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Walden Dissertations and Doctoral Studies

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Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings Jan 2022

Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings

Walden Dissertations and Doctoral Studies

Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …

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How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns Jan 2022

How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns

Walden Dissertations and Doctoral Studies

Obesity is an issue that negatively effects the health and wellbeing of children across theU.S. The problem addressed by this study was the increasing percentage of obesity among elementary students in a southeastern school district. Guided by Bandura’s social learning theory, the purpose of this basic qualitative study was to explore the perceptions of elementary teachers about increasing student obesity and the challenges they faced in teaching students about health issues in the local school setting. Ten elementary teachers who had knowledge of nutrition and awareness of the student obesity and overweight issues at the study site participated in semistructured …

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Project Management Strategies For Success—The Case Of Zambia, Ngoza Chilonga Munthali Jan 2022

Project Management Strategies For Success—The Case Of Zambia, Ngoza Chilonga Munthali

Walden Dissertations and Doctoral Studies

Construction project managers who fail to implement infrastructure projects successfully negatively impact organizational performance and profitability. Grounded in the contingency management conceptual framework, the purpose of this qualitative multiple case study was to explore strategies Zambian construction project managers use to avoid infrastructure project failure. The participants comprised five construction project managers in Lusaka, Zambia, who reduced infrastructure project failures. Data were collected from semistructured interviews and a review of organization project documents. The Marshal and Rossman seven-step process was used to analyze the data. The following themes emerged: effective project planning, execution, and closure; effective communication; and effective collaboration …

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A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa Jan 2022

A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is characterized by high blood glucose levels (hyperglycemia) resulting in susceptibility to viral infections such as hepatitis B viral infections. The purpose of this doctoral quality improvement (QI) project was to train primary care providers (PCPs) and their medical assistants at the project site’s clinic on implementing the recommended Centers for Disease Control and Prevention (CDC) guidelines for hepatitis B vaccination with the aim of improving vaccination rates for diabetic patients 18 years and older. The first practice-focused question addressed the evidence-base supporting the QI training of PCPs to improve awareness on implementing the recommended CDC guidelines. The …

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Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels Jan 2022

Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is a growing epidemic and is the sixth-leading cause of death in the United States. Individuals with AD often have comorbidities due to the aging process. There is a lack of research on comorbidities as associated risk factors for AD. The leading hypothesis indicates that cardiovascular health issues, environmental exposure, social isolation, and amyloid-beta plaques influence cognitive health and are associated with AD. This study, guided by Finch and Kulminski’s AD exposome, is a caveat to explore a patient’s physical history of cardiovascular health, modifiable behavior, social isolation, and an AD diagnosis. Participants provided health information collected …

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Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh Jan 2022

Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh

Walden Dissertations and Doctoral Studies

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional …

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Endarkened Joy: A Black Woman’S Critical Autoethnography Of (Re)Membering Self Through Generational Tales Of Spirituality, Social (In)Justice, And Education, Rhemma D. Payne Jan 2022

Endarkened Joy: A Black Woman’S Critical Autoethnography Of (Re)Membering Self Through Generational Tales Of Spirituality, Social (In)Justice, And Education, Rhemma D. Payne

Walden Dissertations and Doctoral Studies

Counselor education lacks representation and visibility of Black women and women of color scholars and professionals despite ongoing efforts to promote cultural diversity and inclusion within the field. Researchers have explored the externalized stereotypes of identity for Black women; however, little is known about the internalized beliefs of these stereotypical identities and the impact on advocacy and (un)wellness in academic settings. The purpose of this critical autoethnography was to present an insider’s view of a Black woman’s nuanced experiences of internalization of stereotypes while completing a counselor education doctoral program. Using an endarkened feminist onto-epistemological framework to guide the research, …

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Factors That Influenced Post-Secondary Faculty Members' Use Of A D2l Learning Management System, Nadia Navene Edmondson-Kelly Jan 2022

Factors That Influenced Post-Secondary Faculty Members' Use Of A D2l Learning Management System, Nadia Navene Edmondson-Kelly

Walden Dissertations and Doctoral Studies

In 2019, the college administrators at a large 2-year college located in Canada implemented a Learning Management System (LMS) policy for all instructors. The goal of the LMS policy was for faculty members to demonstrate committed professionalism and high degree of competence in teaching. The problem was that instructors underutilized the LMS to provide feedback to students, make course content available in a variety of accessible formats to students, and promote student engagement in learning. In this study, the factors that influenced instructors’ use of the LMS in accordance with the LMS usage policy were explored. The expanded technology acceptance …

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First-Generation Academically At-Risk Black College Students' Perceptions Of Borrowing And Repayment Of Student Loans, Tianna Gordon Jan 2022

First-Generation Academically At-Risk Black College Students' Perceptions Of Borrowing And Repayment Of Student Loans, Tianna Gordon

Walden Dissertations and Doctoral Studies

Escalating college costs have far-reaching implications, especially for low-income and first-generation students. Lack of financial literacy can negatively affect the success of these learners and may have long-lasting consequences, yet there is a lack of literature about the borrowing and repayment obligations related to student loans of first-generation, academically at-risk Black students. Grounded in social cognitive theory and human capital theory, the purpose of this basic qualitative study was to explore first-generation academically at-risk Black college students' understanding of student loan borrowing and repayment obligations. A semistructured interview protocol with open-ended questions was used to obtain the narrative data from …

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Facilitating Executive Succession For Female Hospitality Managers, Ryann Hanna Jan 2022

Facilitating Executive Succession For Female Hospitality Managers, Ryann Hanna

Walden Dissertations and Doctoral Studies

The lack of women in leadership roles continues to be a diversity concern, and a lack of knowledge regarding the male experience promoting female advancement when in a gatekeeper role is not well understood. The purpose of this study was to explore the male experience promoting women within the hospitality industry. Role congruity theory and leader member exchange are foundational concepts for understanding bias around gender diversity and the facilitators of succession; however, what is not known is the experience of male executives facilitating female advancement, what affects their support of female successors, and the perceptions they have when considering …

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Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques Jan 2022

Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques

Walden Dissertations and Doctoral Studies

AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …

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Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King Jan 2022

Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King

Walden Dissertations and Doctoral Studies

Title I middle schools face challenges delivering effective inquiry-based science instruction within the framework of Title I requirements. The purpose of this basic qualitative study was to explore Title I middle school teacher and principal perspectives on and experiences with the challenges of delivering inquiry-based science instruction within the framework of Title I requirements. Dewey’s theories of experiential learning and Vygotsky’s theory of sociocultural constructivism provided the conceptual framework for this study. The research questions focused on teacher and principal experiences with inquiry-based science instruction and the impact Title I school policies and practices had on the delivery of inquiry-based …

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Early Childhood Educators’ Perspectives On The Challenges Of Including Inclusive Literature And Implementing Culturally Informed Teaching Practices, Victoria Campbell Locane Jan 2022

Early Childhood Educators’ Perspectives On The Challenges Of Including Inclusive Literature And Implementing Culturally Informed Teaching Practices, Victoria Campbell Locane

Walden Dissertations and Doctoral Studies

Even though educators are being encouraged to use culturally informed teaching practices in early childhood classrooms with a focus on including culturally inclusive literature, due to homogenous classroom libraries and minimal training, early childhood educators are challenged to follow these practices. The purpose and research questions for this basic qualitative study explored early childhood educators’ perspectives of the challenges of these practices. Using current research and the conceptual framework of critical race theory in education, research and interview questions were developed. Ten early educators were interviewed using the developed interview protocol. Four themes emerged during open and axial coding that …

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The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson Jan 2022

The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson

Walden Dissertations and Doctoral Studies

Home dialysis is a cost-effective and efficient means of treating end-stage renal disease. Under-utilization of home dialysis results in higher than necessary Medicare spending and loss of quality of life for patients. The purpose of this study was to understand the relationship between a nephrologist's length of time in practice, a nephrologist's belonging to a Joint Venture (JV) financial arrangement with a home modality program, and the use of home dialysis and home modality education using a quantitative, correlational design. Roger's diffusion of innovation theory explains the varying willingness of individuals to accept innovation. Secondary data were collected from Medicare …

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Perceptions Of Associate Degree Nursing Faculty Of A Primary End-Of-Life Care Course Within Prelicensure Nursing Curricula, Katherine Zaharchuk Jan 2022

Perceptions Of Associate Degree Nursing Faculty Of A Primary End-Of-Life Care Course Within Prelicensure Nursing Curricula, Katherine Zaharchuk

Walden Dissertations and Doctoral Studies

AbstractThe responsibility for educating U.S. nursing students on end-of-life (EOL) care concepts lies with prelicensure nursing programs; however, the majority of all prelicensure nursing programs offer only a few lectures, and only a small percentage offer EOL and palliative care courses. The lack of education on EOL care results in greater stress for nurses, poor symptom management for patients, and reduced support for family caregivers. There is limited knowledge on why primary EOL education has not yet been adopted by many Associate Degree in Nursing (ADN) programs. The purpose of this qualitative study was to explore the perceptions of ADN …

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Strategies For Small Business Sustainability Beyond 5 Years, Wendy M. Allen Jan 2022

Strategies For Small Business Sustainability Beyond 5 Years, Wendy M. Allen

Walden Dissertations and Doctoral Studies

Small businesses are the backbone of the economy in the United States, but they often do not have growth and sustainability strategies. Small business owners who fail to use a strategic plan to focus on growth and sustainability can experience business failure. Grounded in the systems theory, the purpose of this qualitative multiple case study was to explore strategies small business retail owners used to sustain their businesses beyond 5 years. The participants were five small business owners from central Alabama who successfully used strategies for business sustainability. Data were collected via semistructured interviews and reviews of organizational documents and …

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Analysis Of National Origin Discrimination Suits Filed With The Equal Employment Opportunity Commission, Arantxa N. Almodovar Jan 2022

Analysis Of National Origin Discrimination Suits Filed With The Equal Employment Opportunity Commission, Arantxa N. Almodovar

Walden Dissertations and Doctoral Studies

Workplace discrimination has been a focus of scholars for several decades. Previous research has uncovered the practice of implicit bias in the form of pre-employment discrimination against minority groups based on factors not reflective of their work ethic or qualifications. The purpose of this study was to analyze national origin discrimination suits filed with the Equal Employment Opportunity Commission to understand why pre-employment discrimination continues to be a recurring issue in the workforce. The analysis focused on 46 randomly selected national origin discrimination lawsuits—two suits for each year between 1997 and 2020—of public record, which included the type of organization …

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A Case Study Of Elementary Teachers’ Perceptions Of Response To Intervention In Special Education Referrals, Heather Abney Thomas Jan 2022

A Case Study Of Elementary Teachers’ Perceptions Of Response To Intervention In Special Education Referrals, Heather Abney Thomas

Walden Dissertations and Doctoral Studies

Students identified as at-risk are overrepresented in special education due to specific learning disability referrals and placement. The problem is that elementary teachers’ perceptions of Response to Intervention (RTI) in special education referrals need to be examined due to excessive special education referrals due to lack of individualized instruction and formative data to assess how well the RTI model is implemented. The purpose of this qualitative study was to examine elementary teachers’ perceptions regarding the implementation of RTI and the influence of the model on appropriate student referrals for special education services. The conceptual framework for this qualitative project study …

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Relationship Between The Employee Incentive System, Employee Development System, And Employee Work-Related Stress, Ali Sattea Ali Al Ajaj Jan 2022

Relationship Between The Employee Incentive System, Employee Development System, And Employee Work-Related Stress, Ali Sattea Ali Al Ajaj

Walden Dissertations and Doctoral Studies

Business owners are concerned with employee work-related stress, as it is the most important predictor of employee incentives and employee development practices. Grounded in Siegrist’s theory of effort/reward imbalance, the purpose of this quantitative correlation study was to examine the relationship between employee incentive, employee development, and employee work-related stress. The participants were 88 employees of a private power sector organization who completed the SurveyMonkey link questionnaires and complied with the survey inclusion criteria. The results of the multiple linear regression were significant, F (2, 85) = 7.167, p < 0.05, R2 = 0.144. In the final model, employee development was significant (t = 3.306, p = .001, β = 0.340) and incentive was nonsignificant. A key recommendation is for business leaders and managers to develop their employees by creating development working practices, acknowledging employees’ achievements, and providing the best employee career programs. The implications for positive social change include the potential to mitigate any employee’s work-related stress and thus support the local community workforce.

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Strategies To Secure A Voice Over Internet Protocol Telephone System, Sherese Bernard Jan 2022

Strategies To Secure A Voice Over Internet Protocol Telephone System, Sherese Bernard

Walden Dissertations and Doctoral Studies

Voice over internet protocol (VoIP) provides cost-effective phone service over a broadband internet connection rather than analog telephone services. While VoIP is a fast-growing technology, there are issues with intercepting and misusing transmissions, which are security concerns within telecommunication organizations and for customers. Grounded in the routine activity theory, the purpose of this multiple case study was to explore strategies information technology (IT) security managers used to secure VoIP telephone systems in telecommunication organizations. The participants consisted of nine IT security managers from three telecommunication organizations in New York who possessed the knowledge and expertise to secure a VoIP telephone …

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Elementary Principals’ Instructional Leadership Challenges Supporting Inclusive Special Education Students’ Ela Achievement, Teresa Bey Jan 2022

Elementary Principals’ Instructional Leadership Challenges Supporting Inclusive Special Education Students’ Ela Achievement, Teresa Bey

Walden Dissertations and Doctoral Studies

As instructional leaders, principals must apply leadership to ensure achievement of all students. There is a gap in practice involving challenges principals face while supporting the ELA achievement of their inclusive special education students. The purpose of this qualitative study was to understand instructional leadership challenges elementary principals perceived were necessary to overcome in order to support ELA achievement of inclusive special education students. The conceptual frameworks for this study were Weber’s instructional leadership model and Hornby’s theory of inclusive special education. The research question sought to explore the instructional leadership challenges elementary principals perceive as necessary to overcome in …

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Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley Jan 2022

Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley

Walden Dissertations and Doctoral Studies

AbstractTechnology employees can feel restricted if there is an inability to report unethical behaviors safely, resulting in disengagement and reduced work performance. Technology managers need effective, ethical reporting strategies to improve work performance. Grounded in stakeholder theory, the purpose of this multiple case study was to explore the ethical reporting strategies that three technology managers used to improve work performance in New Jersey. The data sources were semistructured interviews and company documents from the companies’ websites, annual reports, professional association biographies, and the LinkedIn profiles of participants. The three primary themes that emerged using thematic analysis were documenting incidents immediately, …

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Strategies For Hospitals After Implementation Of Reimbursement Cuts To The Outpatient Prospective Payment System, Nicole J. Boscia Jan 2022

Strategies For Hospitals After Implementation Of Reimbursement Cuts To The Outpatient Prospective Payment System, Nicole J. Boscia

Walden Dissertations and Doctoral Studies

Healthcare costs have continued to increase in the United States. The Centers for Medicare and Medicaid Services (CMS) have proposed policy changes to reduce inequities between hospital outpatient centers and independent freestanding facilities when reimbursing for the same service. The purpose of this quantitative study was to explore if there was a difference in the payments to the Outpatient Prospective Payment System between the years 2017 and 2018 to assist hospital administrators in preparing for Medicare reimbursement cuts. The study was grounded in the agency theory and aimed to determine the relationship among the provider, payer, and patient. The research …

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Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee Jan 2022

Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee

Walden Dissertations and Doctoral Studies

Leaders in the counseling profession face many demands. The purpose of this quantitative regression analysis study was to determine if there was a predictive relationship between the independent variables of stress and resiliency and dependent variables of burnout, emotional exhaustion, depersonalization, and personal accomplishment among leaders in the counseling profession. Transformational leadership theory and resilience theory were applied as the theoretical framework of this study. A cross-sectional data collection method was used, and data were collected through anonymous online surveys from a purposive sample of 75 counseling leaders. Data analyses methods included descriptive statistics and multiple linear regressions. Results indicated …

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Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd Jan 2022

Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd

Walden Dissertations and Doctoral Studies

During the transition to practice, new graduate nurses (NGNs) face conflict and uncertainty influenced by lack of resiliency and self-care knowledge. In a rural hospital, NGNs had minimal standardized guidance during the transition to practice. Without a proper understanding of resiliency and self-care knowledge, NGNs could not adapt to change and risked leaving the profession or harming patients. A self-care staff education project was developed to improve knowledge of resiliency in a group of NGNs. Self-care deficit theory provided the framework for the project. Sources of evidence published between 2017 and 2022 were used as well as previously analyzed data …

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Mentoring Underrepresented Black Male Students In Science, Technology, Engineering, And Math, Keith A. Carter Jan 2022

Mentoring Underrepresented Black Male Students In Science, Technology, Engineering, And Math, Keith A. Carter

Walden Dissertations and Doctoral Studies

AbstractUnderrepresented Black men entering the science, technology, engineering, and math (STEM) career fields are expected to receive fewer than 6% of all bachelor’s degrees awarded in these fields. In addition, a lack of attention has been given to social capital as a function related to increased self-efficacy obtained through minority mentoring and enrichment programs. This phenomenological study aimed to show the lived experiences of Black male undergraduate students who used STEM mentoring and enrichment programs to increase their self-efficacy and development of social capital. The theoretical framework for this study was Bandura’s theory of self-efficacy and Putman’s theory of social …

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The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez Jan 2022

The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez

Walden Dissertations and Doctoral Studies

Work-related traumatic exposure has been studied but has not been concisely defined in the widest range of research studying trauma exposure. Specifically, it is not known from previous research whether direct, indirect, and vicarious trauma exposure predict burnout and PTSD in acute care mental health care workers. The emotional processing theory was used as theoretical foundation informing this study as the habituation of response to stress and trauma has been shown to occur incidentally and cumulatively; the theory supports the concept of dichotomous and continuous type of trauma exposure over time. The purpose of this study was to use a …

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Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam Jan 2022

Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam

Walden Dissertations and Doctoral Studies

The difficulty SME leaders of manufacturing firms experience in the executing of enterprise resource planning (ERP) systems threatens the longevity of innovative change within firms seeking to adopt ERP systems. Grounded in the diffusion of innovation theory, the purpose of this multiple case study was to examine critical success factors used to successfully implement ERP systems. The participants were four ERP business leaders of small to medium size manufacturing firms based on the east and west coasts of the United States. Data were collected using semistructured online interviews and a review of company documents. Through thematic analysis, five themes were …

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The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall Jan 2022

The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall

Walden Dissertations and Doctoral Studies

AbstractSubstance use disorders (SUDs) and fatal overdoses are a significant problem in the United States. A viable and effective method for treating SUDs is through telemedicine (tele-SUD) visits. Tele-SUD visits are an effective means of meeting with patients virtually, especially in the post-COVID-19 environment; however, a problem in health care exists concerning the availability of tele-SUD services in middle America. The purpose of this study was to investigate the impact of tele-SUD availability on rates of opioid overdose deaths in the state of Texas. Donabedian’s model of health care quality evaluation was used as the theoretical framework. A quantitative, independent …

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The Impact Of The Involvement Of African- American Female’S In Extra-Curricular Activities On Future Prosocial Decision-Making, Janine-Naisha Shante Jackson Jan 2022

The Impact Of The Involvement Of African- American Female’S In Extra-Curricular Activities On Future Prosocial Decision-Making, Janine-Naisha Shante Jackson

Walden Dissertations and Doctoral Studies

It is important to understand what protective factors might be developed in order to prevent Black adolescent females from becoming involved in the juvenile justice system. The focus of this study was identifying the perceptions of adult Black women who grew up in an urban setting and who participated in organized sports during their adolescence. The primary research question focused on whether ten adult Black females perceived their participation in sports during adolescence served as a protective factor, thereby preventing or minimizing the participant’s involvement in criminal behavior. The data was analyzed through MAXQDA software. The predominant themes from this …

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