Digital Commons Network^™

Poverty, Food Insecurity, And Obesity Among Urban And Rural Populations, Tameka Ivory Walls

Walden Dissertations and Doctoral Studies

Over 17 million food-insecure households are associated with increasing obesity rates across the United States. Although food insecurity and obesity are distinct social concerns, the two are linked and may be influenced by poverty and geographic location. Public health authorities and state leaders responsible for the health and nutrition of rural populations in particular would benefit from this information. The purpose of this quantitative cross-sectional study was to examine whether poverty mediated the relationship between food insecurity and obesity among urban and rural adults. The study was guided by the poverty, food insecurity, and obesity conceptual framework. The study addressed …

Health Care Leaders' Experiences Of Electronic Medical Record Adoption And Use, Joseph B. Weagraff

Walden Dissertations and Doctoral Studies

Adoption of electronic medical record (EMR) technology systems of meaningful use has been slow despite the mandate by the U.S. government. The purpose of this single case study was to explore strategies used by health care leaders to implement EMR technology systems of meaningful use to take advantage of federal incentive payments. Diffusion of innovation theory provided the conceptual framework for the study. Semistructured interviews were conducted with 6 health care leaders from a military installation in the Southeast United States. Data were analyzed using software, coding, and inductive analyses. The 3 prominent themes were patient, provider, and champion. Alerts …

The Influence Of Historically Black Colleges And Universities Experience On First Year Retention, Andrea White-Mcneil

Walden Dissertations and Doctoral Studies

Student retention in higher education, specifically after the first year, has long been a focus of institutional strategies, especially among students with financial, academic, and social risk factors. The issue of retention was a priority for administration at the 4-year private Sea Port University, a historically black university in the southern United States, which is the focus of this case study. The university has shown a rapid decline in its retention rate since the period 2008 - 2012. The purpose of this study was to identify students' perceptions of factors in their Historically Black Colleges and Universities (HBCU) experience and …

Characteristics Of Effective Reading Language Arts Teachers In Closing The Achievement Gap, Latasha Price Bassette

Walden Dissertations and Doctoral Studies

This study examined an urban school district in the southern United States that continued to experience student achievement gaps despite the implementation of initiatives as the African American Success Initiative. The school leadership needed a deeper understanding regarding what strategies were successful with closing the achievement gap. Using Gay's theory of cultural responsive pedagogy, the purpose of this study was to identify inward attributes, outward strategies, and professional development perceptions of teachers with no achievement gap among ethnically diverse students. Employing an instrumental case study design, 8 middle school reading teachers who closed the reading achievement gap were interviewed; these …

The Psychological Impact Of Distal Combat On Veterans, Candrick C. Darkashade

Walden Dissertations and Doctoral Studies

Researchers and military organizations have defined military conflicts as being fought in two principal combat environments, namely, close proximity, or the proximal combat environment, and distant proximity, or the distal combat environment. This study used Gal and Jones's psychological model of combat stress as the theoretical framework. The study also used Merriam's generic interpretative qualitative research method, including open-ended interviewing and document review, to obtain data. The study used inductive thematic analysis to analyze the narratives of 10 distal combat veterans who were recruited for the study. The research questions were designed to identify the characteristics of distal combat and …

A Regression Analysis Of A Local Freshman Interest Group Program At A Public University, Faith Christine Graham

Walden Dissertations and Doctoral Studies

Freshmen Interest Groups (FIG) programs 'peer support systems for entering students at a public university in the northeast' were believed to contribute to positive retention outcomes, but had not been evaluated to determine their impact on student retention. The rationale for this project study was the absence of formal evaluations to determine retention program effectiveness. The results are important to enrollment management staff and academic program coordinators whose job responsibilities are tied to student retention. Bean's nine themes of college student retention provided the conceptual framework for this study. Research questions considered the likelihood that retention and persistence to graduation …

Parental Involvement Of Ghanaian And Nigerian Immigrant Parents In Urban Public Schools, Joseph O. Quaye

Walden Dissertations and Doctoral Studies

Abstract

Immigrant parents face unique challenges in getting involved in their children's education. Research is limited about how immigrant parents cope with these challenges in supporting their children's education. The purpose of this qualitative study, as reflected in the central research question, was to describe the lived experiences of Ghanaian and Nigerian immigrant parents in relation to their involvement in their children's education. The conceptual framework was based on Epstein's theory of parental involvement concerning how the school, family, and community relate to each other. A phenomenological design was used, and participants included 11 Ghanaian and Nigerian immigrant parents living …

Sustainability Strategies For Value-Added Agricultural Producers In California's San Joaquin Valley, Sharon L. Starcher

Walden Dissertations and Doctoral Studies

Economic and climate changes, combined with changing government regulations, are altering the strategic business model for small farm operators and necessitating their reliance on multiple income sources to maintain financial viability. The purpose of this multiple case study was to explore the strategies of 3 small farming businesses in California's San Joaquin Valley that successfully implemented value-added products which contributed to their financial sustainability. Data from semistructured interviews and relevant documents were analyzed through the lens of system theory, utilizing in vivo coding to identify patterns and themes. Three high-level themes emerged: knowledge, marketing, and networking. The theme of knowledge …

The Difference In Attitudes Of Regular And Special Education Teachers Toward Inclusion, Janice Lorraine Brown-Oyola

Walden Dissertations and Doctoral Studies

Inclusion has been introduced throughout the educational community as a method to increase math and reading scores of underachieving schools on standardized tests. The problem was that teachers were not effectively implementing inclusion. Guided by Bandura's (1994) self-efficacy theory, which hypothesizes that a person's sense of efficacy provides information of their capability and the ability to assess their performance, the purpose of this quantitative quasi-experimental study was to determine if there was a significant difference in attitudes on inclusion between regular and special education teachers using the 4 subsections of the Scale of Teachers: Attitudes Toward Inclusive Classrooms through an …

Pharmacy Stores Profitability And Sustainability In Bulawayo, Zimbabwe, Augustine Khoza

Walden Dissertations and Doctoral Studies

Zimbabwe's catastrophic economic decline resulted in a high unemployment rate (95%), declining socioeconomic indicators, pharmacy stores' unprofitability and lower sustainability. Profitable pharmacy stores play a fundamental role in ensuring public access to medication. Lack of pharmacy profitability leads to poor healthcare delivery, resulting in increased morbidity and mortality. A healthy population is panacea to economic growth and prosperity and enhances human dignity, social cohesion, and the quality of life. In this qualitative, descriptive multicase study design, using Porter's business strategies theory and the Deming process of quality assurance as conceptual frameworks, data from 11 pharmacy stores leaders in Bulawayo, Zimbabwe …

Socioeconomic Status As A Predictor Of Chronic Obstructive Pulmonary Disease, Hilaire Saint-Pierre

Walden Dissertations and Doctoral Studies

While epidemiological research has generated new knowledge about the treatment and prevention of chronic obstructive pulmonary disease (COPD) through smoking secession, the socioeconomic status (SES) of people with the disease has been under investigated. Thus, the purpose of this study was to determine the predictability of association between SES and COPD. This study was based on the ecological theory, which states that health and disease may have multiple underlying factors. This study was a secondary analysis of archived data from the Inter-University Consortium for Political and Social Research (ICPSR). The dataset was collected for the National Survey of Midlife Development …

Improving Perinatal Team Communication To Decrease Patient Harm With Team Strategies And Tools To Enhance Performance And Patient Safety Training, Raquel Maria Walker

Walden Dissertations and Doctoral Studies

During childbirth, multiple providers deliver care at the bedside that requires optimal teamwork and communication to prevent patient harm. The complexity of caring for obstetrical patient demands a well-coordinated team to relay information and respond to conditions that can change quickly during childbirth. A patient safety strategy to prevent perinatal harm is Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is an evidence-based program based on crew resource management (CRM) principles developed in the aviation and military industries. This process improvement project used the Plan-Do-Study-Act framework and Kotter's change theory to implement TeamSTEPPS training after …

Engagement Behaviors' Impact On Course Success And Persistence Rates Of Community College Students, Van F. Whaley

Walden Dissertations and Doctoral Studies

As enrollment in U.S. community colleges increased, both the percentage of students successfully completing courses and the percentage of students persisting to their second year decreased. This study focused on the problem of low student course success and persistence rates at a community college. The purpose of the study was to determine whether students who demonstrated engagement behavior by visiting a Center for Academic Success (CAS) either passed more courses, persisted more often, or both, than students who did not visit a CAS. Tinto's engagement theory was the theoretical framework as it postulated that students who interacted with school support …

A Multisite Hospital's Transition To An Interoperable Electronic Health Records System, Valerie Gerene Drill

Walden Dissertations and Doctoral Studies

The health care industry is transforming into an industry that requires health information technology, yet many health care organizations are reluctant to implement new technology. The purpose of this case study was to explore strategies that led to a successful transition from an older electronic health record (EHR) system to a compliant EHR system at a multisite hospital system (MHS). The study included face-to-face and phone interviews with 12 managers who worked on the transition of an MHS's EHR system in the Pacific Northwest region of the United States. The technology acceptance model was used to frame the study. Audio …

Extending Two-Dimensional Knowledge Management System Theory With Organizational Activity Systems' Workflow Dynamics, Dana Forrest Ladd

Walden Dissertations and Doctoral Studies

Between 2005 and 2010 and across 48 countries, including the United States, an increasing positive correlation emerged between national intellectual capital and gross domestic product per capita. The problem remains organizations operating with increasingly complex knowledge networks often lose intellectual capital resulting from ineffective knowledge management practices. The purpose of this study was to provide management opportunities to reduce intellectual capital loss. The first research question addressed how an enhanced intelligent, complex, and adaptive system (ICAS) model could clarify management's understanding of organizational knowledge transfer. The second research question addressed how interdisciplinary theory could become more meaningfully infused to enhance …

Influence Of Mothers-In-Law On Infant Feeding Practices Of Mothers Living With Hiv In Rural Cameroon, Kenneth Ngwambokong Muko

Walden Dissertations and Doctoral Studies

Mothers living with HIV (MLHIV) face complex challenges regarding infant feeding practices, which often restrict their ability to adhere to their chosen or medically recommended feeding behaviors. Mothers-in-law (MIL) enjoy significant influence and participate actively in the rearing of grandchildren in Cameroon. However, the extent to which MIL influence infant feeding behaviors of their daughters-in-law have not been studied. The theory of planned behavior (TPB) was used in this phenomenological study to explore how attitudes, subjective norms, and perceived behavioral control influenced infant feeding practices of 9 MLHIV in rural communities of the North West Region of Cameroon. The five …

Type 2 Diabetes Prevention And Management In A Primary Care Clinic Setting, Ada Nwachuku Nwachuku

Walden Dissertations and Doctoral Studies

Approximately 8.3% of the U. S. population has type 2 diabetes. Preventing the onset and improving the management type 2 diabetes are crucial for health care professionals. The purpose of this project was to develop and evaluate a type 2 diabetes prevention and management education program in a primary care setting using group medical appointments (GMAs). The chronic care model provided the framework for the study. The education program consisted of information from the Centers for Disease Control on the management of type 2 diabetes to be delivered by clinic staff using a GMA approach, a timeline for implementing the …

A Modified Program Evaluation Of Training For Employer Compliance With Health Insurance Requirements, Joanneandi Davenport

Walden Dissertations and Doctoral Studies

A training program was established in the Midwestern United States to help employers understand compliance requirements of the health insurance industry. The purpose of this study was to conduct a modified program evaluation of the effectiveness of Pay or Play, a portion of a larger Benefit Compliance Program. The reason for the evaluation was the high percentage of remediation needed for administrators of employee health insurance following Pay or Play seminar sessions, which posed the question of program effectiveness in education of participants. This study is important because administrators of employee health insurance are responsible for understanding compliance regulations and …

Validation Of Parsons' Structural Functionalism Theory Within A Multicultural Human, Sandra Simone Minott

Walden Dissertations and Doctoral Studies

Shared values and norms are at the core for unifying different cultures socializing or working to fulfill the goals and mission of organizations. Researchers have not examined how employees representing different cultures socialize via shared norms and values in human service companies. The purpose of this ethnography study was to explore the process of 8 culturally different employees working together at a human service organization. Using purposeful sampling, multicultural employees were selected from 4 departments within the human service company. Face-to-face interviews, field notes, questionnaire, and participant observation were the tools for collecting the data. Descriptive coding, value coding, and …

Exploration Of Practice Managers' Decision-Making Strategies In A Managed-Care Paradigm, Lawrence Randolph Ford

Walden Dissertations and Doctoral Studies

Practice managers are facing challenging expectations when deploying a managed-care paradigm. The problem addressed in this study was a gap in knowledge regarding practice managers' decision-making strategies that affect, or could be perceived to affect, a climate of excellence with business and client relationships, primary health care, physicians, and patients in a managed-care paradigm. The purpose of the qualitative exploratory study was to explore practice managers' decision-making strategies affecting primary health care, physicians, and patients. Guided by Simon's ideology of decision-making strategies in a management environment, the overarching research question and 3 subquestions centered on how practice managers delineate their …

Personality And Promotion: An Analysis Of The Structured Rank Of Female Officers, Kelly S. Treece

Walden Dissertations and Doctoral Studies

Female law enforcement officers remain an underrepresented population in ranking positions within police organizations in the United States. Current research focuses on systemic factors that inhibit female law enforcement officers within the United States from achieving positions of rank. Grounded in Costa and McCrae's five factor model of personality, this study examined female law enforcement officers' personality traits and their relation to achieved rank. This quantitative study used multiple regression analysis of survey data to determine whether the personality traits of openness, conscientiousness, extraversion, agreeableness, and/or neuroticism alone or in combination predict rank. American female law enforcement officers in both …

Predictors Of Likeliness To Engage In Radical Animal Rights And Environmental Activism, Patsy Mckenzie

Walden Dissertations and Doctoral Studies

Radical animal rights and environmental activism is considered domestic terrorism under the Animal Enterprise Terrorism Act. Traditional models of terrorism purport that there is a path to radicalization that is influenced by an individual's sense of identity and ideological beliefs. Using collective identity theory and cognitive experiential self-theory as the framework, the purpose of this quantitative study was to examine whether social identity, cognitive processing mode, and ideological beliefs were predictors for engagement in radical animal rights and environmental activism. The Three Factor Model of Social Identity Scale, the Rational Experiential Inventory, and the Activism Orientation Scale were used to …

Risk Factors For Tuberculosis And Multidrug-Resistant Tuberculosis Complications Among Foreign-Born Persons In Houston, Texas, James N. Isaboke

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) is a leading public health problem across the world. For various reasons, TB and multidrug-resistant tuberculosis (MDR-TB) have increased. Clarification on TB/HIV co-infection and homelessness as risk factors for TB and MDR-TB is required to inform policy interventions to reduce TB-related morbidity, mortality, and healthcare costs. In this quantitative study, data from the Houston Health Department (N = 341) were analyzed to explore the relationship between TB and MDR-TB outcomes and TB/HIV co-infection and type of housing/homelessness. Foreign-born persons are disproportionately affected in the United States. The socio-ecological model provided a theoretical framework for the investigation. Multiple and …

Faculty Perceptions On The Student Learning Accountability Movement, Tara Rose

Walden Dissertations and Doctoral Studies

Literature examining the impact of the student learning accountability movement on faculty perspectives is insufficient, as little is known about how faculty perceive the requirements related to federal, state, and institutional accountability initiatives. This case study investigated the threat posed by the accountability movement on the stability of faculty engagement, while exploring how faculty perceptions of the movement will impact institutional and state policy. Using Levin's system of accountability as the framework for this study, the central research question explored how understanding faculty perspectives on the student learning accountability movement could promote policy within an institution. Data were gathered via …

Perceived Self-Efficacy And Dispositional Optimism In Leaders' Behavioral Escalation Of Commitment, Adebimpe Yetunde Babatunde

Walden Dissertations and Doctoral Studies

Escalation of commitment is an individual's persistent behavior at sustaining commitment to an original decision or course of action. Although researchers have found that personality impacts escalation of commitment behavior, this study addressed a gap in escalation of commitment behavior regarding personality in higher education, which has consistently been ignored. Building on the self-justification theory, this study was an investigation of (a) whether perceived self-efficacy and dispositional optimism individually predicted escalation of commitment behavior; and (b) whether perceived self-efficacy and dispositional optimism jointly predicted escalation of commitment behavior after controlling for age, gender, ethnicity, socioeconomic status, and tenure. Hierarchical regression …

Relationship Between Nurse Staffing And Quality Of Care In Louisiana Nursing Homes, Veronica Kercado

Walden Dissertations and Doctoral Studies

In 2014, Louisiana experienced substantive issues with quality of care in nursing homes. The state had the lowest nurse staffing level among all states, and 7,666 deficiencies for immediate jeopardy violations were recorded from 2011 to 2013. Despite ample research on nurse staffing and quality of care, there is no consensus on how higher nurse staffing relates to quality. The purpose of this quantitative, correlational research was to determine the relationship between nurse staffing levels and quality measures in Louisiana. Donabedian's category structure, process, and outcome was the conceptual framework used to develop the research questions. The data included the …

Gender-Specific Programming And Quality Improvement Ratings Of Florida Residential Delinquency Programs For Girls, Katrina Smith

Walden Dissertations and Doctoral Studies

Female delinquency and adult female incarceration rates increased from the 1980s until the early 2000s. Many of these women and girls have been victimized, and their unresolved victimization issues may have led them to criminal behavior which may not be adequately addressed in the juvenile and criminal justice systems. The theoretical framework for this study consisted of 3 developmental theories (pathways, trauma, and addiction theories) that facilitated an understanding of the impact of victimization and criminality in these women and girls' lives. Florida's Department of Juvenile Justice implemented changes to address the victimization issue in the 10 female gender-specific programs …

Socioeconomic Status-Related Inequities On Maternal Health Services: Trends, Associations, And Outcomes, Nibretie Gobezie Workneh

Walden Dissertations and Doctoral Studies

Maternal Mortality Rate (MMR) in Ethiopia remains one of the highest in the world due in part to very limited use of maternal health services. However, the underlying factors for limited use of the services and hence the high MMR are not well known. The purpose of this study was to identify factors associated with use of maternal health services and maternal health risks, to analyze inequity patterns between use of maternal health services and maternal health risks, and to measure the magnitude and trends in inequity. Behavioral-cultural and structural theories of health inequalities were used to frame the study. …

Succession Planning Strategies Of Faith-Based, Nonprofit Leaders Of The Boomer Generation, Leigh Byers

Walden Dissertations and Doctoral Studies

Formal succession planning strategies for retiring Baby Boomer generation of leaders in nonprofit organizations (NPOs) are nonexistent in many NPOs, including faith-based NPOs. Top NPO leaders possess vital organizational knowledge and experience. The lack of strategic succession planning adversely affects organizational sustainability and mission fulfillment. Guided by the conceptual framework of knowledge transfer, the current study supplies a description of succession planning strategies used in faith-based organizations that have Boomer leaders. This multiple case study included 3 faith-based NPOs in Miami-Dade and Broward Counties in Florida and their top-level leaders. They supplied descriptions of formal succession planning strategies through semistructured …

Promote Comprehension In The Reading Classroom, Antoine Kevin Flanigan

Walden Dissertations and Doctoral Studies

Students at 3 elementary schools in the southern region of the United States struggled with or failed to meet grade-level expectations in reading comprehension. School district leaders had little understanding regarding the perceptions of educators, care givers, and community supporters on the strategies to increase reading comprehension. To address that gap, the purpose of this study was to explore participants' perceptions regarding reading strategies and comprehension instruction practices in the local setting. The conceptual framework was based on the elements of Fisher's and Frey's work: (a) effective teaching in reading strategies, (b) reading instructional comprehension practices, (c) effective caregiver involvement, …