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Full-Text Articles in Entire DC Network
Georgia Government Leaders' Lived Experience Creating And Implementing Health Equity Policies, Tracy M. Clopton
Georgia Government Leaders' Lived Experience Creating And Implementing Health Equity Policies, Tracy M. Clopton
Walden Dissertations and Doctoral Studies
Georgia’s racial and ethnic minority communities have a continual problem of disproportionately worse health outcomes, including higher chronic disease and behavioral risk factors, compared to their nonminority counterparts. The average cost per year for chronic disease between 2016 and 2030 could be $64.6 billion in medical costs and $26.8 billion in lost employee productivity for Georgia. The purpose of this study was to explore the lived experience of Georgia legislators and health program staff to determine policy solutions to reduce chronic disease and behavioral risk factor disparities in the racial and ethnic minority population. The theoretical lens for the study …
Perceptions Of High School Principals About Improving African American Male Academic Outcomes, Andre Lavelle Credit
Perceptions Of High School Principals About Improving African American Male Academic Outcomes, Andre Lavelle Credit
Walden Dissertations and Doctoral Studies
In this study, the African American male students’ academic achievement gap and the principals’ strategies to overcome this problem were investigated. The purpose of this qualitative exploratory case study was to assess the viability of the different strategies that principals have put in place in their respective schools with the aim of improving the academic outcomes of African American male students. The study was guided by the theoretical foundation of culturally responsive teaching, which ensures effective diversity management through the cultural resources of teaching. The research questions addressed 3 major components: the principals’ self-perceived beliefs and attitudes toward enhancing the …
Capturing The Investigators’ Perspective Of Stranger Rapists And The Investigation, Diane M. Crowley
Capturing The Investigators’ Perspective Of Stranger Rapists And The Investigation, Diane M. Crowley
Walden Dissertations and Doctoral Studies
Stranger rape investigations are complex and present the challenge of identifying the unknown suspect. Criminal profiling is an investigative tool used in these difficult-to-solve cases, but there is a lack of knowledge on how detectives use profiling during their investigations and whether they are able to apply criminal profiling research in practice. The purpose of this qualitative phenomenological study was to gain a deeper understanding of the stranger rape investigative process from the perspective of experienced sex crime detectives. The conceptual framework for this study was the assumption of homology, modified from Owens, and behavior consistency originating from trait theorists. …
Leading A Multigenerational Workforce: Leveraging The Skill Sets Of Each Cohort, Kevin Danley
Leading A Multigenerational Workforce: Leveraging The Skill Sets Of Each Cohort, Kevin Danley
Walden Dissertations and Doctoral Studies
For the first time in American history, there are 5 generations in the workforce concurrently. This historical event has caused workplace challenges where leaders have inadequate knowledge regarding the unique skill sets of each generational cohort. Without an understanding of these unique skill sets, leaders cannot adapt their leadership style to create greater production in a multigenerational workplace. The purpose of this qualitative exploratory multiple-case study was to gain an understanding of the skill sets of each generational cohort and to discover how their leaders can adapt their leadership style to develop effective strategies to create a more productive multigenerational …
Success Stories: Community College Teachers Using Technology To Engage Online Students, Alice Louise Dieli
Success Stories: Community College Teachers Using Technology To Engage Online Students, Alice Louise Dieli
Walden Dissertations and Doctoral Studies
For online students to be engaged in learning process, best practices include teachers using appropriate technology. However, it is unclear how some teachers who initially face challenges to adopting new teaching technology have overcome those challenges, adjusted their instructional practices, and adopted innovative technology to successfully engage students online. The purpose of this case study was to describe how teachers overcame challenges of using instructional technology tools for online learning. Rogers’s diffusion of innovations theory and Kolb’s experiential learning model provided the framework for this study. The research questions explored why teachers initially resisted the use of technology tools in …
Reducing Morbidity: Establishing A Relationship Between Perioperative Normothermia And Colon Surgical Site Infections, Nychie Dotson
Reducing Morbidity: Establishing A Relationship Between Perioperative Normothermia And Colon Surgical Site Infections, Nychie Dotson
Walden Dissertations and Doctoral Studies
Healthcare-associated infections (HAIs) are an emerging public health threat. Every day in the United States, HAIs impact 1 in 31 hospitalized patients. Surgical site infections (SSIs) account for over 40% of all reported HAIs and have an increased risk for morbidity and mortality. Surgery associated with colon procedures present an increased risk for infection, morbidity, and mortality. There has been vast work to prevent colon SSIs; however, there remain areas for improvement and exploration. The main research question evaluated the relationship between maintaining perioperative normothermia and colon SSIs. Secondary research questions explored additional risk factors to include age, gender, obesity, …
Comparison Of Work-Related Values And Leadership Preferences Of Mexican Immigrants And Caucasians, Alonso Raul Duarte
Comparison Of Work-Related Values And Leadership Preferences Of Mexican Immigrants And Caucasians, Alonso Raul Duarte
Walden Dissertations and Doctoral Studies
Globalization has made it easier for people to migrate, thus increasing diversity within organizations. One problem with this migration is that 1st and 2nd generation immigrants may prefer different leadership styles than those of the mainstream culture. The purpose of this survey-based quantitative comparative study was to investigate the effects of acculturation on the work-related cultural values and leadership style preferences of Mexican immigrants living in the United States. The research question that guided this study focused on the differences in work-related cultural values and preferred leadership styles between 2 generations of Mexican immigrants, Mexicans, and U.S.-born Caucasians. Two hundred …
Teacher Perceptions About Teaching Students With Executive Function Deficits, Susan Lynn Dunlap
Teacher Perceptions About Teaching Students With Executive Function Deficits, Susan Lynn Dunlap
Walden Dissertations and Doctoral Studies
The problem that prompted this study was that kindergarten through 5th grade teachers were struggling to find appropriate interventions to support the rising number of students exhibiting executive function deficiencies (EFD). The purpose of this qualitative study was to investigate the experiences and perceptions of local elementary teachers about students with EFD, about instructional strategies used to help focus EFD students, and about teachers’ professional needs to work effectively with EFD students. Diamond’s core characteristics of EFD served as the conceptual framework guiding this study. The research questions focused on teachers’ experiences and perceptions of strategies used for students with …
Counseling Usage Patterns And Resources Students Use For Psychological Distress, Corey Anthony Duplantis
Counseling Usage Patterns And Resources Students Use For Psychological Distress, Corey Anthony Duplantis
Walden Dissertations and Doctoral Studies
Mental health is a challenge that affects higher education. The problem for this study was that students at My Town College (a pseudonym) with psychological distress use the on-campus counseling center at a lower percentage than the national average for comparable colleges. The purpose of this quantitative study was to investigate why My Town College students use their on-campus counseling center at a lower percentage than other comparable institutions and to learn where students seek help for psychological distress. Chickering’s 7 vectors of development served as the theoretical foundation for this study. A random sample of 1,500 students, over 18 …
Attitudes Toward Lgbtq Individuals In The New Jersey Health Sector, Mary A. Egan
Attitudes Toward Lgbtq Individuals In The New Jersey Health Sector, Mary A. Egan
Walden Dissertations and Doctoral Studies
People who identify as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) often experience bullying and discrimination. Additionally, LGBTQ individuals feel invisible within the workforce due to inadequate legal protections. The stress of LGBTQ stigma compounded with the high stress levels experienced by healthcare workers has been linked to the effectiveness of health organizations, negatively influencing the quality of care provided to patients. The purpose of this cross-sectional quantitative study was to examine the knowledge and attitudes of healthcare workers toward LGBTQ individuals. Guided by the systems theory framework, the attitudes of 227 healthcare workers toward homosexuality and healthcare delivery to LGBTQ …
Fertility Treatments Of Women In Nigeria: Using Long Versus Short Protocols, Michael Egwu
Fertility Treatments Of Women In Nigeria: Using Long Versus Short Protocols, Michael Egwu
Walden Dissertations and Doctoral Studies
A global estimate indicates that over 70 million heterosexual married couples live with the burden of infertility, and Nigeria accounts for about 30%. Although protocols exist, it appears there are no standardized treatment guidelines for practicing fertility experts in Nigeria. This study, therefore, aimed to determine which protocol provides a better outcome across a given population of infertile women in Nigeria as a method to move towards developing standardized treatment guidelines. The study was grounded using the Patient-Centered Care Treatment Model, and the method of inquiry was a retrospective, cross-sectional, quantitative, and nonexperimental technique, and the influence of the patient’s …
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Walden Dissertations and Doctoral Studies
Breast cancer incidence is suddenly increasing among African American women. Recent studies indicate that health behaviors are thought to confer important health benefits and have the potential to lowering breast cancer incidence. Guided by the social ecological model, the purpose of this quantitative, cross-sectional study was to investigate the association between health behaviors of fruit consumption, vegetable consumption, and physical activity and breast cancer after adjusting for age, body mass index, and smoker status. Social support and income level were assessed as modifiers. Using the 2012 to 2017 Health Information and National Trends Survey data, this study was conducted with …
A Provider Education Program Addressing Barriers To Diabetic Patients’ Self-Care, Henrietta O. Emokidi
A Provider Education Program Addressing Barriers To Diabetic Patients’ Self-Care, Henrietta O. Emokidi
Walden Dissertations and Doctoral Studies
Diabetes is the leading cause of death among American Indian/Alaskan Natives and the 7th leading cause of death in the United States. Type 2 diabetes (T2DM) affects 9% of the U.S. population and costs the United States an estimated $245 billion annually. The purpose of this project was to identify patients’ concerns related to their disease and to develop an education program for providers to address these concerns. The project was framed using Orem’s theory of self-care and the middle-range theory of self-care of chronic illness. Five providers in an underserved clinic in Alaska conducted assessments during a primary care …
Police Officers’ Cognitive Appraisals, Naomi Yolanda Estrada
Police Officers’ Cognitive Appraisals, Naomi Yolanda Estrada
Walden Dissertations and Doctoral Studies
Studies have found that police officers often experience stress. The purpose of this quantitative study was to determine if the cognitive appraisal of perceived stress of police officers differed between two police groups, those assigned to regular policing duties and those assigned to hot-spot policing. The survey chosen for this study was the Cognitive Appraisal Questionnaire, with composite scores taken from the Threat/Anxiety/Guilt Domain. The final sample (n = 109) comprised police officers from a midsized police department in West Texas. A one-way ANOVA was conducted to test the hypotheses and compare the two types of policing. A regression was …
Atheoretical Versus Theory-Based Approaches In Promoting Safer Adhd-Medication Prescribing For Adults, Kathleen A. Fairman
Atheoretical Versus Theory-Based Approaches In Promoting Safer Adhd-Medication Prescribing For Adults, Kathleen A. Fairman
Walden Dissertations and Doctoral Studies
Gaps between treatment guidelines and medical decisions persist despite interventions with physicians, which are mostly atheoretical. The purpose of this retrospective cross-sectional study was to compare atheoretical and theory-based logistic regression models of a binary outcome: potentially unsafe prescribing of attention-deficit hyperactivity disorder (ADHD) medications to adults. Social cognitive theory and self-determination theory provided the framework for the study. Predictors were framed as social cognitive theoretical constructs: knowledge (e.g., physician specialty) and environmental influence (e.g., interventions). Atheoretical hypotheses were based on legislation mandating meaningful use of electronic health records and computerized decision support (CDS). Theory-based hypotheses were derived from literature …
Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee
Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee
Walden Dissertations and Doctoral Studies
Healthcare and behavioral healthcare reform are sweeping across the United States to improve health outcomes, increase client satisfaction, and to decrease healthcare expenditures through statewide transitions to Medicaid managed care (MMC). Leaders of behavioral health organizations face significant challenges when implementing wide scale organizational change. A case study design was used to explore senior leaders’ experiences with transitioning from a fee for service environment to MMC at a behavioral health organization, which operates in the Northeastern region of the United States. The Baldrige excellence framework was used as a conceptual lens to assess the organization’s effectiveness in key factors. Senior …
Aviation Maintenance Technician Decision-Making, Dominic Hemingway
Aviation Maintenance Technician Decision-Making, Dominic Hemingway
Walden Dissertations and Doctoral Studies
Aircraft accidents caused by human decision-making errors cause property loss and fatalities on a global scale in the aviation industry. Aviation repair technician decision-making perceptions influence aviation safety. The purpose of transcendental phenomenological study was to explore the lived experiences of aviation repair technicians related to decision-making perceptions regarding aviation safety. The central research question and sub-question focused on the lived experiences of repair technicians’ decision-making perceptions. The naturalistic decision-making framework, decision theories, and decision-making models comprised the lens to assess the impact of aviation maintenance technician decision-making perceptions in aviation safety. Data were collected using semistructured interviews with 12 …
Strategies To Implement Organizational Changes In Middle East And North Africa, Ilham Hiyari
Strategies To Implement Organizational Changes In Middle East And North Africa, Ilham Hiyari
Walden Dissertations and Doctoral Studies
Organizational change initiatives often fail in the implementation phase resulting in decreased productivity affecting the net profitability of the organization. Grounded in Kotter’s 8-step change model, the purpose of this qualitative multiple case study was to explore strategies used by business leaders to implement organizational change initiatives successfully. A purposeful sample of 10 business leaders from 2 organizations located in the region of the Middle East and North Africa participated in the study. Data were collected from semistructured interviews and secondary sources including strategic business plan presentations, change tracking tools, meeting minutes, financial statements, and archival records. Data were analyzed …
Evaluating The Impact Of An Early Alert Team Implementation On Sepsis Mortality Rates, Shelley Ann Hyndman
Evaluating The Impact Of An Early Alert Team Implementation On Sepsis Mortality Rates, Shelley Ann Hyndman
Walden Dissertations and Doctoral Studies
Sepsis is ranked as one of the leading causes of death among hospitalized patients in the United States. Early identification and treatment of sepsis according to time-sensitive evidence-based protocols is essential to improve outcomes. Existing sepsis research focused on fostering consensus on sepsis definitions and evidence-based treatment protocols; yet, the literature lacks prescriptive evidence regarding organizational structures that reduce patient mortality. The purpose of this quantitative study was to understand how a change in organizational infrastructure could influence the delivery of sepsis-focused care. Using Donabedian’s theoretical framework, the research questions for this study focused on an implementation of an Early …
Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno
Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno
Walden Dissertations and Doctoral Studies
Typhoid fever is a bacterial disease transmitted by the fecal-oral route. In Nigeria, the condition is life threatening and endemic. It affects communities such as Nimo that have limited water, sanitation, and hygiene infrastructure. Previous researchers focused on sanitation and hygienic conditions that contribute to the disease such as household-level hygiene and food and water contamination, including handling practices. However, there is limited knowledge on how the environmental behavior and living conditions of eating and sleeping on a floor harboring fecal materials affect typhoid fever prevalence. The purpose of this qualitative phenomenological study was to explore the perception of the …
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Turnover Intentions In Luxury Hotels, Grayce Laverne James
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Turnover Intentions In Luxury Hotels, Grayce Laverne James
Walden Dissertations and Doctoral Studies
The hotel industry makes significant contributions to U.S. economic growth, but many hotel managers have expressed concerns about high employee turnover intentions. In the context of career choices, leaders of the hotel industry in the United States face turnover intentions that are 70% higher than turnover intentions in other sectors. Grounded in Herzberg’s 2-factor theory, the purpose of this quantitative, correlational study was to examine the relationship between intrinsic job satisfaction, extrinsic job satisfaction, and employee turnover intentions of front desk customer service employees of luxury hotels. Participants included 75 front desk customer service employees with at least 1 year …
Strategies For Improving Remedial Mathematics Performance Among Community College Students, Lateria S. Joiner
Strategies For Improving Remedial Mathematics Performance Among Community College Students, Lateria S. Joiner
Walden Dissertations and Doctoral Studies
Increasing numbers of underprepared students throughout the United States must enroll in college remedial math courses, which delays students’ graduation and increases withdrawal rates. Two-thirds of first-year college students at a rural community college in the southeastern United States were required to enroll in remedial mathematics. Only 65% completed the course. Guided by Bandura’s theory of self-efficacy, which maintains that belief in one’s ability improves success, the purpose of this qualitative study was to examine the perceptions of instructors, administrators, and students to explain the gap in performance in remedial mathematics and to use the results of this study to …
Strategies To Reduce Employee Turnover In Childcare Centers, Tara Jones
Strategies To Reduce Employee Turnover In Childcare Centers, Tara Jones
Walden Dissertations and Doctoral Studies
Organizations across the United States pay billions of dollars annually to combat employee turnover. Organizations may pay over 250% of a departing employee’s salary. As high employee turnover negatively impacts the profitability of organizations, it is vital childcare center directors have strategies to reduce employee turnover. This qualitative multiple case study explored strategies childcare center directors have used to reduce employee turner. The research participants consisted of 4 purposefully selected childcare center directors of nonfranchised childcare centers in Houston, Texas, with more than 5 years of experience who implemented strategies to reduce employee turnover. The conceptual framework for this study …
Promotion Of Lifestyle Changes By Community Pharmacists Among Adults With Hypertension In Nigeria, Olanike Olawunmi Kehinde
Promotion Of Lifestyle Changes By Community Pharmacists Among Adults With Hypertension In Nigeria, Olanike Olawunmi Kehinde
Walden Dissertations and Doctoral Studies
The growing prevalence of hypertension is a global public health problem. Lifestyle modification is the first-line best practice for the management of hypertension, however there is not enough focus on healthcare professionals’ competencies in managing hypertension in Nigeria. The perspectives of Community Pharmacists (CPs) about promotion of lifestyle modification (PLM) among adults with hypertension have not been explored in Nigeria though they play an essential role in healthcare in the community. This phenomenological study was conducted to document the experiences of CPs about PLM by using in-depth interviews. Social cognitive theory and the health promotion model were used as frameworks …
Stress And Coping Strategies Of Female 911 Emergency Telecommunicators, Briana Denise Kelley
Stress And Coping Strategies Of Female 911 Emergency Telecommunicators, Briana Denise Kelley
Walden Dissertations and Doctoral Studies
The Emergency number 9-1-1 is the most widely known and used telephone number in the United States and Canada, yet turnover, understaffing, and low retention of staff are national concerns in 9-1-1 emergency telecommunication centers. Emergency (9-1-1) telecommunicators are often the “first” first responder in the emergency cycle and are responsible for the collection and dissemination of emergency information to police, fire, and medical units. Resilience theory was utilized to see how some individuals adjust, adapt, and assimilate with presenting environmental stressors and/or conditions. This study of female emergency telecommunicators in a Southern Combined Emergency Dispatch Center explored the stressors …
Impact Of Advanced Access Scheduling On Missed Appointment Rates In Primary Care, Helen Yvonne Krippel
Impact Of Advanced Access Scheduling On Missed Appointment Rates In Primary Care, Helen Yvonne Krippel
Walden Dissertations and Doctoral Studies
A major problem encountered within outpatient physician offices are missed appointments. Missed appointment research revealed how no-show rates remain a focus for healthcare administrators as decreasing no-show rates may reverse harmful health consequences. The purpose of this study, which also addressed the research gap, was to determine if there was an association between advanced access scheduling and no-show rates for patients scheduled with preferred primary care physicians versus nonpreferred primary care physicians. The health belief model was the conceptual framework as missing a prescheduled appointment is a health behavior. The 1st and 2nd research questions examined whether there was a …
Use Of The Smoking Cessation Power Plan In An Observation Unit, Joycelyn Kennedy Land
Use Of The Smoking Cessation Power Plan In An Observation Unit, Joycelyn Kennedy Land
Walden Dissertations and Doctoral Studies
Of 34.2 million adults who use tobacco, nearly 50% of the population living in the United States, or 16.5 million people, have a smoking-related disease. The purpose of this DNP project, conducted on an observational unit located in an acute care hospital, was to address the evidenced-based practice gap of the limited use of assessing tobacco use and the initiation of a readily available smoking cessation power plan (SCPP) intervention by nurses and healthcare providers. The practice-focused questions were whether an educational intervention for nursing staff would increase use of the 3As assessment (Ask and record smoking status; Advise patient …
Factors Contributing To Community-Associated Carbapenem Resistant Enterobacteriaceae Infections In The United States, Zabrina Lockett
Factors Contributing To Community-Associated Carbapenem Resistant Enterobacteriaceae Infections In The United States, Zabrina Lockett
Walden Dissertations and Doctoral Studies
Carbapenem-resistant Enterobacteriaceae (CRE) health care acquired infections are a serious public health threat due to a high mortality rate, economic burden, and depletion of last resort CRE antimicrobials. CRE infections have emerged as community-associated type infections in the United States. For CRE to now have that type of potential is cause for immediate and extensive action. The prevalence of CRE infection cases that were reported as community-associated CRE and health care acquired CRE by examining specific clinical characteristics between 4 selected states that were reported to respective state health departments and the Centers for Disease Control were explored in this …
Exploring Strategies For Recruiting And Retaining Diverse Cybersecurity Professionals, Vivian Lyon
Exploring Strategies For Recruiting And Retaining Diverse Cybersecurity Professionals, Vivian Lyon
Walden Dissertations and Doctoral Studies
The cyber threat landscape has led some cybersecurity leaders to focus on a holistic approach encompassing people, processes, and technology to make their government agencies and organizations more responsive to a more diverse and inclusive cyber workforce to protect critical infrastructure from hackers or cybercriminals intent on causing harm. This qualitative multiple case study used Schein’s organizational culture theory to explore strategies used by cybersecurity leaders to attract, recruit, and retain diverse cybersecurity professionals to effectively and efficiently protect sensitive systems from rising cyber threats. The study's population consisted of cybersecurity leaders from 3 government agencies and 9 organizations in …
Evaluating The Effects Of A Total Joint Education Class On Patient Outcomes, Kevin Marshall
Evaluating The Effects Of A Total Joint Education Class On Patient Outcomes, Kevin Marshall
Walden Dissertations and Doctoral Studies
As the population ages and as people live longer, there is a growing demand for total hip and total knee procedures. Possible outcomes for these procedures is a postoperative joint infection (PJI) that can cause long postoperative lengths of stay (LOS) in the hospital. The PJIs can also negatively impact the quality of life for the patient. Using the roadmap of the continuous quality improvement theory, the purpose of this quantitative study was to examine the relationship between the independent variables (joint education class participation, body mass index [BMI], A1c, and smoking) and dependent variables (PJI and LOS). To evaluate …