Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

2017

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 38581 - 38610 of 41150

Full-Text Articles in Entire DC Network

The Effect Of Health Literacy In Low Estimated Glomerular Filtration And Diabetes, Nicklett Johnston Johnston Jan 2017

The Effect Of Health Literacy In Low Estimated Glomerular Filtration And Diabetes, Nicklett Johnston Johnston

Walden Dissertations and Doctoral Studies

Health literacy is widespread, but its potential is not recognized. By not recognizing health literacy, patients have the burden of coping with diabetes with renal complications without full knowledge of their responsibility to their health. The focus of the project was to assess participants with diabetes with low health literacy and low mean glomerular filtration rate (eGFR). The project goal was achieved by the assessment of the participants' health literacy and eGFR before and after education for their diabetes, then assessed to determine if teaching the participants would improve their health literacy, lab values, and overall health. Participants were recruited …

Go to article

Official And Unofficial Mentorship By Generational Cohorts Of State Teachers Of The Year, Angelica Jordan Jan 2017

Official And Unofficial Mentorship By Generational Cohorts Of State Teachers Of The Year, Angelica Jordan

Walden Dissertations and Doctoral Studies

Some school districts are exploring mentorship to help teachers enact more effective classroom practices that lead to higher student outcomes. The Good to Great study, by the National Network of State Teachers of the Year outlined the professional growth opportunities that state teachers of the year (STOYs) perceived as contributing to their success in the classroom. Although the STOYs noted that mentorship was a key factor, the original study did not examine how different generations of educators may respond differently to mentorship based on their generational cohort identity. The purpose of this nonexperimental, causal-comparative study using Good to Great data …

Go to article

Driving Strategies In Performance Excellence, Nathan Lawrence Jan 2017

Driving Strategies In Performance Excellence, Nathan Lawrence

Walden Dissertations and Doctoral Studies

Only a small number of U.S. businesses have implemented the Baldrige Criteria for Performance Excellence to improve their performance. The purpose of this multiple case study was to explore strategies that executive business leaders use to implement the Baldrige Criteria for Performance Excellence. The study population consisted of 6 business executives and 2 organizations in the U.S. state of Texas, all with experience in implementing the Baldrige Criteria for Performance Excellence. The theory of high performance work systems provided the conceptual framework for the study. Data were gathered from interviews and record reviews that were conducted within the organizations. Inductive …

Go to article

The Impact Of Transitional Justice On Conflict Resolution And The Maintenance Of Peace, Joe Lambongang Jan 2017

The Impact Of Transitional Justice On Conflict Resolution And The Maintenance Of Peace, Joe Lambongang

Walden Dissertations and Doctoral Studies

Ethnic conflicts persist in Ghana despite the efforts of governments to resolve them. Governments are increasingly concerned not only about their massive human rights abuses and wide-scale destruction of property that characterize these conflicts, but also the difficulty of resolving them and restoring permanent peace. The purpose of this qualitative exploratory case study was to provide a deeper understanding of the processes and mechanisms of transitional justice implemented in Dagbon after war broke out in 2002 and explore the conditions under which these initiatives can be more effective in resolving the conflict and maintain peace. Data were collected through individual …

Go to article

Standardized Communication At The Bedside: A Review For Reimplementation, Eunice Rosas Jan 2017

Standardized Communication At The Bedside: A Review For Reimplementation, Eunice Rosas

Walden Dissertations and Doctoral Studies

This paper discusses a developmental, interdisciplinary quality improvement project that seeks to improve healthcare communication by standardizing clinician communication across all levels of care. The purpose of this project was to develop an organizational policy and interdisciplinary practice guidelines to standardize the patient handoff at the bedside. The initiative intended to use processes already in place in the organization and to integrate the knowledge from a literature review to plan the implementation of bedside handoff procedures. The quality improvement project process included assembling an interdisciplinary committee; reviewing relevant peer-reviewed literature; and developing policy, relevant guidelines, as well as long-term plans …

Go to article

Evaluation Of Math Block-Scheduling For Low Performing At-Risk And Economically- Disadvantaged Students, Toni Trice Jan 2017

Evaluation Of Math Block-Scheduling For Low Performing At-Risk And Economically- Disadvantaged Students, Toni Trice

Walden Dissertations and Doctoral Studies

Research shows a math achievement gap for at-risk and economically-disadvantaged students in the United States. To address this issue, a Texas school district implemented a 90-minute math block-scheduling program with 8th grade students. Shaped by the academic learning time and social justice theories, the purpose of this quantitative program evaluation was to determine if students in 3 key subgroups (low performing, low performing and at-risk, and low performing and economically-disadvantaged) who participated on the 90-minute block-schedule performed significantly better on the math state standardized assessment than did students in the same subgroups who remained on the traditional schedule. This retrospective …

Go to article

Improving Contract Management By The Government Contracting Officers' Representatives, Etta J. Waugh Jan 2017

Improving Contract Management By The Government Contracting Officers' Representatives, Etta J. Waugh

Walden Dissertations and Doctoral Studies

Leaders in the Federal Government of the United States have a problem ensuring the contract management resources used to administer and monitor contracts meet organizational performance goals. Contracting officer's representatives (CORs) are members of the acquisition workforce responsible for contract management. This study explored the ways in which resource-based strategies can improve the quality of CORs' performance in contract management by exploring an organizational framework based on strategic management approaches. Interview data were collected from 41 CORs from the 10 Federal Government agencies that represented 85% of the fiscal year 2014 expenditures. These CORs had all managed contracts with successful …

Go to article

Consensus In Anesthesia Handoff Reporting, Robin Lee Anselm Jan 2017

Consensus In Anesthesia Handoff Reporting, Robin Lee Anselm

Walden Dissertations and Doctoral Studies

Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff. Theories and models used to inform the project included the Inter-Professional Team Collaborative, Lewin's change theory, the continuous quality improvement theory, and the knowledge to action model. The communication assessment tool (CAT) functioned as a needs assessment yielding a gap in handoff practice of 25 participants. The CAT also served as the post project evaluation survey. The situation, background, assessment, and recommendation (SBAR) tool …

Go to article

Voluntary Employee Turnover: Retaining High-Performing Healthcare Employees, Jesse J. Boyd Jan 2017

Voluntary Employee Turnover: Retaining High-Performing Healthcare Employees, Jesse J. Boyd

Walden Dissertations and Doctoral Studies

Voluntary employee turnover in the healthcare industry is one of the most expensive and disruptive business problems that healthcare organizations encounter. Healthcare organizations can expect employee replacement costs to represent up to 150% of a departing employee's annual salary in new employee acquisition and decreased productivity. Guided by the leader-member exchange theory, the purpose of this single case study was to explore the strategies healthcare managers used to retain high-performing healthcare employees. Using semistructured interviews, the targeted population encompassed 6 healthcare managers from a healthcare organization in Central Texas who have demonstrated successful strategies for retaining high-performing healthcare employees by …

Go to article

Why Leader-Member Exchange Is Important To Business Thinking, Linda Lou Coto Jan 2017

Why Leader-Member Exchange Is Important To Business Thinking, Linda Lou Coto

Walden Dissertations and Doctoral Studies

Leadership style affects the workforce and is one of many vital elements in business operations. Prior research suggests that leadership style can affect production outcomes and employee turnover ratios, yet scant evidence suggests the effect of leadership style on business thinking. This qualitative grounded theory study investigated the extent to which a leadership style known as LMX theory drives business thinking. The information gained from this study, including the effect on business thinking, may enhance how companies coach their leaders to interact with subordinates and improve production outcomes. Participants came from either private and public-sector companies or agencies. The sample …

Go to article

Parental Perception Of Mobile Device Usage In Children And Social Competency, Christin Topper Jan 2017

Parental Perception Of Mobile Device Usage In Children And Social Competency, Christin Topper

Walden Dissertations and Doctoral Studies

Parents in the 21st century are concerned with the ubiquity of mobile devices and their effects on the progression of social development. A review of the literature indicated that although digital interaction has become more prominent, limited empirical data existed on whether children who spend more time interacting in the digital realm would develop the necessary competency to handle social situations in real-life settings. Using social constructivist theory and the Schramm model of communication as the theoretical foundations, the present study examined the relationship between mobile device usage and the level of social competency in young children as perceived by …

Go to article

Experiences Of Public Agency Managers When Making Outsourcing Decisions, Shakeel Baig Jan 2017

Experiences Of Public Agency Managers When Making Outsourcing Decisions, Shakeel Baig

Walden Dissertations and Doctoral Studies

Managers in state transportation agencies in the United States must frequently choose between using the talents and abilities of in-house staff or outsourcing for road and bridge design projects. Budgetary crises have strongly affected funding for transportation infrastructure. Facing budgetary pressures to suppress costs, managers must frequently make the choice of outsourcing a project or performing it in-house. Yet, decision-making models for these decisions are inadequate. The purpose of this phenomenological study was to explore and describe the lived experiences of public agency managers when making decisions to outsource the core government functions such as road and bridge design projects. …

Go to article

Employees' Organizational Commitment And Turnover Intentions, Andrea Annette Bonds Jan 2017

Employees' Organizational Commitment And Turnover Intentions, Andrea Annette Bonds

Walden Dissertations and Doctoral Studies

Employees who want to leave their companies may exhibit low morale and commitment to organizations, which may affect the way employees interact with customers. The purpose of this correlational study was to examine the relationship between employees' affective, continuance, and normative commitment to their organizations and their turnover intentions. The target population consisted of individuals with 2 or more years of call center experience who resided in the United States. Meyer, Allen, and Smith's 3-component model of commitment provided the study's theoretical framework. A purposive sampling of participants, which included a targeted audience and individuals who accessed the survey from …

Go to article

Nursing Informatics Competency Program, Kristina Ann Dunn Jan 2017

Nursing Informatics Competency Program, Kristina Ann Dunn

Walden Dissertations and Doctoral Studies

Currently, C Hospital lacks a standardized nursing informatics competency program to validate nurses' skills and knowledge in using electronic medical records (EMRs). At the study locale, the organization is about to embark on the implementation of a new, more comprehensive EMR system. All departments will be required to use the new EMR, unlike the current policy that allows some areas to still document on paper. The Institute of Medicine, National League of Nursing, and American Association of Colleges of Nursing support and recommend that information technology be an essential core competency for nurses. Evidence of the need for nursing informatic …

Go to article

How Women Experience And Respond To Singlism: Stereotyping And Discrimination Of Singles, Lisa Lynn Hancock Jan 2017

How Women Experience And Respond To Singlism: Stereotyping And Discrimination Of Singles, Lisa Lynn Hancock

Walden Dissertations and Doctoral Studies

Society views and treats women who are single differently than women who are not single. This practice of stereotyping and discrimination towards singles is called singlism. The purpose of this qualitative study was to use grounded theory methodology to explore and explain how women experience singlism and what explains how women experience singlism. Social constructionism, cognitive dissonance theory, and social identity theory were used as conceptual foundations in explaining how society constructs the status of single women, how single women are viewed and treated, and how single women manage their single social identity. The participants of the study included women …

Go to article

A Comparison Between Administrative Leadership In Higher Education And Change-Oriented Leadership In Banks, Glenn King Jr Jan 2017

A Comparison Between Administrative Leadership In Higher Education And Change-Oriented Leadership In Banks, Glenn King Jr

Walden Dissertations and Doctoral Studies

Organizational environments continually change. Organizations that do not meet the demands for change do not survive. The required changes differ for banks versus universities, suggesting that leaders in each type of organization need to use unique styles to adapt to their unique environments. The purpose of this quantitative research study was to test a contingency theory of leadership that leaders of banks are change-oriented, whereas leaders of higher educational institutions are administrative in their style. The research questions dealt with differences in the uncertainty of internal operations and the external environment of banks versus universities, and the leadership style most …

Go to article

Safety Practices On Lead Poisoning Among Battery Technicians In Lagos Nigeria, Tajudeen Olusegun Rasheed Jan 2017

Safety Practices On Lead Poisoning Among Battery Technicians In Lagos Nigeria, Tajudeen Olusegun Rasheed

Walden Dissertations and Doctoral Studies

Maintaining due diligence on safety practices at the workplace of battery technicians is the most cost-effective intervention against lead-related hazards. The safety practice on lead poisoning in Nigeria is below average, and the compliance level is far from the expected target of 90%. Using Dejoy's workplace self-protective behavior theory, this study investigated multilevel factors that influence safety practices on lead poisoning and compared the rate of utilization of personal protective equipment by battery technicians in the organized and roadside settings. The study was a quantitative, cross-sectional survey design, and a multistage and systematic sampling technique was used to select 293 …

Go to article

Scheduling Strategies For Construction Project Managers Toward On Time Delivery, Paul Shamp Jan 2017

Scheduling Strategies For Construction Project Managers Toward On Time Delivery, Paul Shamp

Walden Dissertations and Doctoral Studies

Construction management projects involve complex, dynamic environments resulting in uncertainty and risk, compounded by demanding time constraints. Research indicated project managers have struggled to identify best practices for scheduling construction projects via critical path methodologies while searching for tools to increase timely job completions and budget profits. The purpose of this single case study was to explore the strategies that construction project managers used to manage scheduled construction project delivery on time. The constructivist philosophical worldview was used as the framework for this study. Data were collected from semistructured interviews from 7 project managers from 5 different construction companies selected …

Go to article

Nursing Staff Responsiveness To Patients And Hourly Rounding, Lucretia Wilson Wilson Jan 2017

Nursing Staff Responsiveness To Patients And Hourly Rounding, Lucretia Wilson Wilson

Walden Dissertations and Doctoral Studies

The Center for Medicare/Medicaid Services reduced the hospital's reimbursement by $500,000 due to patient care linked to the poor outcomes of marginal fall rates and low patient satisfaction survey scores as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The scores for fiscal years 2013 and 2014 for the medical-surgical unit fluctuated between 40-42.9%, without significant improvement, while the house-wide scores were 63.17%. To address the problem, a quality improvement project (QIP) was implemented. An evidence-based (EB) hourly rounding intervention was initiated following an education program for nursing staff (n=47) tailored to enrich patient communication. The …

Go to article

Exploration Of Leadership Skills For Organizational Strategy Execution, Regina L. Banks-Hall Jan 2017

Exploration Of Leadership Skills For Organizational Strategy Execution, Regina L. Banks-Hall

Walden Dissertations and Doctoral Studies

Multinational corporate leaders acknowledge that a lack of business direction by senior leadership results in a 68% failure in the execution of organizational strategies. The purpose of this qualitative study was to explore what best practice solutions automotive manufacturing senior leaders created to help front-line managers execute organizational strategies. The population consisted of 20 automotive manufacturing senior leaders located in Michigan with significant years of automotive experience and at least a year of experience employed as an automotive manufacturing senior leader. Vroom's expectancy theory served as the conceptual framework for the study describing the enhancement of employee performance related to …

Go to article

Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante Jan 2017

Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante

Walden Dissertations and Doctoral Studies

Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum potassium, phosphorus, and vitamin D of patients in emergency dialysis. The study was grounded on …

Go to article

Combat Service And Posttraumatic Stress Disorder As A Violent Crimes Predictor In Oef/Oif Veterans, Rachel L. Ivory Jan 2017

Combat Service And Posttraumatic Stress Disorder As A Violent Crimes Predictor In Oef/Oif Veterans, Rachel L. Ivory

Walden Dissertations and Doctoral Studies

There is an established link between posttraumatic stress disorder (PTSD) and criminal activity. Of every 100 veterans who served during Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF), 11 to 20 percent are diagnosed with PTSD each year. Previous research has documented that veterans are incarcerated at higher percentages compared to nonveteran inmates, though little published research examines incidence of PTSD relative to violent crime. Using Agnew's general strain theory as the foundation, the purpose of this correlational study was to examine combat service, PTSD, and specific violent crimes as defined by the FBI as murder and nonnegligent manslaughter, forcible rape, …

Go to article

Perceptions And Attitudes Of General And Special Education Teachers Toward Collaborative Teaching, Garletta D. Robinson Jan 2017

Perceptions And Attitudes Of General And Special Education Teachers Toward Collaborative Teaching, Garletta D. Robinson

Walden Dissertations and Doctoral Studies

In a Georgia middle school, general and special education teachers expressed concerns about the challenges of working collaboratively in the inclusive classroom. Effective teacher collaboration is pivotal to ensure academic success of all students. The purpose of this qualitative bounded instrumental case study was to explore middle school teachers' perceptions and attitudes toward shared teacher collaboration in inclusion classrooms. Lave and Wenger's situated learning theory was the conceptual framework. Purposeful sampling was used to select 4 general and 4 special education teachers who worked in middle school coteaching classrooms. Face-to-face interviews and teacher lesson plans were the data sources. Data …

Go to article

Exploring Organizational Change Through An Understanding Of Intrapreneurship, Raj Sampath Jan 2017

Exploring Organizational Change Through An Understanding Of Intrapreneurship, Raj Sampath

Walden Dissertations and Doctoral Studies

Organizations need to constantly innovate to be relevant in a highly competitive market. Intrapreneurship, defined as entrepreneurship within the organization, is one method to bring about this constant innovation. The purpose of this study was to explore intrapreneurship, through a multiple case study, to gain a better understanding of which business strategies can foster successful intrapreneurship initiatives. The theories of Pinchot and Porter on intrapreneurship and organizational competitiveness formed the theoretical lens for this study. The sample for this study consisted of 5 business leaders in Atlanta, Georgia who had demonstrated intrapreneurship in their organization by encouraging their employees to …

Go to article

Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson Jan 2017

Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a global health problem and efforts are needed to improve the care of individuals affected by the disease. A recent strategy for improving care within the healthcare system is patient engagement. Nurses and other health care clinicians can apply patient engagement into their clinical practice to improve the care they provide to their patients. Therefore, the purpose of this project was to increase the knowledge and awareness of patient engagement among clinicians who work with CKD patients. This quality improvement project used Lewin's force field analysis to analyze driving and restraining forces to help develop …

Go to article

Communication Training And Nonemergency Transportation Driver Perception Of Challenging Behavior, Priscilla Wright Jan 2017

Communication Training And Nonemergency Transportation Driver Perception Of Challenging Behavior, Priscilla Wright

Walden Dissertations and Doctoral Studies

Nonemergency transportation drivers play a critical role in helping individuals with Intellectual Disabilities (ID) gain access to community integration opportunities. Challenging behaviors can limit access to enrichment opportunities and possibly increase the likelihood that individuals with ID will be isolated from community enrichment activities. The purpose of this study was to determine if positive behavior support training improved nonemergency transportation drivers' perceptions of challenging behaviors displayed by individuals with ID. For purposes of this study, perception was defined as staff (driver) beliefs about the causes of challenging behavior. A convenience sample of 52 nonemergency transportation drivers was chosen from a …

Go to article

Influence Of Leadership Style On Leaders' Transition From Private To Public Sector, Lorinda Lee Jan 2017

Influence Of Leadership Style On Leaders' Transition From Private To Public Sector, Lorinda Lee

Walden Dissertations and Doctoral Studies

Leadership can improve the quality of work through motivation or degrade work through pressure. Leadership effectiveness depends on style and work environment. Differences in work environment may create challenges for leaders transitioning from private to public organizations. The purpose of this quantitative correlational study was to examine the relationship between leadership styles and ease of transition from private to public organizations. The study included the full-range leadership model as the theoretical foundation. Seventy-seven public sector employees in Ontario, Canada, participated in a survey to measure leadership style and effectiveness of transition from private to public sector. Results of multiple linear …

Go to article

The Effect Of Ged Candidate Race And Motivation Factors On Exam Outcomes, Kathi L. Middleton Jan 2017

The Effect Of Ged Candidate Race And Motivation Factors On Exam Outcomes, Kathi L. Middleton

Walden Dissertations and Doctoral Studies

Earning a General Educational Development (GED) credential can have positive results in a student's life including higher wages and better job opportunities. The 2014 version of the GED exam changed the format from a paper-based test to a computer-based test. This change coincided with a 35% decline in the pass rate indicating not all students are prepared to pass the new computer-based test (CBT). The purpose of this quantitative study was to evaluate the influence of a candidate's race and reason for taking the exam on the pass or fail outcome of the new computer-based GED exam. The study used …

Go to article

Parental Stress And Parent-Child Relationships In Recently Divorced, Custodial Mothers, Kelly Lyn Murphy Jan 2017

Parental Stress And Parent-Child Relationships In Recently Divorced, Custodial Mothers, Kelly Lyn Murphy

Walden Dissertations and Doctoral Studies

Divorce creates significant stress that can have an impact on parent-child relationship satisfaction. Past researchers have indicated that in times of high stress, parents may not be available for their children due to their personal issues. Attachment theory demonstrates the importance of the parent-child bond for the child as he or she matures, so this bond needs to be protected. The purpose of this quantitative, nonexperimental study was to examine the predictive relationship between parental stress as measured by the Parenting Stress Index, 4th Edition, Short Form (PSI-4-SF) and the parent-child relationship satisfaction as measured by the Parent-Child Relationship Inventory …

Go to article

Team Member Selection Strategies, Robert Carl Stewart Jan 2017

Team Member Selection Strategies, Robert Carl Stewart

Walden Dissertations and Doctoral Studies

Business teams have been losing millions of dollars every year in cost and schedule over-runs from incomplete or failed projects. The purpose of this single case study was to explore the strategies that business managers use to determine team fit when selecting employees for assignment to cross-functional project teams. The participants for this study were 3 senior management personnel and a 6-member employee focus group, all from midsized, nonprofit organizations located within 200 miles of the tri-state region of Delaware, Maryland, and Virginia. The conceptual framework for this study was Werbel and Gilliland's theory of person-group fit, McCrae's and John's …

Go to article

First Prev Next Last