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Awareness Of Diabetes Risk Associated With Individuals 18 And Older, Rebecca Jane Boone
Awareness Of Diabetes Risk Associated With Individuals 18 And Older, Rebecca Jane Boone
Walden Dissertations and Doctoral Studies
The risk of developing Type 2 diabetes is increasing at epidemic proportions, and is 12-17% higher in Marion County Florida than it is across the state, based on Florida Department of Health statistics. The purpose of this DNP project was to determine if awareness of individual risk of developing Type 2 diabetes through a questionnaire would result in high-risk participants agreeing to attend a diabetes prevention program (DPP) at a local medical clinic. The health belief model and Rosswurm and Larrabee's model for change were used as frameworks. The review of the literature showed that prevention programs were highly effective …
Resonating Personality Types For Couples: An Enneagram Application For Predicting Marital Satisfaction, Douglas George Carpenter
Resonating Personality Types For Couples: An Enneagram Application For Predicting Marital Satisfaction, Douglas George Carpenter
Walden Dissertations and Doctoral Studies
Over 50% of marriages in the United States end in divorce. Researchers have attempted to identify factors that help marriages endure by studying personality, attachment styles, and gender. However, few researchers have examined how dyadic interactions of personality types and attachment types influence marital satisfaction. The purpose of this study was to examine the effects of enneagram personality types on marital satisfaction within 3 groups of attachment types: couples who (a) both demonstrate a secure attachment style, (b) contain one member who demonstrates an insecure attachment style and the other who demonstrates a secure attachment style, and (c) both demonstrate …
Army Medics With College Degrees Who Transitioned To Civilian Life, Alex Giberson
Army Medics With College Degrees Who Transitioned To Civilian Life, Alex Giberson
Walden Dissertations and Doctoral Studies
Few colleges and universities have adopted the practice to provide credits for the majority of undergraduate coursework for military career training. Easing the transition from military to civilian life has become a priority for the Department of Defense, yet there is a significant gap in empirical knowledge regarding the potential benefits of a college degree on soldiers exiting the military. The purpose of this study was to understand the lived experiences of Army Medics who have transitioned back into civilian life after graduating from a college degree program that grants significant credit for military training. This phenomenological study used a …
A Client-Vendor Relationship Perspective Of Cultural Differences On Cross-Border Information Technology Outsourcing, John Kennedy Bosire
A Client-Vendor Relationship Perspective Of Cultural Differences On Cross-Border Information Technology Outsourcing, John Kennedy Bosire
Walden Dissertations and Doctoral Studies
Cross-border information technology (IT) outsourcing continues to rise due to the demand for business process outsourcing. Issues such as miscommunication and management problems have emerged because of cross-cultural disparities between clients and vendors across national borders. The theoretical framework of this study was based on the organizational culture model studies of Meek, Spradley, Smith, and Draft for examining and understanding complex organizational practices. The purpose of this mixed-methods explanatory sequential case study was to qualitatively identify and quantitatively determine the management approaches that are effective in managing cross-cultural differences and the constitution of the elements of global adjustment, motivation, mindset, …
The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz
The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz
Walden Dissertations and Doctoral Studies
The purpose of this quantitative study was to examine an under-researched topic: the relationship between psychological resilience and personal growth with spousal caregivers of patients diagnosed with Multiple Sclerosis (MS). Chronic illnesses contribute to potentially stressful changes (i.e., lifestyle, quality of life, financial wellbeing, and interpersonal relationships) for the caregiver. The theoretical foundation for this study was Walsh's family resilience theory, which contends that resilience is vital for coping with stressful life experiences and leading a more successful life. Three separate analyses were conducted to examine the relationship between the total scores of the RS and the PGIS, the SWLS, …
Factors Impacting Body Mass Index Of Hispanic Youth In A Weight Loss Program, Elizabeth Maria Hartman
Factors Impacting Body Mass Index Of Hispanic Youth In A Weight Loss Program, Elizabeth Maria Hartman
Walden Dissertations and Doctoral Studies
Youth obesity prevalence rates in the United States are trending down; however, for Hispanic youth, rates are increasing despite efforts toward a reduction. The purpose of this study was to evaluate the impact of a culturally focused intervention program on weight reduction of Hispanic youth age 2 to 19 through examination of body mass index (BMI) percentile outcomes comparing age, gender, distance to program, time in program, and season of enrollment. Review of literature supports ecological and cultural approaches requiring behavior modification tailored to family and community as successful in decreasing youth obesity. However, researchers have yet to establish how …
Communication Strategies To Generate Employee Job Satisfaction, Kenyatta Natasha Hills
Communication Strategies To Generate Employee Job Satisfaction, Kenyatta Natasha Hills
Walden Dissertations and Doctoral Studies
Managers spend 75% of their time actively communicating with employees. Effective leadership communication is fundamental to employee job satisfaction. The purpose of this phenomenological study was to explore how communication strategies that government agency leaders use may motivate greater employee job satisfaction. Twenty employees of a government office in Florida were the general population sample. The motivational language theory helped explore the nature of job satisfaction by focusing on leadership and employee communication strategies. Leadership communication influences employee motivation through incorporating 3 categories of utterances: empathetic (illocutionary) language, direction-giving (perlocutionary) language, and meaning-making (locutionary) language. The Van Manen selective approach …
Women's Perspectives On Adequacy Of Screening And Treatment For Postpartum Depression, Gloria Marcia Watson
Women's Perspectives On Adequacy Of Screening And Treatment For Postpartum Depression, Gloria Marcia Watson
Walden Dissertations and Doctoral Studies
Postpartum depression affects some 10% to 20% of mothers. Its impact on the health and well-being of mothers and their infants is well documented. If not identified and addressed early, it can result in emotional burden, costly hospitalization and treatment, and, at worst, suicide and or infanticide. Empowerment theory was the conceptual framework for this hermeneutic phenomenological study. The purpose was to understand the lived experiences of the screening and treatment processes of 10 women from New York City experiencing postpartum depression and their perceived adequacy of the treatment received. In-depth interviews were used to investigate participants' lived experiences of …
Predicting Success In First-Year Associate Degree Nursing Students, Laura J. Hope
Predicting Success In First-Year Associate Degree Nursing Students, Laura J. Hope
Walden Dissertations and Doctoral Studies
An associate degree of nursing program in the southeastern region of the United States has had significant increases in student attrition over the past few years. Admission requirements did not include an entrance exam, such as the Test of Essential Academic Skills (TEAS), which may be useful in decreasing the deficiencies associated with poor student progression. Guided by the Knowles' theory of adult learning and Bandura's social learning theory, the purpose of this correlation study was to explore the relationship between the TEAS scores and the cumulative grade point average (GPA) of first-year students to determine if success at the …
Physician Participation In Crowdsourcing: Effect Of Intrinsic And Extrinsic Motivation, Rod Gene Brace
Physician Participation In Crowdsourcing: Effect Of Intrinsic And Extrinsic Motivation, Rod Gene Brace
Walden Dissertations and Doctoral Studies
Physicians must participate in developing medical protocols to ensure that medical best practices are adopted for patients' social benefit. Healthcare leaders have struggled to gain sufficient physician participation in developing medical protocols. Using technology-based crowdsourcing to assimilate knowledge from physicians may help healthcare managers improve medical protocol development. Using self-determination theory, this quantitative causal-comparative design aimed to determine whether differences in intrinsic and extrinsic motivation existed among the 132 participating physicians who did or did not participate in developing medical protocols in a crowdsourcing environment. Participants were recruited by e-mail through an independent physician association. Motivation levels were measured by …
Implementing Bedside Shift Report: An Evaluation Of Change In Practice, Jessica Palumbo
Implementing Bedside Shift Report: An Evaluation Of Change In Practice, Jessica Palumbo
Walden Dissertations and Doctoral Studies
Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) survey results from 2013 revealed a need for improvement in nurse-patient communication at the unit level. In response, nursing administrators at an acute-care hospital asked bedside nurses to develop a protocol for bedside shift report according to best practices. The protocol was implemented in May 2014. Three months later, a postimplementation survey was distributed. Work from Lewin and Kotter theoretical concepts were used to evaluate this organizational change. The purpose of this study was to determine whether re-educating staff nurses on the bedside shift report protocol increased compliance with evidence-based practice …
Sales Performance And Emotional Intelligence Of Technology Sales Professionals, Michael Reid
Sales Performance And Emotional Intelligence Of Technology Sales Professionals, Michael Reid
Walden Dissertations and Doctoral Studies
United States business leaders spend $15 billion per year on sales training, but approximately 50% of salespeople still fail to reach their annual sales targets. Business leaders have limited understanding of the relationship between emotional intelligence and its central constructs (self-perception, self-expression, interpersonal, decision making, and stress management) and sales performance of sales professionals based in the United States. The purpose of this correlational research study was to examine the relationship between emotional intelligence and sales performance via an online pre-existing emotional intelligence assessment. The theoretical framework incorporated emotional intelligence theory and job performance theory. The sample included 86 technology …
Preparation And Support Of Female Head Athletic Trainers In Collegiate Sport, Bekki Turner
Preparation And Support Of Female Head Athletic Trainers In Collegiate Sport, Bekki Turner
Walden Dissertations and Doctoral Studies
Title IX of the U.S. Education Amendments of 1972 has significantly improved women's access to previously male-dominated areas of education in the United States, but few of these studies have focused on the experiences of women currently in the higher education field. This study explored female head athletic trainers' perceptions of the role of U.S. higher education institutions in preparing and supporting their achievement of leadership positions in U.S. collegiate sports: it also explored their views on potential changes in current higher education curricula and certification processes. This phenomenological study used Ridgeway's status construction theory as its theoretical lens for …
Effects Of Telemedicine In The Intensive Care Unit On Quality Of Care, Amanda Wallace
Effects Of Telemedicine In The Intensive Care Unit On Quality Of Care, Amanda Wallace
Walden Dissertations and Doctoral Studies
The growing concern over the nursing shortage has affected the intensive care unit (ICU) and how these units provide quality care, adhere to best practices, and maintain high satisfaction scores. Implementing telemedicine technology allows the ICU to have additional staff available, via cameras at an offsite location, to assist with patient care. The purpose of this project was to evaluate the potential benefits of telemedicine application used within an ICU on quality of care, adherence to best practices, and satisfaction, as evidenced by data from the hospital's telemedicine dashboard. The goals of this project were to reduce length of stay, …
Identifying Risk Factors For High Incidence Of Peripheral Intravenous Catheters Complications: Reducing Infiltration Rate Within The Hospital, Janise Marrisette Banks
Identifying Risk Factors For High Incidence Of Peripheral Intravenous Catheters Complications: Reducing Infiltration Rate Within The Hospital, Janise Marrisette Banks
Walden Dissertations and Doctoral Studies
This study addressed an increasing number of peripheral intravenous catheter infiltrations within hospitals, leading to problems such as phlebitis and cellulitis, which may result in a longer length of hospital stay. The purpose of this project was to determine how to reduce infiltrations in order to increase the longevity of the catheter. A quantitative, description design was used, guided by Abdellah's classification framework for identifying nursing problems. The target population was 50 patients experiencing incidents of peripheral intravenous catheter infiltration, identified in a patient safety event log used across a 252-bed hospital. Each incident was assessed for several risk factors, …
Effects Of Mild To Moderate Stress On Mental Rotation, James Frederick Bell
Effects Of Mild To Moderate Stress On Mental Rotation, James Frederick Bell
Walden Dissertations and Doctoral Studies
Mental rotation (MR) is the ability to mentally shift one's visual perspective of any object by changing the orientation of a mental image of that object. Research into the effects of stress on MR could be used to help improve understanding of a variety of visual-spatial tasks performed in hyper-vigilance situations. However, until the present study, there has been no research on the effects of stress on MR. The Yerkes-Dodson Law predicts performance will be improved when an individual is exposed to mild to moderate stress. The purpose of this study was to answer three research questions. The questions examined …
Hiv Testing Among Young African American Men Who Have Sex With Men, Tayo B. Awopeju
Hiv Testing Among Young African American Men Who Have Sex With Men, Tayo B. Awopeju
Walden Dissertations and Doctoral Studies
Young African American men who have sex with men (AAMSM) are at greater risk of being infected with the human immunodeficiency virus (HIV) and less likely to seek HIV testing than are members of other demographic groups. This behavior results in a significant public health threat because young AAMSM with an unrecognized HIV infection are less likely to practice safer sex and, therefore, more likely to pass the infection on to their partners. This study is an examination of the social and personality factors that influence HIV testing rates among young AAMSM, using Aday's model of the social determinants of …
Correlations Between Corporate Governance, Financial Performance, And Market Value, Mohamed Saleh Darweesh
Correlations Between Corporate Governance, Financial Performance, And Market Value, Mohamed Saleh Darweesh
Walden Dissertations and Doctoral Studies
Corporate governance can play a significant role in financial market stability and economic development. Corporate governance scholars have provided controversial results with respect to the relationships between corporate governance and both corporate financial performance and market value. Based on agency theory and institutional theory, the purpose of this correlational study was to investigate the relationship between corporate governance mechanisms, financial performance, and market value in Kingdom of Saudi Arabia's 116 firms from 2010 to 2014. Financial performance was measured by return on assets and return on equity, while market value was measured by Tobin's q. Corporate governance mechanisms involved in …
Risk Factors Associated With Depression And Anxiety In Older Adults Of Mexican Origin, Raquel Estrada Gonzalez
Risk Factors Associated With Depression And Anxiety In Older Adults Of Mexican Origin, Raquel Estrada Gonzalez
Walden Dissertations and Doctoral Studies
Older adults of Mexican origin are often underserved, especially those residing in nursing homes. Their number has increased in the past 4 years. There is a gap in the research literature on Hispanic elders, specifically those of Mexican origin, residing in nursing homes along the Texas-Mexico border. Because Texas has one of the fastest growing populations of Mexican elders, it is important to better understand this population. This nonexperimental study evaluated the relationship among risk factors' such as gender, marital status, family support, activities of daily living (ADLs) and participation in nursing home activities. These relationships were evaluated with a …
Nclex-Rn Predictor Test Scores And Nclex-Rn Success, Annie Ruth Grant
Nclex-Rn Predictor Test Scores And Nclex-Rn Success, Annie Ruth Grant
Walden Dissertations and Doctoral Studies
Health care professionals and nurse educators are concerned about increasing percentage of first time test takers failing the NCLEX-RN exam. The purpose of this retrospective study was to examine predictive accuracy of the Assessment Technologies Institute (ATI) RN Comprehensive Predictor for passing or failing the NCLEX-RN exam in a cohort of nursing students (N = 195). South Eastern Technical College in South Carolina is in jeopardy of losing accreditation for their nursing program because of the low percentage of first time test takers failing. The college's pass rate on the NCLEX-RN exam has been below the national and state averages …
High School Graduates' Perspectives On The Creation Of Online Identities, Lisa Koh-Herlong
High School Graduates' Perspectives On The Creation Of Online Identities, Lisa Koh-Herlong
Walden Dissertations and Doctoral Studies
Technological advancements continue to increase online accessibility and the virtual population. As students engage with these advancements, their lives and identities will be on a worldwide platform. The realities of online identities present a challenge for educators to teach students how to manage those online identities. Researchers have studied the after-effects of online identities, but there is a gap in understanding the individual's thought process during the creation of online identities. The purpose of this interpretative phenomenological analysis was to understand the perspectives of working high school graduates regarding the creation of online identities. The research questions were designed to …
A Comparative Study Of Compliance Among Patients Attending An Opiate Outpatient Treatment Center In Rural Appalachia, Jerry Russell Morris
A Comparative Study Of Compliance Among Patients Attending An Opiate Outpatient Treatment Center In Rural Appalachia, Jerry Russell Morris
Walden Dissertations and Doctoral Studies
Adults with an opiate addiction have a higher rate of noncompliance with treatment, which limits its effectiveness and increases the burden of care for society. Effective treatment decreases emergency room visits, and overdoses. The tristate area of Kentucky, West Virginia, and Ohio has experienced increased opiate-related arrests and deaths. This study sought to measure the extent to which treatment type (medical treatment (MS) or faith-based component of service (FBS)) predicts compliance when measured by number of clean urine drug screens (UDSs) and number of kept pill count, over and above dual diagnosis, college education, and income. The on-site records of …
Influences Of Csi Effect, Daubert Ruling, And Nas Report On Forensic Science Practices, Timothy Patrick Scanlan
Influences Of Csi Effect, Daubert Ruling, And Nas Report On Forensic Science Practices, Timothy Patrick Scanlan
Walden Dissertations and Doctoral Studies
The media exaggerates the capabilities of crime laboratories while it publicizes the wrongdoings of individual forensic scientists. Such portrayals skew the perspectives of jurors and hinder expert witness testimony. Complicating the problem are separate, but related, phenomena that influence how forensic laboratories conduct casework. These phenomena are Cole and Dioso-Villa's conceptualization of the unrealistic expectations of forensic science created by fictional television, known as the CSI Effect; the Daubert ruling on the admissibility of expert testimony; and some federal policy changes as a result of a National Academy of Sciences (NAS) report that impacted requirements for the daily operation of …
Perceptions Of Parental Involvement Among Rural Parents, Teachers, And Administrators, Sandra Elaine Cheairs
Perceptions Of Parental Involvement Among Rural Parents, Teachers, And Administrators, Sandra Elaine Cheairs
Walden Dissertations and Doctoral Studies
Parents, teachers, and administrators have different perceptions of the importance and effects of parental involvement. A rural school district was experiencing low levels of parental involvement; therefore, to address that problem, the purpose of this concurrent mixed methods study was to explore the experiences and ideas of parents, teachers, and administrators related to parental involvement. The theoretical framework was based on Epstein's 6 types of parental involvement: parenting, communicating, volunteering, learning at home, decision making, and collaborating. Data were collected from parents (n=67), teachers (n=4), and administrators (n= 3) from 5 rural elementary schools. Instruments included Epstein's School and Family …
Association Between Psychological Trauma From Assault In Childhood And Metabolic Syndrome, W Sumner Davis
Association Between Psychological Trauma From Assault In Childhood And Metabolic Syndrome, W Sumner Davis
Walden Dissertations and Doctoral Studies
Metabolic syndrome and its component conditions of hypertension, obesity, and insulin resistance are on the increase in United States. Metabolic syndrome substantially increases the risk of cardiovascular disease and type 2 diabetes (T2D). To date, no published study has examined the relationship between psychological traumas from physical and/or sexual assault in childhood and metabolic syndrome or its components. This study, using the psychoneuroimmunology (PNI) model, investigated associations between psychological trauma (physical/sexual abuse) in childhood and metabolic syndrome in adulthood using data from the Midlife in the United States II (MIDUS-II) study. This research was undertaken to investigate whether a history …
An Examination Of Physician Resistance Related To Electronic Medical Records Adoption, Terrence Duncan
An Examination Of Physician Resistance Related To Electronic Medical Records Adoption, Terrence Duncan
Walden Dissertations and Doctoral Studies
The 2009 American Recovery and Reinvestment Act, signed under the Obama administration, mandated physicians to complete certification for electronic medical records (EMRs). Despite these mandates and the increased access to information technology, slow adoption rates persist on the use of EMRs. Guided by the theory of planned behavior and the technology acceptance model, the purpose of this quantitative study was to examine the relationship between the independent variables perceived ease of use, perceived usefulness, perceived behavioral control, perceived social influence, attitudes toward EMR, and the dependent variable user acceptance. This study identified physicians in the United States as end-users of …
Diabetes Education Tailored Towards English Speaking Caribbean Immigrants, Joanna A. Dunk
Diabetes Education Tailored Towards English Speaking Caribbean Immigrants, Joanna A. Dunk
Walden Dissertations and Doctoral Studies
The prevalence of diabetes is increasing among persons of Caribbean ancestry in the United States, yet there is little research on the differences in the health and nutrition patterns of diabetics from this population. This study created a culturally-sensitive diabetes education program for the staff of an internal medicine practice that treated patients from the English-speaking Caribbean. The project was guided by the health belief model, as well as Leininger's theory of transcultural nursing. Methodology of project had a quality improvement focus. The comprehensive curriculum included diabetes medications, physical activity, culturally-tailored medical nutrition therapy, complications, self-care behavior, problem solving, and …
Parents' Perceptions Of And Experiences With School Counselors, Robyn Jean Emde
Parents' Perceptions Of And Experiences With School Counselors, Robyn Jean Emde
Walden Dissertations and Doctoral Studies
Research has found that parents may feel isolated from their children's schools due to their own problematic educational experiences or their lack of understanding their children's school experiences. Current literature explores stakeholders' perceptions of school counselors but lacks specific context from a parental perspective. Validating parents' perceptions of and experiences with school counselors enhances students' academic success by providing insight about what motivates parents to invest in their children's schools and how school counselors influence parental involvement. Utilizing key concepts related to the importance of parental involvement for student success, this qualitative study focused on the experiences and perceptions of …
Weight Management Of Women Of Childbearing Age, Marcia Hagen
Weight Management Of Women Of Childbearing Age, Marcia Hagen
Walden Dissertations and Doctoral Studies
Black River Memorial Hospital identified obesity as a priority health concern in its rural service area; this concern was in line with the county's needs assessment. It was identified that women of childbearing age affect the lifestyle and health choices of their families and that they are at higher risk for the additional health risks associated with obesity affecting pregnancy and birth. Despite the identification of these risk factors, the factors that affect healthy weight management have not been well understood. Using the life course theory, a qualitative inquiry in the form of a structured interview was developed with local …
Positive Behavior Support Systems In A Rural West Texas Middle School, Aaron Scott Hunt
Positive Behavior Support Systems In A Rural West Texas Middle School, Aaron Scott Hunt
Walden Dissertations and Doctoral Studies
Positive Behavior Support (PBS) programs are being implemented in schools in the United States to support faculty, staff, and students. The purpose of this study was to evaluate a PBS system at a rural west Texas middle school to discover what improvements are necessary for district-wide implementation and sustainability. The study drew on Bandura's social learning theory, which posits that people learn from each other through observation, imitation, and modeling. PBS systems provide the framework for exhibiting specific behavior expectations so students and teachers can get the most from their educational experiences. A program evaluation was completed using discipline data …