Digital Commons Network^™

The Critical Success Factors Of Public Private Partnerships In Lagos State, Franca Igboka

Walden Dissertations and Doctoral Studies

In recent years, the Lagos State Government has attempted to adopt public private

partnerships (PPP) with little success, largely as a result of implementation barriers. The

purpose of this quantitative, ex-post facto design study was to evaluate which factors are

considered most predictive of success of PPP implementation in the state, whereby the

prescribed quality of products/services is achieved within a specified time frame and at

the agreed cost. Wood and Gray's theory of collaboration and the network and

collaborations theory by Kamensky and Burlin guided this study. A self-constructed and

validated structured questionnaire was utilized in the collection of …

Induction Of The Novice Teacher In Urban Schools, Janice Marie Ridley

Walden Dissertations and Doctoral Studies

New teachers entering the urban pre-K-12 school setting require an induction program to perform their teaching duties. Despite modifications to improve an existing induction program, novice teachers in a Midwestern urban school district were underperforming in the classroom, leaving administrators to address new teacher turnover and a disrupted learning process for students. Drawing from Knowles's adult learning theory and state guidelines to fulfill federal legislation mandates for proper induction, this qualitative case study was designed to explore beginning teachers' perceptions of the modifications in the district's induction program. A sample of 8 novice teachers was recruited to participate in open-ended, …

Success Factors Of Small Business Owners Of Independent Financial Planning Firms, Joanne Snider

Walden Dissertations and Doctoral Studies

Small Business Administration statistics indicate that 20% of small businesses fail within the first 2 years and 50% fail within 5 years. The purpose of this case study was to explore the success factors and strategies of 12 small business owners of independent financial planning firms who achieved profitability beyond 5 years. A gap exists in the literature concerning such business owners, and their experiences provide valuable information to others desiring to start or maintain a financial planning business. The conceptual framework was entrepreneurship theory and Porter's 5 forces model of competitive strategy. The data were gathered via semistructured interviews …

Perceptions Of Middle School Bystanders To Bullying Incidences, Elizabeth Walden Beasley

Walden Dissertations and Doctoral Studies

Bullying permeates all grade levels in schools. Despite antibullying initiatives implemented in a Midwest school district, bullying continued to occur. One aspect of bullying that is not often examined is the perceptions of bystanders, especially at the middle school level. The purposes of this quantitative survey design study were to examine (a) the frequency and level of bullying by grade level, (b) the relationship between middle school bystanders' willingness to intervene and grade level, and (c) perceptions of bullying interventions and grade level. Latané and Darley's bystander effect theory was the theoretical framework for this study. Descriptive statistics and chi-square …

The Effects Of Nursing Education On Decreasing Catheter Associated Urinary Tract Infection Rates, Pamela R. Gordon

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) account for 40% of all nosocomial infections in the United States, affecting nearly 900,000 patients per year. The indwelling urinary catheter (IUC) is a widely utilized device in modern hospital environments, yet they are not always used appropriately in hospital settings and can result in prolonged use and improper management, increasing risk of infections and length of stay. Nurses are the primary champions to promote preventative measures, provide patient education, and evaluate evidence-based practice (EBP) strategies to decrease CAUTIs. The purpose of this study was to determine if nursing education on EBP guidelines could decrease …

Teacher Perceptions Of Administrative Involvement In Transfer Of Training, Stephanie Michelle Heflin

Walden Dissertations and Doctoral Studies

This study district provides ongoing professional development for teachers; however, there was little evidence that transfer of training was occurring and it was unclear whether the administrator role could improve the implementation of learning from professional development. The purpose of the study was to examine teachers' perceptions of administrative involvement in professional development in order to identify indicators that could strengthen nonevaluative, collaborative relationships leading to higher rates of transfer. The central research question focused on teachers' perceptions of the roles of administrator-as-evaluator and administrator-as-collaborator and whether collaboration might influence transfer of training for teachers as they strive to improve …

Indentifying Effective Communication Practices For Eliciting Parental Involvement At Two K-8 Schools, Karen Lynn Moore

Walden Dissertations and Doctoral Studies

Conventional wisdom suggests effective and timely school communications increase parental involvement. Guided by this wisdom and contemporary parental involvement theory, effective educational institutions have established systems that foster communication and collaboration between school representatives and the local community. Despite such efforts, research has revealed persistent declines in parental involvement within schools. This phenomenological study documented 16 parents' perceptions of communication between teachers and parents at 2 K-8 schools in the American southwest. Semi-structured interviews were used to explore parents' perceptions of the effectiveness of various school-based communication systems and the specific impact these systems had on parental involvement. NVivo software …

The Relationship Between Information Technology And Organizational Effectiveness As Perceived By Health Care Providers, Christian Chikwem Ukaga

Walden Dissertations and Doctoral Studies

The U.S. Congress has made health information technology a central component of the national quest to improve health care delivery. The problem addressed in this study was the uncertainty among healthcare providers regarding the benefits of health care information technology adoption relative to healthcare delivery processes and outcomes. The purpose of the study was to understand the effectiveness of information technology as perceived by healthcare providers. The research questions were designed to investigate the relationship between health information technology and organizational effectiveness, exchange of information, organizational process, organizational productivity, and direct personal care. Sociotechnical systems theory and Donabedian's framework for …

Challenges Of Child Trauma On Adoptive Families' Social And Emotional System, Jacqueline Yvonne Ford

Walden Dissertations and Doctoral Studies

Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents …

Read 180 Evaluation: Balanced Literacy In A Low-Income, Underperforming Urban High School, Daniel Lombardi

Walden Dissertations and Doctoral Studies

This study investigated the effectiveness of the READ 180 balanced literacy program in addressing the problem of low reading achievement among urban minority high school students. Research has shown low reading achievement to negatively impact academic and economic success. Holdaway's theory of natural literacy, which suggests reading instruction should be purposeful and realistic, supports READ 180 as a remedial intervention. The specific purpose of the study was to evaluate READ 180 in relation to improving classroom reading achievement, standardized language arts test scores, and graduation rates among students in a low-income, high-minority urban high school. Subjects were 2 cohorts of …

Creating Professional Learning Programs That Recognize Teachers As Adult Learners, Nicole Marie Lowe

Walden Dissertations and Doctoral Studies

According to recent research, approximately 40-50% of teachers leave the profession within the first 5 years, creating a constant need for teachers. There is evidence that creating a supportive working environment through effective professional learning, drawing on adult learning theory, may reduce teacher turnover and increase student performance. This study explored teachers' perceptions about the professional development offerings available to them, how these perceptions influence their decisions to remain at the school, and what types of professional learning experiences teachers want to experience. Fourteen high school teachers participated in individual interviews and 2 focus groups, which were analyzed inductively for …

A Phenomenological Examination: African American Women And Low Cervical Cancer Screening Attendance, Leslie G. Matthews

Walden Dissertations and Doctoral Studies

African American women tend to have lower attendance rates at cervical cancer screenings compared to the attendance rates of women from other ethnic groups. The purpose of this research project was to understand how perceptions of African American women affects attendance of future cervical cancer screenings. The goal was to understand what contributes to low attendance. Previous research did not focus on factors contributing or interfering with appointment attendance among African American women, aged 30-65. The conceptual framework was based on individual health behavior. The research questions examined lived experiences affecting attendance of cervical cancer screenings, attendance of future screenings, …

Care Transition Gaps: Risk Identification And Intervention, Michael Howard Jongsma

Walden Dissertations and Doctoral Studies

Hospital readmissions related to chronic heart failure (CHF) are costly, widespread, and often avoidable. Patient education that includes diagnosis, causes, medications, diet, exercise, and exacerbation warning signs has been shown to reduce the number of CHF readmissions. The purpose of this study was to use risk stratification to identify CHF patients at high risk for 30-day readmission. Once a high-risk CHF patient was identified, nursing interventions would be triggered to reduce readmissions and close the gaps in the continuum of care following acute care admission. Transitions of care theory was used as the framework for this project. The methodology had …

An Offender's Perspective Of Correctional Education Programs In A Southeastern State, Boderick Bennett

Walden Dissertations and Doctoral Studies

Many offenders are incarcerated in U.S prisons with the intent of rehabilitation; however, a majority of these offenders will be released with limited options for employment. Recidivism has been linked to unemployment. The purpose of this multiple case study was to examine the lived experiences of 20 offenders involved in correctional education programs while incarcerated to explore their correctional education experience within the context of postincarceration employment. The theoretical foundation of this study was based on Bandura's self-efficacy theory. Narrative data were elicited pertaining to offenders' perceptions of past education experience, correctional education experience, and their perceived impact of the …

Factors Influencing Employee Participation And Nonparticipation In A Rural Hospital's Employer-Sponsored Wellness Program, Nicole Marie Kolacz

Walden Dissertations and Doctoral Studies

Employer-sponsored wellness programs are important tools for keeping employees healthy, reducing an organization's healthcare expenses, mitigating risk factors, and promoting health and well-being. Little research is available on the factors associated with employees' participation in wellness programs in rural hospitals. Pender's health promotion model was used to determine how employees who participated in a rural hospital's wellness program differed from those who did not participate in terms of demographics, perceptions of personal health, general health behaviors, health locus of control, self-motivation, and situational barriers. A descriptive, correlational replication with the Hallion and Haignere questionnaire was used to survey employees. Of …

Knowledge Of Overdiagnosis And The Decision To Participate In Breast Cancer Screening, Kimberly T. Nembhard

Walden Dissertations and Doctoral Studies

In 2014, breast cancer was the second leading cause of death among Canadian women, with women over age 50 years making up 82% of the identified cases. To address this issue, the Ontario Breast Screening Program developed a media campaign that promoted the benefits of mammogram screening, but not the associated risks (i.e., false-positive, false-negative, radiation exposure, and overdiagnosis). This study was designed to determine whether there was a statistically significant relationship between knowledge of overdiagnosis and participation in mammogram screening. This cross-sectional, correlational study used schema theory supported by the effective health communication model. Forty-one women were invited to …

Retail Distribution Within The New York City Organic Cacao Market, Omari Nekoro Williams

Walden Dissertations and Doctoral Studies

The purpose of this multiple case study was to explore strategies small physical commodities firm owners need to establish a distribution channel within the commodities market to enhance profits. The general business problem was that importing physical commodities from emerging markets was not profitable. The specific business problem was some small physical wholesale commodities firm managers lacked strategies to establish distribution channels for imported commodities. The information presented in this study is important to suppliers, manufacturers, distributors, and retailers of organic cacao products to identify strategies to enhance their distribution channels. Disruptive innovation and the theory of constraints grounded the …

Secondary English Teachers' Perceptions Of Differentiated Instruction For Limited English Proficient Students, M L. Langley

Walden Dissertations and Doctoral Studies

In a suburban high school, an average of 50% of limited English proficient (LEP) students did not meet the required standard on the 9th grade literature and composition end of course test (EOCT), and an average of 46% of LEP students did not meet the required standard on the American literature and composition EOCT in the years 2008-2011. LEP students were expected to meet the same standards as their native-born peers in order to pass courses and ultimately graduate. Using the professional learning community (PLC) model and the concept of differentiated instruction, the purpose of this qualitative case study was …

Knowledge Of Diabetes Mellitus And Health-Preventive Behaviors Among African American Adults, Wanka Ndifor

Walden Dissertations and Doctoral Studies

The purpose of this study was to gain insight into the risk within the African American population of developing diabetes, its complications, and the benefits associated with timely management and treatment of diabetes. The study also looked at how such knowledge may be related to preventive health behaviors. The Risk Perception Survey-Developing Diabetes and the Behavioral Risk Factor Surveillance System questionnaires were employed in this study. The theoretical basis of this study was the health belief model. This was a cross sectional, quantitative study with 126 participants. Descriptive analysis was employed to calculate the mean scores and frequencies across each …

Mental Health Worker Retention At African American And Caucasian-Owned Mental Health Agencies, Natikca Oliver

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine which factor(s), including job satisfaction, employee-employer relationship, organizational climate, and ethnicity predict retention of mental health professionals employed by African American and Caucasian privately owned mental health agencies. Due to high turnover in the private sector in mental health in central Virginia, many agencies are closing after 5 years of business. The importance of this study was to determine which factor(s) can assist in reducing turnover in the mental health field and to determine which factor(s) assist in maintaining mental health professionals in order for the agency to remain operable. The variables …

Evaluating Retention Strategies For At-Risk Undergraduate Nursing Students, Joanna L. Ramsden-Meier

Walden Dissertations and Doctoral Studies

As there continues to be a nursing shortage and a lack of diversity in the nursing profession, it is important to retain at-risk students who have been admitted to nursing programs. The purpose of this program evaluation was to compare at-risk students who had not received retention services to at-risk students who had received retention services at a Midwestern college. A formative evaluation was conducted using information from three sources: the college, the students, and the community. Guided by a constructivist theory defined by Ponticell, this study examined the effectiveness of the retention program in terms of its impact on …

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

The Effect Of Evaluating A Quality Improvement Initiative On Reducing Hospital Transfers Of Nursing Home Residents, Denise Eileen Jarboe

Walden Dissertations and Doctoral Studies

The Effect of a Quality Improvement Initiative on Reducing Hospital Transfers of Nursing Home Residents

by

Denise Eileen Jarboe

MSN, Walden University, 2010

BS, University of Maryland, 1981

Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

February 2015

Nursing homes (NH) in the 21st century provide skilled healthcare services for resident populations who are older, frailer, and often suffering from multiple incurable chronic medical conditions. Nurses practicing in this setting must be keen observers and effective communicators with the ability to recognize and report subtle changes in health status …

Secondary School Choral Teachers' Perceptions Of Quality Professional Development, Raymond Owen West

Walden Dissertations and Doctoral Studies

Quality professional development is essential to enhance and sustain teacher efficacy. In a Southeastern school district, content-based, job-embedded professional development was not practiced or available for secondary school choral teachers. The purpose of this research was to discover the perceptions that choral teachers possess about what constitutes quality professional development. Guided by Bruner's constructivist approach, Knowles' concept of andragogy, and DuFour's professional development practices, this study examined the connection between these 3 ideas and supplied the foundation for the development of a professional development program. Using a case study design, data were collected through interviews and lesson plan documents from …

How Discourse In Public Community College Documents Supports The Learning College Philosophy, Terri Ackland

Walden Dissertations and Doctoral Studies

Since the late 1990s, community colleges have changed strategies to enhance student success, moving from a traditional faculty-focused teaching model to a student-focused learning paradigm using O'Banion's 6 college learning principles to define and guide the learning college model. However, it is unclear how much the model is being used by community colleges or shared with stakeholders. The learning college model, supported by transformational language research on decision making and innovative thinking, provided a conceptual framework for this discourse analysis study. The purpose of this study was to discover the extent to which the language of the learning college model …

Counselor Supervisors' Perceptions Of Tertiary Trauma, Eric David Jett

Walden Dissertations and Doctoral Studies

Vicarious trauma impacts counselors in various ways: by diminishing their feelings of importance in the profession, hindering their completion of adequate work with clients, and negatively affecting their personal life choices. Although numerous qualitative and quantitative studies have been conducted on vicarious trauma over the past 20 years, there is a rarity of research investigating the implications of trauma for counseling supervisors. The purpose of this study was to examine the lived experiences and perceptions of tertiary trauma among 11 counselor supervisors from Oklahoma and Missouri who were providing active supervision. This study was approached through a hermeneutic phenomenological methodology. …

Impact Of Inclusion Teachers' Mathematics Anxiety And Mathematics Self-Efficacy On The Mathematics Achievement Of Learning Disabled Students, Vladimir Sylne

Walden Dissertations and Doctoral Studies

Learning disabled (LD) students are put in inclusion classrooms in order to experience the mainstream environment and to receive the same level of education as their regular education counterparts. Unfortunately, LD students do not always get the mathematics education that they deserve because inclusion mathematics teachers are not required to be highly qualified in mathematics. The focus of this study was on the relationship between mathematics anxiety and self-efficacy of inclusion teachers and the academic achievement of the LD students they serve. The theoretical framework of this study involved the concepts of student achievement, teacher efficacy, mathematics anxiety, and best …

Autonomy In The California Disability Services System, Lisa Ann S. Carbone

Walden Dissertations and Doctoral Studies

Legislation concerning California residents with intellectual and developmental disabilities (ID/DD) requires recipients of services to be treated as independent individuals while emphasizing self-determination. At the same time, under regulatory procedures, recipients are considered dependent on the delivered services and not self-determinant. Neither the California Department of Developmental Services nor the trade associations representing community service providers have established a unified, systematic practice to support self-determination. This phenomenological study explored the experience of adults with ID/DD working toward self-determination.

Specifically, it explored how medical and social models contribute to shaping and actualizing the independence of this population. Interviews with eight adults …

Enhancing Teachers' Skills And Students' Success In Writing Using Elementary Teachers' Experiences In Writing Instruction, Lundie Spivey Gray

Walden Dissertations and Doctoral Studies

This study addressed the issue of struggling student writers in a K-5 rural elementary school. This phenomenological study, based on social constructivist theory, investigated elementary teachers' experiences to determine effective writing strategies. Six teachers who had taught writing in the elementary grades for 5 consecutive years volunteered to participate in the study. All teachers participated in a focus group, and 2 teachers provided additional data via individual interviews. Member-checking was used to ensure trustworthiness of data. The data were analyzed; emerging themes developed categories and, through horizonalization and triangulation, gaps in writing instruction were revealed. Analysis from the teachers' perspectives …

Instruction Of Students With Disabilities Cognitively Functioning Below Age 2, Tana Eileen Donaghy

Walden Dissertations and Doctoral Studies

The Individuals With Disabilities Education Improvement Act requires students with disabilities to show progress on the same standards as their nondisabled peers without indicating how teachers should accomplish this goal. Many teachers lack the skills needed to address the unique learning challenges of students who are cognitively functioning below 2 years of age. This study used a qualitative exploratory case study design. The purpose of this study was to explore what was hindering teachers from providing grade level standards-based instruction for their students with multiple disabilities. Piaget's constructivist theory guided this study. Research questions were used to elicit how teachers …