Digital Commons Network^™

Academically Resilient Minority Doctoral Students Who Experienced Poverty And Parental Substance Abuse, Marcia Boatman

Walden Dissertations and Doctoral Studies

There is a lack of research on the academic resilience of minority, first-generation, online doctoral students (MFOD) who experienced poverty and parental substance abuse (PSA). The purpose of this study was to explore how MFOD who overcame poverty and PSA developed academic resilience. Resilience theory and Kember's model of attrition in online programs provided a conceptual framework for this study. The research questions guiding this qualitative study concerned how MFOD perceive and interpret their academic resilience and protective factors. A purposeful sample of 6 students participated in semistructured interviews. An interpretative phenomenological analysis was conducted, which included a case by …

Inspiring Change: Exercise Self-Efficacy, Dispositional Optimism, And Perceived Stress In College Seniors, Joshua M. Garrin

Walden Dissertations and Doctoral Studies

Prohealth competencies, positive outcome expectancies, and adaptive stress appraisals have profound implications for the real-world transition of college seniors—a population for which engagement in physical activity reflects a preeminent concern. Prior studies on exercise self-efficacy (ESE), dispositional optimism (DO), perceived stress (PS), and physical activity have yielded inconclusive evidence of the emergent psychosocial challenges encountered during the final year of the college experience. Using a triadic framework of self-efficacy, attribution, and cognitive appraisal theories, this crosssectional, quantitative study was conducted using a web survey to examine (a) the impact of physical activity level on ESE, DO, and PS; (b) the …

Refining Computerized Physician Order Entry Initiatives In An Adult Intensive Care Unit, Chevita Fuller

Walden Dissertations and Doctoral Studies

Computerized physician order entry (CPOE) is used in healthcare organizations to improve workflow processes and transcription, as well as to prevent prescribing errors. Previous research has indicated challenges associated with CPOE for end-users that predispose patients to unsafe practices. Unsafe CPOE practices can be detrimental within the intensive care unit (ICU) setting due to the complexity of nursing care. Consequently, end-user satisfaction and understanding of CPOE and electronic health record (EHR) functionality are vital to avoid error omissions. CPOE initiatives should be refined post system implementation to improve clinical workflow, medication processes, and end-user satisfaction. The purpose of this quality …

Employing Provider Mentoring/Coaching To Improve Preventive Quality Ordering, Julie Knox-Woodward

Walden Dissertations and Doctoral Studies

Preventive quality ordering is a provider intervention aimed at disease prevention through the ordering of industry-recommended health maintenance tests. This pilot study evaluated the effectiveness of provider mentoring/coaching to improve preventive quality ordering using the 2014 Agency for Healthcare Research and Quality best practice preventive clinical services guidelines. Literature indicates provider inconsistency in preventive and quality ordering as the primary cause of disparate health outcomes. Guided by theories of modeling and role-modeling, as well as the theory of cognitive continuum, this pilot study offered provider mentoring/coaching to encourage timely preventative quality ordering. Routinely monitored historic provider practice patterns in a …

Sustainability Efforts Of One Oil Company In Niger Delta Of Nigeria, Charles Afam Anosike

Walden Dissertations and Doctoral Studies

Environmental degradation and socioeconomic dilemma continue to stigmatize oil production in the Niger Delta of Nigeria. Sustainability programs of oil companies often determine the improvement of living conditions in the region. This explanatory qualitative case study, guided by systems thinking theory and sustainable value framework, explored practitioners' perceptions of sustainability programs to identify its impact on business and the host communities. The research question was designed to address how sustainability efforts of a single oil company in the Niger Delta contributed to the business performance and the livelihood of the local people. Research data were gathered from a sample of …

Sustainable Revenue Generation System For Nonprofit Institutions Of Higher Education, Graig Arcuri

Walden Dissertations and Doctoral Studies

Social and individual spending on higher education has outpaced social and individual economic growth, resulting in nonprofit institutions of higher education (NIHEs) growing increasingly dependent upon unsustainable governmental subsidies and tuition increases. The purpose of this study was to examine the interactions among components of the nonprofit university system, existing revenue generation methods, and sustainability of revenue generation, thereby generating a new sustainable revenue theory for nonprofit universities within the United States. This qualitative grounded theory study used a multiphase design incorporating data from the literature review, historical documents, and phone interviews from a theoretical sampling of 10 NIHEs. Participants …

Educators' Perceptions About African American Student Referrals To Special Education, Ydeaira Erica Ely

Walden Dissertations and Doctoral Studies

The overrepresentation of African American (AA) students in special education is a problem in the United States, with concerns about the lack of uniformity in AA students' referrals to special education, and whether the referral process is applied consistently for all students. The purpose of this qualitative case study was to examine the perceptions of teachers, school counselors, and school administrators concerning the special education referral process, and whether the process was applied consistently for all students. The 2 theories providing the theoretical foundation were critical race theory and zone of proximal development. Criterion sampling was used to select 6 …

Middle School Teachers' Experiences Regarding The Influence Of Data On Instruction, Anne Marie Gwizdak

Walden Dissertations and Doctoral Studies

This research addressed the data-driven process that teachers utilized to increase student scores on state tests, a process brought forth from a national concern with increased accountability. According to the district website, there is no consistent direction for data use and informal teacher interviews demonstrated varying levels of proficiency and understanding in using available data. Constructivism and learning styles from Vygotsky, Bandura, and Gardner informed this qualitative case study's theoretical framework, which centered on data-driven decision making for instruction. The research questions explored the experiences of middle school teachers in collecting and analyzing data, how the school supported the teachers' …

African American Race And Culture And Patients' Perceptions Of Diabetes Health Education, Linda Marie Keenan

Walden Dissertations and Doctoral Studies

African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of …

A Mixed Methods Evaluation Of New Teacher Support Systems At An Urban Elementary, Dracaena Mosley

Walden Dissertations and Doctoral Studies

An urban elementary school in the northeast was lacking formal methods to evaluate its

support systems for teachers. This formative evaluation of the school's support systems for new teachers and staff was conducted using a mixed methods design to address the problem. The purpose of this evaluation was to determine the indicators of progress or need of improvement of effectively supporting teachers through mentoring, professional development, and collaboration. The theoretical framework for the study was Kirkpatrick's 4 levels of evaluation: reaction, learning, behavior, and results. The evaluation was also guided by questions about the extent, perceived effectiveness, strengths, and weaknesses …

Impact Of Federal Acquisition Regulation Change On Contractor Misconduct, Jeffery Orazio Patrignani

Walden Dissertations and Doctoral Studies

The Project on Government Oversight listed 632 reported acts of government contractor misconduct since 2007 that resulted in settlements or fines totaling $41.95 billion in the government contracting industry. Government contracting officials changed the Federal Acquisition Regulation (FAR) in 2009 to reduce acts of misconduct. The purpose of this causal-comparative study was to discover if the change to the FAR in 2009 significantly reduced the rate of reported contractor misconduct and to investigate the impact of the change on government contractor ethics business processes. Deterrence theory guided this study of how the change to the FAR in 2009 impacted the …

Prevalence Of Neonatal Tetanus In Northeastern Nigeria, Jalal-Eddeen Abubakar Saleh

Walden Dissertations and Doctoral Studies

Although efforts have been made towards improving the health of children across the globe with notable results, neonatal tetanus (NNT) remains a major contributor to the neonatal death rates in Nigeria. This problem calls for a concerted effort by the government to achieve the revised global NNT elimination deadline of 2015. The purpose of this cross-sectional quantitative study using secondary data was to establish the prevalence of NNT in Nigeria's northeast region and to ascertain if there was any significant difference in frequency of antenatal care (ANC), trained traditional birth attendants (TBAs), and umbilical cord treatments, using single sample proportions …

Physician Well Being And Patient Satisfaction Among Employed Physicians, Deanna Santana-Cebollero

Walden Dissertations and Doctoral Studies

Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% …

Teachers' Perspectives About Infusing Music Into Language Arts Instruction, Demetria Lucille Thomas

Walden Dissertations and Doctoral Studies

Reading and writing curricula in more than 50% of America's schools have not been successful in assisting students to meet mandated academic performances for a number of reasons, including lack of student motivation and self-esteem. Research studies indicated that music can influence student motivation and academic performance in subjects such as language arts and that a music-infused curriculum could generate the positive difference between academic failure and academic success. For this qualitative case study with a constructivist paradigm, the purpose was to observe, document, and analyze music-infused lessons used by 4 teachers from prekindergarten to 5th grade with the goal …

Attitudes, Experiences, And Perceptions Of Rural Christian Counselors With Regard To Self-Care, Theresa Grant White

Walden Dissertations and Doctoral Studies

Rural Christian counselors are a distinct group of individuals faced with unique personal and professional challenges. Researchers have indicated that rural counselors experience a higher burnout rate due to wide practice scope; client stigma against receiving help; and physical isolation, making supervision, consultation, and referral difficult. Studies also show that self-care is an effective defense against the symptoms of burnout. Self-care is defined as any legal activity that promotes wellness and brings physical, emotional, mental, or spiritual balance. The central research question of this hermeneutic phenomenology examined the attitudes, perceptions, and experiences of rural Christian counselors with regard to self-care. …

Family, Faith/Religion, And African Americans' Decisions To Seek Lung Cancer Treatment, Carla Demetrius Williams

Walden Dissertations and Doctoral Studies

Lung cancer is the leading cause of cancer mortality in the United States, especially among African Americans, who have the lowest survival rate from this disease among all racial/ethnic groups. The aim of this qualitative study was to investigate how family support and religion/faith influence patients' decisions about seeking treatment for lung cancer. This study was guided by the medical decision-making model and used a phenomenological approach. Data were collected from male and female lung cancer patients (n = 15) who were being treated in a thoracic and cardiovascular surgery clinic in Greensboro, North Carolina using semi-structured interviews. All participants …

Consequences For Nursing Graduates Of Failing The National Council Licensure Examination (Nclex), Julius Atemafac

Walden Dissertations and Doctoral Studies

Little information is available regarding the consequences of new nursing graduates who fail the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this study was to understand how these graduates could successfully pass this examination in subsequent attempts. Guided by Fisher's personal change model, the key research questions addressed the consequences of failing the NCLEX-RN exam and the actions the new graduate took after failing it. A phenomenological design was employed with a purposive sample of 17 new nursing graduates in the metropolitan area who had failed the NCLEX-RN. An inductive approach using a constant comparison, content …

A Correlational Analysis Of Empowerment And Experience With Resistance To Change, Rita Elizabeth Burgess

Walden Dissertations and Doctoral Studies

Despite more than 60 years of research about the nature of change, resistance to change remains a problem across industries. Health care leaders have limited knowledge of how health care managers' perceptions of empowerment, years of experience, and resistance to change (RTC) relate. The purpose for this nonexperimental correlational study was to examine the relationship between empowerment, years of experience, and RTC among managers via an online survey. The theoretical framework incorporated Kanter's structural empowerment theory and Kotter's change theory. The sample included 245 out of 1,181 health care managers from Veterans Administration (VA) hospitals in the New York metropolitan …

Perceptions Of Teachers And Administrators In Private Christian School Settings Regarding Spiritual Formation Programming For Millennials, Anne Puidk Horan

Walden Dissertations and Doctoral Studies

One mission of Christian schools is to foster teenagers’ spiritual formation so that they are equipped to confront challenges and contribute to their communities as Christians after high school. A private Christian school identified inadequate spiritual formation in its teenagers and a need to implement a spiritual formation program. Using a nonexperimental, mixed methods study, the purpose of this study was to (a) investigate spiritual formation programs used by private Christian schools and (b) explore educators’ perceptions of the most effective ways to bolster spiritual formation. The framework that drove this study was adolescent Judeo-Christian spiritual development. A questionnaire containing …

Factors Influencing Diabetes Self-Management Of Filipino Americans With Type 2 Diabetes Mellitus: A Holistic Approach, Jocelyn B. Sonsona

Walden Dissertations and Doctoral Studies

There is an increasing prevalence of Type 2 diabetes mellitus among Filipino Americans. However, how well Filipino Americans with diabetes self-manage their disease and what factors influence their diabetes self-management behaviors remain unknown. Based on a holistic approach, this quantitative study was designed to investigate the diabetes self-management behaviors of this population and the factors influencing their self-management behaviors. The combined roles of diabetes knowledge, diabetes self-efficacy, spirituality, and social support were examined in predicting diabetes self-care behaviors. A convenience sample of 113 Filipino Americans with Type 2 diabetes mellitus completed the Diabetes Knowledge Test, Self-Efficacy for Diabetes Test, Daily …

Social Consequence, Stakeholder Influence, And Resource Needs For Marcellus Shale Communities, Mary Kathleen Gorman

Walden Dissertations and Doctoral Studies

The process of natural gas recovery by horizontal drilling and hydraulic fracturing, known as fracking, is a major scientific advance in unconventional energy development. Attention has largely been focused on its economic advantages and potential negative environmental repercussions, while less consideration given to its social dimensions. The purpose of this study was to explore the social consequences of fracking for communities in the Appalachian Basin's Marcellus shale. Research questions focused on the role of stakeholders and the resource needs of localities in shaping public policy. This study was guided by the tenets of the Boomtown theory along with key issues …

Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos

Walden Dissertations and Doctoral Studies

A medical center specializing in ear, nose, and throat (ENT) services noted an increase in the number of postoperative ENT complications compared to the national average. The purpose of this mixed-methods project study was to examine ENT patients' preoperative patient education (PPE) needs regarding postoperative care. Grounded in Knowles's model of learning, core adult learning principles were applied as guidelines in facilitating patients' PPE learning. Data were collected from 58 ENT patients who were selected using a convenience sampling method and who responded to a PPE survey using a 5-point Likert scale and open-ended questions. Quantitative data were analyzed using …

The Impact Of Vaccination Schedules On Infants' And Children's Physio-Psychological Health: A Qualitative Investigation, Dina A. Alsalih

Walden Dissertations and Doctoral Studies

Many people may have become increasingly concerned about the risks associated with vaccines. At the same time, there is a lack of qualitative research on the impact of various vaccinations schedules on individuals' physio-psychological health. In addition, "mandatory" versus "nonmandatory, but recommended" vaccines are still under debate in some Western countries. The purpose of this ethnographic study was to provide an in-depth understanding of the beliefs, experiences, and perceptions of adolescents, parents, and health care providers regarding different vaccination schedules. The health belief model was used as the theoretical framework. The sample consisted of adolescents and parents from different vaccination …

Environmental Degradation: Key Challenge To Sustainable Economic Development In The Niger Delta, Christian Udogadi Duru

Walden Dissertations and Doctoral Studies

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The Effect Of Ability Grouping For Talmud On The Academic Self-Concept Of Jewish Orthodox Middle School Students, Yitzchak Tzvi Goldberg

Walden Dissertations and Doctoral Studies

Researchers have examined the relationship between ability grouping and academic self-concept in math, science, and English, and have found varying results. However, previous studies have not examined the relationship between ability grouping and academic self-concept for the subject of Talmud. Middle school presents a unique opportunity to examine this relationship because middle school is when both ability grouping for Talmud and the study of Talmud begin. The purpose of this correlational study was to assess the relationship between ability grouping and the academic self-concept for Talmud in middle school students. The predictive relationship among individual academic achievement, school average achievement, …

Generational Cohort Differences In Types Of Organizational Commitment, April Lavette Jones

Walden Dissertations and Doctoral Studies

In hospitals in the United States, the ratio of nurses to patients is declining, resulting in an increase in work demands for nurses. Consequently, organizations face challenges with nurses' organizational commitment. Studies have revealed generational differences, as determined by birth year, in employee levels of organizational commitment in a number of organizational settings. However, there is a gap in the literature regarding the impact of generational cohorts on the organizational commitment of nurses. The purpose of this quantitative, nonexperimental, cross-sectional design was to address whether generational cohorts of nurses differed in their levels of organizational commitment, and to investigate whether …

The Role Of Followership During Periods Of Absent Leadership, Robert Alan Leonard

Walden Dissertations and Doctoral Studies

With a culture focused on leadership, the purpose in this study was to explore untested assumptions about followers and their being ignored as independent productive actors in the workplace. The lived experience of followers and their impact on the success or failure of organizations during periods of absent leadership was explored via 4 independent situations. A qualitative, phenomenological research design based primarily on the theoretical framework of Moustakas and the research design of Patton guided the study. The 3 key research questions were explored with regard to followers during periods of absent leadership: how they respond, what actions they take …

Mission Statement Clarity And Organizational Behavior At An Art-Focused High School, Michael Allen Mitchell

Walden Dissertations and Doctoral Studies

Many new institutions struggle with issues of identity and purpose, which can create instability and lack of growth. Mission statements are often used to clearly identify the characteristics that make an organization unique. This study was informed by theories of organizational management, art integration constructivism, and Bronfenbrenner's cultural ecology. The literature indicates that there is a strong connection between a clear and concise mission statement and the organization's behaviors. This study examined a small Southeast Michigan charter school devoted to integrating arts and academic curricula to determine how the stated mission was understood and implemented by its stakeholders. An applied, …

Ap And Ib Instructional Practices For Students Who Demonstrate Advanced Proficiency In Spanish, Carol Mable Andersen

Walden Dissertations and Doctoral Studies

Linguistically gifted and talented students often do not receive appropriate instruction in the classroom. Little research has been conducted about how teachers of Advanced Placement and International Baccalaureate courses provide instruction to students who demonstrate advanced proficiency in a second language. The purpose of this multiple case study was to explore how teachers of these courses provided instruction for students who demonstrate advanced proficiency in Spanish. The conceptual framework was based on Krashen's second language acquisition theory and Gardner's multiple intelligences theory. Participants included 2 teachers from 2 high schools in 1 county in a western state. Data were collected …

Drug Use And Sexual Risk Behaviors Of Msm With Syphilis In Atlanta, Tarneisha Shantelle Means

Walden Dissertations and Doctoral Studies

Many men who have sex with men (MSM) engage in alcohol and drug use. Drug use, particularly methamphetamines, amyl nitrates (poppers), and drugs used to treat erectile dysfunction among MSM may also contribute to risks such as unprotected sex, which leads to the possibility of contracting syphilis, Human immunodeficiency virus (HIV), and other Sexually Transmitted Infections (STIs). In the Metro Atlanta Area (Fulton and Dekalb Counties), primary and secondary syphilis rates among MSM are still rising and rank highest among the other counties in the area. Guided by the risk and protective factor theory, the purpose of this study was …