Digital Commons Network^™

Employee Turnover In Frontline Hospital Staff, Jeanne Lynn Wilson

Walden Dissertations and Doctoral Studies

Employee turnover is costly in service-intensive organizations where employee-customer interactions directly affect the organization's success. The purpose of this multiple case study was to identify strategies community hospital leaders use to reduce frontline support employee turnover. The study population consisted of leaders of a community hospital in southeast Louisiana. The conceptual framework for this study is Kahn's model of employee engagement. Semistructured interviews were conducted with eight hospital leaders in southeast Louisiana who were selected through census sampling. Interview transcripts were analyzed and coded following Yin's case study analysis process. Methodological triangulation allowed for a comparison of the findings of …

Recruitment Strategies, Matrices, And Techniques Used In Hiring Veterans, Christine Paula Agard

Walden Dissertations and Doctoral Studies

Successful transition to civilian employment is a challenge for veterans. The purpose of this single case study was to explore critical aspects of hiring managers' decision-making process and to understand how these strategies and techniques affect the hiring of veterans. Tajfel and Turner's social identity theory and Lewin's organizational change model formed the conceptual framework for the study. The participants for this study were 8 hiring managers from a midsized company in the Upper Hudson Valley Region, New York. Data were collected using semistructured interviews. The data were analyzed and coded and 4 themes emerged: strategies used to fill open …

Entrepreneurial Qualities For Successful Development And Sustainability Of New Small And Medium-Sized Enterprises, Brock Allyn Zehr

Walden Dissertations and Doctoral Studies

Entrepreneurial small businesses are significant to the U.S. economy, as they represent 99% of employer firms and employ 49% of the private sector. Nearly half of new businesses fail within the first 5 years of operation. While external factors beyond the control of business owners account for some failures, many occur because of managerial inadequacies. The purpose of this phenomenological study was to explore the lived experiences of successful entrepreneurs to understand the qualities needed to create and sustain new small and medium-sized enterprises (SMEs) beyond 5 years. The sample consisted of 21 entrepreneurs from Northeastern Indiana who created and …

Characteristics Of Adult Icu Patients With Device Associated Nosocomial Infections, Doramarie Arocha

Walden Dissertations and Doctoral Studies

Nosocomial infections are a cause of concern for hospital patients and the incidence rates of these infections are greater in intensive care units (ICUs) due to the invasive nature of treatments, additional risk factors and comorbidities, and therapies used. Invasive devices, such as vascular central lines, Foley catheters, and mechanical ventilators pose a risk for critically ill patients in the ICUs to develop device-related, healthcare-associated infections (HAI). The purpose of this study was to describe the epidemiological characteristics of patients who developed device-related HAIs within 3 ICU units (medical-surgical, cardiovascular, and neurosurgical) of an academic medical facility. The ecosocial theory …

Breastfeeding Education For Women With Diabetes, Pregnancy-Induced Hypertension And Multiple Gestations, Oluwapelumi Adefunmike Adeboyejo

Walden Dissertations and Doctoral Studies

Breastfeeding is considered a public health concern due to increased maternal/infant mortality and morbidity rates associated with persistent low rates in breastfeeding. Providing early breastfeeding education for women with diabetic, pregnancy-induced hypertension and multiple gestations can result in higher persistence rates and a decrease in maternal and infant mortality and morbidity rates. This quality improvement project provided early prenatal breastfeeding education for women with diabetes, pregnancy-induce hypertension and multiple gestations at a private clinic in Long Beach, Southern California. Evidence-based literature reviews were conducted through CINAHL and Medline (2009-2014). The descriptive study used for the project was made up questionnaires …

Financial Strategies And Resources For Sustaining Small Business In Kumba, Cameroon, Ngalle Joseph Awasume

Walden Dissertations and Doctoral Studies

In 2014, there were 75% new small businesses failed within the first 3 years of operation in Cameroon. Small businesses contribute to generate jobs and drive innovation that is vital to the Cameroon economy. The purpose of this multiple exploratory case study was to explore the financial strategies and resources that small lodging business owners use to help their businesses survive beyond 3 years. Fiedler's strategic contingency theory was the conceptual framework. There were 5 owners from 5 separate successful small lodging businesses in Kumba, Cameroon, who participated in the face-to-face interviews. The results from computer-aided qualitative data analysis, methodological …

Psychological Stress In Critical Care Nurses, Oladele Augustine Odunayo Akinwolere

Walden Dissertations and Doctoral Studies

Increased levels of stress in the workplace have led the American Psychological Association to predict a looming public health crisis. Critical care nurses (CCNs) are highly exposed to stressors in the workplace, more than other nurses. Tens of billion dollars were reported lost in productive work time yearly due to ill health from depression alone. An important gap remains in understanding the relationships of stressors with the amount of stress. Supported by the biopsychosocial stress theory, the purpose of this study was to determine the relationship between frequencies of perceived stressors (IVs) as a source of perceived levels of stress …

Using Early Alert Data To Increase Success Rates Among U.S., Donald Michael Ball

Walden Dissertations and Doctoral Studies

More U.S. students are attending college than at any time in history, but many of these students are poorly prepared for college coursework. Higher education institutions are challenged to increase the overall student success rate. The study community college implemented an early alert system to identify students with potential course performance concerns, but it is not known whether other student data might also predict academic performance at the study site. Guided by Tinto's and Astin's respective works on student persistence, the purpose of this correlational study was to investigate the relationships between students' demographic, background, and environmental variables and course …

Long-Term Hiv Survivors' Beliefs About Aging And A Cure, Geary William Brewer

Walden Dissertations and Doctoral Studies

Prior to 1996, the prognosis of HIV disease was near-certain death; however, biomedical advancements in the past 20 years established HIV as a chronic manageable disease with a nearly normal life span. Recent advancements suggest the potential for a cure. One outcome of current medical treatments is that 50% of all HIV positive individuals are older (-?¥ 50years), and a substantial number of those individuals are long-term (-?¥ 20 years) survivors. Existing research Qualitative research has provided little insight about what older long-term HIV survivors believe about their disease circumstances and aging with the disease. A qualitative method in the …

Community And Patient-Centered Medical Home In The Care Of Chronically Ill Patients, Victor A. Carrillo

Walden Dissertations and Doctoral Studies

Large portions of the US population live in poor inner-city communities. Health needs assessment data have shown that these communities have disproportionately high rates of chronic illnesses. The patient-centered medical home (PCMH) model was developed to address the gaps that exist in the primary care system, and emphasizes a redesign of primary care that is patient centered, utilizes multiple levels of healthcare professionals, information technology, and care coordination. However, little evidence exists on the value of this model which may explain why it has not gained wide acceptance by primary care providers. Therefore, this study was designed to examine the …

Phenomenological Study Of Career Advancement Experiences Of Ethnic Female Migrant, Evelyn Oghogho Brisibe

Walden Dissertations and Doctoral Studies

In the 2006 census, Statistics Canada recorded that 23% of immigrant women aged 15 and over had a university degree at the bachelor's level or above. These women could help sustain an organization's competitive advantage and respond to labor shortages posed by an aging population. This phenomenological study highlighted self-initiated migration journey and career advancement experiences of migrant women. Through LinkedIn and referrals from non-profit organizations, a sample of 20 women was recruited. All women had migrated to Canada between the ages 32 to 50, all had 5 to 10 years of residence in Canada and all had college degrees …

Police Officer Perception Of Wellness Programs, Ellen M. Chism

Walden Dissertations and Doctoral Studies

Police officer applicants need to be in top physical condition and must pass a physical

ability test in order to be accepted into the police academy. However, many police

departments do not require incumbent police officers to take such tests after passing the

academy, even though the job requirements may not change. Research has documented

the importance of police officer fitness and its applicability to their work. Separate

studies have also shown the benefit of organizational wellness programs to employees.

There is a gap in the literature, however, regarding police officer perceptions of physical

fitness as it relates to police …

The Transition-To-Practice Gap And Graduate Nurse Proficiency, Maxine Coleman

Walden Dissertations and Doctoral Studies

After nursing school, graduate nurses complete a licensure examination to demonstrate possession of the minimal knowledge necessary to practice nursing. Even with the successful completion of the examination, many new graduate nurses still lack the competencies required for safe practice. This discrepancy between demonstrated knowledge and competent practice, which is termed a transition-to-practice gap, is a safety issue especially for persons with chronic illnesses. The purpose of this study was to identify and clarify this transition gap to determine possible solutions in the local setting of a large health care system. The theoretical model framing this investigation was Benner's novice …

Retention Of Information Technology Employees, Sherry Ann Dixon

Walden Dissertations and Doctoral Studies

Business leaders often realize greater profitability when they have strategies to retain IT

employees. However, the cost to replace IT employees creates significant challenges for

business leaders. Given the growing impact of technology on operational costs, retention

of IT employees is imperative. This exploratory single case study sought to identify the

strategies that leaders use to increase IT employee retention. The population was 6

leaders from a military organization in Norfolk, Virginia, responsible for the retention of

IT employees. Herzberg's two-factor theory was the conceptual framework for this study.

The data was collected from semi-structured interviews with 6 leaders along …

Perceptions Of Immunizations As Health Prevention Among Female Mexican Immigrants In Oklahoma, Jennifer Doyle

Walden Dissertations and Doctoral Studies

Research on health prevention behaviors of Mexican immigrant mothers regarding immunizations has been limited. As of 2014, Hispanics or Latinos comprised 9.6% of the population of the state of Oklahoma and were the largest minority group within Oklahoma. This minority population has continued to grow at a rapid rate in Oklahoma. The purpose of this study was to explore the perceptions of immunizations held by Mexican immigrants who are mothers residing in Oklahoma. The aim of this study was to identify their perceived risk of contracting a vaccine-preventable disease if not immunized and knowledge of immunizations as a health prevention …

Examining Barriers That Inhibit Student Achievement From A Teacher's Perspective, Taryn Everett

Walden Dissertations and Doctoral Studies

Teachers at an urban high school in the Southeast have failed to see an increase in classroom achievement or standardized test scores despite efforts to increase passing rates. If achievement rates do not increase, school restructuring will occur. While the site has implemented programs to reduce academic failure, data exists that external barriers may be affecting student achievement. Guided by Bandura's (1986) theory of metacognitive beliefs and self-efficacy as the conceptual framework, this qualitative case study explored teachers' perceptions about the root causes of poor student achievement. This study examines how to identify those causes to help students improve academically, …

Strategies For Maintaining Credit Union Profitability In Grenada, Nadia Lisa-Adele Francis-Sandy

Walden Dissertations and Doctoral Studies

Nonbank financial institutions (NBFIs), of which credit unions comprise, constitute an important part of the financial sector because of their contribution to economic development, particularly in developing economies. This multiple case study explored strategies for maintaining credit union profitability against the backdrop of numerous closures in the past decade. The conceptual framework for this study was agency theory. Data were collected from 6 purposefully selected managers or directors representing individual credit unions in Grenada. Data were also collected from publicly available sources and used to conduct methodological triangulation. The interview data were coded using a computer-aided software package, and the …

International Students Use Of Technology For Improving Writing Skills In College, Margaret Godwin

Walden Dissertations and Doctoral Studies

Many college-level students choose to study in another country and in a second language, often in English. In this context, a high standard of written English is important to attain good grades in college and earn degrees with distinction, which may lead to successful careers. One international college provided computer tools to students to improve their writing; however, students were reluctant to use the tools provided. This qualitative study explored these college students' perceptions of their lack of motivation to use computer tools and the barriers that prevent them from improving their English writing. The research questions investigated the technology …

Identifying Future Effective Foster Parent Characteristics: Using The Casey Foster Family Assessment, Jennifer Grimes-Vawters

Walden Dissertations and Doctoral Studies

In 2014, Washoe County Department of Social Services in Nevada, licensed only 50 of 400 parents who applied to foster children. Lack of long-term effective foster parents creates instability within the system. Significant concern over increased numbers of children entering foster care and a decreased number of qualified foster care applicants continues. The Casey Foster Family Assessment (CFFA), a comprehensive assessment of key traits of effective foster parents may further enhance the fostering application process. The identified CFFA subscales most predictive of future foster parent effectiveness, may help WCDSS more effectively identify applicants likely to provide long-term stable homes for …

Marketing Strategies Of Small Traditional Travel Agencies In A Technology-Driven World, Charice Hayes

Walden Dissertations and Doctoral Studies

In 2012, there was a 70% increase in online travel booking, resulting in small traditional brick-and-mortar travel agencies having serious difficulties with obtaining and retaining customers. The purpose of this case study was to explore online marketing strategies that leaders of small traditional travel agencies have used to successfully obtain and retain customers. Technology disruption theory was the conceptual framework of this study. Using criterion sampling, the population for this study consisted of 3 leaders of small traditional travel agencies located in the state of Maryland. Data collection consisted of interviews, observations, and review of documentation, such as displays, websites, …

Parent And Principals' Perceptions Of Cyberbullying In 21st Century Rural Elementary Schools, Kathleen Virginia Hosterman

Walden Dissertations and Doctoral Studies

Cyberbullying is a common form of harassment and aggression engaged in by today's youth. This phenomenon is affecting primary-school-aged children as technology devices are now made available to elementary school students in rural settings. Based on the framework of Bandura's social cognitive theory, this mixed methods project study included a survey to quantitatively investigate the associations between parental knowledge of the phenomenon of cyberbullying and children's grade levels, and a focus group to gather qualitative data from school principals regarding their perceptions of the extent and impact of cyberbullying in 4 rural elementary schools in Massachusetts. Due to highly skewed …

Leadership Strategies For Retaining Healthcare Professionals, Kimberly Hulett

Walden Dissertations and Doctoral Studies

Obtaining information about employee engagement and retention practices is vital for organizations. Affective organizational commitment reflects the extent to which organizational members are loyal and willing to work toward organizational objectives. In particular, affective organizational commitment holds important implications at all organizational levels (e.g., turnover rates, performance, and citizenship behavior). Using general systems theory and transformational leadership theory, the purpose of this single case study was to explore strategies used to improve employee engagement and retention from 5 senior leaders with hiring responsibilities from a midsize hospital in Austin, Texas that have been successful with employee engagement and retention strategies. …

Exploring Strategies To Gain Frontline Employee Buy-In During Change Initiatives In Manufacturing, Charles James Iv

Walden Dissertations and Doctoral Studies

The high failure rates of change initiatives threaten the sustainability of commercial printing operations. The focus of this qualitative multicase study was to research the strategies commercial printing managers use to succeed in gaining frontline employee buy-in during change initiatives to improve productivity and profitability in a manufacturing environment. The participants included four commercial printing managers from the Midwestern United States. Each manager had implemented successful change initiatives in the past 2 years and maintained profitability of the business for 12 months before the study. McGregor's (1960) Theory Y served as the basis for the conceptual framework. Data collection included …

Retail Inventory Control Strategies, Mackie Johnson

Walden Dissertations and Doctoral Studies

Despite using computerized merchandise control systems in retail, the rate of stockouts has remained stagnant. The inability to satisfy customer needs has caused a loss of 4% in potential revenue and resulted in dissatisfied customers. The purpose of this qualitative multiple case study was to explore cost-effective inventory control strategies used by discount retail managers. The conceptual framework that grounded the study was chaos theory, which helped identify why some business leaders rely on forecasting techniques or other cost-effective strategies as an attempt to prevent stockouts. The target population was comprised of discount retail managers located throughout northeast Jacksonville, Florida. …

Career Mobility Patterns Of Aspiring Female Leaders At California Community Colleges, Tracy Lynn Johnson

Walden Dissertations and Doctoral Studies

Many women struggle to move up the career ladder. Women aspiring to executive positions in community colleges within the United States may face gender barriers, family-work life barriers, and barriers regarding their leadership ability. The problem studied was a gap in knowledge of how women succeeded in attaining executive positions in community colleges. The purpose of this study was to examine ways that female leaders at Southern California community colleges assumed executive-level roles at their institutions and the barriers they faced to attain those positions . The theory of upward mobility and the concept of self-efficacy comprised the study's conceptual …

Business Strategies For Asean's Single Window In Southeast Asia, Craig Allen Mcgee Jones

Walden Dissertations and Doctoral Studies

Since the Asian Financial Crisis of 1997 and the Global Financial Crisis of 2007, members of the Association of Southeast Asia Nations (ASEAN) have sought to strengthen ASEAN's regional economies through a digital trade project known as the ASEAN Single Window (ASW). The purpose of this case study was to explore the business strategies that multinational organizational leaders used to overcome business barriers while implementing ASEAN partnership contracts and ASW region-wide projects. This study may be unique in that, at the time of this research, there was no published study in which researchers had explored a single window for a …

The Effect Of Media Literacy Training On The Self-Esteem And Body-Satisfaction Among Fifth Grade Girls, Holly Mathews

Walden Dissertations and Doctoral Studies

Repeated exposure to media images that portray women as sex objects can have negative long-term effects on self-esteem beginning in preadolescence. Negative effects include decreased feelings of competence, increased focus on appearance, increased body dissatisfaction, and limited achievement in domains not related to appearance. There is a gap in the literature examining if media literacy training can mitigate the negative effects of exposure to sexualized media content. Festinger's social comparison theory and Vygotsky's theory of cognitive development provided the framework for this study. A quasi-experimental pre-post-test design was used to examine the interaction of media literacy training and time of …

Retention Of Internal Stakeholders In The U.S. Volunteer Fire Service, Candice M. Mcdonald

Walden Dissertations and Doctoral Studies

Volunteer firefighters make up almost 75% of the U.S. fire service. Fire service leaders face challenges in retaining volunteers, as evident by the 12% decline in volunteer firefighters since 1984. The purpose of the study was to explore what strategies fire service leaders have used to retain firefighters in the United States. The conceptual framework of this single case study was Freeman's stakeholder theory, which states that leaders can maximize the organization's performance by meeting the needs of those with a stake in the future of the organization. Face-to-face, seminstrucutred interviews were conducted with a purposeful sample of 5 fire …

Effects Of Direct Instruction Common Core Math On Students With Learning Disabilities, Joseph Ifeanyi Monye

Walden Dissertations and Doctoral Studies

U.S. students with learning disabilities' math skills acquisition has been on the decline in recent years. Studies show that teachers using traditional methods of teaching math lack knowledge of task analysis, chunking, sequencing, mass practice, modeling, and repetition of instruction. These components of direct instruction or pedagogical activities are hallmarks of special education teaching and are collectively described as cognitive support pedagogy. The study evaluated direct instruction teaching strategies to teach Common Core math to middle school students with learning disabilities, to determine if the current downward trend in math skills acquisition amongst them can be reversed. The theoretical framework …

Facilitating Person-Centered Care For People With Intellectual And Developmental Disabilities, Laure Bertille Ndeutchoua

Walden Dissertations and Doctoral Studies

The patient centered care (PCC) model is recommended by the Institute of Medicine for individuals with intellectual and developmental disabilities. The problem identified in this quality improvement (QI) project was that PCC practices had not been included in the training curriculum within the organization. Framed within the plan-do-study-act model of QI, the purpose of this project was to develop an educational initiative on PCC that included a curriculum plan, a pretest/posttest, a protocol, a revision of the training policy, and an implementation and evaluation plan. Drawing upon the evidence-based literature and using a team approach, a curriculum plan on PCC …