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Articles 5341 - 5370 of 6363
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Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks
Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks
Walden Dissertations and Doctoral Studies
Registered nurse (RN) turnover is a significant threat to organizational performance and profitability. Nurse turnover impacts business practices by disrupting staffing and patient care. The inability of health care leaders to retain RNs in their organizations results in problems such as increased personnel costs and productivity loss. Grounded by Burns's transformational leadership theory, the purpose of this single case study was to explore strategies health care leaders used to improve RN retention. Health care leaders from Brooklyn, New York who implemented RN retention strategies in their organization comprised the population for the study. Data were collected through face-to-face semistructured interviews …
How Self-Awareness, Motivation, And Empathy Are Embedded And Modeled In Community College Preservice Early Educator Online Courses, Tracey Bennett Carter
How Self-Awareness, Motivation, And Empathy Are Embedded And Modeled In Community College Preservice Early Educator Online Courses, Tracey Bennett Carter
Walden Dissertations and Doctoral Studies
Researchers have determined that early childhood (EC) educators need to have personal and social skills and competencies to address the emotional demands of the EC profession. Research is lacking regarding how preservice programs help prepare students emotionally for the EC profession and on whether online courses are a suitable environment for future EC teachers to learn these skills. The purpose of this study was to explore if and how personal and social emotional intelligence (EI) competencies were being embedded and modeled in community college preservice EC educator online courses. This qualitative multiple case study design was employed using a conceptual …
Resources Available To Managers To Manage Employees Through Mergers, Jacqueline Ann Bursey
Resources Available To Managers To Manage Employees Through Mergers, Jacqueline Ann Bursey
Walden Dissertations and Doctoral Studies
The failure rate of mergers is high, with the greatest effects being felt by the employees. Company mergers result in managers burdened with extra responsibilities that often result in poor people integration management of employees. A gap in literature exists regarding people integration resources available to managers during mergers. The purpose of this phenomenological, descriptive study was to explore resources managers perceive to have available to assist with managing employees through a merger. Greenleaf's servant leadership and Herzberg's 2 factor theories were used as the study's conceptual foundation. The research questions explored managers' perceptions of the range of resources available …
Association Between Pediatrician Screening Practices And Age At The Time Of Autism Diagnosis Among Latino Children, Irma S. Diaz
Association Between Pediatrician Screening Practices And Age At The Time Of Autism Diagnosis Among Latino Children, Irma S. Diaz
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD) is a lifelong developmental disability that affects all ethnic groups and is twice as frequent among boys than girls. The Centers for Disease Control and Prevention stated that 1 in 68 children are diagnosed with ASD. Despite guidance from the American Academy of Pediatrics and clinical evidence that suggests that ASD can be diagnosed as early as 24 months of age, most diagnoses occur at age 4 or even later, resulting in fewer opportunities for children to receive early ASD treatment and help them reach the best outcome possible. There is limited information about the appropriate …
Staffing Model To Improve Patient Outcomes In An Acute Inpatient Rehabilitation Facility, Ann Marie Evans
Staffing Model To Improve Patient Outcomes In An Acute Inpatient Rehabilitation Facility, Ann Marie Evans
Walden Dissertations and Doctoral Studies
The goal of the acute inpatient rehabilitation facility (IRF) is to rehabilitate patients and discharge them back into the community at their optimal level of functioning. The IRF patient is more acutely ill today than in the past, and due to a change in condition may be discharged back into the acute care hospital before achieving maximal level of function. An IRF was identified as discharging 14% of patients back into acute care, which indicated the IRF was not meeting its treatment goals. A chart review revealed a possible link between the nurse's role in patient care and the patient's …
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Walden Dissertations and Doctoral Studies
Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost is estimated to yield an annual savings of $60 billion that could fund other societal needs such as jobs, wage increases, and education. Through the conceptual framework of iceberg change management model, this single case study explored collaborative strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce billing administrative costs. Data were collected through semistructured interviews and the review of company documents. Using Yin's procedure of examining, comparing, categorizing, and coding data, the …
Strategies To Improve Millennial Employee Engagement In The Luxury Resort Industry, Kei-Lin Cerf
Strategies To Improve Millennial Employee Engagement In The Luxury Resort Industry, Kei-Lin Cerf
Walden Dissertations and Doctoral Studies
Millennials are estimated to compose half of the workforce by 2020. Many hospitality researchers have studied Millennial employee engagement, but less is known about how to apply strategies that are authentically engaging for Millennials. The purpose of this study was to explore Millennial employee engagement strategies. The research questions for this study were used to examine the engagement strategies of luxury resort leaders and how Millennial employees perceived engagement. A single case study design was used to gather interview, questionnaire, and company document data from employees of a luxury resort in Hawai`i. Kahn's employee engagement theory served as the basis …
Perceptions Of Women Of Color On Career Advancement In High Technology Management, Angela Michelle Charles
Perceptions Of Women Of Color On Career Advancement In High Technology Management, Angela Michelle Charles
Walden Dissertations and Doctoral Studies
In information technology, few women of color hold senior level executive leadership positions in the United States. Currently, in the high-tech industry, Asian and Black women hold 1.7% of executive/senior-level positions, and only 0.2% are in CEO positions. The purpose of this research was to understand professional executive women of color experiences in career advancement in the high technology fields. The study's conceptual framework included organizational culture theory, Krumboltz's theory of career counseling, and the leadership pipeline model. The overarching research question and subquestions addressed the lived experiences of 15 professional senior executive women of color in relation to career …
Expatriate Students' Perceptions Of Attendance And Persistence At A Private Malaysian Institution, Jin Deng
Expatriate Students' Perceptions Of Attendance And Persistence At A Private Malaysian Institution, Jin Deng
Walden Dissertations and Doctoral Studies
Although Malaysia primarily relies on expatriates to develop its economy, a private Malaysian institution had not examined the retention of expatriate students who might contribute toward the country's future economy. The problem that prompted this study was the institution showed low graduation rates for expatriate students and had not assessed the perceptions of key factors that impacted their attendance and persistence. The purpose of this study was to provide insights about expatriate students' perceptions of key factors about attendance and persistence at the institution. Tinto's longitudinal model of dropping out and the conceptual model guided this study. With a guiding …
Impact Of Emergency Department Patient Flow Model And Triage Level On Patient Wait Times, Joann Lynn Featherstone
Impact Of Emergency Department Patient Flow Model And Triage Level On Patient Wait Times, Joann Lynn Featherstone
Walden Dissertations and Doctoral Studies
Some hospital emergency departments (EDs) are negatively affected by extended patient wait times, resulting in reduced hospital profitability. Therefore, it is critical hospital leaders understand factors impacting ED average patient wait times. Grounded in the business process improvement theoretical framework, the purpose of this causal comparative study was to examine the impact of an ED rapid evaluation unit (REU) patient flow model and emergency severity index (ESI) on average weekly patient wait times. Data collection comprised a census of 26 archival data records pre and postimplementation of an ED REU patient flow model from a hospital ED in Upstate New …
The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson
The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson
Walden Dissertations and Doctoral Studies
Identifying depressive symptoms in community-dwelling elders has been problematic, due to a lack of resources and training for health clinicians. Previous researchers have indicated that older adults who engage in physical activities can prevent, or mitigate depression, but no model has included this variable in conjunction with factors such as lifestyle or sociodemographic characteristics. In this study, a predictive design was used with a regression analysis. The purpose of this quantitative study was to investigate the relationship between depressive symptoms and the different factors identified in the literature as significant contributors to its prevalence among older community-dwelling adults. Erikson's theory …
Strategies Small Business Owners Use For Long-Term Existence, Sherman Eldridge Humphrey Jr
Strategies Small Business Owners Use For Long-Term Existence, Sherman Eldridge Humphrey Jr
Walden Dissertations and Doctoral Studies
More than 90 of every 100 new businesses fail within 5 years. The need to explore ongoing strategies that provide low-cost alternatives can prove invaluable to cash-strapped new business owners. Exploration of relationships among a group of stakeholders essential to business success provided data in this case study. Those stakeholders include the owner, the customer service personnel and the consumer. Without the consumer, all other business activities would cease to be necessary. Five business owners and five employees from Redding, California participated in 2 separate focus group interviews. The conceptual framework for this case study was to explore the specific …
Exploring Leadership Pedagogy Among Louisiana Baccalaureate Nursing Programs, Sarita James
Exploring Leadership Pedagogy Among Louisiana Baccalaureate Nursing Programs, Sarita James
Walden Dissertations and Doctoral Studies
Nursing accreditation bodies have recommended that nursing education programs prepare graduates who display competence in leadership. However, the reality of how nursing leadership skillsets are acquired at the undergraduate level and transferred into practice remains debatable. The purpose of this qualitative study was to understand how nursing educators teach leadership in Louisiana baccalaureate programs contrasted with ideal policy expectations. The action learning and reflective practice theories provided the foundational theoretical influences for this study. Six face-to-face virtual interviews were conducted with nursing faculty who were currently teaching or had taught leadership in a baccalaureate nursing program for at least 1 …
Information & Communications Technologies Investment Decisions And Organizational Performance In Major Nonprofits In Kenya, Sylvester Musyoki Kisonzo
Information & Communications Technologies Investment Decisions And Organizational Performance In Major Nonprofits In Kenya, Sylvester Musyoki Kisonzo
Walden Dissertations and Doctoral Studies
The levels of organizational performance (OP) achievable from a dollar investment in information and communications technologies (ICT) remains elusive. A consensus exits among scholars and organizational leaders that effective use of ICT improves OP yet managers continue to struggle to justify investments in ICT. The purpose of this quantitative study was to explore and explain how investments in ICT related with OP. The study built on the resource-based view of the firm theoretical framework. A key question in the study was whether there existed a consistent, positive correlation between ICT investments, decision-making performance, and OP, and if so, explain the …
Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow
Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow
Walden Dissertations and Doctoral Studies
Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during …
The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch
The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch
Walden Dissertations and Doctoral Studies
Sensory processing disorder (SPD) is a neurological condition that alters the way an individual perceives sensory information. Although the condition has been studied for more than 40 years, SPD remains a difficult condition to diagnose, treat, and live with because it affects individuals uniquely, and the symptoms can change from childhood to adulthood. For children diagnosed with SPD, the misinterpretation of sensory cues can cause difficulties in family, social, and academic settings. While there is some research on the assessment and treatment of SPD, what is missing is a deeper understanding of the family, social and academic challenges these children …
Information Communication Technology Management As A Gdp Growth Contributor Within Arab League Nations, Jamal Alexander Thompson
Information Communication Technology Management As A Gdp Growth Contributor Within Arab League Nations, Jamal Alexander Thompson
Walden Dissertations and Doctoral Studies
The general problem addressed in this study was Arab League nations' over-reliance on fossil fuels as a gross domestic product (GDP) growth driver. Arab League nations that depend primarily on fossil fuel production lack alternative resources for growth in times of fossil fuel usage or price decline. Overdependence on fossil fuels has led to minimal development in other economic sectors, primarily in skilled domestic labor, and to a high dependency on foreign skilled labor for skilled domestic jobs. The purpose of this study was to examine to what extent information communication technology (ICT) management can be a viable GDP growth …
Relationship Between Parents' Attitudes And Involvement In An Elementary School, Vaneia Lashea Williams
Relationship Between Parents' Attitudes And Involvement In An Elementary School, Vaneia Lashea Williams
Walden Dissertations and Doctoral Studies
Parental involvement at Shady Lane Elementary School is lower than the district average, which might be contributing to low levels of student achievement. The purpose of this quantitative correlational study was to explore attitudes of parents at the school and selected parental involvement behaviors. The framework for this study was the theory of planned behavior. The focus of research question 1 was the relationship between parents' attitudes toward the school and parental involvement in the form of communicating, volunteering, and learning at home. The focus of research question 2 was the relationship between parents' attitudes toward parental involvement and parental …
Police Officers' Perceptions Of Social Media's Involvement On Delinquent Behavior By Juveniles, Rachel K. Wisnefski
Police Officers' Perceptions Of Social Media's Involvement On Delinquent Behavior By Juveniles, Rachel K. Wisnefski
Walden Dissertations and Doctoral Studies
The rapid growth of social media platforms coupled with the technological savviness of juveniles has led to their delinquent behavior involving social media. Researchers should investigate this phenomenon in order to establish its extent and to minimize the harmful effects this behavior may have. The purpose of this qualitative study was to investigate and explore potential connections between social media and delinquent acts committed by juvenile offenders through the use of police officers' perceptions of those types of acts. The primary research question focused on determining what the perceptions and experiences of police officers in a southeastern state were relative …
Relationship Between Budget And Project Success Factors In The Ghanaian Building Construction Sector, Kenneth Kwame Aggor
Relationship Between Budget And Project Success Factors In The Ghanaian Building Construction Sector, Kenneth Kwame Aggor
Walden Dissertations and Doctoral Studies
In developing countries, 60% of project management professionals appear to lack knowledge that timely completion, budget fidelity, and high quality are critical success factors for completion of construction initiatives. Based on the theories of iron triangle, accident causation, scientific management, and strategic management, the purpose of this correlational study was to examine the relationship between project budget and the independent variables of time, quality, safety, environmental impact, and site disputes in the Greater Accra Region of Ghana. One hundred and sixteen project managers, randomly selected from the population of construction professionals in the Greater Accra Region of Ghana, completed the …
Strategies For Improving Utilization Of Maternal Health Program Funds In Ghana, Dorothy Esi Awotwi
Strategies For Improving Utilization Of Maternal Health Program Funds In Ghana, Dorothy Esi Awotwi
Walden Dissertations and Doctoral Studies
Effective utilization of donor resources for maternal health remains a challenge in Ghana. The purpose of this descriptive multiple case study was to identify strategies and processes that recipient partners use to improve the utilization of maternal health program funds. Harrod and Domar's aid-to-investment-to-growth model, Collier's game theory, and Martens' agency theory on aid effectiveness informed the conceptual framework of the study. The study included face-to-face semistructured interviews with 7 program and project managers from 7 UNFPA recipient institutions in Ghana. Data analysis involved assembling, rearrangement, categorizing, and interpreting the data. Member checking and methodological triangulation of interview data with …
Effectiveness Of Hands-On Pedagogy In Stem Education, John Kyere
Effectiveness Of Hands-On Pedagogy In Stem Education, John Kyere
Walden Dissertations and Doctoral Studies
With the low enrollment in the science, technology, engineering, and mathematics (STEM) fields at the high school and college levels, administrators at the local school district have been struggling to improve elementary school students' performance in math and science. Therefore, the purpose of this study was to evaluate the effectiveness of the STEM program using hands-on instruction facilitated by professional development (PD) activities. Guided by Dewey, Piaget, and Vygotsky' constructivism theory, the qualitative program evaluation using the research questions examined the success of the STEM program using a hands-on instructional approach and the PD support that teachers need to be …
Implementation Of A Standardized Multifactorial Fall Prevention Program In A Rehabilitation Facility, Shanetta Monique Ancrum-Lee
Implementation Of A Standardized Multifactorial Fall Prevention Program In A Rehabilitation Facility, Shanetta Monique Ancrum-Lee
Walden Dissertations and Doctoral Studies
One and a half million people are currently living in residential care facilities; as the baby boomer generation ages, this number will increase to 3 million. Approximately 3 out of 4 residents of these facilities fall each year, and 10% to 20% of those falls result in serious injuries such as fractures, disability, and a decreased quality of living. The BOUNCE Back fall initiative is a multifactorial program that uses a systematic approach starting on admission and to re-evaluate a resident following a fall. Nursing and therapy uses the Morse Fall Scale and the Elderly Mobility Scale to assess and …
Human Resource Local Content In Ghana's Upstream Petroleum Industry, Papa Benin
Human Resource Local Content In Ghana's Upstream Petroleum Industry, Papa Benin
Walden Dissertations and Doctoral Studies
Enactment of Ghana's Petroleum (Local Content and Local Participation) Regulations, 2013 (L.I. 2204) was intended to regulate the percentage of local products, personnel, financing, and goods and services rendered within Ghana's upstream petroleum industry value chain. Five years after the inception of Ghana's upstream oil and gas industry, a gap is evident between the requirements of L.I. 2204 and professional practice. Drawing on Lewin's change theory, a cross-sectional study was conducted to examine the extent of differences between the prevailing human resource local content and the requirements of L.I. 2204 in Ghana's upstream petroleum industry. The extent to which training …
Employee Turnover In The Long-Term Care Industry, Olalya Ayanna Bryant
Employee Turnover In The Long-Term Care Industry, Olalya Ayanna Bryant
Walden Dissertations and Doctoral Studies
Employee turnover costs long-term care facilities billions of dollars on an annual basis. The purpose of this correlational study was to examine the relationships between employee turnover intention of certified nursing assistants (CNAs) in the long-term care industry and employee compensation, engagement, job satisfaction, motivation, and work environment. The predictor variables were employee compensation, engagement, job satisfaction, motivation, and work environment. The criterion variable was employee turnover intention. The population of interest consisted of CNAs who were residents of Florida, over the age of 18 years, and employed in the long-term care industry. The theoretical framework that grounded this study …
Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez
Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez
Walden Dissertations and Doctoral Studies
In the first 3 years of the Obama Administration, 2009-2011, the number of warning letters issued to pharmaceutical firms for manufacturing and quality issues increased by 81% to 49 letters. Only 9 letters were issued in the last 3 years of the George W. Bush Administration. Shortfalls in compliance and product quality led to medicine shortages that affected patients' treatment and health. This quantitative study sought to learn to what extent, if any, the independent variables, management behaviors and financial indicators at pharmaceutical firms in the United States, correlated with, or predicted, the dependent variable, compliance with the FDA regulations. …
Perceptions Of Community-Based Participatory Research From Community And Academic Members, Ivonne G. Kanko
Perceptions Of Community-Based Participatory Research From Community And Academic Members, Ivonne G. Kanko
Walden Dissertations and Doctoral Studies
Community-based participatory research (CBPR) is an increasingly popular form of public health research. However, little is known about the application of CBPR and the levels of involvement for partners in specific phases of the partnership. This phenomenological study addressed the application of CBPR from the perspectives of 7 academic researchers and 6 community members experienced in CBPR. Arnstein's ladder of citizenship participation and the community coalition action theory provided the framework for the study. Semi-structured interviews addressed participants' levels of involvement in the CBPR process, as well as challenges, concerns, successes, and recommendations for improvement. Interview transcripts were analyzed by …
Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem
Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem
Walden Dissertations and Doctoral Studies
The big-box superstore has created a dramatic effect on the retail landscape since its appearance in 1962. As big-box stores proliferate, small business owners continue to struggle with how to compete. The purpose of this multiple case study was to identify and explore strategies small business owners use to maintain or grow profit margins post big-box store market entry. The sample consisted of 5 small business owners in Kansas City, Missouri who survived the entry of the big-box store for at least 1 year. The conceptual framework was the general systems theory and systems thinking. Data were collected using semistructured …
The Relationship Between Corporate Governance And Organizational Performance In Nigerian Companies, Toyin Ishola Lasisi
The Relationship Between Corporate Governance And Organizational Performance In Nigerian Companies, Toyin Ishola Lasisi
Walden Dissertations and Doctoral Studies
The growing lack of confidence in public companies arises from the recent accounting scandals and corporate collapses, which have been attributed to the consequences of separation of ownership and control in modern firms. Agency theory predicts a conflict of interest between managers and shareholders that leads to agency costs and weak performance. This study used agency, stakeholders', and stewardship theories as the theoretical framework and multiple regression analysis to examine the relationship between corporate governance mechanisms and organizational performance in nonfinancial firms listed on the Nigerian Stock Exchange. The results of the study could help clarify understanding of corporate governance …
Evaluation Of Automated Reminders To Reduce Sepsis Mortality Rates, Maria M. Lindo
Evaluation Of Automated Reminders To Reduce Sepsis Mortality Rates, Maria M. Lindo
Walden Dissertations and Doctoral Studies
Sepsis is still a leading cause of death in the United States despite extensive research and modern advancement in technology. Early recognition of sepsis and timely management strategies are important for effective reduction of sepsis-related morbidity and mortality. Guided by the logic model, the purpose of this project was to evaluate the effectiveness of electronic reminders in enhancing clinical decision-making among 30 nurses in 3 medical-surgical units. The practice-focused question addressed the effectiveness of electronic reminders for early recognition and initiation of goal-directed treatment of sepsis in hospitalized patients on medical-surgical units in an effort to reduce sepsis mortality rates. …