Digital Commons Network^™

Factors Influencing Use Of Pre-Exposure Prophylaxis Among Men Who Have Sex With Men, Justin B. Terry-Smith

Walden Dissertations and Doctoral Studies

Prevention is key to keeping men who have sex with men (MSM) protected from Human Immunodeficiency Virus (HIV). Despite new and innovative HIV prevention resources such as pre-exposure prophylaxis (PrEP), factors such as education level, employment status, number of sexual partners, and access to health resources may inhibit certain populations from using PrEP. The purpose of this cross-sectional study was to examine the association between education level, employment status, number of sexual partners, and access to health resources and the use of PrEP among MSM. The fundamental cause theory was used to examine how socioeconomic barriers are associated with the …

The Role Of Distance In Army Family Use Of Military-Provided Supports, Jessica Louise Thompson

Walden Dissertations and Doctoral Studies

As military troops continue to deploy post September 11, 2001, limited literature indicates it is important to study the effects of the deployment on the military personnel and their families. The purpose of this nonexperimental study was to examine whether the physical distance between home and military-provided supports plays a role in whether Army families use such supports, and whether the use of these supports effects their coping strategies during the deployment process. Hobfoll's conservation of resources theory served as the framework for this study. Three hundred and two Army spouses, 44% active duty spouses, 33.8% Army National Guard spouses, …

Exploring The Implementation Of Cloud Security To Minimize Electronic Health Records Cyberattacks, Lamonte Bryant Tyler

Walden Dissertations and Doctoral Studies

Health care leaders lack the strategies to implement cloud security for electronic medical records to prevent a breach of patient data. The purpose of this qualitative case study was to explore strategies senior information technology leaders in the healthcare industry use to implement cloud security to minimize electronic health record cyberattacks. The theory supporting this study was routine activities theory. Routine activities theory is a theory of criminal events that can be applied to technology. The study's population consisted of senior information technology leaders from a medical facility in a large northeastern city. Data collection included semistructured interviews, phone interviews, …

Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten

Walden Dissertations and Doctoral Studies

Past research has shown that many youths in the United States age out of foster care group homes unprepared for independent living. Lack of connections to adults, low educational attainment, and homelessness are negative outcomes that have been linked to incarceration for youth who age out of foster care. The purpose of this quantitative correlational study was to determine how well the independent variables of connection to adults, educational attainment, and homelessness predict the dependent variable of likelihood of incarceration for African American males (n = 504) within 3 years after aging out of foster care group homes. The Bridges …

The Effects Of Hourly Rounding On Patient Safety And Satisfaction, Renee Allatzas

Walden Dissertations and Doctoral Studies

The clinical practice problems addressed by the DNP project were the low patient satisfaction scores and the high number of falls on a hospital neurological step-down unit. The purpose of this project was to improve the Hospital Consumer Assessment of Healthcare Providers and Systems score on one patient satisfaction question and decrease the number of patient falls by implementing hourly rounding, using a script related to patient comfort and toileting needs. The scripted questions were expected to increase the satisfaction of patients and decrease unassisted falls due to increased attention to patient pain and positioning and timely help with toileting …

Strategies To Cultivate Sustainable Open Innovation Culture In High-Tech Organizations, Eyal Banai

Walden Dissertations and Doctoral Studies

Business leaders must adopt new business practices to sustain their organizations and meet the paradigm of global competition. In the 21st century, innovation and market readiness have become the primary criteria for sustainability of an organization. Some organizational leaders should adopt open innovation strategy to stay competitive and foster a positive impact on their organizations' performance while practicing a systematic inclusion of knowledge from sources outside of the organization. The purpose of this multiple case study was to explore effective strategies business leaders use to cultivate a sustainable open innovation culture. The population consisted of leaders from 200 high technology …

Corporate Social Responsibility Implementation Framework, Samuel Bonsu

Walden Dissertations and Doctoral Studies

As social problems, such as environmental pollution persist, the need to implement corporate social responsibility (CSR) to enhance societal well-being becomes important. However, little is known about how corporate leaders implement CSR. The purpose of this qualitative transcendental phenomenological study was to identify and report the lived experiences of corporate managers relevant to CSR implementation. This study was guided by ecological systems theory, the Porter hypothesis, the Maslow hierarchy of needs theory, and the Harrod-Domar growth model, which justify the importance of societal well-being to business profitability and growth. The research question regarding the lived experiences of corporate managers of …

Reunification Rates Of Mothers With Mental Illness, Substance Abuse, And Co-Occurring Disorders, Beth Coke

Walden Dissertations and Doctoral Studies

Mental illness is a problem that affects many people; however, little to almost no research relates to mental illness and reunification rates for mothers who have had their children removed from them by the child welfare system. The purpose in this study was to assess and compare reunification rates between mothers with mental illness, those with substance abuse, and those with co-occurring substance abuse and mental illness. The conceptual framework for this study was the use of the structured decision making (SDM) assessment tool in child welfare. The research questions addressed the differences in reunification rates among mothers with mental …

Single Men's Experiences Of Coping With Financial Stress, Heath Downes

Walden Dissertations and Doctoral Studies

Experiencing financial hardship is stressful and can lead to the development of psychological symptoms, including depression and anxiety. Although researchers have examined the broad categories of coping strategies that people employ when faced with financial hardship, little is known about the experiences of single men who were able to navigate stressful times without developing anxiety or anxiety-like symptoms. The purpose of this phenomenological study was to explore the successful coping experiences of single men with financial hardship (e.g., loss of job, home, finances). Bonanno's theory of resilience provided the framework for the study. Data were collected from interviews with 12 …

Increasing Permanent Home Placements For Children With Diagnosed Disabilities In Foster Care, Adina Ekwerike

Walden Dissertations and Doctoral Studies

In the United States, 397,000 children received foster care services in 2012. Some states successfully achieved permanent homes for children with diagnosed disabilities who exited care while others were less successful. Using change theory and social ecological theory as the foundations, the purpose of this study was to determine the impact that diagnosed disabilities had on permanent home placements among Pennsylvania's foster care children who were discharged and were between ages of 0 to 6 years in 2012. Hernandez's and Hodges's theory of change was used to evaluate the 1982 standards that license foster care agencies, while Stokol's ecological theory …

Wic Participant Fruit And Vegetable Intake In California, Lindsay Estrada

Walden Dissertations and Doctoral Studies

Low-income populations in the United States consume less healthful diets than higher-income populations, specifically relating to fruit and vegetable consumption. The supplemental nutrition program Women, Infants, and Children (WIC) is intended to bridge this gap by providing nutrition education and vouchers for nutritious foods. The purpose of this study was to determine if the 2009 WIC food package revisions impacted fruit and green vegetable consumption in 18 to 24-year-old females in California. Using the social ecological model as a guide, a population of WIC (N = 115) and non-WIC (N = 276) participants from the California Behavioral Risk Factor Surveillance …

Nurse's Role Within The Informed Consent Process: A Systematic Review Of The Literature, Maria Faison

Walden Dissertations and Doctoral Studies

Each year, over 50 million surgical and nonsurgical inpatient procedures are performed and yet, shared decision making between patients and health care providers is not achieved. Obtaining patients' informed consent is part of a nurse's daily routine during admissions and before a procedure. The purpose of this project was to evaluate evidence to answer the practice-focused question regarding support for a policy change to implement a nurse-driven informed consent protocol. The systematic literature review was conducted using the adapted literature review by Souz, Silva, and Carvalho, which consisted of 6 levels for evaluating evidence. A total of 15 articles were …

Public Health Strategies For Strengthening Prehospital Injury Responses In St. Lucia, Delwin Oliver Ferguson

Walden Dissertations and Doctoral Studies

Traumatic injuries have steadily increased during the last two decades, affecting over 5.8 million persons annually and have become a global public health issue. Since 2008, 80% of all deaths from noncommunicable diseases and trauma, approximately 29 million occurred in developing countries. Sixteen thousand young adults worldwide have died due to traumatic injuries. Additionally, injuries account for over 15% of the global burden of diseases, with approximately 90% of these injuries occurring in developing countries like St. Lucia. The purpose of this qualitative descriptive study was to examine policy gaps in prehospital traumatic injury responses and explore implementing Essential Public …

Greek Primary Educators' Perceptions Of Strategies For Mitigating Cyber Child Exploitation, Aikaterini Fragkou

Walden Dissertations and Doctoral Studies

Cyber child exploitation is a problem in Greece due to the economic crisis and the resulting lack of government focus on social improvements. Research reveals the importance of educating school teachers of the potential for cyber exploitation of children and argues that early detection of child-focused cybercrimes will decrease the prevalence of child exploitation. The purpose of this interpretive qualitative study was to explore the phenomenon of cyber child exploitation in Greece and to identify strategies teachers may employ to identify and avert cyber child exploitation. Grounded theory provided the framework for this research. The sample consisted of 20 school …

Predictors Of Binge Drinking In High School Youths In Montgomery County, Maryland, Lum M. Fube

Walden Dissertations and Doctoral Studies

Underage drinking is a major problem in the United States, leading to increased morbidity and mortality. About 43,000 deaths a year result from binge drinking in youths at a cost of $24 billion in 2010 to the U.S. economy. The purpose of this quantitative dissertation was to examine the predictors of binge drinking in high school youths in a highly racial diverse community of Montgomery County, Maryland. The social ecological model was the theoretical framework used for this study due to the presence of both personal and contextual factors that influence behavior. Using binary logistic regression to analyze data from …

Virtual Leadership In Complex Multiorganizational Research And Development Programs, Gariann Marie Gelston

Walden Dissertations and Doctoral Studies

A 2002 congressional mandate initiated the U.S. Department of Homeland Security's (DHS) Centers of Excellence programs with a requirement to conduct cross-organizational research and development. The resulting complex multiorganizational programs required more effective virtual leadership and management strategies. Fifteen years later, the presidential budget showed that 61% of the DHS budget was targeted for such research and development. The complex management strategies and virtual leadership skills required to lead the programs were lacking, as top scientific researchers are drawn upon to manage programs. The purpose of this study was to understand followers' perspectives regarding virtual leadership and collaboration within complex …

Strategies To Reduce Employee Turnover In A National Grocery Chain, Tracy Haney

Walden Dissertations and Doctoral Studies

Retaining qualified employees is a problem for many organizations, which costs companies both monetary resources and hours of productivity. A contributing factor to the problem of employee retention is the lack of trained managers who are equipped to foster and increase employee job satisfaction. The purpose of this single case study, using a transformational leadership framework, was to explore managerial strategies to reduce turnover at 1 store in a national grocery store in the Midwestern United States. Methodological triangulation was achieved through the semistructured interviews of 5 managers, as well as a review of company training documents, and a review …

Use Of Hpv Vaccination For Cervical Cancer Prevention In African American Women, Diamond Diane Hanson

Walden Dissertations and Doctoral Studies

Despite the availability of the human papillomavirus (HPV) vaccine, African American women are still at risk for contracting HPV. This is significant because HPV is one of the main risk factors for cervical cancer. The purpose of this quantitative study was to explore the relationship between the use of HPV vaccination for cervical cancer prevention and personal history of HPV, reduced access to healthcare, and risky sexual behaviors in African American women. The theoretical framework used for this study was the health belief model (HBM). Two hundred twenty-nine (n=229) African American women living in the United States, ages 18-49, who …

Nonprofessional Healthcare Staff Perceptions Regarding Inmate Self-Injury In Georgia, Alisa Adele Harmer

Walden Dissertations and Doctoral Studies

Self-injury in correctional facilities is an increasing problem. Healthcare staff are tasked with responding to and treating self-injurious inmates. Research concerning the perceptions of prison self-injury depended on the experiences of professional healthcare staff and showed that specialized training reduced anxiety and altered perceptions. The perceptions of nonprofessional healthcare staff regarding inmate self-injury have not been studied. The purpose of this research was to understand the perceptions of inmate self-injury maintained by untrained healthcare staff through evaluation of their expressed experiences with self-injuring inmates. The research was based on the humanistic nursing theory. A phenomenological approach guided interviews of 8 …

Strategies For Compliance With Government Regulations In A Pharmaceutical Company, Charles Jagun

Walden Dissertations and Doctoral Studies

Pharmaceutical companies accrued fines of over $30 billion within 25 years because of noncompliance with regulations. Noncompliance with regulations results in fines and an adverse impact on company profitability. Some pharmaceutical company managers lack effective strategies to ensure overall company compliance with regulation. Based on complexity leadership theory, the purpose of this single case study was to explore strategies pharmaceutical company managers used to ensure compliance with regulatory requirements in Nigeria. The target population was functional managers purposely selected because they had successfully implemented strategies for compliance with the regulatory requirements in Nigeria. Data were collected through face-to-face and telephone …

Exploring The Strategies For Accessing Microloans Used By Small And Medium Enterprises, Abdul Rashid Kashim

Walden Dissertations and Doctoral Studies

The inability of small and medium enterprises to access microloans from microfinance banks is a major concern in business growth and development in Nigeria. The purpose of this descriptive phenomenological study was to explore strategies for accessing microloans from microfinance banks by owners of small and medium enterprises for business growth and survival. Using the conceptual framework on social capital theory, I selected 20 small and medium enterprises owners who have accessed microloans from microfinance banks and have operated their businesses beyond 5 years with significant growth were interviewed using face-to-face semistructured interviews. Data were collected using semistructured interviews and …

Effect Of Personality Type On Exercise Modality Choice, Michael Koskiniemi

Walden Dissertations and Doctoral Studies

The unhealthy lifestyles of many individuals throughout the world put them at risk for health problems, including infectious disease; endocrine, circulatory, cardiovascular, respiratory, and digestive disorders; and obesity. The modifiable health risks from unhealthy lifestyles account for a sizable percentage of health care costs. Regular exercise is recommended for health. However, currently little research exists regarding how individuals select which exercise regimens (personal training, group exercise, multimedia exercise, and self-directed) to follow. Selection of regimens that are based on one's personality may lead to regular, long-term exercise behavior. The purpose of this study was to examine whether personality was related …

Nonreciprocal Language And Its Influence In Mother-Child Relationships, Karen Kuemerle-Pinillos

Walden Dissertations and Doctoral Studies

Acculturation research has gained interest due to the increasing levels of immigration to the United States. The population of interest for this study was the Latino immigrant population in the United States, as they represent the largest and fastest growing minority in the country. One challenge Latino immigrants can face during the acculturation process is a phenomenon described as nonreciprocal language. This phenomenon is present when first generation parents speak in their native language of Spanish and their children, who are second-generation immigrants, speak in the host culture language of English. The purpose of this study was to focus on …

The Effects Of Cultural Dissimilarity On Employee Job Attitudes And Productivity, Sherrice Olithia Lyons

Walden Dissertations and Doctoral Studies

Organizations in Jamaica have been impacted by globalization and the opportunities and challenges of cultural incompatibilities. Most previous studies on cultural incompatibilities have focused on the impact on expatriates leaving a gap in the literature with respect to the implications for host country nationals, and specifically Jamaicans. This quantitative study focused on employees of 2 companies in Jamaica, an energy company and a hospitality company. It examined cultural dissimilarity with respect to host country nationals and expatriates, and its effect on the productivity, job satisfaction, affective commitment, and normative commitment of these employees (N = 110). In addition to the …

Assessing Executive Functioning In Young Children With Autism Spectrum Disorder, Julie Johnson Miller

Walden Dissertations and Doctoral Studies

This study examined the inconsistency within research surrounding the relationship between executive functioning skills and autism symptomology in those being assessed for autism in early childhood (e.g., 34 to 60 months of age). Inconsistencies in current research connecting autism symptomology and executive dysfunction affect the best practice of practitioners that assess for disabilities. This study aimed to identify correlations between autism symptomology and executive functioning skills and whether combining autism symptomology and executive functioning skills assessments provide a more reliable classification as autism or non-autism. The framework foundation drew upon research that determined connections between those suffering from traumatic brain …

Therapists' Attitudes, Knowledge, Comfort, And Willingness To Discuss Sexual Topics With Clients, Byron James Moore

Walden Dissertations and Doctoral Studies

Empirical literature indicated that marriage and family therapists are not comfortable discussing sexual topics with clients. The purpose of this cross-sectional correlational study was to examine the variables that may influence or predict a therapist's willingness to discuss sexual topics with clients. The research questions focused on understanding the predictive relationship between the independent variables of therapists' (a) attitudes, (b) knowledge, (c) training, (d) supervision experience, (e) clinical experience, (f) sex, (g) age, (h) strength of religion, (i) sexual orientation, (j) practice experience, (k) practice setting, and (l) graduate specialization, and the dependent variables of therapists' (a) willingness to discuss …

Strategies For Reducing Short-Tenured Employee Attrition In The Retail Grocery Industry, Ogechi Ngemegwai

Walden Dissertations and Doctoral Studies

The purpose of this multiple case study was to explore strategies that managers in the retail grocery industry use in reducing short-tenured employee attrition in the West Midland states in the United Kingdom. Participants were 4 store managers who had managerial experience in the retail grocery industry, worked as a retail store manager in the West Midlands, and had experience implementing effective strategies to reduce employee attrition. The Herzberg 2-factor theory was the conceptual framework. Semistructured interviews were used to collect data. Data were analyzed using Yin's 5-step data analysis process. The major themes were: training and development, enriched job …

The Impact Of Valuation Methods On The Likelihood Of Mergers And Acquisitions Of High-Tech Startup Companies In Nigeria, Anthony Okafor

Walden Dissertations and Doctoral Studies

Walden University

College of Management and Technology

This is to certify that the doctoral dissertation by

Anthony Okafor

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. Mohammad Sharifzadeh, Committee Chairperson, Management Faculty

Dr. Javier Fadul, Committee Member, Management Faculty

Dr. Craig Barton, University Reviewer, Management Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2018

Valuing high-tech startups using traditional valuation models has continued to pose valuation challenges to entrepreneurs, investors as well as financial analysts. The complications in valuing …

Long-Term Health Impacts Of Cell Phone-Driven Radiofrequency Radiation Exposure In Humans, Ndukaku Omelu

Walden Dissertations and Doctoral Studies

Uncertainties still exist about the safety of cell phone use and the level of cell phone-driven radiation. The purpose of the current inquiry was to determine the long-term health impacts of cell phone-driven radiation via the use of cell phones. In this cross-sectional study, which was based on socio-ecological theory, secondary data from the 2012 National Health Interview Survey were analyzed to assess the difference in the prevalence of thyroid cancer, mouth/tongue/lip cancer, and heart disease between exposed and non-exposed/less exposed cell phone-driven radiation groups in the United States. Logistic regression was used to address three research questions. Findings initially …

The Wealth Gap A Cross-Sectional Quantitative Analysis Of Self-Esteem And Monetary Power, Willard Edwin Pretlow

Walden Dissertations and Doctoral Studies

The median wealth of Blacks is lower than that of Whites by 90 percent. The corresponding median income for Blacks is 40 percent below Whites. Additional research has revealed that Blacks tend to invest in low-yielding assets and borrow at high interest rates. The alarming problem is that financial outcomes and behaviors can be associated with race. In this cross-sectional quantitative study, the Rosenberg Self-Esteem and the Money Attitude Scale, both are Likert-type scales, served as survey instruments to collect data from Blacks and Whites about their individual financial behaviors. The purpose of this survey was to explore the relationship …