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Understanding The Lived Experiences Of Women With Spinal Cord Injury Who Undergo Urinary Diversion Surgery, Sukhpinder K. Dhillon

Walden Dissertations and Doctoral Studies

Following spinal cord injury (SCI), bladder management is of primary importance. As an activity of daily living (ADL), it affects community integration and quality of life (QOL). Women with SCI have neurogenic bladders that require self-catheterization, but they are unable to catheterize the native urethra, thus making bladder management physically and emotionally challenging. The purpose of this study was to understand the experiences of women with SCI who undergo urinary diversion surgery for bladder management. Qualitative data were collected using semistructured interviews from 10 women with SCI after urinary diversion surgery for bladder management. Qualitative Nvivo analysis of interview data …

Coalitions Members' Perceived Methods To Prevent Adolescent Marijuana Usage After Legalization, Lanise A. Hutchins

Walden Dissertations and Doctoral Studies

Community coalitions have had successful reductions in adolescent substance abuse, and the legalization of marijuana presents an opportunity for these coalitions to re-evaluate their current methods and messages for preventing adolescent marijuana usage. Using the theory of planned behavior, the purpose of this qualitative study was to determine how legalization of marijuana for recreational purposes affects the methods and messages of coalitions and how the coalition members perceive their efforts to reduce adolescent marijuana usage post-legalization in Colorado. Participants were obtained by recommendations from the executive director in each of four coalitions. A purposive sample of 12 coalition members was …

Incorporating Ada Best Practice Guidelines In Electronic Medical Records To Improve Glycemic Management In Hospitals, Jennifer Claudette Benjamin

Walden Dissertations and Doctoral Studies

Aggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the electronic medical record (EMR) of hospitalized diabetics. Kotter's organizational change process guided the project. The project question investigated whether nurses' use of ADA Best Practice Guidelines incorporated into the …

The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata

Walden Dissertations and Doctoral Studies

By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address …

Elementary (K-5) Teachers' Perceptions Of Differentiated Instruction, Christopher Maddox

Walden Dissertations and Doctoral Studies

Differentiated instruction is a pedagogical method used by classroom teachers to enhance student learning. Researchers have described how students benefit from differentiated lessons, but have not explored the relationship between teachers' perceptions of differentiation and student success. This gap is problematic because teachers' instruction directly affects student achievement. The purpose of this hermeneutic phenomenological study was to explore how elementary (K-5) teachers define, familiarize, use, and perceive differentiation. The conceptual framework was rooted from a synthesis of ideas found in current refereed literature, and the educational concepts and constructionist theories of Piaget and Vygotsky. Purposeful sampling identified 12 participants for …

Borrower Experiences With Subprime Mortgage Loans In Gwinnett County, Georgia, Terence Palmer

Walden Dissertations and Doctoral Studies

When purchasing a home, buyer considerations include price of the home, credit rating, mortgage type, and lending agency. The purpose of this phenomenological study was to explore the loan options successful business leaders consider when shifting loan lending from prime mortgage loans to subprime mortgage loans. Systems theory formed the conceptual framework for the study. A purposive sample of 20 participants from Gwinnett County, Georgia completed semistructured interviews and described their personal experiences. Data analysis incorporated van Kaam's technique to code and cluster information into topics. The following themes emerged from the analysis indicating what these business leaders considered when …

A Case Study Of Blue-Collar Worker Retirement Investment Decisions, Mark Eldridge Griffin

Walden Dissertations and Doctoral Studies

The finances of blue-collar workers were the most acutely impacted as these workers lost their jobs during the Great Recession of 2007 through 2009. The literature revealed a minimal understanding of how blue-collar workers allocated funds for their retirement, and what their investments might be when they invested. To address this problem, the current qualitative study addressed (a) how blue-collar workers chose to invest or not invest for retirement and (b) how blue-collar workers diversified their portfolio if they chose to invest. Theoretical foundations of the study were based on regret theory and prospect theory. A nonrandom purposeful sample of …

An Exploration Of Burnout In Individuals With Type D Personality, Carla A. Kelly

Walden Dissertations and Doctoral Studies

There are numerous physical and mental health implications associated with burnout and Type D personality (TDP). TDP is defined by the presence of specific levels of both negative affectivity and social inhibition. The purpose of this research was to examine the severity and prevalence of burnout in working adults with TDP in comparison to those without TDP. Social cognitive theory was the theoretical foundation for this study. Online surveys were used to gather responses to the Type D Scale-14 (DS14), the standard for measure for assessing TDP, and the Burnout Measure, Short Version (BMS) from 333 participants. Quantitative analyses included …

Common Boundaries: Moving Toward Coordinated And Sustainable Planning On The Oneida Reservation, Rebecca M. Webster

Walden Dissertations and Doctoral Studies

Comprehensive planning can help communities engage in purposeful and sustainable land use development. Previous research has indicated that Indian reservations in the United States often face unique roadblocks to these planning efforts: checkerboard patterns of tribal and nontribal ownership, and the presence of both tribal and local governments exercising land use authority within the same shared space. These roadblocks can lead to uncooperative, uncoordinated, or unsustainable development. Despite these noted problems, there remains an important gap in the current literature regarding solutions to overcome these roadblocks. The purpose of this study was to address that gap. Guided by Forester's critical …

Exploring Faculty Members’ Multicultural Competence At A Faith-Based Institution, Stephanie Fenwick

Walden Dissertations and Doctoral Studies

This study explored challenges related to issues of diversity for faculty members teaching in nontraditional adult degree completion programs. The problem addressed was an increasing expectation that faculty members facilitate learning to help increase the cultural proficiency of their students without having prior training or needed experience. A critical appreciative inquiry (CAI) case study methodology with a transformative conceptual framework was used to explore the intersection of effective adult learning paradigms and multicultural competence. The primary research question addressed the cultural competence challenges that faculty members confront when teaching in the adult classroom. A purposeful sample of 188 faculty members …

The Influence Of Religion On Attitudes Toward Alcohol Use In Jewish Adolescents, Toby R. Levin

Walden Dissertations and Doctoral Studies

Historically, the Jewish faith has used alcohol in rituals and religious holidays in which adolescents are permitted to fully participate and this exposure to alcohol may influence attitudes and beliefs about underage drinking among Jewish adolescents. The purpose of this study was to determine if there was a relationship between the Jewish religion and attitudes toward alcohol among Jewish adolescents. The theoretical frameworks, on which this study was based, were the social bond theory and the social development theory. Each of these theories indicates that community is important to the individual. Using a cross sectional study design, 160 adolescents participated …

The Effect Of Textbook Format On Mental Effort And Time On Task, Antonio Lamar Thomas

Walden Dissertations and Doctoral Studies

The relatively little amount of time that some college students spend reading their textbooks outside of lectures presents a significant threat to their academic success. One possible solution to this problem is the use of digital games as an alternative to outside-of-class textbook reading, but a review of previous research did not reveal much information on their efficacy when compared to traditional textbooks. Using Astin's theory of student engagement as a framework, the purpose of this quantitative causal-comparative study was to determine whether a significant difference in engagement, as indicated by mental effort and time on task, existed for college …

Patient Safety Culture And High Reliability Organizations, Jared D. Padgett

Walden Dissertations and Doctoral Studies

A 1999 evaluation of case studies performed by staff from the Institute of Medicine found that between 40,000 and 98,000 patients died from preventable errors, while 43,598 individuals died in car accidents that year. A 2011 report increased that estimate nearly 10 times. Widespread preventable patient harm still occurs despite an increase in healthcare regulations. High-reliability organization theory has contributed to improved safety and may potentially reverse this trend. This explorative single case study explored how the perceptions and experiences of nursing and respiratory staff affected the successful transition of a healthcare organization into a reliability-seeking organization. Fourteen participants from …

A Resilient Warrior: Coping Positively With Combat Stress Exposure, William Stallard

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore and examine coping with combat stress exposure in a homogeneous group of 132 U.S. Marines who served in Operations Enduring Freedom or Iraqi Freedom, and who self-reported that they were coping positively. A mixed methods concurrent triangulation strategy was employed with positive psychology as the quantitative theoretical base and Husserlian transcendental phenomenology as the qualitative conceptual framework. Quantitatively, hardiness, hope, social support, personality, and coping strategies were assessed in the participants to examine how these variables may moderate or mediate the relationship between combat stress exposure and subjective well-being. Five hypotheses were …

A Case Study Of Curriculum-Based Organizational Change In An Elementary Teacher Preparation Program, Grace Elizabeth Cook

Walden Dissertations and Doctoral Studies

The implementation of the Common Core State Standards in English/Language Arts and Mathematics into the kindergarten through 12th grade curriculum in the United States presents a unique opportunity for teacher preparation programs to realign their curriculum with the curriculum of the primary and secondary schools. However, it is unknown how teacher preparation programs are approaching this possible change. This qualitative descriptive case study examined the organizational change process that was employed by one teacher preparation program to incorporate the Common Core State Standards for Mathematics (CCSSM) into their curriculum. The change was examined through the organizational development lenses of Kotter …

Culture And Nongovernmental Organizations Performance, Ondo State, Nigeria, Oluwatoyin Akinkuotu

Walden Dissertations and Doctoral Studies

Non-government organizations (NGOs) became strong forces in global affairs at the local, national, and international level, with the emergence of the United Nations Organization (UNO) in 1945. Many of these NGOs have failed to attain their goals, and research efforts have attributed their failure to socioeconomic and political factors. The situation is worse in developing countries, where there has been an alarming proliferation of NGOs since the 1980s. The purpose of this qualitative study was to evaluate the performance of community-based NGOs in Nigeria in relation to the cultural values of the people. The theoretical frameworks for the study were …

Effects Of Learning Communities On Community College Students' Success: A Meta-Analysis, Keith Allen Wurtz

Walden Dissertations and Doctoral Studies

Low graduation rates are a significant issue for colleges. The majority of higher education institutions in the United States offer learning communities (LCs), which have been found to be effective for improving course success and persisting to the next semester. However, there is a gap in the literature regarding the effectiveness of LCs with different types of populations and different types of LCs. The purpose of this meta-analysis was to identify the most effective types of LCs. Research questions addressed the effects of different types of LCs on different student success outcomes for community colleges. The study was based on …

Effects Of Coteaching Instruction Between A Speech Pathologist And First Grade Teachers, Chrisonia Busch

Walden Dissertations and Doctoral Studies

The effects of coteaching instruction used by speech language pathologists (SLP) and 1st grade teachers on students' early literacy skills have not been widely examined in current literature. This lack of research may hinder the efforts of SLPs to provide support services for students with and without disabilities who struggle with early literacy skills. Guided by the ecological systems theory, this quasi-experimental study examined the impact of coteaching instruction on students' literacy skills by comparing scores of 2 groups, experimental group who received coteaching and control group who did not receive coteaching instruction. The scores were measured by the final …

Direct-To-Consumer Advertising Of Drugs And Patients' Health Care Seeking Behaviors, Patricia Elaine Kennedy-Tucker

Walden Dissertations and Doctoral Studies

Known as direct-to-consumer advertising (DTCA), pharmaceutical companies in the United States are permitted to advertise prescription drugs directly to consumers. The purpose of this quantitative study was to determine if an association exists between DTCA and health care-seeking behaviors. The theoretical framework for this study involved social learning theory, information integration theory, and prospect theory. The research questions identified if exposure to DTCA (a) is associated with physician office visits, (b) influences a patient/physician conversation regarding a prescription, (c) influences requesting a prescription, and (d) has an impact on patients' ratings of the overall interaction with the physician. Data were …

Adolescent And Community Adult Perceptions Of Adolescent Tobacco Use, Susan M. Franko

Walden Dissertations and Doctoral Studies

In 1964, the Surgeon General issued the first report that linked smoking cigarettes as a direct cause of emphysema, heart disease, and lung cancer. Despite this landmark publication, the primary cause of preventable deaths each year in the United States continues to be related to the use of tobacco. Regardless of decades of health education and resources available to inform society that the use of tobacco products can have deleterious effects on health, adolescents continue to experiment with them. The purpose of this study was to gain a better understanding of the influences of adolescent tobacco use. Based on the …

Teachers' Perceptions Of Becoming A Professional Learning Community, Kathleen Theresa Kohl

Walden Dissertations and Doctoral Studies

Professional learning communities (PLCs) have become popular in schools to help improve student achievement. One local middle school implemented a PLC community, yet experienced problems with sustaining the concept and moving forward. The purpose of this quantitative study was to examine the current state of the PLC at the middle school under study, how it functioned, and possible areas for improvement. The theoretical framework revolved around constructivist learning and the dimensions of a quality PLC: collaboration, shared mission, values, vision, and goals. Research questions addressed teachers' perceptions of PLC progress and differences in levels of development scores among the 5 …

The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting, Brenda Washington Moore

Walden Dissertations and Doctoral Studies

The push to generate professional nurses has raised questions about the competency level of the novice nurses that are entering the workforce. Utilization of simulation laboratories is being viewed as an option for bridging the gap for the shortage of nurses, nurse educators, and clinical sites. The theory of goal attainment was used to guide this project, which aimed to develop and validate an ER simulation scenario that mimics a clinical setting as a tool for measuring nursing skills. An additional purpose, to be accomplished after graduation, will be to implement a pilot project to determine the impact of the …

Collaborative And Creative Thinking Skill Development Through The Design Of Wearable Technologies, Laurie E. Korte

Walden Dissertations and Doctoral Studies

Skills inherent in the creative thinking process such as reflecting and collaborating are needed for success in many careers. However, a focus on standardized testing in K-12 schools in the United States has resulted in the restructuring, reduction, and in some cases, elimination of arts in the curriculum to the detriment of students' creative thinking process. The purpose of this study was to discover whether creative thinking and collaborative skills were positive unintended consequences of a curriculum that includes the design of wearable technologies. Jonassen's modeling using Mindtools for conceptual change and Rosen's culture of collaboration provided the conceptual framework. …

Experiences And Perceptions Of Pregnant Unmarried Adolescents In Nigeria, Priscilla Ndidi Asonye

Walden Dissertations and Doctoral Studies

Sexual activity among unmarried adolescents is a major public health problem in Nigeria, because unmarried pregnant girls are more likely to have multiple sex partners and are less likely to use contraceptives, putting them at greater risk for sexually transmitted diseases (STD), unplanned pregnancy, abortion, social isolation, and poverty. Teen pregnancy and STD rates are on the rise in Nigeria, yet few data exist on the experience of the adolescents themselves. This phenomenological study was designed to explore the in-depth experiences of 10 pregnant, unmarried adolescent girls aged 16-19, including the factors contributing to their sexual activity. An ecological model …

High School Student Athletes And Nonathletes' Disciplinary Referrals And Grade Point Averages, Jack Willard Calhoun

Walden Dissertations and Doctoral Studies

High School Student Athletes and Nonathletes'

Disciplinary Referrals and Grade Point Averages

by

Jack Calhoun

MEd, Georgia Southwestern State University, 1998

BS, Georgia Southwestern State University, 1997

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

December 2014

This quantitative study investigated how athletic participation in public high schools influenced students' academic achievement and positive social behavior. Disciplinary referrals are on the rise in American schools and are a cause of concern for teachers, administrators, parents, and community members. School personnel currently implement programs designed to curb discipline problems in the …

A Consideration Of Tracking Within A Bounded Educational System, Scott David Ripley

Walden Dissertations and Doctoral Studies

American education is built upon a cultural paradigm of equality and access. Tracking students into homogenous classes based on prior academic performance could disadvantage lower-achieving students, thereby reinforcing inequality. The problem in the study district is that homogenous tracking was implemented, yet the system had not been evaluated within the context of implementation. The purpose of this qualitative case study was to examine educators' perceptions of the practice of tracking. Bandura and Maslow's social cognitive theory provided the conceptual framework and Dewey's beliefs on social justice and a spirit of equity provided the theoretical foundation. Open-ended narrative questionnaires were disseminated …

Weight-Loss Interventions Performed To Reduce The Risk Of Obesity-Related Complications, Victoria Stephanie Stewart

Walden Dissertations and Doctoral Studies

The management of obesity before a woman conceives is one of the most effective efforts a woman can take in decreasing her risk of obesity-related complications during pregnancy. Evidence supports the idea that maternal obesity influences maternal and fetal outcomes, leading to maternal and fetal morbidities. Physicians acknowledge the importance of screening women for obesity, but many do not refer patients for weight-loss therapy. In this study, the health belief model was used to explore the associations between participants' obesity risk of complications during pregnancy, the number of weight-loss interventions they attempted to implement prior to pregnancy, and how they …

Implicit Category Priming Capacity, Edward Paulus Hahn

Walden Dissertations and Doctoral Studies

Past research has shown that accessing a memory allows faster subsequent access to the memory activated as well as to related information (priming). There has been much research devoted to implicit category priming (unintentional priming of a category of information), but this research has not determined the number of categories that can be implicitly primed simultaneously. The goal of the present quantitative study was to address that gap. Twenty participants (ages 27-54 years, M=44 years), who volunteered through an online participant pool, were presented with 2 tasks over the Internet. A scrambled phrase task implicitly primed 5 unrelated categories and …

Impact Of Middle-Level Managers' Well-Being And Happiness On Direct Reports' Performance, Respent Green Iii

Walden Dissertations and Doctoral Studies

The happy productive worker (HPW) theory states that happy employees perform at higher levels than unhappy employees do. Despite the explanatory power of the HPW theory, it was unknown if a happy middle-level manager would be associated with productive direct reports. The purpose of this phenomenological study was to address that gap by exploring the impact of middle-level managers' well-being and happiness on the performance of their direct reports. Key research questions examined how middle-level managers' well-being and happiness influenced the performance of their direct reports and how middle-level managers' application of the HPW theory influenced social change. Twenty middle-level …

Increasing Hpv Vaccination Rates Among Adolescent Males: A Toolkit For Parents, Lance Everette Hadley

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention (CDC), there are approximately 14 million new cases of HPV diagnosed each year (men and women combined). The rate of vaccine administration among adolescent males is much less than it is among females. As a result, the CDC has urged health care providers to work with state and local health care providers to improve the utilization of the HPV vaccine. The purpose of this scholarly project was to develop an educational toolkit, one guided by Ajzen and Fishbein's theory of reasoned action, regarding the value of the HPV vaccine. The toolkit …