Digital Commons Network^™

The Effect Of Healthcare Reform On The Sustainability Of Nonprofit Hospitals, Carmela Josephine Lynch

Walden Dissertations and Doctoral Studies

Healthcare spending in the United States has continued to rise with annual healthcare cost of $3.8 trillion in 2014. While costs and the population continue to rise, resources continue to dwindle. Consequently, Congress has imposed various price controls and healthcare reform measures over the past 20 years, including the recent Patient Protection and Affordable Care Act (PPACA), which aims to decrease spending while enhancing quality and safety of care delivery. As a result of the implementation of the PPACA, 34 million additional Americans may be eligible for healthcare in a system already needing additional resources, increased access to care, and …

Counselor Educators' Multicultural Competencies: Understanding Relationships Between Race And Ethnic Identity Awareness, Ariel Winston

Walden Dissertations and Doctoral Studies

Current literature explains that multiculturally incompetent behaviors demonstrated by counselor educators have negatively affected the personal and professional lives of students, clients, counselors, counselor educators, and supervisees. Using the theoretical framework of critical race theory (CRT), this study examined the relationship among race, ethnic identity awareness, and multicultural competence in counselor educators. CRT involves recognizing conscious and unconscious biases, attributed to race, that individuals might experience. Ninety self-identified counselor educators currently employed in Council for Accreditation of Counseling and Related Educational Programs (CACREP) counseling programs completed online surveys containing questions concerning racial classification, adapted questions from the Multicultural Counseling Knowledge …

Educator Perceptions Of Visual Support Systems And Social Skills For Young Adults With Autism Spectrum Disorders, David James Miller

Walden Dissertations and Doctoral Studies

Young adults with Autism Spectrum Disorder (ASD) face unique social skills challenges as they transition into independent living environments and seek fulfilling relationships within their communities. Research has focused on social education and interventions for children with autism, while transitioning young adults with ASD have received insufficient attention. The purpose of this multisite case study was to explore perceptions of school personnel related to the use of visual support system (VSS) technology and enhancement of social skillsets for young adults with ASD. Information processing theory and social learning theory provided the research framework. Research questions addressed perceptions related to the …

An Evaluation Of Service Learning For Associate Degree Nursing Students, Valerie Marie Pauli

Walden Dissertations and Doctoral Studies

The purpose of this study was to evaluate outcomes of the service-learning requirement in the Associate of Science in Nursing (ASN) curriculum at the local college. The problem addressed in this study was that the local ASN program lacked formal evaluation of the service-learning requirement. Guided by Kolb's model of experiential learning, a goal-based, summative evaluation employed as a qualitative case study explored the perceptions of 20 stakeholders including graduates, faculty members, and key community informants. The research questions focused on how service learning influenced a student's learning of cultural competence and the impact service learning had on the community. …

Sports Content Viewership Motivations Across Digital Devices, Mark Henry

Walden Dissertations and Doctoral Studies

U.S. advertisers spent over $2 billion on sporting events in 2014 directing advertisements towards consumers through digital devices used such as televisions, computers, smartphones, and tablets. The purpose of this cross-sectional study was to identify motivation factors that predict the intention to view sports content on digital devices. Knowing such factors is important for advertisers to prioritize distribution channels. Uses and gratification theory formed the theoretical framework for the study. The methodology adapted a survey that encapsulated 9 motives. The research questions examined what motives influenced sports viewership, what motives predicted the intention to view specific sports content, and the …

A Concurrent Mixed Method Study Exploring Iraqi Immigrants' Views Of Michigan, Kerry Luise Chamberlain

Walden Dissertations and Doctoral Studies

Failure of emergency response personnel to communicate effectively with different cultures can have dire consequences during an emergency, including loss of lives and litigation costs. For emergency response personnel to communicate the risk of an emergency, it is important to understand how different groups, especially newly arrived foreign immigrants, perceive warnings and related messages. This study addressed how one of the largest category of immigrants in Michigan perceived severe tornados, influenza pandemics, power outages, severe floods, and snowstorms. The research question examined the degree to which the equation, Risk = Hazard + Outrage, explained perceptions of these hazards in Michigan …

Leader Strategies To Reduce Sales Personnel Attrition, Nicole Lea Hawkins

Walden Dissertations and Doctoral Studies

Because sales are the primary revenue generators for insurance companies, reducing attrition of sales agents is essential to organizational success. The purpose of this single descriptive case study was to explore strategies that 6 Nebraskan sales leaders within the insurance industry used to reduce attrition. Participants had experience in sales leadership and the attrition of sales personnel and were able to provide insight into the unique perspectives on attrition in the insurance industry. Participants met the following criteria: (a) manage an insurance sales office or organization or (b) held an insurance sales leadership position for at least 1 year and …

The Bop Energy Challenge And Pro-Poor Responses: Strategic Entry Pathways For Entrepreneurs, Felix Motekah Tang

Walden Dissertations and Doctoral Studies

Many large multinational energy company leaders lack strategies to successfully enter and thrive in bottom of the pyramid (BOP) markets. The purpose of this single case study was to explore strategies using a purposeful selection of 7 senior managers from a U. S. based global multinational energy leader with experience in BOP markets in the Republic of Cameroon. The BOP concept served as the conceptual framework for the study. Data were collected through semistructured interviews with senior managers, relevant websites, and government publications. Several themes emerged that were narrowed through categorical aggregation to identify strategies. Major themes included BOP readiness …

Equine Assisted Activities And Therapies: The Measuring Of Equine Temperament, Thecla M. Helmbrecht Howard

Walden Dissertations and Doctoral Studies

The field of equine assisted activities and therapies (EAAT) is growing in popularity as an alternative healing approach. However, there is a paucity of peer-reviewed research on the horses who serve as equal partners in EAAT. The purpose of this quantitative study was to discover the impact of equine-facilitated therapeutic activities on the temperament of horses, and to determine how to select a better human-to-horse therapeutic match when providing EAAT services. The theoretical framework for this research drew from Romanes' theory of animal intelligence, which predicts that temperament would change as a result of prolonged participation in specific work (EAAT …

The Impact Of Transformational Leadership Style On The Success Of Global Virtual Teams, Shery Wojtara-Perry

Walden Dissertations and Doctoral Studies

Organizations in the age of modern technology have a diverse workforce, who are spread around the globe, and the business leaders of the 21st century need to understand how best to manage, overcome new challenges, and know the various skills of team members to capitalize on their differences and unique skills. To allow those geographically dispersed workers to reach their full potential and facilitate team success. Global virtual teams (GVTs) operate in complex environments characterized by diverse cultural and organizational elements. The primary purpose of this correlational and nonexperimental quantitative research was to examine the impact of transformational leadership on …

Cultural Competence, Emergency Management, And Disaster Response And Recovery Efforts Among African Americans, John Stanley Laine

Walden Dissertations and Doctoral Studies

Natural disasters disrupt African American communities in the United States and can exacerbate the degree of poverty for individuals within these communities, necessitating greater aid from local, state, and federal governments. The purpose of this study was to investigate the role of cultural competence in disaster response serving African American communities. This research study focused on emergency manager's comprehension and education of cultural competence, what they recognized to be vital elements of a culturally competent emergency manager, and what the obstacles and components are to bring about the changes to the profession. This study used a qualitative case study design …

Emotional Intelligence, Leadership Style, And Job Satisfaction In Contrasting Workplace Environments, Jason Allen Downing

Walden Dissertations and Doctoral Studies

Managers in direct contact with employees in operational and organizational settings have a profound effect on employee satisfaction and performance. The Bureau of Labor Statistics (BLS) indicated distinctly different levels of occupational stress between blue- and white-collar workers. A quasi-experimental design tested if the levels of emotional intelligence and transformational leadership style of managers had different effects on employee job satisfaction between blue- and white-collar workers. The theories of emotional intelligence, transformational leadership, and employee job satisfaction grounded the framework of the study. Data was collected using the Multifactor Factor Leadership (MLQ) questionnaire, the Job Satisfaction Survey (JSS), and the …

Comparing African- And U.S.-Born Blacks At Stage Of Diagnosis And Treatment For Nonsmall Cell Lung Cancer, Relindis K. Fofung

Walden Dissertations and Doctoral Studies

Lung cancer is a disease with a high mortality rate for the U.S. Black population. There had been considerable research done on different population demographics, necessary to achieve the Healthy People 2020 overarching goals to eliminate health disparities, gain health equity and maintain quality health. Yet, the African-born Black (AFBB) population has been understudied for nonsmall cell lung cancer (NSCLC). This study sought to determine whether within race differences in stage at diagnosis and treatment of NSCLC exists between AFBB and American-born Blacks (AMBB) populations in the United States. The study data is secondary data collected as part of the …

The Effect Of Higher Education Classroom Management Behavior Strategies On Learning, Kalebra Henderson Henderson

Walden Dissertations and Doctoral Studies

Higher education instructors experience many uncivil behavior challenges among students in the classroom that affect learning. The purpose of this qualitative study was to investigate the effect of higher education classroom management behavior strategies on learning. Guided by Bandura's social learning theory and Piaget's cognitive theory, the research questions were designed to explore the perceptions of instructors and students about classroom management behavior strategies used in college settings and how student classroom incivility affects learning. The study included a panel of experts to aid in determining the feasibility of the project study protocol, testing the adequacy of research instruments, and …

Examining U.S. Middle School Students' Achievement In A Blended Learning Environment, Bernadette Ortiz-Brewster

Walden Dissertations and Doctoral Studies

Abstract

U.S. middle schools are increasing offering blended learning curricula that integrates virtual and face-to-face instruction, but the effectiveness of this mode of instruction at the middle school level has not been adequately explored. This investigation provides additional data to the current body of knowledge related to blended learning as a viable option for middle school students. The theoretical framework for this investigation derives from Lev Vygotsky's social development theory and Jean Piaget's constructivist theory of knowledge. The central research question focused on the difference in achievement scores between 6th grade students participating in a virtual course as compared to …

Toward Excellence: A Study Of Public Sector Department Of Defense Teams, Denise Marie Miller

Walden Dissertations and Doctoral Studies

The Department of Defense's (DoD's) budgetary and personnel challenges are affecting readiness, thus encouraging the use of effective teams to improve efficiency. This qualitative, descriptive case study examined how public sector DoD members experienced characteristics of high-performing teams (HPTs), defined by their members' shared sense of purpose, interdependent commitment, and exceptional team effectiveness. The documentation of these experiences may aid other DoD teams seeking to improve performance. Lewin and Sherif's theories on group dynamics, Johnson and Johnson's theory on groups, Katzenbach and Smith's theory of HPTs, and Edmondson's work on teams comprised the theoretical framework. Thirty-nine public sector DoD members …

Culture Wars: Explaining Congressional Partisanship And Organizational Dysfunction Through Moral Foundations Theory, Jessica H. Wilson-Hart

Walden Dissertations and Doctoral Studies

The focus of this study was the organizational working environment and existing partisanship evident in the United States Congress. There has been a reduction in the number of laws passed over the last 30 years from a high of over 1,000 to a low of around 120, with a period of complete government shutdown in 2013. This qualitative research utilized qualitative content analysis to discover the nature of partisan conflict as demonstrated by 6 members of Congress. The conceptual framework for this study was moral foundations theory. Different moral principles held by Democrats and Republicans were studied as a possible …

Hypertension Management Through Community Outreach Services For Inmates Released From Jail, Janet Baby Wurie

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is the most common chronic disease among jail inmates. Many inmates treated for HTN while incarcerated in the Fairfax County Jail do not continue treatment when they return to their communities. Factors that contribute to discontinuing HTN management once the inmate returns to the community include homelessness, low income, and lack of access to care. The purpose of this quality improvement project was to educate inmates with HTN about community-based outreach services for HTN management and continuity of care while in the community. The outcome measured was the number of inmates who returned to jail reporting use of …

The Influence Of Public Policy Interventions On Millennial Distracted Driving Behavior, Karen Anne Versuk

Walden Dissertations and Doctoral Studies

Despite recent public policy initiatives limiting or banning forms of distracted driving resultant from cellular phone use, crashes remain on the rise. Individuals from the millennial generation, ages 16 to 35, appear to be most susceptible to distracted driving. Understanding the behaviors, attitudes, and habits of millennials is critical to developing effective policy for behavior change. A dual task ethnographic study framed by Skinner's theory of behavior modification and Maslow's hierarchy of needs motivational model, was used to investigate to what extent millennials feel public policy has influenced their driving, and if additional policy initiatives are required to deter distracted …

Succession Planning Strategies Of Faith-Based, Nonprofit Leaders Of The Boomer Generation, Leigh Byers

Walden Dissertations and Doctoral Studies

Formal succession planning strategies for retiring Baby Boomer generation of leaders in nonprofit organizations (NPOs) are nonexistent in many NPOs, including faith-based NPOs. Top NPO leaders possess vital organizational knowledge and experience. The lack of strategic succession planning adversely affects organizational sustainability and mission fulfillment. Guided by the conceptual framework of knowledge transfer, the current study supplies a description of succession planning strategies used in faith-based organizations that have Boomer leaders. This multiple case study included 3 faith-based NPOs in Miami-Dade and Broward Counties in Florida and their top-level leaders. They supplied descriptions of formal succession planning strategies through semistructured …

Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek

Walden Dissertations and Doctoral Studies

Research in the late 1990s and early 2000s projected that the number of people aged 50 and older who needed treatment for illicit drug use and abuse of prescribed medications to increase from approximately 1.7 million in 2001 to approximately 4.4 million in 2020. The purpose of this study was to examine how gender, marital status, employment status, and primary referral source predicted treatment outcomes with this older population. Of interest was how these predictions could better prepare treatment providers to treat individuals born between 1946 and 1964 who are addicted to substances. This quantitative study used an archival database, …

The Relationship Between Physical Fitness And Academic Achievement In Sixth Grade Students, Shannon Usco Shook

Walden Dissertations and Doctoral Studies

Researchers have reported on the relationship between academic achievement and physical fitness levels. At one rural middle school, 25% of the students enrolled were either overweight or obese and failing at least one course. Educators at the local site were seeking methods to improve the academic achievement of their students. The purpose of this quantitative study was to examine the relationship between academic achievement and physical fitness of middle school students at the study site. Framed by the theoretical connection between improved physical fitness levels and academic achievement, the research questions examined the relationship between physical fitness levels of 6th …

The Question Of Homeland Security In Rural America, Manuel Gonzalez

Walden Dissertations and Doctoral Studies

Following the issuance of the National Preparedness Guidelines in 2009 by the Department of Homeland Security, it remains unknown whether homeland security programs have been consistently implemented in the nation's rural areas. Research findings have been inconsistent and inconclusive on the degree of implementation. Two problems may result from inadequate implementation of these programs: weakened national security from the failure to protect critical infrastructure in remote areas and a threat to public safety in rural towns. The purpose of this qualitative case study was to explore and describe the reasons for possible noncompliance through purposeful interviews with 10 law enforcement …

U.S. Federal Government Telework Management Strategies, Blaine Edward Mills

Walden Dissertations and Doctoral Studies

The Telework Enhancement Act of 2010 dramatically increased teleworking opportunities for federal employees. The increase in the number of teleworking employees presented numerous challenges for federal managers attempting to establish social networks, teamwork, and organizational commitment for their employees. This study used the case study design with a socio-technical conceptual framework as the basis to explore the strategies managers used. Data were collected via semistructured interviews with federal managers of teleworkers located in the Midwest region of the United States. A coding strategy was employed to organize the transcripts from the interviews into themes, and methodological triangulation was utilized by …

Predictive Ability Of Emotional Intelligence Scores On Employee Self-Reported Perception Of Comprehensive Organizational Credibility Inventory, Leif Allen Ford

Walden Dissertations and Doctoral Studies

Research has shown that emotional intelligence (EQ) is positively related to beneficial outcomes in organizations. Research has also found that negative perceptions of organizational credibility (OC) can result in adverse economic and social costs for organizations and communities. To date, the existing research has failed to examine whether employee EQ might affect employee perceptions of OC. A quantitative, non-experimental study was conducted using a sample of employees in large health and medical organizations throughout the United States. The variables in the study were measured using the Assessing Emotions Scale and the Comprehensive Organizational Credibility Inventory. Multiple regression analyses and Pearson …

Perioperative Orientation, Education, And Mentoring (Poem) Program, Esther M. Johnstone

Walden Dissertations and Doctoral Studies

Perioperative registered nurses (RNs) are vital to the provision of safe patient care for those undergoing invasive and surgical procedures within acute care settings. Unrealistic transition-to-practice (T2P) expectations for novice RNs (newly licensed and experienced RNs new to perioperative nursing) have resulted in significant turnover and attrition rates as high as 45%. A T2P program, known as the Perioperative Orientation, Education, and Mentoring (POEM) program, was developed to address attrition and turnover through mentoring and professional development. The POEM program was a pilot program implemented at a large academic medical center. An evaluation tool known as the Surgical Skill Assessment …

A High School Dropout Prevention Program For At-Risk Students, Cynthia M. Wallace

Walden Dissertations and Doctoral Studies

Dropping out of high school is an issue that has faced the educational system for years. At a high school in Mississippi, the dropout prevention plan implemented was not beneficial to all at-risk students because it mainly focused on academic issues. The purpose of this qualitative case study was to understand why students dropped out of high school and to gather strategies for a dropout prevention plan. The conceptual framework was based on 5 factors: general deviancy, deviant affiliation, family socialization, structural strain, and academic quandary. The research questions inquired about experiences that caused students to drop out and suggested …

Direct-To-Consumer Advertisements And Medical Services Utilization Among Adult Dermatology Patients In The United States, Heribert Zouetchou

Walden Dissertations and Doctoral Studies

Pharmaceutical product claim and help-seeking advertisements have prompted the types and purposes of medical dermatology service(s) that patients have used in the United States. Indeed, researchers have demonstrated that 94% of working nurse practitioners affirmed receiving from their patients a request for a cancer drug advertised. However, adult dermatology patients members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic in Houston, Texas, have not been of interest for any study so far. The purpose of this quantitative study was to assess the relationship between product claim, help-seeking, types, and purposes of medical dermatology services used amongst males and …

The Experiences Of High School Teachers Who Have Encountered Burnout, Jimmie Lee Mckinley

Walden Dissertations and Doctoral Studies

This qualitative case study addressed the impact of administration and school leadership on teachers who encounter burnout. The purpose of this project study was to examine this phenomenon through the experiences of Grades 9-12 classroom teachers, which ultimately could reduce the amount of early retirees, reduce the amount of illnesses among teachers, and increase the enthusiasm and vitality of educators. The conceptual framework was based on Bandura's social learning theory. Interview data were collected from four high school educators using purposive sampling, through semi structured face-to-face inter-views, and were coded using a line-by-line content analysis for emergent themes. Findings included …

Developing Generation-Based Volunteer Management Practices, Tonya Renee' Howard

Walden Dissertations and Doctoral Studies

Many nonprofits seek a volunteer base that includes the experience and maturity of the Silent and Baby Boomer Generations as well as the creativity and advanced technological knowledge of Generations X, Y, and Z. Published literature recommends implementing multigenerational volunteer programs to increase the representation of multiple generations. However, there is no literature providing guidance to create volunteer management practices that simultaneously recruit and retain those generations. The purpose of this qualitative study was to explore the lived experiences of 5 generations of volunteers. The research questions for this phenomenological study addressed perspectives that may contribute to developing generation-based volunteer …