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Strategies To Manage Supply Chain Disruptions In The Aircraft Manufacturing Industry, Tanya V. Payne
Strategies To Manage Supply Chain Disruptions In The Aircraft Manufacturing Industry, Tanya V. Payne
Walden Dissertations and Doctoral Studies
Supply chain disruptions result in reduced organizational productivity. Supply chain leaders in the aircraft manufacturing industry who cannot manage supply chain disruptions risk financial losses from reduced organizational productivity. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies aircraft manufacturing industry supply chain leaders use to manage disruption in the supply chain process to maximize organizational productivity. The participants were six supply chain leaders from Fortune 500 aircraft manufacturing companies located in South Carolina and California who successfully managed disruption in the supply chain disruptions to enhance productivity. Data were collected …
Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke
Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke
Walden Dissertations and Doctoral Studies
The ability to perform a rapid and comprehensive neurological assessment is an important tool for the nurse at the bedside when a patient has changes in their neurological state. According to the American Heart Association, it is essential for the bedside nurse to ensure they have the necessary skills to improve recovery, survival, and quality of life when experiencing changing neurological symptoms. The focus of this project was to answer the question of whether a self-learning staff education program on neurological assessment increases staff knowledge towards the ultimate goal of increasing competence when conducting a focused neurological assessment. The project …
Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley
Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley
Walden Dissertations and Doctoral Studies
Reducing preterm birth (PTB) in Black women is a public health priority. The purpose of this quantitative, cross-sectional study was to analyze the association between selected Social Determinants of Health (SDoH) and PTB types, both spontaneous and provider-initiated in Black women using the SDoH framework. A logistic regression analysis used secondary data from the 2018 Natality Public Use File. In the adjusted models, higher paternal education, college degree or higher (OR = .791, 95% CI [.637, .982]) was associated with reduced odds of provider-initiated PTB. Fewer prenatal visits, seven to eleven visits OR = 2.301 (95% CI [2.034, 2.601]) and …
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Walden Dissertations and Doctoral Studies
Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …
Staff Education To Increase Awareness And Readiness Of Clinicians To Use The Clinical Decision Support For Immunization (Cdsi) Tool, Lemlem Erketa Ejo
Staff Education To Increase Awareness And Readiness Of Clinicians To Use The Clinical Decision Support For Immunization (Cdsi) Tool, Lemlem Erketa Ejo
Walden Dissertations and Doctoral Studies
Accurate evaluation and forecasting of immunization and ensuring the right vaccines are administered at the right time are essential for the success of immunization programs. Interpreting the clinically written Advisory Committee on Immunization Practice (ACIP) recommendations by individual clinicians is time-consuming and complex, increasing the risk of misinterpretation, inconsistent practice, and inaccurate immunization evaluation and forecasting. Thus, the purpose of this project is to introduce clinicians at the selected project site to an evidence based clinical decision support tool and evaluate participants readiness to utilize the tool. Staff education on the clinical decision support for immunization (CDSi) tool was conducted …
Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes
Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes
Walden Dissertations and Doctoral Studies
The problem addressed in this quantitative study was that 80% of universal prekindergarten (UPK) programs in the Northeast United States did not meet the quality threshold in the instructional supports (IS) domain of the Classroom Assessment Scoring System (CLASS). This study was grounded in systems theory and Garira’s unified framework for education quality to examine the relationship between child-to-teacher ratios and IS domain scores, with student-gender ratios as a moderating factor. Two research questions guided this study: (a) How does the child-to-teacher average UPK program ratios predict the UPK programs’ IS domain score of CLASS? and (b) How does the …
The Role Of School-Based Law Enforcement Officers In Student Discipline, Marlaina Mahler
The Role Of School-Based Law Enforcement Officers In Student Discipline, Marlaina Mahler
Walden Dissertations and Doctoral Studies
An increase in police presence in schools has led to an increase in research covering school police. The purpose of this qualitative study was to investigate the overall role of SBLE officers, specifically their role in student discipline. This narrative inquiry study answered two research questions about the narrative experiences of SBLE officers as law enforcers, educators, and mentors in Texas public schools and how might Texas SBLE officers’ lived experiences benefit their peers’ understanding of their role regarding student discipline. Role theory and role conflict theory were used as the theoretical foundation. Data were collected through interviews with ten …
Religious Identity, Sexual Identity, And Internalized Homophobia In Adults Who Have Deidentified From Christianity, Kevin Roum
Walden Dissertations and Doctoral Studies
Over the past three decades, the percentage of the United States population that identifies as Christian has dropped significantly. At the same time, the level of acceptance of gay, lesbian, and bisexual identities has increased. However, this overall acceptance does not necessarily lead to an acceptance of these identities within specific Christian communities, leading to gay, lesbian, and bisexual individuals having contradictory experiences between their Christian upbringing and secular society. Individuals who no longer identify as Christian after being so raised may experience additional dissonance as their sexuality identity conflicts with the teachings they were raised to believe yet no …
Depression Screening, Heather Apling Rowell
Depression Screening, Heather Apling Rowell
Walden Dissertations and Doctoral Studies
Depression is a common but serious mood disorder and healthcare professionals need to include depression screening during routine health visits. The gap in practice at a primary care clinic was the lack of routine screening and the lack of knowledge of the medical assistant staff in conducting and documenting depression screening. The purpose of this project was to develop, implement, and evaluate an education program on depression screening and appropriate documentation in the patient’s electronic medical record (EMR). The practice-focused question centered on whether healthcare staff demonstrated increased knowledge of depression screening and how to appropriately document in the patient’s …
Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski
Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski
Walden Dissertations and Doctoral Studies
The lack of resources in rural communities encourages new programs to improve outcomes in health and wellness. This project aimed to reduce the vaccination barriers of transportation and time by bringing vaccines to the children in the existing medical clinic. The purpose of this doctor of nursing practice project was the development of a sustainable vaccination program for rural communities. The practice-focused question was: Can a community team develop a sustainable plan to provide education and the provision of vaccines in a rural community? This included proposing clinical practice guidelines (CPGs) for providers regarding the education of patients, families, and …
Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir
Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir
Walden Dissertations and Doctoral Studies
. The doctoral project was a collaborative endeavor focused on central line dressing sites at a state university hospital in the northeastern United States. The aim was to reduce the current central line-associated infections (CLABSIs) rate. Through audits, it was discovered that most central line dressings needed to be completely sealed, some required insertion site clipping to ensure a complete seal, and some dressings were saturated. To uphold a commitment to quality care, clinical excellence, patient care, and superior outcomes, the Doctor of Nursing Practice (DNP) project recognized the importance of implementing the recommendations to reduce CLABSIs by maintaining central …
The Perspectives Of African American Parents’ Decisions To Homeschool Children With Autism In New Jersey, Shannalee Stephenson
The Perspectives Of African American Parents’ Decisions To Homeschool Children With Autism In New Jersey, Shannalee Stephenson
Walden Dissertations and Doctoral Studies
New Jersey is an autism epicenter and may indicate future trends in the United States. The population of American families opting to homeschool is growing, especially among African-American families in New Jersey. The purpose of this narrative inquiry study was to examine the perspectives of African American parents’ decisions to homeschool their children with autism in New Jersey through storytelling. The conceptual framework used was the model of parental involvement developed by Hoover-Dempsey and Sandler. Semi-structured interviews were conducted with 12 homeschooling African-American parents using a basic qualitative approach. The results were organized into five themes. One theme was the …
Latter-Day Saint Beliefs Informing Parental Perceptions Of The Hpv Vaccine, Natalie Todd
Latter-Day Saint Beliefs Informing Parental Perceptions Of The Hpv Vaccine, Natalie Todd
Walden Dissertations and Doctoral Studies
A variety of factors could influence the use of the human papillomavirus (HPV) vaccine, such as religion. However, the perceptions of Latter-Day Saint (LDS) parents on the HPV vaccine are unknown. Learning about the perceptions of LDS parents could help guide future interventions to help increase vaccine uptake. The purpose of this study was to explore how LDS parents perceive the HPV vaccine severity, benefits, and barriers in the United States, how the beliefs of the LDS religion may influence these views, and the experiences of parents regarding susceptibility to HPV and cues to action to HPV prevention. Using the …
Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett
Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett
Walden Dissertations and Doctoral Studies
In the United States, a critical issue in contemporary education is the role of elementary school administrators in promoting data-driven instructional strategies to improve educational outcomes in the elementary classroom. The purpose of this basic qualitative study was to explore elementary school administrators’ perceptions of their roles in helping teachers utilize data in the facilitation of instruction in the classroom. The conceptual framework guiding this study was the leadership for learning theory. For this basic qualitative design, purposeful sampling resulted in semistructured interviews with 10 elementary school administrators from three elementary schools within a district in an Eastern County and …
Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett
Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett
Walden Dissertations and Doctoral Studies
In the United States, a critical issue in contemporary education is the role of elementary school administrators in promoting data-driven instructional strategies to improve educational outcomes in the elementary classroom. The purpose of this basic qualitative study was to explore elementary school administrators’ perceptions of their roles in helping teachers utilize data in the facilitation of instruction in the classroom. The conceptual framework guiding this study was the leadership for learning theory. For this basic qualitative design, purposeful sampling resulted in semistructured interviews with 10 elementary school administrators from three elementary schools within a district in an Eastern County and …
Female Runners’ Perspectives Of Coping With Relative Energy Deficiency In Sports (Red-S) Symptoms Through Instructor-Led Yoga, April Rae Gunnoe
Female Runners’ Perspectives Of Coping With Relative Energy Deficiency In Sports (Red-S) Symptoms Through Instructor-Led Yoga, April Rae Gunnoe
Walden Dissertations and Doctoral Studies
Relative energy deficiency in sports (RED-S) impacts the physical, emotional, and psychological health of adult female runners. Previous RED-S inquiry has focused on identification and evaluation of symptoms, and although researchers have investigated ways in which yoga affects adult female runner’s physical and mental health, understanding about the potential impact of instructor-led yoga practice in the treatment and management of RED-S symptoms is limited. The purpose of this basic qualitative inquiry was to investigate the lived experiences of adult female runners practicing instructor-led yoga to cope with RED-S symptoms, using the health belief model as a framework. Eight volunteers shared …
Experiences Of Law Enforcement In Workplace Violence Threat Investigations, Heather Folkestad
Experiences Of Law Enforcement In Workplace Violence Threat Investigations, Heather Folkestad
Walden Dissertations and Doctoral Studies
A significant social problem affecting law enforcement investigations into workplace violence is the lack of threat assessments and threat management programs performed in workplace investigations. Collaboration with law enforcement early in workplace violence investigations has significant benefits within the corporate sector. The purpose of this basic qualitative study was to examine the experiences of law enforcement officers/agents involved in targeted violence workplace investigations. Areas of focus were the collective perspectives of participants regarding the use of threat assessments, inclusion of law enforcement, and the barriers to an effective investigation within the workplace and by community law enforcement. This study utilized …
Evaluation Of Policies To Reduce Juvenile Recidivism In Montgomery County, Maryland, Amos S. Kulumba
Evaluation Of Policies To Reduce Juvenile Recidivism In Montgomery County, Maryland, Amos S. Kulumba
Walden Dissertations and Doctoral Studies
Despite efforts to reduce juvenile justice recidivism through education programs, current literature does not demonstrate that these policies have been effective. The research problem was that despite various programs to minimize juvenile justice recidivism in Montgomery County, Maryland, data did not show a decrease in adolescent offenders in the county correctional system. The purpose of this general qualitative study was to explore what impact harsh penalties involving incarceration had on juvenile justice recidivism in Montgomery County, Maryland. The theoretical framework was the narrative policy framework. Virtual interviews were conducted with 15 participants currently or formerly employed in the Montgomery County, …
The Perspectives Of African American Parents’ Decisions To Homeschool Children With Autism In New Jersey, Shannalee Stephenson
The Perspectives Of African American Parents’ Decisions To Homeschool Children With Autism In New Jersey, Shannalee Stephenson
Walden Dissertations and Doctoral Studies
New Jersey is an autism epicenter and may indicate future trends in the United States. The population of American families opting to homeschool is growing, especially among African-American families in New Jersey. The purpose of this narrative inquiry study was to examine the perspectives of African American parents’ decisions to homeschool their children with autism in New Jersey through storytelling. The conceptual framework used was the model of parental involvement developed by Hoover-Dempsey and Sandler. Semi-structured interviews were conducted with 12 homeschooling African-American parents using a basic qualitative approach. The results were organized into five themes. One theme was the …
Female Runners’ Perspectives Of Coping With Relative Energy Deficiency In Sports (Red-S) Symptoms Through Instructor-Led Yoga, April Rae Gunnoe
Female Runners’ Perspectives Of Coping With Relative Energy Deficiency In Sports (Red-S) Symptoms Through Instructor-Led Yoga, April Rae Gunnoe
Walden Dissertations and Doctoral Studies
Relative energy deficiency in sports (RED-S) impacts the physical, emotional, and psychological health of adult female runners. Previous RED-S inquiry has focused on identification and evaluation of symptoms, and although researchers have investigated ways in which yoga affects adult female runner’s physical and mental health, understanding about the potential impact of instructor-led yoga practice in the treatment and management of RED-S symptoms is limited. The purpose of this basic qualitative inquiry was to investigate the lived experiences of adult female runners practicing instructor-led yoga to cope with RED-S symptoms, using the health belief model as a framework. Eight volunteers shared …
Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir
Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir
Walden Dissertations and Doctoral Studies
. The doctoral project was a collaborative endeavor focused on central line dressing sites at a state university hospital in the northeastern United States. The aim was to reduce the current central line-associated infections (CLABSIs) rate. Through audits, it was discovered that most central line dressings needed to be completely sealed, some required insertion site clipping to ensure a complete seal, and some dressings were saturated. To uphold a commitment to quality care, clinical excellence, patient care, and superior outcomes, the Doctor of Nursing Practice (DNP) project recognized the importance of implementing the recommendations to reduce CLABSIs by maintaining central …
Experiences Of Law Enforcement In Workplace Violence Threat Investigations, Heather Folkestad
Experiences Of Law Enforcement In Workplace Violence Threat Investigations, Heather Folkestad
Walden Dissertations and Doctoral Studies
A significant social problem affecting law enforcement investigations into workplace violence is the lack of threat assessments and threat management programs performed in workplace investigations. Collaboration with law enforcement early in workplace violence investigations has significant benefits within the corporate sector. The purpose of this basic qualitative study was to examine the experiences of law enforcement officers/agents involved in targeted violence workplace investigations. Areas of focus were the collective perspectives of participants regarding the use of threat assessments, inclusion of law enforcement, and the barriers to an effective investigation within the workplace and by community law enforcement. This study utilized …
Evaluation Of Policies To Reduce Juvenile Recidivism In Montgomery County, Maryland, Amos S. Kulumba
Evaluation Of Policies To Reduce Juvenile Recidivism In Montgomery County, Maryland, Amos S. Kulumba
Walden Dissertations and Doctoral Studies
Despite efforts to reduce juvenile justice recidivism through education programs, current literature does not demonstrate that these policies have been effective. The research problem was that despite various programs to minimize juvenile justice recidivism in Montgomery County, Maryland, data did not show a decrease in adolescent offenders in the county correctional system. The purpose of this general qualitative study was to explore what impact harsh penalties involving incarceration had on juvenile justice recidivism in Montgomery County, Maryland. The theoretical framework was the narrative policy framework. Virtual interviews were conducted with 15 participants currently or formerly employed in the Montgomery County, …
Latter-Day Saint Beliefs Informing Parental Perceptions Of The Hpv Vaccine, Natalie Todd
Latter-Day Saint Beliefs Informing Parental Perceptions Of The Hpv Vaccine, Natalie Todd
Walden Dissertations and Doctoral Studies
A variety of factors could influence the use of the human papillomavirus (HPV) vaccine, such as religion. However, the perceptions of Latter-Day Saint (LDS) parents on the HPV vaccine are unknown. Learning about the perceptions of LDS parents could help guide future interventions to help increase vaccine uptake. The purpose of this study was to explore how LDS parents perceive the HPV vaccine severity, benefits, and barriers in the United States, how the beliefs of the LDS religion may influence these views, and the experiences of parents regarding susceptibility to HPV and cues to action to HPV prevention. Using the …
Victim-To-Perpetrator Relationships And Types Of Crime In Developmentally Disabled Crime Victims, Amoxtli Justice Nox
Victim-To-Perpetrator Relationships And Types Of Crime In Developmentally Disabled Crime Victims, Amoxtli Justice Nox
Walden Dissertations and Doctoral Studies
Individuals with intellectual and developmental disabilities (IDDs) are more likely to be victimized and abused than their nondisabled peers, though not much is known about the main perpetrators of this population or the crime types most often committed against them. The purpose of this study was to explore the intersecting victimization risks for adults with IDDs. Guided by critical disability theory, this nonexperimental correlational study explored the relationship between the perpetrators and their IDD adult crime victims, established the crime types most often committed against them, and possible gender differences within victimization. Archival data from the National Crime Victimization Survey …
Clinical Practice Guideline For Nurse Practitioners: Diabetes Type Two Self-Care Management, Mercedes Perez
Clinical Practice Guideline For Nurse Practitioners: Diabetes Type Two Self-Care Management, Mercedes Perez
Walden Dissertations and Doctoral Studies
This project was a clinical practice guideline (CPG) for nurse practitioners regarding evidence-based guidelines for type 2 diabetes (T2DM) self-care management at a primary care practice in Ohio. The practice problem of T2DM is a prevalent disease affecting approximately 37.3 million people. T2DM can lead to complications of kidney disease, heart disease, diabetic neuropathy, eye damage, foot damage, and infections. Self-care in T2DM can improve outcomes and decrease complications. However, evidence-based guidelines are lacking to guide practitioners in self-care management of T2DM at this site. The practice-focused question was, “Does the evidence support development of a self-care, T2DM, CPG for …
Lived Experiences Regarding Quality Of Life For Women With Metastatic Breast Cancer, Anna Maytte Comayagua
Lived Experiences Regarding Quality Of Life For Women With Metastatic Breast Cancer, Anna Maytte Comayagua
Walden Dissertations and Doctoral Studies
The diagnosis of cancer and various treatment modalities are linked to psychological distress that generally produces a decline in emotional and physical health and quality of life. There is a need for more research geared to help these women with metastatic breast cancer have a better quality of life. Grounded in the theory of unpleasant symptoms, a descriptive qualitative study design was employed to narrow the knowledge gap. Semi-structured interviews were conducted with a purposeful sample of six participants. A descriptive coding process led to these emergent themes: consternation at the initial time of diagnosis, treatment modalities, side effects, perceived …
Victim-To-Perpetrator Relationships And Types Of Crime In Developmentally Disabled Crime Victims, Amoxtli Justice Nox
Victim-To-Perpetrator Relationships And Types Of Crime In Developmentally Disabled Crime Victims, Amoxtli Justice Nox
Walden Dissertations and Doctoral Studies
Individuals with intellectual and developmental disabilities (IDDs) are more likely to be victimized and abused than their nondisabled peers, though not much is known about the main perpetrators of this population or the crime types most often committed against them. The purpose of this study was to explore the intersecting victimization risks for adults with IDDs. Guided by critical disability theory, this nonexperimental correlational study explored the relationship between the perpetrators and their IDD adult crime victims, established the crime types most often committed against them, and possible gender differences within victimization. Archival data from the National Crime Victimization Survey …
Lived Experiences Regarding Quality Of Life For Women With Metastatic Breast Cancer, Anna Maytte Comayagua
Lived Experiences Regarding Quality Of Life For Women With Metastatic Breast Cancer, Anna Maytte Comayagua
Walden Dissertations and Doctoral Studies
The diagnosis of cancer and various treatment modalities are linked to psychological distress that generally produces a decline in emotional and physical health and quality of life. There is a need for more research geared to help these women with metastatic breast cancer have a better quality of life. Grounded in the theory of unpleasant symptoms, a descriptive qualitative study design was employed to narrow the knowledge gap. Semi-structured interviews were conducted with a purposeful sample of six participants. A descriptive coding process led to these emergent themes: consternation at the initial time of diagnosis, treatment modalities, side effects, perceived …
The Feasibility Of Operating A Small City Police Department: A Fiscal Trend Analysis, Sean Martin Moore
The Feasibility Of Operating A Small City Police Department: A Fiscal Trend Analysis, Sean Martin Moore
Walden Dissertations and Doctoral Studies
This professional administrative study (PAS) was developed to determine the feasibility of the client organization operating a small city police department or continuing with contracted police services by performing a fiscal trend analysis. The client organization’s law enforcement costs have risen significantly in the past decades and continue to rise. The fiscal trend analysis associated with operating a small city department was compared to those of three similar-sized California cities with small police departments. A fiscal trend analysis was completed using 10-year budget data from the client organization and three similar-sized California cities with small police departments. The fiscal analysis …