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Characteristics Of Adult Icu Patients With Device Associated Nosocomial Infections, Doramarie Arocha

Walden Dissertations and Doctoral Studies

Nosocomial infections are a cause of concern for hospital patients and the incidence rates of these infections are greater in intensive care units (ICUs) due to the invasive nature of treatments, additional risk factors and comorbidities, and therapies used. Invasive devices, such as vascular central lines, Foley catheters, and mechanical ventilators pose a risk for critically ill patients in the ICUs to develop device-related, healthcare-associated infections (HAI). The purpose of this study was to describe the epidemiological characteristics of patients who developed device-related HAIs within 3 ICU units (medical-surgical, cardiovascular, and neurosurgical) of an academic medical facility. The ecosocial theory …

Phenomenological Study Of Career Advancement Experiences Of Ethnic Female Migrant, Evelyn Oghogho Brisibe

Walden Dissertations and Doctoral Studies

In the 2006 census, Statistics Canada recorded that 23% of immigrant women aged 15 and over had a university degree at the bachelor's level or above. These women could help sustain an organization's competitive advantage and respond to labor shortages posed by an aging population. This phenomenological study highlighted self-initiated migration journey and career advancement experiences of migrant women. Through LinkedIn and referrals from non-profit organizations, a sample of 20 women was recruited. All women had migrated to Canada between the ages 32 to 50, all had 5 to 10 years of residence in Canada and all had college degrees …

The Impact Of International Financial Reporting Standards On Key Financial Indicators Of Canadian Companies, Clint W. Smith

Walden Dissertations and Doctoral Studies

Companies throughout the world use different methods for reporting their financial information to capital market investors and regulators. These different methods have caused financial reporting of statements to become less transparent, has increased adjustment errors and forecasting errors, and has reduced investor confidence. As a result, the International Accounting Standards Board created International Financial Reporting Standards (IFRS) to establish a global standard. Currently, 140 jurisdictions worldwide have implemented IFRS. The purpose of this study was to examine the effectiveness of IFRS on 248 Canadian companies and to analyze whether the 2011 implementation of IFRS affected corporate stock prices, key financial …

Exploring The Use Of Texting Within San Antonio Texas Police Emergency Reporting, Deborah Lee Almendarez

Walden Dissertations and Doctoral Studies

The introduction of wireless device text messaging, as an alternative to a citizen placing a telephone call for police help, generates the need for new polices and processes relevant to police call-taker, police dispatcher, and police officer response to reported emergencies. Little scholarly research explores the policy issues around the use of text 9-1-1 within public safety answering point operations. Using systems theory as the foundation, the purpose of this qualitative case study was to explore the potential use of written communication via a wireless device text message for reporting a police emergency. Research questions focused on the reciprocal relationships …

Elementary School Teachers' Perceptions On Positive Behavioral Interventions And Supports Implementation And Effectiveness, Keisha A. Anderson-Saunders

Walden Dissertations and Doctoral Studies

School personnel were concerned that the disruptive student behaviors at an urban, elementary school in the northeast United States had persisted despite positive behavioral interventions and supports (PBIS) implementation and professional development (PD) for more than 7 years. The purpose of this basic qualitative research study was to explore teacher perceptions regarding the PBIS related to student behavior and socialization issues. Skinner's reinforcement theory and Bronfenbrenner's bioecological systems theory served as the conceptual frameworks for this study. Specifically, this study explored the PBIS framework in reducing students' undesirable behaviors, how the framework prepared teachers to implement PBIS in their school, …

Barriers To Colorectal Cancer Screening In People Obtaining Care From Community Mental Health Agencies, Kelly L. Gardiner

Walden Dissertations and Doctoral Studies

Barriers to Colorectal Cancer Screening in People Obtaining Care

From Community Mental Health Agencies

by

Kelly Gardiner

MSN, Wayne State University, 1997

BSN, Wayne State University, 1988

Dissertation Submitted in Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Public Health

Walden University

August 2016

Despite being highly treatable with early intervention and preventative screenings, the overall mortality rate of colorectal cancer is substantially higher in participants with a preexisting mental disorder. Variables affecting the likelihood of completing screening for those with mental illnesses were unknown in people who obtain services from a Community Mental Health agency. Using …

Chronic Disease Management Of The Uninsured Patient At Ohio Free Clinics, James Benedict

Walden Dissertations and Doctoral Studies

Management of chronic disease requires a different service delivery model from that of acute illness. The uninsured population experience poorer health status and increased incidence of chronic disease than do the insured population. The purpose of this study was to identify the supports and barriers present in providing chronic disease management to patients at Ohio free clinics. Wagner's theory of chronic disease management served as the theoretical lens. The sequential, exploratory mixed methods study collected data from 13 free clinics belonging to the Ohio Association of Free Clinics (OAFC). Quantitative questions focused on processes in clinics with high and low …

Electronic Warrant Systems: The Effect Of Advanced Technologies On Arrest Performance, Gerald Lee Ward

Walden Dissertations and Doctoral Studies

Public safety is negatively affected when arrest warrant information is not available to law enforcement officers, judges, prosecutors, and other criminal justice practitioners. The U.S. Government and the criminal justice community have advocated for electronic warrant systems (e-warrants). Peace officers know that when e-warrant systems deliver warrant information to them immediately from multiple jurisdictions, their safety is increased. However, the factors that cause these e-warrants systems to improve safety are not known. The purpose of this historical data analysis study was to determine if the use of e-warrant systems resulted in shorter clearance times than the use of legacy paper-based …

Childhood Abuse And Neglect, Global Emotional Functioning, And Emotional Regulation In A Comunity Sample Of Adults, Deborah Isaacs

Walden Dissertations and Doctoral Studies

Emotional impairment can lead to emotional disorders or dysfunction. Childhood abuse or neglect can be used to predict disorders and dysfunction. Missing from the literature was research exploring a direct relationship between a history of abuse or neglect and future emotional impairment. This quasi-experimental study served to examine whether histories of childhood abuse or neglect can be used to predict future emotional impairment using the Mayer and Salovey model of emotional functioning. A community sample of 138 adults from rural Wyoming completed retrospective reports of childhood trauma and current measures of emotional functioning, and 42% of the sample reported a …

Evaluating A Student Leadership Program's Impact On Elementary Students' Behavior And Academic Achievement, Stephanie Caracelo

Walden Dissertations and Doctoral Studies

Faculty members at a rural elementary school in a southeastern U.S. state have implemented a student leadership program called Leader in Me (LIM) in order to address increased behavioral disruptions and declining academic achievement scores and also better prepare students for the workforce. To determine the efficacy of the intervention, a mixed methods bounded case study of LIM was conducted. Watson's and Hull's theories of behaviorism support the objectives of the program. The focus of the research questions was on determining whether students' behavior, academic achievement, and leadership skills had changed based on their participation in the program. Quantitative data …

Strategies For Employee Engagement In A Small Business Enterprise, Jennifer L. Kizer

Walden Dissertations and Doctoral Studies

In 2013, 35% of the workforce was not engaged, which results in lack of productivity and loss of profitability for small business enterprises (SBEs). The purpose of this qualitative case study was to explore successful strategies that frontline leaders in a 4 generation, family-owned excavating business used to engage their frontline employees. The excavating business was started in 1947 by the father of the current business owners. William Kahn's employee engagement theory was the conceptual framework for this study. Data were collected through a focus group and direct observations of engagement during meetings and frontline areas from a population of …

A Purposeful Approach To Student Conduct With Deaf And Hard Of Hearing Learners, Heidi Lynn Jordan

Walden Dissertations and Doctoral Studies

Teachers of deaf and hard of hearing students spend more time in conflict resolution than their general education colleagues do. Although emerging research suggests that both students and teachers benefit from an approach to student conduct that is more purposeful than traditional behavior modification models, further research was necessary to clarify how such an effective purposeful program would work. The purpose of this inquiry was to explore how teachers of deaf and hard of hearing students perceived and used a purposeful approach to student conduct. Deutsch's conflict resolution theory served as the conceptual framework. A single case study design was …

Trait Emotional Intelligence, Motivation, Engagement, And Intended Retention Of Court-Appointed Special Advocate Volunteers, Kim Obenoskey

Walden Dissertations and Doctoral Studies

U.S. volunteer-dependent organizations continue to look for more effective ways to support their volunteer recruitment, training, and retention efforts. No prior research has evaluated what variables support sustained volunteerism for CASA volunteers. The purpose of this study was to investigate sustained volunteerism by evaluating the relationships between trait emotional intelligence (trait EI) measured using the Trait Emotional Intelligence Questionnaire, motivation to volunteer using the Volunteers Functional Inventory, volunteer work engagement using the Utrecht Work Engagement Scale, and intended retention of CASA volunteers. One hundred fifty five CASA volunteers from different CASA organizations responded to an on-line survey. Correlational and regression …

A Qualitative Examination Of Surviving Homeless In Alaska, Reynaldo Espera

Walden Dissertations and Doctoral Studies

The homeless population in Anchorage, Alaska faces many unique challenges. Over the past several winters, a number of homeless individuals have succumbed to the effects of exposure despite available cold weather services. This study investigated individual experiences within the homeless population of Anchorage, Alaska during times of inclement winter weather. Self-determination theory was used to explore motivations of behaviors of the population and to uncover the reasons why this population does not use cold weather services offered by the Municipality of Anchorage. The research questions addressed participant awareness of available cold weather services, survival strategies during inclement winter weather, and …

A Comparative Analysis Of Meals Offered At Child Care Centers By Participation In A Child And Adult Care Food Program, Melissa Lynn Williams

Walden Dissertations and Doctoral Studies

Nearly 70% of preschool children in the United States are enrolled in child care facilities. This means that they eat many meals away from their homes. Despite government support for childhood nutrition through the Child and Adult Care Food Program (CACFP), research that measures the nutritional value of meals served in child care facilities has been lacking. The purpose of this quantitative study was to determine if there are differences in the calories and nutritional value of lunch meals offered to preschool children in facilities that participate in CACFP and in facilities that do not participate in CACFP. Ajzen's theory …

Supporting The Professional Needs Of Alternatively Certified Secondary Education Teachers, Michelle Latrice Washington

Walden Dissertations and Doctoral Studies

The reliance on alternative teacher certification to address teacher quality and quantity is an educational issue worthy of study because non-traditionally prepared teachers fill the nation's classrooms. This qualitative case study explored the experiences of secondary education teachers with no preservice training who earned a professional educator certificate in Alabama through the alternative baccalaureate-level program. The central research questions of this study related to the professional needs of alternatively certified teachers and how educational leaders supported those professional needs. The conceptual framework of this project study included the National Research Center for Career and Technical Education's differentiated induction model based …

Strategy And Profitability: Managing Profits In Inflation Economy, Mohamed Jaffar Mohamed Sharaaz

Walden Dissertations and Doctoral Studies

The inflation rate in Dubai, United Arab Emirates (UAE) rose to 5-year highs in 2014 and higher by 28% in the first half of 2015. This situation has challenged business managers to sustain business goals. Guided by Kaplan and Norton's balanced scorecard framework. the purpose of this multiple case study was to explore strategies business managers use to maintain profitability with rising operating costs. Two organizations in Dubai, United Arab Emirates were purposefully sampled for this multiple case study. Data were collected through multiple semistructured interviews of a single senior manager from each organization, then triangulated with company e-mails and …

Symptom Presentation Frequency And Severity Associated With Adult Lyme Disease By Ross Scale Review, Vicki A. Stanavitch

Walden Dissertations and Doctoral Studies

Although Lyme disease is the most frequently reported vector-borne illness in the United States, recent evidence from the CDC suggests that Lyme disease incidence in the United States may be much higher than reported. Lyme disease symptoms can be mistaken for a wide variety of diseases, which can complicate the diagnosis. To date, no diagnostic criteria analysis has been conducted examining the association between sociodemographic variables (sex and age) and seasonality of infection with the severity and symptomology found in Lyme disease cases. Using the CDC's outbreak investigation model, a primary case/control study was conducted using the ROSS Scale to …

Strategies For Responding To Generational Differences In Workplace Engagement, Amanda Delane Crowe

Walden Dissertations and Doctoral Studies

Small business managers are experiencing a 30% turnover of employees, costing U.S. businesses $41.3 million per year. The purpose of this case study was to explore the strategies that experienced business managers use in small accounting firms to respond effectively to generational differences in workplace engagement. Using a purposeful sampling technique, 5 managers possessing successful experience in issues related to generational differences in the workplace were recruited from small accounting firms located in Midwestern United States to participate in semi-structured interviews about engaging a multi-generational workforce. Methodological triangulation was used to analyze the data collected through semi-structured interviews and observations, …

The Effectiveness Of Adult And Pediatric Code Blue Simulation-Based Team Trainings, Pamela Joy Corey

Walden Dissertations and Doctoral Studies

The adult and pediatric healthcare providers at a New England medical center attended simulation training for responding to cardiac arrests that incorporated the current American Heart Association (AHA) evidence-based standards. The purpose of this concurrent mixed method program evaluation was to compare the adult code blue and pediatric team training programs to the AHA's standards and identify if the staff learned the necessary skills to care for patients in cardiac arrest. The conceptual models used for the study were Crisis Resource Management and the transfer of learning model. The study sample was 660 adult and 269 pediatric healthcare providers who …

Guideline Use In Asthma Management In Primary Care Setting: A Systematic Review, Nkiru Ezeani Ezeani

Walden Dissertations and Doctoral Studies

Asthma is a chronic airway inflammatory disease that is characterized by reversible airway obstruction due to hyper-responsiveness of the tracheobronchial tree. The condition disproportionately affects male children, females, and the aged globally, and its prevalence keeps rising despite being a preventable condition in terms of relapse. Most asthmatic patients receive care in primary care settings. Various health agencies have developed asthma management guidelines to improve the quality of asthma care; however, in some cases, adherence to these guidelines is substandard. The overarching aim of this study was to determine whether primary care providers manage asthma in line with the available …

Perceptions Of Homeless Individuals Regarding Public Housing Use, Shirley Elaine Hicks

Walden Dissertations and Doctoral Studies

Research on how homeless individuals perceive shelters, housing programs, and their agents has been limited, especially in relation to the reasons for engaging in or avoiding programs. This phenomenological study explored the perspectives of chronically homeless individuals in Wake County, North Carolina, regarding shelters and housing programs, examining their reasons for using or not using shelters or public housing. Using Glidden's structuration theory as the framework, the research questions for this study were based on exploring the perceptions of homeless individuals use of public resources related to housing and shelters to better understand why some use, and perhaps more importantly, …

Factors Related To Prescription Drug Abuse Among Young Adults In Florida, Mabel Gonzalez Gonzalez

Walden Dissertations and Doctoral Studies

A lack of available data exists regarding environmental factors related to prescription drug abuse (PDA), which could explain the ineffectiveness of efforts to reduce PDA in Florida. Prescription drug abuse among adults older than age 18 varies with the level of education achieved, and these metrics potentially reflect socioeconomic differences. The purpose of this quantitative study was to examine the connections between contextual aspects of prescription opioid abuse among Florida's middle and high school students to understand youth PDA in relation to their environments. This study consisted of a secondary analysis of existing PDA data (dependent variable) in relation to …

Servant Leaders' Use Of High Performance Work Practices And Corporate Social Performance, Michelle Kathleen Fitzgerald Preiksaitis

Walden Dissertations and Doctoral Studies

Business researchers have shown that servant leaders empower, provide long-term vision, and serve their workers and followers better than do nonservant leaders. High performance work practices (HPWPs) and corporate social performance (CSP) can enhance employee and firm productivity. However, when overused or poorly managed, HPWPs and CSP can lead to the business problems of employee disengagement, overload, or anxiety. Scholars noted a gap in human resource management research regarding whether leadership styles affect HPWPs and CSP use. This study examined the relationship between leadership style and the use of HPWPs and CSP, by using a quantitative, nonexperimental design. U.S. business …

Adventist Affiliation And Type 2 Diabetes Pre- And Post-Complete Health Improvement Program (Chip), Janie Unruh

Walden Dissertations and Doctoral Studies

Adventists following a plant-based diet have half the prevalence and incidence of type 2 diabetes than nonvegetarian Adventists. This study used a quantitative, correlational study design to assess if there was a significant difference in type 2 diabetes prevalence rate between Adventists and non-Adventists preprogram, and if there were significant differences in biometrics between Adventists and non-Adventists with diabetes pre- and post-Complete Health Improvement Program (CHIP). This study incorporated the social ecological model for its conceptual framework and examined pre- and postprogram changes among Adventists (n=210; 20.1%) and non-Adventists (n=836; 79.9%) with type 2 diabetes. It used secondary data from …

Transitional Planning And Homelessness Of Youths Emancipated From Foster Care, Sharon Patricia Sutherland

Walden Dissertations and Doctoral Studies

Previous research has indicated that approximately 25% of the 30,000 youths emancipated from foster care each year experience negative outcomes including poor education attainment, limited employment opportunities, homelessness, lack of access to healthcare, and poor social networks. Despite the existence of federal legislation that requires foster care agencies to assist foster youths to make the transition to independent living, research has revealed that the current transitional planning process is not effective. There is a gap in the current literature regarding qualitative research on youths' shared experiences of the transitional planning process as they transit out of foster care. This study …

Examining Alignment Between Canadian Municipal Police Performance Evaluation Policies And Officer Perceptions, Birdella Wilson

Walden Dissertations and Doctoral Studies

A lack of alignment between police performance evaluation policy purposes and officer performance evaluation perceptions has implications for the organizations' resource management, officer morale, and public safety. A literature review points towards a gap existing between policy purpose statements and employee perceptions. The purpose of this study was to investigate the relationship between the policy purposes of police performance evaluations and the officers' perceptions of those evaluation experiences in 4 Ontario municipal police services. DiMaggio and Powell's (1983) Institutional theory was the foundation for this study. Data for this study were collected from 4 police services in Ontario, Canada. The …

Consistency In Clinical Preceptor Field Training For Sonography Students, Cathy Herring Daniels

Walden Dissertations and Doctoral Studies

Consistency in clinical preceptor training for sonography students is important in assuring equity in sonography student evaluation. Review of a local community college sonography program revealed a gap between expected roles and responsibilities of clinical preceptorship and what was actually done in the clinical setting. The purpose of this project study was to explore perceptions of graduates and preceptors regarding what constituted best practices in the evaluation of sonography students in the clinical setting. Knowles's theory of active learning provided a framework for understanding the student-preceptor relationship in the evaluation process. Research questions focused on sonography graduates' and clinical preceptors' …

Teachers' Perceptions Of Elementary School Principals' Leadership Attributes And Their Relationship To School Effectiveness, Dyana Ontai-Machado Ontai-Machado

Walden Dissertations and Doctoral Studies

Schools in Hawaii are continuing to struggle with low student performance on their state's mandated test. Principal leadership has been found to have a direct impact on school effectiveness and researchers have indicated that school effectiveness can also be predicted by teachers' perceptions of principal leadership. This quantitative study was an examination of the relationships between teachers' perceptions of their principals' leadership attributes and school effectiveness as measured by the Strive HI Index in the state of Hawaii. The theoretical framework was grounded in Leithwood's core effective principal practices. A 41-item questionnaire from Colorado Education Initiative with a Cronbach's alpha …

Absenteeism In An International Custom Software Engineering Company, Jennifer M. Mudek

Walden Dissertations and Doctoral Studies

Absenteeism has a negative impact on organizational output in the form of lost productivity and profit reduction for software engineering companies. The purpose of this qualitative descriptive case study was to explore the strategies that software engineering managers utilize for reducing absenteeism. The theory of planned behavior formed the conceptual framework for this study. Data were collected through semistructured interviews from a purposeful sample of 11 managers at an international custom software engineering company. Data collection also included organizational data on employee absences for the past 5 years (2011-2015), e-mail memos, newsletters, employee handbook, and employee performance reviews. Based on …