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Ethiopian Construction Project Management Maturity Model Determination And Correlational Prediction Of Project Success, Hailemeskel T. Hailemarkos

Walden Dissertations and Doctoral Studies

In Ethiopia, although the construction industry is booming, the practice of effective project delivery in time, cost, and quality remains a challenge. Construction project success comes through the application of knowledge-based, critically essential factors. The industry's effectiveness is dictated by the level of project management knowledge built in each company. The purpose of this quantitative, correlational study was to evaluate project management maturity level of construction industry and the predictability of project success from project management knowledge maturity of 193 project managers working in contractors, consultants, and clients. The study, which was informed by the project management body of knowledge …

Succession Of Power And Transferring Knowledge In A Small Family Business, Todd Alan Hanzes

Walden Dissertations and Doctoral Studies

Thirty percent of small family businesses continue to the second generation, and 13% continue to the third generation. Small family business owners’ ability to find a replacement, for the succession of power, continues to challenge small family business owners. Small family business owners who do not incorporate successful succession strategies run a high risk of failure and closure. Grounded in the dynamic theory of organizational knowledge creation, the purpose of this qualitative single case study was to explore strategies 3 small family business owners in Hawaii used for the succession of power. Data were collected through semistructured interviews and supplemented …

The Sustainability Knowledge, Attitude, And Behavior Differences Between Green And Non-Green University Students, Rebekah Hart

Walden Dissertations and Doctoral Studies

Research has shown that green schools and sustainability education (SE) can improve learning, health, attitudes, and behaviors. They can also model the necessary community, societal, and global changes needed for sustainable living. However, most students do not attend green schools or receive adequate SE. Limited peer-reviewed studies have also examined the sustainability knowledge, attitude, and behavior differences between green and non-green university student populations. The theoretical foundation of the study was based on the theories of planned behavior and social identity theory. In order to fill the research gap, 606 undergraduates and graduates from 265 U.S. accredited green and non-green …

Teachers’ Experiences Addressing Students’ Trauma-Related Behavior In The Classroom, Amanda Lynn Henry

Walden Dissertations and Doctoral Studies

Trauma is not something the untrained eye can see; it can be described as a silent issue, but the effects of trauma are seen in society. Research about trauma has focused on the perspective of the student and not the interaction between the teacher and the student. The purpose of this basic qualitative study was to explore classroom teachers’ perceptions and experiences with addressing students’ trauma-related behavior. The theoretical foundation was trauma theory. Data were collected through questionnaires and in-person interviews with teachers and administrators who work in Southwest Pennsylvania. There were a total of 13 participants. Descriptive coding was …

Effective Coping Mechanisms For Caregivers Of Dialysis Patients, Olga Natalia Hernandez

Walden Dissertations and Doctoral Studies

In the United States, approximately 9 million informal caregivers, such as family and friends, assist other adults with essential activities, and more than 20 million adult Americans in the United States suffer from some level of chronic kidney disease. Research on the burden and satisfaction of caregivers of dialysis patients has focused on patients and caregivers who have been dealing with long-term kidney disease; however, this study addressed patients and their caregivers who were first transitioning from wellness to illness. The main intent of this study was to identify the coping mechanisms of effective caregivers at this point in time. …

Predictors Of Hiv Testing Among African American Men Who Have Sex With Men, Jeanette Marie Higgins

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) infections affect more than 1.2 million people living in the United States and disproportionately affect African Americans (AA) men who have sex with men (MSM). The numbers of those who have HIV infections are likely higher due to lack of HIV testing by all individuals living at risk for HIV in the United States. Prior research has been inconclusive in determining the exact cause of the disparity among AA MSM. Therefore, the purpose of this quantitative secondary data study was to explore barriers to HIV testing within the AA MSM population. The sample for this study …

Management Barriers In Bringing The Digital Age To Rural Nicaragua, Helen Anne Hicks

Walden Dissertations and Doctoral Studies

Living without access to a steady and reliable source of electricity is one form of energy poverty, and living without access to the Internet is one definition of the digital divide. In many rural and remote areas around the world, residents struggle with energy poverty and the digital divide. However, off-grid renewable energy electricity systems are being installed in these areas to provide electricity. Thus, the purpose of this study was to identify management barriers that affect the maintenance of these off-grid systems and the possibility of using them to provide Internet connectivity. This was a qualitative phenomenological study with …

The Lived Experiences Of Rural Clinical Social Workers In North Carolina, Sarah Horne

Walden Dissertations and Doctoral Studies

Rural clinical social workers face unique challenges when providing services to members of rural communities. To face these challenges and deliver culturally competent services, clinical social workers in rural communities must be specifically prepared for rural clinical social work. This study addressed issues of preparedness for rural clinical social work centered around rural clinical social work supervision in the context of the systems theory. The phenomenological design allowed for the exploration of the lived experiences of rural clinical social workers. Study participants who volunteered for study after being contacted via information provided to the North Carolina Social Work Board were …

Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter

Walden Dissertations and Doctoral Studies

Novice nurses often feel unprepared to transition to practice, which results in increased turnover, which is costly to healthcare organizations and can compromise patient care. Many schools have transitioned to a concept-based curriculum, to move away from traditional content-saturated nursing education. The purpose of this study was to explore the lived experiences of novice nurses educated in a concept-based curriculum as they transitioned to practice. Benner’s novice-to-expert framework and Tanner’s clinical judgment model guided understanding of the behavior of the nurses during the transition period. This interpretative phenomenological study was used to understand new graduates’ perception of their experiences as …

Clinical Practice Guideline Development To Diagnose And Treat Adolescents With Obesity, Barbara Hunter Hudgens

Walden Dissertations and Doctoral Studies

Adolescent obesity is a worldwide multifaceted epidemic. This disease affects the medical, physical, psychosocial, and family aspects of adolescent life. Identification, diagnosis, and referrals to providers that can initiate early interventions that improve weight status have been recommended as critical steps in curtailing childhood obesity. This evidence-based clinical practice guideline (CPG) was developed for the healthcare providers at a rural clinic in Southwest Arkansas to provide consistency in the identification, diagnosis, and referral of adolescents. The health belief model (HBM) and the trans-theoretical model (TTM) were used to consider adolescents’ individual characteristics and beliefs as well as their readiness to …

Loneliness, Prosocial Relationships, And Recidivism In Long-Term Incarcerated Juveniles, Amy Rhoads Jozan

Walden Dissertations and Doctoral Studies

Prosocial bonds have been key in juvenile criminal desistance. Juvenile facility placement has resulted in deterioration of important prosocial supports and social isolation, increasing risk for recidivism. Loneliness has been increasingly prevalent in a facility setting, often leading to ongoing behavioral and health problems. Youth incarcerated longer than 1 year have experienced higher rates of physical and mental health challenges, lasting into adulthood. Lengthy juvenile incarceration impacts loneliness, postrelease prosocial relationships, and desistance implications have been underexplored. The purpose of this phenomenological study was to explore themes associated with reaffiliation motive, or lifelong problems resulting from loneliness, after experiencing youth …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Mental Health Needs In Schools As Predictors Of Burnout In School Counselors, Sondra Junek

Walden Dissertations and Doctoral Studies

Researchers have found an increasing number of students with mental health issues, and

school counselors are often the first resource available to students. School counselors are

faced with many job duties including supporting students’ academic, career, and

emotional needs. Maintaining these duties of school counseling can increase stress and

lead to burnout. The purpose of this quantitative study was to examine mental health

needs, mental health knowledge, and mental health skills as predictors of each of the

three subscales of burnout (emotional exhaustion, depersonalization, and personal

accomplishment) among early, middle, and late career school counselors. Lazarus and

Folkman’s transactional theory …

Exploring Mid-Market Strategies For Big Data Governance, Kenneth Stanley Knapton Iii

Walden Dissertations and Doctoral Studies

Many data scientists are struggling to adopt effective data governance practices as they transition from traditional data analysis to big data analytics. Data governance of big data requires new strategies to deal with the volume, variety, and velocity attributes of big data. The purpose of this qualitative multiple case study was to explore big data governance strategies employed by data scientists to provide a holistic perspective of those data for making decisions. The participants were 10 data scientists employed in multiple mid-market companies in the greater Salt Lake City, Utah area who have strategies to govern big data. This study’s …

Integration Of Social Work Practices With Refugees: An Action Research Study, Avril Williams Knox

Walden Dissertations and Doctoral Studies

The United States is facing an increasing number of refugees and asylees who resettled and were forced to migrate from their countries of origin. In the United States, social service professionals and social workers of resettlement agencies are responsible for the program enrollment and follow-up with newly arrived refugees. Hence, there is a huge learning curve for these individuals. Although a substantial number of refugees are linked to appropriate resources, many are neglected and are unable to sustain themselves. This action research was based upon family systems theory. Integrative techniques used by social workers were explored. The information was subjective, …

Supervisor Experiences Mentoring Therapists-In-Training On Issues Related To Religion/Spirituality Among Lgbt Clients, Stephanie Kolhei

Walden Dissertations and Doctoral Studies

There are known issues related to religion and spirituality (R/S) among the lesbian, gay, bisexual, and transgender (LGBT) population, such as identity struggles, religious abuse, and internalized homonegativity. Many therapists are uncomfortable incorporating R/S into therapy, with poor training and supervision identified as a possible rationale. The purpose of this study was to explore supervisors’ experiences mentoring therapists-in-training on issues related to R/S among LGBT clients as well as supervisors’ level of preparation to mentor this area. The integrated affirmative supervision model (IAS) and multiple dimensions of cultural competence (MDCC) conceptual frameworks drove the development of this study. A generic …

Strategies To Implement A Material Management Information System For Medical Device Recalls, Paul Leo Lafrance

Walden Dissertations and Doctoral Studies

Health care business executives lack strategies to implement material management information systems (MMIS) related to medical device recalls. Lacking sufficient MMIS, health care business executives face insufficient product tracking related to medical devices affecting operational efficiency. Grounded in the conceptual frameworks of the technology acceptance model and diffusion of innovation, the purpose of this qualitative single case study was to explore health care business executives’ strategies for implementing an MMIS related to medical device recalls. The participants were 6 health care executives who implemented an MMIS in an urban hospital in the northeast region of the United States. Data were …

Foster Parents’ Perceptions Of Services Needed To Help Manage Foster Children’S Emotional And Behavioral Issues, Timothy A. Lance

Walden Dissertations and Doctoral Studies

Children entering the foster care system in the United States have higher rates of behavioral and emotional issues than children in the general population. Research has revealed that foster parents need to be trained in how to manage the emotional and behavioral problems of children placed in their care. However, there is a gap in knowledge regarding foster care providers’ perceptions of services they may need to assist them in managing their foster children’s behavioral and emotional problems. A generic qualitative approach was used to address the question: What are foster parents’ perceptions of services they need to effectively manage …

Relationship Between Pm2.5 Levels And Cancer Incidences In Interior Alaska, Sandra G. Lewis

Walden Dissertations and Doctoral Studies

Exposure to high levels of ambient air particulates < 2.5 microns in diameter (PM2.5) in the Fairbanks North Star Borough (FNSB) and the resulting impact on cancer incidence is the focus of this study. Climate, geography, and culture influence PM2.5 levels, particularly during the long cold season. While this study considers lung cancer incidences from PM2.5 exposure, the primary focus of the study is the incidences of all other types of cancers from exposure to PM2.5, because of the limited research done on this topic. This quantitative, retrospective, cohort study considered the incidences of new cancer diagnoses in the population during a 10-year period (January 1, 2008-December 31, 2017). The 2 FNSB Zip Codes, designated “hot spots,” frequently see spikes in PM2.5 during the long cold season. These areas are densely populated and contain the EPA-regulated air quality monitors. Cancer diagnoses in the hot spot Zip Codes were compared to cancer diagnoses in outlying Zip Codes (non-hot spots) that experience less PM2.5 and are more consistently within the EPA air quality guidelines. EPA monitors are not yet located in the non-hot spots. Cancer patient data were obtained from the Fairbanks Memorial Hospital Cancer Center. The results demonstrated that a strong association was found between PM2.5 exposure and non-lung cancers (OR = 1.37; RR = 1.36; p < 0.001); and between PM2.5 exposure and lung cancer (OR = 1.87; RR = 1.88; p < 0.001). These findings may be used to promote an increased awareness among FNSB residents of the potential impact on cancer diagnoses from inhaling high levels of PM2.5, so residents may change their behavior in favor of alternatives to biomass burning to improve air quality.

Demographic, Environmental, And Clinical Variables Associated With Dengue In Saint Lucia, Brendan Lee

Walden Dissertations and Doctoral Studies

Dengue is the most important arboviral disease of public health concern on the world stage. In Saint Lucia, the disease has been endemic for years. Little research has been published on the specific epidemiology of dengue in Saint Lucia, and this study sought to identify the risk factors associated with the disease specific to the island. This study was underpinned by ecological theory, which is used to explain the possible relationships between risk factors and the occurrence of dengue. This three-manuscript study was used to evaluate the relationship between demographic, environmental, and clinical variables and the occurrence of dengue as …

Perceived Obstacles For State-Facilitated Legal Recreational Cannabis, Robert A. Lino

Walden Dissertations and Doctoral Studies

U.S. states that facilitate the use of legal recreational cannabis face the threat of federal prosecution because cannabis remains illegal at the federal level. The purpose of this qualitative case study was to assess the perceived obstacles to the state-facilitated regulation and implementation of legal recreational cannabis. Collective action federalism theory provided the framework for the study. The data collection instrument was developed based on themes in the literature and was pilot tested to ensure accuracy. The final study included 22 participants who represented the cannabis industry in the United States. Descriptive coding and thematic analysis indicated that the federal …

Supporting Intervention For Adolescents Of Incarcerated Parents In Rural Areas, Jeanette Kathleen Loudy

Walden Dissertations and Doctoral Studies

This study was focused on the challenges experienced by children who had a parent incarcerated during their adolescence. The purpose of this qualitative phenomenological study was to explore the lived experiences of adult child survivors of parental incarceration in a rural community and to describe the impact that parental incarceration had on children during adolescence and into young adulthood. The research questions were designed to examine the perceived challenges facing adult children of parental incarceration in rural areas and policy intervention programs that would be most effective at supporting children of parental incarceration during adolescence and the transition into adulthood. …

Perceptions Of The Reentry Process Among African American Male Ex-Offenders With Multiple Incarcerations, Chanae Latrice Lumpkin

Walden Dissertations and Doctoral Studies

Within 3 years of their release from the criminal justice system, almost 7 out of 10 released African American males go back to. There is limited social science research into how these ex-offenders perceive their lived experiences after release. The research questions that guided this inquiry related to understanding the post-prison experiences of African American males with a history of multiple incarcerations. The conceptual framework was guided by Tajfel’s social identity theory and Becker’s social reaction theory. Interviews were conducted with a purposeful sample of 6 African American males with a history of multiple incarcerations who had been released from …

Preschool Teacher Perspectives Of Crisis Preparedness, Sara Ann Machado

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand the perspectives of preschool teachers

regarding school-based emergency planning in independently funded childcare centers.

Current research has investigated perspectives of crisis preparedness by a variety of

school staff but has not yet included the extent to which preschool teachers feel prepared

to handle a school crisis event. This study was based on the integrated model of school

crisis preparedness and intervention proposed by Jimerson, Brock, and Pletcher. This

study examined how preschool teachers describe the effect of crisis preparedness drills

and training on their ability to handle school crisis events prior to, …

Mentoring Among Homosexual Male Managers: A Phenomenological Inquiry, Joseph Mannino

Walden Dissertations and Doctoral Studies

Homosexuality has become more accepted and recognized in the past 50 years by the public. Mentoring has been a key factor in employee engagement and job satisfaction of proteges. While past studies have investigated discrimination towards homosexual employees, there has been an absence of research about homosexual mentorship relationships between homosexual managers and employees in the workplace. The research question for this study inquired about the mentoring experiences of homosexual male managers in corporations. The purpose of this descriptive phenomenological investigation was to develop an understanding of the mentoring experiences of homosexual male mentors and proteges in corporate management. Leader-member …

Medication Reconciliation In An Outpatient Clinical Setting, Tilena Martin

Walden Dissertations and Doctoral Studies

Medication reconciliation is a fundamental step in the delivery of safe care, because if it is not done correctly, it can set the stage for medication errors. Medication reconciliation has been shown to alleviate safety issues that lead to mortality, falls, and adverse drug reactions. The project question examined how in-service training can improve the knowledge of nurse practitioners and medical assistants about medication reconciliation. The project was guided by Knowles’ theory of adult learning and Rosswurm and Larrabee’s health belief model. A 1-hour educational module was prepared, and all participants completed the training prior to a discussion period. Sources …

The Hospital Consumer Assessment Of Healthcare Providers And Systems And Readmissions, Sheri Matson

Walden Dissertations and Doctoral Studies

Patient perception of care has become a main priority in the delivery of high-quality health care. The creation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey provided a nationally standardized method of evaluating patient perception to be incorporated in the reimbursement process defined by the Centers for Medicare and Medicaid Services (CMS). The purpose of this study was to examine the relationship between HCAHPS scores and readmission rates in 2 states in the South Atlantic region of the United States. Using social construction theory, this quantitative study utilized multiple regression analysis to analyze HCAHPS scores (independent …

Examining Predictors Of Birth Outcomes: Implications For Early Childhood Development And Policy, Cissy Lee Mattingly

Walden Dissertations and Doctoral Studies

While the infant mortality rate has improved significantly in the United States in recent years, a Black-White disparity persists. The problem is the high infant mortality rate in the state of Texas. The purpose of this quantitative multiple logistic regression study was to examine disparities in birth outcomes in the state of Texas by race, ethnicity, and other significant predictors related to socioeconomic status. The Mosley-Chen theoretical framework bridges the gap between social science and biomedicine to identify key predictors of infant mortality including socioeconomic factors for studies in child development. The 2 research questions examined if race and ethnicity …

Increasing Compliance With Sequential Compression Devices To Reduce Venous Thromboembolism, Randy Mcclain

Walden Dissertations and Doctoral Studies

Venous Thromboembolism (VTE) is a life-threatening complication. Approximately 900,000 people in the United States are affected by VTE with a mortality of 300,000 cases per year. Although potentially preventable, VTE remains the leading cause of hospital deaths in the U.S. The practice problem addressed in the Doctor of Nursing Practice (DNP) project was evidence of an increased incident of VTE events on a trauma surgical unit. The practice-focused question evaluated the extent to which a nurse-driven protocol for VTE prophylaxis could improve adherence to mechanical prophylaxis with sequential compression devices and compliance with nursing documentation. The purpose for the doctoral …

Systematic Review: Barriers To Primary Care For The Transgender Individual, Charles David Mccormick

Walden Dissertations and Doctoral Studies

Representing a diverse group, the transgender community defies conventional norms expected by society resulting in discrimination and denial of essential goods and services necessary to maintain personal health, safety, and well being. The identification of the barriers to primary care faced by the transgender individual has the potential to reduce healthcare disparities and improve the compliance with national screening and treatment guidelines. The purpose of this project was to examine available literature incorporating the systematic review method to determine the barriers to primary care faced by the transgender individual. Using Leininger’s transcultural nursing theory to guide the process to determine …