-off communication. Inadequate hand-off communication can lead to medication errors, delay in treatment, falls, and wrong-site surgery. To help ensure safe handoff of care between nurses by involving the patient and family, bedside shift report was created. Bedside shift report was developed to help improve patient safety and quality, patient experience of care, nursing staff satisfaction and time management, and accountability between nurses. Despite the implementation of bedside shift report in nursing practice, it continues to be inconsistently applied, which poses risks to patients and can lead …


Strategies For Small Business Sustainability Beyond 5 Years In New Restaurant Industry, Alexandria Norma Wilhoite Jan 2020

Strategies For Small Business Sustainability Beyond 5 Years In New Restaurant Industry, Alexandria Norma Wilhoite

Walden Dissertations and Doctoral Studies

More than half of small businesses in the United States are unsustainable within the first five years of existence. Small business owners who do not implement successful and sustainable strategies are at a high risk of failure. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that some small restaurant owners use to sustain business beyond five years. The participants included three small business owners in Connecticut who have been in business for five years. Data were collected from semistructured interviews, company websites, and company documents. Yin’s 5-step thematic analysis was …


Stroke Prevention Through Education, Laura Lee Ballance Jan 2020

Stroke Prevention Through Education, Laura Lee Ballance

Walden Dissertations and Doctoral Studies

AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns …


Improving The Patient Experience With Communication, Pauline Adora Salmon Jan 2020

Improving The Patient Experience With Communication, Pauline Adora Salmon

Walden Dissertations and Doctoral Studies

A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …


Pertussis Resurgence In Europe: Incidence And Epidemiologic Cycles In Immunization Required And Non-Required Countries, Sheryl Ann Duquet Jan 2020

Pertussis Resurgence In Europe: Incidence And Epidemiologic Cycles In Immunization Required And Non-Required Countries, Sheryl Ann Duquet

Walden Dissertations and Doctoral Studies

Although pertussis vaccines have been available for over 7 decades, countries are experiencing a pertussis resurgence. This study sought to establish a relationship between the European pertussis immunization schedule designs (with and without the inclusion of adolescent boosters) and the immunization requirement (recommended or required), which potentially influences immunity waning, and thus the incidence rate and epidemiologic cycles of pertussis. The theoretical foundation for this study was the theory of herd immunity. A quantitative research method was used, supported by a secondary data source. The statistical analysis included the use of linear regression to evaluate the relationship between the requirement …


The Caregiver Advise Record And Enable (Care) Act And Compassion Fatigue In The United States, Karen Marie Johnson Jan 2020

The Caregiver Advise Record And Enable (Care) Act And Compassion Fatigue In The United States, Karen Marie Johnson

Walden Dissertations and Doctoral Studies

The transition from hospital to home can be complicated, leaving family caregivers in stressful situations that they may not know how to handle. The burden that is placed on these individuals has led researchers to focus on the public health implications of caregiving in hopes of identifying at-risk caregivers. This quantitative analysis identified what relationships exist between caregiver compassion fatigue among family caregivers and training or education received per the Caregiver Advise Record and Enable (CARE) Act and if education influences readmission rates. A purposive sample of 385 family caregivers participated in this study. The Care Transitions Measure (CTM-15), the …


Community-Based Counselors’ Experiences Counseling Female Adjudicated Youth: A Basic Qualitative Study, Ericka Pinckney Jan 2020

Community-Based Counselors’ Experiences Counseling Female Adjudicated Youth: A Basic Qualitative Study, Ericka Pinckney

Walden Dissertations and Doctoral Studies

Licensed professional counselors (LPCs) have encountered difficulties engaging at-risk youth in meaningful treatment. Youth who faced great stress such as abuse, neglect, truancy, family problems, homelessness, and traumatic events have presented with challenging behaviors. Literature suggested adjudicated youth engaged in relational and physical aggression; these behaviors increased the risk for out-of-home placement. Research on community based LPCs’ professional experiences in working with adjudicated female youth is scarce. The purpose of this basic qualitative study was to explore community-based counselors' experiences treating female adjudicated youth. Professional counselors' techniques and strategies were explored. The relational-cultural theory provided the conceptual lens through which …


Probation And Parole Officers’ Experiences Addressing Criminogenic Needs Of Adult Felony Offenders, Maria L. Stephenson Jan 2020

Probation And Parole Officers’ Experiences Addressing Criminogenic Needs Of Adult Felony Offenders, Maria L. Stephenson

Walden Dissertations and Doctoral Studies

Probation and parole officers (PPOs) deviate from evidence-based practices implemented to reduce recidivism among adult felony offenders. PPOs fail to adhere to risk-need assessment results during case management, but prior research has not established the reasons for this deviation. This qualitative phenomenological study explored the lived experiences of PPOs implementing the risk needs responsivity (RNR) model by addressing the criminogenic needs of adult felony offenders. The theoretical framework for this study was based on Lipsky’s street-level bureaucracy theory, Becker’s labeling theory, and Andrews and Bonta’s RNR theory. This study involved in-depth, individual, semistructured interviews with 6 participants. The data were …


Information Security Ambassadors’ Perceptions Of Peer-Led Motivation In Phishing Detection, Kingkane Malmquist Jan 2020

Information Security Ambassadors’ Perceptions Of Peer-Led Motivation In Phishing Detection, Kingkane Malmquist

Walden Dissertations and Doctoral Studies

Phishing rates are increasing yearly and continue to compromise data integrity. The need to guard business information is vital for organizations to meet their business objectives and legal obligations. The purpose of this phenomenological study was to explore security ambassadors’ perceptions of motivating their peers to adopt safe internet behaviors in a large medical campus in Minnesota. Hackman and Oldham’s job characteristic motivation theory was used to frame the study. Data were collected from semistructured interviews with 20 security ambassadors. Data coding and analysis yielded 7 themes: rewarding, value, personal interest, limited information security knowledge, increased interest, communication, and topics …


Obesity, Physical Activity, And The Place Of Residence Among Latinos, Chanda Mcneal Jan 2020

Obesity, Physical Activity, And The Place Of Residence Among Latinos, Chanda Mcneal

Walden Dissertations and Doctoral Studies

Obesity is one of the most costly chronic, but preventable, diseases that has increased in prevalence in the United States. Obesity is known to be related to a lack of physical activity and the conditions in which people are born and live. Although adult Latino men and women have the second highest obesity rate in the United States, researchers have not explored place of residence as a factor in understanding Latinos’ health status. Therefore, the purpose of this correlational quantitative study was to determine if there is a relationship between obesity and Latinos’ place of residence and physical activity, and …


Breast Cancer Knowledge, Attitude, And Screening Practices Among Hispanic/Latino Women, Harrindra Seepersaud Jan 2020

Breast Cancer Knowledge, Attitude, And Screening Practices Among Hispanic/Latino Women, Harrindra Seepersaud

Walden Dissertations and Doctoral Studies

Nearly 1 out of every 8 women will develop breast cancer during her lifetime, making breast cancer the most common noncutaneous malignancy in women, particularly among the Hispanic/Latino population. Hispanic/Latino women are more likely than non-Hispanic/Latino women to be diagnosed with breast cancer after the disease has progressed to a fatal stage. This quantitative study measured how knowledge, attitude, and screening practices affect the prevalence and outcomes of breast cancer cases among Hispanic/Latino women while controlling for socioeconomic status factors, using social cognitive theory as a framework. This research uses secondary data analysis of a cross-sectional survey study, the 2014 …


Laughter Therapy And Coping Strategies For Dementia Patient Caregivers, Edith Ugwu Jan 2020

Laughter Therapy And Coping Strategies For Dementia Patient Caregivers, Edith Ugwu

Walden Dissertations and Doctoral Studies

The purpose of this research was to address a gap in the literature concerning the experiences of dementia caregivers who use laughter therapy as a coping strategy to manage their caregiving stress. Dementia caregiving involves high levels of stress, depression, and anxiety, which can cause both psychological and physical health problems for caregivers. It is, therefore, critical to identify effective coping strategies to mitigate caregiving stress. Laughter therapy is an inexpensive and readily available coping strategy that can help manage this stress. The current study used a phenomenological qualitative approach to address the research question. The transactional model of stress …


Hiv-Positive Kenyan Women With A Disability: Social Support's Role In Treatment Seeking, Evelyn Williams Jan 2020

Hiv-Positive Kenyan Women With A Disability: Social Support's Role In Treatment Seeking, Evelyn Williams

Walden Dissertations and Doctoral Studies

Understanding social support from the context of disabled women living in conditions of extreme poverty may be useful in the development of effective interventions to advocate for and improve their likelihood of engagement in HIV-related treatment services. Thus, the purpose of this cross-sectional survey study was to examine the relationship between social support and treatment seeking among a sample of HIV-positive Kenyan women with physical disabilities. Correlations were examined between an individual’s source of social support (family, friend, significant other), type of social support (appraisal, tangible, self-esteem, belonging), and HIV-related treatment seeking. Age, marital status, income availability, and disability type, …


Collaboration In Corporate Social Responsibility Programs In Nigeria’S Oil Industry, Amuzie Ernest Akpaka Jan 2020

Collaboration In Corporate Social Responsibility Programs In Nigeria’S Oil Industry, Amuzie Ernest Akpaka

Walden Dissertations and Doctoral Studies

The inability of some corporate social responsibility (CSR) managers to satisfy stakeholders’ expectations to deliver on corporate social responsibility outcomes has led to protests, unrest, threats, and shutdowns of operations of companies in Nigeria’s oil and gas industry. CSR program managers who do not establish strategies to improve stakeholder engagement may experience business failure. Grounded in stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies CSR managers use to improve CSR outcomes. Participants for the study were 8 CSR managers who formulate policy, initiate and implement CSR programs in companies operating in Nigeria’s oil and …


Effects Of Emotional Labor On Philippine Tourism Staff’S Job Burnout, Maria Paz Rosales Alberto Jan 2020

Effects Of Emotional Labor On Philippine Tourism Staff’S Job Burnout, Maria Paz Rosales Alberto

Walden Dissertations and Doctoral Studies

The tourism industry in the Philippines is a significant contributor to the country’s gross domestic product. As members of the service sector, its employees use their labor and skills to yield positive experiences by understanding their target customers so that they can offer them what they need quickly while incurring minimal cost. It is common for service-sector employees to expend emotional labor by hiding their emotions to meet a company’s standards. Unfortunately, the pressure experienced by these employees leads to a higher risk of burnout. The purpose of this quantitative, cross-sectional study was to assess the impact of emotional labor …


Strategies Business Managers Use To Improve Employee Performance, Moustaph Boubacar Fall Jan 2020

Strategies Business Managers Use To Improve Employee Performance, Moustaph Boubacar Fall

Walden Dissertations and Doctoral Studies

Poor employee performance is detrimental to an organization’s success and may dictate a company’s failure. Therefore, business managers are concerned with developing employee performance because poor employee performance may dictate a company’s collapse. Grounded in Vroom’s expectancy theory, the purpose of this qualitative single-case study was to identify strategies business managers use to improve employee performance. Participants included 3 central Massachusetts business managers who have used successful strategies to improve employee performance. Data were collected through semistructured face-to-face interviews and review of company documents. Yin’s 5-step approach was used for data analysis, and 3 themes were identified: setting clear expectations …


Moderate-Intensity Risk Reduction Counseling And Acquisition Of Sexually Transmitted Infection, Cindy M. Farina Jan 2020

Moderate-Intensity Risk Reduction Counseling And Acquisition Of Sexually Transmitted Infection, Cindy M. Farina

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a public health problem in the United States, with adolescents and young adults to age 25 bearing a disproportionate burden of infection. Risk reduction counseling (RRC) as a strategy to decrease STI incidence has been a focus of scholars. Research examining RRC efficacy has suggested that RRC is effective for 6 to 12 months after treatment. However, study samples have varied by age, ethnicity, race, gender, and geographic location. Whether RRC is effective for more than 1 year is unknown. The purpose of this post hoc chi-square study was to examine the efficacy of moderate-intensity …


Incivility Among Nurses, The Influence Of Structural Empowerment: A Systematic Review, Jennifer Gardner Jan 2020

Incivility Among Nurses, The Influence Of Structural Empowerment: A Systematic Review, Jennifer Gardner

Walden Dissertations and Doctoral Studies

Workplace nurse-on-nurse bullying is a well-known phenomenon in health care organizations at both national and global levels. Healthcare organizations struggle to find effective solutions to help nurses to mitigate bullying and incivility and create safer work environments. The purpose of this systematic literature review doctoral project was to critically appraise the literature to find the best research evidence to show that higher levels of structural empowerment lead to lower levels of incivility and increase nurses’ ability to create safer and more positive work environments. Kanter’s theory of structural empowerment served as the theoretical framework for this review. The evidence-based question …


Job Satisfaction And Retention Of Middle School Teachers, Rebecca Jane Gault Jan 2020

Job Satisfaction And Retention Of Middle School Teachers, Rebecca Jane Gault

Walden Dissertations and Doctoral Studies

The problem investigated in this study was the high turnover rates of experienced, quality, and highly effective middle school teachers, which has a negative effect on student learning and achievement. The purpose of this qualitative study was to discover what specific support and professional development middle school teachers need to remain teaching. The conceptual framework that grounded this study was Herzberg’s two-factor theory of motivation. The research questions explored what experienced middle school teachers need in terms of support and professional development in order to improve their job satisfaction and increase their retention. Nine teachers, one from each middle school …


Barcode Medication Administration In The Emergency Department To Mitigate Medication Errors, Holly Gauthier-Wetzel Jan 2020

Barcode Medication Administration In The Emergency Department To Mitigate Medication Errors, Holly Gauthier-Wetzel

Walden Dissertations and Doctoral Studies

Electronic health record systems (EHRs) have been adopted in healthcare facilities to unify the workflow process of healthcare professionals. Studies have demonstrated the addition of barcode medication administration (BCMA) software technology within the EHR has decreased medication errors within hospitals and long-term care facilities. However, limited research has been conducted to establish whether using BCMA in outpatient areas has had an influence on medication error rates. Literature reveals that many facilities have not adopted BCMA in outpatient areas. The purpose of this study was to investigate whether medication errors were mitigated after BCMA was implemented in the emergency department (ED). …