Digital Commons Network^™

Introduction Of Evidence-Based Practice To Acute Stroke Center Nursing In Jakarta, Indonesia, Tonya Sue Stagner

Walden Dissertations and Doctoral Studies

Evidence-based practice (EBP) is a relatively new concept for nurses in Indonesia; it has not

been integrated into nursing care. This project sought to introduce EBP to nurses at an acute stroke center (ASC). The knowledge transfer team approach guided the project. The goal was to identify and analyze current data and to develop an EBP guideline for clinical nursing practice in the ASC. Sources of evidence that was used to address the practice-focused question included project team members, organizational documents, and a database search to identify EBP guidelines for the nursing care of acute stroke patients. A database search …

Influence Of Psychological Needs And Gaming Motivation On Well-Being Of Adult Gamers, Rene Sterling

Walden Dissertations and Doctoral Studies

Adult online gaming is a fast-growing global entertainment industry, and many gamers spend more time playing games and less time engaging in work or other activities, which negatively affects their lives and relationships. This quantitative study addressed how psychological needs and gaming motivation predicted gaming behavior, life satisfaction, and relationship satisfaction using a mediational model. The theoretical foundation was self-determination theory, which addresses how personal choices are influenced by internal factors, especially psychological needs and motivation. An online survey was used to collect self-reported data from a convenience sample of 935 adult gaming participants using the Basic Needs Satisfaction in …

Roles Of Community Pharmacists In Improving Oral Health Awareness In Plateau State, Northern Nigeria, Olaniyi O. Taiwo

Walden Dissertations and Doctoral Studies

There is poor oral health awareness in Nigeria. This is mainly attributed to limited access to correct information on oral health as well as a lack of oral health care providers. The impact of the poor oral health awareness is worse in Northern Nigeria due to the uneven distribution of oral health care workers and training facilities. The purpose of this cross-sectional study was to describe the roles of community pharmacists (CPs) in Plateau State, Nigeria as sources of oral health information. Theoretical framework for this study was the theory of planned behavior (TPB). Background knowledge and practices of oral …

A Comparative Study Of Elementary Mathematics Specialists And Mathematics Coaches On Fourth Grade Students' Mathematics Achievement, Tiffany D. Tynes Curry

Walden Dissertations and Doctoral Studies

Federal dollars are utilized to develop instructional programs for students not demonstrating mathematical proficiency on state standardized mathematics assessments, but there is a lack of empirical data on the effectiveness of two different approaches that were used in the local context. The purpose of this quantitative, nonexperimental, casual-comparative study was to determine if state achievement test scores of students in fourth grade who received instruction from a Mathematics Specialist (MS) during the 2007-2009 academic years demonstrated a statistically significant difference from the mathematics state achievement test scores of fourth grade students who received instruction from Grades 1-8 credentialed teachers supported …

Strategies In Outsourcing R&D Processes To Maintain Market Competitiveness, Berina Yerkic-Husejnovic

Walden Dissertations and Doctoral Studies

In the 21st century, managing outsourced research and development (R&D) processes is critical to an organization's success. Guided by the logistic outsourcing theory developed by de Boer, Gaytan, and Arroyo, the purpose of this single case study was to explore strategies and processes organizational leaders used to manage outsourced R&D to maintain market competitiveness. Semistructured interviews were conducted with 5 purposefully selected business leaders who were responsible for outsourcing R&D in a single Fortune 500 corporation in the Mid-Atlantic region of the United States. Company records were also gathered as data. Yin's 5-step process for a case study and key …

Challenges Facing Organizational Leaders: A Phenomenological Study Of Nigerian Organizational Leaders, Adesina Olufemi Adegunle

Walden Dissertations and Doctoral Studies

In the first decade of the 21st century, the number of functioning business organizations in Nigeria decreased by 45%. The high rate of business failures in Nigeria has left many questions about what is needed for creating business success. The purpose of this qualitative phenomenological study was to explore the influence of internal and external dynamics on leaders in Nigerian microfinance organizations. Twenty leaders from microfinance institutions participated in face-to-face semistructured interviews. The data analysis process involved the use of Moustakas's modified van Kaam method, which resulted in the emergence of 12 themes. The themes that emerged included: (a) staff …

Employee Perceptions Of Emotional Intelligence Among Managers, Afraa Al-Bahrani

Walden Dissertations and Doctoral Studies

Efficient managers influence the success and performance of organizations, in contrast to inefficient managers who may negatively affect employee motivation, productivity, stress levels, job satisfaction, and performance. Managers' ability to recognize emotions can positively affect employee motivation, job satisfaction, and performance, which is likely to decrease employee turnover. The purpose of this phenomenological research was to explore the perceptions among employees regarding their managers' EI in relation to employee motivation, job satisfaction, and performance in the Northern Virginia (NOVA) area. The presence of managers' EI skills was explored based on the emotional abilities to facilitate, understand, perceive, and manage emotions. …

Strategies For Improving Labor Productivity In Construction Companies, Lakew G. Buli

Walden Dissertations and Doctoral Studies

Even with advanced technology and new project management methodologies, construction company leaders continue to face challenges to improve labor productivity. This multiple case study was an exploration of the strategies that construction company leaders use to improve labor productivity in Doha, Qatar. The case population consisted of 6 construction company leaders operating in Doha, Qatar, who successfully identified and implemented strategies to improve labor productivity. The conceptual framework for this study was the expectancy theory. The data collection process included semistructured interviews and company documentation. Data were compiled and organized, disassembled into fragments, reassembled into a sequence of groups, and …

Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant

Walden Dissertations and Doctoral Studies

Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …

Adherence Barriers To Healthcare For African Americans With Hiv/Aids On Antiretroviral Medications, Angela Bumphus Corbin

Walden Dissertations and Doctoral Studies

The purpose of this mixed methods research study was to examine the role of adherence barriers to healthcare and the impact that such barriers have on highly active antiretroviral therapy (HAART) compliance for African Americans living with HIV/AIDS. HAART helps reduce HIV/AIDS morbidity and mortality. Of the 49% of study participants who had been out of medical care for more than 12 months, financial concerns were listed as the most common barrier (22.8%). Not having the support from family and friends (17.5%), being tired of going to doctor appointments (15.8%), health challenges (12.3%), lack of transportation (12.3%), and incarceration (12.3%) …

Offender Recidivism: A Quantitative Study Of Motivational Risk Factors And Counseling, Nazak Dadashazar

Walden Dissertations and Doctoral Studies

The prison system releases over 590,000 inmates annually, adding to the current 5 million ex-offenders on supervised release. The purpose of this study was to explore the problem of increasing recidivism by identifying ex-offenders' dynamic risk and criminogenic need factors using the Level of Service Inventory-Revised (LSI-R), coupled with or without mental health services during reentry in relation to recidivism. This quantitative, nonexperimental, cross-sectional study included data collected from a sample of 128 male recidivist and nonrecidivist federal ex-offenders currently on supervised release, who were recruited during probation office meetings within the South Texas region. Regression analysis yielded statistical significance …

Filipino Americans' Perspectives On Caregiving, Maribel Lapuos Dominguez

Walden Dissertations and Doctoral Studies

With increased life expectancy, more individuals will need to rely on caregivers and/or caregiving services. Filipino Americans are reluctant to depend on outside help when it comes to caring for their family members. There was a gap in the literature concerning the specific impact of the caregiving role on Filipino Americans and how cultural values affect the care provided to their family members. The purpose of this qualitative study was to gain understanding of how Filipino cultural values and life roles affected Filipino Americans' experiences of caregiving. The conceptual framework included the sociocultural stress and coping model. The central research …

Effective Strategies For Transformational Teams In The Danish Retail Banking Sector, Dorthe Hã¥Hr Dupont

Walden Dissertations and Doctoral Studies

Successful transformation projects in the retail banking industry focusing on improving customer experiences have yielded a verified increase in earnings per employee. The purpose of this single case study was to reveal the strategies used by transformational team managers to ensure improved customer experiences. The stakeholder theory was used as the theoretical framework to analyze the interplay between the project team and the base organization during the process of improving customer experiences. The population consisted of 6 managers of transformational teams in the Danish retail banking sector who were successfully delivering on assigned goals of improving customer services. The data …

The Effects Of Organizational Restructuring And Acceptance Of Change On Employees' Motivation, Eve Maria Fleming

Walden Dissertations and Doctoral Studies

Numerous internal and external factors drive decisions to undertake organizational restructuring; according to senior management, restructuring is part of a strategic change. The purpose of this qualitative, exploratory, case study was to examine the effects of organizational restructuring on university employees' behavior towards restructuring and change in the effectiveness of the institution. The conceptual framework drew on the social change theory, a primary triad model, and a congruence model for organization problems to frame the guiding questions: how does restructuring impact employees' motivation and acceptance of change and how does the employees' acceptance of change affect the institution's effectiveness? From …

Race, Age, Gender, Income, And The Experience Of Adult Intimate Partner Violence, Jacquelynn Melnita Hairston

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a significant public health problem that affects approximately 2.4 million individuals in the United States each year. Race, age, gender, and household income are established correlates of criminal victimization and diverge across various victimization experiences for these individuals. The purpose of this study was to investigate relationships between IPV victimization and the demographic variables of race, age, gender, and household income using race, class, and gender theory as a framework. Logistic regression analyses on data from 3,492 adult male and 3,637 adult female IPV victims obtained from the 2013 National Crime Victimization Survey showed that …

Retention Strategies Of Labor Union Membership, Nina W. Hatcher

Walden Dissertations and Doctoral Studies

Labor union membership decline spans more than 4 decades since 1954. In 2012, union membership decreased from 14.1% to 11.3%, which is the lowest since the post-Second World War Era. Union membership decline leads to the inability of some union leaders to retain union members, resulting in a loss of profitability. The purpose of this qualitative multiple case study was to explore strategies union leaders use in improving membership retention. Twenty union, former union, and nonunion participants from governmental and industrial firms of Jefferson County, Alabama participated in the study offering their lived experiences in industries with active union environments. …

Employee Turnover Intentions In The Hospitality Industry, Bettye L. Holston-Okae

Walden Dissertations and Doctoral Studies

Employee turnover is detrimental to organizational performance and profitability, leading to loss of diverse financial and intellectual resources and assets. Grounded in the motivation-hygiene theory, the purpose of this correlational study was to examine the relationship between employee turnover intention and job satisfaction, employee compensation, employee engagement, employee motivation, and work environment. The population consisted of low- to mid-level hospitality employees residing in Western Georgia, Central Mississippi, and North Central Texas, over the age of 18, and employed in the hospitality industry. A convenience sample of 156 participants completed the Compensation Scale, Job Satisfaction Scale, Utrecht Work Employee Engagement Scale, …

Teachers' Theories Of Teaching And Learning And The Use Of Math Interventions, Nicole P. Jones

Walden Dissertations and Doctoral Studies

Despite the academic gap between students with learning disabilities (LD) and their nondisabled peers, schools continue to educate students with LD in regular education classrooms. In secondary math classes, such as Algebra 1, students with LD have high percentages of failure. The purpose of this cross-sectional study was to examine the relationship between teachers' personal theories of teaching and learning and their use of math interventions. Fox's (1983) theoretical framework of teaching and learning was used as a conceptual lens. Surveys were administered to 20 high school math teachers in an urban Northeastern U.S. school district. An ordinal logistic regression …

Strategies For Retaining A Multigenerational Workforce, Laurita M. Jones

Walden Dissertations and Doctoral Studies

As organizations become more age diverse, some business leaders face challenges managing a multigenerational workforce. The purpose of this single case study was to explore strategies that leaders at a university in Northwest Florida implemented to retain their age-diverse workforce. The targeted population was higher education business managers who had success with retaining an age-diverse staff. The conceptual framework of the study was Herzberg's 2-factor theory of motivation. A significant tenet of this theory is that employees explain satisfying and dissatisfying experiences based on intrinsic and extrinsic factors related to their job functions. The data collection process included face-to-face interviews …

An Exploration Of Efforts To Combat Human Trafficking In A Small Community, Shirley Konneh

Walden Dissertations and Doctoral Studies

Human trafficking is a global crime that violates the rights of people by holding them in captivity and coercing them into sexual slavery or strenuous labor. It has become a growing phenomenon on Cape Cod, Massachusetts with no signs of stopping. Using John Kingdon's work on multiple policy streams as the primary theoretical foundation, the purpose of this case study was to identify the perceived barriers to implementing existing Massachusetts's policies targeting human trafficking on Cape Cod as experienced by social service providers and law enforcement. Data were collected from 6 participants through e-mail interview. These data were inductively coded …

Eliminating Direct Ground Combat Definition And Assignment Rule: Internal Preparations For Implementation, Steven Justi

Walden Dissertations and Doctoral Studies

Decades before the elimination of gender restrictions in the U.S. military, ground combat was an equal opportunity issue for women. Direct combat units, such as infantry and artillery, are now open to female enlistment. The purpose of this study was to examine the efforts, challenges and/or successes, of incorporating women into a U.S. Army combat brigade in a single state. The frame-critical approach was used to outline the competing arguments between supporters and opponents of women in combat. The research questions guiding the study included how gender integration is perceived with regards to strength and survivability of the unit, and …

Incident Traffic Management Respone, Debroah Lynn Leonard

Walden Dissertations and Doctoral Studies

The North Carolina State Highway Patrol (NCSHP) and the North Carolina Department of Transportation (NCDOT) are often called upon to assist in traffic incidents. Yet little systematic research has examined the extent to which these two agencies collaborate. This gap in understanding is problematic, as a lack of collaboration may result in significant delays in the clearing of traffic incidents. The purpose of this correlational study was to investigate circumstances when the two agencies collaborated in clearing major traffic incidents, and the efficiency of the clearance of the incidents, through the measurement of normal traffic flow. The theory of the …

Experiences And Barriers For Patient Safety Officers Conducting Root Cause Analysis, Cynthia Lightner

Walden Dissertations and Doctoral Studies

Research shows that, when unintentional harm to patients in outpatient and hospital settings occurs, root cause analysis (RCA) investigations should be conducted to identify and implement corrective actions to prevent future patient harm. Executives at a small healthcare consulting company that employs patient safety officers (PSOs) responsible for conducting RCAs were concerned with the low quality of RCA outcomes, prompting this postinvestigation assessment of PSOs' RCA training and experiences. Guided by adult learning theory, the purpose of this study was to assess PSOs' RCA training and investigation experiences by examining self-reported benefits, attitudes, barriers, and time since training, and the …

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 …

School Nurses' Role In The Management Of Children With Type 2 Diabetes, Rosaline Jane Martinez-Culpepper

Walden Dissertations and Doctoral Studies

An estimated 215,000 children and adolescents younger than 20 years old were diagnosed with Type 1 or Type 2 diabetes in 2011. Management of children with Type 2 diabetes requires 24-hour care provided by health care providers, parents, and school nurses. Guided by the health belief model (HBM), the purpose of this qualitative case study was to explore and describe beliefs, attitudes, and practices of school nurses who manage children with Type 2 diabetes. A pilot study with 2 nurses was conducted to finalize interview guide. Volunteer school nurses were recruited through an e-mail announcement from their school district. Face-to-face, …

Knowledge Management Practice Strategies In Project-Based Organizations, Trenese Lashay Mcnealy

Walden Dissertations and Doctoral Studies

Companies globally have lost profit each year because of the lack of intra-organizational knowledge sharing. The purpose of this descriptive, multiple case study was to explore the knowledge management practice strategies that project management business leaders use to improve knowledge sharing in project-based organizations. Nine project management business leaders from 4 project-based organizations in metro Atlanta, Georgia completed individual Skype/phone semistructured interviews, and 5 project team members completed an in-person focus group discussion and an interview questionnaire. Knowledge management was the conceptual framework for this study, the basis for understanding the world around project management business leaders, and the implementation …

Perceived Leadership Style, Gender, And Job Satisfaction In County Jail Correctional Officers, Melissa Minardo

Walden Dissertations and Doctoral Studies

There is a considerable amount of research demonstrating important gender differences in job satisfaction and perceived leadership style. These critical relationships have not been sufficiently explored in correctional institutions, particularly as more women are entering corrections officer positions, and low job satisfaction can lead to risky and sometimes life-threatening consequences. The purpose of this ex post facto study was to investigate the relationship between correctional officers' job satisfaction and their perception of transformational leadership style in their supervisor and to explore how the interaction between leadership style and gender affects job satisfaction. The theoretical framework of transformational leadership was used …

New Graduate Nurses' Perceptions Of Their Delay To Professional Practice, Ruth Ann Obregon

Walden Dissertations and Doctoral Studies

This project study addressed the problem of knowledge and skills lost by new graduate RNs while delayed in transitioning to professional nursing practice. There is a paucity of knowledge about how new RNs experience their delay and how a delay may affect their future clinical performance. Mezirow's transformation learning theory was the conceptual framework for this qualitative case study. Research questions addressed new RNs' understanding of their experiences during a delay to professional practice. A purposeful sample included 8 new RNs who had completed a New Graduate Residency Transition Program (NGRTP) after a delay to practice of 6 months to …

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. …