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Development Of Mentors To Facilitate Evidence-Based Practice In A Nurse Residency, Susan Annette Breit
Development Of Mentors To Facilitate Evidence-Based Practice In A Nurse Residency, Susan Annette Breit
Walden Dissertations and Doctoral Studies
Evidence-based practice has resulted in better patient outcomes, higher patient satisfaction, and effective patient-centered care. Leadership of a large teaching hospital determined that new nurses lacked the education and experience to design and implement an evidence-based project at the bedside, which was an expected outcome for completion of the established nurse residency program. The purpose of this project was to develop a design-only project in which Masters of Science in Nursing-prepared mentors were added to the residency program to establish the required evidence-based project. A mentor workshop was developed to guide the mentors in this role using Benner's novice to …
The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson
The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine whether Crisis Alleviation Lessons and Methods -© (CALM), as a behavioral crisis management program, was effective in reducing patient and healthcare professional injuries in a long-term residential care setting. This research was needed due to the lack of peer-reviewed scholarly literature on the effectiveness of behavioral crisis management programs, especially on programs using both nonphysical and physical de-escalation techniques, such as CALM. An auto-regressive integrated moving average (ARIMA) time series analysis was performed to examine the effect the implementation of the CALM program (independent variable) had on the rate of injuries to …
The Effects Of Buddhist Psychological Practices On The Mental Health And Social Attitudes Of Lesbian, Gay, And Bisexual People, Jessica Lynn Fritzges
The Effects Of Buddhist Psychological Practices On The Mental Health And Social Attitudes Of Lesbian, Gay, And Bisexual People, Jessica Lynn Fritzges
Walden Dissertations and Doctoral Studies
This non-experimental, quantitative study explored the effects of the Buddhist-derived practices of mindfulness and loving-kindness meditations on the wellness of lesbian, gay, and bisexual (LGB) people. LGB people are at higher risk of mental illness and increased social isolation due to minority stress; Buddhist-derived mindfulness practices mediate these effects in other groups. Lazarus and Folkman's transactional model of stress and coping was the theoretical model explaining how positive cognitive appraisal induced by meditation can mediate effects of stress. This study examined whether mental health scores on the Emotional Symptoms Checklist (ESC), social attitudes measured on the Unjust World Views Scale, …
Uterine Fibroid Symptom Severity And Impact On Health-Related Quality Of Life Among African American Women, Ilisher Ford
Uterine Fibroid Symptom Severity And Impact On Health-Related Quality Of Life Among African American Women, Ilisher Ford
Walden Dissertations and Doctoral Studies
A disproportionate number of African American women are at increased risk for uterine fibroid tumors (UF) compared to their Caucasian, Asian, and Hispanic counterparts. Researchers have indicated that women diagnosed with UF can have a poorer health-related quality of life (HRQOL) when compared to women who do not have a diagnosis of UF. The overall aim of this study was to explore the impact of UF symptoms on the HRQOL of African American women. A quantitative, cross-sectional design was employed utilizing the revised version of Wilson and Cleary's model of HRQOL. A sample was gathered of 80 participants who were …
An Examination Of The Differential Impact Of University/College Research Emphasis On Levels Of Counselors' Resilience, Erica Ann Handon
An Examination Of The Differential Impact Of University/College Research Emphasis On Levels Of Counselors' Resilience, Erica Ann Handon
Walden Dissertations and Doctoral Studies
Counselor resilience is the ability to transform adversity into growth opportunities that become part of the professional's identity and the core values of a counselor. However, researchers have yet to identify why some counselors exhibit higher levels of resilience while others exhibit less. Counselor resilience can be learned and nurtured at any point of an individual's development. The purpose of this study was to examine how differences within the foundational edification of a research-embedded curriculum impact a counselor's level of resilience. Participants included practicing counselors who received their counseling degrees from a 2014 U.S News and World Report (USNWR) Nationally …
Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird
Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird
Walden Dissertations and Doctoral Studies
Researchers and practitioners have developed new treatment options for chronic pain management based on biopsychosocial models of pain known as interdisciplinary pain management programs (IPMP), which involve interdisciplinary care that integrates physical treatment with emotional, environmental, behavioral, and cognitive interventions. Despite literature documenting the effectiveness of IPMPs, patients find it difficult to obtain authorization for these programs from third party insurance payers. The purpose of this quantitative causal comparative study was to explore whether a patient's perceived quality of life after injury but prior to treatment will affect his or her success in an IPMP. This study was based in …
Perceptions Of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids, Banning Kent Lary
Perceptions Of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids, Banning Kent Lary
Walden Dissertations and Doctoral Studies
In the United States, a growing number of young people are failing to launch into self-sufficiency, a characteristic of adulthood recognized by most cultural groups. These "boomerang children" return home and interrupt the life course development of their "empty nest" mothers who must suspend plans for self-development. How mothers from different socioeconomic backgrounds cope with this countertransitional phenomenon while preparing their children for successful relaunch is not well known. Elder's life course paradigm provided the theoretical framework for this phenomenological study. Perceptions were collected from an ethnically diverse group of 23 empty nest mothers with 30 boomerang children and seven …
Resiliency And Maternal Self-Efficacy Of Single African American Mothers: A Qualitative Study, Danielle Beatrice Massey
Resiliency And Maternal Self-Efficacy Of Single African American Mothers: A Qualitative Study, Danielle Beatrice Massey
Walden Dissertations and Doctoral Studies
Traditionally, research involving single African American mothers (SAAMs) has been conducted using problem-focused or cultural deficit models with the emphases on the disadvantages. Consequently, little is known about how these women view their experiences as single mothers concerning their resilience and maternal self-efficacy. Using a snowball sampling method, 15 SAAMs were recruited to participate in this phenomenological study. This study employed a subject-intensive theoretical framework. Face-to-face interviews (using a questionnaire), participant observation, and a focus group were the methods used to capture the essence of the SAAMs' abilities to thrive despite the challenges associated with single parenting. All encounters were …
Perceptions Of Leadership: Impact Of Leadership Style And Gender On Employee Motivation, Kristin Marquette Walker
Perceptions Of Leadership: Impact Of Leadership Style And Gender On Employee Motivation, Kristin Marquette Walker
Walden Dissertations and Doctoral Studies
Researchers suggest that individuals in Corporate America have stereotypes about the ways in which men and women lead. They also have found that a leader's style and gender can impact employees' job satisfaction, performance, and engagement. However, researchers have provided little empirical evidence about the specific relationship of leadership style and gender on employee motivation. The purpose of this quantitative study was to examine the effects of leadership style, as measured by the Multifactor Leadership Questionnaire (MLQ), and a leader's gender on employee motivation, as measured by the Work Preference Inventory (WPI). Because it was assumed that small organizations would …
Social Support As A Mediator Between Attachment And Relapse In Women, Jamie Lynne Wong
Social Support As A Mediator Between Attachment And Relapse In Women, Jamie Lynne Wong
Walden Dissertations and Doctoral Studies
Prescription pain medication abuse is a developing social problem in the United States. This quantitative study, grounded in attachment theory, examined relationships between attachment, perceived social support, and relapse. It was hypothesized that significant relationships existed between (a) attachment dimensions and relapse and (b) perceived social support and relapse. A further hypothesis was that perceived social support was a mediator in the relationship between attachment and relapse. Participants were 69 adult females, each of whom completed a demographic questionnaire; the Advanced Warning of Relapse (AWARE) Questionnaire; the Experiences in Close Relationships, Revised (ECR-R); and the Personal Resource Questionnaire (PRQ). A …
Effects Of Classroom Setting And Instructional Practices On Academic Performance, Michele A. Defrancesco
Effects Of Classroom Setting And Instructional Practices On Academic Performance, Michele A. Defrancesco
Walden Dissertations and Doctoral Studies
According to the National Center for Educational Statistics and the National Center for Educational Progress (NAEP, 2011), student with disabilities are not making significant academic gains compared to non-disabled student groups. The purpose of this study was to determine the impact of differentiating instruction specifically pre-teaching and re-teaching and whether or not a student has a disability with academic performance on the Maryland State Assessment (MSA) for eighth grade reading across 17 middle schools in Anne Arundel County. The theories of cognitive social learning, cognitive neuroscience and brain based learning grounded the quantitative quasi-experimental research using an ex post facto …
Underserved Patients' Perspectives On How The Ehr Impacts Their Health, Marie Mirna Lexima
Underserved Patients' Perspectives On How The Ehr Impacts Their Health, Marie Mirna Lexima
Walden Dissertations and Doctoral Studies
Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved. A quantitative non-experimental design study was conducted over a 6-week period …
Spheres Of Influence: Understanding African American Males' Perceptions And Attitudes Toward Infant Feeding Practices, Makeva M. Rhoden
Spheres Of Influence: Understanding African American Males' Perceptions And Attitudes Toward Infant Feeding Practices, Makeva M. Rhoden
Walden Dissertations and Doctoral Studies
Although U.S. breastfeeding rates have steadily increased since 2000, there continues to be a disparity in breastfeeding rates for African American (AA) women compared to their non-Hispanic White counterparts. A male partner's perception, specifically his positive attitude toward breastfeeding, may influence breastfeeding initiation and duration rates. This study was an exploration of AA male perceptions and attitudes toward breastfeeding and what effect masculinity ideology (gender norms) has on such attitudes. The socio-ecological model (SEM) was used as the theoretical framework to examine the various environmental levels that intersect with one another to influence these attitudes. A mixed methods study design, …
The Cost Of Workplace Bullying In Irish Universities, Patrick Pearse Rockett
The Cost Of Workplace Bullying In Irish Universities, Patrick Pearse Rockett
Walden Dissertations and Doctoral Studies
Employees who demean and degrade coworkers cost organizations billions of dollars every year. Workplace bullying is a business problem that affects up to 15% of employees, and little empirical research is available to establish the extent of bullying in academia. Bullies flourish in decentralized structures, and universities can be particularly susceptible to bullying behavior because of their decentralized structures of teaching and research that promote the growth of microclimates in segregated silos, from laboratories to small departments. The purpose of this multiple-case, census sample study was to explore the cost-reduction strategies that university human resource (HR) leaders use to manage …
Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong
Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong
Walden Dissertations and Doctoral Studies
The demand for poultry science graduates to fill available positions in the poultry industry continues to increase. At the same time, there are not enough graduates to fill the positions. The purpose of this study was to investigate the implementation of the poultry curriculum in the 4-H program and student recruitment through the 4-H program into the Poultry Science Department. The targeted populations were 4-H leaders who implement the poultry curriculum and university students who were currently studying poultry. Career development theories suggest that previous experiences during adolescence can be a major influence in future vocation choice. A mixed methods …
Determinants Of Hiv Stigma Among Healthcare Workers In Ghana, Catherine Gyamfua Dawson-Amoah
Determinants Of Hiv Stigma Among Healthcare Workers In Ghana, Catherine Gyamfua Dawson-Amoah
Walden Dissertations and Doctoral Studies
HIV-related stigma and discrimination is a complex concept that affects HIV reduction interventions. HIV-related stigma occurs among healthcare providers resulting in reduction of quality of care of people living with HIV. Social psychological research into stigma reduction has led to the development of many stigma reduction interventions, but has not resolved the underlying problem. This study was designed to identify predictors of stigmatizing behavior among healthcare workers in Ghana using the social cognitive theory (SCT) for use in developing an evidence-based intervention. The study used a cross-sectional research design incorporating a preexisting survey, Measuring HIV Stigma and Discrimination Among Health …
Differentiating Demographic Factors In Latino Patients With Type 2 Diabetes, Carol Lynne Manning
Differentiating Demographic Factors In Latino Patients With Type 2 Diabetes, Carol Lynne Manning
Walden Dissertations and Doctoral Studies
The American Diabetes Association (ADA) data suggest that Latinos share a greater burden of disease than do non-Latino Whites with type 2 diabetes. As a result of poor glycemic control, Latinos also suffer consequences such as blindness, kidney disease, and limb amputation more often than do other ethnic groups. The purpose of this study was to compare demographic factors of Latinos with well-controlled type 2 diabetes, as measured by a HgbA1c of 7 or less (n = 118) to Latinos not well controlled (n = 105). This cross sectional study used a secondary data set with a sample selected from …
Albumin Levels In Hispanic Dialysis Patients With And Without Type Ii Diabetes, Hector Hernandez
Albumin Levels In Hispanic Dialysis Patients With And Without Type Ii Diabetes, Hector Hernandez
Walden Dissertations and Doctoral Studies
Albumin provides the vital scaffolding for growth and tissue repair and supports oncotic blood pressure and hemodynamics. In hemodialysis patients, albumin aids with fluid removal by drawing excess fluid from edematous tissues back into the blood where it can then be removed by a dialyzer. The hyperglycemia seen in dialysis patients with Type II diabetes progressively damages kidney glomeruli, which permits albumin seepage into the urine, thus lowering serum albumin. The conceptual framework underpinning this research is the van't Hoff theory of osmotic pressure. Under this framework, the solute-solvent relationship largely contributes to the osmotic movement of fluid. The purpose …
Quality-Of-Life Indicators For African American And European American Long-Term Survivors Of Early-Stage Breast Cancer, Cher De Rossiter
Quality-Of-Life Indicators For African American And European American Long-Term Survivors Of Early-Stage Breast Cancer, Cher De Rossiter
Walden Dissertations and Doctoral Studies
This meta-analysis investigated the difference in perceptions of health-related quality of life (HRQOL) among long-term early-stage breast cancer survivors (BCS). The comparison was between African American and European American women. Initial pilot searches suggested that enough studies existed for a meaningful meta-analysis of a BCS population at least 5 years post diagnosis. Only studies using the outcome measure HRQOL were included in the study; this yielded an initial sample of 212 study reports, with 56 reports entering the coding phase of the process. African American women were grossly underrepresented in this set of studies in comparison to the overall breast …
Human Factors Analysis And Classification System Interrater Reliability For Biopharmaceutical Manufacturing Investigations, Roberto Cintron
Human Factors Analysis And Classification System Interrater Reliability For Biopharmaceutical Manufacturing Investigations, Roberto Cintron
Walden Dissertations and Doctoral Studies
Human errors are an expected result of operations performed by individuals and frequently lead to accidents and other catastrophic events. The problem is that the current process used to investigate and mitigate human errors in the biopharmaceutical manufacturing industries is not effective, as it does not include the effects of human factors found to be effective in aviation and nuclear power organizations. The human factors and classification system (HFACS) was created for the investigations of accidents using the Swiss cheese model of accident causation as a theoretical framework. The purpose of this quantitative, inter-rater reliability study was to demonstrate the …
Diabetes Among Hispanic Immigrants: The Impact Of Age At Migration, Nancy Hahn
Diabetes Among Hispanic Immigrants: The Impact Of Age At Migration, Nancy Hahn
Walden Dissertations and Doctoral Studies
Diabetes is a disease that affects the Hispanic population in disproportionate numbers. With larger numbers of immigrants coming to the United States who are of Hispanic origin, the individual risk and health burden of this disease will have a major impact on the quality of life and the health care system. Research into the influence of the timing of changes in lifestyle suggested an association between specific levels of socioecological exposures and certain health conditions. This study examined that possibility. The use of the National Health Interview Survey, 2005-2011, provided adequate data for examining whether age at migration was associated …
Secondary Principals Who Are Mothers: Balancing Home And Career, Turina Parker
Secondary Principals Who Are Mothers: Balancing Home And Career, Turina Parker
Walden Dissertations and Doctoral Studies
Working mothers who are school leaders face challenges as they attempt to manage competing time demands and personal and professional responsibilities. A need exists for existing school leaders, as well as women aspiring to school leadership, to understand the coping strategies used by mothers who are also school principals. To that end, the purpose of this phenomenological study was to examine the experiences of mothers who are school principals. Strategies used to navigate multiple roles were examined through a role conflict lens. Three overarching research questions guided this study to focus on how female principals with children accommodate their dual …
Predictors Of Full Childhood Immunization Status In Owerri, Nigeria, Osuala Uzor Kelvin
Predictors Of Full Childhood Immunization Status In Owerri, Nigeria, Osuala Uzor Kelvin
Walden Dissertations and Doctoral Studies
Full (complete) childhood immunization against tuberculosis, poliomyelitis, diphtheria, tetanus, hepatitis B, yellow fever, measles, and the maternal retention of immunization documentation are the most cost-effective interventions against vaccine-preventable childhood diseases. The full childhood immunization rate in Nigeria has not reached the expected target level of compliance at 90%. Using the social ecological model, this study investigated the influence of maternal satisfaction with postnatal services and paternal support on full childhood immunization status; it also examined the association between maternal factors and the maternal retention of immunization documentation in Owerri, Nigeria. The hypotheses were that maternal satisfaction with postnatal services and …
Information Operations Under International Law: A Delphi Study Into The Legal Standing Of Cyber Warfare, Kenneth Gualtier
Information Operations Under International Law: A Delphi Study Into The Legal Standing Of Cyber Warfare, Kenneth Gualtier
Walden Dissertations and Doctoral Studies
The ever-growing interconnectivity of industry and infrastructure through cyberspace has increased their vulnerability to cyber attack. The lack of any formal codification of cyber warfare has led to the development of contradictory state practices and disagreement as to the legal standing of cyber warfare, resulting in an increased risk of damage to property and loss of life. Using the just war theory as a foundation, the research questions asked at the point at which cyber attacks meet the definition of use of force or armed attack under international law and what impediments currently exist in the development of legal limitations …
Mental Health Treatment Adherence And Minority Clients' Perception Of Clinician Cultural Awareness, Patricia Parker
Mental Health Treatment Adherence And Minority Clients' Perception Of Clinician Cultural Awareness, Patricia Parker
Walden Dissertations and Doctoral Studies
Psychological counseling is known to be an effective option for people in need of emotional support. Previous research has shown counseling to be valuable among various age, sex, religious, socioeconomic, and racial groups. Despite its successes, members of certain demographic groups reportedly end supportive psychological therapies early. The purpose of this study was to investigate the experiences of 10 self-identified African American and Hispanic clients who prematurely terminated therapy. A particular focus of this investigation was the clients' perceptions of clinician cultural awareness. This phenomenological study yielded descriptive data in a context sufficient for analysis with the use of broad …
Concept Mapping As A Tool For Enhancing Self-Paced Learning In A Distance Scenario, John Allen Richbourg
Concept Mapping As A Tool For Enhancing Self-Paced Learning In A Distance Scenario, John Allen Richbourg
Walden Dissertations and Doctoral Studies
Researchers have determined that concept maps serve as effective tools in the traditional science classroom. The purpose of this experimental study was to investigate concept mapping as a tool for student knowledge acquisition in 10th grade science for students in distance learning situations. Research questions were designed to investigate the influence of concept mapping on rate and quality of student knowledge acquisition and retention. This study was a pretest-posttest 2-group comparison study, constructivist in nature and based on the theory of cognitive learning. Participants included 36 students in the 10th grade at an inner-city school in the United States. Control …
The Perceptions Of Adults 35 And Older On Online Learning, Hector Alvarez Trujillo
The Perceptions Of Adults 35 And Older On Online Learning, Hector Alvarez Trujillo
Walden Dissertations and Doctoral Studies
This qualitative case study examined the level of satisfaction among a group of adults ages 35 years and older enrolled in an online education program (OLEP) in a university in Puerto Rico. Although the current literature revealed that adult students 35 years and older are the fastest growing population enrolling in online college education programs in Puerto Rico, prior satisfaction studies conducted by this institution did not focus on this population. The theoretical framework of this study was guided by Holsapple and Lee's Post e-learning success model. The goal of this study was to understand students' satisfaction with the online …
Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson
Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson
Walden Dissertations and Doctoral Studies
The effectiveness of treatments for degenerative spine conditions, where the primary symptom is back pain, is typically determined using patient-reported quality of life (QoL) measures. However, patients may adjust their internal standards when scoring QoL based on factors other than their health. This response shift phenomenon could confound the interpretation of study data and impact effectiveness conclusions. In the current study, response shift was examined using structural equation modeling (SEM) and previously collected clinical trial data comparing 2 minimally invasive medical devices in lumbar spinal stenosis patients through 1 year postintervention. In subject QoL results, reprioritization shift between 3 months …
Interactions Between Patterns Of Gamer Behaviors And Time-On-Task For Mathematics Remediation In A Game-Based Hive, Marvin Gene Fuller
Interactions Between Patterns Of Gamer Behaviors And Time-On-Task For Mathematics Remediation In A Game-Based Hive, Marvin Gene Fuller
Walden Dissertations and Doctoral Studies
As the presence of digital game-based learning increases in United States classrooms, understanding their impact on achievement is critical. Digital games for learning offer many potential benefits, including reducing the number of students trapped in a remediation cycle, a contributor to college dropout. Despite the recognized potential of game-based learning, few researchers have explored the relationships between specific patterns of behaviors and types of digital game-based learning environments. The underlying theory for this study was patterns of gamer behaviors may predict in-game behaviors. Archival, third-party data regarding The Lost Function - Episode 1: Sum of the Forgotten Minds by Advanced …
The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick
The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick
Walden Dissertations and Doctoral Studies
Bullying has become a widespread social issue. Previous research has focused on both genders and various grade levels; it has shown that programs reduce bullying and improve social climates and attitudes toward academics. The effect of these programs, specifically on female youth, has not been studied. This study addressed the effect of bullying prevention programs on perceptions of bullying among female youth in Grades 5-7 in 2 schools in rural eastern Pennsylvania. One school utilized a prevention program while the other did not. Teachers and administrators were also interviewed to gain insight regarding their perceived effectiveness of the program. The …