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Leptin Level Variance In Adults With And Without Cancer, Vilisa Chatman-Terry

Walden Dissertations and Doctoral Studies

Abstract

In 2018, health statistics revealed that, despite the many preventive measures established,

cancer was the second leading cause of death in the United States and the leading cause

of death in 22 states, exceeded only by heart disease. With obesity/leptin levels reaching

pandemic levels worldwide, and cancer having a well-known association with obesity,

both chronic diseases represent a large proportion of public health challenges. Guided by

the social ecological model, the purpose of this cross-sectional, quantitative study was to

examine if a significant difference exists in leptin levels among adults with different

types of obesity-associated and common cancers and …

Employees Expectation From Leaders' Ethics In Decision Making, Shirley Easter

Walden Dissertations and Doctoral Studies

The presence of unethical behavior continues to plague the global business community, however, and its impact in the finance industry is widely thought to be having an even more devastating impact than ever before. Scholarly literature provides little understanding of what drives ethical decision making, or the processes involved and a little evidence that ethical standards have been developed as part of leadership decision making training in finance. The purpose of this qualitative single case study was to explore the drivers and processes in the development of training that supports ethical choices that leaders make in their decision-making role within …

Public Sector Employees' Experiences Executing Strategic Management In A Political Environment, Aarion Lynn Franklin

Walden Dissertations and Doctoral Studies

Public sector organizations have practiced strategic management for more than 30 years. Strategic management in the public sector is subjected to political influence, as resources and major decisions are typically managed by elected and appointed officials. The purpose of this descriptive phenomenological study was to identify and report the lived experiences of public sector employees who have been subjected to political influence while engaged in the strategic management of their organizations in the State of Maryland. The study's conceptual framework was based on stakeholder theory and economic theory of the firm. A purposeful sample of 15 Maryland State Government employees …

Association Of Social Support And Patient-Provider Communication And Medication Adherence, Laquasha Arenese Gaddis

Walden Dissertations and Doctoral Studies

The prevalence of hypertension in African Americans is the highest of any population in the United States, and this population also demonstrates lower rates of adherence to mediation. Social support and patient-provider communication have been considered as reinforcing factors to help hypertensive patients achieve optimal blood pressure control. The purpose of this study was to examine the association of social support and patient-provider communication and medication adherence for hypertensive African American men and women. The study was guided by the theory of reasoned action. This study was conducted to determine whether social support and patient-provider communication was associated with medication …

Strategies Of Competitive Advantage For Small Businesses In The Service Industry, Lakeshia Marie Gardner

Walden Dissertations and Doctoral Studies

Small business owners play a leading role in the United States economy by creating jobs. However, small businesses have a high failure rate, with approximately 50% going out of business during the first 5 years. The purpose of this multiple case study was to explore the competitive advantage strategies that owners of small businesses used to sustain their businesses longer than the first 5 years. A sample of 6 small service industry business owners in Houston, TX that have been in business for 5 years or more participated in semistructured interviews. Additional data were collected from company documents and the …

Compass Placement Assessment And Student Attrition At A Community College, Leslie Morris Samuel Griffiths Ii

Walden Dissertations and Doctoral Studies

Considerable research has been conducted regarding the usefulness of placement testing in community colleges. Many stuides show that using the COMPASS exam may lead to students' unsuccessful course completion. To better identify the factors that may result in reduced attrition, the relationship between attrition and placement testing was studied. Using Tinto's student retention model and employing qualitative methodology, this study explored the perceptions of students and faculty regarding whether COMPASS placement assessment predicted future student success in first year courses at a community college that reports higher rates of attrition when compared to other area community colleges. After completing interviews …

Management Of Virtual Offices, Cheryl Donaldson Howard

Walden Dissertations and Doctoral Studies

Many organizational leaders manage virtual employees without the specific training and experience required for leading a virtual organization, which can lead to billions of dollars in lost productivity. The purpose of this multiple case study was to explore strategies managers used to manage a virtual office. The target population consisted of 4 managers located in the mid-Atlantic region of the United States who had a minimum of 2 years of experience managing virtual offices. The conceptual framework for this study was social exchange theory. Data were collected using semistructured interviews and a review of company documents. Data were analyzed using …

The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes

Walden Dissertations and Doctoral Studies

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for …

Effect Of Model Of Care And Comorbidities On Multiple-Drug-Resistant Tuberculosis Treatment In Nigeria, Oluremilekun Comfort Kusimo

Walden Dissertations and Doctoral Studies

Multidrug-resistant tuberculosis (MDR-TB) is a public health problem in several countries such as Angola, India, China, Kenya, and Nigeria. Due to the increasing high burden of MDR-TB, most of these countries do not have adequate capacities to manage MDR-TB patients effectively. This study investigated the effect of model of care; human immunodeficiency virus comorbidity; and demographic factors such as age, gender, and marital status on the treatment outcomes of MDR-TB patients in Nigeria. The study was based on the analysis of secondary data of 402 MDR-TB patients accessed from the data systems of the National Tuberculosis, Buruli Ulcer, and Leprosy …

Valuation Of Ex-Offender Motivation For Participation In A Restorative Justice Praxis, Kenneth Lang

Walden Dissertations and Doctoral Studies

Restorative justice (RJ) is an emerging concept of justice in the American penal system that seeks equality for all stakeholders involved. While RJ is vastly under researched--especially concerning RJ and violent offenses--current studies have only focused on determining victims' motivations for participating in RJ. Determining and evaluating offender motivations for participating in RJ remains unexplored. The purpose of this study was to explore the possible motivations of criminal offenders and their willingness to participate in RJ. The social construction framework and the narrative policy framework were employed to understand the social context. A mixed-method approach was used that began with …

Jail Administrators' Compliance With The Prison Rape Elimination Act, Leone M. Lee

Walden Dissertations and Doctoral Studies

Correctional institutions across the United States continue to experience prisoner sexual assault despite the enactment of the Prison Rape Elimination Act of 2003 (PREA). The purpose of this correlational study was to examine the association between jail administrators' difficulty complying with the PREA and their transformational leadership styles. The theories of punctuated equilibrium theory and general strain theory formed the theoretical framework of the study. The data were collected through an Internet-based survey from 22 local and regional jail administrators from the East Coast. Data analysis using Pearson's correlation coefficient was performed on leadership scores to test the hypotheses. There …

Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias

Walden Dissertations and Doctoral Studies

Despite the increased cost of data breaches due to advanced, persistent threats from malicious sources, the adoption of big data security analytics among U.S. small businesses has been slow. Anchored in a diffusion of innovation theory, the purpose of this correlational study was to examine ways to increase the adoption of big data security analytics among small businesses in the United States by examining the relationship between small business leaders' perceptions of big data security analytics and their adoption. The research questions were developed to determine how to increase the adoption of big data security analytics, which can be measured …

Psychological Characteristics Of Sex Offenders, Patrick Mcmunn

Walden Dissertations and Doctoral Studies

Current therapeutic treatment methods are ineffective in identifying at-risk sex offenders and reducing recidivism of known offenders, likely due to inadequate identification of specific traits of sex offenders. Previous research and prominent theories in the area of sex offender treatment, in terms of the biological foundation of substance abuse, behaviors of sex offenders, and the presence of aggression, helped to guide this research. Data about sex offenders were collected, as reported by mental health professionals who treat them and focused on three characteristics: maladaptive interpersonal behaviors, impulsivity, and antisocial behaviors, on which the research questions were formed to detect commonality. …

Successful Billing Strategies In The Hospital Industry, Samirah Merritt

Walden Dissertations and Doctoral Studies

Failure to collect reimbursement because of changing regulations negatively impacts hospital profitability. A multiple case study approach was used to explore the successful strategies billing managers employed to collect reimbursement for all legitimate Medicare claims. The target population for this study included 5 hospital billing managers from 3 organizations in the Northern New Jersey region. The complexity theory was used as a framework for assessing changing Medicare regulations and how the managers adapted to them. The data collection process for this study involved gathering data from participant interviews, documentation from the organizations of the participants, and government documented regulations and …

Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto

Walden Dissertations and Doctoral Studies

Dental caries is one of the biggest issues of concern for healthcare providers in Durham, North Carolina due to the high prevalence of dental caries in African Americans. Many researchers have identified socio-economic, low income, poor education, psychological behavior, awareness, allied diseases, environment, unhealthy diet, obesity, type II diabetes, and inadequate health facilities as the possible reasons for its high prevalence, yet literature lacks information regarding how African Americans perceive the problem of oral health. Knowledge of the perceived factors may help to identify the actual cause of dental caries through the eyes of African Americans. The purpose of this …

Predictive Nature Of Teacher Traits On Academic Achievement Of African-American Students, Lacoñia Rayelle Nelson

Walden Dissertations and Doctoral Studies

Historically, biases, a lack of cultural diversity in teacher and administrative staff and misunderstanding about methods for teaching low socioeconomic students have related to the underperformance of African-American students when compared with their European American peers. Therefore, this quantitative, cross-sectional study was conducted to explore the impact of teachers' ethnicity, years of experience, and motives of hope and fear on the academic success of African-American students in reading and math. Data were collected from 55 7th- and 8th-grade teachers from a charter school system (25 reading teachers and 30 math teachers) using a survey and the Multi Motive Grid. Forward …

Human Trafficking Crime Awareness Among Remote Communities In Central Vietnam, Ngoc Tb Nguyen

Walden Dissertations and Doctoral Studies

Human trafficking crime is rising globally at an alarming rate, and Vietnam is one of the nations with the highest prevalence of trafficking female victims for forced sex services and forced marriages. This study explored human trafficking awareness in remote communities of central Vietnam and the factors for young girls dropping out of school for work at an early age. The study also investigated the link between gender inequality and the child labor problem in these communities. There is no extant empirical research pertaining to human trafficking awareness in the remote communities of central Vietnam. This research fills this gap …

Person Factors Affecting Student Persistence In College Reading And Writing Remediation, Loretta J. Morris Barr

Walden Dissertations and Doctoral Studies

The United States has the highest college attrition rate among industrialized nations. Community college students face a much higher risk, particularly those who lack requisite reading/writing skills. Using the theory of planned behavior and self-determination theory, this study explored the relationship between persistence in college for students in traditional or corequisite remediation. Person factors under study were frustration discomfort, academic motivation, and self-reported symptoms of adult attention-deficit hyperactivity disorder (ADHD). After 7 semesters, 72 adult student volunteers from the 2 remediation programs were recruited from 2 community colleges. They completed an online survey, which included a demographics questionnaire, the Frustration …

Relationship Between Preparedness Training And Posttraumatic Stress Disorder Severity In Combat Veterans, Charles F. Snay

Walden Dissertations and Doctoral Studies

In the past decade, the military has deployed approximately 1 million members into combat, and a factor that plagues the military veterans returning from combat is the prevalence of posttraumatic stress disorder (PTSD). A factor to examine is preparedness training before combat because the research has shown that postcombat resilience training has been effective in reducing symptoms of PTSD. Using the social cognitive theory, the purpose of this study was to determine whether self-reported preparedness training before deployments was related to lower severity of self-reported PTSD. Based on prior research, age and gender are other variables that this study examined. …

Social Workers And Early Intervention With Diabetic Clients, Rievu Agiri

Walden Dissertations and Doctoral Studies

Social workers are uniquely positioned to facilitate early intervention services that minimize the impact and burden of Type 2 diabetes. There is little evidence on the specific role that social workers play in addressing the psychosocial factors that exacerbate the condition or impact treatment outcomes. The purpose of the study was to examine the role of social workers in facilitating early interventions for clients with Type 2 diabetes. The theories of role and organizational systems provided the conceptual framework. Data was collected from interviews with eight participants with Master'€™s degrees in Social Work in a large Southwestern state in the …

Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El

Walden Dissertations and Doctoral Studies

Social workers often take on the role of providing case management to Medicaid recipients; however, there is little clinical research on social workers' perceptions of their case management role. The purpose of this study was to develop an understanding of the social worker case management role by exploring social workers' perceptions of their roles when providing case management to Ohio Medicaid managed care enrollees. This action research study was grounded in organizational role theory. A semi structured focus group was facilitated using open-ended questions related to social workers' role perceptions, role conflict, role ambiguity, case management, and managed care. Qualitative …

Perceptions Of Court Appointed Special Advocates On Volunteer Turnover, Salwa Mohamed El Habib

Walden Dissertations and Doctoral Studies

There is a high turnover rate among court-appointed special advocates (CASA) in the United States. The purpose of this qualitative case study was to explore the perception of the retention of CASA volunteers. Maslach'€™s burnout theory and Greene'€™s theory of resilience provided the framework for the study. A sample of9 active and 5 inactive CASA volunteers, one CASA volunteer recruiter, 3 program supervisors, and one administrator were interviewed. The data was organized and coded manually to facilitate auto-coding using qualitative data software. All responses to each question were compiled in one place allowing for thematic analysis based on the frequency …

Decreasing Hospital Admission Rates In Long-Term Care, Melanie R. Meissner

Walden Dissertations and Doctoral Studies

Each year, hospitalizations from long-term care (LTC) settings occur, in part, due to underdeveloped nursing assessment skills, ineffective communication with primary care providers (PCPs), and delayed intervention. Through staff development nursing education, the quality and timeliness of care can be improved. The practice question that guided this doctoral project focused on whether evidence-based research information would assist in decreasing LTC-to-hospital admission rates through improved nursing assessment skills and better communication with PCPs. Using the logic model, the effectiveness of a program was evaluated and the impact of interventions on a predicted outcome was determined. Sources of evidence included obtaining best …

Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos

Walden Dissertations and Doctoral Studies

A gap exists in the literature between general diffusion of technological innovations and socioeconomic development that results in an ambiguous connection between theory, academia, and professional practice. To inform governments in sub-Saharan Africa on how to achieve the diffusion of innovation for economic development through the voices of regional stakeholders, this qualitative multiple case study was conducted to gain deeper understanding on the views of stakeholders on rapid technology diffusion and its implication on labor market challenges within their regions of Angola. Information from semistructured interviews with 8 adult participants, male and female, born and residing in impoverished communities in …

Teachers' And Principals' Perceptions Of Antibullying Programs In A U.S. Middle School, Nneka Uzoma

Walden Dissertations and Doctoral Studies

School bullying has become a serious issue in U.S. schools, with children being harassed, hurt, and even killed or driven to suicide or homicide as a result of being bullied. Bullying in schools has persisted despite the various intervention measures taken to curtail the phenomenon. The purpose of this phenomenological exploration was to explore how teachers and principals at a U.S. middle school perceive the school's existing bullying programs and elicit recommendations about how to improve the programs. The theoretical basis of this investigation was Bandura's social learning theory. Data were collected through interviews with 4 principles and 6 teachers. …

Socioeconomic Impacts: Exploring Relationships Between Parenting Styles And Emotional Intelligence In Odd, Radhia Afif

Walden Dissertations and Doctoral Studies

Children diagnosed with Oppositional Defiant Disorder (ODD) are at a higher risk to develop other serious problems based on reoccurring symptoms such as; aggression, hostility, and lack of empathy for others. Based on the emotional intelligence theory, it may be possible that understanding emotional intelligence in children with ODD could help reduce future psychological and social problems. This quantitative study addresses the problem of poor or low Emotional Intelligence (EI) in children diagnosed with ODD. A correlation between parenting style, as defined by Baumrind's parenting style theory, and the development of emotional intelligence has been found in current research. However, …

Challenge Of Leadership Succession In Family-Owned Business In Lagos, Nigeria, Michael Oluwatola Awosanya

Walden Dissertations and Doctoral Studies

Leaders of family-owned businesses pay more attention to the attainment of personal and organizational objectives than to leadership succession plans for continuity when they leave the business. Despite the significant contributions of family-owned businesses to the social and economic development of nations, founders and leaders still contend with the challenge of leadership transfer to the next generation. The purpose of this transcendental phenomenology study was to examine the lived experiences of past and current leaders of family-owned businesses in Lagos regarding the challenge of preparing the next generation for leadership succession. The theory of knowledge transfer formed the conceptual framework …

Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise

Walden Dissertations and Doctoral Studies

Suicide is one of the leading causes of death in the United States. The rate of suicide attempts among veterans in the United States has increased tremendously since 2001, which has left the Department of Veterans Affairs deeply concerned. The purpose of this study was to examine if there is an association between suicide attempts among African American/Black veterans and mental health support, income level, marital status, education level, and unemployment status. This quantitative study used the socio-ecological model to explain the association of the contributing factors to suicide attempts. Descriptive statistics, chi-square, and logistic regression were used to analyze …

Self-Injurious Behavior And Social Media Use By Adolescents, Victoria Lynn Fye

Walden Dissertations and Doctoral Studies

There is a surprising dearth of research related to the phenomenon of self-injurious behavior/nonsuicidal self-injury (SIB/NSSI), such as cutting. Research conducted on SIB has revealed that this maladaptive behavior is more common among adolescents than other populations. The act of posting SIB on social media deserves research attention, as it seems to contradict what had previously been considered a very private behavior. The goal of this qualitative case study was to better understand why adolescents engage in SIB as well as investigate why they post these behaviors on social media. Merton's theory of social strain and anomie, which focuses on …

System Challenges For Bilingual Clinical Social Work In Forensic Settings, Roberto G. Arroyo

Walden Dissertations and Doctoral Studies

Little information exists about challenges that bilingual clinical social workers face when engaging individuals with Limited English Proficiency (LEP) in forensic settings, which may influence the efficacy of services provided. Bilingual clinical social workers in the U.S. state of South Carolina lack operational guidelines to assist people with LEP who are involved in forensic matters. The purpose of this study was to explore challenges that affect delivery of bilingual clinical social work to people with LEP in forensic settings. Ecological systems theory served as the conceptual framework for this study. Purposive and snowball sampling methods led to the participation of …