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Health Disparity In Preventive Care Among Nigerian Immigrants In The United States, Loveday E. Nwobilor

Walden Dissertations and Doctoral Studies

The roles of immigration status in preventive health care services among Nigerian immigrants in the United States were investigated in this quantitative, cross-sectional survey study. About 260,724 Nigerian immigrants reside in the Unites States, but many do not complete lifesaving preventive health services such as immunization and screening, a major factor contributing to the rise in the cost of healthcare resultant from their use of emergency room services. This study investigated the extent to which immigration status independently explains the relationship between health disparities and risks in non-completion of preventive health care among Nigerian immigrants in the United States by …

An Educational Program About Living With Depression, Ngozi Gloria Okoro

Walden Dissertations and Doctoral Studies

Depression is a common and disabling mental illness, but the loneliness, isolation, and poor quality of life associated with depression may improve with treatment. Depressive patients adhere to their treatment and experience better outcomes when their family members are involved with their treatment. At the project mental health facility, patients with depression had the highest non-compliance rate to treatment and no educational program existed for their families. This observation led to the current practice-focused question which examined how an evidenced-based educational program can be developed for family members or caregivers of patients diagnosed with depression. The purpose of this project …

Social Network And Health Seeking Behavior Of Men Of West African Descent, Opeyemi Odewale

Walden Dissertations and Doctoral Studies

Men are less likely than women to seek help from health services providers regarding the health issues they face. In the United States, of the various race/ethnicity populations, Black American men are least likely to seek health related help, which is reflected in the substantially higher mortality and morbidity rates in Black American men compared to other populations. Guided by the social epidemiological framework, this study examined the relationship between social network measure and health help-seeking behavior among foreign-born and U.S.-born Black American men of West African descent residing in the state of Rhode Island. A cross-sectional study design with …

The Adequacy And Perceived Impact Of Nigeria's Health Policy, Kennedy Magoma Ongwae

Walden Dissertations and Doctoral Studies

From 2004 to 2015, the health sector in Nigeria was substantially underfunded despite the existence of a federal health policy committing 15% of the national budget to health care financing. The purpose of this narrative and phenomenological study was to explore the nature and significance of economic claims made in this policy. The central research question examined the extent to which these economic claims were perceived to be realistic, attainable, and successful in meeting their intended policy objectives and impact. The study's conceptual framework combined Kingdon's ambiguity and multiple streams theory, Roe's narrative policy analysis, and Skocpol's policy feedback theory. …

Experiences Of Community Leaders Following An Enhanced Fujita 5 Tornado, Thomas Edward Orr

Walden Dissertations and Doctoral Studies

Many U.S. communities experience tornadoes each year, causing a significant number of deaths and injuries. Proper community preparation and response can help reduce human suffering and psychological trauma that occur following a tornado. However, according to the National Institute of Standards and Technology most U.S. communities in tornado-prone areas are unprepared for a violent tornado, and there are few national, state, or local tornado-related definitions, standard or code to guide preparations. Social constructionism was the underlying theory of this qualitative study. The purpose of this study was to improve tornado preparations by examining the experiences of community leaders following a …

Paths To Tier 1 Genomics Implementation: A Survey Of Chronic Disease Directors, Amy Ponte

Walden Dissertations and Doctoral Studies

Although evidence is currently available for population-based genetic screening and testing of individuals and their family members for certain hereditary chronic disease conditions (Tier 1), few states have integrated these genomic applications into chronic disease prevention programs. State and territorial chronic disease directors (CDDs) could provide the leadership needed to deliver these applications in more states. The purpose of this study was to determine whether an association exists between current chronic disease genomics funding or specific state genomic activities and the level of knowledge and interests in genomics by these directors. Rogers's diffusion of innovations (DIT) theory was used to …

Successful Strategies Used By Small Business Owners For Company Sustainability, Robert Oppong

Walden Dissertations and Doctoral Studies

According to the U.S. Small Business Administration, African Americans are the fastest growing entrepreneurial minority group in the United States. However, they suffer the highest business failure rates. The research design for this study was a multiple case study to explore the strategies small business owners used to succeed in business beyond 5 years. The conceptual framework for this study was the systems theory. The population was small business owners in the Dallas-Fort Worth metropolis, Texas. Data collection sources included semistructured interviews, company documents, company websites, and site visit observations. The data analysis process included data cleaning, uploading transcribed interviews …

Project Managers' Strategies For Megaproject Success, Nkenamchi Benedict Oputa

Walden Dissertations and Doctoral Studies

In Africa, most oil and gas megaprojects exceed their original budget and time deadlines despite advancement in project management processes and systems. This study explored strategies project managers used for megaprojects' success in the oil and gas industry in Nigeria, from the perspectives of the owner and contractor organizations. Multiple case study design was utilized to collect data by asking open-ended questions in separate interviews with 4 project managers. Archival project data was also reviewed to eliminate information incongruences. The conceptual framework for the study is the contingency theory that there is no universal management structure for every project. The …

Media Coverage Of Domestic Extremists And The Influence On Police Emotions, Jamie Porter

Walden Dissertations and Doctoral Studies

The media have influenced domestic extremists who are targeting the police, and this is related to negative emotions among the police. These extremists are targeting police officers based on how events are framed by the media. In this way, the media have influenced domestic extremists' target selection and caused negative emotions among police officers because they are now the targets. The purpose of this qualitative narrative study was to understand the perceptions of police officers about how the media have influenced domestic extremists to target them. The narrative of this qualitative inquiry was guided by a semistructured interview sample consisting …

Product Diversification To Improve Investment Returns For High-Net-Worth-Individuals In Ghana, Suzy Aku Akpene Puplampu

Walden Dissertations and Doctoral Studies

The population of high-net-worth-individuals (HNWIs) in Ghana is projected to increase from 2,400 in 2015 to 4,900 by 2024. HNWIs in Ghana desire to have access to alternative investment instruments to enhance diversification and improve investment returns on their portfolios. Guided by the product-market-grid-model, the purpose of this qualitative multiple case study was to explore diversification strategies some fund managers use to improve returns for HNWIs. Twelve participants from 3 investment firms in the Greater Accra Region of Ghana, including CEOs and fund managers with more than 5 years of professional and industry experience, participated in semistructured interviews. Observations and …

Social Change Initiatives For African-American And Latino Males In Los Angeles County, Kay Ramsey

Walden Dissertations and Doctoral Studies

In the 21st Century, many Americans continue to fight battles for men of color who are at the forefront of criminal injustice, unemployment, and low matriculation. With great dominion and urgency, our Nation must ensure all men, regardless of the adversity can succeed and build legacies in their families, communities, and the economy. In this action research study, an ecological system theory was used to analyze the stakeholders who have implemented the following public polices under the Obama Administration: 21st Century Policing, My Brother's Keeper, and Race to the Top. This research answers the question how stakeholders are able to …

Corporate Social Responsibility And Corporate Financial Performance In The Food And Beverage Industry, Giselle Rieschick

Walden Dissertations and Doctoral Studies

Corporate executives have a responsibility to stakeholders to justify expenses, including those devoted to corporate social responsibility (CSR) initiatives, and strengthen the organization's financial position. Due to a lack of consistent information, some food and beverage industry managers do not understand the relationship between social and environmental CSR initiatives and financial performance. Grounded in stakeholder and ethical theory, this quantitative correlational study examined the relationship between 2 variables: the independent variable of social and environmental CSR activities, for which the 2016 Best Corporate Citizens index of 'Corporate Responsibility Magazine' served as a proxy, and the dependent variable of financial performance, …

Early Strategies Of Kindergarten Teachers And Administrators To Lessen The Literacy Gap, Kirstin A. Rossi

Walden Dissertations and Doctoral Studies

Proficiency in literacy is paramount during a child's education. Lacking proficiency can have lasting effects. At both the state and local level, continuing gaps in student achievement in literacy have been documented. The purpose of this qualitative case study was to focus on kindergarten teachers and administrators' early literacy strategies, specifically current practices in early literacy skills and possible resources needed in early literacy to lessen the gap between White students and ethnic minority and students who qualify for free/reduced meals. The constructivist framework was the platform used to investigate teacher and administrator understanding of the 6 early literacy skills, …

Social Media Strategies To Increase Professional Membership Association Dues Income, Robert J. Spangler

Walden Dissertations and Doctoral Studies

Social media strategies can play an important and specific role in nonprofits by increasing membership dues income. However, insufficient data exists supporting effective strategies for social media in professional membership associations, potentially

affecting both business managers within those associations and the stakeholders they represent. The purpose of this qualitative single case study was to explore social media strategies that nonprofit marketing professionals used to increase professional

membership association dues income. The sample included 7 nonprofit marketing professionals in a New Jersey-based professional membership association. Social exchange theory and social influence theory formed the conceptual framework. Data

collection occurred using semistructured …

Relationship Between Teacher Instructional Preparedness And English Learner Language Arts Performance, Dorothy Diane Steele

Walden Dissertations and Doctoral Studies

English language learners (ELLs) are the fastest-growing population in California schools, with a high percentage of students not meeting the standard of the English language arts performance on the California Standardized Test (CST). This project study investigated the problem in a California school district where it was unknown whether the intervention strategies provided to teachers gave them the curricular skills needed to address the instructional needs of ELLs. The purpose of this quantitative study was to determine whether teachers' self-reported instructional preparedness to teach ELLs was related to ELLs language arts performance. The study was grounded in Marzano's model of …

Factors Influencing Degree Of Implementation Of Technology In A Georgia High School, Darby Eckman Steele

Walden Dissertations and Doctoral Studies

Based on an external school review, a large suburban high school outside a southeastern United States metropolitan area was not in compliance with state technology standards. The school leadership team concluded that because teachers were not effectively integrating technology for teaching, student achievement may have been negatively influenced. The purpose of this nonexperimental project study was to measure relationships among factors influencing degree of implementation of technology (ITC) in the classroom using Dewey's experiential theory with an emphasis upon constructivism as a theoretical framework. A modified survey, Technology and Professional Development Survey of Georgia High School Teachers, was distributed to …

Internal Controls Possessed By Small Business Owners, Stephanie Weiss

Walden Dissertations and Doctoral Studies

On average, a small business could lose $150,000 a year due to employee fraud schemes. For most of the small businesses affected by employee fraud schemes, the average $150,000 loss could be detrimental to the small business, causing the business to close. The purpose of this multiple case study was to explore the internal controls small business owners apply to detect and prevent fraud from occurring in the business. The population for the study consisted of 3 small business owners located in Hartsville, South Carolina who implemented effective internal fraud controls in their business. The conceptual framework guiding the study …

Impact Of A Tier 2 Intervention On Freshman Students With Math Disabilities, Rena Johnette Whitten

Walden Dissertations and Doctoral Studies

Math achievement for U.S. high school students identified with math disabilities continues to fall below expected norms. Longitudinal national and state-level assessment data showed a flat or negative trend in math performance of students with disabilities, which may negatively affect their postsecondary outcomes. The purpose of this embedded mixed-methods study was to determine the impact of an extended time algebra course on increasing the math performance of freshman students with math disabilities. The conceptual framework included Vygotsky's sociocultural theory and zone of proximal development, Bloom's theory of master learning, and Carroll's theory of degree of learning. Data collection included archived …

Challenges To Implementing Differentiated Instruction In Middle School Classrooms With Mixed Skill Levels, Kristin Joy Lunsford

Walden Dissertations and Doctoral Studies

Implementing differentiated instruction in classrooms with students who have mixed skill levels often results in teachers facing many challenges. The purpose of this qualitative case study was to explore social studies teachers' perceptions of the challenges they faced when implementing differentiated instruction in classrooms with mixed skill levels and what teachers perceived they needed to help overcome these challenges. This project study was guided by the conceptual frameworks of constructivism from Piaget and Bruner along with the theoretical framework of Vygotsky's zone of proximal development. The research questions focused on the viewpoints of teachers on implementing differentiated instruction in their …

Capitalization Strategies For Small Business Sustainability, Richard Basch

Walden Dissertations and Doctoral Studies

Over the past 15 years, privately held small businesses generated nearly two-thirds of the net job growth in the United States, yet much of what scholars know regarding the capitalization challenges faced by small businesses is limited to data from large corporations. In 2013 alone, business bankruptcies numbered 33,212, and each year approximately 10% to 12% of U.S. small businesses close. Ineffective capitalization strategies coupled with a limited understanding of funding options frequently results in unsustainable business practices. In this multiple case study, the capital budgeting theory was utilized to explore the capitalization strategies small business owners in the greater …

Improving Employee Engagement Through Strategic Planning By Human Resources Professionals, Victoria L. Benson

Walden Dissertations and Doctoral Studies

Turnover rates are climbing every year, with a lack of engagement cited as a top reason, costing employers money in lost productivity. Slightly over one-third of workers worldwide consider themselves engaged. Employers are at risk of losing top talent due to a lack of engagement. Business leaders need to adapt to changing engagement practices invoking human resources (HR) as a strategic business partner. This study focused on strategic planning tools HR leaders in used to increase employee engagement. Interviews with leaders in a small-sized cloud-based data storage company in the Southeast region of the United States, were analyzed to identify …

Quantifying The Quality Of Antimalarial Drugs In Ghana, Felix Boakye-Agyeman

Walden Dissertations and Doctoral Studies

Malaria is still an epidemic in many parts of the world-about 220 million people are still infected with malaria worldwide and about 700 thousand people die from this disease per year. Most of the drugs used to treat malaria work well if they are used as required and they contain the right amounts of the active ingredient; however, it is estimated that more than 10% of drugs traded worldwide are counterfeits including 38% to 53% of antimalarial tablets produced in China and India. Due to the lack of data covering the extent of counterfeit antimalarial drugs in Ghana, the purpose …

Servant Leadership Dimensions Of Bahamian Hotel Industry Front-Line Workers, Stuart Mitchell Bowe

Walden Dissertations and Doctoral Studies

The tourism industry dominates the Bahamian national economy. While seaport visitor arrivals continue to rise, stopover visitor arrivals continue to decline due to a recurring theme of negative front-line hotel staff attitudes. Eliminating negative staff attitudes toward stopover visitors is important for hoteliers, the government, and all stakeholders of the Bahamian tourism industry. Guided by servant leadership theory, the purpose of this research was to investigate the servant leadership dimensions that motivate Bahamian front-line hotel workers. This quantitative cross-sectional study involved the use of the Servant Leadership Survey (SLS) developed by Dierendonck and Nuijten. There were 8 specific servant leadership …

Examining The Relationship Between Communication Apprehension And Individual Innovativeness In Managers, Michelle Campagnola

Walden Dissertations and Doctoral Studies

Communicative challenges that hinder managerial engagement in social networks can impede innovation adoption and thereby damage the financial performance and competitiveness of a firm. The purpose of this correlational study was to examine the relationship between communication apprehension (CA) and individual innovativeness in managers. The focus of the research questions was determining if a relationship exists between these variables before and after controlling for demographic characteristics. With diffusion of innovation theory as the theoretical framework, this research involved an attempt to address how adoption categories relate to varying degrees of CA. One hundred and five American-based owner-executives, senior managers, and …

Effectiveness Of A Medication Administration Protocol On Medication Errors And Inpatient Falls, Avril Dolly

Walden Dissertations and Doctoral Studies

Effectiveness of a Medication Administration Protocol on Medication Errors and Inpatient Falls

By

Avril Dolly

MS, University of the West Indies, 2010

BS, University of the West Indies, 2009

Project Submitted in Partial Fulfillment of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

November 2017

Adverse events such as medication errors and inpatient falls have been reported as the leading cause of safety incidences at the acute care facility in Trinidad and Tobago where this project was conducted. These mishaps aroused concerns about patient safety and led to a quality improvement (QI) initiative at the hospital. …

Relationship Between Assisted Reproductive Technology And Risk Of Stillbirth, Jeani Chang

Walden Dissertations and Doctoral Studies

Assisted reproductive technology (ART) is an infertility treatment used to assist women to become pregnant. Although the procedure is safe, there are gaps in understanding the association between treatment and adverse pregnancy outcomes (e.g., stillbirth) in the United States. The purpose of this study was to investigate the relationship between stillbirth delivery and ART. The 2 research questions addressed the association between methods of conception (ART versus non-ART) and the delivery of a stillbirth, and the association between multiple gestation pregnancy and risk of stillbirths. Retrospective cohort data from the States Monitoring ART collaborative were analyzed using Pearson's chi squared …

Teamwork Perceptions Of Nurses And Nursing Assistants In A Community Hospital, Iwona Halina Enzinger

Walden Dissertations and Doctoral Studies

Teamwork in healthcare is recognized as a significant factor in achieving patient safety and impacting patient outcomes. Despite the general focus on teamwork in healthcare, there has been little research on teamwork among nurses and nursing assistants working on patient care units. The purpose of this doctoral project was to identify, compare, and analyze perceptions of teamwork in a group of nurses and nursing assistants in a community hospital setting where the TeamSTEPPS program has been implemented. The framework of this project was the concept of shared mental model and Imogene King's conceptual system and middle-range theory of goal attainment. …

Effect Of Public And Private Preschool Attendance On Kindergarten Literacy, Matthew Garofolo

Walden Dissertations and Doctoral Studies

Students who enter kindergarten lacking readiness skills often struggle to meet literacy benchmarks and to successfully complete school. The problem to be investigated by this study is the low literacy scores on the standardized Fountas and Pinnell Benchmark Assessment test at 2 public New Jersey elementary schools. While some students attended public or private preschools, others did not attend any preschool prior to starting kindergarten. The purpose of this quantitative study was to determine the difference in kindergarten literacy gain scores among students who attended public, private, and no preschool. Vygotsky's sociocultural theory and emergent literacy theory served as the …

Happily Ever Resilient: A Content Analysis Of Themes Of Resilience In Fairytales, Stephanie Goloway

Walden Dissertations and Doctoral Studies

One in 4 children in the United States lives in a family impacted by the chronic, heritable disease of substance use disorder (SUD), also known as alcoholism or addiction. Recent research has demonstrated that resilience is a key protective factor against developing the disease in adolescence and adulthood and that the neurological roots of resilience lie in the child's experiences in early childhood. In spite of this, few resources related to family SUD or current models of resilience are included in preservice teacher preparation for early childhood educators. This study examined whether key components of Masten's model of resilience are …

Success Strategies Of Latin American Immigrant Small Business Entrepreneurs, Bruce David Gaynor

Walden Dissertations and Doctoral Studies

Small business restaurants represent a significant segment of the U.S. economy; however, many small business restaurants fail before 5 years of operation. The purpose of this exploratory multiple case study was to explore the strategies entrepreneurs used to sustain operations beyond 5 years. The population for this study was 3 Latin American immigrant small business restaurant owners in the central part of the U.S. state of Georgia, who had sustained operations for more than 5 years. The conceptual framework consisted of entrepreneurship and knowledge management theories. The data derived from semistructured interviews and organizational documents presented by the participants. Data …