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Walden Dissertations and Doctoral Studies

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Corporate Governance Strategies To Support Financial Performance, Awuor Ajwala Jan 2018

Corporate Governance Strategies To Support Financial Performance, Awuor Ajwala

Walden Dissertations and Doctoral Studies

The insurance industry continues to experience financial scandals despite increasing pressure to integrate sound governance practices. The purpose of this multiple case study was to explore the corporate governance strategies insurance business leaders used to support financial performance. The targeted population consisted of 7 business leaders from 7 insurance companies in Austria who have used corporate governance strategies successfully to support financial performance. The conceptual framework of this study was the agency theory. Data for the study were gathered from face-to-face semistructured interviews and a review of company documents. The data were analyzed using Yin's 5 nonlinear interlinked steps for …


The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells Jan 2018

The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells

Walden Dissertations and Doctoral Studies

Parenting stress (PS) is a phenomenon experienced by all parents to varying degrees due to the demands of meeting a child's needs. This distinct type of stress is caused by an imbalance between the perceived demands of parenting and the perceived coping resources available to parents. The construct of twice-exceptionality (2E) is defined as the co-occurrence of giftedness and disability or possessing both high cognitive abilities and at least 1 of 13 potential disabilities identified under the Individuals with Disabilities Education Act of 2004. The purpose of this study was to understand how PS is experienced by parents of children …


Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang Jan 2018

Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang

Walden Dissertations and Doctoral Studies

Every year thousands of patients in the United States undergo cardiothoracic surgery. These patients have high levels of anxiety because they do not know what to expect. At the same time, many nurses on the cardiac telemetry/surgical floor are not aware that effective preoperative teaching can make a significant difference in patients' outcomes; thus, nurses had focused on postoperative teaching. The purpose of this project was to develop a preoperative teaching program through which nurses could help patients undergoing open heart surgery. The mentioned above practice initiative used Neuman's systems model as a framework. The project used a before-and-after design: …


Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer Jan 2018

Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer

Walden Dissertations and Doctoral Studies

The September 11, 2001 terrorist attacks exposed considerable breakdowns in communications interoperability and information sharing among first responders. Multijurisdictional responses to the active-shooter incidents at the University of Texas in 2010; Sandy Hook Elementary of Newtown, Connecticut in 2012, and the Reynolds High School shooting of Multnomah County, Oregon in 2014 were replete with interoperability failures as well. Recent multijurisdictional response events continue to illuminate difficulties with first-responder interoperability and minimal research exists to promote understanding of the interoperability challenges of university police departments. The purpose of this study was to explore the barriers that impede communications of campus based …


The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell Jan 2018

The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell

Walden Dissertations and Doctoral Studies

In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund …


Urban High School Educators' Perceptions Of Pre-Service And In-Service Conflict Resolution And Violence Prevention Education, Sean M. Brooks Jan 2018

Urban High School Educators' Perceptions Of Pre-Service And In-Service Conflict Resolution And Violence Prevention Education, Sean M. Brooks

Walden Dissertations and Doctoral Studies

Studies have shown that conflict resolution and violence prevention education may be lacking within school-based environments. There is a gap in the literature regarding pre-service and in-service conflict resolution and violence prevention education for urban high school educators. The purpose of the study was to understand the experiences and perceptions of urban high school educators' pre-service and in-service conflict resolution and violence prevention education, and the student health-related antecedents that contribute to both. Utilizing a case study methodology, this study emphasized the diverse geographic locations of urban high school educators' pre-service institutions and the perceptions of their pre-service and in-service …


Urban And Suburban Differences In Cultural Identification, Life-Guiding Principles, And Person-Organization Fit, Joseph Edigin Jan 2018

Urban And Suburban Differences In Cultural Identification, Life-Guiding Principles, And Person-Organization Fit, Joseph Edigin

Walden Dissertations and Doctoral Studies

Diversity practitioners in the United States have taken steps to implement programs for integration of people in organizations from across the socioeconomic and demographic spectrum. Despite changes in U.S. discrimination laws and work by diversity practitioners, maintaining equitable workplace diversity continues to be a problem in U.S. corporations. This correlational study was conducted to examine differences in life-guiding principles, urban identification, and person-organization fit between urban and suburban residents. A purposive sample of 180 adults was drawn in a voluntary online survey from industries in two U.S. representative counties with a mix of urban and suburban sprawl. This study was …


Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner Jan 2018

Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner

Walden Dissertations and Doctoral Studies

Nurse educators make decisions regarding the inclusion or exclusion of non-nursing courses in a curriculum. The current literature lacks research regarding which courses have the most impact on first-time nursing licensing examination pass-rates. The purpose of this quasi-experimental study was to investigate if there is a specific combination of courses that enhance first-time licensing examination pass-rates, using 161 randomly selected accredited associate degree nursing programs. General systems theory applied to nursing education was the framework for the study. ANOVA and independent t-tests were used to address the questions of non-nursing courses or discipline-specific set of non-nursing courses' impact on first-time …


Sustainability Strategies For Successful Small Businesses, Barbara Stovall Jan 2018

Sustainability Strategies For Successful Small Businesses, Barbara Stovall

Walden Dissertations and Doctoral Studies

Small businesses struggle to survive for longer than 5 years because owners lack knowledge of strategies to sustain financial capital. The purpose of this multiple case study was to explore strategies small business owners used to maintain financial capital to ensure survivability for longer than 5 years. The sample included 3 successful service- related small business owners located in the southeastern United States. Systems theory and the theory of entrepreneurship provided the conceptual framework for the study. Data collection involved face-to-face, semistructured interviews and a review of company websites and organizational documents. Member checking enhanced the credibility of the findings. …


Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason Jan 2018

Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason

Walden Dissertations and Doctoral Studies

In society, individuals tend to be socialized into roles that take on characteristics of masculine and feminine. Studies exist on the role strain experienced by heterosexual couples dealing with a life-threatening illness due to this characterization. The scholarly literature lacks studies on the understanding of roles, as well as possible role strain, in lesbian, gay, bisexual, transgender, and queer (LGBTQ) couples when dealing a life-threatening illness. The purpose of this qualitative case study was to explore the role strain experiences of LGBTQ couples who are living with cancer diagnoses of a partner. Biddle's role strain theory provided the conceptual framework …


Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly Jan 2018

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …


Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster Jan 2018

Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster

Walden Dissertations and Doctoral Studies

Every year, several documented data breaches happen in the United States, resulting in the exposure of millions of electronic records. The purpose of this single-case study was to explore strategies some information technology managers used to monitor employees and reduce internal theft and loss. The population for this study consisted of 5 information technology managers who work within the field of technology in the southwestern region of the United States. Participants were selected using purposeful sampling. The conceptual framework for this study included elements from information and communication boundary theories. Data were collected from semistructured interviews, company standard operating procedures, …


Stress In Rural North Georgia Policing, Robert C. Mason Jan 2018

Stress In Rural North Georgia Policing, Robert C. Mason

Walden Dissertations and Doctoral Studies

There are many operational and organizational stressors in policing. This study was designed to gain a better understanding of what causes police officers in a rural southern state mental and physical stress and to determine how best to assist officers when they are dealing with stress. The purpose of this study was to determine whether organizational or operational issues cause more stress among police officers in a rural southern state. Qualitative research methods and the phenomenological approach to obtain data from participants who have experienced job-related stressors were used. The social construct theory, a theory of knowledge in sociology, was …


Effects Of Cancer Staging On Maternal Coping And Mother-Child Communication Patterns Among Breast Cancer Survivors, Kevin Michael Lycke Jan 2018

Effects Of Cancer Staging On Maternal Coping And Mother-Child Communication Patterns Among Breast Cancer Survivors, Kevin Michael Lycke

Walden Dissertations and Doctoral Studies

Few researchers have examined the relationship between earlier stages of breast cancer and its effect on staging of the disease process and the co-occurring coping and communication patterns between mothers and their children. The purposes of this qualitative study with a multiple case study design were to examine (a) coping mechanisms that mothers used to manage the uncertainty of their breast cancer status and (b) the impact of early-stage breast cancer on communication patterns between mothers and their children. The Lazarus and Folkman theory of psychological coping and the McMaster family systems communication theory informed the conceptual framework for the …


Cross-Project Knowledge Transfer Succession Planning For Family-Owned Businesses, Kristina L. Mccarthy Jan 2018

Cross-Project Knowledge Transfer Succession Planning For Family-Owned Businesses, Kristina L. Mccarthy

Walden Dissertations and Doctoral Studies

When the owners of family-owned businesses leave the workplace, they can transfer ownership to the next generation; however, their knowledge of the business goes with them. There is a gap in the literature regarding effective ways to transfer family business resources and knowledge to subsequent generations. The problem was some small and family-owned businesses do not have detailed plans in place based on the needs of owners and the successor generation, with cross-project knowledge as part of the succession plan. The purpose of this nonexperimental study was to examine the relationships between the subscales of cross-project tacit knowledge transfer and …


Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese Jan 2018

Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese

Walden Dissertations and Doctoral Studies

For women in recovery from complex trauma and substance abuse, the lack of posttreatment family reunification services such as family engagement, service delivery, and aftercare planning increase the likelihood of parental relapse and children reentering foster care. A primary caregiver's continued relapse can lead to longer out of home placement for minor children and a loss of parental rights, with a negative impact on both children and parents. The purpose of this qualitative phenomenological study was to examine the lived experiences of women in recovery, their sobriety practices, and how they reunified their families. The theoretical framework was Herman's trauma …


Parents' Perceptions Of Transition And Postsecondary Services For Their Children With Disabilities, Elizabeth Joyce Strong Jan 2018

Parents' Perceptions Of Transition And Postsecondary Services For Their Children With Disabilities, Elizabeth Joyce Strong

Walden Dissertations and Doctoral Studies

Students with intellectual and other disabilities who age out of transition programs or graduate from high school may experience marginalization as young adults. There exists scant literature on the perceptions of parents about access to employment and services for their adult children with disabilities. The purpose of this qualitative study was to explore how parents perceived educational services, financial burdens, social isolation, and lack of access to employment for their children with intellectual and other disabilities. Critical disability theory and transformational theory constituted the study's conceptual framework. The research questions concerned how parents perceived access to services related to financial …


Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten Jan 2018

Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten

Walden Dissertations and Doctoral Studies

Past research has shown that many youths in the United States age out of foster care group homes unprepared for independent living. Lack of connections to adults, low educational attainment, and homelessness are negative outcomes that have been linked to incarceration for youth who age out of foster care. The purpose of this quantitative correlational study was to determine how well the independent variables of connection to adults, educational attainment, and homelessness predict the dependent variable of likelihood of incarceration for African American males (n = 504) within 3 years after aging out of foster care group homes. The Bridges …


Determinants Of Low Birth Weight In A Population-Based Sample Of Zimbabwe, Paul Nesara Jan 2018

Determinants Of Low Birth Weight In A Population-Based Sample Of Zimbabwe, Paul Nesara

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a major public health concern globally. Despite its negative social and economic impact on the family and community at large, it has remained relatively unexplored at population level in Zimbabwe. The purpose of the study was to establish determinants of LBW using data from the 2015 Zimbabwe Demographic and Health Survey. The socioecological model was the conceptual framework for the study. A secondary analysis was conducted on 4,227 mother-infant dyads. Independent variables were duration of pregnancy, number of births within the past 5-year period, exposure to mass media, type of fuel used for cooking in …


Impact Of Empowerment And Autonomy On The Nursing Director's Intent To Stay, Tiffany Bergquist Jan 2018

Impact Of Empowerment And Autonomy On The Nursing Director's Intent To Stay, Tiffany Bergquist

Walden Dissertations and Doctoral Studies

Retention of nursing directors is important to the viability and success of the healthcare industry because they have a large impact on nursing job satisfaction, overall retention of nurses in an institution, productivity, and patient outcomes. Factors that retain nurse directors, such as autonomy and empowerment, appear to be important to job satisfaction, but there is little in the current research to corroborate these findings. The purpose of this quantitative study was to determine what factors impact nursing directors' intent to stay in their current role and what effect role autonomy and empowerment have on their intent to stay as …


Managing Supply Chain Disruptions In Nigerian Seaport Companies, Henry Oguche Jan 2018

Managing Supply Chain Disruptions In Nigerian Seaport Companies, Henry Oguche

Walden Dissertations and Doctoral Studies

In Nigeria, seaport companies have lost significant revenue since 2000 because of supply chain disruptions. If not mitigated, supply chain disruptions at Nigerian seaports will significantly affect organizational output and profitability. The purpose of this research was to explore strategies some seaport business leaders use to mitigate supply chain disruptions in Lagos, Nigeria. Supply chain management theory was the conceptual framework for this single case study. Data were collected using semistructured interviews with 4 participants from a Nigerian seaport company tbat adopted successful strategies to mitigate supply chain disruptions and review of company documents for methodological triangulation. Using thematic analysis, …


Impact Of Acculturation On Body Mass Index In Haitians, Nirva Berthold Jan 2018

Impact Of Acculturation On Body Mass Index In Haitians, Nirva Berthold

Walden Dissertations and Doctoral Studies

Longer-term immigrants residing in the United States exhibit physical health decline related to higher body mass index (BMI). Theories on immigrant acculturation have been used to examine health patterns by length of stay in the United States. The purpose of this cross-sectional study, guided by the Schwartz model of acculturation, was to examine the effect of acculturation and length of stay in the United States on BMI in a sample of Haitian immigrants living in the Northeast Metropolitan area. The research question was used to examine the effects of acculturation and length of stay on BMI in the convenience sample …


Incarceration Of Nonviolent Offenders At The High Court In Oyo State, Nigeria, Olugbenga Rotimi Akanji Jan 2018

Incarceration Of Nonviolent Offenders At The High Court In Oyo State, Nigeria, Olugbenga Rotimi Akanji

Walden Dissertations and Doctoral Studies

The nonuse of community correction in the Nigeria criminal justice system has led to increased recidivism, contributed to prison congestion, introduced the risk of prison victimization, and lacked the provision of a rehabilitative structure for nonviolent offenders. The purpose of this phenomenological research study was to explore Nigerian judges' use of alternatives to incarcerations for nonviolent offenders. Dolinko retributive punishment theory provided the theoretical framework for this study. Ten participant judges comprised the study sample from a purposeful and criterion random sampling method. Data were collected from participants through structured interviews and were coded manually, sorted, and analyzed using the …


Factors Influencing Alzheimer's Disease Healthcare Utilization Patterns In Puerto Rico, Carlamarie Noboa Jan 2018

Factors Influencing Alzheimer's Disease Healthcare Utilization Patterns In Puerto Rico, Carlamarie Noboa

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is associated with substantial healthcare utilization costs, resulting in a public health priority. In this study, the relationship between the demographic characteristics of age, gender, and type of health insurance; the presence of comorbidities of older Puerto Rican residents diagnosed with AD; and their healthcare utilization patterns (i.e., medical office and emergency room visits and hospital admissions) was examined using Andersen's behavioral model. Data from the 2013 Puerto Rico Health Study was used in this retrospective cohort design study. All AD cases aged -?¥ 60 years were extracted using systematic random sampling. One-way ANOVA-WELCH, Mann-Whitney U test, …


Strategies To Minimize Profit Loss From Small Business Enterprise Credit Rejections, Alfred Nwagbo Jan 2018

Strategies To Minimize Profit Loss From Small Business Enterprise Credit Rejections, Alfred Nwagbo

Walden Dissertations and Doctoral Studies

Institutional policies or terms and conditions of credit allocation complicate the demand and supply of small business enterprise (SBE) credit, causing lost profits. Banks leaders losing 28% of profitable projects because of the high rejection rate of credit applications for SBE loans is a concern. The purpose of this multiple case study was to explore strategies Southeastern Nigerian state bank leaders use to minimize lost profit from SBE credit rejections. The conceptual framework that grounded this study was credit rationing focused on the lender-borrower relationship. Data collection involved reviews of company documents and face-to-face semistructured interviews of 6 participants from …


The Impact Of Transmission Mode On Hiv/Aids Medication Adherence, Lindsey Wilde Jan 2018

The Impact Of Transmission Mode On Hiv/Aids Medication Adherence, Lindsey Wilde

Walden Dissertations and Doctoral Studies

Medication adherence amongst HIV/AIDS infected individuals can be challenging for many reasons. I examined whether there was an association between mode of HIV transmission, such as sexual intercourse, mother to child, or IV drug use, and medication adherence among HIV+ individuals 18 years and older living in New York City. The theoretical base for this study was the Social Ecological Systems Theory. Logistic regression analyses were conducted on field data obtained from the New York State Medicaid Agency from 2015. Results indicated that transmission mode, age, race, and poverty level all have statistically significant associations with the dependent variable of …


United States-Mexico Dual Resident's Perceptions Of Heritage And Acculturation, Alisia N. Muir Jan 2018

United States-Mexico Dual Resident's Perceptions Of Heritage And Acculturation, Alisia N. Muir

Walden Dissertations and Doctoral Studies

United States' policy makers have been challenged creating understandable nutrition labels and effective healthy food campaigns for consumers of mixed heritage. Previous studies explored the sociocultural factors that influence Hispanics' abilities to navigate consumer food education programs, but little was known about how Mexican culture impacts those programs. The purpose of this study was to better understand those factors. Research questions focused on the experiences of residents of a west Texas town regarding their food decision-making process about food choices and their understanding of food education information. The purpose of this phenomenological research was to explore how Mexican culture effected …


Kono Members' Perceptions Of Burial Practices And The Spread Of Ebola Virus Disease, Comfort Kenyeh Panda Jan 2018

Kono Members' Perceptions Of Burial Practices And The Spread Of Ebola Virus Disease, Comfort Kenyeh Panda

Walden Dissertations and Doctoral Studies

Sierra Leone was heavily affected by the West African Ebola virus disease (EVD) epidemic from 2013 to 2016. Ongoing EVD transmission during the epidemic was connected to several factors including unsafe traditional burial practices. This phenomenological qualitative study addressed Kono members' perceived knowledge, attitudes, and beliefs regarding how burial practices influenced EVD transmission. Rosenstock's health belief model provided the framework for the study. The participants purposefully selected from various religions and professions were interviewed individually and in focus group settings. Similar phrases and comments were identified from the interview responses resulted which resulted in the following 5 main themes: (a) …


Strategies For Improving Contractors' Defense Acquisition Cost Estimates, Kenneth Peters Jan 2018

Strategies For Improving Contractors' Defense Acquisition Cost Estimates, Kenneth Peters

Walden Dissertations and Doctoral Studies

In 2015, private sector Department of Defense (DoD) contractors experienced decreasing profit margins by approximately 8% and an increase in estimated costs of approximately 250%. The purpose of this multicase study was to explore strategies used by business leaders of private sector contractors for DoD capacity-building projects to accurately estimate program costs to improve profitability. The target population for this study was business leaders of DoD capacity-building program contractors with successful experience improving cost-estimation processes and strategies in Southeast Asia and the former Soviet Union. The conceptual framework for this study was business process quality management with a supporting framework …


Engagement Factors Impacting First-Year Persistence Of Hispanic And Non-Hispanic Students In Idaho Community Colleges, Kimberly May Scheffer Jan 2018

Engagement Factors Impacting First-Year Persistence Of Hispanic And Non-Hispanic Students In Idaho Community Colleges, Kimberly May Scheffer

Walden Dissertations and Doctoral Studies

Although minority students are enrolling in community colleges at increasing rates, these students also leave at higher rates than their non-minority counterparts. The purpose of this quantitative study was to understand the relationship between selected antecedents of educational engagement and student persistence and to examine how persistence varied for first-year Hispanic and non-Hispanic students in Idaho community colleges. Drawing from Kahu's holistic approach, which conceptualizes students' engagement as arising from an interrelationship between institutional and student characteristics, this study surveyed 132 first-semester Idaho community college students. A MANOVA was used to identify the relationship between variables representing aspects of student …