Digital Commons Network^™

Implementation And Evaluation Of Dietary Modification With Gestational Diabetes, Celia T. Ojeaga

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus (GDM) negatively affects the health of both mothers and babies, and is the most common pregnancy complication in the United States. Many dietary modification programs for pregnant women diagnosed with GDM rely on a one-size-fits-all approach to menu planning. The purpose of this project was to develop a diet modification program for GDM management using a patient-centered approach. The project objective was to develop the policies, procedures, and supporting documents needed to implement a successful GDM management program for pregnant women receiving antenatal care at an obstetrical clinic. The developed program incorporated strategies for clinic nursing staff …

Emotional Intelligence, Job Satisfaction, And Burnout For Dietitians, Cara Perdue

Walden Dissertations and Doctoral Studies

There are low retention rates of dietitians and this impacts quality of care. Emotional intelligence (EI) may be the missing component to improve retention, due to EI increasing job satisfaction and decreasing burnout for other health providers. The purpose of this study was to examine the relationship between EI, job satisfaction, and burnout for dietitians. The theoretical framework utilized was the 4-branch model of EI. Method of inquiry was convenience, quantitative non-experimental design. Registered dietitians (N = 84,173) living in the United States were contacted via e-mail. Approximately 9.5% of dietitians (n = 8,038) completed the Wong and Law EI …

Applying Costing Models For Competitive Advantage, Sheila Petcavage

Walden Dissertations and Doctoral Studies

Making good supply management decisions is essential to competing in the global market, as these decisions often account for more than 60% of the average company's total costs. The purpose for this single case study was to explore the strategy that a large manufacturing firm in northeast Ohio used to identify costs when making effective purchasing decisions. The total cost of ownership (TCO) theory was the conceptual framework for the study. The data collection included a semistructured interview with a senior level supply manager and a focus group consisting of mid-level supply managers. Member checking provided verification of the interpreted …

A Plan For The Implementation And Evaluation Of Diet Education In Type 2 Diabetes, Soy Ramsumeer

Walden Dissertations and Doctoral Studies

Abstract

Type 2 Diabetes Mellitus (T2DM) is the seventh leading cause of death in the United States with a projected increase of 552 million people worldwide who will be affected with this illness by 2030. The need to address this issue is vital to prevent complications and reduce healthcare spending. The DNP project is aimed at planning and designing a nutritional education program tailored toward specific ethnic groups in order to increase knowledge in making healthy food choices. This project is intended to educate Registered Nurses (RNs) on nutrition so that they can offer dietary knowledge to T2DM patients. Additional …

Facilitators And Barriers To Physical Activity Among People With Spinal Cord Injury, Laura Nicole Richardson-Smith

Walden Dissertations and Doctoral Studies

Research has shown that people with physical disabilities are at risk for developing secondary health conditions. Many of these secondary health conditions may be reduced by engaging in physical activity, yet people with physical disabilities are less likely to participate in physical activity. Information gaps remain regarding facilitators and barriers to physical activity. The purpose of this phenomenological study was to understand the experiences with physical activity among adults with a spinal cord injury (SCI). Research questions asked were about exercise experiences, barriers and facilitators, and the role of the natural and social environment. The theoretical framework used was the …

Knowledge Sharing Intentions In Wholesale Distribution Organizations, Andrew E. Roth

Walden Dissertations and Doctoral Studies

Millions of American employees are eligible to retire through 2026, which may contribute to lowered organizational performance stemming from the resultant void in knowledge. Increasing knowledge sharing (KS) among organizational members may improve employee efficiency and company performance, and therefore may be of value to wholesale distribution leaders. Although researchers have suggested that sense of self-worth, subjective norms, and attitudes influence employees' inclinations to share knowledge, researchers have not analyzed the relationships between a subset of predictor variables and KS intentions in wholesale distribution organizations. The purpose of this correlational study, grounded in the theory of planned behavior, was to …

Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop

Walden Dissertations and Doctoral Studies

Mothers of children diagnosed with autism spectrum disorders (ASDs) experience symptoms of depression, anxiety, stress, and despair stemming from the challenges of raising offspring with behavioral, communicative, and socioemotional impairments. Researchers have shown that children diagnosed with ASDs exhibit symptoms within the first year of life (early-onset), while some exhibit normal development until the second year (regressive-onset), and some exhibit normal development until the second year but display abnormalities in the first year (mixed-onset). Despite the wealth of research on ASDs, there are few examinations of ASD symptom onset groups and the impact of those onset groups on parental psychological …

How To Help Students Develop Projects Independently For Self-Directed Learning, Evelyn Kerstein Sears

Walden Dissertations and Doctoral Studies

Experiential learning in adult education is on the rise. A small private college in the southeast United States initiated a program that required 3 experiential learning projects to be completed in addition to coursework. The problem was that less than 8% of students had independently developed their first project. Instead, they completed a project proposed by faculty. This situation resulted in student dependency on faculty rather than promoting self-directed learning. The purpose of this study was to gain an understanding about how to help students develop independent projects for the self-directed learning program. Experiential and self-directed learning theories formed the …

Making A Difference: Evidence Based Palliative Care Education For Neonatal Nurses, Sherry Elaine Pye

Walden Dissertations and Doctoral Studies

The death of a neonate is a life-changing and tragic experience for the individuals involved in the final moments of the infant's life. As the frontline provider in this clinical scenario, the bedside nurse supports the patient and family through their individual journey of loss. If the nurse does not possess the palliative care educational background and communication skills to support this unique care delivery process, the journey of death can evolve into a particularly negative experience for the parents and the nurse. This specific delivery of care concern was identified and gleaned from a parental bereavement exit interview after …

The Role Of Religiosity In The Development Of Obesity From Adolescence To Adulthood, Trini Gene Rangel

Walden Dissertations and Doctoral Studies

The development of obesity from adolescence to adulthood is not well understood, nor does the research support a multidimensional approach for this understanding. Studies have described primarily cross-sectional bivariate relationships between combinations of obesity, religiosity, depression, and social support, but it is still not known whether there is a relationship between adolescent religiosity, depression, and social support in the development of adult obesity or whether depression and social support mediate the religiosity-obesity relationship. The dynamic, multidimensional, functional model of wellness presented by Hawks was the basis for the spiritual, social, emotional, and physical interactions proposed in this study. The research …

Predictive Factors Of Compassion Fatigue Among Firefighters, Teresa Michelle Robinson

Walden Dissertations and Doctoral Studies

Few existing studies have examined compassion fatigue among emergency responders even though firefighters and emergency medical service (EMS) professionals have repetitive direct exposure to traumatic events. This study focused on identifying predictor variables for the development of compassion fatigue in firefighters. Karasek's demand-control model, a commonly used work stress model, was the study's theoretical framework as it focuses on specific construct interactions that predict employee well-being. Accordingly, this correlational study examined the predictive nature of EMS license level, years of service, and personality type on the development of compassion fatigue in career firefighters. Data collection occurred with surveys incorporating the …

The Relationship Between Stress, Coping Strategies, And Social Support Among Single Mothers, Nikitra Yvette Williams

Walden Dissertations and Doctoral Studies

Researchers have neglected to focus on understanding the relationships between stress, coping, and social support among single mothers versus mothers who are not single. Knowledge regarding how single mothers' lives are affected by stress, social support, and coping is important, and such information can help readers better understand how effectively single mothers raise children compared with mothers who are not single. A convenience sample of 173 mothers completed this study. Participants in this study consisted of mothers who were (a) raising at least one child ages 18 and under who lives in the home and (b) who were between the …

Empathy In Detained Male Juvenile Offenders, Cloyce Joe Barton

Walden Dissertations and Doctoral Studies

In Texas and across the United States, minority male juvenile offenders are overrepresented in juvenile detention facilities. Researchers have demonstrated an inverse relationship between levels of empathy and antisocial beliefs and delinquent behaviors in juveniles. Understanding this relationship is an important step in designing and implementing rehabilitative interventions for juvenile detainees. Grounded in social learning theory and the social empathy model, the current study addressed whether significant differences in empathy existed between nonminority and minority male juvenile offenders with felony and nonfelony offenses within a juvenile detention facility in rural Texas. A de-identified data set of 357 Interpersonal Reactivity Index …

Professional Learning Communities In A Juvenile Correctional Facility, Altarene Wagner Brown

Walden Dissertations and Doctoral Studies

There is little evidence concerning the impact of professional learning communities (PLCs) at juvenile correctional facilities. This qualitative case study explored the implementation of a PLC at a juvenile correctional facility school that housed students 10 to 19 years of age in southeastern United States. The purpose of this study was to understand the perceptions of teachers and paraprofessionals about how the PLC supported their work as they designed, constructed, and delivered instruction at the correctional facility. The social interactions among engaged educators through collaboration, collective inquiry, reflections, and communication derived from constructivist learning theory. Qualitative methodology included document review …

A Community's Perception Of Pregnancy And Sexually Transmitted Infections And Prevention Programs, Felecity Nicole Burns

Walden Dissertations and Doctoral Studies

The United States has the highest rates of teenage pregnancies, births, abortions, and sexually transmitted infections in the industrialized world. African American teen pregnancies and sexually transmitted infections are on the rise in many rural southwest school districts in the State of Georgia where the sex education curriculum is nonexistent or solely focuses on abstinence. Georgia ranked 4th in cases of primary and secondary syphilis, 6th in AIDS, 12th in gonorrhea, 14th in teen pregnancies, and 17th in chlamydia in the United States in 2012. The purpose of this qualitative study was to evaluate the perceptions of residents of a …

Nurses' Experiences Transitioning From Staff Nurse To Management In A Community Hospital, Jennifer Sylvia Buffenbarger

Walden Dissertations and Doctoral Studies

This project study addressed the problem of frequent turnover of nurse managers at a Northeastern community hospital. The lack of retention of nurse managers has led to attenuated support for the nursing staff who continued to hold the front line in patient care. The purpose of this qualitative bounded case study was to explore nurse managers' experiences with turnover in order to identify strategies for enhancing retention. Work empowerment and servant leadership theories served as the frameworks for the study. Research questions focused on nurse managers' perceptions of empowerment and servant leadership characteristics that were important in decisions to assume …

Family Continuity And Multiple Incarcerations Among African American Women, Dorenda Karen Dixon

Walden Dissertations and Doctoral Studies

Scholars have studied incarceration among women in the United States of America for more than a decade, but few studies have explored the influence of repeated incarcerations among African American women and their family relationships. The research question for this study examined how African American women describe the effects of multiple incarcerations on family trust relationships and their ability to reintegrate into the family system and society. This multiple case study was conducted in Chicago, Illinois, and drew a sample of 4 African American women released from prison with histories of multiple incarcerations. The study explored their perspectives through a …

Providing Optimal Nutrition In Critical Care, Jo Anne Foley

Walden Dissertations and Doctoral Studies

Malnutrition among hospitalized patients is prevalent and associated with adverse outcomes. At the health care facility for which this quality improvement (QI) initiative was developed, patients were not consistently fed within the nationally recommended 48 hours. The purpose of this project was to facilitate the early initiation of enteral feedings to prevent malnutrition in a vulnerable patient group by development of an evidence-based enteral feeding policy, algorithm, and nursing education module. The find, organize, clarify, understand, select, plan, do, check, and act model provided a systematic approach for development of the project. Validation of the QI initiative was through the …

Social Demography Of Health Seeking Experiences Among Transgender African Americans, Alicia Cutrice Fritz

Walden Dissertations and Doctoral Studies

Access to and receipt of health care is an essential human right; however, transgender people often have negative health seeking experiences that give way to the many health disparities seen in the transgender community. Using the social ecological model, this study determined, through multiple logistic regressions, that correlations existed between socioeconomic, health behaviors, and sociocultural variables and 6 measures of health seeking experiences among transgender African Americans. Secondary data from the 2010 National Transgender Discrimination Survey were used, yielding a sample size of 253 transgender African Americans. Those in the African American transgender community at most risk for negative health …

Community College Basic Skills Math Instructors" Experiences With Universal Design For Learning, Sunny Greene

Walden Dissertations and Doctoral Studies

Multiple approaches have been used in U.S. community colleges to address the learning needs of postsecondary students who are underprepared in basic skills math. The purpose of this exploratory interview study was to gain a deeper understanding of community college basic skills math learning through instructors' lived experiences using the Universal Design for Learning (UDL) approach and its technology tool, a computerized pen. The conceptual framework for this study used Knowles's adult learning and Kolb's experiential learning theories with UDL principles. The central research questions investigated the professional development and teaching experiences of community college basic skills math instructors in …

Health Care Professionals' Perceptions Of Media Influence On Eating Disorder-Related Factors Among African American Women, Erica Hudson

Walden Dissertations and Doctoral Studies

Little is known about health care professionals' perceptions of eating disorder etiology among African American (AA) women. The purpose of this quantitative research study was to examine the associations among health care professionals' race, cultural awareness, and perceptions of media influence on eating disorder-related factors in AA women. Festigner's social comparison theory; Bandura's social learning theory; and Garcia, Cartwright, Winston, and Borzuchowska's transcultural integrative model served as the theoretical frameworks for this study. Specifically, this study examined whether race and cultural awareness of health care professionals relate to their perceptions of the extent to which media influences AA women's eating …

Delaying First Pregnancies: Canadian Women's Knowledge And Perception Of The Consequences, Deborah Haynes

Walden Dissertations and Doctoral Studies

Many women aged 20-30 are postponing their first pregnancies until their mid 30s and beyond, which has resulted in compressed childbearing years and/or infertility. Little is known about the knowledge and understanding that Canadian women of advanced age (age 35-45) possess of their reproductive capacity. This phenomenological study sought to explore these women's knowledge and perception of their reproductive capacity in relation to the timing of first pregnancy. Research questions using the constructs of Ajzen's theory of planned behavior were developed to explore how the behavioral, normative, and control beliefs of women's childbearing behaviors were based on their perceptions of …

Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones

Walden Dissertations and Doctoral Studies

Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …

Relationship Between Meaning In Life And Dispositional Forgiveness, Shirley Karseboom

Walden Dissertations and Doctoral Studies

Both meaning in life and forgiveness have been shown to separately contribute to better mental health. However, no prior research examined the linkage between meaning in life and forgiveness. This quantitative study was therefore to identify if there was a relationship between meaning in life, as measured by the Meaning in Life Questionnaire (MLQ), and overall dispositional forgiveness, dispositional forgiveness of self, dispositional forgiveness of others, and dispositional forgiveness of situations, as measured by the Heartland Forgiveness Scale (HFS). Survey data were gathered from 250 college students in Western Canada, and multiple linear regression controlling for sociodemographic factors was used. …

Short Term Memory Of Magnetic Resonance Imaging Technologists, Samuel Maldonado

Walden Dissertations and Doctoral Studies

This study examined the short term memory (STM) difference of magnetic resonance imaging (MRI) technologists versus non-MRI technologists. Human and animal studies have indicated that residual magnetic fields have caused changes within the cerebral structure. Research on residual magnetic fields and their effect on STM is still at its infancy. A quasi-experimental design was used to determine if any significant difference existed between the STM of MRI technologists (n = x) and a control population sample (n = x). The STM of both groups was assessed with the use of the Rivermead Behavioural Memory Test-Third Edition. Solicitation of the participants …

Gender And Self-Care Behaviors In The Burnout Of Mental Health Professionals, Kafy-Ann Martin-Johnson

Walden Dissertations and Doctoral Studies

Difficulties experienced at work can cause feelings of burnout that become prolonged and intensified without acts of self-care. The intense nature of mental health workers' jobs may make them, more vulnerable to burnout than other professionals. Because mental health professionals' mental and emotional wellness can significantly affect their work, adequate self-care is critical to both their well-being and that of their clients. Previous researchers have investigated the self-care behaviors of mental health professionals, but little was known about how gender affected the use of these behaviors in burnout prevention among mental health professionals. The purpose of this quantitative study was …

Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor

Walden Dissertations and Doctoral Studies

Nondisclosure of positive status drives the secondary transmission of human immunodeficiency virus (HIV) infection. This cross sectional quantitative survey study grounded by the consequence theory evaluates fear of stigma, lack of social support, and level of HIV-related knowledge as barriers to self-disclosure of HIV-positive status to stable heterosexual partners. A sample of 303 HIV-infected respondents (111 men and 192 women) accessing antiretroviral therapy at 4 designated centers in Warri, Nigeria, completed the self-administered questionnaires. Logistic regression analysis was used to assess the association between these factors and spousal HIV-positive status disclosure. Results demonstrated: (a) social support availability significantly predicted HIV …

Outcomes Of Aggression Replacement Training For U.S. Adolescents In Residential Facilities, Coral Ann Ondrus

Walden Dissertations and Doctoral Studies

A National Survey indicated that 1.6 million adolescents in the U.S. were arrested in 2010 and 1.5 million in 2011 for erratic aggressive behaviors, thus showing a decline from the 2.18 million adolescent arrests in 2007. Residential facilities in the state of Pennsylvania offer a group intervention called Aggression Replacement Training (ART) to help adjudicated adolescents regain control of erratic behaviors. The purpose of this study was to examine the extent to which level of group participation in ART and certain demographic factors (age, gender, ethnicity, family socioeconomic status, parental involvement, and education) predict decreased aggression and increased anger control …

Teacher Perceptions Of The Effectiveness Of Inclusion In Elementary Classroom Settings, Delicia Peacock Peacock

Walden Dissertations and Doctoral Studies

Inclusion classrooms were introduced in the United States in 1990 when the Individuals with Disabilities Education Act required that special education students be instructed in a general education setting. Ensuing changes in instructional formats have caused role confusion for special and general education teachers, resulted in mixed attitudes toward teacher responsibilities, and lowered teachers' sense of efficacy about being able to teach their students. Guided by Deci and Ryan's self-determination theory, this bounded case study design in a rural elementary school in a southeastern state was used to understand the perceptions of general and special educators regarding their work in …

The Successful Implementation Of Electronic Health Records At Small Rural Hospitals, Daniel Richardson

Walden Dissertations and Doctoral Studies

Electronic health records (EHRs) have been in use since the 1960s. U.S. rural hospital leaders and administrators face significant pressure to implement health information technology because of the American Recovery and Reinvestment Act of 2009. However, some leaders and managers of small rural hospital lack strategies to develop and implement EHRs. The focus of this descriptive phenomenological study was to explore lived experiences of hospital leaders and administrators who have used successful strategies to implement EHRs in small rural hospitals. Diffusion of innovation theory shaped the theoretical framework of this study. Data were collected through telephone interviews conducted with participants …