Digital Commons Network^™

The Effect Of Cibs Participation And Gender On Adolescent Residential Treatment Duration, Tyler Maxwell Dority

Walden Dissertations and Doctoral Studies

Additional out-of-home placement rates for adolescents in long-term regional treatment center (LTRT) programs in the United States are between 50% and 75%. There appears to be a failure to generalize treatment to home and community in programs that do not fully integrate family involvement. The collaborative intensive bridging services (CIBS) treatment model uses intensive family therapy and brief residential treatment center (RTC) placement to reduce or eliminate use of LTRT. Using family systems theory, the purpose of this study was to determine whether participation in CIBS provided better outcomes than LTRT programs. The study used archival data collected by Family …

Polypharmacy, The Electronic Medical Record, And Adverse Drug Events, Unyime Eyoh

Walden Dissertations and Doctoral Studies

Polypharmacy, a concurrent chronic use of multiple prescribed and over-the-counter medications by the same individual, is one of the clinical problems facing primary care providers. Polypharmacy creates the potential for adverse drug-related events, especially in the elderly. The advent of electronic medical records (EMR) may help identify and respond to these potential adverse events. The purpose of this project was to investigate the relationship between the total number of medication taken by elderly, 65 years and older, and the severity of drug-drug and drug-disease interactions triggered by the EMR system. The study used a retrospective chart review of the EMRs. …

Postsecondary Online Students' Preferences For Instructor Feedback, Joseph John Gredler

Walden Dissertations and Doctoral Studies

Misalignment between student preferences and instructor assumptions regarding feedback may impede student learning. Researchers have investigated postsecondary students' preferences for types of instructor feedback including written, audio, and video. However, postsecondary online students' preferences have not been explored in a large-sample study. This sequential explanatory mixed-methods study was conducted to describe postsecondary online students' preferences and the reasons for those preferences. Vygotsky's social-constructivist theory was used to frame instructor feedback as a scaffolding tool to promote self-regulation in student writing. A survey containing quantitative and qualitative questions was used to collect 93 responses from undergraduate and graduate students attending a …

Improving Graduate Students' Satisfaction With Academic Advising, Jamie Loretta Green

Walden Dissertations and Doctoral Studies

Academic advising is associated with increased student retention and academic success. However, advising at an urban graduate school of education in Tennessee has been criticized for limited advisor availability, poor communication, and lack of advising knowledge. The purpose of this qualitative case study was to gain a deeper understanding of the reasons for student satisfaction or dissatisfaction and to identify techniques to improve academic advising. This study was guided by the conceptual frameworks of Kelly's personal construct theory and Daloz's psycho-developmental perspective. The research question addressed the perceived role of academic advisors that graduate students associated with academic success. The …

Positive And Negative Experiences Of Career Technical Secondary Students In Online Courses, David Harms

Walden Dissertations and Doctoral Studies

Research indicates that secondary students who are successful in online classes share common traits. However, many secondary career technical education (CTE) students taking online courses do not demonstrate the traits identified for success. CTE students may not benefit from online classes unless they are designed with their needs in mind. The purpose of this study was to investigate current CTE student experiences with online classes at a single career center. The research questions investigated CTE experiences with online classes, positive and negative online design features, and the hybrid classroom. The theoretical framework was constructivism. The purposive sample included 12 student …

Effect Of An Interactive Component On Students' Conceptual Understanding Of Hypothesis Testing, Sarah Anne Inkpen

Walden Dissertations and Doctoral Studies

The Premier Technical College of Qatar (PTC-Q) has seen high failure rates among students taking a college statistics course. The students are English as a foreign language (EFL) learners in business studies and health sciences. Course delivery has involved conventional content/curriculum-centered instruction with minimal to no interactive components. The purpose of this quasi-experimental study was to assess the effectiveness of an interactive approach to teaching and learning statistics used in North America and the United Kingdom when used with EFL students in the Middle East. Guided by von Glasersfeld's constructivist framework, this study compared conceptual understanding between a convenience sample …

Hospital Preparedness: Effects Of Designated Preparedness Coordinators On Hospital Preparedness For Special Hazard Classes, Rodney Sinelair Jones

Walden Dissertations and Doctoral Studies

Since 9/11, little statistical rigor has been placed on identifying the correlates of hospital preparedness. This quantitative study explores the research question: Is there a correlation between the employment of a designated hospital preparedness coordinator and the reported level of preparedness for: (a) general preparedness; (b) chemical, biological, radiological, and nuclear (CBRN) events; (c) pandemic disease outbreaks; (d) mass casualty events; and (e) internal infrastructure failure, as assessed by an online survey. Alternative analysis was conducted to assess the relationship between access to resources and the 5 dependent variables. Using complexity theory as the theoretical framework, point biserial correlation and …

Small Business Survivability Beyond Five Years, Koyandome Freddy Koyagialo

Walden Dissertations and Doctoral Studies

The United States has a high failure rate of small businesses, with 30% of small business failing within the first 2 years. The objective of this case study was to explore strategies successful small business owners use to achieve profitability beyond 5 years. The purposive sample for this study included 4 owners of successful small businesses in Atlanta, Georgia, who have been in business for at least 5 years. The conceptual framework was built upon disruptive innovation and susceptibility theory. Data were collected through semistructured interviews and company documents. The analysis revealed 3 themes, market research, passion and determination, and …

Exploring Skills That Liberian Small-Business Entrepreneurs Use To Succeed In Business, Mars Mellish

Walden Dissertations and Doctoral Studies

Over 35 years of gross economic mismanagement and business failures led Liberia's gross domestic product to collapse by 90% in less than two decades. As a result of a general lack of business skills, up to 80% of Liberian small-business entrepreneurs fail in business beyond the first year. Based on the theory of constraints, the purpose of this exploratory multiple case study was to explore the business skills that Liberian small-business entrepreneurs used to succeed in business beyond the first year. Data came from semistructured face-to-face interviews with 5 central regional Liberian small-business entrepreneurs who had succeeded in business beyond …

Elementary Coteachers' Understanding About Differentiated Instructional Practices For Students With Disabilities, Betty Smith King

Walden Dissertations and Doctoral Studies

Despite a rural Georgia school district's effort to increase the academic performance of all students, the achievement gap persists between general education and special education students. The purpose of the study was to explore what factors hindered coteachers from consistently applying differentiated instruction in elementary inclusion classrooms. The conceptual framework for the study emanated from Vygotsky's social development theory as it related to teachers learning from each other through professional collaboration. The research questions explored coteachers' perceptions about differentiated instruction for students with disabilities. Using a case study methodology and purposeful sampling of 6 general education and 6 special education …

Nursing Distance Learning Course Comparison Of Assignments And Examination Scores, Jennifer Mundine

Walden Dissertations and Doctoral Studies

Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was to determine whether differences existed in student examination scores between nursing distance learning courses with and without points aligned to assignments. The theoretical framework was Knowles's theory of andragogy, which highlights adults' motivation and self-direction to succeed. The quantitative causal comparative study included a convenience sample of 164 students to compare archival …

Success Strategies Among Immigrant Small Business Owners In The Southeastern United States, Tony Nnabue

Walden Dissertations and Doctoral Studies

Although considerable concern exists regarding immigrant businesses, few studies address immigrant small business owners' strategies for success and sustainability. The purpose of this phenomenological study was to explore the strategies that immigrant small business owners in metro Atlanta, Georgia can use to sustain their business beyond 5 years. Cultural theory formed the conceptual framework for this study. A purposeful sample of 20 immigrant small business owners in metro Atlanta provided the data garnered from semistructured interviews for this research study. Using open coding, and modified van Kaam analysis of the interview data, 5 themes emerged for immigrant small businesses that …

Perception Of Cervical Cancer Screening Among Immigrant African Women Residing In Houston, Texas, Esther Ifeomadiniru Orji

Walden Dissertations and Doctoral Studies

Perception of cervical cancer screening among Immigrant African women residing in Houston, Texas

Esther I. Orji

M.Ed., University of Lagos, 2002

B. Ed, Abia State University, 1998

A.C. E. University of Benin, 1990

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Public Health

Walden University

August 2016

Disparities in cervical cancer screening participation still exist especially among immigrant and minority women compared to non immigrant populations. Research investigators through multiple studies have explored reasons for non participation in cervical cancer screening among immigrant and minority women. However, there was limited research specifically on …

A Phenomenological Study Of The Roles Of Principals In Special Education, Sarah Marie Parker

Walden Dissertations and Doctoral Studies

At the time of this study, there is intensified awareness of the importance of special education and the appropriate implementation of supports and services for the students identified as having special needs. In the United States, understanding special education laws, the needs of students with special needs who are served in the school building, and effective ways to interact with staff members and families about special education are important components of principal leadership success. Principal supervisors and others who provide training and ongoing professional development for principals and potential school leaders need to understand more about issues principals face in …

Perception Of Nutrition And Utilization Of Healthy Food Ideas When Making Food Choices., Judy Pilgrim-Hector

Walden Dissertations and Doctoral Studies

The availability of nutrition information is an important aspect of health care and equally important is access to cultural and theoretical nutrition evidence to increase awareness on ways to manage a diet in ethnic communities. The problem was the shortage of culturally appropriate nutrition data to educate Caribbean immigrants. The purpose of the study was to acquire culturally profound nutrition information on Caribbean immigrants' distinctive philosophical perception on nutrition and food choices. A phenomenological approach was used to examine ways in which the participants integrate nutrition facts when making food choices. The theory of reasoned action was the main conceptual …

A Multiple Case Study On Leader Support, Breastfeeding, And Work Commitment, Lisa Marie Rancourt

Walden Dissertations and Doctoral Studies

In the United States, over 50% of women return to paid work after becoming mothers. Mothers who breastfeed are more likely to stop working than peers who chose to use infant formula. The purpose of this research was to explore work commitment among new mothers during the first year of their infant's life. Many of these mothers had skills that were imperative to organizational success, making their retention a priority. The relationship between leadership support for dual roles as mothers and employees had not received attention previously in the literature. This multiple case study analyzed the perceptions of new mothers …

Algebraic Content And Pedagogical Knowledge Of Sixth Grade Mathematics Teachers, Mariyam Shahuneeza Naseer

Walden Dissertations and Doctoral Studies

Algebra test scores of the Maldivian students from grade 6 through 12 are the lowest compared to any other area of mathematics. Algebra is a fundamental topic in mathematics and lays the foundation for mathematical reasoning and complex problem-solving. Research shows that strengthening algebra instruction could improve student achievement. This concurrent mixed methods study examined the algebraic content and pedagogical knowledge of 5 sixth grade mathematics teachers who teach in 5 different schools across the Maldives. Shulman's major categories of teacher knowledge and Ball, Thames, and Phelps' domains of mathematical knowledge for teaching guided this study. The research questions examined …

Integration Of Sustainability Reporting At An Academic Institution, James William Shimko

Walden Dissertations and Doctoral Studies

Leaders at nonprofit academic institutions are following the global business trend of embracing sustainability initiatives for positive social change; however, there has been slow growth in sustainability reporting among academic institutions. The purpose of this study was to explore the strategies and processes necessary for leaders and managers to integrate sustainability reporting into the reporting cycle for a nonprofit higher education institution. I conducted a single case study of a nonprofit academic institution that utilized sustainability reporting. The study sample consisted of 4 leaders and managers at a nonprofit academic institution located in the state of Michigan that published sustainability …

Small Retail Business Owner Strategies Needed To Succeed Beyond 5 Years, Colonel Jaime Solis

Walden Dissertations and Doctoral Studies

Small businesses accounted for 99% of the firms in private industry, provided 38% of the goods and services sold in the United States, and hired 55% of the labor force each year between 2012 and 2015. From 1993 to 2013, small firms accounted for 63% of new work generated while more than 50% of U.S. small businesses failed inside of 5 years and at least 20% failed during the first year. The purpose of this multiunit case study was to explore the strategies small retail businesses used to achieve sustainability beyond 5 years in a purposefully selected county in Virginia. …

Branding Strategies Of Private International Schools In India, Balasubramanian Varadarajan

Walden Dissertations and Doctoral Studies

Private international schools in India are considered by many to be a quality brand. They have grown rapidly leading to competition among schools for student enrollments. The purpose of this case study was to explore the branding strategies used by leaders of Indian private international schools. The study population consisted of private international school leaders in India as well as the faculty and parents from the study site. The double vortex brand model served as the conceptual framework for the study. Semistructured interviews were conducted with 5 school leaders, 5 faculty, and 5 parents from an international school in Chennai. …

Master's Students' Self-Assessment Of Competency In Grief Education And Training In Cacrep-Accredited Counseling Programs, Jane Earline Wood

Walden Dissertations and Doctoral Studies

Counseling can promote positive outcomes for grieving clients by addressing personal loss and helping the client process their grief. However, a lack of understanding on the part of counselors of how people grieve may result in negative client outcomes such as psychological stress, poor health, or an increased risk of depression. Education and training in grief counseling can improve counselors' problem recognition and skills in treatment planning. The purpose of this study was to examine whether Council for Accreditation of Counseling and Related Educational Programs (CACREP) master's degree counseling students view themselves as having been adequately trained in grief theories …

Minority Initiatives And The Engagement Experiences Of Black Male College Students, Charika Arthur

Walden Dissertations and Doctoral Studies

Black males complete college at a lower rate than do all ethnic minority groups in the United States. Many universities have developed programs to improve educational outcomes for Black males, yet graduation rates remain low. The purpose of this study was to explore the engagement experiences of Black male college graduates who participated in the African American Male Initiative, a successful program developed by the University Systems of Georgia. The organizational learning theory was used to address how an academic institution can work collectively to adapt to changes that occur within the learning environment. Also, the anti-deficit achievement framework was …

Triangulating A Sustainable Safety Culture In The Readymade Garment Industry Of Bangladesh, Maurice Len Brooks

Walden Dissertations and Doctoral Studies

Many obstacles still exist toward improving safety standards, practices, and culture in the ready-made garment (RMG) industry in Bangladesh. Workers' beliefs and habits, employers' level of involvement, and gaps in the regulatory framework necessitate an examination of safety practices to build a foundation for safety culture in the workplace. The focus of this study was to contribute to regulatory reform aimed at creating a safe work environment by exploring the perceptions of workers, employers, and government regulators through the lens of the theory on reciprocal determinism. A total of 41 participants, categorized into three groups of workers, employers, and government …

Using The Wais-Iv To Detect Malingering, Thomas E. Bybee

Walden Dissertations and Doctoral Studies

This study used subtests of the WAIS-IV to detect evidence of malingering. Developing reliable tests for malingering could significantly reduce costs paid to malingering individuals. A within-group known-group design was used. There were 3 known-group conditions. The first group (G1) was instructed to take the tests honestly. The second group (G2) was asked to fake a cognitive disability while taking the tests. The third group (G3) took the tests while undergoing the cold-pressor method (hand immersed in cold water) of inducing pain. Analysis of variance was performed. That analysis appeared to have significant differences; post hock Bonferroni testing was done. …

Examining Nurse Practitioners' Perceptions And Beliefs Regarding Hospice Referrals For African Americans, Karen Jackson Mcclary

Walden Dissertations and Doctoral Studies

Terminally ill patients often have difficult choices at the end-of-life, and electing to receive hospice services is one of them. Hospice has been linked to improved quality of life and death and is accessible to terminally ill patients. Despite the accessibility, African American patients often make the decision to forgo hospice services. The purpose of this descriptive study was to explore perceptions and beliefs of nurse practitioners (NPs) regarding the lack of utilization of hospice for African American patients and the feasibility of NPs for initial referral for terminally ill African American patients. The research questions addressed whether an NP's …

A Program Evaluation Of The Document-Based Question Project, Kimberly Haynes Johnson

Walden Dissertations and Doctoral Studies

Only 1% of students scored in the exceeding range on the Eighth Grade Writing Assessment in a rural Southeastern school district. The purpose of this program evaluation was to explore the effectiveness of the Document-Based Question (DBQ) project in improving student writing. Using interview protocols, work artifacts, and archival student data, a decision-based program evaluation of the DBQ project was conducted using the CIPP model. Administrators and teachers from elementary and middle schools who attended district DBQ project training were invited to participate in this study. One elementary and 1 middle school administrator, 5 elementary teachers, and 7 middle school …

Decision-Making On Technology Deployment For Online Programs At Historically Black Institutions, Shirley M. Mcclellan

Walden Dissertations and Doctoral Studies

Historically Black colleges and universities (HBCUs) lag behind predominantly White institutions in their production of online courses and degree programs because of nonexistent or inadequate technology training for faculty members and limited financial resources. The purpose of this qualitative comparative case study was to obtain insight into how decisions are made on technology deployment and integration of online programs at HBCUs. Guided by Donaldson's contingency theory, this case study addressed how decisions are determined at HBCUs to integrate online learning programs into the curriculum and how the individuals who make these decisions perceive online learning programs. Survey responses were collected …

Hiv/Aids-Related Stigma And Discrimination Toward Women Living With Hiv/Aids In Enugu, Nigeria, Chinyere Fidelia Nnajiofor

Walden Dissertations and Doctoral Studies

HIV/AIDS-related stigma and discrimination (S&D), lack of social support, poverty, and gender inequalities have been identified as factors in the increased prevalence rate of HIV transmission in Enugu, Nigeria, especially among women ages 15 to 49 years. Despite the funding of reduction programs, HIV/AIDS-related S&D remain a major driving force in the increased rate of new HIV cases in Enugu. This study addressed a perceived need for behavioral change intervention approaches that span all societal factors to reduce the HIV infection rate in Enugu Nigeria. The study was guided by Goffman's (1963) social S&D theory. The sample was composed of …

Collaborating For Synchronized Disaster Responses In The National Capital Region, Marilyn Peppers-Citizen

Walden Dissertations and Doctoral Studies

In many urban areas, there are multiple and overlapping layers of governments, which can be problematic for purposes of emergency operations planning for a multiple jurisdiction disaster response. The purpose of this single case study of the National Capital Region was to understand (a) the emergency operations planning collaboration process and (b) how cross-sector collaboration results in synchronized regional disaster responses. Theories of competitive federalism and cross-sector collaboration served as the basis of this study. Research questions explored how organizations collaborate; their organizational structures, processes, and practices; and how relationships between them affect collaboration. Data were collected through reviews of …

Factors That Contribute To Resilience Of Early Care And Education Teachers, Nefertiti Bruce Poyner

Walden Dissertations and Doctoral Studies

There is a lack of understanding of how teachers in Early Care and Education (ECE) work to overcome occupational stress and burnout. Many investigators have documented the stress and burnout that often result in high levels of attrition in ECE teachers. The purpose of this study was to determine to what degree a teacher's protective factors help in mitigating the experiences of stress and burnout often associated with working as a teacher in the field of ECE. Guided by Werner's theory of resilience, which highlights the importance of protective factors as a means of overcoming risk factors, the research questions …