Digital Commons Network^™

Teachers' And Parents' Perceptions Of Special Education Referral For African American Students, Darlene Smith

Walden Dissertations and Doctoral Studies

Patterns of representation of African Americans in K-12 special education programs vary across the United States. A school district in Arizona has a 13% African American population, yet the African American special education representation is 17%. The purpose of this grounded theory study was to generate an understanding of the processes related to special education referral and assignment of African American elementary students as perceived by 7 teachers and 6 parents in the school district. Inductive analysis including open, axial, and selective coding led to the categorization of three themes: complexity in the referral process, inadequate teacher-parent communication and lack …

Improving The Quality Of Electronic Documentation In Critical Care Nursing, Brent Alan Stevens

Walden Dissertations and Doctoral Studies

Electronic nursing documentation systems can facilitate complete, accurate, timely documentation practices, but without effective policies and procedures in place, a gap in practice exists and quality of care may be impacted. This systematic review of literature examined current evidence regarding electronic nursing documentation quality. General systems theory and the Donabedian model of health care quality provided the framework for the project. Electronic databases PubMed and the Cumulative Index of Nursing and Allied Health were searched for articles addressing electronic nursing documentation practices. The Cochrane systematic review methodology was used to analyze the articles. Articles were excluded if published before 2001 …

An Exploratory Study On The Improvement Of The Army Rapid Acquisition Process, Jason F. Tate

Walden Dissertations and Doctoral Studies

Since 2001, the Army has spent billions of dollars to develop, test, and procure equipment through the Army Rapid Acquisition Process (ARAP), a process at times used in place of the traditional Army Acquisition Process (AAP) when immediacy and customization are a priority. The ARAP was implemented to increase efficiency in delivering adequate equipment to soldiers. The ARAP has been criticized in the literature for its lack of efficiency and effectiveness in the field. The purpose of this qualitative exploratory case study was to examine ARAP deficiencies through the lens of a broad cross-section of Army acquisition functional area professionals. …

The Effectiveness Of Funding Sources On Agricultural Projects In Yobe State, Nigeria, Umaru Galadima Tela

Walden Dissertations and Doctoral Studies

This study examined the effectiveness of the Fadama III, National Program for Food Security and International Fund for Agricultural Development programs in reducing poverty and income inequality in Yobe State, Nigeria. Agricultural funding in the state has increased by 670.7% between 2004 and 2013. Despite this trajectory, the state ranks among the worst in Nigeria in terms of poverty and income inequality according to UNDP report, reinforcing the need to investigate the impact of agricultural funding on the state's welfare. Previous studies in this area have been on a country-wide basis and have not disaggregated the funding sources. This study …

The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski

Walden Dissertations and Doctoral Studies

The power of abuse, either in childhood or in adulthood, is clear in many cases. Yet certain types of abuse are harder to detect and understand. Emotional invalidation is one type of abuse that is characterized by an incongruence or minimization of another person's emotions. This experimental study explored effects of emotional invalidation and emotional validation on people's level of emotional self-efficacy. Participants (n = 230) were recruited through Quest Mindshare using a survey created through SurveyMonkey, and randomly placed into 3 groups. All participants were given a survey that asked them to choose how certain pictures made them feel. …

Measuring Determinants Of Oral Health Behaviors In Parents Of Low-Income Preschool Children, Josefine Ortiz Wolfe

Walden Dissertations and Doctoral Studies

Dental decay is a preventable disease, but it remains the most unmet healthcare need of American children. Untreated dental decay has adverse and long-lasting effects on a child's quality of life. Healthy oral habits among preschool children are essential for a healthy permanent dentition and are achieved primarily by 3 oral health related behaviors: proper dental hygiene, a healthy noncariogenic diet, and regular dental visits. This quantitative study, based on the theory of planned behavior, explored the relationship between these 3 oral health behaviors and 4 determinants: attitude, subjective norms, perceived behavioral control, and intention, using a 71-item questionnaire. The …

Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri

Walden Dissertations and Doctoral Studies

Maternal mortality, an example of poor maternal health outcomes, is widely accepted as an indicator of the overall health of a population. One of the Millennium Development Goals was reduction in maternal mortality by 3 quarters by 2015. These goals were not met in Nigeria and it is important to look at some of the reasons why. Education has been shown to have positive impact on pregnancy outcomes; however, the characteristics of pregnant women, their health literacy level, their usage of antenatal care services and how these impact pregnancy outcomes are yet to be analyzed in Lagos, Nigeria. Guided by …

Organizational Complexity And Hospitals' Adoption Of Electronic Medical Records For Closed-Loop Medication Therapy Management, Ebenezer Siaw Adu

Walden Dissertations and Doctoral Studies

Over 700,000 adverse drug events (ADEs) result in emergency hospital visits annually, and many of these ADEs are preventable through the use of health information technology in hospitals. However, only 12.6% of U.S. hospitals have developed the capacity to adopt closed-loop electronic medical records (EMR). Organizational complexity may be a major factor influencing hospitals' adoption of closed-loop EMR. This quantitative study explored how organizational complexity influenced hospitals' adoption of closed-loop EMR. Diffusion of innovation theory was the foundation for this study. Logistic regression was used to establish possible relationships between organizational complexity and hospitals' adoption of EMR for closed-loop medication …

Multiple Role Conflict And Coping Strategies Of Men In The Aerospace Industry, Lynette Bowden

Walden Dissertations and Doctoral Studies

Work-life balance is a dilemma for both men and women. However, the perspective of men on this issue has not been previous addressed. Work intensification and societal pressures cause men to work longer, harder, and cope with the stressors of multiple role conflicts and work-life imbalance. The purpose of this phenomenological study was to explore men's lived experience in managing multiple roles regarding work-life conflicts, and identify coping strategies they used to achieve a work-life balance. The research questions were related to the lived experiences, perceived causes, and coping strategies of work-life imbalance for men in the aerospace industry. The …

Exploring The Performance Of The Financial Service Cooperative Industry In Grenada, Rachael Annette Brown

Walden Dissertations and Doctoral Studies

The 2008 financial crisis impacted the Caribbean financial sector with declining liquidity and profitability, and return on assets falling to 0.7% from 2.6%. The purpose of this single case study was to explore strategies that credit union executives in Grenada used to consistently maintain profitability. The targeted study population consisted of four credit union executives responsible for operations, administration, and regulations in the financial service cooperative industry in Grenada. The social influence of power theory was the conceptual framework that grounded this study. The data collection process included semistructured interviews and document (annual reports and cooperative society laws) review. Data …

Project Risk Management Strategies For It Project Managers, John Stephen Cabral

Walden Dissertations and Doctoral Studies

Utilizing information technology (IT) to enable new organizational capabilities to achieve near-term objectives and long-term sustainability is a top priority for many business leaders seeking to maintain or increase market share. However, organizational leaders face significant challenges to their strategy execution because the percentage of challenged IT projects has remained relatively static for decades. The purpose of this qualitative case study was to explore risk management strategies used by 7 purposely selected IT project managers (PMs) from a pharmaceutical company located in the northeastern United States who have effectively managed IT project performance by using risk management strategies, leading to …

Effect Of Summer Bridge Programming On Students' Performance On The Texas Success Initiative Assessment, Consuela Michelle Cooper

Walden Dissertations and Doctoral Studies

Summer bridge programs (SBPs) have been used as a means of increasing students' college readiness and academic skills. University Southeast implemented a SBP in 2013 for students placing into developmental courses on the Texas Success Initiative Assessment (TSIA). However, researchers have found mixed results when evaluating the effectiveness of SBPs, and at University Southeast, it has not been investigated. The purpose of this quantitative study was to examine the difference in TSIA score gains between first-time-in-college students with developmental-level test scores who attended a three-week SBP and those who did not. Tinto's longitudinal model of student departure guided the study …

Strategies That Logistics Leaders Use For Achieving Successful Process Improvement, Henry Childs Childs

Walden Dissertations and Doctoral Studies

The successful implementation of process improvement (PI) could reduce operating costs of the Department of Defense, which could lessen the impact of budget reductions and the mounting costs of the expanding global mission requirements. Organizations fail to achieve the return on investment for PI and expected savings because of leaders' inabilities and experiences in integrating critical success factors into PI to improve processes. The purpose of this single case study was to explore the strategies that logistics leaders use to implement PI in the military aviation industry. Six purposively selected group and squadron civilian leaders with over 10 years of …

Barriers Cardiac Nurses Face In Addressing Psychosocial Issues Of Heart Failure Patients, Debra Kay Disbrow

Walden Dissertations and Doctoral Studies

Heart failure is a chronic disease and a common cause of hospitalizations and readmissions within 30-days of discharge. To decrease the cost of care for patients with heart failure, the Centers for Medicare and Medicaid Services initiated the Readmissions Reduction Program that reduces payment to hospitals with preventable readmissions. Among the causes for readmissions of patients with heart failure are concurrent behavioral health issues that can lead to decreased medication compliance and increased risk for disease progression. The prevalence of comorbid depression is as high as 77% among patients with heart failure and may be an important factor in readmissions. …

Information Technology Training To Promote Collaboration Among Multiple Generations, Gregg Foster

Walden Dissertations and Doctoral Studies

The decision to implement information technology (IT) initiatives to enhance collaboration among veterans, baby boomers, Generation X, Generation Y, and Fifth Generation employees continues to challenge organizational leaders. The purpose of this nonexperimental study was to identify how the implementation of information technology initiatives, coupled with the knowledge of learning styles, might enhance collaboration among generational cohort employees. The generational cohort theory, Maslow's hierarchy of needs theory, and the technology acceptance model were the theoretical frameworks used to develop an understanding of the relationships among the cohorts and the acceptance of technology to enhance collaboration. Data were collected from a …

Registered Nurse Job Satisfaction And Nursing Leadership, Maria Candida Libano

Walden Dissertations and Doctoral Studies

Job dissatisfaction among nurses may contribute to disengagement and withdrawal from the profession. The degree of leadership support in the workplace influences job satisfaction, and when nurses are satisfied with their job, they provide better patient care. Guided by the social cognitive theory, which asserts a relationship between behavior change and one's surroundings, this quantitative, exploratory project sought to determine the type of nursing leadership practiced in the facility where the project took place, whether nurses were satisfied with their job, and if patients were satisfied with their care. Participants in the project included 55 registered nurses and 5 nurse …

Five Factor Personality Traits In Schizophrenics With A History Of Violent Behavior, Ashley Lust

Walden Dissertations and Doctoral Studies

The diagnosis of schizophrenia has been associated with increased risk of violence and aggression. However, the extent of this association in relation to displayed personality traits among individuals diagnosed with schizophrenia have not been fully investigated. The lack of research has resulted in an inability to determine why only some individuals with schizophrenia display violent tendencies when others do not. Guided by Costa and McCrae's five-factor model of personality and Eysenck's theory of personality and crime, the purpose of this study was to investigate the relationship between the five personality traits and the display of violence among individuals with schizophrenia, …

Understanding The Importance Of Culturally Appropriate Patient-Provider Communication In Diabetes Self-Management, Anita Mwalui

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention, 29.1 million people in the United States have diabetes. Among those 29.1 million people, 21 million have been diagnosed, but 8.1 million have not. Changing demographics in the United States and the prevalence of diabetes are projected to be burdens on the health care system through 2050. Guided by the social cognitive theory, the purpose of this qualitative case study was to understand the importance of culturally appropriate patient-provider communication to the self-management of Type 2 diabetes by patients who are African immigrants. Culturally based health care has unique challenges when …

Environmental Relocation Policy As Experienced By One Eastern Missouri Dioxin-Contaminated Community, Susan Annette Olsen

Walden Dissertations and Doctoral Studies

Research on environmental relocation is scant and narrow, focusing on a few aspects of permanent relocation and social impacts of natural disasters. As a result, little is known about the long term social impacts of the Environmental Protection Agency's (EPA) environmental relocation policy. A combined conceptual and theoretical framework of Walter's placeways; Ullberg's disaster memoryscapes; Richardson's remembrance and memorialization; Dynes' social capital; and, Norris, Stevens, Pfefferbaum, Wyche, and Pfefferbaum's work on community resilience guided this phenomenological study with the purpose of better understanding competing and complementary roles of each of these constructs in the context of environmental relocation of one …

Elementary School Social Workers' Perspectives On The Development Of Resilience In Early Childhood, Dan Podraza

Walden Dissertations and Doctoral Studies

Researchers have stressed the importance of addressing the social/emotional needs of early childhood (EC) children, including the development of resilience; however, some U.S. school personnel focus more on academics than on these needs. When young children possess these skills, they can handle social/emotional challenges later in life. The purpose of this qualitative bounded case study was to explore school social workers' (SWs) perspectives about resilience in EC settings. Research questions focused on knowledge of existing programs, participants' perceptions of the successes and challenges of working with EC students, and their recommendations to improve EC students' education. Bronfenbrenner's ecological systems theory …

Differentiation Of Self As A Predictor Of Vicarious Trauma In Mental Health Professionals, Denise Purvis

Walden Dissertations and Doctoral Studies

Mental health professionals in all settings work with clients who are affected by trauma. Traumatic events expose mental health professionals to the negative psychological and emotional impact of witnessing and listening to client stories. Vicarious trauma is the emotional consequence of this empathic engagement with clients. The purpose of this correlational study was to identify predictors of vicarious trauma in mental health professionals that had not been studied before. The theoretical framework guiding the study was the Bowen family systems theory and the construct of differentiation of self. A regression analysis was conducted with a purposive sample of 83 licensed …

Introduction Of Evidence-Based Practice To Acute Stroke Center Nursing In Jakarta, Indonesia, Tonya Sue Stagner

Walden Dissertations and Doctoral Studies

Evidence-based practice (EBP) is a relatively new concept for nurses in Indonesia; it has not

been integrated into nursing care. This project sought to introduce EBP to nurses at an acute stroke center (ASC). The knowledge transfer team approach guided the project. The goal was to identify and analyze current data and to develop an EBP guideline for clinical nursing practice in the ASC. Sources of evidence that was used to address the practice-focused question included project team members, organizational documents, and a database search to identify EBP guidelines for the nursing care of acute stroke patients. A database search …

Influence Of Psychological Needs And Gaming Motivation On Well-Being Of Adult Gamers, Rene Sterling

Walden Dissertations and Doctoral Studies

Adult online gaming is a fast-growing global entertainment industry, and many gamers spend more time playing games and less time engaging in work or other activities, which negatively affects their lives and relationships. This quantitative study addressed how psychological needs and gaming motivation predicted gaming behavior, life satisfaction, and relationship satisfaction using a mediational model. The theoretical foundation was self-determination theory, which addresses how personal choices are influenced by internal factors, especially psychological needs and motivation. An online survey was used to collect self-reported data from a convenience sample of 935 adult gaming participants using the Basic Needs Satisfaction in …

Roles Of Community Pharmacists In Improving Oral Health Awareness In Plateau State, Northern Nigeria, Olaniyi O. Taiwo

Walden Dissertations and Doctoral Studies

There is poor oral health awareness in Nigeria. This is mainly attributed to limited access to correct information on oral health as well as a lack of oral health care providers. The impact of the poor oral health awareness is worse in Northern Nigeria due to the uneven distribution of oral health care workers and training facilities. The purpose of this cross-sectional study was to describe the roles of community pharmacists (CPs) in Plateau State, Nigeria as sources of oral health information. Theoretical framework for this study was the theory of planned behavior (TPB). Background knowledge and practices of oral …

A Comparative Study Of Elementary Mathematics Specialists And Mathematics Coaches On Fourth Grade Students' Mathematics Achievement, Tiffany D. Tynes Curry

Walden Dissertations and Doctoral Studies

Federal dollars are utilized to develop instructional programs for students not demonstrating mathematical proficiency on state standardized mathematics assessments, but there is a lack of empirical data on the effectiveness of two different approaches that were used in the local context. The purpose of this quantitative, nonexperimental, casual-comparative study was to determine if state achievement test scores of students in fourth grade who received instruction from a Mathematics Specialist (MS) during the 2007-2009 academic years demonstrated a statistically significant difference from the mathematics state achievement test scores of fourth grade students who received instruction from Grades 1-8 credentialed teachers supported …

Strategies In Outsourcing R&D Processes To Maintain Market Competitiveness, Berina Yerkic-Husejnovic

Walden Dissertations and Doctoral Studies

In the 21st century, managing outsourced research and development (R&D) processes is critical to an organization's success. Guided by the logistic outsourcing theory developed by de Boer, Gaytan, and Arroyo, the purpose of this single case study was to explore strategies and processes organizational leaders used to manage outsourced R&D to maintain market competitiveness. Semistructured interviews were conducted with 5 purposefully selected business leaders who were responsible for outsourcing R&D in a single Fortune 500 corporation in the Mid-Atlantic region of the United States. Company records were also gathered as data. Yin's 5-step process for a case study and key …

Challenges Facing Organizational Leaders: A Phenomenological Study Of Nigerian Organizational Leaders, Adesina Olufemi Adegunle

Walden Dissertations and Doctoral Studies

In the first decade of the 21st century, the number of functioning business organizations in Nigeria decreased by 45%. The high rate of business failures in Nigeria has left many questions about what is needed for creating business success. The purpose of this qualitative phenomenological study was to explore the influence of internal and external dynamics on leaders in Nigerian microfinance organizations. Twenty leaders from microfinance institutions participated in face-to-face semistructured interviews. The data analysis process involved the use of Moustakas's modified van Kaam method, which resulted in the emergence of 12 themes. The themes that emerged included: (a) staff …

Employee Perceptions Of Emotional Intelligence Among Managers, Afraa Al-Bahrani

Walden Dissertations and Doctoral Studies

Efficient managers influence the success and performance of organizations, in contrast to inefficient managers who may negatively affect employee motivation, productivity, stress levels, job satisfaction, and performance. Managers' ability to recognize emotions can positively affect employee motivation, job satisfaction, and performance, which is likely to decrease employee turnover. The purpose of this phenomenological research was to explore the perceptions among employees regarding their managers' EI in relation to employee motivation, job satisfaction, and performance in the Northern Virginia (NOVA) area. The presence of managers' EI skills was explored based on the emotional abilities to facilitate, understand, perceive, and manage emotions. …

Strategies For Improving Labor Productivity In Construction Companies, Lakew G. Buli

Walden Dissertations and Doctoral Studies

Even with advanced technology and new project management methodologies, construction company leaders continue to face challenges to improve labor productivity. This multiple case study was an exploration of the strategies that construction company leaders use to improve labor productivity in Doha, Qatar. The case population consisted of 6 construction company leaders operating in Doha, Qatar, who successfully identified and implemented strategies to improve labor productivity. The conceptual framework for this study was the expectancy theory. The data collection process included semistructured interviews and company documentation. Data were compiled and organized, disassembled into fragments, reassembled into a sequence of groups, and …

Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant

Walden Dissertations and Doctoral Studies

Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …