Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden Dissertations and Doctoral Studies

Discipline
Keyword
Publication Year

Articles 9661 - 9690 of 15661

Full-Text Articles in Entire DC Network

Patient Risks And Clinical Care Disruptions In Rural Hospital Mergers, Gabriel Muzanenhamo Jan 2020

Patient Risks And Clinical Care Disruptions In Rural Hospital Mergers, Gabriel Muzanenhamo

Walden Dissertations and Doctoral Studies

Over 440,000 U.S. citizens are dying annually from avoidable, hospital-associated adverse events, with rural inhabitants experiencing more significant health threats than any other group in the United States. The trend of large health systems acquiring and consolidating rural hospitals (RHs) to improve the coordination of clinical care is backfiring, and accumulating patient safety risks. Although arguments for supporting hospital mergers in the past have focused on efficiency and presented a chance for struggling RHs with a financial survival mode, limited research has explicitly examined the impact of rural hospital mergers (RHMs). This study was constructed to explore the relationship between …

Go to article

Juvenile Recidivism After Release From A Juvenile Detention Center In Atlanta, Georgia, Jacquelyn Monique Nelson Jan 2020

Juvenile Recidivism After Release From A Juvenile Detention Center In Atlanta, Georgia, Jacquelyn Monique Nelson

Walden Dissertations and Doctoral Studies

After undergoing a form of rehabilitation (i.e., youth detention centers in Georgia), statistics show that juveniles have a 65% chance of reoffending within 3 years after being released. The Georgia Juvenile Justice System’s $300 million annual budget raises concerns about the acts of juvenile recidivism. The purpose of this research was to understand why juveniles reoffend after being in a juvenile detention center in Atlanta, Georgia. The conceptual framework for this study was centered on the alternative to youth detention centers. The research question addressed factors that led juvenile delinquents to reoffend after receiving an alternative treatment. This study had …

Go to article

Strategies To Improve Employee Retention In The Small Retail Industry, Martin Anokwah Owusu Jan 2020

Strategies To Improve Employee Retention In The Small Retail Industry, Martin Anokwah Owusu

Walden Dissertations and Doctoral Studies

The high turnover rates of entry-level employees adversely affect the profits of small retail businesses. Small business owners in Ghana may benefit by retaining entry-level employees and reducing replacement and training costs. Grounded in Herzberg’s two-factor theory, the purpose of this descriptive, single-case study was to identify strategies some small retail business leaders in Accra, Ghana, used to reduce the high rate of entry-level employee turnover. The participants were 6 retail business leaders recommended by their director of human resources because of the participants’ experience implementing strategies to minimize entry-level employees’ high turnover rates. Data were collected from face-to-face interviews …

Go to article

Guidelines For Chronic Back Pain: An Education Module For Health Providers, Ron Pascual Jan 2020

Guidelines For Chronic Back Pain: An Education Module For Health Providers, Ron Pascual

Walden Dissertations and Doctoral Studies

Effective chronic back pain management and patient self-care guidelines are necessary for healthcare providers treating patients with complaints of low back pain (LBP). The purpose of this doctoral project was to provide an evidence-based educational program aimed at improving the knowledge and skills of healthcare professionals regarding the Center for Disease Control (CDC) and American Chronic Pain Association (ACPA) guidelines, emphasizing alternative pain management treatments. The staff education project was supported by the biomedical pain model and chronic care model. A panel of 3 experts including the clinic’s board-certified anesthesiologist and pain management specialist, clinical manager, and leading medical director …

Go to article

Predictors Of Substance Abuse Counselor Self-Efficacy When Working With Dually Diagnosed Clients, Nievel Stanisclaus Jan 2020

Predictors Of Substance Abuse Counselor Self-Efficacy When Working With Dually Diagnosed Clients, Nievel Stanisclaus

Walden Dissertations and Doctoral Studies

Previous studies have demonstrated the predictive value of counselor self-efficacy and professional development in mental health counselors, career counselors, school counselors, and other professions. However, there has been a gap in literature regarding substance abuse counselor self-efficacy. The purpose of this quantitative cross-sectional study, guided by Bandura’s social cognitive theory, was to determine whether years of work experience, level of education, and possessing a license or certification predicted substance abuse counselor self-efficacy when working with dually diagnosed clients. The research question addressed this purpose. Data were collected using an online survey consisting of the counselor activity self-efficacy scale and a …

Go to article

Child Agency: Adolescents-Led Community Service Initiatives In Yemen, Shaima Mohammed Alraiy Jan 2020

Child Agency: Adolescents-Led Community Service Initiatives In Yemen, Shaima Mohammed Alraiy

Walden Dissertations and Doctoral Studies

Research has provided evidence that child participation and agency can contribute to child protection. Child participation and agency in the context of war and conflicts are still under-researched. The purpose of this qualitative multiple case study was to explore the agency experiences of adolescents in Yemen in implementing and leading community service initiatives following participating in a youth empowerment program. Using Zimmerman’s empowerment theory to guide the study, 5 people aged between 18 and 22 years who had participated in a program were interviewed about their agency experience when they were adolescents. Narrative data was analyzed using thematic analysis and …

Go to article

Stigma And The Life Experiences Of Recovering Counselors, Carroll Annette Beverly Jan 2020

Stigma And The Life Experiences Of Recovering Counselors, Carroll Annette Beverly

Walden Dissertations and Doctoral Studies

Stigmatization, labelling, and stereotyping have been recognized through historical literature as categories that classify recovering counselors with the status of a second-class citizen. One of the subtle impacts of stigmatization on recovering counselors has been the reluctance of these counselors to share their substance abuse histories or admit they formerly used alcohol and other drugs. The purpose of this qualitative, multiple case study was to explore the impact of stigma on the life experiences of recovering counselors in the addiction and counseling fields. The social identity theory was the theoretical foundation of this study. Four participants (3 recovering counselors and …

Go to article

Attitudes And Beliefs Related To Risk Of Sexually Transmitted Infection In Swingers Who Do Not Use Condoms, Deborah Brown Jan 2020

Attitudes And Beliefs Related To Risk Of Sexually Transmitted Infection In Swingers Who Do Not Use Condoms, Deborah Brown

Walden Dissertations and Doctoral Studies

Sexually transmitted infection (STI) affects the public as a hidden epidemic of contagious disease with significant economic and health impacts. There are 110 million living with STI in the United States, with 20 million new infections annually. Condom use can reduce STI, but some people have sex without condoms, with risk for contracting or transmitting STI increasing when a person is in the same sexual network. Swingers are a growing sexual network and are a group at high risk of developing and spreading STI. The purpose of this generic qualitative study was to develop an understanding of the attitudes and …

Go to article

The Relationship Between Emotional Intelligence And Performance Among Executive Coaches, Valerie Elizabeth Charles Jan 2020

The Relationship Between Emotional Intelligence And Performance Among Executive Coaches, Valerie Elizabeth Charles

Walden Dissertations and Doctoral Studies

Although there is research on the correlation between emotional intelligence (EI) and performance in areas such business, education, and nursing, a significant gap existed in the literature regarding research on the relationship between executive coaches EI and their performance. As a result, I focused on the lack of empirical evidence regarding the relationship between EI and performance among executive coaches, with performance defined as the number of coaching clients secured in 2015.The purpose of this quantitative study was to determine if there is a statistically significant relationship between EI and performance among executive coaches. Through convenience sampling, 50 executive coaches …

Go to article

Impact Of Unfunded Accrued Pensions Liabilities On Paying The Annual Required Contribution, Angel O. Chiriboga Jan 2020

Impact Of Unfunded Accrued Pensions Liabilities On Paying The Annual Required Contribution, Angel O. Chiriboga

Walden Dissertations and Doctoral Studies

Pension benefits are important incentives to attract public sector workforces. Los Angeles County cities have faced budgetary pressures due to increases in unfunded accrued pension liabilities (UAPL) linked to improved salaries and benefits without budget considerations. Los Angeles County cities contract with California Public Employees’ Retirement System (CalPERS) to provide retirement benefits under city-specific employee retirement contracts. Complex decision-making processes to improve benefits and salaries require interaction between city councils, management, unions, and CalPERS. The purpose of this quantitative study was to determine the relationship between the ability to raise revenues and to pay for annual required contribution of cities …

Go to article

Management Accounting Systems For Small Business's Competitive Advantage, Renato (Denver) Alcazar Jan 2020

Management Accounting Systems For Small Business's Competitive Advantage, Renato (Denver) Alcazar

Walden Dissertations and Doctoral Studies

AbstractSmall businesses providing ancillary services to the motion picture industry fail at alarming rates due to leadership's lack of strategies for service diversification and business expansion. Grounded in the contingency theory of management accounting, the purpose of this qualitative multiple case study was to explore management accounting systems (MAS) strategies leaders of ancillary service providers use for business diversification. The data collection included face-to-face semistructured interviews with 10 small business owners who successfully used MAS strategies for business diversification in California. The data analysis entailed using keyword frequency comparisons and coding techniques that facilitated the verification and triangulation of key …

Go to article

Risk Factors Of Infant Mortality Disparity In Indian River County, Florida, Cecilia Miguelina Escorbore Jan 2020

Risk Factors Of Infant Mortality Disparity In Indian River County, Florida, Cecilia Miguelina Escorbore

Walden Dissertations and Doctoral Studies

Infant mortality in the United States is a great concern to families, communities, and professionals in the public health field. More concerning is the infant mortality racial disparity, prevalent throughout the United States. The purpose of this study was to explore risk factors of infant mortality disparity in Indian River County (IRC), Florida. Using socioecological theory as the theoretical framework, this study explored whether there is an association between infant mortality among Black infants and geographic location as well as measures of socioeconomic status (age, educational level, health insurance status, and marital status) associated with infant mortality among Black infants …

Go to article

African American Maternal Mortality In The United States: A Quantitative Analysis Of Chronic Disease And Maternal Deaths, Glory Inyang Jan 2020

African American Maternal Mortality In The United States: A Quantitative Analysis Of Chronic Disease And Maternal Deaths, Glory Inyang

Walden Dissertations and Doctoral Studies

African American women have higher rates of chronic disease including diabetes and cardiovascular related disease compared to White women and are 3 to 4 times more likely to die during childbirth, more than any other ethnic group in the United States. . When African American women become pregnant these conditions may influence their maternal health outcomes. This study aimed to determine difference in pregnancy related death associated with chronic conditions between African American women and White women. Based on secondary/archival data from the Center for Disease Control and Preventions' 2017 National Center for Health Statistics Mortality Multiple Cause Files a …

Go to article

Exploration Of Ehr Implementation Strategies: A Qualitative Study, Scot Eric Loerch Jan 2020

Exploration Of Ehr Implementation Strategies: A Qualitative Study, Scot Eric Loerch

Walden Dissertations and Doctoral Studies

AbstractElectronic health record system implementations have a high failure rate when properly developed strategies are not used. These implementation failures affect healthcare workers and practitioners core roles through a lack of documentation practices, which decreases the quality of the care of the patients. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore the strategies information technology systems engineers use for the implementation of Health Information Management Systems. The participants were 10 information technology systems engineers from three healthcare organizations in the greater Tennessee area. The data were collected through recorded participant interviews …

Go to article

Effects Of Prerelease And Reentry Programs On Male Recidivism In The Midwest, Tenisha N. Mack Jan 2020

Effects Of Prerelease And Reentry Programs On Male Recidivism In The Midwest, Tenisha N. Mack

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this qualitative case study was to determine the effectiveness of prerelease and reentry programs on recidivism from the perspective of male ex-offenders. The prison population in the United States in 2.3 million according to the Bureau of Justice Statistics. Most ex-offenders recidivate in the first 3 years. Prerelease and reentry programs are responsible for successful reintegration for many ex-offenders. However, this study revealed that a holistic approach to rehabilitation pre-and postrelease contributed to a better quality of life for ex-offenders, their families, and communities. The operant conditioning and social cognitive theories provided the theoretical foundation for this …

Go to article

Strategies For Small Businesses Negotiating Contracts With Hospitals, Patricia Gale Mccoy Jan 2020

Strategies For Small Businesses Negotiating Contracts With Hospitals, Patricia Gale Mccoy

Walden Dissertations and Doctoral Studies

Failure to successfully negotiate contracts can have negative impacts on business survivability. Contract negotiations are ways medical suppliers and hospitals establish mutually beneficial relationships to increase profitability and longevity while innovating to improve patient care. Grounded in the resource dependency theory and the grand theory of negotiation, the purpose of this qualitative multiple case study was to explore strategies used by Texas physician preference item (PPI) suppliers to successfully negotiate contracts with hospitals to improve profits and sustain their small business beyond 5 years. The participants comprised 11 small business leaders in Texas who successfully negotiated contracts with hospitals to …

Go to article

Classroom Accommodations For Student-Veterans Attending Community Colleges, Terry Dionne Mc Quay Jan 2020

Classroom Accommodations For Student-Veterans Attending Community Colleges, Terry Dionne Mc Quay

Walden Dissertations and Doctoral Studies

Soldiers have returned from serving in Iraq and Afghanistan with posttraumatic stress disorder (PTSD) and traumatic brain injuries (TBIs) and have enrolled in post-secondary education in large numbers, especially at community colleges because of flexible course scheduling. The problem explored in this study was the need for 1 community college to have better information regarding classroom needs for student-veterans with PTSD or a TBI. The purpose of this study was to explore the perceptions of both student-veterans with PTSD or a TBI and faculty concerning classroom accommodations for student-veterans at the study site. Knowles' theory of the adult learner served …

Go to article

A Secure And Strategic Approach To Keep Iot Devices Safe From Malware Attack, Christopher Ray Murray Jan 2020

A Secure And Strategic Approach To Keep Iot Devices Safe From Malware Attack, Christopher Ray Murray

Walden Dissertations and Doctoral Studies

Through the advances in technology, businesses can now utilize the Internet of Things (IoT) devices to improve workflow and provide better services to customers. However, without a strategy to secure these devices, Information Technology (IT) security professionals are left with vulnerable equipment. Grounded in routine activities theory, the purpose of this qualitative multiple case study was to determine strategies IT security professionals used to protect IoT devices in their environment. The participants were 6 IT professionals from 2 medium to large size healthcare facilities based in the Buffalo, New York, and the Washington D.C. area, who possessed strategies to protect …

Go to article

Strategies To Reduce Workplace Bullying In The Pharmaceutical Industry, Gina Julceus Nelson Jan 2020

Strategies To Reduce Workplace Bullying In The Pharmaceutical Industry, Gina Julceus Nelson

Walden Dissertations and Doctoral Studies

Approximately 60% of employees are affected by workplace bullying. Leaders who do not adequately address workplace bullying experience reduced productivity, increased attendance issues, or risk of losing skilled employees. Grounded in the behavior engineering model, the purpose of this multiple-case study was to explore strategies some leaders in the pharmaceutical industry use to reduce workplace bullying to improve organizational culture and employee performance. The population consisted of 4 leaders from 2 pharmaceutical organizations in Florida who have successfully implemented strategies to reduce workplace bullying to improve organizational culture and employee performance. Data were collected from semistructured interviews and document analysis …

Go to article

Type 2 Diabetes Prevention And Management Educational Toolkit, Theresa O. Orjiakor Jan 2020

Type 2 Diabetes Prevention And Management Educational Toolkit, Theresa O. Orjiakor

Walden Dissertations and Doctoral Studies

AbstractDiabetes is one of the chronic diseases that are challenging to prevent and manage. Approximately 8.3% of the United States' population has type 2 diabetes. One of the primary challenges in managing the disease entails reducing the associated financial and human costs by preventing new cases and enacting social change. Prevention and management education programs using enhanced toolkit may have positive effects on type 2 diabetes patients, who start enjoying a good quality of life, as well as positive social change in their communities and families. The purpose of this project was to develop and evaluate a type 2 diabetes …

Go to article

Strategies To Retain Skilled Assistant Project Managers In Construction Industries, Anastasia Persad Jan 2020

Strategies To Retain Skilled Assistant Project Managers In Construction Industries, Anastasia Persad

Walden Dissertations and Doctoral Studies

Approximately 160,000 assistant project managers in the construction industry willingly left the U.S. labor workforce in 2018. The cost of replacing an employee could amount up to 200% of the departing employee's annual salary for construction companies. Grounded in Herzberg's two-factor theory, the purpose of this qualitative multiple case study was to investigate effective organizational strategies business leaders used to retain skilled assistant project managers. Six participants were senior project managers from construction companies in Manhattan, New York, with more than 10 years of experience in the commercial construction industry. Data came from semistructured interviews and a review of company …

Go to article

Job Satisfaction, Work Environment, Job Stress, And Professional Identity Among Psychiatric Nurses, Tosin Rabiu-Akewusola Jan 2020

Job Satisfaction, Work Environment, Job Stress, And Professional Identity Among Psychiatric Nurses, Tosin Rabiu-Akewusola

Walden Dissertations and Doctoral Studies

Job satisfaction is one of the most complex issues in the healthcare industry in regard to employees. To boost employees' productivity and job satisfaction, nurse leaders must satisfy their employees' needs by providing the right working conditions, reducing job stress, and promoting professional identity development. This quantitative, cross-sectional correlational study guided by Herzberg et al.s two-factor theory investigated the relationship among work environment, job stress, professional identity, and job satisfaction among 105 registered nurses working in inpatient psychiatric hospitals in the United States. It was determined that the moderating effect of demographic factor (years of experience) on the extent to …

Go to article

Teacher Perceptions Of Integrating Technology Tools, Larry Schuessler Jan 2020

Teacher Perceptions Of Integrating Technology Tools, Larry Schuessler

Walden Dissertations and Doctoral Studies

AbstractTechnology underutilization in educational settings is a problem that costs school districts time and money. This problem grounded the purpose of this study to explore teachers' perceptions of factors that influenced technology integration in a rural school district so that research-derived recommendations could be provided to improve future technology initiatives. The conceptual framework of this study was the unified theory of acceptance and use of technology. Four research questions guided the exploration of K-12 teachers' perceptions about technology utilization based on the framework's tenets of performance expectancy, effort expectancy, social influences, and facilitating conditions that influence teachers' technology utilization. The …

Go to article

Therapeutic Wilderness Experiences And Empathetic Perception Of At-Risk Adolescent Youth, Sandra Short-Robbins Jan 2020

Therapeutic Wilderness Experiences And Empathetic Perception Of At-Risk Adolescent Youth, Sandra Short-Robbins

Walden Dissertations and Doctoral Studies

Current research involving wilderness therapy (WT) programs indicates that therapeutic wilderness or outdoor interventions have increased in popularity as alternative approaches for treating at-risk or adjudicated adolescents. However, the role that empathetic perception plays in advancing the efficacy of WT intervention absent from the majority of extant literature. The purpose of this generic qualitative study was to address a gap in research involving how empathetic perception may be affected by WT program participation. The conceptual framework for the project involved ecopsychology, a branch of science that addresses the connection between human beings and the natural world. Nine young adults between …

Go to article

Strategies Leaders In Nonprofit Organizations Use To Expand Capacity, Reginald A. Stanley Jan 2020

Strategies Leaders In Nonprofit Organizations Use To Expand Capacity, Reginald A. Stanley

Walden Dissertations and Doctoral Studies

Nonprofit organizations impact the community and make substantial contributions to organizations, individuals, communities, and the environment, but many struggle to continue to grow. Supporting growing demands to provide support to communities with a reduction in available resources threatens nonprofit organizations' survivability and effectiveness. Grounded in general system theory, the purpose of this qualitative single case study was to explore strategies leaders of a small nonprofit organization in southern California used to grow their organization to serve a larger population. The participants comprised 3 nonprofit leaders with documented success at developing and growing their business. Data were collected from semistructured interviews …

Go to article

Regime Gender Policies And Women's Political Participation In Post Conflict Liberia, Brima Sylla Jan 2020

Regime Gender Policies And Women's Political Participation In Post Conflict Liberia, Brima Sylla

Walden Dissertations and Doctoral Studies

Abstract Patriarchy has dominated political powers in many areas of the world. Until 2006, men overwhelmingly held the highest political positions in Liberia. Female political participation started to emerge in 2006 when women began to hold top political positions. The main purpose of this research was to examine the relationship between the gender policies of the administrations of Liberian Presidents Charles Taylor and Ellen Johnson Sirleaf and the political participation of women in Liberian politics, measured by the holding of political offices. The research question guiding this study examined the impact of the gender policies of the Charles Taylor and …

Go to article

Relationship Between Information Technology Integration, Senior Leadership Involvement In Postmerger Integration, And Merger Performance, Francis Tella Jan 2020

Relationship Between Information Technology Integration, Senior Leadership Involvement In Postmerger Integration, And Merger Performance, Francis Tella

Walden Dissertations and Doctoral Studies

AbstractIneffective post-merger performance places an organization at financial risk. Health care leaders are concerned with post-merger performance because of the high rate of post-merger failure and the significant economic and social impact that hospitals have on their communities. Grounded in Haspeslagh and Jemison's post acquisition integration framework, the goal of this quantitative ex post facto study was to evaluate the relationship between information technology integration, senior leadership involvement in post-merger integration, and post-merger performance. Secondary data were collected from the Center for Medicare and Medicaid Hospital Compare and the American Hospital Association's annual survey databases for 2018. Data from Irving …

Go to article

Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States, William Esteban Toledo Velazquez Jan 2020

Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States, William Esteban Toledo Velazquez

Walden Dissertations and Doctoral Studies

AbstractOlder Hispanics in the United States are less likely to be vaccinated with the flu vaccine compared to older White Americans, despite being at higher risk of influenza-associated deaths and hospitalizations. A quantitative cross-sectional study based on the social ecological model was carried out to evaluate the influence of several sociodemographic and health factors on flu vaccination status among elderly Hispanic individuals in the United States. Logistic regression analyses were conducted using secondary data collected from 95,414 elderly Hispanic and White American 2018 Behavioral Risk Factor Surveillance System participants. Multivariate logistic regressions controlling for other variables revealed health care coverage …

Go to article

Multidimensional Strategies To Mitigate Counterfeiting, Tan Vu Jan 2020

Multidimensional Strategies To Mitigate Counterfeiting, Tan Vu

Walden Dissertations and Doctoral Studies

Counterfeiting causes substantial negative impacts on intellectual property and opportunity costs to businesses worldwide. Anticounterfeiting department executives who lack multidimensional anticounterfeiting strategies to mitigate fakes may incur substantial financial loss and intellectual property theft. Grounded in the systems theory, the purpose of this qualitative single case study was to explore the strategies that anticounterfeiting department managers use to mitigate counterfeiting. The participants comprised 4 anticounterfeiting representatives of a consumer products company in a metropolitan area of Georgia who successfully devised and implemented anticounterfeiting strategies. Data were collected from semistructured interviews and the firm's online resources. Thematic analysis was used to …

Go to article

Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell Jan 2020

Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell

Walden Dissertations and Doctoral Studies

AbstractYoung children experiencing toxic stress has negative consequences on their development. The purpose of this case study was to explore teachers' perceptions of toxic stress in young children and the classroom practices used to assist students experiencing toxic stress from two rural early childhood centers in an eastern state in the United States. The conceptual framework for this qualitative research included Bronfenbrenner's ecological model of human development, social constructivist theory, and information from The Center on the Developing Child at Harvard University. The research questions explored teachers' perceptions of toxic stress in young children and classroom practices being used in …

Go to article

First Prev Next Last