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Walden Dissertations and Doctoral Studies

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Information Systems Strategies For Small And Medium Size Enterprise Sustainability, Oluseyi Solomon Awotayo Jan 2020

Information Systems Strategies For Small And Medium Size Enterprise Sustainability, Oluseyi Solomon Awotayo

Walden Dissertations and Doctoral Studies

Small and medium size business owners who do not use information systems effectively degrade business models, reduce customer value, and diminish the prospects for business stability, profitability, and growth. Grounded in the resource based view framework, the purpose of this qualitative multiple-case study was to explore the information systems strategies small business owners used to sustain their business beyond 5 years. A purposeful sample of 5 owners of 5 different small and medium sized businesses in the state of Texas participated in the study. Data were collected via semistructured, face-to-face interviews, company documents, and member checking. Data were analyzed using …


Strategies For Multinational Corporate Leaders Managing Expatriates, Dan Xie Jan 2020

Strategies For Multinational Corporate Leaders Managing Expatriates, Dan Xie

Walden Dissertations and Doctoral Studies

Ineffective management strategies may limit the potential to improve the business performance of multinational corporations (MNCs). Leaders of MNCs who fail to adequately manage expatriates fail to expand business globally. Through the lens of the organizational cultural intelligence (OCQ) theory and global talent management (GTM) models, this qualitative multiple case study served the purpose of exploring successful strategies that leaders of MNCs apply to manage expatriates to improve business performance. The participants included 7 multinational business leaders, expatriates, and human resource managers who have experienced international assignments and the management of expatriates. Data were collected from semistructured interviews, company websites, …


Body Dissatisfaction, Self-Objectification, And Ideal Body Size Among Alaska Native Women, Toni K. Monahan Jan 2020

Body Dissatisfaction, Self-Objectification, And Ideal Body Size Among Alaska Native Women, Toni K. Monahan

Walden Dissertations and Doctoral Studies

Body dissatisfaction is often a precursor to eating disorders and a variety of destructive behaviors that put a person at risk physically and reduce a person’s quality of life. This study added to the growing literature on ethnic differences in perceptions of the body by comparing Alaska Native and Alaskan White women on 4 measures. These included a demographic questionnaire, the Body Esteem Scale for Adolescents and Adults, the Contour Drawing Rating Scale, and the Objectified Body Consciousness Scale. The theoretical framework for the study consisted of social comparison theory and feminist theory. A convenience sample of 134 Alaska Native …


Rural Community Mental Health Agency’S Strategies To Involve Parents In Children’S Psychosocial Treatment, Kerry Ellen Morrell Jan 2020

Rural Community Mental Health Agency’S Strategies To Involve Parents In Children’S Psychosocial Treatment, Kerry Ellen Morrell

Walden Dissertations and Doctoral Studies

The increased prevalence of children’s mental illness and the need for community-based treatment with enhanced outcomes is propelling the need to improve children’s mental health treatment to the forefront of children’s mental health policy reform. Including parental involvement in children’s mental health treatment increases the possibility of improved treatment outcomes. However, policy, social, attitudinal, and fiscal factors have affected the strategies used to overcome the barriers to facilitating parental involvement. The purpose of this in-depth qualitative case study was to understand the strategies that one mental health agency used to overcome the barriers to facilitating parental involvement in the psychosocial …


Nursing Education Workflows In Ehr Training, Liezel Granada Jan 2019

Nursing Education Workflows In Ehr Training, Liezel Granada

Walden Dissertations and Doctoral Studies

A need for improvement in nursing education regarding inpatient workflows and informatics skills was identified at this project site. Upon hire, nurses were required to complete a 4-hour basic class on the electronic health record (EHR) system, but this class did not include inpatient-nursing workflows needed to provide and facilitate care for patients. This project addressed the lack of EHR education on inpatient nursing workflows. The focus of this staff education project was an education class on inpatient nursing workflow provided to a nurse residency class. Sources of evidence were obtained through a literature search and pretest/post test data analysis. …


Increasing Daily Exercise Adherence In Women By Examining Motivational Factors, Victoria Wozniak Jan 2019

Increasing Daily Exercise Adherence In Women By Examining Motivational Factors, Victoria Wozniak

Walden Dissertations and Doctoral Studies

Women ages 20–39 years old have seen the most dramatic increase in obesity levels in the United States over the last 2 decades. Researchers have indicated the need for studies to increase motivation in women to promote daily exercise. There is a gap in the literature about what motivational factors are most effective with increasing exercise in daily life. Using the transtheoretical model of change (TM) as the grounding theory, this study measured daily exercise adherence. A selective sampling of women ages 20–39 years old in the United States were recruited to complete an online survey. The online survey included …


Preinfection Risk Perceptions Of Human Immunodeficiency Virus Positive Homosexual And Bisexual Men, Benjamin Singer Jan 2019

Preinfection Risk Perceptions Of Human Immunodeficiency Virus Positive Homosexual And Bisexual Men, Benjamin Singer

Walden Dissertations and Doctoral Studies

In 2017, there were 4,949 persons diagnosed with human immunodeficiency virus (HIV), 116,944 persons living with HIV, and 2,044 acquired immunodeficiency syndrome (AIDS) cases in Florida. Of the 4,972 new HIV diagnoses in Florida, 60% were related to male-to-male sexual contact, 4% from intravenous drug use, 2% from male-to-male sexual contact and intravenous drug use, 33% from heterosexual sexual contact, and 1% from other sources. Guided by the health belief model (HBM), this qualitative study sought to understand the lived experiences of HIV positive adult men who have sex with men (MSM) living in Florida, regarding their preinfection perceptions of …


Internal Control Strategies To Mitigate Fraud In Small Manufacturing Businesses In Cameroon, Thomas Ndive Molungu Jan 2019

Internal Control Strategies To Mitigate Fraud In Small Manufacturing Businesses In Cameroon, Thomas Ndive Molungu

Walden Dissertations and Doctoral Studies

Approximately 51.3% of small manufacturing businesses lack effective internal controls to deter fraud. Internal control strategies, when adequately implemented, can mitigate fraud and improve profitability in small manufacturing businesses. The objective of this single qualitative case study was to explore the internal control strategies used in a small manufacturing business to mitigate assets misappropriation fraud and improve profitability. Agency theory was the conceptual framework for this study. Five business managers in a small manufacturing firm in Cameroon participated in face-to-face semistructured interviews. The data analysis process included Yin's 5-step process. Identified themes included (a) governance at a higher management level, …


Experiences Of Subtle Sexism Among Women Employees In The National Park Service, Audrey Marie Ashcraft Jan 2019

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 …


Successful Strategies For Increased Dental Practice Competitiveness, William Eyster Jan 2019

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 …


Nurses' Perceptions Of Patient Encounters During Bariatric Weight Loss Surgery Education, Traci Edwynne Cullins-Clark Jan 2019

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 Jan 2019

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 …


Use Of Force: Perception Of Racial Minorities And Police Officers In Southeastern United States, William Henry Riter, Jr. Jan 2019

Use Of Force: Perception Of Racial Minorities And Police Officers In Southeastern United States, William Henry Riter, Jr.

Walden Dissertations and Doctoral Studies

The amount of force used by law enforcement officers has become a highly-charged topic, especially among racial minority citizens and the law enforcement community. While the use of force by police officers is permitted by law enforcement agencies and expected by citizens, the amount and type of force used can trigger or cause problems, such as distrust or loss of confidence for the police agency, if the public perceives the force to be unjustified. The purpose of this phenomenological study was to explore the use of force by police officers and how to improve the relationship between racial minority citizens …


Social Media Data Strategies Bankers Use To Increase Customer Market Share, Michelle Christine Wright Jan 2019

Social Media Data Strategies Bankers Use To Increase Customer Market Share, Michelle Christine Wright

Walden Dissertations and Doctoral Studies

Banking leaders who fail to implement social media data-driven marketing strategies lose opportunities to increase customer market share through customer acquisition and retention, improved customer service, heightened brand awareness, customer cocreation, and relationship management. The purpose of this multiple case study was to explore strategies banking leaders used to integrate social media analytics into marketing strategies to increase customer market share. The target population was 6 senior bankers from 2 banks in the mid-Atlantic region of the United States, with a significant social media presence, including 25,000 or more followers across 2 social media platforms. The disruptive innovation theory served …


Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo Jan 2019

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 …


Leadership Issues And Organizational Dynamics That Shaped The 2016 Republican Primaries, Favour Chidex Awuzu Jan 2019

Leadership Issues And Organizational Dynamics That Shaped The 2016 Republican Primaries, Favour Chidex Awuzu

Walden Dissertations and Doctoral Studies

Importance of leadership in fostering cohesion within organizations has received increased scholarly attention. Researchers have shown that leadership can lose its legitimacy by pursuing unpopular policies or negating the common interest of the group. However, researchers have not yet been able to establish the leadership issues that shaped the 2016 Republican primaries as President Trump's victory (despite not having the support of any living past United States president both Republican and Democrat), was indicative of masses' frustration with the political establishment, and desire for change. Using complex leadership theory as a focal lens, the purpose of this phenomenological study was …


Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo Jan 2019

Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo

Walden Dissertations and Doctoral Studies

Acts of incivility in nursing education and practice settings are a growing concern. Previous research has indicated that uncivil behaviors, especially among nurses in the healthcare workplace, create toxic work environments and pose risks to patient safety. Uncivil behaviors among nurse educators and students were found to erode the learning environment and lead to poor program outcomes. Researchers provided evidence to show varied levels of incivility in academic and workplace environments and recommended solutions to improve civility, yet little evidence exists to show how nurse faculty approach civility promotion in their practices. This qualitative, descriptive study was designed to explore …


Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede Jan 2019

Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede

Walden Dissertations and Doctoral Studies

In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …


Employee Lack Of Acceptance Of Technological Change, Monique Loyce Edwards Jan 2019

Employee Lack Of Acceptance Of Technological Change, Monique Loyce Edwards

Walden Dissertations and Doctoral Studies

Approximately 70% of technology projects fail, which negatively impacts resources, productivity, and organizational profitability because of employees' lack of acceptance of technological change. The purpose of this single case study was to explore strategies some midlevel managers used to improve employees' lack of acceptance of technological change. The conceptual framework for this study was the technology acceptance model. Data were collected from semistructured interviews with 5 participants from a local government organization in the southwestern region of the United States and review of organizational documentation. Data analysis included Yin's 5 phases, methodological triangulation, and theme identification. Four themes emerged from …


Teachers' Perceptions Of African American Middle School Males' Reading Performance, Louis David Figueroa Jan 2019

Teachers' Perceptions Of African American Middle School Males' Reading Performance, Louis David Figueroa

Walden Dissertations and Doctoral Studies

School administrators at a middle school in the northeastern United States lacked understanding regarding reading services and teaching strategies to improve African American middle school (AA MS) males' performance on standardized state reading assessments. English language arts (ELA) teachers' perspectives on and experiences of teaching reading to AA MS males at the target site were explored using Kolb's model of experiential learning. A qualitative intrinsic case study with an anonymous survey was used to collect data at the target site. Fifteen individuals who met inclusion criteria of being 6th- or 7th-grade ELA teachers at the target site were recruited using …


Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack Jan 2019

Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack

Walden Dissertations and Doctoral Studies

The retail food safety chain is vulnerable to deliberate contamination, yet food safety professionals and emergency managers typically respond to intentional contamination in different ways. Little is known about the practices of environmental health food safety professionals (EHFSP) as compared to emergency managers and whether those approaches can be combined to more successfully impede intentional food contamination. The purpose of this narrative policy analysis was to use routine activity theory to compare the narratives of EHFSPs and emergency managers to determine whether there are opportunities to better understand the relationship between vulnerability and resiliency of the retail food safety chain. …


Successful Strategies For Retaining Profitability In An Education-Sector It Project, Cassandra Romae Middleton Jan 2019

Successful Strategies For Retaining Profitability In An Education-Sector It Project, Cassandra Romae Middleton

Walden Dissertations and Doctoral Studies

Many information technology (IT) project managers (PMs) and other business leaders lack effective strategies for enhancing communication among their project team members, thereby reducing profitability and organizational cohesion. The purpose of this multiple case study was to explore communication strategies that IT PMs used to successfully complete IT mobile device projects. The conceptual framework for this study was McQuail's mass communication, Craig's communication, and Deming's profound knowledge theory. Purposive sampling method was used to identify 6 successful IT PMs and leaders who worked at 2 leading educations settings located in southeastern South Carolina. Data gathered from the semistructured interviews and …


The Long-Term Health-Related Outcomes Of Breast Ironing In Cameroon, Norbert Nicholas Njume Nkwelle Jan 2019

The Long-Term Health-Related Outcomes Of Breast Ironing In Cameroon, Norbert Nicholas Njume Nkwelle

Walden Dissertations and Doctoral Studies

Breast ironing (BI) practice is a common practice in Cameroon. Most villages and towns continue with BI because they believe it constitutes a positive cultural lifestyle. However, public health officials and other advocates have branded BI as a harmful traditional practice because of the traumatic impact it has on the women who experience it. The purpose of this quasi-experimental study was to examine the perceived long-term health-related outcomes of BI and the quality of life changes on these women. Underpinning this study was the betrayal theory of trauma. A survey was used to collect data from 230 women. Descriptive analysis …


Local Government Programs For The Learning Of English Among Adult Spanish-Speaking Immigrants, Charlotte E. Mcgee Jan 2019

Local Government Programs For The Learning Of English Among Adult Spanish-Speaking Immigrants, Charlotte E. Mcgee

Walden Dissertations and Doctoral Studies

Spanish is the second-largest speaking language in the United States, and while many government agencies have developed programs to help immigrants learn English, little is known about how program participants perceive the programs in terms of utility in transitioning to life in America or the usefulness of skills learned. Using Blalock's racial power-threat theory as the foundation, the purpose of this general qualitative study was to examine the perceptions of one such program in a mid-Atlantic city specifically oriented toward Spanish speaking immigrants. Data were collected from 15 adults, Spanish speaking program facilitators and a review of publicly available documentation …


Adoption Of Cloud Computing Services In An Illinois-Based Insurance Company, Nekerral Polk Jan 2019

Adoption Of Cloud Computing Services In An Illinois-Based Insurance Company, Nekerral Polk

Walden Dissertations and Doctoral Studies

The decision to adopt cloud computing services should involve business units of an insurance company as well as information technology (IT) because cloud computing services are viewed as both a technology offering and business alternative. The purpose of this qualitative exploratory case study was to explore the strategies used by IT architects of an Illinois-based insurance company when adopting cloud computing services. The theory supporting this study was the technology acceptance model. The study's population consisted of IT architects from an Illinois-based insurance company that have used strategies to adopt cloud computing services. This study's data collection included semistructured interviews …


Teacher Perceptions Regarding The Influence Of Secondary Phonics Instruction On Student Reading, Alani Ramos Jan 2019

Teacher Perceptions Regarding The Influence Of Secondary Phonics Instruction On Student Reading, Alani Ramos

Walden Dissertations and Doctoral Studies

In a Southern state at a rural high school, leadership staff implemented phonics-based strategies with 9th grade English teachers to improve students' Lexile reading scores. The absence of formative data related to program implementation left stakeholders without a clear understanding of the influence of the phonics-based strategies. The purpose of this qualitative exploratory case study was to obtain formative information from teachers to discern the perceived influence of the phonics-based strategies on reading. Dual coding theory was used to examine teachers' perceptions of the influence of phonics-based strategies on students' motivation, fluency, and self-efficacy. Data were collected using interviews with …


Experiences And Perceptions Of Staff Providing Substance Use Disorder Treatment For Adolescents, Connie Jean Rendleman Jan 2019

Experiences And Perceptions Of Staff Providing Substance Use Disorder Treatment For Adolescents, Connie Jean Rendleman

Walden Dissertations and Doctoral Studies

Substance Use Disorder (SUD) is associated with high mortality rates and remains a public health concern in the United States. Although, numerous interventions are offered for adolescents struggling with substance misuse, minimal research is available on the effectiveness of treatments to reduce recidivism. Researching the most effective treatment offered to adolescents is crucial to treatment adherence and recovery. The purpose of this study is to determine the most effective SUD treatment for adolescent patients by exploring the perceptions and experiences of treatment therapists providing treatment. The trans-theoretical model was used with elements of the social cognitive theory as a guide …


Toxic Air Discharge And Infant Mortality: Effects Of Community Size And Socioeconomics, Khabira Salter Jan 2019

Toxic Air Discharge And Infant Mortality: Effects Of Community Size And Socioeconomics, Khabira Salter

Walden Dissertations and Doctoral Studies

Living in counties where manufacturers release environmental toxins, such as those tracked by the Environmental Protection Agency's (EPA) toxic release inventory (TRI), may elevate infants' health risks. Because infant mortality (IM) is a strong indicator of a population's health status, it is an important topic in public health research. The purpose of this research was to examine the potential relationships between IM, community size, and factors related to mothers' SES in counties where more than 25,000 pounds of annual toxic air releases occur. The dependent variable was IM per 1,000 live births in a given community for each of the …


The Relationship Between Limited Partner Availability, Masculine Ideologies, And Condom Use, Diakima Y. Thomas Jan 2019

The Relationship Between Limited Partner Availability, Masculine Ideologies, And Condom Use, Diakima Y. Thomas

Walden Dissertations and Doctoral Studies

One in every 4 people living with the Human Immunodeficiency Virus (HIV) are women. The leading cause of infection is heterosexual contact. The purpose of this quantitative, correlational study was to examine the relationship between gender ratio perception and masculine ideology and a woman's decision to use condoms during her sexual activity. The theory of gender and power and the theory of planned behavior served as the theoretical frameworks for this study. The perceptions of gender ratios, as measured by the Gender Ratio Imbalance Beliefs and Behaviors Scale (GRIBBS) subscale, GRIBeliefs, and masculine ideologies, as measured by the Gender Role …


African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson Jan 2019

African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson

Walden Dissertations and Doctoral Studies

In comparison with the national U.S. population, African American aged adults are less likely to reside in assisted living facilities (ALFs). At present, little qualitative data exist concerning how African American aged adults perceive living at home as opposed to living in an ALF. Using a phenomenological approach, this study explored how African American aged adults who live at home feel about residing in ALFs. The research questions focused on aged adults' perceptions, beliefs, and attitudes about ALFs and the conditions that may prevent African American aged adults from living in ALFs. A conceptual framework based on the Purnell Model …