Digital Commons Network^™

Exploring Occupational Therapy Faculty Beliefs Related To Technology Acceptance Of High-Fidelity Simulation, Elisabeth Mcgee

Walden Dissertations and Doctoral Studies

High-fidelity simulation-based learning (SBL) is used in occupational therapy (OT) to immerse students in realistic clinical situations using advanced technology to better prepares health care professionals for the workplace. However, researchers have not explored OT graduate faculty technology acceptance using high-fidelity simulation (HFS) as a learning and instructional tool. The purpose of this basic qualitative study was to explore OT graduate faculty members' beliefs related to technology acceptance of high-fidelity SBL at a multicampus university. To accomplish this purpose, research questions were developed to examine faculty beliefs of high-fidelity SBL using Gu et al.'s four key constructs (outcome expectancy, task …

Obesity, Snoring, Sleep Apnea, And Coronary Heart Disease, Maryam Khalilah Muhammad

Walden Dissertations and Doctoral Studies

Coronary heart disease (CHD) is a significant public health issue that affects communities across all socioeconomic and demographic groups. Risk factors for CHD include sleep apnea and snoring. Obesity with short sleep duration also places individuals at higher risk for CHD. Although limited research has been conducted on CHD and its relationship to obesity, sleep apnea, and snoring as individual risk factors for CHD, a gap exists as these factors had not been studied as paired in this study. The purpose of this quantitative, cross sectional study was to determine if a significant relationship existed between obesity, snoring, sleep apnea, …

Factors Associated With Hepatitis B Vaccination Among Asian Adults (≥ 18 Years) In The United States., Naana Abena Ohemeng-Tinyase

Walden Dissertations and Doctoral Studies

In the United States, hepatitis B disproportionately affects Asian and Pacific Islanders (AAPIs). Hepatitis B related liver cancer is the leading cause of cancer deaths among Asian Americans. Despite the proven significant economic, health, and social effect of hepatitis B virus, immunization rates remain low. The purpose of this study is to examine the association between sociodemographic factors (age, marital status, gender, work experiences), health status factors (chronic disease, nonchronic disease), health behavior factors (smoking, alcohol intake, tobacco use, physical activity), and hepatitis B vaccination among Asian adults (≥ 18 years) in the United States. The main theory that frames …

Social Grants Transfer Program: The Role Of Policy Actors In Policy Implementation, David Quist

Walden Dissertations and Doctoral Studies

The scholarly literature lacks the knowledge to support the view that policy actor activities in policy streams were not limited to the 3 initial stages of the policy cycle. Finding evidence through a study to either back or refute this view among scholars was important to explain how policy implementation effort works to yield results. Thus, the purpose of this general qualitative and policy implementation research was to generate additional knowledge about the role of policy actors in policy implementation. The 5-stream framework theoretical lens for this study suggested that the policymaking process involved 5 streams with active policy actors …

A Phenomenological Study Of Factors Influencing Senor Female United States Marine Corps Officer Retention Decisions, Angel Rae Smith

Walden Dissertations and Doctoral Studies

The study showed factors that influenced senior female U.S. Marine Corps' (USMC) officer retention decisions. The qualitative study was based on the interpretivism research philosophy and Mobley's model of turnover and employed a phenomenological research design to identify themes regarding participants' perceptions of their lived experiences involving their professions and factors that affected their mandates to remain on active duty. The study included 11 women volunteers who had either earned membership in General Officer (GO) ranks or were competitive for within the USMC as a colonel (CV); they were recruited through purposive sampling, and data were collected through interviews. Data …

The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman

Walden Dissertations and Doctoral Studies

Teen pregnancy prevention has been a focus for clinical and medical professionals for many years now, and it is an extensively documented social issue, especially in the foster care system. In an effort to promote pregnancy prevention, clinical caseworkers who work with foster youth educate at-risk youth in regards to the difficulties that can be experienced as a result of teen pregnancy. The purpose of this generic qualitative study was to explore the perceptions and experiences of clinical caseworkers as they promoted pregnancy prevention in foster care youth. The 6 purposefully selected respondents were all clinical caseworkers. The study used …

Project Management Strategies To Reduce Post-War Project Failure Rates In Liberia, Thomas Asafua Nketsia Wobill

Walden Dissertations and Doctoral Studies

Project managers working in post-war Liberia from 2006 to 2020 have been struggling to reduce project failure rates due to ineffective project management strategies. This case study included the Delphi technique to explore strategies that project managers working in post-war Liberia's Ministry of Education may use to reduce project failure rates. The study addressed use of knowledge management principles in post-war project management. The resource-based view and knowledge-based view of organizations provided the conceptual framework. The purposeful international sample consisted of 20 project managers working with international organizations registered with Liberia's Ministry of Finance and Development Planning and affiliated with …

Preservice Teachers' Perceptions Of Public School Violent Intruder Drills, Kati Oakes Pusey

Walden Dissertations and Doctoral Studies

Public schools in the United States are increasingly implementing violent intruder drills in response to school shootings; however, the impact these drills have on the well-being of preservice teachers is not fully understood. A lack of knowledge also exists as to how intruder drills contribute to preservice teachers’ motivation to enter the profession. The purpose of this qualitative study was to explore the perceptions of preservice teachers who have participated in violent intruder trainings and drills. Using prospect theory as the framework, the key research questions addressed preservice teachers’ perceptions of violent intruder incidents and drills as well as their …

Youth Leadership Development Program Evaluation, Loreley Lyn Smith

Walden Dissertations and Doctoral Studies

In competitive youth sports organizations, few organizational leaders focus on leadership development to prepare youth for life situations. Sports organizational leaders are concerned about youth leadership development, as development allows youth to build skills necessary to understand their strengths and weaknesses and recognize ways to overcome fears. Grounded in social learning theory, the purpose of this summative program evaluation was to determine the extent to which a competitive youth sports leadership development program aligned with the organization’s primary objective to provide skilled athletic training while providing lessons to prepare youth for adulthood. The participants comprised 40 key stakeholders, including participants …

Clinical Factors That Influence Nurse Responsiveness In Activating Rapid Response Services, James Bernard Tormey

Walden Dissertations and Doctoral Studies

This study advances the understanding of essential clinical knowledge skillsets that nurses need to identify and respond to early signs of patient deterioration. The identification of critical thinking and assessment skills that nurses require may support professional practice through improved nursing education curriculum or additions of necessary critical care skillsets. The purpose of this study, which was framed by Benner’s novice-to-expert model, was to identify and measure critical thinking skills that influence a nurse’s ability to detect deterioration in patients and call the rapid response system (RRS). The research questions addressed the relationship between a nurse’s clinical or reasoning skill …

Amyotrophic Lateral Sclerosis Patients' Sociological Resilience, Self-Determination, And Decision-Making For Life-Sustaining Treatments, Jeremy Jon Van Tress

Walden Dissertations and Doctoral Studies

People with amyotrophic lateral sclerosis (ALS) suffer from a rare, progressive, untreatable, and fatal neuromuscular disease. Their decision-making for life-sustaining treatments may not be fully self-deterministic. While researchers have examined resilience and self-determination in people with mental health problems and chronic illness, none have researched these variables in ALS patients from a socioecological framework. The purpose of this study was to explore the relationships between people with ALS socioecological resilience, self-determination, and decision-making for life-sustaining treatments. A cross-sectional concurrent mixed-methods design was used, with online surveys completed by 197 people with ALS who were solicited through the National ALS Registry. …

Association Of State Tobacco 21 Law With Tobacco Consumption Among Youth, Rebecca Adamson

Walden Dissertations and Doctoral Studies

The study is an investigation of the association between the Tobacco 21 Law and youth tobacco usage rates in Hawaii. Researchers have documented a gap in the research regarding the effectiveness of such laws. Several studies that have been conducted have shown mixed results. The purpose of this study was to better understand any association that may exist in Hawaii. The social ecological model (SEM) of health is the theoretical foundation for the study. The SEM of health includes five sources which influence health, and these consist of intrapersonal factors, interpersonal factors, institutional factors, community factors, and public policy. Tobacco …

The Relationship Between Mental Illness And Mass Shooting, Priscilla Ngozi Chukwueke

Walden Dissertations and Doctoral Studies

AbstractWhenever a mass shooting occurs, it impacts the immediate families of the perpetrator, victims, and the whole nation: emotionally and financially. The research on the association between mental illness (MI) and mass shooting fatalities is limited. The purpose of this quantitative, cross-sectional study was to explore the association between MI and mass shooting using the archival data of the Stanford University database of mass shootings in America from 2000 to 2016. The theoretical framework was based on Bronfenbrenner’s social-ecological theory and the cognitive-behavioral theory to explain socio-environmental factors that impact human growth and development. The results showed that the proportion …

Perceptions Of Novice Teachers’ Early Departure Decisions In A Southern Rural High School, Angela Marie Fortenberry

Walden Dissertations and Doctoral Studies

One significant issue in U.S. public schools is the need to determine the root cause of the early departure of novice teachers. The problem that was the focus of this study was the departure of novice teachers from a southern rural high school prior to completing 5 years in the profession. The purpose of this project study was to explore novice teachers’ perceptions about early departure from the local high school. Fishbein’s expectancy-value theory was used in this exploratory case study to gain insight on seven novice teachers’ perceptions related to their early departures. The research questions focused on perceived …

Factors That Influence Violence And Homicidal Ideation Among Serial Offenders, Jared Matthew Rogers

Walden Dissertations and Doctoral Studies

Many studies have been conducted to identify sources of violence in serial killers, including environmental, biological, and mental disposition factors. However, serial killers’ sexual fantasies had not been explored. The purpose of this qualitative descriptive phenomenological study was to understand how sexual fantasies influence serial killers’ violent behavior. The theoretical framework consisted of ecological systems theory and social learning theory. Data from previously conducted interviews, serial killers’ manifestos, and historical records were used to conduct a comparative analysis of the behaviors, techniques, and identification signatures of serial killers. Data were coded and categorized to identify the relationship between sexual fantasies …

Managing Brand Value For Increased Patronage, Victor Tiwalola Olufemi

Walden Dissertations and Doctoral Studies

Information technology service providers (ITSPs) with low customer patronage may not remain competitive and could fail. Business leaders of ITSPs need to implement successful brand marketing strategies to gain consumers' confidence and increase patronage for their organizations' long-term sustainability. Grounded in the brand equity model, the purpose of this qualitative multiple case study was to explore brand marketing strategies ITSPs implement to increase patronage. The participants included nine business leaders from three ITSPs in Lagos, Nigeria, who successfully implemented brand marketing strategies to increase patronage. Data were collected from semistructured interviews, reflective notes, and review of public documents obtained from …

Business Leader Strategies That Fulfill Corporate Social Responsibility, Franklyn Abraham

Walden Dissertations and Doctoral Studies

Ineffective corporate social responsibility (CSR) strategies harm the organizational brand, reputation, and financial growth. Business leaders who lack strategies to achieve CSR initiatives risk the profitability of their organizations. Grounded in stakeholder theory, the purpose of this qualitative multiple case study was to explore CSR strategies leaders of small and medium sized enterprises (SMEs) use to sustain profitability. Four SME leaders who implemented successful CSR strategies and improved profitability in Maryland and Virginia participated in semistructured interviews. Other data collected were company profit and loss statements. A thematic analysis was used to analyze the data. The 3 primary themes that …

Workplace Incivility Of Female Managers On Self-Confidence, Self-Awareness, And Self-Esteem Of Female Workers, Dwan L. Bryant

Walden Dissertations and Doctoral Studies

Workplace incivility has been a focus of scholars since 1999 and a rising phenomenon among women within various organizations. Women represent more than half of the workforce in the United States, indicating that it is very likely that a woman will have a woman manager and/or employee at some time during her work experience. Researchers have demonstrated that women workers are very likely to experience workplace incivility during their work life more than men. Researchers have not yet established how workplace incivility impacts the female workers self-confidence, self-esteem and self-awareness when perpetrated by their female manager. The purpose of this …

Reducing Morbidity: Establishing A Relationship Between Perioperative Normothermia And Colon Surgical Site Infections, Nychie Dotson

Walden Dissertations and Doctoral Studies

Healthcare-associated infections (HAIs) are an emerging public health threat. Every day in the United States, HAIs impact 1 in 31 hospitalized patients. Surgical site infections (SSIs) account for over 40% of all reported HAIs and have an increased risk for morbidity and mortality. Surgery associated with colon procedures present an increased risk for infection, morbidity, and mortality. There has been vast work to prevent colon SSIs; however, there remain areas for improvement and exploration. The main research question evaluated the relationship between maintaining perioperative normothermia and colon SSIs. Secondary research questions explored additional risk factors to include age, gender, obesity, …

Nitrous Oxide For Pain Management In The Emergency Department, Jagmohan Kaur Ghotra

Walden Dissertations and Doctoral Studies

The clinical practice problem addressed was pain control in emergency department (ED) patients. The purpose of this project was to establish situations when inhaled nitrous oxide (N2O) could be used to manage pain in the ED. Specifically, a systematic review provided answers to questions related to appropriate uses of N2O in acute pain management, the effectiveness of inhaled N2O in managing acute pain, and the benefits of and barriers to N2O use in the ED. The middle range nursing theory of acute pain management published by the Agency for Health Care Policy and Research served as the theoretical support for …

Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee

Walden Dissertations and Doctoral Studies

Healthcare and behavioral healthcare reform are sweeping across the United States to improve health outcomes, increase client satisfaction, and to decrease healthcare expenditures through statewide transitions to Medicaid managed care (MMC). Leaders of behavioral health organizations face significant challenges when implementing wide scale organizational change. A case study design was used to explore senior leaders’ experiences with transitioning from a fee for service environment to MMC at a behavioral health organization, which operates in the Northeastern region of the United States. The Baldrige excellence framework was used as a conceptual lens to assess the organization’s effectiveness in key factors. Senior …

Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno

Walden Dissertations and Doctoral Studies

Typhoid fever is a bacterial disease transmitted by the fecal-oral route. In Nigeria, the condition is life threatening and endemic. It affects communities such as Nimo that have limited water, sanitation, and hygiene infrastructure. Previous researchers focused on sanitation and hygienic conditions that contribute to the disease such as household-level hygiene and food and water contamination, including handling practices. However, there is limited knowledge on how the environmental behavior and living conditions of eating and sleeping on a floor harboring fecal materials affect typhoid fever prevalence. The purpose of this qualitative phenomenological study was to explore the perception of the …

Use Of The Smoking Cessation Power Plan In An Observation Unit, Joycelyn Kennedy Land

Walden Dissertations and Doctoral Studies

Of 34.2 million adults who use tobacco, nearly 50% of the population living in the United States, or 16.5 million people, have a smoking-related disease. The purpose of this DNP project, conducted on an observational unit located in an acute care hospital, was to address the evidenced-based practice gap of the limited use of assessing tobacco use and the initiation of a readily available smoking cessation power plan (SCPP) intervention by nurses and healthcare providers. The practice-focused questions were whether an educational intervention for nursing staff would increase use of the 3As assessment (Ask and record smoking status; Advise patient …

Psychiatric Residents’ Perceptions Of Cultural Competency Training For Mental Health Care Delivery, Carol A. Matthews

Walden Dissertations and Doctoral Studies

Considering and respecting patients’ cultural needs is integral in providing culturally competent mental health care. In 2013, an urban community hospital conducted the Community Health Needs Assessment with patients, community stakeholders, and health care providers. The assessment revealed the need to address a more diverse patient population with culturally different health needs through training culturally diverse health care providers. Thus, the focus of this qualitative case study was on how the academic training of psychiatric residents in cultural competency affected the delivery of culturally responsive mental health patient care. The conceptual framework of Jeffery’s cultural competence and confidence model grounded …

Readiness Of Stakeholders To Adopt Community Paramedicine Programs In Tennessee, Roger Lloyd Ritchie

Walden Dissertations and Doctoral Studies

Abstract

Community paramedicine is an emerging model of care that promulgates EMS in a more community-based and integrated role within the broader health care system. A hallmark characteristic of community paramedicine is that programs are designed to meet the specific needs of a given community, rendering programs unique but perplexing. A need for research aimed at exploring possible barriers that may impede the adoption and implementation of community paramedicine programs has been identified by the National EMS Advisory Board, the North Central EMS Institute, and the Joint Committee on Rural Emergency Care. The purpose of this study was to explore …

Sex Differences In Lyme Disease Symptomatology In The Northeast United States, Jeanine Scotti

Walden Dissertations and Doctoral Studies

Guided by the gender-analysis-matrix theoretical framework, 3 key areas of research inquiries focused on the relationship between sex and Lyme disease, symptoms of Lyme disease and sex, and severity of Lyme disease symptoms on sex. A quantitative secondary data analysis was used to address the research questions. A clinician specializing in caring for individuals with Lyme disease provided the dataset, containing responses to the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Lyme disease. A cross-sectional, comparative research design incorporating 2 statistical techniques for analysis—the independent samples t test and multivariable regression analyses—was used to examine symptom counts and the …

Predictors Of Lone Wolf Terrorism, Gwendolyn Shands

Walden Dissertations and Doctoral Studies

Lone wolf terrorism is political violence perpetrated by individuals who act alone, who do not belong to an organized terrorist group or network, and whose tactics and methods are conceived and directed by the individual without any direct outside commitments or directions. The increase of domestic lone wolf terrorism continues to impact the safety and security of the United States, yet little is known about the potential predictors of this type of behavior. Using McCauley and Moskalenko’s framework of lone wolf terrorism as the foundation, the purpose of this nonparametric study was to examine the statistical association between certain elements …

Offender Participation In Multiple Rehabilitation Programs To Reduce Recidivism, Jonathan Michael Yearwood

Walden Dissertations and Doctoral Studies

Rehabilitation programs are critical for reducing recidivism rates and reintegrating offenders into the community. Despite the recognition that offenders face many challenges, few scholars have investigated the relationship between prisoners who receive more than 1 rehabilitation program and recidivism. The purpose of this quantitative, correlational cross-sectional study using archival data from a correctional facility in Barbados was to assess the relationship between age, education, employment, and multiple rehabilitation programs on recidivism. The conceptual framework of this study was grounded in the lifecycle theory, the social learning theory, the social cognitive theory, and the social disintegration theory. The primary research question …

Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin

Walden Dissertations and Doctoral Studies

In Nigeria, skin bleaching, a practice that can create significant health problems, represents a persistent social issue. The behavior has become widespread due to unfettered access to various brands of bleaching creams. The purpose of this study was to gather data to (a) seek an understanding of the deeper motivations underlying the decision to engage in skin bleaching or skin whitening among female tertiary students and (b) examine the awareness among such students of public policy on skin bleaching creams. The case study qualitative research design was employed to enable skin bleaching cream users to share their motivations and experiences. …

Exploring Challenges And Management Of Multicultural Workforce Organization In Nigeria, Henry Uko Ationu

Walden Dissertations and Doctoral Studies

The increasing globalization of businesses presents the need for increased understanding of cultural differences in the work place. The central problem addressed in this study was the challenges and management of multicultural workforce organization in Nigeria. The purpose of this qualitative exploratory single case study was to explore misunderstandings and workplace inefficiency related to cultural differences, often resulting in decreased company profitability, and how these can be managed. Social learning theory and the cultural competence framework constituted the theoretical foundation and conceptual framework. Participants consisted of 10 managers of a multicultural insurance company in Nigeria, selected using a combination of …