Digital Commons Network^™

The Association Of Lead With Cataracts And Vision-Related Problems In Perimenopausal Women, Imogene Drakes

Walden Dissertations and Doctoral Studies

Around the world, women are subject to an earlier incidence of cataracts, have a higher risk for cataracts, and also have a higher risk for other vision-related problems than men. Previous research has indicated an association between endogenous lead stored in long bones and cataracts in men over 60 years of age; however, a similar study in women did not reveal an association. This case control study was conducted to investigate whether perimenopausal mobilization of endogenous lead serves as a possible causative factor for women's generalized vision issues and cataract incidence in particular. Secondary data were gathered from 1,416 women …

The Implementation Of Curriculum Mapping At A Private High School, Ellen E. Dutton

Walden Dissertations and Doctoral Studies

Using curriculum mapping to align the expected curriculum and the actual curriculum has been demonstrated as an effective approach for ensuring educational equity for all students. To improve student achievement, a private high school in the Midwest implemented curriculum mapping to better align curriculum and eliminate gaps and repetition between and within grade levels. The purpose of this qualitative study was to determine fundamental implementation strategies for the mapping process and teachers' and administrators' perceptions of those strategies. The theoretical framework was based on change theory. Data were collected from 10 participants through individual interviews and observations. Teachers and administrators …

Examining The Relationship Between Parental Involvement And Mobile Technology Use, Toinette Marie Flowers

Walden Dissertations and Doctoral Studies

Understanding how mobile devices can enhance parent/teacher communication is important because parents play an important part in their children's learning. Research on parents' use of mobile devices to communicate with their children's teachers is limited. The purpose of this cross-sectional correlational study was to determine the relationships between parents' (a) knowledge of using mobile devices, (b) general use of mobile devices, (c) purpose for using mobile devices, (d) perceived ease of using mobile devices, (e) perceived usefulness of mobile devices, (f) attitude toward using mobile devices, and (g) use of mobile devices to communicate with teachers. The study was informed …

Small Seasonal Business Strategies To Increase Profits Through Community Collaboration, Kevin B. Gibbons

Walden Dissertations and Doctoral Studies

Seasonal small business owners (e.g., boating and golf industries), primarily within the upper and Midwestern United States, face challenges for profit and growth because of a brief business potential year and limited time to establish a reliable and committed customer base. The purpose of this case study was to explore strategies that seasonal small business owners in Oakland County, Michigan may use to collaborate with local associations and charitable organizations to increase profits. Stakeholder theory served as the conceptual framework for this study. A purposive sample of 4 successful small seasonal business owners in Oakland County, Michigan participated in face-to-face …

The Use Of A Standardized System Of Communication To Change The Perception Of Handoff Communication In A Psychiatric Setting, Alicia Renee' Plunkett

Walden Dissertations and Doctoral Studies

The Use of a Standardized System of Communication to Change the Perception of Handoff Communication in a Psychiatric Setting

by

Alicia Renee' Plunkett

MSN, Walden University 2007

MSHA, University of St. Francis, 2005

BSN, University of Memphis, 1995

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

December 2014

The Joint Commission's review of sentinel events indicated that communication errors were the cause of over 65% of the sentinel events occurring in healthcare. The nursing profession has the responsibility of providing 24-hour care in an acute care setting and nurses are …

Frequent Superintendent Succession: The Impact On Personnel Trust And Morale, Edgar Byrum Davis Camacho

Walden Dissertations and Doctoral Studies

A superintendent is vital to the success of school districts. Stability of an individual in this position is important for building trust and morale for district personnel over time. Small school districts in a large southern state have experienced increased rates of voluntary or involuntary superintendent succession, having had 2 or more superintendent changes within a 6-year period. Participative leadership theory served as the framework for this study. The guiding questions for this study investigated the impact of frequent superintendent succession in small school districts and the levels of trust and morale among district personnel. The variables for the study …

Relationship Between Adverse Childhood Experiences And Illness Perceptions Among Individuals With Fibromyalgia, Susan D. Fay

Walden Dissertations and Doctoral Studies

Relationship between Adverse Childhood Experiences and Illness Perceptions among Individuals with Fibromyalgia

by

Susan D. Fay

MS, Drexel University, 1994

BS, Metropolitan State University of Denver, 1983

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

February 2015

Adverse childhood experiences (ACEs), including abuse and neglect, are a significant social health problem. Exposure to ACEs can place a child at a high risk for developing different diseases or illnesses in adulthood, including fibromyalgia. The purpose of this study was to determine if exposure to ACEs, moderated by perceived social support and/or …

One Hospital's Patient Satisfaction Plans In Response, Valerie A. Smart Shoup

Walden Dissertations and Doctoral Studies

Recent changes in the Centers for Medicare and Medicaid Services (CMS) reimbursement programs resulted in $1 billion in payments to hospitals based on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. Approximately 50% of the 3,000 hospitals currently receiving Medicare supplements may receive increases in reimbursement payments while 50% will receive decreases in payments. This case study explored how one hospital team in North Texas achieved high HCAHPS scores. The primary provider theory, Deming's model of plan-do-study-act (PDSA), and disruptive innovation theory framed the study. The data collection process included administrator interviews (n = 7), hospital document analysis …

Borrower Experiences With Subprime Mortgage Loans In Gwinnett County, Georgia, Terence Palmer

Walden Dissertations and Doctoral Studies

When purchasing a home, buyer considerations include price of the home, credit rating, mortgage type, and lending agency. The purpose of this phenomenological study was to explore the loan options successful business leaders consider when shifting loan lending from prime mortgage loans to subprime mortgage loans. Systems theory formed the conceptual framework for the study. A purposive sample of 20 participants from Gwinnett County, Georgia completed semistructured interviews and described their personal experiences. Data analysis incorporated van Kaam's technique to code and cluster information into topics. The following themes emerged from the analysis indicating what these business leaders considered when …

Correlation Between Self-Esteem, Self-Efficacy, Personality, Fear Of Success, And Self-Defeating Behaviors Of Performing Artists, Albert C. Bramante

Walden Dissertations and Doctoral Studies

There is substantial evidence that self-defeating behaviors appear regularly among populations considered psychologically stable. While there has been abundant research on self-esteem, self-efficacy, personality traits, and fear of success as independent constructs, little is known regarding the combined effect of these constructs on the self-defeating behaviors of performing artists. Examining self-defeating behaviors among performing artists is significant because this population is susceptible to self-sabotaging behaviors, underscoring the need to understand their behaviors. The purpose of this quantitative correlational study was to examine whether self-esteem, self-efficacy, personality, and fear of success predicted self-defeating behaviors among performing artists. Bandura's self-efficacy theory and …

Microbrewing In Madison County Alabama: Exploring Business Formation Strategies And Regulatory Compliance, Luis R. Gely

Walden Dissertations and Doctoral Studies

Business leaders venturing in the microbrewing business sector experience long delays due to federal, state, and city requirements unique to this industry. The purpose of this multiple case study was to explore strategies used by microbrewers in cases bounded by the fulfillment of the same licensing requirements to launch a microbrewery in Madison County, Alabama. The dynamic capabilities framework served as the conceptual framework for this study. A purposive sampling of 4 microbrewers who possessed tacit knowledge about the microbrewery licensure process participated in face-to-face semistructured interviews providing in-depth information about their strategic approaches. The overarching research question addressed the …

Obesity Surveillance In Childhood, Jessica Garcia

Walden Dissertations and Doctoral Studies

Current practice behaviors for obesity management have remained refractory. Research has shown that lack of time and poor training/skills by primary care providers has led to poor or absent obesity counseling in practice. The purpose of this intervention was to facilitate obesity counseling in a pediatric office by using an evidence-based model called the 5As model of behavioral change. Lewin's change theory was the framework for this project to help clinicians transition their practice to include the 5As model in practice. The project consisted of a 30-minute power point presentation that included 2 case samples demonstrating how the 5As would …

Stakeholders' Perception Of Alternative Certification Program, Sherry Park

Walden Dissertations and Doctoral Studies

The diminution of Alternative Certification Program (ACP) teachers contributes to the teacher shortage and complicates the challenges of hard-to-staff schools. Some ethnic minority, economically challenged districts have experienced a growing attrition rate of teachers prepared by ACPs, resulting in a scarcity of qualified teachers. The purpose of this study was to examine the experiences of stakeholders, including teachers currently in the program, teachers who left the program before completion, and program administrators, in order to understand the ACP program. A conceptual framework was based upon theorists Feistritzer and Klagholz, the originators of the ACP movement. Ten participants were selected for …

The Effects Of Parental Motivations On Home-Based And School-Based Parental Involvement, Steve C. Strickland

Walden Dissertations and Doctoral Studies

Students at a Title I middle school in Georgia have scored low on standardized state tests for several years. Of the many possible ways to address low test scores, the school focused on increasing parental involvement, which can have a strong positive correlation with academic success. Researchers have indicated that parental involvement programs are more successful when created based on the specific motivations of parents. Therefore, the purpose of this study was to examine the effects of parental motivation on parents' home-based and school-based involvement behaviors. The theoretical framework for this study was the work of Hoover-Dempsey and Sandler who …

Utilizing Education To Change College Students' Attitudes About Mental Illness, Claudette Thompson

Walden Dissertations and Doctoral Studies

Researchers have found that public opinion of people who are mentally ill is often negative. This study, grounded in cognitive theories, was conducted to determine if education would improve college students' attitudes toward mental illness and if there were gender differences in those attitudes, as past studies had shown. Attitudes of 184 Jamacian adult college students towards mental illness were measured before and after a didactic seminar using the Attitudes to Mental Illness Questionnaire (AMIQ), Opinion About Mental Illness Scale (OMI), and Help Seeking Attitudes Scale. A nonrandomized trial was used to generate nonequivalent comparison groups, with one group attending …

The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine an under-researched topic: the relationship between psychological resilience and personal growth with spousal caregivers of patients diagnosed with Multiple Sclerosis (MS). Chronic illnesses contribute to potentially stressful changes (i.e., lifestyle, quality of life, financial wellbeing, and interpersonal relationships) for the caregiver. The theoretical foundation for this study was Walsh's family resilience theory, which contends that resilience is vital for coping with stressful life experiences and leading a more successful life. Three separate analyses were conducted to examine the relationship between the total scores of the RS and the PGIS, the SWLS, …

A Meta-Analysis Of Association Between One-Carbon Metabolism Gene Polymorphisms And Risk Of Prostate Cancer, Mahmood Tazari

Walden Dissertations and Doctoral Studies

Prostate cancer is the most common cancer among men. The purpose of this quantitative, meta-analysis study was to examine one-carbon metabolism gene polymorphisms in a group of genes to determine their association with prostate cancer risk. The genetic epidemiology theory provided the framework for the study. The data collected were from published articles. From over 2,800 individual studies, 20 articles were retained for results and data abstraction, following the title, abstract screen, and full text screening in the second phase. The data were analyzed by a meta-analysis statistical method, combining the results from selected studies to estimate the overall association. …

The Perceptions Of Adults Adjusting To Low Vision And Using General Communications Technologies Including Online Forums, Deborah Forest

Walden Dissertations and Doctoral Studies

The number of individuals facing vision loss as adults is increasing, and the need for these adults to have access to training and skills to aid in their adjustment process is prevalent. Guided by the tenets of connectivism, this phenomenological study examined current trends in social networking and the possibilities that are available to adults adjusting to low vision by using technology as a means for continued learning, social interaction, and professional connections. The main research question focused on the participants' perception of the adjustment process and their ability to learn and use technology. Data were collected through semi-structured interviews …

Mental Health Administrators' Knowledge And Perceptions Of Delivery Of Relationship-Based Services, Alan Frank Singer

Walden Dissertations and Doctoral Studies

Past research has recommended that clinical mental health (CMHC) administrators employ a relational focus to their work, but little evidence exists that such a relational focus is actually being utilized. Guided by Rogers' principles of client-centered therapy, this study examined whether CMHC administrators possessed the knowledge and attitudes to utilize the recommendation of relational based therapy and whether implementation in the CMHC was feasible. A qualitative multiple case study design was utilized to collect personal interviews with 12 CMHC administrators who could discuss Norcross and Wampold's single recommendation about therapeutic relationships. Results were triangulated with the guide for CMHC financing, …

The Effects Of A Sickle Cell Disease Education Intervention Among College Students, Edwin Ahunwan Guobadia

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is a genetic disorder that affects millions of people worldwide. According to the Centers for Disease Control and Prevention, over 100,000 Americans have SCD, and more than 2 million Americans have a sickle cell trait (SCT). People with SCD are more likely than others to suffer premature mortality. Genetic screening is an important step in improving quality of life and increasing longevity for those with SCD. Early detection may lead to effective management of the disease and reduction of complicating factors. The purpose of this quasi-experimental study was to determine whether health education about SCD would …

Teachers' Perceptions On Improvement Of Declining Grade 8 Language Arts Test Scores, John David Mcgroarty

Walden Dissertations and Doctoral Studies

Once viewed as a way to establish educational placement, high-stakes testing is used to establish benchmarks for success within school systems. Within a local Utah school district, raising these benchmarks has been deliberated due to a steady decline in Grade 8 language arts scores, which has heightened concerns among local school administrators and teachers. The purpose of this phenomenological study was to examine the perceptions of teachers on how to improve declining Grade 8 language arts test scores. Based on the theoretical concepts of constructivism, 3 research questions were created to examine the underlying factors of the steady decline in …

Instructional Writing Practices In Grade Five, Susan Elaine Newberry

Walden Dissertations and Doctoral Studies

Nationally and locally, a paucity of students are effective writers. The purpose of this exploratory, sequential mixed methods study was to explore effective research-based writing strategies and influences on writing skills of 5th grade students. Guided by Vygotsky's zone of proximal development theory, the research questions investigated teachers' perceptions of the best instructional writing practices, the effect of writing practices on students' state writing scores, the relationship between student attendance and performance on the state writing test, and the amount of instructional planning dedicated to best writing practices. Data were collected from interviews with 5th grade teachers (N = 5), …

Perceptions Of High School Teachers On Integrating Technology Following Professional Development, Charnice Starks Ray

Walden Dissertations and Doctoral Studies

Teachers integrate technology to make the learning environment interactive and appealing to students. The purpose of this qualitative case study was to explore perceptions of teachers at one high school working to integrate technology into instruction following participation in professional development. Guided by Dewey's constructivist theory and Mishra and Koehler's technological pedagogical content knowledge model, this study explored teachers' perceptions of pedagogy and technology integration following participation in professional development and the strategies they used to overcome barriers to integrating technology. Twelve purposefully selected high school teachers from English, social studies, mathematics, science, electives, health education, and special education provided …

A Case Study On The Process Of Passing A Radiography Registry Examination, Encarnita Antonia Chamberlain

Walden Dissertations and Doctoral Studies

This project study addressed the problem of the low percentage of a Mid-Atlantic university's radiography graduates passing their credentialing registry examination. The cohort had a 2014 pass rate of 83% while the majority of surrounding schools had pass rates of 100%. In order to become registered radiographers, graduates must be able to take what they have learned in their educational program and directly apply it to their professional skill set. The conceptual framework for the study was social constructivism, adapting and transforming what was new information to previous experiences and group activities. A qualitative case study research design was chosen, …

The Center For Total Health: Healthcare Reform In Cook County, Illinois, James Leon Miles

Walden Dissertations and Doctoral Studies

The Patient Protection and Affordable Care Act (PPACA) of 2010 requires hospital systems in the United States to shift the culture of patient care from a focus on sick-care to a focus on prevention and wellness care. Little is known about how hospital systems will make this culture shift while retaining quality patient care. The purpose of this case study of a pioneering hospital-based PPACA-compliant initiative was to answer the research question of how Wallace's revitalization movement theory (RMT) "a rapid culture change model"could serve as a transferable evaluation framework for PPACA prevention and wellness care compliance in hospital-based programs. …

Career Goals For Joining Law Enforcement And Subsequent Stress, Earl Riggins

Walden Dissertations and Doctoral Studies

Police officers experience stress from operational and organizational demands which are extrinsic in nature. Officers may also experience stress from not being able to attain their personal goals for becoming a police officer, which is referred to as goal negation. The purpose of this mixed model, exploratory study was to examine if stress from goal negation is an intrinsic moderating factor of police officers' overall experience of career-related stress that may be adding to the health risks of the profession. The framework for the study included the concept of goal negation and the theory of operational and organizational or intrinsic …

K-12 Teachers' Perceptions Of The Tesa Program And Its Impact On Teacher-Student Relationships, Kathy Rena Howard

Walden Dissertations and Doctoral Studies

Administrators in a school district in north central Kansas implemented the Teacher Expectation and Student Achievement (TESA) professional development program (PD) to address ineffective instructional practices of K-12 teachers. TESA PD was designed to build and promote teacher-student interactions, enhance students' academic performance, teach students self-discipline, and improve the class environment so that students can work and study in diverse settings. The purpose of this qualitative case study was to explore the classroom experiences and perceptions of 10 teachers who integrated teaching interactions from the TESA program into their daily lessons. Brophy and Good's expectation theory holds that teacher interactions …

The Deterrent Effect Of Disciplinary Segregation On Prison Inmate Misconduct, Joseph William Lucas

Walden Dissertations and Doctoral Studies

Although a widely used practice, it was previously unknown whether disciplinary segregation is actually effective at modifying prison behavior. This quantitative, retrospective observational study tested deterrence theory and explored the effectiveness of disciplinary segregation in deterring subsequent prison inmate misconduct among those subjected to it (N = 228). It compared a cohort of male inmates incarcerated by the Oregon Department of Corrections who had spent time in disciplinary segregation in 2011 and/or 2012 with a comparison cohort who had not spent any time in disciplinary segregation. Three models were tested, each with the outcome variable operationalized in a different way: …

The Role Of Uae Health Professionals In Maternal And Child Health Policy, Immanuel Azaad Moonesar

Walden Dissertations and Doctoral Studies

Maternal and child health (MCH) mortality is a formidable challenge for health systems around the world according to the World Health Organization. Health professionals and practitioners within the United Arab Emirates were studied to determine the extent they were involved in the policy-making process, and the potential impact that analysis may have on new or revised MCH policies. Research on MCH policy-making and development processes are limited. The Andersen model of healthcare services utilization provides an appropriate framework for this research, enabling the analysis that influences the policy-making process in the area of MCH. Independent variables included nationality, education, work …

Sewer Overflows And The Vector Mosquito Proximity To Human West Nile Virus Infections, Andrea Simone Bowers

Walden Dissertations and Doctoral Studies

DeKalb and Fulton Counties, which share the metropolitan Atlanta area, have seen an increase in West Nile infected vector mosquitoes; the increase is associated with close proximity to combined sewer overflow facilities. Despite completion of the remediation system in 2008, the mosquito population testing positive for West Nile virus has increased each year from 2010 through 2012. Guided by the Geographical Information System framework and using spatial analysis and regression analyses, this study described and quantified the relationship between sewer system overflows and amplification of vector mosquitoes; an additional goal was to investigate their proximity to human cases of West …