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Walden Dissertations and Doctoral Studies

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Physician Assistants' Preventive Medicine Practices And Related Habits, Attitudes, And Beliefs, Judia Yael Malachi Jan 2015

Physician Assistants' Preventive Medicine Practices And Related Habits, Attitudes, And Beliefs, Judia Yael Malachi

Walden Dissertations and Doctoral Studies

Physician assistants play a pivotal role in expanding access to care, yet research on their preventive medicine practices is limited. Guided by Lewis's conceptual model for predicting counseling practices, this cross-sectional study examined the relationship between physician assistants' preventive medicine practices, personal health habits, prevention and counseling attitudes, and perceived barriers to the delivery of clinical preventive services. A 104-item self-administered survey was used to collect data from 314 physician assistants attending the American Academy of Physician Assistants' 42nd Annual Conference. Data were analyzed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results indicated that physician assistants engaged in …


Socioeconomic Challenges Faced By African American Men Entering The Information Technology Industry, Melvin Smith Jan 2015

Socioeconomic Challenges Faced By African American Men Entering The Information Technology Industry, Melvin Smith

Walden Dissertations and Doctoral Studies

African American men experience impediments when entering the field of Information Technology (IT), which may portend the disappearance of this ethnic group from the technology-driven work force of the future. The purpose of this phenomenological study was to investigate the socioeconomic factors faced by African American men from their own viewpoints. With this goal in mind, three research questions were studied focusing on the availably of IT resources; the quality of science, technology, engineering, and math (STEM) based education; and existing hiring practices within the IT industry. The conceptual framework for this study was the critical theory perspective, which provided …


Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu Jan 2015

Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu

Walden Dissertations and Doctoral Studies

In 2014, the Center for Disease Control and Prevention reported that the incidence of autism had reached a prevalence rate of 1 out of every 68 children. This increase means that more families have experienced the difficult Autism Spectrum Disorder (ASD) diagnostic process. Although research on parental perspectives of the ASD diagnostic process is almost 2 decades old, to date, there have been no studies conducted in Canada comparing parental experiences between the private and government-funded assessment routes. Research in general has shown that parents are generally dissatisfied with the ASD diagnosis process. The theoretical foundation for this study is …


Transformational Leadership Principles Within Small Businesses, Tiffany Suzanne Mckinnon-Russell Jan 2015

Transformational Leadership Principles Within Small Businesses, Tiffany Suzanne Mckinnon-Russell

Walden Dissertations and Doctoral Studies

Small businesses in the United States experience a high rate of failure. The purpose of this phenomenological study was to identify and explore consistent strategies small business owners in Harrisburg, Pennsylvania used to lead successful companies. Transformational leadership theory formed the conceptual framework for this study. A mixed purposive sample of 20 small business owners participated in semistructured face- to-face and telephone interviews. Each of the participants possessed a minimum of 3 years of successful business operation and employed fewer than 500 individuals. Using Moustakas' modified van Kaam analyses, 6 main themes emerged: characteristics and experiences, leadership behaviors, managing operations, …


Critical Care Nurses' Perceptions Of Their Knowledge And Self-Efficacy About Providing End-Of-Life Care, Mary Kathryn Gaffney Jan 2015

Critical Care Nurses' Perceptions Of Their Knowledge And Self-Efficacy About Providing End-Of-Life Care, Mary Kathryn Gaffney

Walden Dissertations and Doctoral Studies

Most nurses receive limited formal education regarding end-of-life (EOL) care, which affects their ability to meet dying patients' needs. Guided by Bandura's social learning theory, this explanatory correlational study examined the relationships between critical care nurses' personal and professional characteristics and their perceived knowledge and self-efficacy when providing EOL care at an academic medical center. Convenience sampling was used to recruit participants from the eligible adult, pediatric, and neonatal critical care nurses for this study. The 67 participants completed the End-of-Life Professional Caregiver Survey (EPCS) to assess EOL care knowledge and self-confidence. Total EPCS scores revealed only moderate levels of …


Port Security: The Terrorist Naval Mine/Underwater Improvised Explosive Device Threat, Peter Von Bleichert Jan 2015

Port Security: The Terrorist Naval Mine/Underwater Improvised Explosive Device Threat, Peter Von Bleichert

Walden Dissertations and Doctoral Studies

Terrorist naval mines/underwater improvised explosive devices (M/UWIEDs) are a threat to U.S. maritime ports, and could cause economic damage, panic, and mass casualties. The purpose of this case study was to examine this threat and propose reforms that improve port security management. The study aligned with the mission area analysis objective of identifying and assessing potential terrorist threats in order to preempt and prevent attacks. Von Bertalanffy's general systems theory was the framework for research questions, which focused on improvements in port security management to mitigate the threat of terrorist M/UWIEDs. Data collection included a document content analysis of open …


Career Outcomes For Participants In A Leadership Development Program, Cheryl Louise Meheden Jan 2015

Career Outcomes For Participants In A Leadership Development Program, Cheryl Louise Meheden

Walden Dissertations and Doctoral Studies

In an attempt to raise the level of leadership competence and to increase the number of qualified candidates for leadership positions within post-secondary institutions, many colleges are supporting leadership development training for faculty and staff. This qualitative case study explores whether participating in a leadership development program resulted in career advancements that can fill leadership gaps. The study's framework, expectancy theory, suggests that individuals who participate in leadership development expect to become leaders. This exploratory case study sought to learn whether, upon completion of a comprehensive leadership development program, participants applied for, and assumed, leadership positions. The leadership program under …


Predictor Variables Of Online Sports Problem Gambling By College Fraternity Members, Matt Stanley Jan 2015

Predictor Variables Of Online Sports Problem Gambling By College Fraternity Members, Matt Stanley

Walden Dissertations and Doctoral Studies

The quantitative study identified predictor variables of online sports problem gambling, as measured by the South Oaks Gambling Screen (SOGS) among fraternity students at major college universities. The data were composed of 125 college fraternity students from ages 18 to 25 years of age. The average SOGS score was 1.776 with a standard deviation of 1.93. A SOGS score of 5 or greater indicates a probable problem gambler. The study used the Blaszczynski and Nower (2002) pathways model to determine how fraternity students could become problem gamblers. A stepwise regression model was run in SPSS using multiple independent variables taken …


Electronic Benefit Transfer: Food Choices, Food Insecurity, And Type 2 Diabetes, Diana Louise Malkin-Washeim Jan 2015

Electronic Benefit Transfer: Food Choices, Food Insecurity, And Type 2 Diabetes, Diana Louise Malkin-Washeim

Walden Dissertations and Doctoral Studies

The purpose of this research was to examine food security for people with prediabetes participating in the Supplemental Nutrition Assistance Program (SNAP), focusing on their food choice decisions and coping strategies over a 30-day benefit cycle that potentially increases the risk of Type 2 diabetes. A cross-sectional, quantitative design based on food choice process model constructs was used. SNAP participants (n = 36) with prediabetes, aged 21-70 years, were recruited as outpatients from Bronx Lebanon Hospital and completed self-reported questionnaires on demographics and health, food security, and food frequency. Descriptive statistics, Pearson chi square tests, and regression analysis were performed …


Perceptions Of Parental Involvement Among Rural Parents, Teachers, And Administrators, Sandra Elaine Cheairs Jan 2015

Perceptions Of Parental Involvement Among Rural Parents, Teachers, And Administrators, Sandra Elaine Cheairs

Walden Dissertations and Doctoral Studies

Parents, teachers, and administrators have different perceptions of the importance and effects of parental involvement. A rural school district was experiencing low levels of parental involvement; therefore, to address that problem, the purpose of this concurrent mixed methods study was to explore the experiences and ideas of parents, teachers, and administrators related to parental involvement. The theoretical framework was based on Epstein's 6 types of parental involvement: parenting, communicating, volunteering, learning at home, decision making, and collaborating. Data were collected from parents (n=67), teachers (n=4), and administrators (n= 3) from 5 rural elementary schools. Instruments included Epstein's School and Family …


Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn Jan 2015

Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn

Walden Dissertations and Doctoral Studies

Health literacy is the ability to understand and act on health information and is linked to health outcomes. It is unclear how health literacy skills are developed in patients with complex conditions, such as cardiovascular disease and diabetes. The purpose of this grounded theory study was to gain perspectives of both patients and healthcare professionals on how health literacy skills were developed in patients with cardiovascular disease or diabetes. The research questions addressed how knowledge and skills were acquired, the role of digital tools, instructional strategies used by healthcare professionals, and how the instructional strategies of the healthcare professionals matched …


Positive Behavior Support Systems In A Rural West Texas Middle School, Aaron Scott Hunt Jan 2015

Positive Behavior Support Systems In A Rural West Texas Middle School, Aaron Scott Hunt

Walden Dissertations and Doctoral Studies

Positive Behavior Support (PBS) programs are being implemented in schools in the United States to support faculty, staff, and students. The purpose of this study was to evaluate a PBS system at a rural west Texas middle school to discover what improvements are necessary for district-wide implementation and sustainability. The study drew on Bandura's social learning theory, which posits that people learn from each other through observation, imitation, and modeling. PBS systems provide the framework for exhibiting specific behavior expectations so students and teachers can get the most from their educational experiences. A program evaluation was completed using discipline data …


Socialization Of Adjunct Faculty At A Southern California Community College, Cynthia Kathleen Haiduk-Pollack Jan 2015

Socialization Of Adjunct Faculty At A Southern California Community College, Cynthia Kathleen Haiduk-Pollack

Walden Dissertations and Doctoral Studies

Leaders at a local community college in southern California ascertained that adjunct faculty members felt disconnected from the school and were not properly socialized to the culture of the school. The purpose of this case study was to help leaders learn adjunct faculty's perceptions of the socialization process. Organizational socialization theory and occupational socialization theory provided the theoretical framework for this study. Purposeful sampling was used to select 12 adjunct faculty to participate in face-to-face interviews. Data were collected via open-ended interview questions. These data were then transcribed, coded, and searched for themes. Coding was completed using Microsoft Word to …


Instructional Practices Of English As Second Language Teachers, Karen Ann Wallis Jan 2015

Instructional Practices Of English As Second Language Teachers, Karen Ann Wallis

Walden Dissertations and Doctoral Studies

The past decade has seen a significant increase in the emergence of English Language Learners (ELLs) in the United States. Nationally, a disparity in achievement exists between ELLs and non-ELLs. Relatedly, this problem was evident in a northeastern school district, where ELLs had not made Adequate Yearly Progress 2 years in a row. The purpose of this study was to examine how much time English as Second Language (ESL) teachers spend on a variety of best instructional practices. Constructivism, Vygotsky's zone of proximal development, and Tomilinson's differentiated instruction were the frameworks used to guide this research. A within-group design was …


Instructional Approaches That Increase Reading Achievement For Boys, Grades 3-6, Tiffany M. Rudek Jan 2015

Instructional Approaches That Increase Reading Achievement For Boys, Grades 3-6, Tiffany M. Rudek

Walden Dissertations and Doctoral Studies

An achievement gap persists in many educational settings with females outperforming males in reading. In a Southern California school district, reading scores for boys average 10 percentile points below those of girls. A qualitative case study was conducted to explore which instructional approaches can help close this gender gap. The conceptual framework for this study was based on engagement theory, which proposes that students who are engaged in learning tasks achieve at higher levels. The guiding question asked how reading achievement for boys in Grades 3-6 could be improved in the district under study. Semistructured individual interviews were conducted with …


Nursing Students' And Novice Clinical Instructors' Experiences With Clinical Instruction And Assessment, Bridgett Alveta Jackson Jan 2015

Nursing Students' And Novice Clinical Instructors' Experiences With Clinical Instruction And Assessment, Bridgett Alveta Jackson

Walden Dissertations and Doctoral Studies

Adjunct faculty members make up a growing proportion of nursing school clinical faculty in the United States due to a nurse educator shortage in higher education. Many of the nurses hired as clinical faculty members have years of experience providing patient care, but they lack experience in clinical instruction and assessment. At a state community college in the southeastern United States, nursing students have expressed dissatisfaction in their course evaluations with inexperienced faculty in clinical programs. The experiences of both nursing students under the guidance of novice clinical instructors and clinical faculty were examined in this case study. The National …


K-5 Elementary Balanced Literacy Reading Program Implementation Evaluation, Suzanne Marie Anderson Jan 2015

K-5 Elementary Balanced Literacy Reading Program Implementation Evaluation, Suzanne Marie Anderson

Walden Dissertations and Doctoral Studies

Students who struggle with reading in their elementary years are likely to make poor academic progress, leave school before graduation, and struggle in the workplace. The district leaders at 24 K-5 elementary schools in a large Midwestern district were interested in a formative reading program evaluation to determine reading program effectiveness. This mixed methods study, approached from a cognitive and social theoretical framework, was a formative evaluation of the Balanced Literacy Reading Program implementation at these elementary schools. The purpose of this study was to capture the K-5 classroom teachers' (n = 113), instructional coaches' (n = 18), and principals' …


Exploring Antecedents To Work Engagement And Psychological Well-Being Within A Canadian Provincial Ministry, Kris Ellis Jan 2015

Exploring Antecedents To Work Engagement And Psychological Well-Being Within A Canadian Provincial Ministry, Kris Ellis

Walden Dissertations and Doctoral Studies

A gap exists in organizational development strategies on why some individuals remain disengaged with their work. This study addressed whether a combination of specific contextual factors could support individuals, teams, and leaders to demonstrate the attitudes and behaviors consistent with work engagement. The theoretical frameworks of social constructivism, the conceptual framework of symbolic interactionism, and a hermeneutic inquiry approach were used to address how individual psychological traits/abilities of employees support work engagement. Nineteen employees of a Canadian provincial government ministry completed an engagement survey, MSCEIT, MBTI, and SDI assessments. They also participated in focus groups. Survey results showed high engagement …


The Effect Of The Implementation Of Relationship-Based Care On Patient Satisfaction, Laura Ellen Field Jan 2015

The Effect Of The Implementation Of Relationship-Based Care On Patient Satisfaction, Laura Ellen Field

Walden Dissertations and Doctoral Studies

The purpose of this project was to evaluate the effects of relationship-based care (RBC) on patient satisfaction. RBC is a caring model that promotes a caring and healing environment by establishing and maintaining therapeutic relationships between patient, self, and coworker. The Centers for Medicare & Medicaid Services links Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores with reimbursement to hospitals. It is essential to not only achieve high patient satisfaction scores in order to ensure full financial reimbursement, but also to ensure high quality, patient-centered care. The current project assessed samples from 2 medical surgical groups, one system-wide …


The Effects Of Acceptance And Commitment Therapy On Parents Of Children Diagnosed With Autism, Dawn Montgomery Jan 2015

The Effects Of Acceptance And Commitment Therapy On Parents Of Children Diagnosed With Autism, Dawn Montgomery

Walden Dissertations and Doctoral Studies

The number of children who display characteristics of autism in the United States has been on the rise. Not only do children diagnosed with autism experience difficulties related to the defining characteristics of autism, but parents of children diagnosed with autism commonly experience negative consequences as well. Parents of a child diagnosed with autism more often report symptoms of depression, stress, and reduced quality of life than their do counterparts with neuro-typical children. These traits have the potential to negatively impact the parents' capacity to assist their child in receiving needed treatment and can limit the ability of the parents …


Factors That Influence Empowerment In Adjunct Faculty Members, Lisa Murthy Jan 2015

Factors That Influence Empowerment In Adjunct Faculty Members, Lisa Murthy

Walden Dissertations and Doctoral Studies

To offset the cost and meet the demand for high quality nursing graduates, adjunct faculty members are hired to educate students in the practice settings. Adjunct faculty may not have access to the resources allocated to full-time faculty and may not feel empowered to provide the most effective educational experiences for the students. The purpose of this quantitative study was to measure factors that influence empowerment in adjunct faculty members teaching in an associate degree nursing program at a community college located in the Midwestern United States. The study also examined whether there is a difference in the empowerment of …


Teachers' Perceptions Of An Integrated Third Grade Curriculum's Effects On Students' Reading Achievement, Charlene Lane Bazemore Jan 2015

Teachers' Perceptions Of An Integrated Third Grade Curriculum's Effects On Students' Reading Achievement, Charlene Lane Bazemore

Walden Dissertations and Doctoral Studies

School leaders in a Virginia urban school district designed and implemented a reading-infused integrated curriculum to address Grade 3 students' struggles to read and comprehend grade-level text. Informed via a constructivist approach, the curriculum integrated the core subjects, reading, and service learning for developing competent readers, thinkers, and problem solvers. This instrumental case study focused on 13 Grade 3 teachers' perceptions of the integrated curriculum in regards to their students' reading achievement. Qualitative data were collected from face-to-face interviews, students' progress of work documents, and the district's integrated curriculum unit. Open coding was employed to analyze the data. Inductively, triangulated …


Understanding The Impact Os Stress, Irrational Health Beliefs, And Health Behaviors Among Adults18-45, Toni Loe Rabalais Jan 2015

Understanding The Impact Os Stress, Irrational Health Beliefs, And Health Behaviors Among Adults18-45, Toni Loe Rabalais

Walden Dissertations and Doctoral Studies

This study examined the role of stress on irrational health beliefs and health behaviors among individuals 18-45 years old. Previous research has shown that this age group reported higher stress levels, more physical symptoms of stress, and the highest level of negative health behaviors. The theoretical frameworks were health belief model, the transactional model of stress and coping theory, and Ellis's concept of irrational beliefs. A survey using 3 published instruments measured the perceived stress level, irrational health beliefs, and health behaviors of a sample of 97 individuals aged 18-45. The data were quantitatively assessed using a mediation model to …


A Staff Development Program: Diabetes And Tb Education And Screening, Relyndo Manalo Salcedo Jan 2015

A Staff Development Program: Diabetes And Tb Education And Screening, Relyndo Manalo Salcedo

Walden Dissertations and Doctoral Studies

There is a growing body of evidence on the positive association between diabetes and tuberculosis (TB), especially in populations with low socioeconomic status. According to the CDC and the WHO, diabetes is increasingly seen as a global epidemic, one that poses a threat to global TB control. The goal of this DNP project was to develop a program to educate clinical staff on the importance of early identification of diabetic and TB patients. The logic model was chosen as the framework for this project because it allows the planner to rationally observe each stage of a project's development. The program …


Female Parents' Attitudes, Beliefs, And Perceptions About Youth Gun Crimes, Karen Annmaurisa Sylva-Givens Jan 2015

Female Parents' Attitudes, Beliefs, And Perceptions About Youth Gun Crimes, Karen Annmaurisa Sylva-Givens

Walden Dissertations and Doctoral Studies

Youth gun crime is an important public health issue that affects many communities in the United States. Since 2012, there were over 30,000 gun-related deaths in the United States. Gun violence remains the leading cause of death for young people ages 15-24. This phenomenological study examined single female parents' attitudes, beliefs, and perceptions of the influences and causes of youth gun crimes. The purposive sample drew from 10 single female parents of youth ages 14-17 charged with gun crimes. Sutherlands' (1974) differential association theory provided the theoretical framework for the study. The mothers participated in a series of in-depth, face-to-face …


Narrowing The Gap Of Financial Fraud Detection In Corporations, Solomon Aborbie Jan 2015

Narrowing The Gap Of Financial Fraud Detection In Corporations, Solomon Aborbie

Walden Dissertations and Doctoral Studies

Business leaders remain exposed to financial and accounting fraud as well as loss of profitability, despite the dictates of the SOX Act of 2002. The most challenging aspect of corporate management is the unexpected nature of an emerging, existing, or an inherent financial risk. Guided by the evolution of fraud theory, this exploratory case study's purpose was to identify and explore the financial management strategies that corporate financial managers need to adequately protect investors. Twenty participants from a population group of corporate auditors of Fortune 1000 corporations within 70 miles of Columbus, Ohio provided input for this study. Data from …


The Effect Of Confirmation Bias On Criminal Investigative Decision Making, Wayne A. Wallace Jan 2015

The Effect Of Confirmation Bias On Criminal Investigative Decision Making, Wayne A. Wallace

Walden Dissertations and Doctoral Studies

Confirmation bias occurs when a person believes in or searches for evidence to support his or her favored theory while ignoring or excusing disconfirmatory evidence and is disinclined to change his or her belief once he or she arrives at a conclusion. The purpose of this quantitative study was to examine whether emotionally charged evidence and evidence presentation order could influence an investigator's belief in a suspect's guilt. The study included 166 sworn police officers (basic training recruits, patrol officers, and criminal investigators) who completed online surveys in response to criminal vignettes across different scenarios to record their measure of …


The Myon'reader Program And Reading Proficiency Among High School Students, Tommie Kuykendall Jan 2015

The Myon'reader Program And Reading Proficiency Among High School Students, Tommie Kuykendall

Walden Dissertations and Doctoral Studies

In the United States, educators have struggled with low student achievement in reading proficiency, which affects student success in school and leads to higher dropout rates. To address low reading proficiency scores, a local charter high school implemented the myON'reader program. The myON reader program is an electronic library that allows students to choose their own reading based on their reading level and interest. The program tracks students' reading habits and level of reading, so teachers can determine students' progress. Guided by self-directed learning and social constructivism, the purpose of this study was to review available data to determine if …


Elementary School Teachers' Levels Of Concern With Disruptive Student Behaviors In The Classroom, Jacquline Mccaskey Jan 2015

Elementary School Teachers' Levels Of Concern With Disruptive Student Behaviors In The Classroom, Jacquline Mccaskey

Walden Dissertations and Doctoral Studies

Educators are concerned over disruptive student behavior that diverts teacher attention from instruction to student's negative behavior. The disruptive student is frequently removed from the classroom, decreasing negative behavior but resulting in shorter instructional time for the disruptive student. The purpose of this correlational survey study was to identify teachers' (a) levels of concern for specific disruptive behaviors, (b) methods most frequently used for disruptive behavior, and (c) professional needs related to general classroom and behavior management. The study examined the relationship between teachers' levels of concern regarding specific behaviors and the degree of support needed to manage those behaviors. …


Expectations Of Teachers, Administrators, And Parents For The Academic Achievement Of Students, Tracy Shells Jan 2015

Expectations Of Teachers, Administrators, And Parents For The Academic Achievement Of Students, Tracy Shells

Walden Dissertations and Doctoral Studies

In recent years, states in the United States have developed assessment testing to help ensure that schools meet academic standards. This study investigated an educational problem of low student academic achievement and low scores on a state test in a middle school in the southeastern United States. It specifically queried whether expectations for student achievement had a positive influence on students' academic success. The research questions were designed to investigate parents, teachers, and administrators' expectations for the academic achievement of students. The conceptual framework guiding this study used the ecological model of human development, which postulates that personal development is …