Digital Commons Network^™

Risk Factors Associated With Severe Acute Respiratory Infections Cases, Ryan Gatdula Ortiguerra

Walden Dissertations and Doctoral Studies

The close proximity of the United States to the Mexican border poses a concern for communicable diseases because of the high flow of population movement. The purpose of this retrospective, quantitative study was to identify risks associated with respiratory diseases using an analysis of archived data from the Severe Acute Respiratory Illness (SARI) surveillance program. Based on the epidemiologic triangle theory, demographic and etiologic factors were analyzed to examine any associations with SARI in this population. Between 2010 and 2012, 798 subjects enrolled in this program, with 336 (42.1%) testing positive for respiratory pathogens. Chi square analysis determined that age …

Parent-Adolescent Sexual Health Communication In Immigrant Nigerian American Families, Susan Modupe Ogunnowo

Walden Dissertations and Doctoral Studies

Poor sexual health communication among first generation Nigerian American parents and their adolescent children due to disparities in cultural integration constitutes a barrier to effective parent-child relationships. The purpose of this phenomenological study, which was guided by the acculturative family distancing (AFD) model, was to explore the lived experience of Nigerian immigrant families in the United States regarding communication effectiveness about sex and integration into the American way of life. The research questions addressed cultural bias, parent-adolescent communication effectiveness, strategies employed, resources available to new immigrants, and barriers to their usage. Data collection was by individual interviews of 5 Nigerian-born …

Veterans First Contracting Program Preference Hierarchy: Effect On Veteran-Owned Small Business, Harry Parker

Walden Dissertations and Doctoral Studies

U.S. Department of Veterans Affairs (DVA) leaders created a Veterans First Contracting Program (VFCP) under Public Law 109-461 to provide procurement opportunities for veteran-owned small businesses (VOSBs) and service-disabled veteran-owned small businesses (SDVOSBs). However, DVA leaders established a preference hierarchy that increased opportunities for SDVOSBs and decreased opportunities for VOSBs. Research was lacking regarding the effects of the preference policy on VOSBs as a distinct small business category. The purpose of this phenomenological study was to explore and understand the experiences of 20 VOSB owners actively enrolled in the VFCP from Maryland, Virginia, and District of Columbia. Through the lens …

Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps

Walden Dissertations and Doctoral Studies

With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the …

Academic Outcomes Of A Precollege Intervention Program, John Tri Phung

Walden Dissertations and Doctoral Studies

The No Child Left Behind Act of 2001 demanded that public schools demonstrate adequate yearly progress by increasing student educational achievements. In 2014, the local high school at this study enrolled 62.7% socioeconomically disadvantaged students and implemented a precollege intervention program; however, little is known about its efficacy due to a lack of a formal evaluation, prohibiting an informed approach to continual improvement. The purpose of this program evaluation was to determine if program participation resulted in the higher academic outcomes. Guided by the theory of change, the program evaluation was used to assess the efficacy of the local high …

Emotional Intelligence And Instigation Of Workplace Incivility In A Business Organization, Nancy Ann Ricciotti

Walden Dissertations and Doctoral Studies

Workplace incivility is increasing in prevalence and is associated with increased job stress, depression, and anxiety; it is also associated with decreased productivity, job satisfaction, and organizational commitment. Despite the monetary and psychosocial cost of incivility to organizations and individuals, little research has focused on mitigation strategies. The purpose of this correlational study was to determine the relationships between emotional intelligence and instigation of workplace incivility. The theoretical framework was emotional intelligence theory. The central research question posited that higher levels of emotional intelligence are inversely related to instigated workplace incivility. Data were collected electronically from 260 full time employed …

Examining Parental Involvement In An Elementary School's Prekindergarten Program, Stephanie Michele Smith

Walden Dissertations and Doctoral Studies

Parental involvement is integral to promoting a high quality school environment. A lack of parent involvement is a problem that currently exists in an urban, public elementary school in Texas. This issue is important because once the parents increase their engagement, the home school relationship can be improved. The purpose of this qualitative case study was to investigate how pre-kindergarten parents at the study elementary school perceive parent involvement and how principals and teachers at the school can help parents improve their involvement. This study is based upon Epstein's theory of 6 types of parent involvement. This study examined parents' …

Strengthening Participatory Democracy Through Participatory Budgeting, Babatunde Adesegun Sobanjo

Walden Dissertations and Doctoral Studies

Although participatory budgeting (PB) was introduced in Sub-Saharan Africa in 2005, it has yet to be widely adopted. While PB has great potential to enhance citizen participation in the democratic process, little academic research has focused on the utility of PB as a mechanism for citizen empowerment in the region. The purpose of this case study was to gain further understanding of the role of civil society in educating and empowering the citizens of Ijede LCDA in Lagos State, Nigeria to participate effectively in budgetary decision-making processes. The data were gathered from 15 semi-structured, one-on-one interviews of purposefully selected participants …

Exploring Critical Success Factors For Sustainable Togolese-Owned Small Businesses In The United States, Folly Somado Hemazro

Walden Dissertations and Doctoral Studies

In the United States, although foreign-born individuals are more than twice as likely to start new ventures, immigrant-owned businesses often fail within the first 5 years. The purpose of this single case study was to explore the strategies that U.S.-based Togolese small business owners who were engaged in entrepreneurial activities in Togo. The Schumpeterian entrepreneurship theory underpinned the study and served as a theoretical reference. Interview data were collected from 20 successful Togolese small business owners who resided in the Washington D.C. metropolitan area, who were engaged in entrepreneurial activities in Togo, and who had been in business for more …

An Exploration Of Male Batterers' Perceptions Of A Standardized Batterers' Treatment Program, Dionne Lynn Spooner

Walden Dissertations and Doctoral Studies

The focus of this hermeneutic phenomenological, qualitative study was to gather an in-depth understanding of the lived experiences of male batterers participating in a standardized Duluth-model batterers' treatment group. The study had three main goals: (a) to understand the experience of male batterers participating in a standardized male batterers' treatment program, (b) to improve the treatment being provided to male batterers, and (c) to improve services to those impacted by domestic violence. Results from previous studies indicated that treatment for male batterers is ineffective and inconsistent and that the treatment provided, regardless of framework or modality, has little or no …

Middle School Teachers' Professional Development Needs For Ict Literacy Integration, Melanie Lynn Park

Walden Dissertations and Doctoral Studies

This qualitative case study explored U.S. middle school teachers' professional development needs in Information, Communication, and Technology (ICT) literacy integration. Past literature has suggested that teachers should improve classroom practices that promote ICT literacy, but few studies have addressed educators' specific training needs. This study was designed to identify the unique professional development needs of academic teachers in a Midwestern middle school using focus groups and interviews to explore teacher perceptions of current technology usage as well as the barriers and/or facilitators of ICT literacy integration. The conceptual framework was based on Knowles's theory of adult learning, which suggested that …

Development Of Assessment And Screening Tool To Assist With Prevention And Identification Of Charcot Foot In Type 2 Diabetics, Louise S. Wade

Walden Dissertations and Doctoral Studies

Abstract

Development of Assessment and Screening Tool

to Assist with Prevention and Identification of Charcot Foot in Type 2 Diabetics

by

Louise Wade MSN, RN

MS, West Texas A&M University, 2010

BS, West Texas A&M University, 2010

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2016

Abstract

According to the World Health Organization, up to 50% of type 2 diabetic patients

develop neuropathy, which may cause major infections, amputation, and Charcot foot due

to impaired sensation. Early recognition and care is essential for treatment of Charcot

foot and prevention …

Workplace Bullying: A Quantitative Study Of Adult Victims, Joyce Lynn Walker

Walden Dissertations and Doctoral Studies

Workplace bullying has gained widespread attention as contributing to the increase in organizational costs and the reduction in employee productivity. Organizations and human resource departments have conducted studies and developed prevention programs to address bullies, but few studies or programs have focused on the role of victims in the onset of bullying. This quantitative study examined the relationship between bullying victimization in the workplace, focusing on personality traits, specific problem solving, and a victim's locus of control belief. A sample (N = 94) of male and female college students completed the Negative Acts Questionnaire-Revised, Heppner's Problem-Solving Inventory, Levenson's Locus of …

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 …

Exploring Literacy Coaching As A Form Of Staff Development, Kate Matthews Welborn

Walden Dissertations and Doctoral Studies

Following a 2011 audit a school district in the south central United States clarified the role of the literacy coach. However, there were still differences among the literacy coaches as to how they were performing their duties. As a result, the purpose of this study was to gain an understanding of the role of the literacy coach in the participating school district. The theoretical foundation of this study addressed adult learning and was based upon Kegan's constructive development theory and Knowles's theory of androgogy. A case study design was used to explore how 5 literacy coaches implemented literacy staff development …

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 …

How Educators Use Dogs To Support Children's Social, Emotional, And Behavioral Development, Michelle Renee Roberts-Schneider

Walden Dissertations and Doctoral Studies

Children's undeveloped social, emotional, and behavioral skills have long been a concern in early childhood classrooms. Numerous studies have illuminated how therapy dogs in pedagogical settings support children's holistic development, yet there is scant data on the integration of therapy dogs into the early childhood classroom. This study was guided by the progressive education theory and the concept of the human-animal bond, which collectively lay the foundation for how young children develop critical life skills in the presence of a therapy dog. A qualitative collective case study was used to examine how 3 early childhood educators used therapy dogs and …

Examining Teachers' Lesson Plans Following Universal Design For Learning Training, Georgeann A. Winter

Walden Dissertations and Doctoral Studies

With a growing population of culturally and academically diverse student populations in K -12 education, Universal Design for Learning (UDL) has the potential to improve the quality of teaching and learning for all students. However, there is a lack of research on UDL teacher in-service training to determine whether teachers are more effective at implementing UDL once they receive adequate training. The purpose of this quantitative study was to examine changes in teachers' lesson plans following UDL professional training. Seventeen teachers from 5 school districts in the state of Mississippi participated in the study. Teachers' lesson plans were evaluated at …

Transforming Christian Schools Using Sustainable Model Of Organizational Change And Performance Improvement, Abraham Adhanom

Walden Dissertations and Doctoral Studies

Organizational failure in Christian schools is a common phenomenon affecting millions of families in the United States. In the past 2 decades alone, more than 200 Christian schools closed each year; and many continued to struggle for survival. This trend presented significant challenge for the sustainability of faith-based schools that serve over 10% of grade-level students in the country. The purpose of this study was to examine internal and external factors impacting the performance of Christian schools and analyze existing theories of institutional effectiveness leading to the development of a sustainable framework. The research question addressed what type of organizational …

Exploring Barriers To Women Entrepreneurs In Enugu State, Nigeria, Ezenwayi Amaechi

Walden Dissertations and Doctoral Studies

Women play an important role in the development of their families and communities economically; however, in comparison to men, they disproportionately experience barriers such as low income households, poverty, unemployment, lack of training, and discrimination. The purpose of this mini-ethnographic case study was to explore the perceptions of women entrepreneurs in Enugu State, Nigeria on what information they need to overcome possible barriers in their business and economic development. The 5M (market, money, management, motherhood, meso, and microenvironment) framework provided the theoretical lens for this investigation. The data gathering process involved face-to-face semistructured interviews with 15 women entrepreneurs in 3 …

Association Between Haart And Metabolic Syndrome Components Among Hiv-Positive Adults In Southeastern Nigeria, Bridget Okiemute Amechi

Walden Dissertations and Doctoral Studies

Highly active antiretroviral therapy (HAART) contributes to metabolic disorders and the growing prevalence of metabolic syndrome (MetS) in human immunodeficiency virus (HIV)-infected patients. Hypertension, obesity, and hyperglycemia (components of MetS) are risk factors for cardiovascular disease. Studies have shown that HIV patients on HAART have a 2-fold risk of dying from MetS. There are no such studies in Umuahia; hence the need for this study to fill this gap. Using a sample size of 192 medical records of HIV-infected patients in Federal Medical Centre, Umuahia, and applying metabolic syndrome theory, this study examined the relationships among types of HAART regimen, …

Marketing Strategies Used By Franchise Small Businesses To Retain Customers, Hilda Jordan Arline

Walden Dissertations and Doctoral Studies

Franchised small businesses will not survive their first 5 years if they cannot implement marketing strategies that appeal to their customers. The purpose of this multiple case study was to explore the marketing strategies that successful franchise small business leaders used to retain customers. The population comprised 4 business leaders at franchise small businesses in North Carolina. Competitive advantage theory and blue ocean theory grounded this study. Data were collected using semistructured face-to-face interviews and review of company marketing materials. Data were thematically analyzed, and 6 themes emerged: personalization of customer service, market segmentation, innovative advertising, networking, brand identity, and …

An Evidence-Based Educational Intervention To Improve Nursing Staff's Critical Thinking And Decision-Making Skills, Rene Norene Barron-Kagan

Walden Dissertations and Doctoral Studies

An Evidence-Based Educational Intervention to Improve Nursing Staff's Critical Thinking and Decision-Making Skills

by

Rene N. Kagan

MSN, University of New Mexico, 2009

BS, University of Phoenix, 2000

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

September 2016

Hospitalized patients in acute care settings are at a high risk of developing health complications that can eventually lead to failure to rescue (FTR) situations. The aim of this project was to deliver a structured comprehensive medical-surgical competency plan for acute care nurses to detect deterioration in a patient's condition through the …

Understanding Caregivers' Perceptions Of Childhood Immunization, Oliver Anyabolu

Walden Dissertations and Doctoral Studies

Low immunization in Nigeria is associated with high prevalence of childhood diseases. The purpose of this qualitative phenomenological study was to describe caregivers' perceptions of routine immunization of their children ages 24 to 36 months. Caregivers' attitudes, cultural beliefs, and knowledge regarding immunization were examined. The health belief model was used to guide study. Interviews were conducted with 5 caregivers of fully immunized and 5 caregivers of partially and nonimmunized children. Digital recordings were analyzed using NVivo 10 to identify themes and subthemes. Attitudes of caregivers with fully immunized children included both perceived barriers (distance to health center, lack of …

The Relationship Between Male Involvement In Early Childhood Education And Student Academic Achievement, Carla Christinia Barnes

Walden Dissertations and Doctoral Studies

Researchers have found that the limited involvement of fathers in their children's academic activities may negatively affect children's academic development. The purpose of this quantitative study was to examine the role of father involvement in the academic achievement of young children in early childhood classes and to assess barriers to such involvement. Guided by Erikson, Vygotsky, and Bronfenbrenner theories of learning and development, the research questions examined fathers' perceived level of educational involvement, barriers to educational involvement, and the relationship between the level of recorded father involvement and student achievement. Data were collected using a modified Parental Involvement Survey that …

Experiences Of Nonincarcerated African American Male Youth With An Incarcerated Male Sibling, Fred Nana Biney

Walden Dissertations and Doctoral Studies

Approximately half of all incarcerated individuals in the United States are young African American men. Researchers have documented that nonincarcerated siblings may commit a crime when their sibling is in prison. The current study addressed literature regarding the experiences, and coping strategies of nonincarcerated young African American men who live in the inner city, and have a male sibling in prison. Guided by Bronfenbrenner's ecological systems theory, this interpretative phenomenological analysis (IPA) study explored the lived experiences and coping strategies of African

American male youth with a brother in incarceration. Purposive sampling was used to select 3 nonincarcerated African American …

Experiences Of Middle School Children With Autism Spectrum Disorders In Adapted Physical Education, Arkansas Josephine Blagrave

Walden Dissertations and Doctoral Studies

School-age children with autism spectrum disorders (ASDs) are rarely asked to describe their experiences within the programs that they receive and are largely missing from the narrative of their own lives. Adapted physical education (APE), a subdiscipline of physical education, is one of the services frequently accessed by this population. Current literature on the experiences of children with autism spectrum disorder (ASD) has focused on special education classrooms, sensory perceptions, and general physical education classes. However, no prior studies had addressed how school-age children with ASD perceive their APE experience. Therefore, the purpose of this qualitative study was to use …

Critical Thinking To Justify An Answer In Mathematics Classrooms, Angelique E. Brown

Walden Dissertations and Doctoral Studies

Students' critical thinking in mathematics was a concern for grade 5 through 8 teachers at a Title 1 public school in the northeastern United States because of the students' poor performance on constructed response questions on the state's mathematics exam. In this exam, students were required to justify their answers in writing. When teachers recognize the connection between writing and critical thinking, they can devise strategies to help students develop mathematical literacy. The purpose of this qualitative case study was to explore how 5th through 8th grade mathematics teachers use the GoMath mathematics literacy program to teach the critical thinking …

Autonomy, Competence, Relatedness, And Personal Growth Initiative Among Postpartum Women, Tamar Mary Boyd

Walden Dissertations and Doctoral Studies

Prior research on maternal postpartum care, the transition to motherhood, pelvic floor dysfunction, and pelvic floor muscle training (PFMT) has revealed that postpartum women are often denied the basic information, instruction, and preventive strategies necessary for optimal postbirth rehabilitation and psychological well-being. Employing a dual framework of self-determination theory and personal growth initiative (PGI) theory, this quantitative study utilized a cross-sectional design to investigate if autonomy, competence, and relatedness satisfaction predicted PGI in postpartum women. Differences in autonomy, competence, relatedness, and PGI between PFMT practicing and nonpracticing postpartum women were also examined. A web-based survey method was employed to collect …

Exploring Critical Success Factors Of Learning Management System Implementations In Membership Associations, Valerie Joan Whitcomb

Walden Dissertations and Doctoral Studies

Learning management systems (LMSs) are the technical foundation for online learning programs that offer benefits to learners in a variety of settings. As with many enterprise software systems, LMSs are expensive and carry considerable risk. Exploring critical success factors (CSFs) and using them as a foundation for decisions concerning complex software implementations helps increase the likelihood of success. This study addresses the gap in knowledge concerning CSFs for LMS implementations. The purpose of this phenomenological study was to discover CSFs by exploring the lived experiences of 8 association executives who identified themselves through email communications as having managed a successful …