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Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan
Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan
Walden Dissertations and Doctoral Studies
Neonatal and maternal health indicators have been impacted due to Syrian refugees’ displacement in Lebanon and an increase in child marriage rates from 13% in pre-conflict Syria to 41%. Using the causal continuum framework, the retrospective cross-sectional study’s purpose was to examine whether there is a statistically significant association between adverse maternal and birth health outcomes among Syrian refugees in Lebanon and social determinants of health. The sample size drawn from UNHCR database included 48,083 maternal and 4,288 neonatal refugees admitted to the secondary health care in 2018. Pearson chi-square and binomial logistic regression results showed that employed, newcomers mothers …
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Walden Dissertations and Doctoral Studies
AbstractHeart failure (HF) is a progressive and life -threatening disease that places a large burden on the health care systems worldwide with increased rates of re-hospitalization, readmissions, and outpatient visits. With the use of telehealth monitoring and support from nursing case managers, HF patients are able to manage this disease at home. The focus of this project was to evaluate a home health agency (HHA) telehealth program, exploring if there was an improvement in 30-day readmission rates, and patient satisfaction scores for the HHA telehealth program one year after revising the program incorporating nursing virtual case managers. This project used …
Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna
Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna
Walden Dissertations and Doctoral Studies
More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services, as well as Spector's …
Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater
Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) has been related to facets of higher education success in brick and mortar environments. Little is known, however, about how EI manifests in higher education distance learning (HEDL) environments. The purpose of this basic qualitative study was to explore HEDL undergraduate and graduate instructor perceptions of their use of EI so that best practices could be identified for online teaching. Guided by transformative emotional intelligence theory and the emotional learning system model, the 3 research questions were designed to clarify online instructors' EI knowledge, EI skills and strategies used by online instructors, and instructors' perceptions about the …
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen
Walden Dissertations and Doctoral Studies
Employee turnover can cost business owners up to 200% of an employee’s annual salary to recruit, hire, and train a replacement in the insurance industry. Understanding employee intent to leave is vital for insurance leaders to help reduce turnover. The purpose of this quantitative correlational study was to examine the relationship between intrinsic job satisfaction, extrinsic job satisfaction, and employee turnover intentions of casualty insurance professionals in the southeast region of the United States. The study was grounded in Herzberg’s 2-factor theory. Data were collected from 83 participants using an online survey with questions from the Minnesota Satisfaction Questionnaire and …
Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer
Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer
Walden Dissertations and Doctoral Studies
AbstractSeveral recent debates have occurred about the effects that immigration has on crime in the United States, and although most studies indicate that increased immigration does not increase crime, some research indicates that immigration affects crime in some ways. With some noted recent attacks by immigrants on U.S. citizens, politicians and citizens are calling for lawmakers to implement more laws that will reduce immigration. The purpose of this quantitative study was to bridge this gap in literature by comparing the number violent crimes to the number of immigrants from 1970 through 2010 in Georgia. The goal of this study was …
Interactions Among Learning Style Preferences, Generational Cohorts, And Gender, Cassaundra De-Vonne Gilchrist
Interactions Among Learning Style Preferences, Generational Cohorts, And Gender, Cassaundra De-Vonne Gilchrist
Walden Dissertations and Doctoral Studies
AbstractThe body of literature on learning -style preferences reflects differences among generational cohorts in the constructs of values, attitudes, and personality. While scholars have theorized learning, styles vary based on membership in generational cohort, very little research has been conducted on generational preferred learning preference. The problem was the need to understand the preferred learning style of multiple generations due to individuals 55 years and older having a longer life expectancy and working beyond retirement age. The purpose of this quantitative nonexperimental comparative survey study was to determine the learning style score based on generational cohort, gender, and the interaction …
Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley
Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley
Walden Dissertations and Doctoral Studies
In hierarchical structured organizations, leaders often assume that innovation will happen randomly but lack an understanding of what leadership qualities contribute to employees’ innovativeness. Innovation is a requirement in the current business marketplace to stay relevant. The purpose of this exploratory qualitative case study is to explore how the convergence of leader behaviors, employees’ behaviors, organization structure, and organization culture influence employee innovativeness in a hierarchical organization. The overarching research question is from an employee and leader perspective how do leaders’ behaviors, organizational structure, and organizational culture influence employee innovation? Leveraging the conceptional framework of the innovative blueprint created by …
Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris
Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris
Walden Dissertations and Doctoral Studies
More than 87% of United States hotel employees are not engaged. Hotel general managers who struggle to engage employees are at risk of damaging organizational effectiveness. Grounded in Maslow’s hierarchy of needs, the purpose of this qualitative multiple case study was to explore the strategies general managers of full-service hotels used for enhancing employees’ performance. The participants consisted of general managers from 3 full-service hotels in Hawaii who have successfully developed and deployed strategies to enhance employees’ performance. Data were collected from semistructured interviews, company websites, advertisements, and observations. Yin’s 5-stage analysis was used to analyze the data, and 3 …
Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey
Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey
Walden Dissertations and Doctoral Studies
The introduction of the Internet of Things (IoT) into educational institutions has necessitated the integration of IoT devices in the information technology (IT) infrastructural environment of educational institutions. Many IT leaders at educational institutions, however, lack strategies for integrating and deploying IoT devices in their institutions, which has resulted in numerous security breaches. The purpose of this study was to explore security strategies adopted by IT administrators to prevent data breaches resulting from the integration of IoT devices in their educational institutions. The diffusion of innovations theory served as the conceptual framework for this qualitative multiple case study. Eleven IT …
Alternative Certification Teachers' Perceptions About Teacher Preparation Programs, Mary Kathleen Huffman
Alternative Certification Teachers' Perceptions About Teacher Preparation Programs, Mary Kathleen Huffman
Walden Dissertations and Doctoral Studies
Due to the teacher shortage in a U.S. southeastern state, administrators at Unified School District (USD, a pseudonym) hired alternative teacher certification program (ATCP) teachers enrolled in graduate level education courses through ATCPs while teaching full time. These ATCP teachers have bachelor’s degrees and work experiences in various professions. The problem investigated in this study was the high attrition rate of ATCP teachers. The purpose of this basic qualitative study was to explore ATCP teachers’ perceptions of their preparation program, previous degrees, careers, and family life experiences in preparation for teaching in USD’s K-12 schools. The conceptual framework was Shulman’s …
Inside Out: Mask-Making And The Counseling Student Identity, Jil Hus
Inside Out: Mask-Making And The Counseling Student Identity, Jil Hus
Walden Dissertations and Doctoral Studies
At the field experience level, current research is limited on reflective expressive arts exercises as a modality to facilitate professional identity development in counseling students, with no mention of the effectiveness of mask-making. The purpose of this art-based hermeneutic phenomenological study was to examine the perceptions of master’s students’ counselor identity at the field experience level using research questions to explore participants’ lived experiences as they engaged in a mask-making expressive arts activity aimed at the enhancement of their self-awareness, insight, and reflection into their professional identity development. A qualitative design was utilized, and 5 students participated in this study …
Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka
Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka
Walden Dissertations and Doctoral Studies
Abstract The Center for Medicare and Medicaid Services has been shifting from paying hospitals for the volume of services they delivered to paying them for the quality of those services, known as pay-for-performance, to incentivize hospitals to offer improved care at a lower cost. When a patient goes to the hospital to receive care for one condition and develops another condition during that hospital stay, the second condition is referred to as a hospital-acquired condition. It is anticipated that 1.7 million infections are acquired at some point in-hospital stay in the United States annually, resulting in nearly 100,000 deaths in …
High School Teachers’ Best Practices For The Use Of Formative Assessment Strategies, Leria Joy Mckenzie
High School Teachers’ Best Practices For The Use Of Formative Assessment Strategies, Leria Joy Mckenzie
Walden Dissertations and Doctoral Studies
Research has shown that only some teachers use learner-centered approaches in their instruction. However, it is unclear why and how those teachers use such approaches in their instruction. The purpose of this study was to examine one program—feedback, feed up, and feed forward—to understand why and how teachers choose to use this learner-centered instructional method. The study was framed by the concept of learner-centered instruction. With basic qualitative methodology, semi-structured interviews were conducted with 8 high school teachers from an island near the United States. The collected data were analyzed using open and axial coding to reveal the themes and …
A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado
A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado
Walden Dissertations and Doctoral Studies
Abstract Nurses are often the first healthcare professionals that patients encounter in a healthcare environment; however, members of the lesbian, gay, bisexual, or transgender (LGBT) community and other diverse populations fail to seek medical attention due to feelings of discrimination and an unwelcoming environment. The focus of this qualitative, formative, program evaluation was that the baccalaureate nursing students at a private 4-year college in the Northeastern United States indicated a lack of academic preparation in cultural competency to properly care for members of the LGBT community and other diverse populations after graduation. Leininger’s theory of cultural care was used in …
Treatment Providers’ Perspectives On Restraints And Seclusion For Children In Psychiatric Facilities, Calpurnia Chudi Adamma Okwuone
Treatment Providers’ Perspectives On Restraints And Seclusion For Children In Psychiatric Facilities, Calpurnia Chudi Adamma Okwuone
Walden Dissertations and Doctoral Studies
The use of restraints and seclusions in psychiatric treatment facilities for children and adolescents has caused major disputes in the healthcare field. Treatment providers determine the need to implement a restraint or seclusion depending on their perceptions of the situation and their responsibility to abide by the rules and regulations of the facility. The purpose of this research was to gain a deep understanding of how treatment providers are affected prior to, during, and following the use of a restraint or seclusion with a child or adolescent patient. Attribution theory was the theoretical framework used to examine this phenomenon. Data …
Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich
Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich
Walden Dissertations and Doctoral Studies
When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff’s confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …
Effects Of User-Generated Online Video Postings On Patrol Officers’ Behavior, Yarellys Perez
Effects Of User-Generated Online Video Postings On Patrol Officers’ Behavior, Yarellys Perez
Walden Dissertations and Doctoral Studies
Social media has become an important tool used by citizens to assess police officers’ activities through user-generated videos that are posted online. However, little is understood about how police officers, who are the main actors of these videos, feel about this phenomenon. Employing the Lazarus transactional theory and the emotional labor theory, this phenomenological study explored the perceptions of patrol officers regarding the history of user-generated postings of police activity. Data were collected using semistructured interviews with 8 police officers who patrol in metropolitan areas of Florida and Puerto Rico. The data obtained through these interviews were transcribed and coded, …
The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach
The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach
Walden Dissertations and Doctoral Studies
Healthcare organizations have little evidence concerning how cultural competency impacts hospital quality outcomes of care transition and patients’ overall experience with care. Identifying if cultural competency translates into quality measures is important for healthcare administrators and could contribute to optimizing patient care. The purpose of this quantitative study was to explore the relationship between hospital cultural competency and hospital quality measures and compare California and other states’ acute care hospital cultural competency scores. Donabedian’s lasting framework for health care quality and Campinha-Bacote’s model of cultural competence in health care were used to frame this research. Hospital Consumer Assessment of Healthcare …
Rape Myth Acceptance And Potential Impacts On Campus Policies And Programs, Jilleian K. Sessions-Stackhouse
Rape Myth Acceptance And Potential Impacts On Campus Policies And Programs, Jilleian K. Sessions-Stackhouse
Walden Dissertations and Doctoral Studies
Sexual assault has been a growing concern for many years, and researchers have used rape myth acceptance to understand how blame is assessed as well as to develop effective prevention programs to deter the crime. Rape myths are obstacles to successful program and prevention efforts. The purpose of this quantitative study was to explore potential connections between rape myth acceptance of collegiate level staff and the impact this knowledge can have on developing effective campus sexual assault prevention policies and programs. The theoretical framework of this study drew from evolution theory. The previously validated Illinois Rape Myth Acceptance Scale-Short Form …
Operational Analysis Of Child Protection Investigations During Disasters, Derek Smith
Operational Analysis Of Child Protection Investigations During Disasters, Derek Smith
Walden Dissertations and Doctoral Studies
Two decades of research documents the lack of conclusive relationships between childprotective investigations and natural disasters. While trends regarding child abuse report generation and natural disaster have been previously explored, those results do not provide generalized conclusions. This study explores the relationship between the Hurricane Irma natural disaster and child abuse report generation of a child protection organization in the state of Florida, while introducing child maltreatment types and child protective investigator response times as contributing factors. Utilizing the emergency management conceptual framework, the purpose of this study is to provide an updated analysis of the child abuse report generation …
Exploring Eco-Friendly Strategies In Early Learning Businesses, Henry Smith
Exploring Eco-Friendly Strategies In Early Learning Businesses, Henry Smith
Walden Dissertations and Doctoral Studies
Some early learning business owners (ELBOs) lack implementation strategies for eco-friendly programs. ELBOs that can successfully implement eco-friendly programs in their organizations can promote long-term sustainability. Grounded in Freeman’s stakeholder theory, the purpose of this qualitative multiple case study was to identify ELBOs’ implementation strategies for eco-friendly programs. The participants comprised of three ELBOs from three certified eco-friendly organizations. Data were collected using semistructured interviews and analyzed using thematic analysis. Five themes emerged: (a) managing stakeholders’ expectations, (b) health and wellness for sustainability, (c) business sustainability, (d) environmental sustainability, and (e) partnerships and community involvement. A key recommendation is for …
Instructional Practices Associated With Science Proficiency Of English Language Learners, Sherly Yadira Soto-Ortiz
Instructional Practices Associated With Science Proficiency Of English Language Learners, Sherly Yadira Soto-Ortiz
Walden Dissertations and Doctoral Studies
AbstractThe study addressed the gap in fifth-grade science proficiency between English language learners (ELLs) enrolled in two different science programs in a large school district in the Southeast United States. The Inspire program was implemented in 125 schools, while a combination of Inspire and Promoting Science among English Language Learners (PSELL) developed to facilitate science learning for non-English learners, was implemented in 25 schools. A concurrent mixed-methods case study design was used to examine how instructional practices of each program were (1) aligned with the instructional framework of the Sheltered Instructional Observation Protocol (SIOP), (2) how the two programs supported …
Academic Advising For Students’ Success At The Community College Level In The West Indies, Delores Imelda Stapleton Harris
Academic Advising For Students’ Success At The Community College Level In The West Indies, Delores Imelda Stapleton Harris
Walden Dissertations and Doctoral Studies
Community colleges expect their employees to promote academic success and propel students to graduation by providing a range of services, including academic advising. Increasingly, advising professionals continue to extoll the benefits of effective academic advising. The problem of the lack of enough trained advisers and information about the effects of academic advising on students’ success at a college in the West Indies was addressed in this study. Schlossberg’s transition theory and Bloom et al.’s appreciative advising theory were used in this basic qualitative study to explore the perceptions of 8 former students who graduated up to 3 years prior to …
Merger And Acquisitions: Effects Of Cultural Adaptation On Burnout Over Time Among Middle Managers, Perian Nora Stavrum
Merger And Acquisitions: Effects Of Cultural Adaptation On Burnout Over Time Among Middle Managers, Perian Nora Stavrum
Walden Dissertations and Doctoral Studies
Merger and acquisition (M&A) actions are common; however, research on cultural adaptation over time leading to burnout is scarce. The purpose of this quantitative, nonexperimental study was to evaluate the relationships between independent variables defined as organizational and group adjustment, and the criterion variables operationalized as emotional exhaustion and cynicism, and to determine if the adjustment factors and time interact, affecting burnout in middle managers working in a target organization of U.S.-based M&As. The theoretical framework used was organizational socialization, conceptualized as newcomer adaptation, suggesting that individuals must traverse through an adjustment period regardless of the context of the change. …
Upper Elementary Literacy Teachers’ Culturally Relevant Teaching Strategies, Venus Usanga
Upper Elementary Literacy Teachers’ Culturally Relevant Teaching Strategies, Venus Usanga
Walden Dissertations and Doctoral Studies
In a mideastern US school district, culturally and linguistically diverse elementary students were not meeting proficiency on the state reading assessments. Elementary teachers in the district were expected to use culturally relevant teaching (CRT) strategies during literacy instruction to help engage and motivate culturally and linguistically diverse students. The purpose of this qualitative bounded multiple-case study was to understand Grade 3-5 teachers’ knowledge of, planning for, and use of CRT strategies during literacy instruction. Ladson-Billings’s theory of culturally relevant pedagogy guided this study. Three research questions were posed to examine what teachers knew about CRT strategies, how they planned for …
Safety Professional Perceptions Of Executive Leadership Interventions On Safety Culture, Tamara Walters
Safety Professional Perceptions Of Executive Leadership Interventions On Safety Culture, Tamara Walters
Walden Dissertations and Doctoral Studies
Nearly 20 employees are killed and 20,000 injured in the United States each day, with a contributing cause in nearly all being unsafe behavior. Unsafe behaviors are the result of a negative organizational safety culture, which includes the attitudes and beliefs toward safety transmitted from executives and front-line leaders to shop floor employees. While previous research indicated that front-line leaders have great impact on employee’s perception of safety culture, how executives impact the development of safety culture was less understood. The theory of planned behavior and social exchange theory were used in this descriptive phenomenological research study to address the …
Financial Impact Of Social Responsibility On Publicly Traded Insurers, Alaina Josette Winman
Financial Impact Of Social Responsibility On Publicly Traded Insurers, Alaina Josette Winman
Walden Dissertations and Doctoral Studies
Despite significant annual spending on corporate social responsibility (CSR) initiatives, automobile insurance company stakeholders are not aware if there is a relationship between CSR spending and earnings per share (EPS). Leaders of publicly traded automobile insurance companies will benefit from understanding if CSR affects EPS and value creation so they can plan CSR spending and stakeholder management strategies. Grounded in the theoretical framework of stakeholder management theory and signaling theory, the purpose of this quantitative ex-post facto study was to determine if there was a relationship between charitable donations, community development spending, environmental spending, and EPS. Data were collected from …
Impact Of The Internet On Young Adult’S Perceptions Of Childhood Vaccinations, Hollie Leigh Xu
Impact Of The Internet On Young Adult’S Perceptions Of Childhood Vaccinations, Hollie Leigh Xu
Walden Dissertations and Doctoral Studies
The internet and social media have transformed the way people receive information and connect, but the impact on society is still unknown. The purpose of this study was to examine the impact of indirect exposure to vaccine messages via the internet on young adults’ perceptions of childhood vaccinations. The health belief model and the social marketing theory were used as the theoretical framework. Research questions explored the relationship between exposure to anti and pro-vaccination messages and perceptions of participants as well as the relationship between perceptions of vaccination and intent to vaccinate. A quantitative correlational study design was used, with …
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …