Digital Commons Network^™

Promoting Annual Depression Screening In A Federally Qualified Healthcare Center, Denise Lesley Alleyne

Walden Dissertations and Doctoral Studies

According to the World Health Organization, depression affects about 350 million people worldwide. In 2014, only 50% of the adult patients were screened for depression in the community-based Federally Qualified Healthcare Center (FQHC) for which this doctorate of nursing practice (DNP) project was developed. In an effort to meet the 100% benchmark set nationally for the screening of adult patients in the primary care settings, the FQHC's quality improvement team now requires that 80% of adult patients in the clinic be screened for depression. Framed within the Iowa model of evidence-based practice, the purposes of this project were to: (a) …

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 …

Strategies To Improve Employee Performance In The U.S. Aerospace Industry, Nicole Therese Balderrama

Walden Dissertations and Doctoral Studies

Outsourcing is a sought out practice within business and, in particular, the U.S. aerospace industry; however, some outsourced firms cannot meet client expectations. The purpose of this single case study was to explore what strategies outsourced firm company leaders use to improve the performance of employees. The sample comprised 4 senior managers employed with a firm that has been producing parts for 109 years for a major aerospace company in Southern California. The conceptual framework for this study built upon systems thinking to identify the structure of the outsourcing and supplier relationship and Herzberg's motivation-hygiene theory to understand work motivation …

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 …

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 …

High School Teachers' Perceptions Of Mental Health And Adolescent Depression, Christine Ann Breuer

Walden Dissertations and Doctoral Studies

Adolescents have a high rate of untreated mental health issues, specifically related to depression. Current literature does not indicate the impact of teachers' attitudes toward mental health on their decisions to refer students for services. This study provides understanding specifically, how teachers' beliefs about mental health, as well as their age, gender, ethnicity, years of education, and years of teaching, were analyzed to determine the impact each these characteristics had on the decision to refer a student for services. 92 high school teachers participated in this quantitative study by completing a survey measuring their attitudes of mental health, and then …

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 …

Self-Evaluative Salience And Motivational Salience As Predictors Of Depressive Affect And Appearance Based Rejection Sensitivity., Mandana Toosi

Walden Dissertations and Doctoral Studies

Although the psychological effects of appearance schemas have been studied in the general population, we know little about the relation of these schemas to appearance-based rejection sensitivity. This study examined the relations among predictive variables of appearance-invested self-schemas (self-evaluative salience [SES] and motivational salience [MS]), appearance-based rejection sensitivity, and depressive affect. Self-discrepancy theory was used to theorize that when individuals experience discrepancies with self, conflict arises in self-schemas, and that this conflict relates to an increase in depressive affect and appearance-based rejection sensitivity. The sample consisted of 131 adult female college students participating in a continuing education program. Multiple regression …

Improving Pain Management For Hospitalized Patients, Ronda Sweet

Walden Dissertations and Doctoral Studies

Uncontrolled pain has proven effects on both physiological and psychological responses of hospitalized patients. These incapacitating sequelae most often negatively impact patient outcomes resulting in unnecessary suffering and prolong hospitalizations. First line nurses often have preconceived notions about a patient's pain without developing an individualized patient context that considers appropriate pain management knowledge translated from best practice standards. Guided by Bandura's social learning theory and Lippitt's change theory, the purpose of this quality improvement project was to determine if use of the Curriculum Outline on Pain for Nursing from the International Association for the Study of Pain (IASP) improved nursing …

The Effects Of Participative Leadership Practices On Job Satisfaction For Highly Skilled Virtual Teams, Funda Sinani

Walden Dissertations and Doctoral Studies

Virtual-team professionals have reported experiencing low job satisfaction due to lack of face-to-face interaction leading to stress, miscommunication, and role-confusion. Dissatisfaction among virtual teams has increased turnover and management costs for organizations. Despite these known associations, there was a gap in the literature investigating efficient leadership practices to improve job satisfaction for highly skilled virtual teams. Participative leadership offers an effective approach to increase job satisfaction among face-to-face teams and innovative teams. This study explored the relationship between participative leadership and job satisfaction among highly skilled virtual teams within the global software industry. A quantitative study with a correlational design …

Mitigating The Effects Of Withdrawal Behavior On Organizations, James Fitzgerald Alexander

Walden Dissertations and Doctoral Studies

Withdrawal behaviors such as absenteeism, tardiness, turnover intention, and employee disengagement adversely affect organizations, costing billions of dollars annually. However, there is limited research on the best practices for minimizing the effects of employee withdrawal. The purpose of this qualitative case study was to explore best practices leaders need to mitigate the effects of withdrawal behaviors on organizations. The social learning theory (SLT) served as the conceptual framework for this study. Ten participants were interviewed, including 4 healthcare leaders and 6 health service workers from a correctional facility nursing department in the Southeastern United States. Scholars have indicated that correctional …

Assessing Nurse Manager Competencies In A Military Hospital, Ruby O. Anderson

Walden Dissertations and Doctoral Studies

Military health care organizations need competent frontline managers with knowledge and skills to manage health care complexity and ensure evidence-based practice. With systematic, planned turn over of military managers, more civilian managers are needed to fill permanent positions in military hospitals. The purpose of this project was to provide a better understanding of the competencies perceived by nurse managers at a military medical center and whether they differed by military or civilian status. The American Organization of Nurse Executives competency model and framework provided the theoretical framework for the project. The design was nonexperimental, with an observational, descriptive, cross-sectional approach. …

The Role Of Strategic Leadership In Banking Profitability, Joseph Ochien'g Witts

Walden Dissertations and Doctoral Studies

A study on corporate leadership failure in America by Vugt and Ronay has shown that the failure rate of business leadership in meeting profitability targets is as high as 60%. Most organizations fail to attain profitability targets due to limited experience and exposure to strategic leadership. The aim of this single case study design was to explore the role of strategic leadership in banking profitability. Twelve purposively selected senior bankers and members of the board of directors with over 10 years of experience in banking and profitability and 3 years in the top management team participated in the study in …

Preventive Health Education Media And Older Worker Health Literacy, Lori Michelle Williams-Johnson

Walden Dissertations and Doctoral Studies

The United States has experienced an increase in older workers as individuals born between 1946 and 1964 have remained in the labor force. Preventive health screening education, such as an immunization flyer, is necessary to avert preventable illness among older workers. Based on previous research, there is a gap regarding age-specific methods for educating the older worker about preventive health. Therefore, the purpose of this study was to explore the relationship between various media providing preventive health screening information and the assessed health literacy of the older worker. Based on the health belief model, a quantitative, cross-sectional method was used. …

A Case Study For Georgia Southwestern State University: The Discrepancies' Of Financial Aid Services That Impact Student Enrollment, Angela V. Bryant

Walden Dissertations and Doctoral Studies

At many traditional universities, the federal timelines for determining financial aid eligibility is based on releasing of the Free Application of Federal Student Aid each January, and the subsequent financial aid processing cycle July 1- June 30th. These federally established dates can conflict with traditional August class starts and creates a backlog and delayed processing of information that, in turn, hinders students from receiving timely information in order to make informed decisions based on financial aid awards. The purpose of this case study of a traditional university in Georgia was to apply net price theory and rational choice theory to …

Effectiveness Of Early Childhood Programs On The Literacy Achievement Of Kindergarten Children, Lashia Cox

Walden Dissertations and Doctoral Studies

Early childhood development programs enhance children's development of knowledge, skills, and processes. Despite efforts to improve early childhood education in the United States, poor student performance in early literacy and kindergarten achievement is still occurring, and questions remain unanswered about the utility of early childhood education programs. Drawing from the theory of constructivism, the purpose of this quantitative, quasi-experimental, retrospective study was to determine the effectiveness of early childhood programs on the literacy achievement of kindergarten children. The research question addressed the differences in literacy achievement of kindergarten children based on the early childhood programs they attended. Using repeated measures …

Characteristics Of The Informal Caregiver: An Integrative Literature Review, Jonanna R. Bryant

Walden Dissertations and Doctoral Studies

The needs of the informal caregiver can be difficult to determine apart from those related to caring for the terminally ill loved one. Often, informal caregivers' individual needs are lost because of their day-to-day responsibility and care of their terminally ill loved one. The purpose of this project was to discover the characteristics of informal caregivers of the terminally ill. An integrated literature review was conducted using the Fineout-Overhalt, Melnyk, Stillwell, and Williamson's (2010) analytical approach to reviewing the evidence. The approach consisted of 7 levels for evaluating the hierachy of evidence. Inclusion criteria were studies limited from January 2004 …

How Grant Recipients Can Satisfy Compliance Requirements For U.S. Federal Awards, Thomas Edward Drabczyk

Walden Dissertations and Doctoral Studies

Improper grants payments stemming from weaknesses in business processes have been a focus of the U.S. president, Congress, and federal and state governments since 2009. Researchers have demonstrated that the internal control weakness at the federal, state, and local government level has contributed to the problem of compliance. The Office of Management and Budget issued federal rules effective in December 2014 to address the problem of federal award compliance. Despite these measures, there is a gap in the literature on strategies for recipients of federal grants to meet compliance requirements. The purpose of the qualitative descriptive study was to explore …

Quality Of Life Of People With Profound Developmental Disabilities Based Upon Residential Settings, Kristin Jill Korinko

Walden Dissertations and Doctoral Studies

There is much research literature on quality of life with people with varying mild to moderate levels of developmental and intellectual disabilities. A gap remained in the current literature regarding differences between the severe to profound levels of intellectual and developmental disability across residential settings. The purpose of this study was to assess the level of support of people with severe to profound levels of developmental disabilities who resided and received services either in an institution and those who receive services within the community. The theoretical foundation for this study was Maslow's theory of humanism along with the contemporary theory …

Exploring U.S. Business Leaders' Strategies For Enhancing Team Communication, Susan Kuehn

Walden Dissertations and Doctoral Studies

Many senior project managers (PMs) and other business leaders lack effective strategies for enhancing communication among their team members, thereby reducing profitability and organizational cohesion. The purpose of this exploratory case study was to explore communication strategies used by 22 PMs who were members of a project manager professional (PMP) association in Colorado, with 5 or more years of relevant experience and who worked at a leading technology company recognized for its effective PM communication strategy for enhancing business-team communication. The conceptual framework for this study was built on interpersonal, mass communication and profound leadership theories. PMs were interviewed, and …

Perceived Impact Of Prevention And Relationship Enhancement Program (Prep) On Marital Satisfaction, Angel Shantella Pierce

Walden Dissertations and Doctoral Studies

Married couples often face serious issues that require them to make difficult decisions in their relationships. Many couples turn to marital counseling as a means to improve the marriage. The purpose of this phenomenological study was to understand and describe the experiences of heterosexual married individuals who participated in the Prevention and Relationship Enhancement Program (PREP) and how they felt their participation had influenced their perceived satisfaction in their marriages. The theoretical framework that guided this study was social exchange theory, which is a basis for thinking about the influence individuals have on each other in personal relationships. The research …

African American Single Mothers' Perceptions Of Physical Activity, Sheryl Lynn Richard

Walden Dissertations and Doctoral Studies

Insufficient physical activity detracts from healthy living and has a disparate impact on African American women and their female children. The extensive body of prior research addressing preventable chronic disease and other consequences of insufficient physical activity includes limited information specific to African American single mothers. The purpose of this descriptive phenomenological study was to gain an understanding of African American single mothers' perceptions of physical activity. Specifically investigated were African American women's familial influences and potential effects of these influences on their children's health behaviors. The health belief model served as the theoretical framework for this study and provided …

Combining The Sonday System And The Developmental Reading Assessment To Improve Struggling Readers' Standardized Test Scores, Daphne Tinglin-Jarrett

Walden Dissertations and Doctoral Studies

Struggling students' poor reading and comprehension skills have continued to be a national problem. A New Jersey Department of Education report showed that of 311,628 middle school students tested in language arts, 26.2% scored at the partial proficiency level and 58.5% scored at the proficiency level. Further review of the middle schools in a local school district revealed that 57% of the students struggled to read and were unable to pass the Benchmark and New Jersey Assessment of Skills and Knowledge (NJASK) tests. The purpose of this study was to compare the NJASK test scores when the Developmental Reading Assessment …

Role Of Outsourcing In Stress And Job Satisfaction Of Information Technology Professionals, Janell Renee Robinson

Walden Dissertations and Doctoral Studies

Information technology (IT) outsourcing poses a potential job loss threat to IT professionals, which can decrease job security, job satisfaction, and organizational commitment. The problem that this study addressed was the perceived role of IT outsourcing in the job stress, job dissatisfaction, and turnover intention of IT professionals. The purpose of this study was to explore how job-related stress, job dissatisfaction, and turnover intention within the IT profession are influenced by outsourcing as perceived by IT workers themselves. Phenomenology was the methodology used, and the person-environment fit theory formed the theoretical framework for this study. The research questions addressed outsourcing …

African American Entrepreneurial Sustainability, Edward Turner

Walden Dissertations and Doctoral Studies

African Americans are among the fastest growing entrepreneurial minority group in the United States, but they continue to struggle with sustaining these new business ventures. Evidence suggests that African American business entrepreneurs experience an increased failure rate with a 4-year business survival rate of 39%. Reducing the failure rate would significantly add to the U.S. economy (an estimated $2.5 trillion) and create nearly 12 million more jobs. The purpose of this single case study was to explore the strategies and behaviors of an award-winning African American entrepreneur in Miami Dade County who has remained in business over 20 years. The …

How Social Presence On Twitter Impacts Student Engagement And Learning In A Grade 8 Mathematics Classroom, Shelly Vohra

Walden Dissertations and Doctoral Studies

Social media for personal use has evolved rapidly among adolescents, changing the way they communicate with each other. However, little research has been conducted about how teachers use social media in the classroom to improve student learning. The purpose of this qualitative study was to describe how social presence on Twitter impacts student engagement and learning when a mathematics teacher integrates this social media tool into an instructional unit. The conceptual framework was based on social presence theory developed by Short, Williams, and Christie. This qualitative study used a single case study design. Participants included 6 students and 1 classroom …

The Aftermath Of Violence: The Lived Experience Phenomena Of Assault In Nursing, Kathleen Clark

Walden Dissertations and Doctoral Studies

Despite the high incidence of violence directed at registered nurses while on duty, there is limited qualitative data that explores the lived experience of returning to the workplace after an assaultive incident. This phenomenological study sought to explore and analyze the phenomena of registered nurses who are employed in high-risk settings. The research questions considered the detailed descriptions of the experiences of nurses returning to the workplace. The conceptual framework was resiliency, as these participants continued to survive and thrive after the adverse assaultive events. Data were collected using in-depth interviews from purposeful sampling. Registered nurses working in the high …

Perceptions Of Leader Emotional Intelligence And Subordinate Turnover Intentions In Substance Abuse Treatment Centers, Suzanne L. Jafferian

Walden Dissertations and Doctoral Studies

Substance abuse is a persistent social problem contributing to family disruption; domestic abuse; school failure; and financial costs relating to criminal prosecution, incarceration, treatment, and lost productivity and wages. Substance abuse is amenable to treatment, including psychotherapy. A client-therapist relationship is broken if the therapist leaves the organization; therefore, employee retention is especially important in treatment centers. Employee retention has been studied, but how it is affected by supervisees' perceptions of their managers' emotional intelligence has been a neglected area. The purpose of this nonexperimental, correlational study was to determine the relationship between employee turnover intention and perceived emotional intelligence …