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Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis Jan 2017

Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis

Walden Dissertations and Doctoral Studies

Low or marginal health literacy affect nearly 90 million citizens in the United States, compromising health outcomes, including oral health. Oral health literacy has been studied in diverse populations, yet the assessments used were developed and validated for English-speaking populations. A validated Spanish-language oral health literacy assessment was needed to help researchers and practitioners evaluate oral health literacy in the Hispanic population. Using the oral health literacy framework, the purpose of this study was to translate, culturally adapt, and validate a Spanish version of a previously validated English-language oral health literacy. A translation-back-translation process was applied to the English version …


The Effect Of Common Core Standards On Elementary Students' Learning, Christine Arner Macdougall Jan 2017

The Effect Of Common Core Standards On Elementary Students' Learning, Christine Arner Macdougall

Walden Dissertations and Doctoral Studies

After implementing the Common Core Standards in 2012, local school districts faced additional costs in their annual budgets to train staff how to teach using these standards. One of the problems that faced the school district under study was whether to retain the Common Core Standards and to continue to fund the expense of training teachers . The purpose of this study was to assess the influence of the Common Core Standards on student achievement in a local Pennsylvania school district using scores from the Pennsylvania System of School Assessments (PSSA) for Grades 3 through 8. The research question addressed …


Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia, Pam Mandarino Jan 2017

Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia, Pam Mandarino

Walden Dissertations and Doctoral Studies

Unsafe food handling practices are implicated in many restaurant-associated foodborne disease outbreaks. Factors that contribute to unsafe food handling in restaurants include inadequate food safety knowledge, employees who perceive that safe food handling is not under their control, and restaurant cultures that do not prioritize food safety. The purpose of this study was to determine whether temporary restaurant closures were associated with reduced food handling violations after closure in restaurants from the Vancouver Coastal Health Authority and the Fraser Health Authority, in British Columbia, Canada. The theoretical foundations used were the health action process approach and the theory of planned …


Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter Jan 2017

Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter

Walden Dissertations and Doctoral Studies

The U.S. Department of Veterans Affairs (VA) studies on acute kidney injury (AKI) have focused on defined procedures and outcomes but not on gender differences. The purpose of this study was to investigate differences in health services utilization by gender and other predisposing factors (age and race) among hospitalized veterans with AKI during a 5-year period from 2008 to 2013. The study included a retrospective cohort design and the behavioral model of health services utilization as the underlying theoretical framework. Secondary data were collected from an existing VA cohort. Data from 1,636 hospitalized AKI veterans were subjected to t tests …


Stress Management Training, Gender, Level Of Stress, And Coping In Police Officers, Samantha Leigh Fields Salain Jan 2017

Stress Management Training, Gender, Level Of Stress, And Coping In Police Officers, Samantha Leigh Fields Salain

Walden Dissertations and Doctoral Studies

Stress has lasting and sometimes fatal effects on the law enforcement community, which can compromise the well-being of police officers. To date, there is little research on factors that influence the level of stress in police officers. The purpose of this quantitative, correlational study was to investigate the relationship of gender, used coping mechanisms, and levels of organizational and operational stress among police officers who have and have not received stress management training. Bandura's social learning theory and Lazarus and Folkman's theory of cognitive appraisal provided the theoretical foundation. Cross-sectional survey data from a convenience sample of 134 male and …


Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli Jan 2017

Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli

Walden Dissertations and Doctoral Studies

Health care providers in the United States expend more than $400 million in unnecessary direct costs annually managing the effects of widespread drug shortages. Based on the theory of complexity and complex adaptive systems, the purpose of this exploratory multiple case study was to identify the strategies that health care pharmaceutical procurement leaders from the Eastern region of the United States use to address widespread drug shortages. Data were collected from 5 semistructured interviews with pharmaceutical procurement leaders, recorded field notes, and a review of public documents from company websites. Data analysis included deductive and open coding techniques. Emergent themes …


Elementary Teachers' Perceptions Of Teaching Science To Improve Student Content Knowledge, Robert Louis Stephenson Jan 2017

Elementary Teachers' Perceptions Of Teaching Science To Improve Student Content Knowledge, Robert Louis Stephenson

Walden Dissertations and Doctoral Studies

The majority of Grade 5 students demonstrate limited science knowledge on state assessments. This trend has been documented since 2010 with no evidence of improvement. Because state accountability formulas include proficiency scores and carry sanctions against districts that fail to meet proficiency thresholds, improved student performance in science is an important issue to school districts. The purpose of this study was to explore elementary teachers' perceptions about their students' science knowledge, the strategies used to teach science, the barriers affecting science teaching, and the self-efficacy beliefs teachers maintain for teaching science. This study, guided by Vygotsky's social constructivist theory and …


Relationship Between Student Characteristics And Attrition Among Associate Degree Nursing Students, Wendy Elizabeth Watson Jan 2017

Relationship Between Student Characteristics And Attrition Among Associate Degree Nursing Students, Wendy Elizabeth Watson

Walden Dissertations and Doctoral Studies

High nursing student attrition has been a pervasive problem in the nursing program at the research site of this study. The purpose of this project study was to investigate the relationship between attrition and nursing student characteristics, including age, gender, ethnicity, English as Second Language (ESL) background, licensed practical nurse (LPN) licensure, grade point average (GPA), the number of preadmission college credits, and the Test of Essential Academic Skills (TEAS) scores. This correlational study of archival data was guided by Jeffreys's nursing undergraduate retention and success model and included a convenience sample of 240 students admitted to the program between …


Relationships Between Early Academic Indicators And Accelerated-Baccalaureate Student Nurse Success, Bonnie J. White Jan 2017

Relationships Between Early Academic Indicators And Accelerated-Baccalaureate Student Nurse Success, Bonnie J. White

Walden Dissertations and Doctoral Studies

In 2013, the National Council Licensure Examination for Registered Nurses' (NCLEX-RN) passing standard was increased, leading to a decrease in NCLEX-RN pass rates. The passing standard increase was prompted by an advisory panel's determination that a gap in safe, competent practice existed among new graduate nurses. New graduates' success on NCLEX-RN is critical to meet workplace demand for new nurses. The purpose of this study was to examine whether cumulative grade point average at completion of 200-level nursing courses and scores on the standardized final exam in the 200-level fundamentals course were related to on-time nursing program completion and a …


British Virgin Islands Tourists' Motives To Travel, Destination Image, And Satisfaction, Sherrine Natahsa Augustine Jan 2017

British Virgin Islands Tourists' Motives To Travel, Destination Image, And Satisfaction, Sherrine Natahsa Augustine

Walden Dissertations and Doctoral Studies

The turbulent events of the world have resulted in a decline in the number of travelers since 2011. Nevertheless, approximately one billion international tourists still travel annually.Tourist activity plays an important role in the global economic activity. The purpose of this correlational study was to examine if a relationship exists between destination images, push and pull motives to travel, and tourists' satisfaction. The target population consisted of noncitizen and nonresident tourists of the British Virgin Islands (BVI) between March 2017 and April 2017. Oliver's expectancy-disconfirmation theory that the individual will act in a particular way because the expectation that a …


Children's Oncology Group Hospital Membership And Survival Of Pediatric Lymphoblastic Leukemia, Paul David Betts Jan 2017

Children's Oncology Group Hospital Membership And Survival Of Pediatric Lymphoblastic Leukemia, Paul David Betts

Walden Dissertations and Doctoral Studies

Acute lymphoblastic leukemia (ALL) predominates in children ages 0-14 years and has an excellent prognosis for cure with 5-year survival exceeding 90% in the United States. However, not all children experience such positive outcomes. The purpose of this quantitative, retrospective cohort study was to evaluate differences in survival of ALL among children who reside in the 32-county Texas-Mexico border region. While factors such as poverty and health insurance have been strongly associated with poorer cancer outcomes, additional factors such as geographic isolation and treatment disparities are not as well-documented in children. This study examined the association between use of Texas …


The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori Jan 2017

The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of men attracted to minors who believed they would benefit from therapy but did not seek out or attend therapeutic services; and sought to gain an understanding of how the decision to seek help or not impacted their well-being. Participants included 7 men who were recruited through the B4U-ACT online forum, which provides peer support for the minor attracted community. Participants were interviewed over Skype. Data from these interviews was analyzed and coded according to the interpretative phenomenological method as outlined by Smith et al. (2012). Five main themes emerged, providing insight as to …


Elementary Teacher Perceptions Regarding The Use Of Kinesthetic Learning Strategies, Heidi Erickson Erickson Jan 2017

Elementary Teacher Perceptions Regarding The Use Of Kinesthetic Learning Strategies, Heidi Erickson Erickson

Walden Dissertations and Doctoral Studies

Researchers have shown that movement increases brain function, improves mental health, supports cognitive development for students, and reduces sedentary time, all which can influence overall health. Research concerning learning with intentional movement is limited. In the United States, Common Core State Standards (CCSS) are being mandated, and teachers are challenged to teach the standards creatively and to maximize time used for instruction. The purpose of this qualitative study was to explore the lived experiences and perceptions of elementary general education (GE) teachers who taught CCSS using a kinesthetic learning plan (KLP). Bandura's self-reinforcement and social learning theories provided the conceptual …


Compliance Of Caregivers With Polio Vaccine Dosages And Timelines In Lagos State Nigeria, Grace Olubunmi Salako Smith Jan 2017

Compliance Of Caregivers With Polio Vaccine Dosages And Timelines In Lagos State Nigeria, Grace Olubunmi Salako Smith

Walden Dissertations and Doctoral Studies

Caregivers' compliance with polio vaccine regimens and timely receipt of the recommended 4 doses of polio vaccine are pivotal to eliminating polio. This cross sectional study, conducted in Lagos State, Nigeria, examined polio vaccine compliance and demographic attributes of caregivers' for statistically significant associations. Using an adapted health belief model theoretical framework, 1,200 participants were recruited from well-baby clinics in 8 local government areas in Lagos State. Participants completed a brief demographic survey providing data on caregivers' age, gender, residence (rural or urban), and their level of education as well as records from their children's immunization cards. Data obtained were …


Addressing Needs Of Intimate Partner Violence Survivors In The Emergency Department, Claudia F. Schenk Jan 2017

Addressing Needs Of Intimate Partner Violence Survivors In The Emergency Department, Claudia F. Schenk

Walden Dissertations and Doctoral Studies

Intimate partner violence is a global epidemic and public health concern, including in the United States. The purpose of this descriptive, exploratory, nonexperimental, quantitative study was to determine to what extent intimate partner violence survivors avail themselves of offered resources and interventions in health care settings. The general systems foundation was used for the study's theoretical foundation. The research questions ascertained the proportion of intimate partner violence survivors who accepted mental health, law enforcement, and community outreach resources; the level of comprehensive intervention they received; and the associations, if any, between types of services. Retrospective data were collected from121 medical …


U.S. Military Psychologists' Contemporary Lived Experiences Of Burnout, Rui Heng Babilonia Jan 2017

U.S. Military Psychologists' Contemporary Lived Experiences Of Burnout, Rui Heng Babilonia

Walden Dissertations and Doctoral Studies

Currently, the high level of burnout among military psychologists resulting from contemporary military service is gaining attention. However, there is insufficient knowledge of their lived experiences of burnout. The purpose of this phenomenological study was to explore burnout, based on the military occupational mental health, military job demand-resources models, and biopsychosocial models. Eleven active duty and prior service military psychologists were recruited for interviews using snowball sampling. The first phase of data analysis employed NVivo software. The second and third phase used the 7-step modified version of the Van Kamm method, resulting in 7 themes and 1 discrepant case. The …


Demographic Variables As Moderators Between Benevolent Sexism And Relationship Satisfaction, Dawna Jeanette Campbell Jan 2017

Demographic Variables As Moderators Between Benevolent Sexism And Relationship Satisfaction, Dawna Jeanette Campbell

Walden Dissertations and Doctoral Studies

Romantic relationship satisfaction relates to better overall health, and identifying factors that affect relationship satisfaction could lead to better understanding of romantic relationships. This study examined the correlation between benevolent sexism, a subtle form of sexism resembling chivalry and relationship satisfaction; gender, age, ethnicity, religious beliefs, education, and length of time were also considered as moderators. The ambivalent sexism theory, which posits that sexism is ambivalent and ranges from hostile to benevolent sexism was the theoretical framework guiding this study. Previous research indicated benevolent sexism may predict relationship satisfaction. However, there remained an important gap in the literature; the demographic …


Researchers', Stakeholders', And Investors' Perceptions Of U.S. Stem Cell Research Policy, Dorothy King-Moore Jan 2017

Researchers', Stakeholders', And Investors' Perceptions Of U.S. Stem Cell Research Policy, Dorothy King-Moore

Walden Dissertations and Doctoral Studies

Federal support and funding for human embryonic stem cell (hESC) research in the United States lags behind stem cell programs in many countries because of the divisive debate over hESC research and the continually evolving federal policies that have hindered research efforts. The purpose of this phenomenological study was to explore the perceptions of stem cell researchers, stakeholders, and investors in the United States about the effects of the current federal stem cell policy on stem cell research in the United States, the moral disagreement with stem cell research, and their recommendations to improve stem cell research policy in the …


Effect Of Contemplative Pedagogy On The Ecoliteracy Of Undergraduate Public State University Students, Michael Vincent Lees Jan 2017

Effect Of Contemplative Pedagogy On The Ecoliteracy Of Undergraduate Public State University Students, Michael Vincent Lees

Walden Dissertations and Doctoral Studies

Undergraduate students lack the opportunity and environment to contemplate and develop ecoliteracy skills that serve to integrate subject matter into their everyday experiences. Ecoliteracy is grounded in Capra's web of life theoretical framework and represents students' capacities to read world systems objectively with their head, heart, hands, and spirit. Contemplative pedagogy provides educators with exercises that give students time to reflect on the integration of learning. Ecoliteracy and contemplative pedagogy research has shown little quantitative data pertaining to how contemplative pedagogy affects undergraduate student ecoliteracy. To address that gap, this causal-comparative study measured the use of contemplative pedagogy exercises relative …


The Effects Of Leveled Literacy Intervention For Students In The Rti Process, Lisa Taylor Jan 2017

The Effects Of Leveled Literacy Intervention For Students In The Rti Process, Lisa Taylor

Walden Dissertations and Doctoral Studies

Low reading skills constitute a serious achievement problem. Although there are remedial support in schools, between 2% and 6% of the student population continues to show persistent reading difficulties despite intensive intervention. The research problem in this study addressed the lack of effective reading interventions for students who were in Tier III of the Response to Intervention (RtI) process. Piaget's cognitive development theory, constructivism, and Vygotsky's zone of proximal development theory made up the theoretical framework. The purpose of this quantitative study was to determine the effects of Fountas and Pinnell's Leveled Literacy Intervention (LLI) on reading achievement of students …


Strategies For Recruiting Cybersecurity Professionals In The Financial Service Industry, Iva Walters Jan 2017

Strategies For Recruiting Cybersecurity Professionals In The Financial Service Industry, Iva Walters

Walden Dissertations and Doctoral Studies

The cybersecurity market is the fastest growing market in the United States; as such, leaders in financial institutions recognize their businesses are vulnerable, as money is accessible within computerized banking systems. The purpose of this multiple case study was to explore what strategies financial service leaders- use to recruit cybersecurity professionals. The conceptual framework for this study was the hierarchy of needs and stakeholder management theory. Data collection involved company archival documents and semistructured, open-ended interviews with 5 financial service leaders in the Midlands area of South Carolina who recruited skilled cybersecurity professionals to support long-term business sustainability. Coding, clustering, …


Impact Of Training On Kin Caregivers' Use Of Discipline Practices, Bertha Ansley Jan 2017

Impact Of Training On Kin Caregivers' Use Of Discipline Practices, Bertha Ansley

Walden Dissertations and Doctoral Studies

Research has shown that child abuse is a serious public health issue that may warrant child welfare agency intervention and removal of children from their homes. Placement with kin caregivers is considered the least restrictive placement option by social workers. It has been recognized that kin caregivers require some type of formal parental training to prepare them to care for relative children. A large city implemented the Caring for Our Own training program as prelicensing training to prepare relatives for roles as kin caregivers. Prior to this study, no research had assessed whether this training program adequately addressed caregivers' ability …


Strategic Alignment Of Information Technology Projects And Project Success, Joan Barnes Jan 2017

Strategic Alignment Of Information Technology Projects And Project Success, Joan Barnes

Walden Dissertations and Doctoral Studies

Alignment of information technology (IT) projects remains a concern for business executives and negatively impacts IT investments through failed projects. Drawing from the theory of systems thinking and the concept of holism, the purpose of this correlational study was to provide executive leaders with information about influences associated with the independent variables of project alignment and performance outputs, and the dependent variable, project success rates. Accordingly, the research question addressed the relationship between the 2-predictor variables and the outcome variable. Data collection involved a nonprobability, purposive sample of 49 credentialed project managers from Arizona who completed an online survey. Results …


Examining Differences Between Foster Parents Who Continue To Foster Children And Those Who Do Not, Jacqueline L. Farris Jan 2017

Examining Differences Between Foster Parents Who Continue To Foster Children And Those Who Do Not, Jacqueline L. Farris

Walden Dissertations and Doctoral Studies

Foster parents are often not equipped to address the difficulties and challenges they face with their foster children. Research has identified the importance of providing foster children with a safe and secure environment. Guided by the theory of adoption and attachment, the purpose of this study was to identify the differences between foster parents who continue with foster child placements and those who do not by examining their perceptions of foster parenting behaviors and their foster parent/child relationships. Participants were recruited using online foster parent forums and foster care agencies. A total of 31 foster parents participated: 13 licensed and …


Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix Jan 2017

Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix

Walden Dissertations and Doctoral Studies

People living in rural Haiti lack access to basic health care services due to poverty. Rural poverty in Haiti particularly affects women's health because Haiti has had the highest maternal mortality and infant mortality rates in the Americas, in addition to some of the worst health statistics in the Western Hemisphere. The purpose of this phenomenological study was to cultivate a greater understanding of the poverty factors that affect access to health care services specifically among poor women living in rural Haiti. This study was based on the social ecological model for population health development, theorizing that a person's health …


Examining Adolescent Student Photography And Related Processes To Inform Day Treatment School Curricula And Behavioral Interventions, Jason Edward Gorbel Jan 2017

Examining Adolescent Student Photography And Related Processes To Inform Day Treatment School Curricula And Behavioral Interventions, Jason Edward Gorbel

Walden Dissertations and Doctoral Studies

Adolescent students with psychiatric disorders who are educated in day treatment school classrooms manifest cognitive limitations, maladaptive behaviors, and social functioning deficits that often lead to academic failure, impeding their productivity when they become adults and causing them to run afoul of the criminal justice system. Informed by their students' interests and perspectives, day treatment schoolteachers can individualize existing curricular and behavioral interventions, or develop alternatives so that unwanted classroom behaviors decrease and academic performance improves. This qualitative case study used Roland Barthes' (1981, 1985) theory of semiotics as a conceptual framework for answering how an analysis of photographs taken …


Employee Perceptions Of Merit Pay And Its Influence On Work Performance, Michael John Mcknight, Sr. Jan 2017

Employee Perceptions Of Merit Pay And Its Influence On Work Performance, Michael John Mcknight, Sr.

Walden Dissertations and Doctoral Studies

The work performance of employees remains a vital factor both in an organization's viability as well as in the prosperity of its employees. Merit pay can influence employee performance and is one of the most frequently used monetary reward incentives for motivating employees to achieve a higher level of performance. The problem is the limited knowledge on how state employees in a southern state perceive merit pay and how those perceptions may influence employee work performance. Using a conceptual framework built from elements of various motivational theories including Maslow's hierarchy of needs and Herzberg's 2 factor theory, the purpose of …


Predictors Of Uti Antibiotic Resistance For Female Medicaid Recipients In U.S. Ambulatory Care Settings, Wendy Denise Wiesehuegel Jan 2017

Predictors Of Uti Antibiotic Resistance For Female Medicaid Recipients In U.S. Ambulatory Care Settings, Wendy Denise Wiesehuegel

Walden Dissertations and Doctoral Studies

Urinary tract infections are diagnosed in female populations primarily in ambulatory care settings in the United States. Yet, published evidence documents that many of the antibiotics prescribed in these settings are unnecessary, erroneous, or, inappropriately prescribed. Improper management of uncomplicated urinary tract infections in nonpregnant women has resulted in higher morbidity rates due to antibiotic resistance. The purpose of this retrospective observational cohort study was to explore a current national database for associations between nonpregnant American female patients who were exposed to poverty and at risk for urinary tract infection antibiotic resistance in an ambulatory care setting. Krieger's ecosocial theory …


Patients And Nurses Attitudes To Hysterectomy And Postoperative Pain Management, Blessing Agu Jan 2017

Patients And Nurses Attitudes To Hysterectomy And Postoperative Pain Management, Blessing Agu

Walden Dissertations and Doctoral Studies

Over 500,000 hysterectomies are performed yearly in the United States, and they often result in a moderate to severe amount of pain. Nurses play a significant role in postoperative pain management. However, studies have shown that despite technological advances and nurses' theoretical knowledge of pain, postoperative pain management remains a challenge among healthcare providers. The purpose of this study was to examine how nurses' and patients' attitude towards abdominal hysterectomy can impact postoperative pain management and hospital length of stay after a hysterectomy. Informed by the theory of reasoned action, the study examined the differences in the nurses' and patients' …


Child Neglect, Child Physical Abuse, And Relationships Among 12-Year-Old Girls, Corrine Dale Jan 2017

Child Neglect, Child Physical Abuse, And Relationships Among 12-Year-Old Girls, Corrine Dale

Walden Dissertations and Doctoral Studies

Child maltreatment, including physical abuse, neglect, emotional, and sexual abuse is a continuing social problem in the United States, resulting in a number of children who experience challenges with family and peer relationships in adolescence. Child neglect is one of the most common forms of abuse however, it is less likely to be investigated or substantiated than is physical abuse. Female child maltreatment in particular results in possible problems for victims with family and peer relationships in early adolescence. In 2015, state agencies reported an estimated 683,000 victims of child maltreatment, with two-thirds of this group representing child neglect victims. …