Digital Commons Network^™

South-Asian American And Asian-Indian Americans Parents: Children's Education And Parental Participation, Sahil Ashwin Shah

Walden Dissertations and Doctoral Studies

Parental participation supports students' academic success and increases positive peer interactions. Prior to the 1980s, parental participation was viewed as a unidimensional construct; however, it has since been understood as a multidimensional one. Studies from Epstein have demonstrated that culture, community, and family structures are some of the many factors that affect parental participation. In addition, Huntsinger and Jose have demonstrated that Asian-American parents participate in their children's education differently than do European Americans, yet research has not examined the specificities of South-Asian Americans' (SAAs) and Asian-Indian Americans' (AIAs) parental involvement. There are 6 recognized methods that parents can use …

Public Corruption In Liberian Government, Stephen H. Gobewole

Walden Dissertations and Doctoral Studies

There is a widespread public perception of corruption in Liberia's election process, yet there is little documentation on the characteristics of voters and their perceptions of electoral corruption. The purpose of this correlational study was to explore the relationship between gender, ethnicity, physical location, and perceptions about political activity during the 2005 national election. Roderick Chisolm's conceptualization of the internalist view of justification served as the theoretical construct. Data were acquired from the Afrobarometer survey (n = 1,200), which used a representative cross-sectional sample design, and were subjected to cross-tabulation analysis, a chi-square test, and a correlation analysis. The results …

Implementing Relationship Based Care In An Emergency Department, Ruthie Waters Rogers

Walden Dissertations and Doctoral Studies

When patients and families come to the emergency department seeking medical attention, they come in with many mixed emotions and thoughts. The fast paced, rapid turnover of patients and the chaotic atmosphere may leave patients who visit the emergency department with the perception that staff is uncaring. The purpose of this project was to implement a patient care delivery model, relationship-based care, in the emergency department. The model is comprised of several caring theories including Jean Watson's model of human care and Kristen Swanson's middle range theory of caring. The main goals of the project were to help staff enhance …

The Complexities Of Female Sexuality: Narratives Of Women Who Have Experienced Both Heterosexual And Same-Sex Marriages, Krista Anne Butland

Walden Dissertations and Doctoral Studies

Due to social stigma, millions of sexual minorities have concealed their true sexual identities by entering into heterosexual relationships and marriages. Eventually, some transition to same-sex relationships and are able to live authentic lives. This latter group had identified as genuinely heterosexual, never questioning their sexuality until a particular time in their lives when same-sex desires spontaneously appeared. The experiences of transitioning from heterosexual to same-sex partners are not well known, particularly for women who have been legally married to both men and women. Diamond's dynamical systems theory for same-sex sexuality and McCarn and Fassinger's lesbian identity formation model provided …

Correctional Nurses' Knowledge And Perceptions Of Methicillin-Resistant Staphylococcus Aureus, Deborah Winbush

Walden Dissertations and Doctoral Studies

Since 1999, Methicillin-resistant Staphylococcus aureus (MRSA) outbreaks have occurred in many correctional facilities. Even after the Federal Bureau of Prisons developed clinical practice guidelines on the management of MRSA within correctional facilities, the prevalence of MRSA decreased only insignificantly. Other researchers suggested infection control compliance was equally as important as developing clinical practice guidelines in reducing the incidence of MRSA. Several studies identified the healthcare professionals' nonadherence and inconsistencies to clinical practice guidelines as contributors to MRSA transmission. Accordingly, this project was designed to develop evidence-based recommendations for improving nurse professionals' adherence to MRSA practice guidelines in correctional settings. Using …

Nurses Aides' Perspectives On Training, Joyce Young

Walden Dissertations and Doctoral Studies

In 2008, the Institute of Medicine recommended increasing CNA training programs to 120 hours of training. In accordance with that change, the Pennsylvania Department of Education recommended that the Pennsylvania's CNA training program of a required 80 hours be increased to 120 hours of training. This increase was intended to improve CNA job performance and job satisfaction, as well as the quality of patient care. The purpose of this phenomenological research study was to understand how Certified Nurse's Aide (CNA) graduates of 100-hours or fewer training programs in Lancaster, Pennsylvania, perceived their clinical training as related to effectively performing clinical …

Impact Of Eu Medical Device Directive On Medical Device Software, Guy Foe Owono

Walden Dissertations and Doctoral Studies

Directive 2007/47/EC of the European Parliament amending Medical Device Directive (MDD) provides medical device manufacturers with a compliance framework. However, the effects of the amendments to the MDD on competition in the U.S. medical device software industry are unknown. This study examined the impact of this directive on the competitiveness of U.S. medical device software companies, the safety and efficacy of medical device software, employee training, and recruitment. The conceptual framework for this study included 3 dimensions of medical device regulations: safety, performance, and reliability. The overall research design was a concurrent mixed method study using both quantitative and qualitative …

Assessment Of Vitamin D Levels And Depression Among Adults In The United States, Troy Jean-Luc Owens

Walden Dissertations and Doctoral Studies

Vitamin D is essential to optimizing health; vitamin D deficiency (VDD) can increase risk of hypertension, cardiovascular disease, and insulin resistance. VDD occurs when individuals do not receive sufficient oral intake or obtain adequate sun exposure. Previous researchers indicated there is a relationship between VDD and depression, while others have indicated there is no relationship. The purpose of this study was to examine the relationship between vitamin D levels and depression, and how this relationship might be moderated by an individual's demographic characteristics (gender, age, smoking status, or marital status). This study was a quantitative data analysis of archival data …

Road Management System And Road Safety In Uganda, Paul Gudoi Zanule

Walden Dissertations and Doctoral Studies

Traffic collisions cost Uganda millions of dollars each year. The purpose of this descriptive case study was to describe the strategies and processes needed to implement a road management system. Such a system would significantly reduce the fatalities and accidents in Uganda, improve the transportation within Kampala's business district, and increase business profitability. Three conceptual theories framed the research study: management theory, strategic management theory, and criminology theory. Using a snowball sampling strategy, data were collected from open-ended interviews, questionnaires, observations, and archived documents from 20 administrative participants in the government and organizational leaders involved in the transport operations and …

Why Latino American Community College Students Drop Out After One Semester, Rosa Delia Smith

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to investigate why many Latino America students at an urban community college in the state of Maryland who were enrolled at least part-time and were U.S. citizens or permanent residents did not continue their education into the second semester. Guided by Tinto's model of student integration and student persistence, this study explored the reasons these students dropped-out using the students' words to describe barriers to success, factors that influenced their decisions not to return for their second semester, and what they believed could have made a difference in their decisions. Five Latino …

The Long-Term Impact Of Divorce On College Student Autonomy, Amy Jo Carrigan

Walden Dissertations and Doctoral Studies

This research study examined autonomy in young adult college students who grew up in intact households with 2 biological parents, compared to young adult college students who grew up in nonintact households without 2 biological parents due to divorce, separation, single parenthood, or death. The current literature lacks research regarding the impact of growing up in a nonintact household during childhood or adolescence for young adults. In recent years, there have been fewer young adults who lived in intact households during their childhood and adolescent years. Arnett's developmental theory is that the major task during young adulthood is developing decision-making …

Interagency Coordination Of Security Operations In A Large U.S. Seaport, Edmund Levy

Walden Dissertations and Doctoral Studies

Protecting U.S. transportation hubs against a wide variety of security threats, while avoiding undue interference with the normal operations of the hubs, is one of the greatest challenges facing security agencies. The problem addressed in this study was the limited information on the contributing factors to seaport security. The purpose of this case study was to explore issues that can inhibit efficiency of security agency operation and collaboration and to identify actions that have enhanced collaboration. Based on theories of organizational development, leadership, and security tradecraft, this study examined the activities related to maintenance of security at a large California …

Gay And Bisexual American Men In South Korea Who Reported Testing Hiv Negative, Tony Lionel Sessoms

Walden Dissertations and Doctoral Studies

Gay and bisexual men in the United States and South Korea have some of the highest HIV rates in their countries, and both have the fewest sex education programs and policies for gay and bisexual males in secondary and postsecondary school systems. Consequently, many South Koreans do not view HIV as a South Korean problem, and with American gay and bisexual men living in this type of environment, their HIV sexual protection knowledge and practices may be compromised. The purpose of this study was to gain more understanding and insight into the sex education experiences and sexual practices of gay …

Valuation, Pricing, And Performance Of Initial Public Offerings On The Ghana Stock Exchange, Mohammed Sani Abdulai

Walden Dissertations and Doctoral Studies

In recent years, the initial public offerings (IPOs) on the Ghana Stock Exchange (GSE) witnessed some level of undersubscriptions. The purpose of this research was to investigate the extent to which valuation, pricing, and performance of prior IPOs listed on the GSE contributed to this state of undersubscriptions. The research was informed by the valuation and pricing framework of Roosenboom. The research questions addressed whether IPOs on the GSE were under/overpriced and whether the projected and pre-issue financials were free from forecasting errors and earnings management. A cross-sectional, explanatory research design was employed to examine a dataset of 30 sampled …

Exploring Strategies For Implementing Barcode Medication Administration Systems, Julie A. Frederick

Walden Dissertations and Doctoral Studies

The number of medication errors associated with preventable deaths in healthcare facilities remains at a high rate for healthcare leaders. Practices of medication delivery remain similar to those 10 years ago. Hospitals that have implemented barcoding medication administration systems have reported a decrease in medication errors ranging from 60% to as high as 93%. Despite this utility of barcoding, only 50% of U.S. hospitals have implemented barcode medication administration. This comparative case study explored the strategies hospital leaders used to implement barcode medication administration systems, utilizing the sociotechnical theory for a conceptual framework. Face-to-face, semistructured interviews were used to identify …

Ethical Insights Of Early 21st-Century Corporate Leaders, Kevin B. Jones

Walden Dissertations and Doctoral Studies

From 2001 to 2010, a lack of documented standards within ethics programs inhibited decision making, management practices, and corporate strategies for corporate leaders in the United States. Seminal theories in transformational, charismatic, servant, spiritual, and ethical leadership formed the conceptual framework for this phenomenological study, whose intent was to explore how senior leaders of Fortune 500 companies in Washington, DC integrated ethics into daily business decisions and the role in organizational performance. A convenience sample of 20 Fortune 500 leaders participated in face-to-face semistructured interviews to explore the assessment, definition, and documentation of various ethical standards in the company; the …

Predictors Of Physician Use Of The New Nia Alzheimer's Assessment Protocols, Richard Norman Schultz

Walden Dissertations and Doctoral Studies

Consensus is lacking on early diagnostic criteria and the exact symptoms of Alzheimer's disease (AD). A new, in-office test may help physicians detect the early symptoms of AD, based upon new National Institute of Aging (NIA) criteria. However, a gap exists in knowledge regarding physicians' current use or intent to use the new protocols. Choreographing the descriptive AD terminology in the Diagnostic and Statistical Manual of Mental Disorders IV-TR and the International Classification of Diseases (ICD-10) is recommended. Thus, the purpose of this study was to understand possible contributing factors to physician's use or intent to use of the new …

Female Parents' Attitudes, Beliefs, And Perceptions About Youth Gun Crimes, Karen Annmaurisa Sylva-Givens

Walden Dissertations and Doctoral Studies

Youth gun crime is an important public health issue that affects many communities in the United States. Since 2012, there were over 30,000 gun-related deaths in the United States. Gun violence remains the leading cause of death for young people ages 15-24. This phenomenological study examined single female parents' attitudes, beliefs, and perceptions of the influences and causes of youth gun crimes. The purposive sample drew from 10 single female parents of youth ages 14-17 charged with gun crimes. Sutherlands' (1974) differential association theory provided the theoretical framework for the study. The mothers participated in a series of in-depth, face-to-face …

The Design And Implementation Of A Relationship-Based Care Delivery Model On A Medical- Surgical Unit, Paula Ann Rodney

Walden Dissertations and Doctoral Studies

The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit

by

Paula A. Rodney

MSN, California University of Pennsylvania, 2011

BSN, University of Virginia, 1979

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

April 2015

Patient satisfaction and clinical outcomes have become important issues in healthcare since the introduction of the Value Based Purchasing Program. Patient satisfaction, as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, was declining and hospital-acquired pressure ulcers (HAPU), falls, and catheter-associated urinary tract infections (CAUTI) were …

Read 180 Evaluation: Balanced Literacy In A Low-Income, Underperforming Urban High School, Daniel Lombardi

Walden Dissertations and Doctoral Studies

This study investigated the effectiveness of the READ 180 balanced literacy program in addressing the problem of low reading achievement among urban minority high school students. Research has shown low reading achievement to negatively impact academic and economic success. Holdaway's theory of natural literacy, which suggests reading instruction should be purposeful and realistic, supports READ 180 as a remedial intervention. The specific purpose of the study was to evaluate READ 180 in relation to improving classroom reading achievement, standardized language arts test scores, and graduation rates among students in a low-income, high-minority urban high school. Subjects were 2 cohorts of …

Faculty Perceptions Regarding Best Practices In Clinical Dental Hygiene Assessment, Brenda Kaye Walstead

Walden Dissertations and Doctoral Studies

This qualitative case study explored faculty perceptions regarding best practices and uses of assessment in a dental hygiene program at a small northwestern college. It was discovered that faculty in the program were assessing students in their clinical courses using widely varied methods, designs, and scoring tools. Faculty neither calibrated processes nor communicated about this problem. In addition, a review of the assessments in this local setting indicated a significant gap in the current guidelines for best practices in clinical assessment procedures. Knowles' adult learning theory served as the foundation for this study. Research questions were designed to obtain clinical …

General Education And Special Education Teachers' Attitudes Toward Inclusion, Carmen Yvette Charley

Walden Dissertations and Doctoral Studies

Educational reformers have mandated inclusion of students with disabilities in the general education classroom. However, general education teachers often do not regularly receive training in inclusive practices, and this lack of training can affect teachers' attitudes and levels of self-efficacy, which may ultimately affect their ability to successfully teach students with disabilities. The purpose of this study was to examine the difference in general education and special education teachers' attitudes towards inclusion of students with disabilities and if levels of self-efficacy (overall and 3 subscales), gender, education level, teacher type, and grade level taught were predictors of Teachers' Attitudes Toward …

Productivity Standards, Marriage And Family Therapist Job Satisfaction, And Turnover Intent, Gilbert Ernest Franco

Walden Dissertations and Doctoral Studies

Turnover among mental health professionals is high, which can have a direct impact on access to services and continuity of care. Informed by goal-setting theory, social-cognitive theory, and self-efficacy, this quantitative study investigated how California community mental health agency productivity standards were related to self-efficacy, job satisfaction, and marriage and family therapist (MFT) turnover intent among 141 MFTs. Participants completed a Demographic and Productivity Questionnaire, Job Self-Efficacy Scale, Job Satisfaction Scale, and Turnover Intention Scale. The relationship between participant age, gender, experience, number of work hours, licensure status, and job site with job satisfaction and turnover intent were assessed using …

Reading Specialist's Perceptions And Role In Implementing Response To Intervention, Twyla Heindl

Walden Dissertations and Doctoral Studies

The roles of reading specialists differ from campus to campus throughout the study site due to varied implementations of Response to Intervention (RTI). To ensure that students were receiving consistent interventions based on their needs, the site needed to examine how and when instructional services were delivered to struggling students, as well as the role of the reading specialist in the process. The purpose of this qualitative case study was to explore the perceptions, experiences, and roles of reading specialists as the RTI framework was implemented at the elementary school level. This study was guided by Vygotsky's social constructivist learning …

Women's Experiences With The Follow-Up System For Cervical Cancer In A Developing Country, Christine Carol Richards

Walden Dissertations and Doctoral Studies

Although Grenada has an extensive health care infrastructure and cervical cancer screening rates are relatively high, Grenada also has a disproportionate rate of morbidity and mortality from cervical cancer. The aim of this study was to explore factors that contribute to these disproportionate rates in Grenada. Using a phenomenological qualitative approach, Andersen's behavioral model of health care utilization and a systems based model for assessing care were used as a guide to explore Grenadian women's follow-up experiences with Pap test and cervical cancer screening. Purposive sampling was used to recruit 8 women for semi-structured in-depth interviews. Data were collected on …

Resilience Among Immigrant Adult Learners: Experiences In Postsecondary Education--A Mixed-Methods Study, Sandra Lee Samuels

Walden Dissertations and Doctoral Studies

A human being's resilience refers to his or her abilities to combine internal and/or external resources effectively in response to significant contextual challenges in order to best succeed in a given environment. As such, this concept is vital across the lifespan and has been widely researched. However, few researchers to date have studied resilience as it relates to adult learners, and, significantly, those with immigrant status. Immigrant adult learners are facing compounded risks, which create challenges in various societies to identify this group's unique needs and/or to fully understand their experiences in diverse contexts, such as the Cayman Islands. Informed …

Gender, Instructional Method, And Graduate Social Science Students' Motivation And Learning Strategies, Mae Lynn Spahr

Walden Dissertations and Doctoral Studies

The purpose of the current study was to learn how gender and learning method affect motivation and learning strategies in psychology, counseling, and social work graduate students. The variables of gender, learning method, motivation, and learning strategies are used by the self-regulation model to learning and the theory of independent learning to measure a student's academic success. Increasing the knowledge of these variables will be of interest to academic institutions and to the field of educational psychology because little is known about their interaction. The study's design was factorial quasi-experimental; it used a cross sectional survey consisting of a 2 …

Leadership Strategies To Influence Employee Engagement In Health Care, John David Vizzuso

Walden Dissertations and Doctoral Studies

Hospitals are in a precarious financial position with declining reimbursement, eroding profit margins, and low patient satisfaction. The Patient Protection and Affordable Care Act of 2010 reform may decrease hospital reimbursement by $500 billion from 2010 to 2020, while low patient satisfaction may decrease profitability for hospitals by 27%. Employee disengagement may decrease patient satisfaction and consumer loyalty. The purpose of this phenomenological study was to explore the lived experiences of health care leaders as they worked to engage employees and provide better patient care. Improving patient care provides opportunities to capture new market shares, which increases sustainability of health …

Self Esteem, Locus Of Control, And The Relationship With Registered Nurses' Experience With Workplace Incivility, Elizabeth Anne Berry

Walden Dissertations and Doctoral Studies

The study's purpose is evaluating the relationship between locus of control and selfesteem

in relation to the registered nurse's experience and perception with lateral and

vertical incivility. There is a lack of research concerning nurse-to-nurse incivility within

the nursing profession. The hypothesis examined whether dynamics of locus of control

and self-esteem could provide insight into the personality dynamics influencing incivility

in the workplace. This non-experimental quantitative study used 2 self-evaluation tools

and 1 demographic survey tool to collect data via Survey Monkey, a commercial data

collection company. Participants were 65 randomly selected faculty (n = 36) and

graduate students (n …

Mental Health Professionals' Attitude And Perception Of Their Role In Tackling Substance Abuse And Related Disorders In Nigeria, Olubusayo Ruth Akinola

Walden Dissertations and Doctoral Studies

Mental health professionals (MHPs) play a pivotal role in enhancing treatment outcomes for drug-using populations and minimizing their harm to the public. In response to a gap in the literature, this study sought to (a) assess MHPs' attitudes about the use and abuse of substances and their perception of their role in tackling substance abuse and related disorders in Nigeria, (b) identify predictors of perception, and (c) explore regional variations in attitude. Based on the validated drug and drug users' problems perception questionnaire and the substance abuse attitude survey, a cross-sectional survey was conducted in a randomized sample of 292 …