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Needs Assessment For A Nurse Practitioner-Led Transitional Care Program, Maria Victoria Trinidad Salcedo

Walden Dissertations and Doctoral Studies

The rising cost of health care and changes in healthcare delivery have prompted a need to improve continuity from the hospital to home. This scholarly project was initiated to assess the impact on patient outcomes related to initiation of a nurse practitioner-led transitional care program (TCP). Using the Diffusion of Innovations and Health Belief Models, the purpose of this study was to identify the impact of a TCP on improving the health of patients with congestive heart failure (CHF), diabetes mellitus Type II (DM II), and chronic obstructive pulmonary disorder (COPD). The impact of the TCP was evaluated by a …

Educators' Perspectives On Secondary Education Alternative Placement, Student Recidivism, And Treatment Models, John Anthony Anzalone

Walden Dissertations and Doctoral Studies

The recidivism rate for disciplinary offenses has increased during the last 8 years in the secondary student population of a sizeable, urban school district in the southwest United States. Recidivism for this district is the act of committing a second disciplinary offense during a single calendar year following completion of a behavior program. Guided by Erikson's theory of social development, this case study was designed to collect a purposeful sample of 21 educators' perceptions of the impact of recidivism on students' education and the effectiveness of treatment models to reduce recidivism. Data were collected from qualitative semi-structured interviews and field …

Social Intelligence Of Undergraduates Enrolled In Traditional Vs. Distance Higher Education Learning Programs, Bo Scott Bennett

Walden Dissertations and Doctoral Studies

Participation in, and acceptance of, distance education has reached an all-time high. Yet many academics, policy makers, and laypeople remain concerned that distance education can adversely affect one's social development. The purpose of this quantitative study was to test that concern by comparing the social intelligence of distance undergraduates with the social intelligence of traditional undergraduates at different class ranks (i.e., freshman, sophomore, junior, senior) while limiting the ages of the participants (n = 190) to 18-24. Social intelligence, an operationally defined measure of the construct often referred to as social development has been a popular focus of research in …

The Creation Of A Pacemaker Clinic At A Federally-Funded Patient-Centered Medical Home: A Quality Improvement Project, Tony Anno

Walden Dissertations and Doctoral Studies

It is common for clinicians to implant medical devices, such as permanent pacemakers and implantable defibrillators, for cardiac diseases. These medical devices require follow-up care at regular intervals to ensure proper device function and optimal outcomes. Currently, many individuals without insurance or financial resources lack access to recommended follow-up care after implantation of a cardiac device. The purpose of this project was to determine the number of individuals who have had a medical device implanted without insurance coverage over a 3-year period, and then to establish a clinic that provides this service. The standard of care and operating procedure for …

Teachers' Experiences With Professional Development For The Application Of The Common Core State Standards, Maxine Tracey Ann Amritt

Walden Dissertations and Doctoral Studies

At one local school site in Georgia, a subgroup of students did not achieve a score of at least 800 on the state's Criterion Referenced Competency Test in math. To improve student success, the local site implemented professional development (PD) for teachers. Successful PD has been shown to promote effective teaching practices, which in turn, have resulted in improved student learning. The purpose of this phenomenological study was to explore 5th grade teachers' lived experiences of PD and its influence on their application of the Common Core state standards. Bandura's social cognitive theory of self-efficacy guided the study. In-depth interview …

Predictors Of Recidivism For Offenders With Mental Illness And Substance Use Disorders, Linda Buckmon

Walden Dissertations and Doctoral Studies

Mental illness and substance use disorders have been determined to be leading predictors for recidivism among criminal offenders in the United States who are released to community supervision. Women make up an increasing in percentage of this criminal justice population; however, few studies have explored the role that gender plays in determining men and women's recidivism. Offender's education, employment, and peer association have also been reported to be predictors increasing the likelihood of recidivism among criminal offenders. This study was designed to determine if gender, mental illness, substance use disorder, employment, education, and peer association predicted recidivism. Differential association theory …

The Long-Term Impact Of Divorce On College Student Autonomy, Amy Jo Carrigan

Walden Dissertations and Doctoral Studies

This research study examined autonomy in young adult college students who grew up in intact households with 2 biological parents, compared to young adult college students who grew up in nonintact households without 2 biological parents due to divorce, separation, single parenthood, or death. The current literature lacks research regarding the impact of growing up in a nonintact household during childhood or adolescence for young adults. In recent years, there have been fewer young adults who lived in intact households during their childhood and adolescent years. Arnett's developmental theory is that the major task during young adulthood is developing decision-making …

Major Depressive Disorder: Precursors, Predictors, And Coping Mechanism Among Undergraduate Students, Grace Antia Bickham

Walden Dissertations and Doctoral Studies

Major depressive disorder (MDD) is common among college students. The disease perpetuates depressive symptoms and potentially leads to chronic depressive episodes. Existing literature has shown that students who use both cognitive and behavioral maladaptive coping skills are more prone to endure depressive symptoms and poorer academic performance. Despite these known associations, little research has examined the relationship between coping skills and self-efficacy in response to warning signs of MDD in college students. This study sought to fill the gaps in the research of MDD related to precursors, predictors, and coping mechanisms among undergraduate students in a national sample of U.S. …

Relationship Between Modality And The Degree Of Knowledge Retention In Bioterrorism Training, Gaylon Rashun Crawford

Walden Dissertations and Doctoral Studies

A public health workforce must be trained to react quickly, especially in the case of terrorist attack. Political leaders and emergency management experts have often cited inadequate emergency training as a contributing factor in the public health system's failed preparations for a bioterrorist event. As a result of these failures, billions of dollars have been allocated towards correcting infrastructure deficiencies including training for public health nurses (PHNs), who are critical to a communitywide medical response. This quantitative study used Pearson's correlation and a multivariate regression analysis to evaluate the most effective modality of bioterrorism training (BTT) for PHNs working in …

Development Of An Evidence-Based Nursing Orientation Program For A Community Health System, Janet Brooke Cuddy

Walden Dissertations and Doctoral Studies

Through discussion with the community health system's administration, it was identified that their current nursing orientation program was not well structured or comprehensive. The nursing staff also reported dissatisfaction with the current program. Therefore, a Doctor of Nursing Practice project commenced to develop an evidence-based nursing orientation program for Registered Nurses (RN) and Licensed Practical Nurses (LPN) at a community health system in Virginia. The Competency Outcomes Performance Assessment model guided development of the project through a comprehensive literature review to identify evidence-based data for competencies, learning strategies, and performance evaluations. This review highlighted the importance and benefits of nursing …

Differences Between For-Profit And Nonprofit Hospitals: Perceived Quality And Access, Michael Ray Eiland

Walden Dissertations and Doctoral Studies

Despite a large body of literature addressing the issue, questions remain about whether nonprofit hospitals provide more community benefit than do for-profit hospitals. This lack of information impacts governments, hospitals, and the healthcare industry, as stakeholders attempt to generate requirements to which hospitals should adhere to maintain nonprofit status, and thus tax exemption. This study addressed this lack of information by examining U.S. hospitals through the lens of stewardship theory to determine whether nonprofits are better stewards of the public good than for-profits, and thus likely to provide higher quality and access. The study applied logistic regression to Centers for …

Psychosocial Predictors Of Successful Bariatric Surgery, Rodney D. Grim

Walden Dissertations and Doctoral Studies

Obesity is an epidemic that can lead to a wide range of physical and mental problems. When traditional weight-loss methods are not effective, bariatric surgery is a viable weight-loss option. While previous researchers have investigated the role of psychological factors in relation to obesity, few have investigated psychological factors as predictors of weight loss and complications after bariatric surgery. The purpose of this study was to determine the prevalence of psychological disorders/conditions (e.g., depression and abuse) in the study population, evaluate weight and psychosocial variables before and 6 months after weight-loss surgery, and identify psychosocial factors that are predictors of …

Perceptions Of Retention Among Bachelor Of Social Work Graduates At A Historically Black College And University, Monique Eileen Holsey-Hyman

Walden Dissertations and Doctoral Studies

Student attrition from universities carries high costs for individuals, universities, and society. Despite these costs, there has been limited research on the problem from the students' perspectives, specifically the perceptions of university graduates about what factors may have influenced their own retention at historically Black colleges and universities (HBCUs). African American students complete college at the lowest rate compared to other ethnic sub groups. Guided by Tinto's theory of student departure, this qualitative consensual research study focused on the perceptions of 15 bachelor of social work graduates regarding (a) the factors that helped them to persist to graduation at an …

Inventory Optimization In Manufacturing Organizations, Scott William Lemke

Walden Dissertations and Doctoral Studies

Inventories totaling 1.7 trillion U.S. dollars represent an opportunity for U.S. manufacturers. This exploratory case study researched supply chain strategies used to manage inventory in manufacturing operations of a U.S. manufacturing company. A mature value chain contained within a single organization using the value chain framework was the basis for this study. Individual interviews conducted with 16 managers responsible for defining and implementing inventory control strategies, and 4 internal users provided primary information for the study. Other sources of information included a value chain map created through the observation of operations, various inventory measurements, and policies and guidelines related to …

The Critical Success Factors Of Public Private Partnerships In Lagos State, Franca Igboka

Walden Dissertations and Doctoral Studies

In recent years, the Lagos State Government has attempted to adopt public private

partnerships (PPP) with little success, largely as a result of implementation barriers. The

purpose of this quantitative, ex-post facto design study was to evaluate which factors are

considered most predictive of success of PPP implementation in the state, whereby the

prescribed quality of products/services is achieved within a specified time frame and at

the agreed cost. Wood and Gray's theory of collaboration and the network and

collaborations theory by Kamensky and Burlin guided this study. A self-constructed and

validated structured questionnaire was utilized in the collection of …

Interagency Coordination Of Security Operations In A Large U.S. Seaport, Edmund Levy

Walden Dissertations and Doctoral Studies

Protecting U.S. transportation hubs against a wide variety of security threats, while avoiding undue interference with the normal operations of the hubs, is one of the greatest challenges facing security agencies. The problem addressed in this study was the limited information on the contributing factors to seaport security. The purpose of this case study was to explore issues that can inhibit efficiency of security agency operation and collaboration and to identify actions that have enhanced collaboration. Based on theories of organizational development, leadership, and security tradecraft, this study examined the activities related to maintenance of security at a large California …

School Administrator And Staff Member Perceptions Of A Teenage Pregnancy Prevention Program, Sharon Lacretia Mcconnell-Smith

Walden Dissertations and Doctoral Studies

Mississippi is among the states with the highest teenage pregnancy rates, and the study site is among the high schools with the highest teenage pregnancy rates in the state. The purpose of this qualitative case study was to identify successful practices and areas for improvement in the implementation of a teenage pregnancy prevention program (TPPP) at the study site based on the perspectives of school administrators and staff members. Bandura's social cognitive theory provided a conceptual framework for considering behaviors and the social contexts in which they occur. Twelve participants were interviewed, including 3 administrators and 9 staff members. Data …

Infidelity, Trust, Commitment, And Marital Satisfaction Among Military Wives During Husbands' Deployment, Myriam Levesque Mccray

Walden Dissertations and Doctoral Studies

Over 1.5 million U.S. soldiers have deployed oversees since the beginning of the War on Terror in 2001; consequently, spouses are faced with new physical, emotional, and psychological challenges. Many researchers have documented the effects of deployment on marriages and families. However, few researchers have explored the correlates of trust, marital commitment, and marital satisfaction for wives during deployment. This quantitative study, grounded in risk and resilience theory and interdependence theory, used a web-based survey to investigate the relationship between perceived likelihood of spousal infidelity, trust, marital commitment, and marital satisfaction in a sample of 127 military wives whose husbands …

Project Duration, Budget, Individual Role, And Burnout Among Construction Managers, Matthew M. Motil

Walden Dissertations and Doctoral Studies

Professionals who experience burnout are less productive and lead to decreases in both profitability and human resource (HR) capital. The purpose of this correlational study was to examine the relationship between construction project duration; project budget; an individual's role on a project; and Maslach's three dimensions of burnout, (a) professional efficacy, (b) emotional exhaustion, and (c) cynicism, for the target population of construction management team members working within the Midwestern United States. Using data from an online survey, a multiple linear regression analysis was used, along with a separate multiple linear regression model, to quantify the relationship of each dimension …

A Program Designed To Address Academic Failure Due To Alcohol Abuse, Frank James Plateroti

Walden Dissertations and Doctoral Studies

This project study addressed the problem of alcohol and binge drinking at a local rural college campus in the Northeast United States and the lack of an effective long-term academic intervention program to address the problem. The purpose of this research study was to determine the prevalence of the problem of the alcohol abuse problem and to develop a long-term program that would respond to the problem of repeat alcohol offenders. Guided by Mezirow’s transformative learning theory, which holds that transformational learning causes changes in a learner that significantly shift the pattern of a learner’s future experiences, this study examined …

Bright Facet Sign And Its Association With Demographic And Clinical Variables, Gary Andrew Longmuir

Walden Dissertations and Doctoral Studies

Low back pain has a significant impact on global public health and economics. The bright facet sign (BFS), a common finding on magnetic resonance imaging (MRI) of the lumbar spine, is associated with low back pain. While degenerative joint disease (DJD) affects low back pain, its presence appears independent of the BFS at the disc and facet joints at the same spinal level. Increased BMI, considered a risk factor for DJD, has an inverse association with the BFS. The independent relationship of DJD and the BFS is poorly understood and may represent a previously unreported pain pathway. In this nested …

Induction Of The Novice Teacher In Urban Schools, Janice Marie Ridley

Walden Dissertations and Doctoral Studies

New teachers entering the urban pre-K-12 school setting require an induction program to perform their teaching duties. Despite modifications to improve an existing induction program, novice teachers in a Midwestern urban school district were underperforming in the classroom, leaving administrators to address new teacher turnover and a disrupted learning process for students. Drawing from Knowles's adult learning theory and state guidelines to fulfill federal legislation mandates for proper induction, this qualitative case study was designed to explore beginning teachers' perceptions of the modifications in the district's induction program. A sample of 8 novice teachers was recruited to participate in open-ended, …

Teachers' Perceptions Of The Implementation Of A Multilingual Approach To Language Teaching, Susanna Rosmarie Schwab-Berger

Walden Dissertations and Doctoral Studies

How teachers perceived and experienced the implementation of a multilingual approach in their classrooms during the first year of implementation in Switzerland is poorly understood by policy makers and teachers. Findings from three pilot studies conducted before the implementation indicated that teachers had transferred only few aspects of the new multilingual approach into practice. Guided by constructivist learning and third language acquisition theories, this study explored how teachers perceived and experienced the implementation of the multilingual approach. A purposeful criterion sample of primary school English language teachers at Grade 5 who had completed a professional development program was targeted for …

Gay And Bisexual American Men In South Korea Who Reported Testing Hiv Negative, Tony Lionel Sessoms

Walden Dissertations and Doctoral Studies

Gay and bisexual men in the United States and South Korea have some of the highest HIV rates in their countries, and both have the fewest sex education programs and policies for gay and bisexual males in secondary and postsecondary school systems. Consequently, many South Koreans do not view HIV as a South Korean problem, and with American gay and bisexual men living in this type of environment, their HIV sexual protection knowledge and practices may be compromised. The purpose of this study was to gain more understanding and insight into the sex education experiences and sexual practices of gay …

Evaluating Success Factors In Implementing E-Maintenance In Maintenance, Repair, And Overhaul (Mro) Organizations, Peter Rocky Toves

Walden Dissertations and Doctoral Studies

Despite more than a decade-long process to transition aircraft maintenance practices from paper-to electronic-based systems, some organizations remain unable to complete this transition. Researchers have indicated that while organizations have invested resources in technology improvements, there remains a limited understanding of the factors that contribute to effectively managing technology-enabled change. The purpose of this case study was to identify and explore socio-technical (ST) factors that inhibit an effective transition from a paper-based system to an electronic-based system for aircraft maintenance. A conceptual model applying theories of change management, technology acceptance, systems thinking, and ST theory informed the research. Thirteen participants …

Case Study Of Parental Involvement For Enhanced Kindergarten Students' Development In Low Socioeconomic Households, Robyn Tresnak

Walden Dissertations and Doctoral Studies

Evidence suggests that parents in low socioeconomic households may have unaddressed educational needs about their children's development. The purpose of this case study was to discover innovative ways parents in a low socioeconomic community engaged in activities with their young children to influence academic and social development. Bronfenbrenner's ecological theory of human development and Epstein's parental involvement model, the family process model, and the family strength model were used to build the conceptual framework. Parents and educators were asked to describe parent-engagement opportunities that were provided within the kindergarten classroom. Data were collected using a focus group with 13 educators …

Improving Attitudes And Perceptions About Teamwork Among Health Care Professionals With A Teamstepps Approach, Tetsuya Umebayashi

Walden Dissertations and Doctoral Studies

Effective communication among health care professionals is essential for the provision of quality patient-centered care; however, effective communication practices are not guided by evidence-based models in many health care organizations. The Joint Commission has estimated that most sentinel events are induced by miscommunication among health care professionals. The problem addressed in this project was poor and ineffective teamwork skills and general communication among health care professionals and a lack of formal models to guide effective communication among the healthcare team. The purpose of the project was to adapt TeamSTEPPS to an institutional context in order to improve health care team …

Determinants Of Usage Of Age-Appropriate Child Safety Seats In Connecticut, Giuseppina Mendillo Violano

Walden Dissertations and Doctoral Studies

In the United States, motor vehicle crashes are one of the leading causes of unintentional injury death and disability for children ages 1'15 years. Despite local, state, and federal legislative and educational efforts, children continue to be restrained improperly and thus face harm. Identifying behaviors and barriers that place child occupants at risk is crucial for implementing focused, injury-prevention programs and policies. The purpose of this study was to evaluate the effectiveness of Connecticut's child passenger safety law that was strengthened in 2005. This study involved a multifactorial approach to predicting child seat use, guided by Roger's diffusion of innovations …

The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata

Walden Dissertations and Doctoral Studies

By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address …

A Phenomenological Study Of Female Gender Inequality In The Defense Industry, Erica Helaine Woods

Walden Dissertations and Doctoral Studies

Despite advances made during the women's movement, gender inequality is a problem for women seeking leadership opportunities within the U.S. Defense Industry today. The purpose of this phenomenological study was to understand the perceptions of civilian females who had experienced gender inequality obstacles in their professional advancement opportunities within the U.S. Defense Industry. The mommy track framework, defined as the family/work imbalance; the gatekeeper framework; and the institutional sexism framework were used to guide this study. The research questions focused on how these women perceived both internal and external barriers to their professional advancement in the U.S. Defense Industry. A …