Digital Commons Network^™

Exploring The Risk Factors That Influence The Parental Dental Deferment Decision, Megan White

Walden Dissertations and Doctoral Studies

When caregivers defer their personal routine dental care (RDC) in order to provide RDC for their children, they risk detrimental consequences in their personal health and the health of their children. The purpose of this qualitative case study was to identify the risk factors that led to the parental dental deferment decision. The oral health and personal care services conceptual models guided the development of the research questions, facilitated the selection of risk factors on the decision-making process, and provided the basis for the data analysis thematic categories. Ten caregivers who made the decision to defer their personal RDC for …

Uric Acid Level Is Associated With Postprandial Lipemic Response To A High Saturated Fat Meal, Roy Gail Cutler

Walden Dissertations and Doctoral Studies

Hyperlipidemia caused by a diet high in saturated fat can lead to visceral fat weight gain, obesity, and metabolic syndrome. Being over-weight from visceral fat has been linked to increased risk of developing most age-related diseases and disability, along with a lower income potential and quality of life. However, researchers are just beginning to understand the biological mechanisms that regulate the conversion of excess calories into visceral fat storage rather than glycogen or muscle. Epidemiological studies have repeatedly shown a comorbid association between age-related diseases involving hyperlipemia and circulating levels of uric acid, but not a direct association. This study …

Influences Of Csi Effect, Daubert Ruling, And Nas Report On Forensic Science Practices, Timothy Patrick Scanlan

Walden Dissertations and Doctoral Studies

The media exaggerates the capabilities of crime laboratories while it publicizes the wrongdoings of individual forensic scientists. Such portrayals skew the perspectives of jurors and hinder expert witness testimony. Complicating the problem are separate, but related, phenomena that influence how forensic laboratories conduct casework. These phenomena are Cole and Dioso-Villa's conceptualization of the unrealistic expectations of forensic science created by fictional television, known as the CSI Effect; the Daubert ruling on the admissibility of expert testimony; and some federal policy changes as a result of a National Academy of Sciences (NAS) report that impacted requirements for the daily operation of …

Transformational Strategic Choice: The Generational Succession Effect On Small Businesses, Eric D. Williams

Walden Dissertations and Doctoral Studies

Changing workforce demographics, combined with a gap in knowledge and skills between older and younger generations, threatens small business viability. The presence of four generations in the workforce, where 1 in 5 employees are 55 years and older, presents an unprecedented challenge for small business leaders planning for succession with a multigenerational workforce. The purpose of this case study was to explore the effect of Baby Boomers' presence on small business leaders' ability to retain and transfer knowledge to successive generations. Using snowball and purposeful sampling techniques, 36 small business leaders in the Washington, DC, metropolitan area participated. The conceptual …

Employee Conduct When Administering Government Contracts In The Defense Logistics Agency, Sandra Genevieve Haynes-Michaels

Walden Dissertations and Doctoral Studies

The Office of the Inspector General in the Department of Justice reported cases of government contracting employees accepting bribes totaling over $540 million within a 6-year period. The purpose of this case study was to explore the perceptions of government contracting managers regarding the knowledge needed to mitigate employees' unethical behaviors when administering government contracts. Previous studies on government contracting employees' unethical behaviors focused on employees' behaviors, but lacked data concerning managers' roles in mitigating employees' unethical behaviors. The study's conceptual framework was stakeholder theory. The data were gathered through semistructured interviews conducted with 21 government contracting managers in the …

Evaluation Of The System Attributes Of Timeliness And Completeness Of The West Virginia Electronic Disease Surveillance System' Nationaledss Based System, Rebecca Lee Fahey

Walden Dissertations and Doctoral Studies

Despite technological advances in public health informatics, the evaluation of infectious

disease surveillance systems data remains incomplete. In this study, a thorough

evaluation was performed of the West Virginia Electronic Disease Surveillance System

(WVEDSS, 2007-2010) and the West Virginia Electronic Disease Surveillance System NationalEDSS -Based System (WVEDSS-NBS; March 2012 - March 2014) for Category II infectious diseases in West Virginia. The purpose was to identify key areas in the surveillance system process from disease diagnosis to disease prevention that need improvement. Grounded in the diffusion of innovation theory, a quasi-experimental, interrupted, time-series design was used to evaluate the 2 data …

The Role Of Nursing Practice In Promoting Sleep During Brain Injury Rehabilitation, Jill Massengale

Walden Dissertations and Doctoral Studies

During hospitalization, sleep can be interrupted or even elusive. It has been established that quality sleep is essential in neural repair. Previous research has indicated that many nurses are unaware of the impact of sleep disturbance on brain injury recovery and do not understand how to promote sleep in the neurorehabilitation setting. The purpose of this project was to determine whether educational intervention would influence nurses' knowledge and attitudes toward sleep. Benner's (2001) novice to expert theory provided a framework for the project. With the collaboration of a neuropsychologist, this study produced a sleep knowledge and attitudes instrument. Pulmonary sleep …

Middle School Teachers' Perceptions Of Incorporating Alternative Assessments To Accommodate Students, Terra Wright

Walden Dissertations and Doctoral Studies

A suburban middle school located in the southeastern United States included differentiated instruction and technology in all aspects of the curriculum. Teachers at this school received professional development on differentiated strategies; however, many teachers did not apply the strategies to assessments and continued to use traditional assessments despite the poor performance of their students on class evaluations. This qualitative case study, rooted in constructivist theories, examined middle school teachers' perceptions and use of alternative assessments. All 6th Language Arts teachers were selectively invited to participate in my study because they teach a core 6th grade subject, four teachers responded and …

Effect Of Neighborhood Features On Bmi Of African American Adolescents In South Los Angeles, Francisca Omelogo Obiora

Walden Dissertations and Doctoral Studies

Childhood obesity is a major national and worldwide public health crisis. The occurrence of childhood obesity, caused to large extent by an imbalance between caloric intake and caloric expenditure, has increased in the last 30 years. Although the prevalence of obesity has stabilized in recent years, it remains a top public health concern in the United States, especially in urban centers. The purpose of this study was to examine the associations between diet, physical activity, and the built environment in relation to the mean body mass index (BMI) of adolescents aged 12 to 17 years living in South Los Angeles, …

Elementary School Teachers' Perceptions Of The Process Of Integrating Technology, Diana June Thompson

Walden Dissertations and Doctoral Studies

Administrators in a rural K-5 school district provided leadership, technical assistance, and technology resources to increase teachers' use of technology to improve student achievement. Despite these efforts, teachers incorporated technology on a limited basis and some teachers reported they were unprepared to integrate technology. The purpose of this qualitative bounded case study was to examine teaching practices and teachers' perceptions of technology integration in their daily lessons. The conceptual framework for this study included technology integration and constructivism, a theory based on observation and scientific study about how people learn. A purposeful sample of 10 K-5 teachers who integrated technology …

The Role Of Information Technology Organizational Design In Firms' Ability To Innovate, Hassan S. Halimi

Walden Dissertations and Doctoral Studies

Information technology (IT) organizations have become an integral part of many firms, with increasing strategic significance. Consequently, investments in IT represent a significant percentage of a firm's expenditure. Despite the investment, the business value of IT has been difficult to quantify, creating uncertainty about a firm's investments in IT innovation. The purpose of this nonexperimental study was to examine relationships between a firm's innovativeness and 3 IT organizational design factors: knowledge creation, dynamic capabilities, and communication structures. The research questions addressed the relationships between a firm's ability to innovate and specific design elements of the IT organization. The study was …

Political Leadership And Management Of Civic Services In A Downturn Economy, Patrick Charles Williams

Walden Dissertations and Doctoral Studies

Municipal leaders in the United States face difficult decisions when prioritizing nonmandated civic projects for funding, especially when operating budgets are restricted. This phenomenological study investigated municipal leaders' decision-making processes in a state in the southern United States, using a conceptual framework based on rational choice theory, bounded rationality, and group decision-making theory. It specifically explored personal and organizational decision-making processes related to the prioritization and funding of nonmandated civic projects via in-depth interviews with a convenience sample of 15 municipal leaders. Thematic analysis identified expert opinions, the time and cost to complete a project, the perceived value relative to …

Examining Behavioral Reactivity And Cognitive Differences Within The Chc Theory Of Intelligence Among Children., Steven Matthew Jozwiak

Walden Dissertations and Doctoral Studies

Linking cognition and behavior has long been an area of interest to the field of psychology in its endeavors to understand what innate factors influence human behavior. To date, the majority of research linking emotional reactivity to cognition has focused on single areas of intellectual functioning on specific diagnostic profiles or learning disorders rather than a comprehensive comparison to cognitive profile typology. Nearly all the research conducted to date continues to define cognition and emotion as disparate entities, rather than exploring a more integrated view of emotion and cognition. The purpose of this quantitative study was to examine cognitive profile …

Cultural Backgrounds Influencing Virtual Team Performance, Vyacheslav Semenovich Lerner

Walden Dissertations and Doctoral Studies

Virtual teams improve organizational performance and competitiveness because they reduce business travel and allow team members to work from anywhere, anytime, using the Internet to complete projects. Although researchers have identified benefits of using virtual teams, knowledge about how cultural backgrounds influence virtual team performance is limited. Illuminating this relationship may help leadership improve team performance. The purpose of this phenomenological study was to explore the lived experiences of team members with different cultural backgrounds to understand their effect on team performance. The research questions were based on the conceptual framework of organizational cultural theories developed by Schein and Trompenaars …

Nursing Staff Participation In Chart Audits Increases Documentation Compliance, Susan Elaine Nelson

Walden Dissertations and Doctoral Studies

Clinical documentation is an essential quality element that is often not adequately completed. Current data demonstrate that 32% of home health claims do not meet the requirements for federal reimbursement. Rogers's diffusion of innovation was used as a conceptual framework to guide this quality improvement project which determined whether home health nurses with education and chart audit experience demonstrate increased documentation compliance relative to nurses with education only. After completing a 1-hour education program on documentation, a convenience sample of home health nurses (n = 8) was divided between a chart-audit group (n = 4) and a no-chart-audit group (n …

Self Efficacy Of African American Women In Leadership Roles, Varil Deloise Williams

Walden Dissertations and Doctoral Studies

Little research has focused on developing female African American leaders. A mixed methods study examined the influence of conservation of resources (COR) and locus of control (LOC) on the self-efficacy (SE) of 26 female African American leaders. It also explored the role of mentoring and spirituality in leadership development for a subset of 5 participants. Data were obtained using a demographic questionnaire, the General SE Scale, the COR Evaluation Gain scale, and the LOC Assessment, along with transcribed responses to mentoring and spirituality interview questions. Pearson correlations run between age, education, and income, as well as COR, LOC, and SE …

Successful Informal Partnerships Between Nonprofit Organizations And Local Governments In A Metropolitan Area, Scott Pozil

Walden Dissertations and Doctoral Studies

Informal or non-contractual partnerships between nonprofit organizations (NPOs) and government entities are becoming more common in America, opening up new possibilities for NPOs to function as equal partners in the decision-making process and implementation of community services. The problem concerns the challenges that NPOs face in achieving equal partner status with their local government counterpart, a problem which has received limited attention in research. The purpose of this study was to explore the dynamics behind successful informal partnerships between NPOs and local governments, translating into effective and efficient service delivery. The theoretical framework was based on Davis's stewardship theory and …

The Relationship Between Self-Efficacy And Employee Commitment Among Perfusionists, Gilbert F. Garcia

Walden Dissertations and Doctoral Studies

Certified clinical perfusionists (CCPs) operate a variety of complex, invasive devices to provide heart-lung support. Job-related stress has been identified as having unfavorable influences on self-efficacy and commitment of employees in many domains, but this relationship has not been examined among CCPs. Guided by self-efficacy theory and organizational commitment model, the purpose of this study was to investigate whether a relationship exists between self-efficacy and commitment among CCPs and the extent to which age, gender, workload, experience, or education impacted CCPs' commitment. Data were collected from 264 respondents via 2 established survey instruments: the organizational commitment questionnaire and the work …

Comparing Basic Computer Literacy Self-Assessment Test And Actual Skills Test In Hospital Employees, Jolly Peter Isaac

Walden Dissertations and Doctoral Studies

A new hospital in United Arab Emirates (UAE) plans to adopt health information technology (HIT) and become fully digitalized once operational. The hospital has identified a need to assess basic computer literacy of new employees prior to offering them training on various HIT applications. Lack of research in identifying an accurate assessment method for basic computer literacy among health care professionals led to this explanatory correlational research study, which compared self-assessment scores and a simulated actual computer skills test to find an appropriate tool for assessing computer literacy. The theoretical framework of the study was based on constructivist learning theory …

An Assessment Of Sexually Transmitted Disease Knowledge Among 7th Grade Students, Racquel D. Weaver

Walden Dissertations and Doctoral Studies

Sexually transmitted diseases (STDs) continue to remain a public health concern in the United States, especially among young people. Levels of knowledge with regard to STDs have been investigated in prior research; however, these investigations have been limited primarily to older adolescents and young adults. Grounded in the social cognitive and subjective culture theories, this quantitative, cross-sectional study assessed STD knowledge (other than HIV/AIDS) among 7th grade students attending a public middle school in the United States. Demographic differences (age, gender, and ethnicity) in STD knowledge were examined to determine if these demographic variables predict STD knowledge scores and if …

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

Walden Dissertations and Doctoral Studies

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

Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu

Walden Dissertations and Doctoral Studies

In 2014, the Center for Disease Control and Prevention reported that the incidence of autism had reached a prevalence rate of 1 out of every 68 children. This increase means that more families have experienced the difficult Autism Spectrum Disorder (ASD) diagnostic process. Although research on parental perspectives of the ASD diagnostic process is almost 2 decades old, to date, there have been no studies conducted in Canada comparing parental experiences between the private and government-funded assessment routes. Research in general has shown that parents are generally dissatisfied with the ASD diagnosis process. The theoretical foundation for this study is …

Port Security: The Terrorist Naval Mine/Underwater Improvised Explosive Device Threat, Peter Von Bleichert

Walden Dissertations and Doctoral Studies

Terrorist naval mines/underwater improvised explosive devices (M/UWIEDs) are a threat to U.S. maritime ports, and could cause economic damage, panic, and mass casualties. The purpose of this case study was to examine this threat and propose reforms that improve port security management. The study aligned with the mission area analysis objective of identifying and assessing potential terrorist threats in order to preempt and prevent attacks. Von Bertalanffy's general systems theory was the framework for research questions, which focused on improvements in port security management to mitigate the threat of terrorist M/UWIEDs. Data collection included a document content analysis of open …

Predictor Variables Of Online Sports Problem Gambling By College Fraternity Members, Matt Stanley

Walden Dissertations and Doctoral Studies

The quantitative study identified predictor variables of online sports problem gambling, as measured by the South Oaks Gambling Screen (SOGS) among fraternity students at major college universities. The data were composed of 125 college fraternity students from ages 18 to 25 years of age. The average SOGS score was 1.776 with a standard deviation of 1.93. A SOGS score of 5 or greater indicates a probable problem gambler. The study used the Blaszczynski and Nower (2002) pathways model to determine how fraternity students could become problem gamblers. A stepwise regression model was run in SPSS using multiple independent variables taken …

Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn

Walden Dissertations and Doctoral Studies

Health literacy is the ability to understand and act on health information and is linked to health outcomes. It is unclear how health literacy skills are developed in patients with complex conditions, such as cardiovascular disease and diabetes. The purpose of this grounded theory study was to gain perspectives of both patients and healthcare professionals on how health literacy skills were developed in patients with cardiovascular disease or diabetes. The research questions addressed how knowledge and skills were acquired, the role of digital tools, instructional strategies used by healthcare professionals, and how the instructional strategies of the healthcare professionals matched …

Exploring Antecedents To Work Engagement And Psychological Well-Being Within A Canadian Provincial Ministry, Kris Ellis

Walden Dissertations and Doctoral Studies

A gap exists in organizational development strategies on why some individuals remain disengaged with their work. This study addressed whether a combination of specific contextual factors could support individuals, teams, and leaders to demonstrate the attitudes and behaviors consistent with work engagement. The theoretical frameworks of social constructivism, the conceptual framework of symbolic interactionism, and a hermeneutic inquiry approach were used to address how individual psychological traits/abilities of employees support work engagement. Nineteen employees of a Canadian provincial government ministry completed an engagement survey, MSCEIT, MBTI, and SDI assessments. They also participated in focus groups. Survey results showed high engagement …

Narrowing The Gap Of Financial Fraud Detection In Corporations, Solomon Aborbie

Walden Dissertations and Doctoral Studies

Business leaders remain exposed to financial and accounting fraud as well as loss of profitability, despite the dictates of the SOX Act of 2002. The most challenging aspect of corporate management is the unexpected nature of an emerging, existing, or an inherent financial risk. Guided by the evolution of fraud theory, this exploratory case study's purpose was to identify and explore the financial management strategies that corporate financial managers need to adequately protect investors. Twenty participants from a population group of corporate auditors of Fortune 1000 corporations within 70 miles of Columbus, Ohio provided input for this study. Data from …

The Effect Of Confirmation Bias On Criminal Investigative Decision Making, Wayne A. Wallace

Walden Dissertations and Doctoral Studies

Confirmation bias occurs when a person believes in or searches for evidence to support his or her favored theory while ignoring or excusing disconfirmatory evidence and is disinclined to change his or her belief once he or she arrives at a conclusion. The purpose of this quantitative study was to examine whether emotionally charged evidence and evidence presentation order could influence an investigator's belief in a suspect's guilt. The study included 166 sworn police officers (basic training recruits, patrol officers, and criminal investigators) who completed online surveys in response to criminal vignettes across different scenarios to record their measure of …

Elementary School Teachers' Levels Of Concern With Disruptive Student Behaviors In The Classroom, Jacquline Mccaskey

Walden Dissertations and Doctoral Studies

Educators are concerned over disruptive student behavior that diverts teacher attention from instruction to student's negative behavior. The disruptive student is frequently removed from the classroom, decreasing negative behavior but resulting in shorter instructional time for the disruptive student. The purpose of this correlational survey study was to identify teachers' (a) levels of concern for specific disruptive behaviors, (b) methods most frequently used for disruptive behavior, and (c) professional needs related to general classroom and behavior management. The study examined the relationship between teachers' levels of concern regarding specific behaviors and the degree of support needed to manage those behaviors. …

Understanding Presidential Voting Motivation By Factors Of Agency, Sharlene Wilson

Walden Dissertations and Doctoral Studies

The President of the United States sets the tone for policy and has significant power in adopting and implementing policy. Despite this acknowledged power, prior studies, have not examined whether or not agency theory is predictive of voting in U.S. presidential elections. Agency theory is important in the scope of voting behavior as it identifies the relationships which support significance in practicing the activity. This correlational study examined the statistical impact of personal agency, social agency, and sociocultural agency on predictive voting behavior. This study used secondary data originally collected between 1956 and 2008 by the American National Election Study …