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Relationship Between Adolescent Perception Of Harm, Electronic Cigarette Use, And Texas Antitobacco Campaigns, Candace Rasheedah Campbell

Walden Dissertations and Doctoral Studies

The increase in use of e-cigarettes in adolescents is a major public health concern that must be addressed. Research studies showed some e-cigarettes contained varying amounts of nicotine and sever cancer-causing chemicals. The purpose of this quantitative, cross-sectional study was to assess the perception of harm (dependent variable) from using e-cigarettes and being exposed to state and school-based antitobacco programs (independent variable) and to determine if the association was modified by socioeconomic status or area of residence. Attitude-social influence-self-efficacy theory was the chosen theory for research and suggests that attitude, social influence, and self-efficacy variables can be persuaded via specific …

Sharing Of Threat-Related Information Among Public Safety Agencies In Honolulu, Hawaii, Cortney M. Chambers

Walden Dissertations and Doctoral Studies

There is a lack of knowledge regarding how public safety organizations communicate threat-related information at the local level. The purpose of this qualitative exploratory case study was to explore the benefits and challenges of sharing threat-related information between public safety agencies (law enforcement, fire services, emergency medical services, and public health) in Honolulu, Hawaii. The conceptual framework for the study was general systems theory. The sample for this study was a subset of 13 individuals from the larger population of approximately 50 subject matter experts who worked within four public safety agencies and had extensive experience analyzing and sharing threat-related …

Characteristics Of Cause Of Death, Victim, Crime, Offender, And Familial Relationship, William J. Reilly

Walden Dissertations and Doctoral Studies

Broad personality or global traits are unlikely to assist in solving capital crimes, so forensic psychologists have begun to focus on characteristics of the crime to create differentiating profiles. The purpose of this study was to determine if offender and victim characteristics and method of murder could provide cluster profiles differentiating familial relationship between offender and victim. Guided by classical conditioning theory and social learning theory, an archival database of 147 capital offenders responsible for 506 victims was analyzed. Cluster analysis yielded 3 distinct profiles. Compared to other clusters, Cluster 1 offenders tended to be Black and unfamiliar with their …

Relationship Between Technostress Dimensions And Employee Productivity, Kesha Walton

Walden Dissertations and Doctoral Studies

Low productivity among employees represents a threat to the sustainability of organizational profits. Retail organizations have experienced a loss of over $300 billion annually because of low productivity. A consequence of technostress is low self-efficacy, which promotes low productivity and high employee absenteeism and burnout. Guided by the theory of technological self-efficacy, the purpose of this correlational study was to examine whether a relationship existed between employee technostress and employee productivity and the extent that technological self-efficacy mediated that relationship. A random sample of 112 retail employees from central Florida contributed to this study.

Data were analyzed using Pearson bivariate …

Access And Use Of E-Government Public Services Amongst Older Adults, Ryshell Flowers-Henderson

Walden Dissertations and Doctoral Studies

Lack of trust in technology, personal preference, and perceived inability to use online services are possible reasons for lagged adaptation to electronic government (e-government) among older adults in the United States. Although e-government policies promote, or require, that many public services be provided electronically, it is unclear whether older adults are able, or willing, to access such services. The purpose of this qualitative, exploratory study was to gain insight from older adults (e.g., "individuals who are 65 years or older") about their ability and willingness to access e-government services in a mid-Atlantic County. The framework for this research was Roger's …

The Urban Parents' Learning Experiences In An Online Training Program, Shamanie Atkinson

Walden Dissertations and Doctoral Studies

Research has shown a link between urban students' success in U.S. schools and the level of parental involvement. However, urban parents have historically low levels of engagement in their children's education. Increased involvement of urban parents in their children's education can increase student success in urban schools. The purpose of this generic qualitative research study was to understand the experiences of urban parents of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) who have participated in an online training program to learn about their children's learning disability. Self-efficacy, andragogy, experiential learning, and sociocultural theory were used as conceptual foundations to guide the …

An Evidence-Based Clinical Guideline To Improve Pediatric Asthma Outcomes, Andrew Wesolowski

Walden Dissertations and Doctoral Studies

Asthma is a disease that compromises the airways of the respiratory system, and is a prominent reason for hospitalization and emergency care needs. Over 6.1 million children are estimated to suffer from asthma. Asthmatic patients at an urban pediatric hospital emergency department (ED) were found to have higher revisit rates than the national average for large urban hospitals. The lack of a clinical guideline for educating families in patient care management at home could have contributed to readmission rates. The purpose of this project was to develop an evidence-based pediatric asthma education clinical guideline to aide healthcare providers with discharge …

Experiences Of Subtle Sexism Among Women Employees In The National Park Service, Audrey Marie Ashcraft

Walden Dissertations and Doctoral Studies

Although blatant sexism persists in the workplace, there is a subtler type of sexism that is not often discussed. Some of the harmful outcomes that concern organization employees and leaders include decreased job satisfaction and morale, increased stress and turnover, damaged workplace relationships, barriers to career development for women, and decreased feelings of safety in law enforcement employees. Subtle sexism is often disguised as friendliness or chivalry, and therefore is difficult to detect, so it is often ignored or trivialized. The harms are cumulative and compound over time. The purpose of this qualitative, phenomenological study was to gather data about …

Secondary Physical Education Teachers’ Perceptions Of Adolescent Females’ Cardiovascular Fitness, La Shundra T. Carter

Walden Dissertations and Doctoral Studies

Cardiovascular fitness levels in physical education have decreased for males and females in an inner-city high school, with female cardiovascular fitness decreasing the most. Cardiovascular fitness is important because participating in cardio exercises decreases health issues such as obesity and cardio problems. The purpose of this qualitative research study was to explore the views of teachers regarding low cardiovascular fitness among adolescent females in physical education and how a professional development could help teachers to address the problem. Bandura’s social learning theory was used as the study’s conceptual framework. Semistructured and open-ended interview questions were used to collect data from …

Fathers’ Perceived Self-Efficacy In Talking To Their Children About Child Sexual Abuse Prevention, Lori Campbell

Walden Dissertations and Doctoral Studies

The research problem for this study was fathers’ low participation in child sexual abuse (CSA) prevention with their children. The purpose of this study was to explore how fathers perceive their self-efficacy in talking to their children about CSA prevention. Bandura’s self-efficacy concept, which is a part of social cognitive theory, was used as the theoretical foundation for this study. The primary research question addressed fathers’ perceptions of their self-efficacy in discussing CSA prevention with their children. The secondary research question addressed what fathers think could be affecting their comfort level in talking to their children about CSA prevention. A …

The Relationship Between Counselor Educator Technology Self-Efficacy And Distance Counseling Skills Education, Carrie Sue Dupont

Walden Dissertations and Doctoral Studies

Grounded in Bandura's theory of self-efficacy, the purpose of this study was to examine if one aspect of counselor training, counselor educator self-efficacy with technology (SE), was associated with counselor educator teaching distance counseling skills in their classroom (INC). For this correlation study, 176 counselor educators in the United States with experience teaching a skills-based class completed an anonymous online survey. Survey data were used to assess if self-efficacy with technology and demographic data were related to the inclusion of distance counseling skills in the classroom. Point-biserial correlation and logistic regression analysis were used to examine relationships between SE, demographic …

Relationship Between Post-Resuscitation Debriefings And Perceptions Of Teamwork In Emergency Department Nurses, Kerri Lyman

Walden Dissertations and Doctoral Studies

Emergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Critical incident debriefing has been shown to benefit health care professionals and patient clinical outcomes. The purpose of this quantitative correlational study was to examine the relationship between the use of formal post-resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors impacted perceptions of teamwork. The nurse as wounded healer theory served as the theoretical framework. Data from the Nursing Teamwork Survey were collected from 68 emergency department …

Successful Strategies For Increased Dental Practice Competitiveness, William Eyster

Walden Dissertations and Doctoral Studies

The rapid expansion of dental service organizations (DSOs) continues to disrupt the traditional dental practice model and there was a 12.2% increase in DSOs between 2015 and 2016. Some solo and small group dental practice owners lack strategies to adapt their businesses to be successful in newly competitive markets including DSOs. Grounded in systems theory, the purpose of this qualitative multicase study was to explore strategies dental practice owners use to adapt their businesses to be successful in newly competitive markets. The participants included 3 solo and 2 small group dental practice owners in central Kentucky who demonstrated success in …

Destination Arrival And Discharge Unit To Improve Patient Flow, Shelia Celeste Jeter

Walden Dissertations and Doctoral Studies

The increase in patients presenting to the emergency department (ED) for primary care poses a serious safety issue in the care that can be provided. In a care area that is overcrowded, physicians, nurses, ancillary department staff, and other care team members may have a difficult time delivering care. Poorly managed flow in the ED leads to overcrowding, and patients with life-threatening illnesses are less likely to be transitioned to designated specialized areas in a safe and efficient manner. The practice-focused question was whether processes to improve the flow of patients entering the ED decreased the number of patients leaving …

Depression With Peripartum Onset (Postpartum) And Mother’S Perceptions Of Social Support And Self-Efficacy For Parenting, Shenetha Carmise Ramsey

Walden Dissertations and Doctoral Studies

Depression with peripartum onset, which was previously called maternal depression, or postpartum depression, is common among many pregnant women. The condition increases impairment in maintaining relationships, self-esteem, and parenting skills. The purpose of this phenomenological qualitative study was to explore how mothers who have experienced peripartum onset (postpartum) depression perceive their social support and their ability to parent effectively. The conceptual framework was based on Albert Bandura’s self-efficacy theory. Convenience and snowball sampling were both used to obtain 6 research participants who were interviewed face-to-face or by telephone. Participants shared their experiences with depression, perceptions of social support, and how …

The Relationship Between Information Quality And Construction Safety, Aloysius Attah

Walden Dissertations and Doctoral Studies

Fatal occupational injury is a construction and management problem in the United States. Fatality rates among specialty trade contractors made up the largest percent of fatalities in construction at 62% per year. The purpose of this nonexperimental study was to examine the relationship between the quality of information in construction safety plans and construction safety among specialty trade contractors. The theoretical foundations for the study were Petersen'€™s accident/incident theory and work systems theory. The key research question was to examine the relationship between information quality and construction safety among specialty trade contractors. A survey with closed-ended questions was used to …

Importance Of Perceived Social Support For Black Mothers Of Preterm Babies, Anita Lynn Brentley

Walden Dissertations and Doctoral Studies

Social support represents a network that provides for family, relatives, and friends and is an important predictor of future health and well-being. A knowledge gap exists in the literature regarding a need for social support for Black mothers of preterm babies. This qualitative study explored the perception of social support for Black mothers of preterm babies in Southwest Ohio. The phenomenological method of inquiry was used to gain an in-depth understanding of social support Black mothers receive after preterm birth. The social ecological theory provided a framework for understanding how individual, interpersonal, community, organizations, and policy affect a Black mother's …

Factors Contributing To Military-Veteran Student Success, Charlene Sutton Cofield

Walden Dissertations and Doctoral Studies

The enrollment of military/veteran students at U.S. colleges and universities is growing steadily; however, factors affecting their academic success need further investigation. Guided by Tinto's student integration model and Bean and Metzner's model of nontraditional student attrition, the relationships between student characteristics and academic success for military/veteran, and civilian students were investigated. For this nonexperimental study, preentry characteristics (military/civilian status, race/ethnicity, age, gender, transfer credits) as well as 1st-year academic performance (total terms attended and grade point average [GPA]) archived in 393 students' records were examined to determine whether these variables predicted 4 student success measures: retention after 1 year, …

Nurses' Perceptions Of Patient Encounters During Bariatric Weight Loss Surgery Education, Traci Edwynne Cullins-Clark

Walden Dissertations and Doctoral Studies

Many researchers have suggested positive patient-health provider relationships can positively impact patient outcomes. A few focused explicitly on bariatric weight loss surgery (BWLS) professional-patient interactions. This study is significant because BWLS is a recommended tool to combat obesity. The purpose of this study was to analyze the perceptions of BWLS education nurses regarding their patient encounters. This mixed methods research study used an online survey combining quantitative Likert scale questions and open-ended qualitative questions, with social cognitive theory as the theoretical foundation. These explored viewpoints relate to their patient relations expressed by a health professional. Health professional beliefs incorporated into …

Patient Satisfaction With Nursing Care Related To Hospital Magnet Designation, Sharon Haylett

Walden Dissertations and Doctoral Studies

Many U.S. hospitals have historically failed to recognize nursing as essential to quality of care. Given the relationship between the patients' experiences, measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and government reimbursement, stakeholders now value the role of nurses in the care experience. Some hospitals have pursued Magnet designation, which is a rigorous and costly process, in order to promote patient satisfaction through nurse autonomy and retention. The purpose of this study was to understand whether non-Magnet hospitals received similar HCAHPS scores. Expectancy disconfirmation theory provides a framework to understand the components of patient satisfaction …

Examining The Relation Of Psychological Distress To Shift Work In Firefighters, Lindsey Marie Lilly

Walden Dissertations and Doctoral Studies

Firefighters experience stressful job demands. Many of them work in shifts that can extend to 96-hour rotations. Firefighters also tend to suffer from poor sleep quality and psychological distress; however, there are conflicting findings on how these factors may relate to each other. The purpose of this quantitative survey study was to examine the relation between symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), and alcohol abuse to shift duration in firefighters who work 24-hour shifts compared to those who work 48-hour shifts, with sleep quality as a mediating variable. The repair and restoration theory of sleep was the theoretical …

Optimizing A Disease Severity Scale For Evaluating Travelers' Diarrhea In Adults, Nicole Maier

Walden Dissertations and Doctoral Studies

Primary efficacy endpoints for interventional products targeting travelers’ diarrhea (TD) prevention have been predominately based on stool frequency. However, reliance on stool-based endpoints alone may obscure potentially meaningful differences in illness profiles. A single, standardized scoring system optimized for use in adult travelers is needed to accurately measure TD severity and enable more robust estimates of treatment or intervention effectiveness. The purpose of this quantitative secondary data analysis was to describe the variability in TD signs and symptoms across traditional severity metrics such as stool output, identify which symptoms were significantly associated with a negative impact on activity, and determine …

Federal Women, Incivility, Job Satisfaction, And Job Stress, Wanda Harris Pemberton

Walden Dissertations and Doctoral Studies

Incidents of incivility in the workplace have continued to increase in frequency. Workplace incivility impacts the health and well-being of those who experience or witness the behavior and impacts morale, levels of engagement, attendance, retention, and overall organizational health. Researchers have explored the damage caused by workplace incivility, but few have focused on the impact of incivility among federally employed women. The purpose of this quantitative, correlational study was to examine the relationship between incivility, job satisfaction, and job stress among women working in the federal sector. The affective events theory framed this study. Online surveys were used to capture …

The Prediction And Relationship Between Age, Ethnicity, Gender, And Quality Of Life Using Self-Efficacy Scores Among Stroke Survivors, Sabrina Angela Thornton

Walden Dissertations and Doctoral Studies

Stroke is a serious illness that requires urgent attention. The purpose of this study was to investigate whether age, ethnicity, gender, and quality of life predict self-efficacy scores in stroke survivors. The theoretical foundation of the study was the social cognitive theory of perceived self-efficacy that was developed by Bandura. There were 4 specific research questions investigated. A correlational research design was used to sample 115 stroke survivors from several Arkansas rehabilitation facilities who completed a pilot study, demographic form, QOL rating scale, and the Daily Living Self-Efficacy Scale (DLSES). Stepwise multiple regression analysis was applied to identify the independent …

Social Construction, Policy Design, And Program Efficacy In The U.S. Navy's Family Readiness Group Program, Linda Tsubaki

Walden Dissertations and Doctoral Studies

It was unclear what the actual role of the Family Readiness Group (FRG) was in helping the spouses of U.S. Navy submariners (SMSs) in learning to live the submariner-family lifestyle. Submarines deploy in regular cycles regardless of world conflict. Submariners and their spouses are isolated from each other during deployments, communities of submariner spouses are smaller than other Navy communities, and spouses must acquire unique social capital to manage unique challenges. The purpose of this study was to explore how SMSs experience or perceive the FRG role in their social construction and adaptation to the SMS lifestyle. The examination was …

Assessment Of Cancer-Related Fatigue In Breast Cancer Survivors, Meagan Walker

Walden Dissertations and Doctoral Studies

Cancer-related fatigue (CRF) is a persistent and debilitating problem for many breast cancer survivors. Although many CRF measurement tools are available, no consensus exists on the most appropriate tool to use for breast cancer survivors. The purpose of this project was to identify the best method of assessing CRF in breast cancer survivors. The practice-focused question inquired about the most appropriate way to assess fatigue in breast cancer survivors. The central concepts of the project were CRF and cancer survivorship. This project was informed by the theory of health as expanding consciousness and Mishel's theory of uncertainty in illness. The …

Social Support, Health Status, And Personality Factors In Coping Styles Of Gay Men, Mary Martin

Walden Dissertations and Doctoral Studies

Personality factors and coping styles may affect how individuals will respond to the lack of social support. The purpose of this descriptive design was to examine the relationship between social support and health risk implications in gay men, which is a population that is under-represented in the research literature in regard to this topic. The theoretical framework guiding this study was the social stress model, which posits that stress and support are related to mental health outcomes. A sample of 76 gay men were recruited from Craigslist ad to participate in this study. They completed self -report questionnaires anonymously online, …

Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur

Walden Dissertations and Doctoral Studies

Training interprofessional healthcare teams continues to advance practice for patient-centered care. Empathy research is also advancing and has been explored in social work, psychology, and other healthcare areas. In the absence of understanding empathy in an interprofessional setting, educators are limited in preparing teams to develop empathy as part of core competencies This grounded theory study explored for a theory of how interprofessional healthcare teams conceptualize and operationalize empathy in their practice. Azjen's theory of planned behavior and Barrett-Lennard's cyclical model of empathy framed the study. Data were collected using 6 focus groups and 24 semistructured interviews of varied healthcare …

Exploring Education Needs For Heart Failure Patients' Transition Of Care To Home, Michelle D. Williams

Walden Dissertations and Doctoral Studies

Transitions of care is a model designed to ensure that patients have resources needed to assist them to care for themselves at home after hospital discharge, which helps to decrease preventable adverse events. For people with heart failure (HF) to transition home from the hospital successfully, specific education is needed that is individualized to the disease process, but most patients' educational needs after discharge are unmet. The purpose of this qualitative study, guided by the Meleis middle range theory of transition, was to explore the perspectives of people with HF about their educational needs in order to gather data that …

Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo

Walden Dissertations and Doctoral Studies

Health information technology (HIT) owner-practitioners who adopt effective strategies for HIT implementation can improve primary facility care delivery and profitability. However, some HIT owner-practitioners have ineffective implementation strategies, so they have not realized the total revenue increases of more than 8%. Grounded in general systems theory, the purpose of this multiple case study was to explore successful strategies primary care practitioners (PCPs) use to implement HIT to improve primary facility care delivery and profitability. The participants included 6 owner-practitioners located in Queens County, NY, who successfully implemented HIT to improve facility care delivery and profitability. Data were collected through face-to-face …