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Retaining African American Male Sophomore Students At A Historically Black University, Gourjoine M. Wade
Retaining African American Male Sophomore Students At A Historically Black University, Gourjoine M. Wade
Walden Dissertations and Doctoral Studies
Retention rate sophomore to junior year among African American male students is low at Academia State University (a pseudonym), a public Historically Black College and University (HBCU) located in the Southern United States. The purpose of this qualitative case study was to explore the perceptions of African American male students regarding what influenced their persistence to the junior year at the study site. Schlossberg's transition theory was the conceptual framework used to guide the inquiry. The research questions for this study addressed perceptions of African American male students regarding what programs, services, or experiences may improve sophomore year success. Three …
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Walden Dissertations and Doctoral Studies
AbstractPolypharmacy is described as having six or more prescription medications that are consumed concurrently and affects citizens worldwide. Polypharmacy may negatively affect patient care in hospitalized patients because nurses may lack the time to provide adequate care because they are overworked and/or understaffed, leading to problems such as medication errors. The purpose of this qualitative descriptive phenomenological study, guided by role theory, was to explore bedside nurses' perceptions of their role regarding patient polypharmacy. Twelve bedside nurses were interviewed on their roles in polypharmacy and medication management for elderly patients. The interviews were analyzed and revealed three distinct themes and …
Development Of A Clinical Practice Guideline For The Care Of Transgender Patients, Wayne Zeh Wellington
Development Of A Clinical Practice Guideline For The Care Of Transgender Patients, Wayne Zeh Wellington
Walden Dissertations and Doctoral Studies
AbstractTransgender persons face stigma and discrimination while receiving health care services. The gap in nursing practice at a clinic serving transgender patients in the Southeastern United States was a lack of understanding by providers of evidence-based practices for the provision to patient-centered care. The purpose of this project was to develop a clinical practice guideline (CPG) for the care of transgender patients. The project question asked, based on current evidence, what CPG for patient-centered care should be recommended to providers in the clinic. The patient-centered care model developed around the Donabedian model of quality improvement was used to guide the …
Teachers' Perceptions Of Teaching Reading And Mathematics In Inclusion Classrooms, Cherise Tabano Wesley
Teachers' Perceptions Of Teaching Reading And Mathematics In Inclusion Classrooms, Cherise Tabano Wesley
Walden Dissertations and Doctoral Studies
The 2004 Individuals with Disabilities Education Act mandated that students with disabilities be educated with their nondisabled peers in the least restrictive environment. In a large urban district elementary school in the U.S. southwest inclusion classrooms were created to address this mandate. The problem for this study was that 3rd to 5th grade general education teachers at this school struggled to teach reading and mathematics to students with special needs in inclusion classrooms. The purpose of this study was to investigate (a) elementary general education teachers' perceptions about teaching reading mathematics to students using special education services in inclusion classrooms …
Effectively Managing Energy Costs In The Resort Industry, Justin Whitesides
Effectively Managing Energy Costs In The Resort Industry, Justin Whitesides
Walden Dissertations and Doctoral Studies
Hawaii's commercial consumers pay the highest electricity rate in the United States;these costs are expected to rise 3-3.5% in 2021. Management in the Hawaiian resort industry that lacks adequate knowledge of controlling these rising costs is at a competitive disadvantage. Utilizing the diffusion of innovation theory, the purpose of this qualitative case study was to explore strategies used in the resort industry to control energy costs. The participants comprised of 10 energy management professionals with successful experience managing energy consumption in the resort industry. Data were collected through telephone interviews, archival documentation, and field notes. Using Yin's 5-step process of …
Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson
Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson
Walden Dissertations and Doctoral Studies
Seismic data loss attributed to cybersecurity attacks has been an epidemic-level threat currently plaguing the U.S. healthcare system. Addressing cyber attacks is important to information technology (IT) security managers to minimize organizational risks and effectively safeguard data from associated security breaches. Grounded in the protection motivation theory, the purpose of this qualitative multiple case study was to explore risk-based strategies used by IT security managers to safeguard data effectively. Data were derived from interviews of eight IT security managers of four U.S. government health institutions and a review of relevant organizational documentation. The research data were coded and organized to …
Using Student Engagement And Reengagement To Reduce Chronic School Absenteeism, Janet Lassiter Dennis
Using Student Engagement And Reengagement To Reduce Chronic School Absenteeism, Janet Lassiter Dennis
Walden Dissertations and Doctoral Studies
AbstractChronic absenteeism is a problem in an urban school district in Virginia. This problem not only affects the staff and administrators, but it also affects the surrounding communities, students, and parents. The purpose of the study was to the investigate the perceptions of teachers and administrators in the local school district regarding students’ chronic absenteeism. Bowen’s family system theory comprised the conceptual framework that guided this study. The research questions focused on the perceptions of Grade K-12 teachers and administrators about the causes of chronic absenteeism in the local district and their views of the effectiveness of methods that have …
Use Of Simulations To Improve Clinical Judgment In New Graduate Nurses, Aaliyah Sabreen Franks
Use Of Simulations To Improve Clinical Judgment In New Graduate Nurses, Aaliyah Sabreen Franks
Walden Dissertations and Doctoral Studies
The goal of healthcare organizations across the world is to provide safe, efficient healthcare for patients and their families. The practice problem for this DNP Project, a staff education project, addressed simulation as a strategy to improve clinical judgment in new graduate nurses. Recent studies have shown that 23% of new nurses do not demonstrate entry-level competency and are not as effective as more experienced nurses when making clinical judgment decisions. This lack of efficacy poses a threat to patient safety. This was based on nurse’s progression through Benner’s five levels of competency and was designed to enhance new graduate …
Head Start Parent Perspectives Of Their Roles In Their Children’S Preschool Education, Fawn Thomas-Brown
Head Start Parent Perspectives Of Their Roles In Their Children’S Preschool Education, Fawn Thomas-Brown
Walden Dissertations and Doctoral Studies
Head Start expects parent involvement as part of parents’ in-kind contribution to the program, but data from a multi-center Head Start agency in the southeastern United States indicated many parents do not meet this expectation. Lack of parental involvement in Head Start children’s education was the problem of focus in this study. The purpose of this study was to increase understanding of the perspectives of Head Start parents regarding their roles in their preschool children’s education. The work of Hoover-Dempsey and Sandler formed the conceptual framework for this study. The research questions focused on how parents describe their responsibilities for …
Partner Notification Of Hiv Status Among Cameroonian Men Who Have Sex With Men, Pius Muffih Tih
Partner Notification Of Hiv Status Among Cameroonian Men Who Have Sex With Men, Pius Muffih Tih
Walden Dissertations and Doctoral Studies
AbstractHIV prevalence rates are higher among men who have sex with men (MSM) than in the general population. Although there is ample evidence that partner notification (PN) effectively breaks the HIV transmission chain among MSM, it has not been practiced consistently in Cameroon. This study aimed to assess the perceptions and acceptability of PN of HIV status among MSM and use by health care workers (HCWs) in Cameroon. The health belief model underpinned this qualitative inquiry, in which I recruited 15 HCWs and 16 MSM using snowball sampling. I used in-depth personal interviews for data collection with notes taken using …
Strategies Universities’ And Colleges’ It Leaders Use To Prevent Malware Attacks, Felix Agyei
Strategies Universities’ And Colleges’ It Leaders Use To Prevent Malware Attacks, Felix Agyei
Walden Dissertations and Doctoral Studies
Information systems at universities and colleges are not exempt from the threat of malware. Preventing and mitigating malware attacks is important to universities’ and colleges’ IT leaders to protect sensitive data confidentiality. Grounded in general system theory, the purpose of this exploratory multiple case study was to explore strategies universities’ and colleges’ information technology (IT) leaders use to prevent and mitigate malware attacks. Participants consisted of 6 IT leaders from 3 universities and colleges in Southern California responsible for preventing and mitigating malware attacks. Data were collected through semistructured video teleconferences and 7 organizational documents. Three significant themes emerged through …
The Relationship Between Cervical Cancer And Women Living With Disabilities In Kentucky, Carolyn Akakpo
The Relationship Between Cervical Cancer And Women Living With Disabilities In Kentucky, Carolyn Akakpo
Walden Dissertations and Doctoral Studies
AbstractDespite many national interventions, cervical cancer (CC) rates persist, and in Kentucky (KY), CC incidence rates are on the rise. Additionally, women with disabilities face more barriers to secondary prevention and healthcare access, have more known risks, and experience more health disparities than women without disabilities. Given that 1 in 4 persons live with a disability, the purpose of this observational, cross-sectional, quantitative study was to explore the relationship between CC and women with disabilities as evidenced by reproductive cancer discharges from inpatient hospital (IHD) and outpatient services databases (OSD) so as to compare population-specific differences from social determinants of …
Perceptions Of Reproductive Health Services Of Young African American Mothers With Low Literacy, Timika S. Anderson-Reeves
Perceptions Of Reproductive Health Services Of Young African American Mothers With Low Literacy, Timika S. Anderson-Reeves
Walden Dissertations and Doctoral Studies
As they begin to shift decision-making from their parents to themselves, many African American adolescent girls embracing motherhood and living with low literacy seek reproductive health services at federally qualified health centers (FQHCs). Emerging adult African American mothers engaged in reproductive health services at urban FQHCs are provided services based on the centers’ promulgated health policies. Although FQHC staff assess for health literacy levels, they often do not design organizational processes to support reproductive health mothers with literacy challenges and diverse learning styles, and little is known about how young African American mothers with low literacy experience FQHCs’ reproductive health …
Evaluating The Hospitals General Service Readiness Index In Guinea For Enhancing Their Performances, Mohamed Elmahady Camara
Evaluating The Hospitals General Service Readiness Index In Guinea For Enhancing Their Performances, Mohamed Elmahady Camara
Walden Dissertations and Doctoral Studies
The healthcare system of Guinea has reported low scores on service availability and readiness assessment (SARA); the scores indicated the low availability of quality drugs, vaccines, medical equipment, and other technologies and involves a continuous history of poor quality-performance metrics. Thus the operational health problems in Guinea could be summarized as health problems (high rate of maternal, neonatal, and infant mortality, high prevalence of communicable and non-communicable diseases) and health system problems (lack of appropriate governance). Therefore, amelioration of the quality of health care and patient safety is needed. The objective of this study was to consider Guinea hospital performance …
Black Msm And Hiv Testing History Levels In The Clinical And Nonclinical Settings, Naana Cleland
Black Msm And Hiv Testing History Levels In The Clinical And Nonclinical Settings, Naana Cleland
Walden Dissertations and Doctoral Studies
Black men who have sex with men (BMSM) are more likely unaware of their HIV status, are less likely to get tested annually, and prefer to use HIV testing services (HTS) in the nonclinical settings, compared to other MSM subgroups. Guided by the behavioral model for vulnerable populations and a cross-sectional quantitative design, three substudies were conducted using secondary data for 1189 BMSM, 18 years or older, from the HIV Prevention Trial Network 061 Study. Chi-square, multinomial logistic regression (MLR), and z-test methods were used to examine the association between population characteristics (predisposing, enabling, and need factors) and HIV testing …
Reducing Heart Failure Readmissions Through Staff Education, Christopher Davio
Reducing Heart Failure Readmissions Through Staff Education, Christopher Davio
Walden Dissertations and Doctoral Studies
Heart failure is a chronic health condition that can have devastating effects on thephysical and social well-being of patients. One critical component to heart failure treatment is understanding of the disease process and daily self-management for patients. The gap in practice at an acute care facility in the northwest United States was the lack of comprehensive discharge patient teaching to patients diagnosed with heart failure. The project explored if a heart failure education session for nurses would increase knowledge and competency on heart failure education. Knowle’s theory of adult learning was used to frame the project components. Thirty-one nursing staff …
Perinatal Staff Education On Opioid Use Disorder, Theresa J. Engle
Perinatal Staff Education On Opioid Use Disorder, Theresa J. Engle
Walden Dissertations and Doctoral Studies
According to the Centers for Disease Control and Prevention, opiate use disorder (OUD) crosses all demographic areas, ethnicities, and social classes. In 2016, over 42,000 Americans died from opiate overdose with more than two million Americans having OUD. The need to care for patients with OUD has crossed all realms of nursing, including the perinatal specialty. Framed within the Iowa model of evidence-based practice, the purpose of this project was to develop a perinatal staff education program on OUD focusing on addiction as a brain disorder with care of the perinatal woman and identification and treatment of the newborn with …
Integrating Technology In Improving Communication To Reduce Discharge Cycle Time, Julieta Fajardo
Integrating Technology In Improving Communication To Reduce Discharge Cycle Time, Julieta Fajardo
Walden Dissertations and Doctoral Studies
One of the most important milestones during a patient’s transition to care is discharge from hospital. Consequently, delays in the discharge process can lead to patient dissatisfaction and affect outcomes in intensive care and emergency rooms. The purpose of the project was to evaluate the tools built into the electronic system to improve communication and reduce the discharge cycle time. The focus of the project is to enter the expected date of discharge (EDD) and identify discharge barriers within 24-48 hours of admission to reduce this time. Evidence was from the project site’s discharge initiative dashboard. Analysis of the problem …
Impact Of Medical Device Integration On Real-Time Visibility Of Electronic Medical Records, Justin Fuller
Impact Of Medical Device Integration On Real-Time Visibility Of Electronic Medical Records, Justin Fuller
Walden Dissertations and Doctoral Studies
Health care leaders are expected to make sound decisions regarding the equipment they purchase for use by personnel. One topic of consideration is the ability of the equipment to integrate with an organization’s electronic medical record, known as medical device integration (MDI). One aspect of MDI is the ability for information gathered at the patient bedside to be viewable in real time, or as close to it as possible. The real-time visibility (RTV) of information refers to the time it takes for information gathered by one individual to be visible to another. The purpose of this systematic review of the …
Guiding Nurses To A Healthier Lifestyle, Margaret Yvonne Garcia
Guiding Nurses To A Healthier Lifestyle, Margaret Yvonne Garcia
Walden Dissertations and Doctoral Studies
AbstractNurses provide continuous patient care around the clock. Nurses who work outside of the 9:00 a.m. to 5:00 p.m. hours are susceptible to fatigue and sleep deprivation that impair their attention to detail, ability to remain focused, information processing, and problem solving. This is especially prevalent among those who work the night shift. Nurses also find that their memory, reaction time, motivation, communication, mood, and empathy are affected with fewer hours of sleep. This project explored the sleepiness that night shift nurses experience and provides nurses with strategies to improve these symptoms. Nurses were provided with a PowerPoint presentation to …
Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono
Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono
Walden Dissertations and Doctoral Studies
AbstractThe sustainability of smallholder farms in Southern Africa is largely dependent on farmers’ decision-making abilities regarding land management practices; however, smallholder farmers in Zimbabwe have knowledge gaps on sustainable land management practices. The purpose of this qualitative multiple case study was to gain a deeper understanding of specific knowledge gaps among smallholder farmers in Zimbabwe to tailor sustainable land management training to their needs. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence, including semistructured interviews with 7 smallholder farmers in Zimbabwe, archival data, and reflective journaling notes. This study …
The Perceptions Of African American Females In Educational Leadership, Shonda Matia Harris-Muhammed
The Perceptions Of African American Females In Educational Leadership, Shonda Matia Harris-Muhammed
Walden Dissertations and Doctoral Studies
AbstractIn a Southeast U.S. state, African American female school administrators had difficulty obtaining administrative roles within the local district. The purpose of this basic qualitative study was to examine the perceptions of African American females in educational leadership roles and the challenges they faced in obtaining leadership positions. Delgado and Stefenic’s Black feminist theory provided the conceptual framework for this study. Two research questions addressed African American female administrators’ perceptions of their administrative roles, contributions, support of diversity, and experiences in obtaining leadership positions. Data were collected from semistructured interviews with 10 African American female administrators who had a minimum …
Female Domestic Violence Victims' Perceptions Of The Effectiveness Of Protective Orders, Alisa Fant Hayes
Female Domestic Violence Victims' Perceptions Of The Effectiveness Of Protective Orders, Alisa Fant Hayes
Walden Dissertations and Doctoral Studies
AbstractDomestic violence (DV) is a serious problem that has negatively affected millions of women in the United States and other countries physically, emotionally, and economically. However, little is known about the victims’ perceptions of the protective order (PO), and the results of their contact with or physical harm caused by the abuser. The purpose of this qualitative phenomenological study was to explore the effectiveness of the PO from real-life experiences of women who are victims of DV. The survivor theory provided the framework for the study. Semistructured interviews with open-ended questions were conducted by phone with 10 African American women …
Predictors For Depressive Symptoms Among Women Instagram Users, Rochelle Henry
Predictors For Depressive Symptoms Among Women Instagram Users, Rochelle Henry
Walden Dissertations and Doctoral Studies
As social networking sites have become a typical daily activity, there is a need to better understand the outcomes of online behaviors on other life functions. Prior researchers have found that social comparison and social networking behaviors can negatively affect adolescents’ and young adults’ self-esteem, however the potential threats for women who evaluate themselves based on comparisons to others has not been examined. The purpose of this study was to examine the effects on health and well-being for older adult women using the image-sharing site Instagram who share selfies. The theoretical framework for this study was the social comparison theory. …
Structural Empowerment And Employee Commitment Among Millennial Newly Registered Nurses, Janice Hill
Structural Empowerment And Employee Commitment Among Millennial Newly Registered Nurses, Janice Hill
Walden Dissertations and Doctoral Studies
AbstractThe nursing shortage is one of the most challenging issues in global healthcare. While not an all-encompassing solution, labor force retention could alleviate the crisis. The purpose of this study, guided by Kanter’s structural theory of organizational behavior, was to determine the relationships between access to power, opportunity for growth, structural empowerment (SE), and employee commitment among millennial newly registered nurses (NRNs) and to determine if there is a difference in SE between male and female millennial NRNs. Survey data collected from 148 participants were analyzed using Spearman rank-order correlation tests and showed statistically significant correlations between access to power …
The Need For Gender Specific Jail Reentry Programming To Help Female Ex-Inmates Experience Successful Community Reintegration, Penny Lee Humerick
The Need For Gender Specific Jail Reentry Programming To Help Female Ex-Inmates Experience Successful Community Reintegration, Penny Lee Humerick
Walden Dissertations and Doctoral Studies
Reentry programs seek to reduce recidivism while maintaining community safety. Most reentry programs have focused on prison reentry and rarely on the reintegration of female offenders from jail to community which left a gap in the research literature. The purpose of this qualitative case study was to understand the barriers that hinder successful community reentry for the female offender. Using social learning theory as the theoretical perspective, this study was intended to gain a better understanding of criminality and deviant behavior among female jail detainees. To build a strong study and gain insight into jail reentry programs, institutional analysis and …
Effect Of Educational Training On Nurse Leaders’ Knowledge, Attitude, And Behavior Toward Suicide Prevention, Ruth Odochi Idediora
Effect Of Educational Training On Nurse Leaders’ Knowledge, Attitude, And Behavior Toward Suicide Prevention, Ruth Odochi Idediora
Walden Dissertations and Doctoral Studies
Suicide is the 10th leading cause of death among adults in the United States and one of the top 10 most commonly occurring events that lead to serious injury or death in the hospital. Nurse leaders who are not working in psychiatric facility are instrumental in promoting culture of safety to mitigate adverse outcomes like suicide. The purpose of this single group pre-and post-test study, guided by the theory of planned behavior, was to determine the effect of the American Psychiatric Nurses Association Competency-Based Training for Suicide Prevention (Acute Care Setting Course) on the knowledge, attitude, and behavior (KAB) of …
Leadership Strategies For Success Of Small To Medium Urban Enterprises, Gregory Ricardo Jackson
Leadership Strategies For Success Of Small To Medium Urban Enterprises, Gregory Ricardo Jackson
Walden Dissertations and Doctoral Studies
Despite the important role small businesses play in economic success, 50% of small businesses fail within 5 years of startup. Some small-to-medium enterprise (SME) owners cannot sustain operations and face closure because of a lack of leadership strategies to operate their business successfully. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore leadership strategies that have been successful for SME owners in urban areas to sustain their business more than 5 years. The participants were 3 SME owners in urban areas of Atlanta, Georgia, who have been in business for more than …
Strategies To Mitigate Employee Turnover In The Human Services Special Needs Industry, Kenneth Lemar James
Strategies To Mitigate Employee Turnover In The Human Services Special Needs Industry, Kenneth Lemar James
Walden Dissertations and Doctoral Studies
Leaders in the human services special needs industry are experiencing a high turnover of special needs workers. Employee turnover adds high costs to the budgets of human services special needs organizations. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this multiple case study was to explore strategies managers of human services special needs organizations used to reduce employee turnover. Participants comprised 8 managers of human services special needs organizations in South Carolina who have successfully implemented strategies to mitigate employee turnover. Data were collected from face-to-face semistructured interviews and reviews of organizations’ human resources documents, such as employee turnover data, …
Effectiveness Of Education On Modified Early Warning System For Nurses, Shanmugavalli Janakaraj
Effectiveness Of Education On Modified Early Warning System For Nurses, Shanmugavalli Janakaraj
Walden Dissertations and Doctoral Studies
The research problem at the practicum site was a delay in recognizing patient’s deterioration due to lack of nurses’ knowledge with early warning signs. It is important to address the problem as the Quality Department noted the delay in identification of patient decline and treatment from mortality case reviews, rapid response team and Code Blue debriefing analysis and missed sepsis identification. A further gap analysis revealed an inadequacy of staff knowledge with warning signs. The purpose of this project was to educate nurses on the Modified Early Warning System (MEWS), a patient assessment scoring system based on six physiological parameters. …