Digital Commons Network^™

Strategies For Increasing Healthcare Employees' Retention, Lakeisha Lee

Walden Dissertations and Doctoral Studies

Employee turnover in healthcare negatively affects patient care. The purpose of this multiple case study was to identify the strategies that managers used to increase employee retention in healthcare organizations. The study population was healthcare managers and human resources personnel in 3 healthcare organizations in the southeastern region of the United States who had successfully implemented strategies to increase employee retention. The conceptual framework was the job-embeddedness theory. The data collection process included semistructured interviews and the review of organizational documents. Data analysis included identifying patterns and developing themes. Three key themes emerged from the data: increased, effective communication; praise …

Effective Revenue Diversification Strategies In Nonprofit Organizations, Jennifer R. Niswonger

Walden Dissertations and Doctoral Studies

Nonprofit organization leaders increasingly encounter social burdens and financial difficulties, jeopardizing ongoing success and organizational sustainability. The purpose of this single-case study was to explore revenue diversification strategies used by 3 leaders of a small nonprofit organization in the mid-Atlantic region of the United States through the conceptual lens of modern portfolio theory. Data were collected via in-depth semistructured interviews, and member checking was used to facilitate accuracy, consistency, and integrity. Methodological triangulation included a document review and analysis of financial statements, tax returns, strategy objectives, the organizational website, social media, and nonprofit data reports. Data from documents and interviews …

Qualitative Study Of Nursing Faculty Implementing A New Concept-Based Curriculum, Henrietta Walton-Nunez

Walden Dissertations and Doctoral Studies

In 2009, the National League for Nurses (NLN) encouraged nursing programs to transition from traditional ways of teaching to concept-based curricula. Previous research revealed that nursing faculty exhibited a lack of expertise to maintain changes in new curricula. The purpose of this qualitative study was to address the Level 1 faculty members' difficulty in sustaining a new concept-based curriculum by understanding what strategies may assist faculty in facilitating students' learning through concept-based curriculum and which strategies may present barriers. The Level 1 faculty members were the first nurse educators to transition to and implement the new concept-based curriculum. These educators …

Assessing Medical Expenditure Disparities Among U.S. Adults With Hiv Or Cardiovascular Diseases, Lorraine Nnacheta

Walden Dissertations and Doctoral Studies

Older adults with infectious and chronic diseases, such as cardiovascular disease and human immunodeficiency virus (HIV), are at high risk for associated chronic comorbidities, which are associated with increased medical expenditures to cover treatment costs. The purpose of this study was to investigate (a) whether adults 65 or older with either HIV or cardiovascular disease were predisposed to increased medical expenditures versus adults 64 and younger, and (b) the impact of race and type of health service used on total direct medical expenditures incurred among adults with HIV or cardiovascular disease. A quantitative, deductive, retrospective cross-sectional design was used, and …

Instructional Strategies Within A Blended Learning Model For At-Risk Students, Kim Marette Zeydel

Walden Dissertations and Doctoral Studies

Many at-risk students attending an alternative high school in a northwestern state were not graduating on-time even after a learner-centered blended learning model was implemented. The administration and teachers sought to understand why the change to a learner-centered program was only slightly increasing the graduation rate each year. The purpose of this qualitative case study was to explore how the learner-centered instructional strategies used within a blended learning model were being implemented and supporting at-risk students. Weimer's learner-centered framework was used to ground the study and guide the research questions which examined teacher and student perspectives about the learner-centered instructional …

Leadership Values And Acculturation Among The Oglala Lakota Leadership, Richard Gerald Iron Cloud

Walden Dissertations and Doctoral Studies

There are currently no research studies that investigate the relationship between acculturation and leadership values and practices among the Indigenous Tribes on the Northern Plains of the United States. The study was initiated because Native American Elders on the Pine Ridge Indian Reservation were concerned that traditional altruistic leadership style was being lost in today's Native American leadership practice. Accordingly, acculturation and servant leadership theories were used to guide the study. A sequential explanatory mixed methods design incorporated the use of quantitative data based on the Servant Leadership Profile (SLP) and the Native American Acculturation Scale. (NAAS). The study included …

Standardized Clinical Guideline For Assessment, Documentation, And Treatment Of Statins, Esther Onyirimba

Walden Dissertations and Doctoral Studies

The purpose of this project was to develop a practice guideline for screening patients at risk for cardiovascular disease, educate the staff at the site about the guideline, and implement the guideline at a primary care clinic. The intention was to identify and treat patients at risk for cardiovascular disease to prevent occurrence of heart disease. Cardiovascular disease includes hypertension, coronary heart disease, heart failure, and stroke. Coronary heart disease is one of the leading causes of death in the Western world. The local practice problem and focus of this project was underprescribed statin therapy for patients at risk for …

Instrumental Role Modeling And The Sensitive Topic Of Obesity: A Grounded Theory, Tulie Blot Gay

Walden Dissertations and Doctoral Studies

The nurse practitioner (NP) role is more prominent now than ever before in primary healthcare, positioning them as providers who defend initiatives and ongoing health agendas. Obesity is among those agendas. The concept of instrumental role modeling was explained as a combination of understanding and physical presence that gives meaning and quality to inspire change. It implied that health professionals are not merely insightful clinicians but suggested their expertise is complimented by demonstrations of wellness in knowledge and practice. This topic of weight was perceived as sensitive but must be addressed. In this grounded theory study, the perspectives of NPs …

Spiritual Cognitive Dissonance In Lgbtqq People, Teresa O'Flynne

Walden Dissertations and Doctoral Studies

Cognitive dissonance between learned spirituality and opposing behaviors is called spiritual cognitive dissonance (SCD). SCD has been successfully proven in former research; however, to date, it has yet to offer descriptions of specific incidents of SCD and/or how it effects the lesbian, gay, bisexual, transgender, queer and questioning (LGBTQQ) individual. A qualitative phenomenological study in which eight participants were interviewed was employed to collect data. The study revealed how SCD manifested in their lives, specifically those who were raised within conservative, heteronormative spiritual homes. All participants were LGBTQQ and believed they had experienced SCD. The data collected during each interview …

Implementing Motivational Strategies To Increase Funding In Nonprofit Organizations, Laxley Washington Stephenson

Walden Dissertations and Doctoral Studies

Nonprofit organization senior leaders conduct business in an increasingly complex and competitive market environment relying on monetary donations to sustain the capacity of their organizations to meet service requirements. The purpose of this single case study was to explore the strategies that nonprofit organization senior leaders used to motivate donors to make monetary donations to their organizations. The target population of the study was 3 senior leaders of a nonprofit organization in the southeastern United States who implemented effective strategies to motivate donors to make monetary donations to their organization. The conceptual framework used for this study was self-determination theory. …

Physical Activity, Healthcare Use, And Medication Use In Diabetes Patients, Julie Kwon Evans

Walden Dissertations and Doctoral Studies

Physical Activity, Healthcare Use, and Medication Use in Diabetes Patients

by

Julie Kwon Evans

MS, The Chicago School of Professional Psychology, 2013

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

November 2019

Third-Grade Reading Teachers' Views On Achieve3000 For The Florida Standards Assessment Test, Ennis L. Brinson

Walden Dissertations and Doctoral Studies

Educators are challenged with meeting the academic needs of students, particularly in the subject area of reading. School districts purchase tools such as Achieve3000 to help students improve their proficiency in reading; however, implementation of such interventions has not been explored from the educators' perspective. This study explored 3rd grade reading teachers' views on Achieve3000 as a tool for improving reading proficiency and preparedness for the Florida State Standards English Language Arts assessment. The conceptual framework included the theory of social validity and current research as it related to differentiated instruction. This study utilized a basic qualitative approach to answer …

Nursing Staff Development For Novice Nurse Practitioners In Acute Care, Carolyn Berglund

Walden Dissertations and Doctoral Studies

An acute care practice site reported 75% turnover of novice nurse practitioners (NPs),

which indicated a gap in the transition from student to practitioner within the first year of

clinical practice. This gap can leave novice NPs unprepared to manage patients

effectively and contribute to high turnover. The practice-focused question addressed

whether an evidence-based staff development program for novice NPs at an acute care

site could be developed. The purpose of this project was to create a framework based on

evidence to transition novice NPs successfully into practice. Benner's skill-acquisition

in-nursing theory informed this project. Evidence was obtained by searching …

Mentors And Their Impact On The Transition Of Foster Care Youth To Independent Living, Josephine Marie Kunkle

Walden Dissertations and Doctoral Studies

Abstract

The Foster Care Mentoring Act of 2011 directed the Secretary of Health and Human Services to award grants to U.S. states to create programs within public and private community entities to support mentoring foster children. Some states have allocated funding to support agencies that mentor foster care youth who have been emancipated (aged out) from the child foster care system who are without family support and are attempting to become self-sufficient. To date, there is a lack of research on mentors who help foster care graduates preparing to exit the foster care system. The purpose of this qualitative study …

Strategies To Implement Efficient Closing Cycles, Mary Christine Scott

Walden Dissertations and Doctoral Studies

Many financial leaders lack strategies to make the timely fiscal reporting needed for business to obtain profitability, competitive advantage, and sustainability. The purpose of this single case study was to explore successful strategies used to complete efficient closing cycles to evaluate performance and support business decisions. The conceptual framework for this study was process improvement and the theory of constraints. Data were collected from semistructured interviews with 5 purposively selected leaders; data were supplemented with information from the organization's website and print materials. Financial leaders who had developed successful strategies to complete timely financial statements were selected to participate in …

Evaluating The Military Police Corps' Active Shooter Preparedness Plan, Robert Lee Harris

Walden Dissertations and Doctoral Studies

The Military Police Corps' active shooter preparedness plan is inadequate because several updated tactics, techniques, and procedures that have been developed over the past 20 years and implemented by civilian law enforcement agencies have not been incorporated, leaving the Corps less prepared during active shooter events. The purpose of this phenomenological study was to examine how Military Police Corps leaders trained their law enforcement and support personnel to respond to an active shooter event. The institutional analysis and development framework was used to analyze the day-to-day operational decisions within the Military Police Corps. Data for the qualitative case study were …

Recruitment Strategies For A Sustainable Pipeline Of African American College Graduates As Civil Servants, Owen Wilbert Muldrow, Jr.

Walden Dissertations and Doctoral Studies

Government leaders have not been successful in their strategies for developing a pipeline of African American college students to address the absence of African American representation in civil service management positions. Increasing African American representation among civil service personnel may produce a government workforce that reflects American society, which may promote equitable and responsive solutions in serving public interests. The purpose of this qualitative modified Delphi study was to build consensus among a nationwide expert panel of government-affiliated talent managers as to strategies for creating a sustainable civil service pipeline of annual graduating classes of African American collegians. The research …

A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes

Walden Dissertations and Doctoral Studies

Although adolescents experience psychological difficulty at a rate higher than any other age group, most do not get the support they need. The purpose of this study was to explore perceptions about barriers, facilitating factors, and help-seeking preferences for psychological support among adolescents. This study involved Best, Gil-Rodriguez, Manktelow, and Taylor’s conceptual framework pathways to online help-seeking to help explain adolescents’ perceptions of factors that influence them seeking support as well as identify pathways for support. A qualitative meta-synthesis design was used to synthesize findings of individual qualitative studies into themes around the central phenomenon of adolescent help-seeking. Data were …

Resilience Experiences Of Navy Wives During Midyear School Transitions Of A Child, Alicia Brengman

Walden Dissertations and Doctoral Studies

The social problem of school dropout is a well-researched issue that impacts students, schools, and the nation. The research problem of this study was how U.S. Navy wives experience resiliency during school transitions of their child(ren) midyear to a new school. The theoretical framework utilized for this study was resilience theory, as described by Rutter. The purpose of this hermeneutic phenomenological study was to gain insight into how U.S. Navy wives experience resilience when transitioning their students to a new school once the school year has begun. Semi structured interviews were conducted over the phone with 9 current wives of …

Strategies To Identify And Reduce Workplace Bullying To Increase Productivity, Dr. Marvalene King

Walden Dissertations and Doctoral Studies

Workplace bullying caused business owners to lose about 80 million employees' workdays each year. Workplace bullying can cost an organization up to $300 billion for increased medical claims, lost productivity, and employee turnovers, and up to $23 billion in additional expenses, such as costs for employee absenteeism and legal costs. The purpose of this single case study was to explore successful strategies to address workplace bullying used by 7 human resource (HR) managers and executives in 1, small-to-medium-sized organization in Central Florida. The HR managers and executives had 5 or more years of HR experience. The risk management framework and …

School Personnel Perspectives On Supporting Teachers Of Students With Social-Emotional And Academic Needs, Ana Elisa Lee

Walden Dissertations and Doctoral Studies

Thirty percent of elementary schools that serve underprivileged students in a Texas school district are considered low-performing according to state standards in the 2016 2017 school year. Little is known about the perspectives on the support teachers need while teaching students with high social-emotional and academic needs. The purpose of this general qualitative study was to examine perspectives on principal support for teachers who teach these populations. Data were collected through interviewing 9 teachers, 3 principals, 3 counselors, 3 instructional coaches, and 1 district academic leader. Social cognitive theory, role theory, and cognitive evaluation theory constituted the conceptual framework. Individual …

Project Managers' Capacity-Planning Practices For Infrastructure Projects In Qatar, Emmanuel Opeyemi Ojo

Walden Dissertations and Doctoral Studies

Infrastructure project delays and cost overrun are caused by ineffective use of organizational skills, processes, and resources by project managers in the construction industry. Cost overrun and schedule delay in Qatari infrastructure projects have had damaging effects on the national economy by way of claims and litigation, contractual disputes, delays in dependent projects, and project abandonment. The purpose of this qualitative case study was to explore the perceptions of project managers regarding how they utilize capacity-planning practices to mitigate project schedule delay and cost overrun in government-funded infrastructure projects in Qatar. This study was framed by three conceptual models developed …

Educating Staff On The Family Caregiver Needs Of Brain Injury Patients, Carrie Maloney Robertshaw

Walden Dissertations and Doctoral Studies

Acute rehabilitation hospitals assist brain injury patients and families who face a life- changing event to achieve greater independence and quality of life. During the acute rehabilitation phase of recovery, care is focused on the patient; however, there is a nationwide movement to implement patient- and family-centered care because caregivers experience grief and uncertainty about how to care for their loved one during hospitalization and upon discharge. The purpose of this staff education project was to educate rehabilitation staff on how to identify and to meet the needs of family members of brain injury patients in an acute rehabilitation center …

Implementation Of A Staff Education Project For A Robotics Education Program In The Operating Room, Doreen A. Sicotte

Walden Dissertations and Doctoral Studies

Nurses who provide care in robotic surgery must have sufficient special training in the operation of the da Vinci robot to perform their roles with knowledge and confidence that can yield optimal patient outcomes. The local nursing practice problem in the project facility, and the focus of this doctoral project, was the lack of an evidenced-based robotics education program for registered nurses who participate in robotic surgery. The gap in practice was nurses' lack of knowledge, which interfered with the care provided to the robotic surgical population. The purpose of this project was to develop a staff robotics education program …

Modified Eye Movement Desensitization Therapy Protocol Treating Substance Abuse Disorders, Elise Von Tersch

Walden Dissertations and Doctoral Studies

Quality substance abuse treatment is needed to help fight the battle against drug addiction. This qualitative study was designed to explore some of the approaches to eye movement desensitization (EMDR) therapy that therapists trained in Parnell's adapted EMDR model use in conjunction with treatment for addictions. The purpose of this narrative inquiry was to investigate the experience of therapists who incorporate substance abuse treatment with Parnell's adapted EMDR model when treating trauma and substance use disorders. The population studied comprised licensed mental health therapists who had completed Parnell's EMDR training and implemented Parnell's modified EMDR protocol in their professional practice. …

The Experience Of Founder's Syndrome In Nonprofit Organizations Founded By Women, Coutanya Moultry Coombs

Walden Dissertations and Doctoral Studies

Gaps exist in the literature on knowledge of how founder behavior affects volunteers and employees in nonprofit organizations. Through exploration of founder relationships with volunteers and employees, this study fills some of those gaps and adds to the body of knowledge of how those relationships are perceived by founders, volunteers, and employees. The purpose of this narrative study was to address the question of the impact of founder behavior on founders, employees and volunteers in nonprofit women's organizations founded by African American and Caucasian women. The theory of psychological ownership was used as the framework to understand founder behavior. The …

Informal Caregivers' Lived Experiences Caring For A Black Man Receiving Hemodialysis, Tanikka Joy Greene

Walden Dissertations and Doctoral Studies

Numerous quantitative studies have assessed caregiver burden in multiple chronic diseases, but an identified gap and underrepresentation exists in the literature regarding studies using an inductive approach that allow informal caregivers to describe the lived experiences of caring for Black men receiving hemodialysis. The transactional model of stress and coping and the stress process model guided this study. The key research questions centered on the experiences, psychological, physical, and financial limitations associated with caregiving. This phenomenological study used a purposive sample of 15 unpaid primary caregivers over the age of 18 caring for a Black male on hemodialysis from Mecklenburg …

Strategies For Achieving Patient-Centered Healthcare And Cost Containment, Quincy Von Handy

Walden Dissertations and Doctoral Studies

Implementing successful value-centered care strategies that support patient-centeredness while reducing cost is a significant challenge for healthcare leaders. In 2001, the Committee on Quality of Healthcare in America and the Institute of Medicine identified patient-centeredness as 1 of 6 improvement goals to improve quality of care for the 21st century. The purpose of this multiple case study was to explore patient-centered strategies that healthcare managers used to reduce the cost of healthcare for elderly patients without reducing the quality of patient care. The conceptual framework that grounded this study was patient-centered care, and the opposing theory was the primary care …

A Clinical Practice Guideline To Improve Education In The Heart Failure Population, Mailey L. Wilks

Walden Dissertations and Doctoral Studies

Managing heart failure patients in the outpatient setting can pose a challenge for nurses and health care staff due to the need to educate patients on self-care skills and management of disease. Several factors, including health literacy and numeracy, need to be considered when developing an education program for heart failure patients to promote self-care management. The purpose of this project was to provide nursing staff with a clinical practice guideline (CPG) that incorporated health and numeracy literacy assessment into an individualized education program. The Johns Hopkins nursing evidence-based practice (EBP) model, the situation-specific theory of heart failure (HF) self-care, …

Social Anxiety, Quality Of Life, And Healthy Lifestyle Behaviors Of Women With Infertility Problems, Esra Savaş

Walden Dissertations and Doctoral Studies

Not having a child has significant psychosocial effects on women experiencing infertility problems. There is a gap in research on social anxiety, quality of life, and healthy lifestyle behaviors of women during infertility, fertility treatment, and subsequent pregnancy. The purpose of this quantitative comparative study was to investigate the social anxiety, quality of life, and healthy lifestyle behaviors of Turkish women with infertility issues and Turkish women who conceived after infertility treatment, as measured by the Liebowitz Social Anxiety Scale, the Fertility Quality of Life Questionnaire, and the Healthy Lifestyle Behavior Scale II. The social support and stress buffering theory …