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Transformational Leadership Skills Needed By Private Basic School Proprietors In Ghana, Moses Adu-Gyimah

Walden Dissertations and Doctoral Studies

Survival of small and medium scale enterprises (SMEs) is a critical issue for business leaders. The Ghana Statistical Service reported that over 60% of SMEs, including Ghanaian small and medium scale private basic schools, fail during their first 5 years of operation. The purpose of this multiple case study was to explore the transformational leadership skills that proprietors of Ghanaian small and medium scale private basic schools have used to enhance employee performance for sustainability beyond 5 years. The conceptual framework for this study was Bass and Avolio's transformational leadership theory. Data collection included semistructured interviews to elicit narratives from …

Nigerian Cancer Survivors' Perceptions Of Care Received From Health Care Professionals, Olusegun Akinsuli

Walden Dissertations and Doctoral Studies

Cancer patients worldwide receive care from multidisciplinary teams, and patients

sometimes have little or no knowledge about the different treatment options available, making communication with their care providers an important influence in how they perceive their care. Patient satisfaction with care is an important factor in determining survivorship. The increasing prevalence of cancer worldwide has become a huge public health issue. The World Health Organization has warned that the potential gains from combatting infectious diseases in Nigeria might be lost because of the increasing prevalence of cancer. The purpose of this grounded theory study was to obtain the perceptions of …

An Evaluation Of Champs For Classroom Management, Vernessa Evans

Walden Dissertations and Doctoral Studies

Teacher education programs focus on preparing teachers to instruct students, but they usually do not focus on preparing teachers to manage students’ behavior, which may prevent teachers from providing effective instruction. This project study evaluated a classroom behavior management model, CHAMPS, designed to help teachers manage student behavior so they can focus their time and energy on instruction and student success. Positive Behavior Systems (PBS), used in the field of behavioral management, served as the theoretical foundation for this study. The evaluation design followed Stufflebeam’s (2003) Context, Input, Process, and Product (CIPP) by employing the outcome-based approach, which evaluated the …

Effect Of The Criminal Justice Curriculum On The Attitudes Of 12th-Grade Students Toward The Police, Willie Howard Bradley

Walden Dissertations and Doctoral Studies

While the use of criminal justice courses and law-related education programs have been shown to serve as a crime prevention and deterrence mechanism against school crime and violence, and help students to gain positive experiences and attitudes toward law enforcement, many high schools still do not offer criminal justice courses. The purpose of this quasiexperimental study was to compare the attitudes of 12th-grade students from a school district in Massachusetts who took a criminal justice course to 12th-grade students from another school district in Massachusetts who did not to determine if there is a statistically significant difference between the groups. …

Role Of Coping Self-Efficacy In Working Mothers' Management Of Daily Hassles And Health Outcomes, Sonya Kali Broadnax

Walden Dissertations and Doctoral Studies

U.S. working mothers experience frequent daily hassles, yet little is known about how working mothers have disproportionate abilities to handle stress. The purpose of this cross-sectional study was to determine the extent to which coping self-efficacy mediated the effect that cumulative daily hassles had on working mothers' health outcomes (i.e., physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health). The transactional model of stress and coping, social cognitive theory, and self-efficacy theory provided the theoretical foundations for this study. Daily hassles were used for this study as an additional theoretical approach for measuring stress. A …

Geographical Effects On Adult Sickle Cell Disease Treatments, Morbidity, And Mortality, Paula Busbee

Walden Dissertations and Doctoral Studies

A small percentage of patients with sickle cell disease (SCD) have experienced an increase in life span by 10 years, while others with the same disease continue to die prematurely. The purpose of the study was to evaluate whether or not regional location was a barrier to care for adults with SCD in relation to emergency department visits and health outcomes at 16 and 21 years after the approval of hydroxyurea therapy as treatment. Secondary data were sourced and a retrospective quantitative correlational design was used to examine the effect of hydroxyurea treatment approval on emergency department visits and mortality …

Parental Perception Of Limit Setting In Preschool Age Children With Special Needs, Enza Maria Dibenedetto

Walden Dissertations and Doctoral Studies

Researchers have identified that parenting styles affect limit setting behaviors in childrearing practice. There are gaps in the research pertaining to examining patterns of limit setting for parents of preschoolers with special needs and the behavioral outcomes for these children. This study examined quantitatively whether parental perceptions influenced limit setting in parent child interactions. Belsky's process model outlining determinants of parenting, Baumrind's theory of parenting styles and socio-developmental theories of attachment and parental response style provided the theoretical framework for this study. 25 parents of preschoolers with IEPs and 4 special education teachers participated in the survey design study in …

Advanced Practitioner Provided Pre-Hospital Discharge Asthma Education, Lyndsay E. Gardner

Walden Dissertations and Doctoral Studies

Asthma is a leading cause of pediatric hospital admissions. Parents of children under the age of 18 with asthma require education to recognize and manage the signs and symptoms of the disease. Parent education has shown to decrease their children's hospital admission and readmission rates. The purpose of this pilot project was to develop an asthma educational module for the parents of children with asthma and obtain parent feedback on the content. Families with children under the age of 18 who had been admitted to the hospital with a diagnosis of asthma, an asthma exacerbation, or status asthmaticus were invited …

A Study Of Teachers' Challenges With The Inclusion Of Middle And High School Students With Autism, Marcie Anne Goodrow

Walden Dissertations and Doctoral Studies

Middle and high school general education teachers in the school district in this bounded case study

were facing challenges with meeting the needs of students who have autism in the current inclusion

program. The purpose of this study was to understand teachers' challenges with components of the

inclusion program and serving students with autism in the general education classroom. The

conceptual framework was Villa and Thousand's 5 system-level best practices for successful

inclusive education. A purposeful sampling procedure was used to select 4 general education

teachers who were teaching autistic students in an inclusive setting; this sample included 2 middle …

Implementing The Common Core State Standards For Mathematics, Susan E. Hinkley

Walden Dissertations and Doctoral Studies

Current research and declining test scores indicate that changes in educational practice are required for successful implementation of the Common Core State Standards for Mathematics (CCSSM). Using a constructivist change theory framework, this grounded theory study explored the experiences 6 purposefully selected, experienced teachers at an Upstate New York school district had related to the implementation of the CCSSM. The research question investigated the experiences that educators had related to implementing the CCSSM and the accompanying New York State mathematics modules. Observation notes, interview transcripts, and teachers' journals were collected and analysed simultaneously through coding, constant comparison, theoretical sampling, and …

Perceptions Of Employed People With Narcolepsy, Chantelle L. Jones

Walden Dissertations and Doctoral Studies

Many companies have used perceptions of their employees to understand how sleep disorders affect their working environment. Sleep disorders have had an undesirable effect on employee performance and often result in employee modifications to accommodate their condition in the workplace. Though information is available concerning employees' experiences pertinent to working with sleep disorders, research focusing on how employees with narcolepsy perceive their work environment appears to be missing from the literature. The purpose of this study was to gain understanding of perceptions of employees with narcolepsy about their work environment and strategies that may influence others to promote positive health …

Sexuality, Sexual Orientation, And Intellectual Developmental Disorder: A Parent's Perspective, Wendy Marie Kellon

Walden Dissertations and Doctoral Studies

A consistent gap in previous studies was sexuality education and sexual orientation, as well as how to disseminate the sexual education material in a format that would be useful to individuals with IDD, parents, and caregivers. This biographical study addresses the understanding of sexuality and sexual orientation of an individual with intellectual developmental disorder (IDD), as reported by his parents. Data were collected through face-to-face interviews, documents, and social media sites belonging to the participants. The theoretical framework for this study was social constructivism; a thematic analysis was used for data analysis. The six themes that emerged from this research …

Spirituality For Late Adolescents Coping With Grief And Loss, Dana Yolanda Matthews

Walden Dissertations and Doctoral Studies

Experiencing the death of a loved one is often life changing, and learning ways to cope is an important part of the healing process. Such a change can be particularly difficult for late adolescents (individuals between 18 and 25 years of age) who are already going through significant life changes. Spirituality and mental health has received increasing scholarly attention in recent years, and the Association for Spirituality, Ethics, and Religious Values in Counseling has developed competencies for counselors to use when working with clients who wish to incorporate spirituality in their treatment. Despite increased interest in the field, there is …

Experiences Of Heterosexual Couples Who Undergo Hiv Counseling And Testing In Nakuru-Kenya, Stephen Kinyua Mucheke

Walden Dissertations and Doctoral Studies

The increase in new human immunodeficiency virus (HIV) infections among heterosexual couples in Africa may reverse the gains made by HIV prevention programs. HIV screening among such couples remains low and understudied.This qualitative study focused on the motivations for HIV screening among heterosexual couples. The primary research goal was to examine the lived experiences of heterosexual couples who were screened for HIV and received their results in Nakuru-Kenya. The health belief model (HBM) served as the theoretical framework and as a basis for the secondary questions which sought to explore the participants' perceptions on HIV based on the constructs of …

Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols

Walden Dissertations and Doctoral Studies

In the United States, about 8.5 million women live with osteoporosis. Osteoporosis is a debilitating systemic skeletal disorder characterized by low bone mass and reduced bone mineral density that occurs with the loss of estrogen. The mortality rate for this group is about 3 to 4 times higher than other women and as many as 1 in 3 experience a fracture. Guided by the Health Belief Model, this project evaluated how a bone health fact sheet impacts knowledge about osteoporosis and self-efficacy for preventative behavioral change in premenopausal women (age 40-58 years). The project also evaluated if an electronic medical …

Effectiveness Of Cognitive Screening For Heart Failure Patients, Comfort Nkengla

Walden Dissertations and Doctoral Studies

Cognitive impairment is commonly seen in the elderly population. It is unclear if cognitive deficit in heart failure (HF) patients is a primary factor for higher hospital readmission rates in this population. The Centers for Medicare and Medicaid Services have established strict guidelines for reimbursement on readmissions that occur within 30 days. It is imperative that organizations identify and rectify issues that impact readmissions. The aim of this project was to determine if there is a reduction in HF readmission after patients are screened for cognitive impairment. Orem's self-care model guided the project by providing a framework of inquiry regarding …

Adoption Of Information And Communication Technology In Nigerian Small- To Medium-Size Enterprises, Kessington Enaye Okundaye

Walden Dissertations and Doctoral Studies

Small- to medium-size enterprises (SMEs) play a vital role in a dynamic economy through job creation, poverty alleviation, and socioeconomic development in developed and developing countries. The purpose of this multiple case study was to explore how SME leaders in Lagos, Nigeria, adopted information and communication technology (ICT) as a business strategy to increase profitability and compete globally. Organizational leaders have adopted ICT so that their organizations can become more efficient, effective, innovative, and globally competitive. This study involved 4 SMEs that had successfully implemented ICT. The participants included 5 SME leaders from each of the SMEs. The data collection …

Factors Affecting Job Satisfaction In Nigerian International Oil Companies, Kingsley Chukwuemeka Onyebuenyi

Walden Dissertations and Doctoral Studies

Leaders of Nigerian international oil companies (IOC) were facing challenges developing efficient strategies for motivating demographically diverse employees. Some IOC leaders possessed limited knowledge of the extent to which demographic variables influenced job satisfaction and affected employee productivity. The purpose of this correlational study was to examine the relationship between employee category (being a permanent or nonpermanent employee) and facets of job satisfaction after controlling for gender and nationality factors. Herzberg's motivation-hygiene theory was the theoretical framework for this study. A random sample of 104 senior employees (76 permanent and 28 nonpermanent employees) from 5 IOC located in Port Harcourt …

Multimedia Technologies' Influence On Language Acquisition In English Language Learners, Larissa Karina Parrilla

Walden Dissertations and Doctoral Studies

English as a Second Language (ESL) learners at the upper elementary level have struggled to demonstrate the vocabulary required to read in English at grade-level. Although multimedia technologies have demonstrated positive effects as language acquisition educational tools at the university level, it remains unclear how useful they are for language acquisition at the elementary level. This quasi-experimental study used dual coding theory as a framework to examine the relationship between the level of reading comprehension upper elementary students developed and their construction of word meanings through use of multimedia technologies. The study utilized convenience sampling of 85 students divided into …

Teaching Practices That May Improve Student Achievement On The High School Assessment Program (Hsap) For English Language Arts, Lisa Payton

Walden Dissertations and Doctoral Studies

Students at an eastern United States high school have experienced low pass rates on the High School Assessment Program for English Language Arts (HSAP ELA) for the past 5 consecutive years. The HSAP ELA test is 1 of 2 exams that students must pass to receive a high school diploma. Students who failed the HSAP ELA were provided remedial content and test preparation courses and enrichment tutorials to pass the state's ELA high-stakes test. The purpose of this qualitative bounded case study was to explore the teaching practices used to improve student performance on the HSAP ELA test. The conceptual …

Secondary Preservice Teachers' Perceptions Of Preparation To Teach In Urban Schools, Jacquinne Reynolds

Walden Dissertations and Doctoral Studies

University officials have identified a problem among secondary preservice teachers (SPTs) who have expressed reluctance to teach in local urban schools. The purpose of this qualitative case study was to explore the perceptions of SPTs regarding their preparation for and experiences with teaching in urban school settings. Vygotsky's zone of proximal development and Bruner's concept of scaffolding served as the conceptual frameworks that guided this study. Data were collected from 11 SPTs who completed the requirements of their field service experiences in urban schools. Data collection consisted of individual interviews, one focus group interview, and field observations. Findings showed that …

Challenges And Implications Of Implementing Strategic Intelligence Systems In Mexico, Hector De Jesus Rivera Ochoa

Walden Dissertations and Doctoral Studies

Business intelligence (BI) allows companies to make faster and better-informed decisions. Unfortunately, implementing BI systems in companies in developing countries is minimal. Limited and costly access to the technology, coupled with the cultural background affecting how people perceive BI, has restricted such implementations. The purpose of this phenomenological study was to explore and describe the lived experiences of chief executive officers (CEOs) in northern Mexico to obtain insight into the challenges of implementing BI systems. Research questions focused on the reasons behind the lack of BI systems implementation and the challenges faced by these officers when implementing a new system. …

Same-Sex Relationships Among African American Women Previously In Heterosexual Relationships, Patricia Lynn Smith

Walden Dissertations and Doctoral Studies

In the United States, same-sex relationships have been a popular topic for the past decade, largely in relation to marriage. This phenomenological study examined the life experiences of African American women currently in same-sex relationships but previously in heterosexual relationships. Exploring the participants' experiences to the fullest extent was important to understand each person's journey through the stigma and biases that she faced when making life choices. Given the rarity of literature on the subject matter, professional practitioners and clinicians may not know how to assist these women. Queer and social identity theories were applied in exploring the directed research …

Success Strategies Saudi Entrepreneurs Used To Navigate Through Regulations In Jeddah, Farah Mehar Spencer

Walden Dissertations and Doctoral Studies

Saudi Arabian entrepreneurs face major difficulties with the country's complex regulatory system. Based on Schumpeter's theory of entrepreneurship, the purpose of this phenomenological study was to reveal the lived experiences of Saudi entrepreneurs in navigating regulatory procedures in Jeddah. Data were collected through prolonged, face-to-face phenomenological interviews with 22 Saudi businesspeople who started successful businesses. The van Kaam method and member checking helped validate the transcribed data, which were subsequently coded into 4 themes. Four themes emerged from the data analysis: (a) obstacles in regulatory processes, (b) lack of information, (c) cumbersome procedures and need for alternatives to stringent protocols, …

Electronic Learning Management System Integration Impact On Tertiary Care Hospital Learners' Educational Performance, Ahmad Tassi

Walden Dissertations and Doctoral Studies

Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer hospital nurses a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting nurse educators in overcoming many of the obstacles in responding to nurses' needs in the clinical areas. This project used a randomized, 2-group posttest-only experimental design to measure the effect of treatment at a targeted hospital. The experimental group received a new instructional approach using an Electronic Learning Management System (ELMS) and the control group …

Patient Safety: Improving Medication Reconciliation Accuracy For Long-Term Care Residents, Annisa Leachman Stover

Walden Dissertations and Doctoral Studies

Patient Safety: Improving Medication Reconciliation Accuracy

for Long-Term Care Residents

by

Annisa L. Stover

MSN, Southern University, 2008

BSN, Our Lady of the Lake College, 2005

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2016

During transition of care, inaccurate medication reconciliation is associated with increased risk of adverse events for patients. Older adults are the population most often affected by medication errors, and long-term care facilities struggle to accurately document medication reconciliation. Errors are more common at hospital discharge, but the critical moment for detecting and resolving them …

Relationship Between Nurse Training And Physical Restraints In Nursing Homes, Terah Tessier

Walden Dissertations and Doctoral Studies

According to the Centers for Medicare and Medicaid Services (CMS), approximately 1.3 million U.S. residents are residing in nursing homes. CMS enforced regulations in the Nursing Home Reform Act. Training in the use of restraints in nursing homes is monitored through the CMS standards. The purpose of this study was to determine whether there was a correlation between training standards of health care practitioners and their use of restraints in nursing homes based on the patterns of citations by RNs and CNAs. Data were collected from Kansas, Louisiana, and Ohio within the CMS Nursing Home Data Compendium. The key research …

Investigating How Families Experience School Criminalization, Monique Tate

Walden Dissertations and Doctoral Studies

Public school students across the United States have been criminalized for minor youth behavior issues such as truancy, defiance, and minor fighting incidents. The presence of law enforcement is expanding in school spaces, increasing the likelihood of young students facing court systems for minor offenses. Criminalization of students is counterproductive considering schools are designed to promote student growth and development. Little is known about how students and parents experience school criminalization. The purpose of this multi-case study, based on Freire's conceptual framework of critical consciousness, was to investigate how a small group of families experienced school criminalization. Three families of …

Managing Effective Communication After A Crisis, Enid Alane Thompson

Walden Dissertations and Doctoral Studies

Despite the effects of natural disasters on small business owners, the owners' communication strategies to alleviate loss to their companies' profitability remain problematic. The purpose of this qualitative descriptive multiunit case study was to explore what communication strategies some small business owners developed and implemented for facilitating resuming their business operations after a natural disaster. The targeted population consisted of 2 small business owners located along the Belmar Boardwalk in Belmar, New Jersey. The conceptual framework for this study was Coombs' situational crisis communication theory. The case data collected were from semistructured interviews and company documents. Employing member checking and …

Health Care Team Members' Perceptions Of Changes To An Electronic Documentation System, Carol Von Michaelis

Walden Dissertations and Doctoral Studies

Policy makers view electronic medical records as a way of increasing efficiency in the U.S. health care system. However, hospital administrators may not have the clinical background to choose a documentation system that helps the health care team safely increase efficiency. The purpose of this case study was to examine health care team members' attitudes and perceptions of quality of care and efficiency amid a documentation system change. The theory of change was the theoretical foundation for the study. The 6 research questions were designed to elicit information about what the health care team experienced when a documentation system changed …