Digital Commons Network^™

Exploring Leader-Initiated Change Management For Adopting Cloud Services, Nancy Marie Landreville

Walden Dissertations and Doctoral Studies

Cloud technology requires a virtualized ubiquitous and scalable environment with shared resources. The general problem in cloud adoption is the absence of standardization across organizations. A standardized approach remained elusive since the inception of the Cloud First mandate. The purpose of this study was to explore leader-initiated change management (LICM) practices in cloud adoption within organizations. The theoretical framework included the classical theories of Kurt Lewin's organization change management, leader-member exchange, intentional change, and appreciative inquiry. A multiple case study design approach facilitated the exploration of LICM-value added practices to identify standardization in cloud adoption practices. Data collection included semistructured …

Equine Facilitated Psychotherapy For Veteran Survivors With Full Or Partial Ptsd, Mark Aaron Mayfield

Walden Dissertations and Doctoral Studies

Symptom severity among veteran survivors with partial or full posttraumatic stress disorder (PTSD) continues to increase, with approximately 40% of U.S. veterans reporting significant symptomology 10 years after initial onset of the condition. Veteran survivors often struggle to find therapeutic interventions that meet their specific needs and have a difficult time maintaining a therapy that is both equitable and evidenced based. Grounded in the Rogerian, client-centered theory, the purpose of this qualitative collective exploratory case study was to explore the effects of equine-facilitated psychotherapy with 3 veteran survivors with partial or full PTSD. A 4-stage process was used to collect …

Financial Distress In The Health Care Business, Firas Fathi Musmar

Walden Dissertations and Doctoral Studies

Sixty-four United States hospitals closed for poor organizational performance during 2010 through 2016. Because of hospital closures, community members experienced delays in obtaining needed care, reduced access to specialty care, and increased travel distances. Based on the balanced scorecard model theory, the purpose of this qualitative single case study was to explore strategies that 10 health care leaders used at a healthcare organization in central Texas to prevent financial distress. Semistructured interviews were conducted and archival organizational accounting records were reviewed, including company surveys with employees and patients. Data were thematically analyzed and triangulated to ensure the trustworthiness of interpretations. …

Influence Of Nontraditional Students On Traditionals In The Community College Classroom, Angela J. Richart-Mayfield

Walden Dissertations and Doctoral Studies

An increase in nontraditional student enrollment continues in community colleges nationwide. Little is known about the interactions between mixed-age groups of students. This qualitative collective case study explored the academic and social influences of non-traditional students on their traditional peers in the community college classroom at a large, midwestern 2-year college. Tinto's interactionalist theory framed the study. Purposeful sampling was used to select 30 participants (13 traditional students, 13 non-traditional students, and 4 instructors) who represented the college population in terms of gender and racial and ethnic diversity. Interview questions were guided by the research questions, and data were also …

Development Of A Patient And Family Educational Document Following Cancer Treatment, Debbie Slipkovich

Walden Dissertations and Doctoral Studies

New pharmacological interventions for oncology patients have resulted in longer lifespans after treatment completion and a large population of cancer survivors in communities. When patients complete treatment regimens for cancer, they leave the oncology practice with minimal knowledge of community resources that may assist them during this time of transition. These patients may not interact with care providers again until they return for a surveillance appointment in the future. Guided by Bandura's social cognitive theory, this project's aim was to develop a community-specific brochure that described the variety of services available to oncology patients and their families. The practice-focused question …

Work Breaks, Employee Morale, And Satisfaction In The Restaurant Industry, Laura A. Oliver

Walden Dissertations and Doctoral Studies

Work breaks during an individual's shift can be a powerful motivational tool for management; however, not all individuals receive breaks during their shifts. The purpose of this phenomenological, qualitative study was to explore how work breaks affect employee morale and satisfaction in the casual and fine dining restaurant industry. The questions explored in this study were related to the breaks effect employee satisfaction and morale in the casual and fine dining restaurant industry. Thirteen participants with a minimum of 5 years' experience as wait staff who worked more than 6 hours per day were interviewed using semi structured interviews. The …

Comparative Memory/Behavioral Symptoms Of Alzheimer's Disease: Eoad Vs. Load, Marcia Gale Roberson

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is a fatal disorder with no apparent cure. Early-onset AD (EOAD) occurs in individuals before the age of 65, and late-onset AD (LOAD) occurs in individuals age 65 and older. Past studies have proven that AD is fatal among Americans age 65 and older. The disease is characterized by impairments in memory and executive function as well as other cognitive and behavioral problems. The research questions addressed by this sequential, mixed-method study compared EOAD and LOAD by exploring common behavioral/cognitive symptoms and stage levels of AD. Research participants were recruited from the Alzheimer's Association who were members …

Attention Deficit Hyperactivity Disorder Treatment Impacts On Academic And Social Performance, Mark Allen Russell

Walden Dissertations and Doctoral Studies

This study was an investigation of the effectiveness of treatment approaches for attention-deficit hyperactivity disorder (ADHD) examined through social, behavioral, and academic performances. Guided by Barkley's unifying theory of ADHD, a static-group comparison design was used to compare students receiving pharmacological treatment, psychosocial therapy, cognitive behavioral therapy, and a pharmacological-therapy combination. Archival data was obtained on middle and high school students diagnosed with ADHD (ages 11-18, N = 103). Data included GPA; number of disciplinary referrals; and Behavior Assessment System for Children-Teacher Rating Scale (BASC-2 TRS) scores of externalizing behavior (e.g., defiance, aggression), internalizing behavior (e.g., anxiety, depression), general school …

Identity-Based Cultural Paradigms, Trauma, And Interethnic Conflict In South Sudan, John Maluk Yak

Walden Dissertations and Doctoral Studies

In 2011, South Sudan became independent through the agreement and implementation of the comprehensive peace agreement (CPA). However, interethnic conflict also escalated. This cycle of violence impacts the psychological and physical health of local society. When violence between ethnic groups escalates, civilians may be forced to flee their homes. This study employed a phenomenological research approach that examined the views and experiences of the recruited 13 members from the state of Jonglei; 5 members of the Dinka, 3 members of the Murle, and 5 members of the Nuer ethnic groups residing in the United States. In an attempt to understand …

Increasing Seasonal Influenza Vaccine Rates In A Black Inner City Population, Barbara E. Beckford

Walden Dissertations and Doctoral Studies

The seasonal influenza (flu) vaccine has been shown to prevent flu outbreaks that can cause debilitating effects on the body and even death. Underserved members of Black communities are more likely to refuse the flu vaccine than are persons of other ethnicities. The purpose of the project was to determine from a needs assessment the reasons for flu vaccine refusal in the Black population of an inner city clinic in order to develop tailored communication and nursing actions that promote awareness of the flu vaccine's importance and safety. The health belief model constructs (perceived susceptibility, perceived severity, perceived benefits, and …

Career And Technical Education Completers' Perspectives Of College And Career Readiness, Dandi Daniels

Walden Dissertations and Doctoral Studies

At a southeast United States high school career center, career and technology education (CTE) programs failed to meet the state career and college readiness benchmarks. Meeting these benchmarks is necessary for students who transition from high school to the workplace or a postsecondary education program. Bandura's social learning theory served as the conceptual framework for this study. The purpose of this bounded, qualitative case study was to explore students' perspectives of their career and college readiness or nonreadiness after completing a CTE program. Purposeful sampling was used to identify 10 participants who had completed a vocational technical center (VTC) CTE …

Winning Banking Strategies To Identify Efficiency Changes During A Financial Crisis, Adeeb Seman Hattar

Walden Dissertations and Doctoral Studies

Between 2007 and 2009, taxpayers paid $700 billion to bail out failing U.S. banks. The purpose of this single case study was to explore strategies that leaders of a successful U.S. bank used to identify efficiency changes occurring during the financial crisis. The target population of this study included 6 bank leaders located in San Bernardino, California, who occupied a managerial role in a successful U.S. bank during a financial crisis, had experience with the efficiency changes that occurred during a financial crisis, and developed and implemented strategies to identify efficiency changes that took place during a financial crisis. The …

Using Nutrition And Fitness Awareness To Reduce Overweight And Obesity In Adolescents, Allissa.Johnson Johnson

Walden Dissertations and Doctoral Studies

In the United States, adolescent obesity rates continue to increase unabated, yet there is a paucity of programs to address these conditions for this population. The current study evaluated an after-school program in California high schools that uses a mentoring model with youth to promote regular exercise and healthy food choices. It is grounded in Social Cognitive Theory which focuses on both the impact of the environment on shaping behaviors and the ability of an individual to construct his or her own suitable environment. A quantitative single-group pretest-posttest design using archived participant responses was utilized in order to determine whether …

Managing Hiv/Aids Outreach Strategies In The Black Church: A Case Study, Angela Gail Hicks-Bennett

Walden Dissertations and Doctoral Studies

The problem under investigation is that there is little research about how church leaders develop and design HIV/AIDS education and support programs in selected counties of New York State. The gap in the literature is that there is little known about how church leaders support the educational process for the HIV/AIDS Black community in New York state. The theory of normative decision making was the primary conceptual framework for this research. The purpose of this qualitative exploratory multi-case study was to discover how church leaders managed their HIV/AIDS outreach program strategies. The overarching question asked what programs and education do …

Predictors For Florida Nurse Practitioners' Characterization Of Organizational Climate, Eric F. Haupt

Walden Dissertations and Doctoral Studies

Healthcare managers are failing to meet the increasing demand for services while experiencing a growing shortage of healthcare workers. The restrictive scope of practice regulations and organizational barriers have a negative effect on the number and growth of nurse practitioners available to meet the required demand. Researchers have focused on the organizational climate of the nursing profession in general, yet there is an absence of research regarding the perceptions of the advanced registered nurse practitioners (ARNPs) in their local practice environment. The purpose of this study was to examine if ARNP role identification, autonomy, and collaboration were predictive of perceived …

Relationship Between Firm Performance And Ceo's Stock Options In U.S. Pharmaceutical Companies, George Mwangi

Walden Dissertations and Doctoral Studies

The CEO's compensation policy is one of the most important factors in an organization's success. CEO's stock options are awarded to align the interests of the CEO with the interests of the firms' stakeholders. However, lack of understanding of the relationship between firm performance and a CEO's stock options could threaten the alignment of a CEO's interests with those of the stakeholders. Grounded in agency theory, the purpose of this correlation study was to examine the relationship between return on equity, return on investment, total annual revenues, and CEOs' stock options awards, while controlling for firm size, age of CEO, …

The Experiences Of Grade 4 Public Elementary School Teachers Regarding Multiculturalism, James Hill Hill

Walden Dissertations and Doctoral Studies

An increasing number of multicultural students are attending U.S. public schools. At a Title I elementary school in a rural region of the southern United States, multicultural students had not met academic standards as measured by state exams, and state scores had been very low for 5 consecutive years. The purpose of this qualitative case study was to understand the instructional strategies used by Grade 4 teachers in helping multicultural students pass state tests. The conceptual framework was Vygotsky's theory of cognitive and social constructivism and Gardner's theory of multiple intelligences. The foci of research questions were on identifying teachers' …

Creating And Establishing Content Validity Of A Tool Kit To Educate Mothers Of Premature Babies, Lilian Chinyere Ofoegbu

Walden Dissertations and Doctoral Studies

Abstract

Delivering a preterm baby who is admitted to a neonatal intensive care unit can be an enormous hardship for parents and families, and especially for mothers. The consequences of prematurity alter the parental role, affect their confidence in caring for the baby, and subsequently may impact infant outcomes. Adequately educating mothers of premature babies using an evidence-based practice approach may help them gain the confidence and skills needed to care for their infants. The purpose of this project was to create a tool kit to educate mothers of premature babies about the essential components of caring for their babies, …

Strategies To Recruit And Hire Military Veterans, Chinyere Asoh

Walden Dissertations and Doctoral Studies

The inability of business owners to hire skilled employees affects the profitability of a small business. Small business owners may attain profitability by understanding the value of military veterans and cultivating strategies for the hiring and recruitment process. The purpose of this qualitative multiple case study was to explore strategies that business owners in Fayetteville, North Carolina used to recruit military veterans as a means to acquire skilled employees to maximize productivity, profitability, and sustainability. The conceptual framework of this study included human capital theory and recruitment theory. The purposive sample consisted of 6 participants who were small business owners. …

Characteristics Of Adult Icu Patients With Device Associated Nosocomial Infections, Doramarie Arocha

Walden Dissertations and Doctoral Studies

Nosocomial infections are a cause of concern for hospital patients and the incidence rates of these infections are greater in intensive care units (ICUs) due to the invasive nature of treatments, additional risk factors and comorbidities, and therapies used. Invasive devices, such as vascular central lines, Foley catheters, and mechanical ventilators pose a risk for critically ill patients in the ICUs to develop device-related, healthcare-associated infections (HAI). The purpose of this study was to describe the epidemiological characteristics of patients who developed device-related HAIs within 3 ICU units (medical-surgical, cardiovascular, and neurosurgical) of an academic medical facility. The ecosocial theory …

Phenomenological Study Of Career Advancement Experiences Of Ethnic Female Migrant, Evelyn Oghogho Brisibe

Walden Dissertations and Doctoral Studies

In the 2006 census, Statistics Canada recorded that 23% of immigrant women aged 15 and over had a university degree at the bachelor's level or above. These women could help sustain an organization's competitive advantage and respond to labor shortages posed by an aging population. This phenomenological study highlighted self-initiated migration journey and career advancement experiences of migrant women. Through LinkedIn and referrals from non-profit organizations, a sample of 20 women was recruited. All women had migrated to Canada between the ages 32 to 50, all had 5 to 10 years of residence in Canada and all had college degrees …

Strategies Functional Managers Use To Control Cyberloafing Behaviors, Emilsen Salazar Holguin

Walden Dissertations and Doctoral Studies

Computer technologies have increased the opportunities for employees to engage in cyberloafing by using the Internet at work for personal purposes. Uncontrolled cyberloafing is a threat to organizational effectiveness because it affects organizational productivity. The purpose of this single case study was to explore successful strategies functional managers use to control cyberloafing behaviors of their employees at an e-learning organization located in the northeastern United States. The theory of planned behavior, which emphasized behavioral, normative, and control beliefs as key elements to predict individuals' intentions to behave was the conceptual framework. Data collection included semistructured face-to-face interviews with 11 functional …

Collaborating For Synchronized Disaster Responses In The National Capital Region, Marilyn Peppers-Citizen

Walden Dissertations and Doctoral Studies

In many urban areas, there are multiple and overlapping layers of governments, which can be problematic for purposes of emergency operations planning for a multiple jurisdiction disaster response. The purpose of this single case study of the National Capital Region was to understand (a) the emergency operations planning collaboration process and (b) how cross-sector collaboration results in synchronized regional disaster responses. Theories of competitive federalism and cross-sector collaboration served as the basis of this study. Research questions explored how organizations collaborate; their organizational structures, processes, and practices; and how relationships between them affect collaboration. Data were collected through reviews of …

A Program Evaluation Of The Document-Based Question Project, Kimberly Haynes Johnson

Walden Dissertations and Doctoral Studies

Only 1% of students scored in the exceeding range on the Eighth Grade Writing Assessment in a rural Southeastern school district. The purpose of this program evaluation was to explore the effectiveness of the Document-Based Question (DBQ) project in improving student writing. Using interview protocols, work artifacts, and archival student data, a decision-based program evaluation of the DBQ project was conducted using the CIPP model. Administrators and teachers from elementary and middle schools who attended district DBQ project training were invited to participate in this study. One elementary and 1 middle school administrator, 5 elementary teachers, and 7 middle school …

The Impact Of International Financial Reporting Standards On Key Financial Indicators Of Canadian Companies, Clint W. Smith

Walden Dissertations and Doctoral Studies

Companies throughout the world use different methods for reporting their financial information to capital market investors and regulators. These different methods have caused financial reporting of statements to become less transparent, has increased adjustment errors and forecasting errors, and has reduced investor confidence. As a result, the International Accounting Standards Board created International Financial Reporting Standards (IFRS) to establish a global standard. Currently, 140 jurisdictions worldwide have implemented IFRS. The purpose of this study was to examine the effectiveness of IFRS on 248 Canadian companies and to analyze whether the 2011 implementation of IFRS affected corporate stock prices, key financial …

Exploring The Use Of Texting Within San Antonio Texas Police Emergency Reporting, Deborah Lee Almendarez

Walden Dissertations and Doctoral Studies

The introduction of wireless device text messaging, as an alternative to a citizen placing a telephone call for police help, generates the need for new polices and processes relevant to police call-taker, police dispatcher, and police officer response to reported emergencies. Little scholarly research explores the policy issues around the use of text 9-1-1 within public safety answering point operations. Using systems theory as the foundation, the purpose of this qualitative case study was to explore the potential use of written communication via a wireless device text message for reporting a police emergency. Research questions focused on the reciprocal relationships …

Perceptions Of Behavioral And Lifestyle Changes Among African American Women With Type 2 Diabetes, Myriam Almonor

Walden Dissertations and Doctoral Studies

The prevalence of type 2 diabetes (T2D) continues to rise and is predicted to increase to 30 million people by 2030 in the United Sates alone. African Americans (AA) have one of the highest prevalence rates of T2D among all ethnic groups. African American Women (AAW) are 100% more likely to develop T2D compared with their white counterparts. The aim of this study was to quantitatively investigate the relationship of the perceptions of AAW not previously identified that could lead to a reduction in risk of T2D among AAW. A cross-sectional study of 183 AAW 20 to 65 years old …

Elementary School Teachers' Perceptions On Positive Behavioral Interventions And Supports Implementation And Effectiveness, Keisha A. Anderson-Saunders

Walden Dissertations and Doctoral Studies

School personnel were concerned that the disruptive student behaviors at an urban, elementary school in the northeast United States had persisted despite positive behavioral interventions and supports (PBIS) implementation and professional development (PD) for more than 7 years. The purpose of this basic qualitative research study was to explore teacher perceptions regarding the PBIS related to student behavior and socialization issues. Skinner's reinforcement theory and Bronfenbrenner's bioecological systems theory served as the conceptual frameworks for this study. Specifically, this study explored the PBIS framework in reducing students' undesirable behaviors, how the framework prepared teachers to implement PBIS in their school, …

Barriers To Colorectal Cancer Screening In People Obtaining Care From Community Mental Health Agencies, Kelly L. Gardiner

Walden Dissertations and Doctoral Studies

Barriers to Colorectal Cancer Screening in People Obtaining Care

From Community Mental Health Agencies

by

Kelly Gardiner

MSN, Wayne State University, 1997

BSN, Wayne State University, 1988

Dissertation Submitted in Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Public Health

Walden University

August 2016

Despite being highly treatable with early intervention and preventative screenings, the overall mortality rate of colorectal cancer is substantially higher in participants with a preexisting mental disorder. Variables affecting the likelihood of completing screening for those with mental illnesses were unknown in people who obtain services from a Community Mental Health agency. Using …

Strategies To Influence A Quality And Compliance Culture, Betsy Jean Macht

Walden Dissertations and Doctoral Studies

In drug, medical, and consumer products businesses, leaders should establish strategies that ensure production of quality products and drive profitability. Sales of defective or substandard products carry a potential risk of unintended effects on the consumer. The purpose of this single case study was to explore the strategies used by leaders to influence a culture of quality and compliance, leading to production of saleable products, and business profitability. The conceptual framework of the theory of constraints served to guide the scope and data analysis for this study. Participants included ten individuals with a minimum of 5 years of experience at …