Digital Commons Network^™

Improving Nurses' Knowledge To Reduce Catheter-Related Bloodstream Infection In Hemodialysis Unit, Mohammed Jawad Kadium

Walden Dissertations and Doctoral Studies

Central venous catheters (CVCs) are commonly used as vascular access for patients who require hemodialysis. Infectious complications are a serious clinical problem, and they are associated with high rates of morbidity and mortality, prolonged hospital stay, and increased medical treatment costs. The purpose of theproject was to evaluate the effectiveness of educating registered dialysis nurses regarding CVC maintenance care to reduce catheter-related bloodstream infection (CRBSI) in a hemodialysis unit. The project question focused on the educational program derived from the evidence-based guidelines recommended by the Centers for Disease Control and Prevention (CDC) to improve registered dialysis nurses' knowledge regarding CVC …

Student Visa Control And Information Exchange, Lisa Bellamy

Walden Dissertations and Doctoral Studies

Expired student visas can contribute to illegal residence in the U.S. and may also be a valuable source of information for Homeland Security. Although the reason for remaining in the U.S. might be for nonthreatening purposes, threatening actions could occur as an individual gets lost in the country. The purpose of this study was to determine how visas were issued, the reasons an individual may remain beyond the approved visa date, and the mechanisms intelligence and law enforcement agencies use to exchange information with each other. This research was based on the new war theory and the Lockwood Analytical Method …

Moving From Productivity To Professional Value Model Of The Hospital-Based Registered Nurse, Crystal Maree Billings

Walden Dissertations and Doctoral Studies

There is a gap between organizational commitment to professional value of the nurse and the achievement of quality outcomes. This study explored the relationship between the productivity model and the professional value (PVS) model of the hospital-based registered nurse (RN). It was essential to understand how to measure nursing's contribution to patient care as a means to promote patient care outcomes. The current professional nursing dynamic provides an unprecedented opportunity for nurses to achieve their highest professional potential through increased demonstration of advocacy and accountability for the central tenets of nursing. The intent of this project was to explore the …

Teaching In The Entitlement Age: Faculty Perceptions Regarding Student Academic Entitlement Behavior, Nichole P. Gotschall

Walden Dissertations and Doctoral Studies

Student academic entitlement behavior is a problem within the United States' higher education system. This behavior could affect student learning, harm institutional reputation, and inflict undue pressure on faculty. The purpose of this qualitative case study was to understand what faculty members identify as the causes and the implications of student academic entitlement behavior and the actions needed to inhibit the behavior. The work was supported by applying Morrow's conceptual framework that suggests student academic entitlement behavior challenges academic achievement. Completed at a for-profit university in the southern United States, the research questions of this study examined the faculty members' …

Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …

A Comparison Study Of Gender Role Differences Between Funeral Professionals And Nurses, David Rocco Penepent

Walden Dissertations and Doctoral Studies

Women comprise over 57% of all U.S. mortuary school students, yet less than 20% of all funeral directors employed in this country are women. As such, women are underrepresented as funeral directors in the funeral industry. Research to date has not established clear differences between perceived gender roles and occupations in the funeral service industry. The research questions examined the perceived differences of gender role characteristics of masculine, feminine, and androgyny between the occupations of funeral service providers and nursing. Bem's gender role theory was the theoretical framework of this study. The research compared the mean scores of male and …

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

Predicting The Probability For Adopting An Audience Response System In Higher Education, Tan Fung Ivan Chan

Walden Dissertations and Doctoral Studies

Instructional technologies can be effective tools to foster student engagement, but university faculty may be reluctant to integrate innovative and evidence-based modern learning technologies into instruction. It is important to identify the factors that influence faculty adoption of instructional technologies in the teaching and learning process. Based on Rogers' diffusion of innovation theory, this quantitative, nonexperimental, one-shot cross-sectional survey determined what attributes of innovation (relative advantage, compatibility, complexity, trialability, and observability) predict the probability of faculty adopting the audience response system (ARS) into instruction. The sample for the study consisted of 201 faculty who have current teaching appointments at a …

Development Of An Evidence-Based New Graduate Nursing Orientation Program For The Emergency Department, Mary Ellen Zaleski

Walden Dissertations and Doctoral Studies

The traditional new graduate nurse (NGN) orientation process places NGN with an experienced preceptor for 24 weeks and requires clinical skills checklists to be completed by the preceptor, a practice which is not an evidence-based practice for orienting NGNs. The purpose of this quality improvement project was to develop an evidence-based orientation to decrease time requirements and standardize the processes and evaluation of the NGN in the emergency department. The project was informed by Benner's novice to expert theory and focused on acquisition of clinical skills. The project team included 6 stakeholders: the Doctor of Nursing Practice student-leader, the unit …

The Impact Of The Sra Corrective Reading Program On Standardized Testing, Tony Oyola

Walden Dissertations and Doctoral Studies

The implementation of effective reading programs for special education students is paramount for school success due to the No Child Left Behind Act of 2001 (NCLB) and the reauthorization of Individual with Disabilities Education Act. One local school implemented the Science Research Associates Corrective Reading Program (SRACRP) because their special education students did not meet the required proficient or advanced reading scores on the Pennsylvania System of School Assessment (PSSA). The purpose of this quantitative within-group study was to determine if special and regular education students demonstrated growth in reading comprehension after the implementation of the SRACRP. The theoretical foundation …

Differences In Body Satisfaction Between Black And White Heterosexual College-Aged Men, Darrell L. Renfro

Walden Dissertations and Doctoral Studies

Although there is an increasing amount of research concerning body satisfaction among heterosexual White men, few of these studies have adequately represented heterosexual Black men. This was a quantitative survey study aimed to illuminate gaps in the literature regarding Black men's body satisfaction experiences. The study used surveys and tested research questions to determine whether college-aged heterosexual Black (n = 220, 55%) and White (n = 180, 45%) men differed in their body satisfaction experiences and whether race significantly moderated the relation between sociocultural influences and body satisfaction in the two groups. This study was based on the social comparison …

Predicting Success In First-Year Associate Degree Nursing Students, Laura J. Hope

Walden Dissertations and Doctoral Studies

An associate degree of nursing program in the southeastern region of the United States has had significant increases in student attrition over the past few years. Admission requirements did not include an entrance exam, such as the Test of Essential Academic Skills (TEAS), which may be useful in decreasing the deficiencies associated with poor student progression. Guided by the Knowles' theory of adult learning and Bandura's social learning theory, the purpose of this correlation study was to explore the relationship between the TEAS scores and the cumulative grade point average (GPA) of first-year students to determine if success at the …

Graduate Nurse Pediatric Emergency Nursing Orientation Program, Mindi Lynne Johnson

Walden Dissertations and Doctoral Studies

Research has found that the turnover rate of graduate nurses within their first year is significantly high. Specialties such as pediatric and emergency nursing have even a higher turnover rate. It has been suggested that significant amounts of stress and lack of skills are responsible for the turnovers. This quality improvement project, which is theoretically based on Benner's novice to expert theory, will examine if a lack of a specialized pediatric emergency graduate nurse orientation program is a contributing factor. The purpose of the project is to improve retention of graduate nurses by implementing a specialized orientation program that focuses …

Student Perspectives Regarding School Failure At The American Samoa Community College, Siamaua Ropeti

Walden Dissertations and Doctoral Studies

Student Perspectives Regarding School Failure at the American Samoa Community College

by

Siamaua Ropeti

MEd, University of Hawaii, Manoa, 2006

BEd, University of Hawaii, Manoa, 2000

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

December 2014

Students taking remedial English courses at the American Samoa Community College are facing problems relating to school failure. The purpose of this study was to explore the stories and experiences of students who were not passing in remedial English courses. This study was guided by (a) Weiner's attribution theory, which posits that students achieve …

Students' Learning Experiences And Perceptions Of Online Course Content And Interactions, Alex Azike Nwankwo

Walden Dissertations and Doctoral Studies

The recent economic downturn has increased demand for higher education. Because most postsecondary schools offer online courses, it is necessary to assess the effectiveness of those offerings and provide information that will assist colleges and universities in meeting citizens' educational needs. This qualitative case study was used to examine the learning experiences and perceptions of students in online courses at a university in the western United States. Moore's transactional distance learning theory was used to assess interactions among students, instructors, and course content. Purposive sampling was used to select 18 students from 3 university departments to participate in the study. …

Satisfaction And Use: Comparing First-Time Victims And Victims Of Multiple Sexual Assaults, Julie Lindahl

Walden Dissertations and Doctoral Studies

Sexual assault advocacy services are intended to support and empower victims during the aftermath of an assault. This study's purpose was to identify sexual assault victims' use and satisfaction with victim advocacy services, and to compare those outcomes in first-time victims and victims of multiple sexual assaults. The goal was to determine if victims of multiple sexual assaults would seek services again due to satisfaction after receiving prior sexual assault advocacy services. Guided by empowerment theory, this study purported that victim satisfaction and seeking additional services would promote coping and empowerment for the victims and result in positive social change. …

An Investigation Of Teacher Librarians' Use Of Interactive Whiteboard Technology For Literacy Instruction, Judith Carroll Stanton

Walden Dissertations and Doctoral Studies

Although school systems have made investments in technology with the intention of raising student scores on state and national tests, improvements in student achievement have not always followed. The purpose of this study was to investigate teacher librarians' use of interactive whiteboards to improve student literacy. This qualitative case study was guided by the theory of social constructivism, wherein individuals learn through interaction with peers and knowledgeable others. The research questions were focused on how teacher librarians integrated multi-literacies and technological skills into pedagogical goals. Data were collected from a 4-member focus group interview, a questionnaire delivered to a subset …

School District Stress Prevention Practices In A Southern U.S. State, Stephen Field Keohane

Walden Dissertations and Doctoral Studies

The growing recognition that stress is a risk factor for youth health problems has spawned research on school-based stress prevention programs and services. While such programs and services are now available for adoption by schools, there is an absence of data on their use in U.S. schools systems. In the current study, Everett Rogers's diffusion of innovations model provided the theoretical framework for the investigation of school district stress prevention practices in one southern U.S. state. The sample for this quantitative descriptive study consisted of 135 out of 136 active public districts, and 72% of school systems completed and returned …

Teachers' Perceptions Of The Influence Of Teacher Collaboration On Teacher Morale, Alison Goldstein

Walden Dissertations and Doctoral Studies

Currently in secondary education, there is an impetus to have educators collaborate; however, teaching has often been perceived as a solitary occupation, and often logistics prevent collaboration from occurring. Furthermore, the stress of the job, teaching of different disciplines, and low morale can often prevent teachers from collaboration. The research problem addressed in this study reflects the challenges that teachers have with engaging in collaboration. The purpose of the qualitative case study was to understand how teachers are affected by collaboration, the barriers that prevent collaboration, and the possible benefits of collaboration. This case study is grounded in the constructivist …

Relationships Between Specific Health-Related Fitness Components And Standardized Academic Achievement Tests, Tona Wilson

Walden Dissertations and Doctoral Studies

In an attempt to meet monetary-driven mandates to improve student achievement test scores, administrators are replacing physical education activities with subject matter classes in many American schools. This practice negates the positive contributions of physical activity to academic performance and student fitness. Guided by self-efficacy theory, this study assessed the impact of optimal versus minimal physical fitness state on student academic achievement. The study sample included 5,416 9th grade students from the same school district who completed a minimum of 5 of the 6 components of the FITNESSGRAM tests, and who also completed the math and English language arts (ELA) …

Relationships Between The Coordinated School Health Program And Childhood Obesity In Tennessee, Tekeela Shonta Green

Walden Dissertations and Doctoral Studies

Childhood obesity rates have increased nationwide, but rates of childhood obesity are higher in Tennessee (TN). The Coordinated School Health (CSH) Program is a multicomponent approach designed to improve academics and health in children in Tennessee; however, researchers have not evaluated the 8 components of the plan and the impact it has on weight in children. The purpose of the study was to determine if a relationship existed between the Coordinated School Health Program and obesity in children. The conceptual framework for this study was Bandura's social cognitive theory. One hundred forty CSH coordinators in TN were surveyed and the …

Effects Of Embedded Study-Skills Instruction On High School Students' Attitudes Toward Mathematics, Alberta Diahann Banks

Walden Dissertations and Doctoral Studies

The target school used embedded study skills in Algebra I classes to improve attitudes toward mathematics. The purpose of this sequential, explanatory mixed-methods study was to examine the effect of embedded study-skills instruction on students' attitudes toward mathematics. Metacognitive theory was used for this study's framework. Participants were 28 Grade 9 and 10 students who repeated Algebra I. Quantitative data from the Attitudes Toward Mathematics Inventory assessed students' pre- and post-instruction attitudes toward mathematics in 4 domains. Data were analyzed using 4 independent samples t tests for students who did and did not receive embedded instruction. Qualitative data were collected …

Association Between Psychological Trauma From Assault In Childhood And Metabolic Syndrome, W Sumner Davis

Walden Dissertations and Doctoral Studies

Metabolic syndrome and its component conditions of hypertension, obesity, and insulin resistance are on the increase in United States. Metabolic syndrome substantially increases the risk of cardiovascular disease and type 2 diabetes (T2D). To date, no published study has examined the relationship between psychological traumas from physical and/or sexual assault in childhood and metabolic syndrome or its components. This study, using the psychoneuroimmunology (PNI) model, investigated associations between psychological trauma (physical/sexual abuse) in childhood and metabolic syndrome in adulthood using data from the Midlife in the United States II (MIDUS-II) study. This research was undertaken to investigate whether a history …

An Examination Of Physician Resistance Related To Electronic Medical Records Adoption, Terrence Duncan

Walden Dissertations and Doctoral Studies

The 2009 American Recovery and Reinvestment Act, signed under the Obama administration, mandated physicians to complete certification for electronic medical records (EMRs). Despite these mandates and the increased access to information technology, slow adoption rates persist on the use of EMRs. Guided by the theory of planned behavior and the technology acceptance model, the purpose of this quantitative study was to examine the relationship between the independent variables perceived ease of use, perceived usefulness, perceived behavioral control, perceived social influence, attitudes toward EMR, and the dependent variable user acceptance. This study identified physicians in the United States as end-users of …

Parents' Perceptions Of And Experiences With School Counselors, Robyn Jean Emde

Walden Dissertations and Doctoral Studies

Research has found that parents may feel isolated from their children's schools due to their own problematic educational experiences or their lack of understanding their children's school experiences. Current literature explores stakeholders' perceptions of school counselors but lacks specific context from a parental perspective. Validating parents' perceptions of and experiences with school counselors enhances students' academic success by providing insight about what motivates parents to invest in their children's schools and how school counselors influence parental involvement. Utilizing key concepts related to the importance of parental involvement for student success, this qualitative study focused on the experiences and perceptions of …

Weight Management Of Women Of Childbearing Age, Marcia Hagen

Walden Dissertations and Doctoral Studies

Black River Memorial Hospital identified obesity as a priority health concern in its rural service area; this concern was in line with the county's needs assessment. It was identified that women of childbearing age affect the lifestyle and health choices of their families and that they are at higher risk for the additional health risks associated with obesity affecting pregnancy and birth. Despite the identification of these risk factors, the factors that affect healthy weight management have not been well understood. Using the life course theory, a qualitative inquiry in the form of a structured interview was developed with local …

Employees' Perceptions Of Managerial Transformational Leadership Behaviors And Effectiveness Among Information Technology Managers, Olusesan Ogunsakin

Walden Dissertations and Doctoral Studies

The selection of effective leaders is critical to improving organizations' performance in the current dynamic global business landscape; however, the inadequacy of leadership selection criteria in many organizations had led to an increase in the rate of chief executive officers' dismissals within the last 3 decades in the United States. The purpose of this correlational study was to examine the relationship between employees' assessments of their managers' transformational leadership behaviors and employees' perceptions of managerial leadership effectiveness for improved leadership selection. Bass' transformational leadership theory and Herzberg's motivation-hygiene theory guided the study with data gathered, using an online survey, from …

The Role Of Childhood Trauma And Methamphetamine-Induced Violence In Women, Ashley Kennedy Ibbotson

Walden Dissertations and Doctoral Studies

Victims of childhood trauma are vulnerable to substance abuse due to their inability to develop coping skills following trauma, which can lead to criminal and violent behavior. Guided by the ecodevelopmental theory, this phenomenological study attempted to relate the perceived experiences of violent behaviors as a result of methamphetamine use in women to the types of childhood trauma the women experienced. Fourteen women were recruited using purposive sampling in collaboration with the South Brunswick Counseling Center, based on inclusion criteria that included being over the age of 18; having abstained from methamphetamine use for at least a year; having experienced …

Employment Outcomes For Participants In The Workforce Investment Act Youth Program, Angie Gail Stout

Walden Dissertations and Doctoral Studies

The Workforce Investment Act (WIA) of 1998 created programs to promote gainful employment across the United States. Extant studies on WIA's effectiveness have not examined youth workers, however, and youths are excluded from federal and Texas employment measures. This study was designed to address a research gap regarding postprogram employment outcomes for WIA youths and the types of services received: remedial or remedial plus job training. The study was guided by the theory of experiential learning and examined prior work experience as a variable, using a quasi-experimental design and secondary data. Data were obtained from the Texas Workforce Commission's database …

Exploring Online Community College Course Completion And A Sense Of School Community, Kathleen Stone

Walden Dissertations and Doctoral Studies

Researchers have found low online course completion rates to be a complex problem in higher education. Meanwhile, theory on adult learners' online persistence highlights the importance of a sense of school community. At the small, rural focus community college (FCC) for this study, general education online course completion rates are lower than the national average. FCC has not addressed the low online course completion rates. Using Rovais' composite persistence model as the conceptual framework, this instrumental case study examined how students' experiences and perceptions of a sense of school community contribute to their ability to complete online general education courses. …