Digital Commons Network^™

The Molecular Epidemiology Of Tuberculosis In South Carolina, 2005-2011: Estimates Of Recent Transmission And Risk Factors For Genotype Clustering, Amy Kathleen Roach

Walden Dissertations and Doctoral Studies

Because tuberculosis (TB) is a public health threat that continues to elude elimination in the United States, there is a need to identify contributing factors that may have implications for targeted control measures. Molecular studies of genetic clustering are crucial for pinpointing these contributing factors. It is for this reason this study was conducted. This was a non-experimental, cross-sectional population-based molecular epidemiological study of TB in SC from 2005 to 2011. Its purpose was to estimate the proportion of TB that may be due to recently acquired infection and to determine the risk factors associated with the genetic clustering of …

Autonomy Supportive Teaching Strategies And Student Motivation In Middle School Physical Education, Amanda Lynn Savage-Speegle

Walden Dissertations and Doctoral Studies

Many U.S. adolescents struggle with obesity and a lack of motivation to be healthy and physically active, which affects individual as well as public health. The purpose of this mixed-method study was to evaluate students' motivation to participate in physical education class and better understand the teaching strategies currently used by physical education teachers who participated in an interview and 2 observations. Self-determination theory framed the research questions, which focused on students' intrinsic motivation to participate in physical education class and physical education teachers' use of autonomy supportive teaching strategies. Learning Climate and Basic Need surveys were administered to 6th-8th …

The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch

Walden Dissertations and Doctoral Studies

Sensory processing disorder (SPD) is a neurological condition that alters the way an individual perceives sensory information. Although the condition has been studied for more than 40 years, SPD remains a difficult condition to diagnose, treat, and live with because it affects individuals uniquely, and the symptoms can change from childhood to adulthood. For children diagnosed with SPD, the misinterpretation of sensory cues can cause difficulties in family, social, and academic settings. While there is some research on the assessment and treatment of SPD, what is missing is a deeper understanding of the family, social and academic challenges these children …

The Association Between Dietary Flavonoid Intake And Chronic Obstructive Pulmonary Disease, Systemic Inflammation, And Comorbidity Burden, Tennador Sanderson

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in the United States. Dietary habits may have an impact on COPD through anti-inflammatory mechanisms. For this cross-sectional secondary data analysis study, the advanced model of the epidemiology triangle was used as a guide to assess the association between total daily flavonoid intake and COPD diagnosis, COPD severity, systemic inflammation, and comorbidity burden. Data from over 5,100 male and female participants aged 30 and older were obtained from the 2007-2010 National Health and Nutrition Examination Survey. The prevalence of COPD was 5.2% according to spirometry data. Multiple …

Information Communication Technology Management As A Gdp Growth Contributor Within Arab League Nations, Jamal Alexander Thompson

Walden Dissertations and Doctoral Studies

The general problem addressed in this study was Arab League nations' over-reliance on fossil fuels as a gross domestic product (GDP) growth driver. Arab League nations that depend primarily on fossil fuel production lack alternative resources for growth in times of fossil fuel usage or price decline. Overdependence on fossil fuels has led to minimal development in other economic sectors, primarily in skilled domestic labor, and to a high dependency on foreign skilled labor for skilled domestic jobs. The purpose of this study was to examine to what extent information communication technology (ICT) management can be a viable GDP growth …

Barriers To Mental Health Treatment Among Chronically Homeless Women: A Phenomenological Inquiry, Rebecca Keeler Spicer

Walden Dissertations and Doctoral Studies

Homeless women demonstrate higher rates of mental illness than homeless men. The combination of complex life circumstances, stigmas related to mental illness, and homelessness may cause homeless women with mental illnesses to face unique barriers that prevent them from accessing necessary mental health services. The purpose of this phenomenological study was to expand the body of literature on homeless women's experiences with the mental health system and to understand the barriers to treatment services. Guided by Young's critical social theory of gender, this study was designed to develop a better understanding of the support that may be in place to …

A Survey Comparison Of Virtual And In Situ Leadership Competencies, Christopher Wesley Wells

Walden Dissertations and Doctoral Studies

Leaders support many workplace configurations that do not rely on the collocation of leaders and followers and may exhibit different interaction competencies with employees. There was limited understanding about these leadership competencies required in virtual work environments. The purpose of this nonexperimental study was to examine the relationship between the percentages of time spent weekly as a virtual leader (IV) and 6 leadership competencies (DVs), such as a leader's vision and values. The theoretical framework was based on Sandstrom and Smith's legacy leadership model. Study participants were randomly selected from LinkedIn.com forums (N = 93). Data were collected using the …

Innovation Strategies Of Independently Owned, Nonfranchise Restaurants, Kurt W. Winter

Walden Dissertations and Doctoral Studies

The restaurant industry is the second largest employee workforce in the United States. However, less than 35% of independently owned restaurants succeed beyond the first three years of operation. Some restaurant managers do not use innovation strategies to succeed beyond three years. The purpose of this multiple case study was to explore innovation strategies that some independent nonfranchise restaurant owners in Omaha, Nebraska used to succeed beyond 3 years. The conceptual framework utilized in this study was dynamic capabilities. Dynamic capabilities create avenues of innovation to restaurant owners who do not have quick access to resources, such as an innovation …

Rural Jail Administrators Perceptions Of Take-Home Naloxone To Control Opioid Overdoses, Jaclyn Woollett

Walden Dissertations and Doctoral Studies

Opioid overdoses and overdose deaths have increased significantly throughout the United States. Naloxone distribution has become a harm reduction strategy that has proven effective in reducing opioid overdoses in urban areas through drug treatment centers and needle exchange programs. However, limited research is available on the efficacy and feasibility of these programs in rural locations and other nontraditional settings. Guided by harm reduction theory, the purpose of this qualitative phenomenological study was to address this gap by exploring the feasibility of implementing a take home naloxone program in rural jails. Semistructured interviews were conducted with 6 jail administrators in rural …

Strategies For Improving Utilization Of Maternal Health Program Funds In Ghana, Dorothy Esi Awotwi

Walden Dissertations and Doctoral Studies

Effective utilization of donor resources for maternal health remains a challenge in Ghana. The purpose of this descriptive multiple case study was to identify strategies and processes that recipient partners use to improve the utilization of maternal health program funds. Harrod and Domar's aid-to-investment-to-growth model, Collier's game theory, and Martens' agency theory on aid effectiveness informed the conceptual framework of the study. The study included face-to-face semistructured interviews with 7 program and project managers from 7 UNFPA recipient institutions in Ghana. Data analysis involved assembling, rearrangement, categorizing, and interpreting the data. Member checking and methodological triangulation of interview data with …

Strategic Cyber-Risk Implications Of Cloud Technology Adoption In The U.S. Financial Services Sector, Olatunji Mujib Arowolo

Walden Dissertations and Doctoral Studies

According to research, the risks of adopting new technology and the technological and organizational factors that influence adopting it are not clear. Thus, many financial institutions have hesitated to adopt cloud-computing. The purpose of this quantitative, cross-sectional study was to evaluate the cyber-risk implications of cloud-computing adoption in the U.S. financial services sector. The study examined 6 technological and organizational factors: organization size, relative advantage, compliance, security, compatibility, and complexity within the context of cyber-risk. Using a combination of diffusion of innovation theory and technology-organization-environment framework as the foundation, a predictive cybersecurity model was developed to determine the factors that …

Evidence-Based Practice Project Proposal: Reducing Chfrr Through The Get Well Networks Chf Prevention Education Materials, Susan Kay Richmond

Walden Dissertations and Doctoral Studies

In the United States, congestive heart failure (CHF) impacts 6.5 million adults and costs about $39 billion year with a projected incidence increasing by 25% by 2030. CHF can be addressed by advancing patient self-care knowledge through interactive patient education. For this project, the Health Beliefs Model guided a strategy to stimulate behavior modification based on perceived benefits of self-care. The purpose of this quality improvement project was to implement an interactive patient education video system, called the Get Well Network, to encourage patient self-care to reduce CHF readmission rates at a veteran's administration hospital. Four evidence-based CHF video order …

Effectiveness Of Hands-On Pedagogy In Stem Education, John Kyere

Walden Dissertations and Doctoral Studies

With the low enrollment in the science, technology, engineering, and mathematics (STEM) fields at the high school and college levels, administrators at the local school district have been struggling to improve elementary school students' performance in math and science. Therefore, the purpose of this study was to evaluate the effectiveness of the STEM program using hands-on instruction facilitated by professional development (PD) activities. Guided by Dewey, Piaget, and Vygotsky' constructivism theory, the qualitative program evaluation using the research questions examined the success of the STEM program using a hands-on instructional approach and the PD support that teachers need to be …

The Relationship Between Childhood Maltreatment And Sexual Coercion Proclivity In Women, Christina Renee Dean

Walden Dissertations and Doctoral Studies

Researchers have explored the effects of sociocultural factors on male and female sexual expression, as well as the relationship between sexual objectification and overall sexual well-being; however, few scholars have focused on how, when combined with early experiences of childhood maltreatment, such factors can result in increased long-term risks for a variety of concerns that may impede the development of healthy relationships in women. This quantitative study explores the relationship of childhood maltreatment and sexual coercion proclivity in adult women. The purpose of this study was to measure self-reports of 1 or more experiences with childhood maltreatment (i.e., physical, sexual, …

Relationship Between Educational Leisure Motivation And Recovery From Mental Illness Among Members Of Clubhouse International, Dianna Rene Pearce

Walden Dissertations and Doctoral Studies

Individuals with serious mental illness (SMI) exhibit low motivation to participate in educational leisure activities at Clubhouses accredited by Clubhouse International (CI). This correlational study examined the relationship between each of 4 motives, intellectual, social, competence-mastery, and stimulus-avoidance, to engage in leisure activities, and the perception of recovery from SMI. Knowles's theory of andragogy supported the concept of informal self-directed learning, which occurs with leisure activities. Literature indicates that participating in leisure activities such as those offered at Clubhouses aids in the recovery from SMI. Quantitative data were collected from a convenience sample of 75 individuals at 4 CI clubhouses …

Leadership Styles And Employee Motivation In Qatar Organizations, Anas Al Haj

Walden Dissertations and Doctoral Studies

Organizations in the public sector in Qatar have a reputation for delivering inefficient services. Leaders lack an understanding of motivational factors affecting public sector employee performance. The purpose of this correlational research was to examine the relationship between leadership styles and employee motivation in public companies in Qatar. The independent variables were the transformational, transactional, and passive-avoidant leadership styles. The dependent variable was employee motivation. The moderator variables were employee age and salary. A sample of 92 employees from 4 public sector organizations in Qatar responded to the online survey. The full range leadership theory served as the theoretical foundation …

Examining U.S. Policy Makers' Conceptions Of Liberty In Drafting The Affordable Care Act, Louis Altobelli

Walden Dissertations and Doctoral Studies

The U.S. legislators may have incorrectly incorporated outlooks on liberty and natural law associated with the Patient Protection and Affordable Care Act (ACA) of 2010. The purpose of this case study was to use Kersch's conceptualization of declarationism and Hayek & Kamowy's construct of socialism to examine whether the ACA incorporates principles associated with the natural right of liberty as promoted by the Founders of the United States. The central research question that guided this study investigated whether U.S. lawmakers followed the intentions of the Founders in passing the ACA, as demonstrated in the legislation, related bureaucratic reports, and court …

Facebook And Teenagers: Investigating Changes Of Perceived Peer Pressures For Romantic Relationship Involvement Based On Facebook Attachment, Courtney Lynn Weiss Bennett

Walden Dissertations and Doctoral Studies

Although youth aged 12-17 years old constitute a growing segment of Facebook users, the impact social networking websites may have on their psyche has not been well-studied. Additionally, researchers have not investigated peer pressure as a mediator between individuals overall attachment to Facebook and the desire to be involved in a romantic relationship among teens or adults. The purpose of this quantitative study was to examine the connection between Facebook attachment and perceived peer pressure, specifically with regard to romantic relationships in individuals aged 14-17 years. Impression management theory served as the theoretical framework. A survey design was used to …

Elementary Instructional Best Practices For English As Secondary Language Teachers, Terrance Michael Bigley

Walden Dissertations and Doctoral Studies

A trending national concern is the increasing number of English language learners (ELL) who are being reclassified as long-term English language learners (LTELL) instead of progressing to the general education classroom. This trend is a local problem for the study elementary schools. Guided by sociocultural learning theory that outlined ESL best instructional practices, the purpose of this case study was to examine the instructional practices of elementary ESL teachers. Ten ESL teachers from each grade level from 1st to 5th grades were interviewed and observed. Analysis and organization of the data through its transcription and coding led to the emergence …

Relationship Between Teachers' Attitudes Toward Inclusion And Professional Development, Patricia Chatman Chatman

Walden Dissertations and Doctoral Studies

Integration of general and special education students in the classroom has become common in many educational systems. Researchers have found that some general education teachers may have negative attitudes of inclusion when they are inadequately prepared to instruct in an inclusion setting. The purpose of this causal-comparative study was to investigate the relationship of teachers' professional development (PD) on their attitudes about teaching in an inclusive classroom at a northeast Georgia middle school. Using Vygotsky's sociocultural developmental theory, the research question examined the difference in teachers' attitudes toward inclusion as measured by the Scale of Teachers' Attitudes Toward Inclusive Classrooms …

Generational Communications In The New York City Public Sector Workplace, Nathasha Anita Brooks-Harris

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Nathasha Brooks-Harris

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Mark Gordon, Committee Chairperson,

Public Policy and Administration Faculty

Dr. Michael Knight, Committee Member,

Public Policy and Administration Faculty

Dr. Michael Brewer, University Reviewer,

Public Policy and Administration Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2017

There is a digital divide between Baby Boomers and Millennials in the way they communicate …

Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez

Walden Dissertations and Doctoral Studies

In the first 3 years of the Obama Administration, 2009-2011, the number of warning letters issued to pharmaceutical firms for manufacturing and quality issues increased by 81% to 49 letters. Only 9 letters were issued in the last 3 years of the George W. Bush Administration. Shortfalls in compliance and product quality led to medicine shortages that affected patients' treatment and health. This quantitative study sought to learn to what extent, if any, the independent variables, management behaviors and financial indicators at pharmaceutical firms in the United States, correlated with, or predicted, the dependent variable, compliance with the FDA regulations. …

Business-Oriented Leadership Competencies Of K-12 Educational Leaders, Kevin Alan Kaufman

Walden Dissertations and Doctoral Studies

Contemporary K-12 educational leaders must fulfill many roles and responsibilities similar to those fulfilled by traditional business leaders. There is, however, a lack of information about the business-oriented competencies of K12 educational leaders in comparison with business executive norms. This lack of information places K-12 institutions at risk of selecting leaders who are not capable of accomplishing institutional goals and objectives, improving the efficiency and sustainability of business operations, meeting stakeholder expectations, managing social responsibilities, and improving the educational foundation of the next-generation workforce. Grounded in leadership theory, this nonexperimental study included the California Psychological Inventory 260 assessment to capture …

Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem

Walden Dissertations and Doctoral Studies

The big-box superstore has created a dramatic effect on the retail landscape since its appearance in 1962. As big-box stores proliferate, small business owners continue to struggle with how to compete. The purpose of this multiple case study was to identify and explore strategies small business owners use to maintain or grow profit margins post big-box store market entry. The sample consisted of 5 small business owners in Kansas City, Missouri who survived the entry of the big-box store for at least 1 year. The conceptual framework was the general systems theory and systems thinking. Data were collected using semistructured …

Evaluation Of Automated Reminders To Reduce Sepsis Mortality Rates, Maria M. Lindo

Walden Dissertations and Doctoral Studies

Sepsis is still a leading cause of death in the United States despite extensive research and modern advancement in technology. Early recognition of sepsis and timely management strategies are important for effective reduction of sepsis-related morbidity and mortality. Guided by the logic model, the purpose of this project was to evaluate the effectiveness of electronic reminders in enhancing clinical decision-making among 30 nurses in 3 medical-surgical units. The practice-focused question addressed the effectiveness of electronic reminders for early recognition and initiation of goal-directed treatment of sepsis in hospitalized patients on medical-surgical units in an effort to reduce sepsis mortality rates. …

Local Parents' Perspectives On Choosing Charter Schools Versus Traditional Schools, Jeffrey Lawrence Litel

Walden Dissertations and Doctoral Studies

Recent charter school enrollment trends suggest that a growing number of parents have opted to transfer their children from neighborhood public schools into charter schools, despite data indicating public school achievement equal to or above charter schools. This trend encourages school leaders to examine parent choice. The purpose of this qualitative study was to gather perspectives from parents in the study community who chose to enroll their children in charter schools instead of public schools and identify reasons parents chose charter schools. The humanistic theories of Maslow and Rogers, which emphasized the importance of choice, creativity, values, and self-realization as …

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

Internal Strategies For Assessing Organizational Communication Channel Effectiveness, Melvin Murphy Murphy

Walden Dissertations and Doctoral Studies

Evolving communication technology, the increased volume of information needed by businesses, and the intensified competitive environment have made internal company communication more critical to business success. The purpose of this multiple case study was to explore strategies used by managers and leaders of 3 law firms in the Commonwealth of Virginia for assessing the effectiveness of their organization's internal communication channels. The participating firms were recognized by their peers as being exceptionally well-managed. Data from interviews and company documents were analyzed through the conceptual lens of the channel expansion theory and the use of software coding to identify patterns and …

Quality Improvement Through Evidence-Based Education: Advancing Obesity Awareness And Clinical Management Strategies For People Living With Mental Disorders, Ellis Ehizele Opusunju

Walden Dissertations and Doctoral Studies

People living with mental disorders (PLWMDs) are at an increased risk for developing obesity due to poor diet, physical inactivity, and antipsychotic medications. In the United States, the general-population obesity rate is 36% compared to more than 50% for PLWMDs. Mental health professionals (MHPs), focused on addressing psychiatric conditions, seldom recognize and clinically manage obesity. Furthermore, this population is socioeconomically disadvantaged with poor dietary habits while consuming psychiatric medications that stimulate hunger, further exacerbating the risk for obesity. The Promoting Action on Research Implementation in Healthcare Services (PARISHS) framework guided this quality improvement project to improve obesity awareness and management …

Strategies To Teach Customer Service Skills, James Francis Ortman

Walden Dissertations and Doctoral Studies

Business managers' failure to retain dissatisfied customers leads to millions of dollars in lost revenue. The purpose of this single case study was to explore managers' training strategies to teach sales associates customer service skills. The sample included 3 training managers from the mobile phone industry in Michigan who recorded a 25 % increase in customer retention after implementing customer service training. The conceptual framework for this study was human capital theory. Data were collected from semistructured interviews and training documents. Data analysis entailed using coding techniques and cluster analysis. Member checking applied to clarify the interpretation of participants' responses …