Digital Commons Network^™

Colorectal Cancer Awareness And Screening Guideline For African American Populations, Keyna Omenukor

Walden Dissertations and Doctoral Studies

Colorectal cancer is the 3rd leading cause of cancer-related deaths. Early screening

provides the best prospects for preventing the morbidity and mortality associated with the

disease. Nurses have the duty to promote health and prevent diseases. However, low rates

of colorectal cancer screening continue to be reported, especially among African

Americans who continue to suffer disproportionately from the disease. There is a need for

a culturally-sensitive clinical practice guideline that nurses can use to educate patients

appropriately on colorectal cancer. The practice focused question for this project was

designed to explore whether a culturally-sensitive clinical practice guideline to increase

colorectal …

Neighborhood-Level Predictors And Obesity Among African-American Children, Uche Onyeka

Walden Dissertations and Doctoral Studies

The steady raise in childhood obesity is a major public health problem nationally and globally. Childhood obesity is primarily caused by an imbalance between caloric intake and caloric expenditure. The increase in childhood obesity rates over the past 3 decades suggested involvement of environmental and behavioral factors in the obesity epidemic. While childhood obesity is considered a public health crisis in the United States, only limited research is available about the potential impact of neighborhood-level factors such as access to healthy food, neighborhood safety, and risk-free outdoor playgrounds. The purpose of this study was to examine if any relationships existed …

Gulf War Era Ii Veterans' Cognitive Information Processing And The Civilian Employment Transition, Denita Monique Oyeka

Walden Dissertations and Doctoral Studies

Gulf-War-era-II combat veterans have made professional contributions to the civilian workforce since returning from Iraq and Afghanistan combat operations. Service members in California encounter transition issues related to employment and adjusting their self-identity in the civilian employment culture. These complexities have led to career problems. Using Peterson, Sampson, Reardon, and Lenz's theory of cognitive information processing and Mincer & Becker's theory of human capital, the purpose of this phenomenological study was designed to provide a holistic account of the lived experiences of 11 Gulf War era II veterans who have successfully integrated into civilian employment with a focus on mitigating …

Regression Analysis Of Young Elderly Americans' Needs To Alleviate Poverty, Barbara Ann Parker

Walden Dissertations and Doctoral Studies

Demographics are changing for the young elderly population in America, and poverty is a growing concern among this population. The purpose of this correlational study was to examine the relationship between young elderly demographics and income level, and between government programs and economic status. Rawls's theory of justice was useful to examine the relationship between predictor variables and the outcome variable. Secondary data came from the U.S. Census Bureau's Current Population Survey from March 2016. The results of multiple and logistic regressions indicated no statistically significant linear correlation. There was no statistical linear correlation between income level and region, race, …

Factors Impacting The Financial Independence Of Women Who Were Teenage Mothers, Jeanette Parker

Walden Dissertations and Doctoral Studies

Teenage pregnancy in the United States is a national concern because of negative outcomes for teen mothers and their children of teen mothers. There is ample research on the negative outcomes associated with teen pregnancy: however, there is little research on the success of teenage mothers. This transcendental, phenomenological study examined how former teenage mothers overcame challenges of teen pregnancy to become financially independent adults. The research question for this study was: What factors enabled former teen mothers to overcome challenges of teen pregnancy to become financially independent adults? Principles from social learning theory and resilience theory provided the conceptual …

Exploring How Women On Corporate Boards Cope With Gender Bias, Sharon Roberts

Walden Dissertations and Doctoral Studies

Gender bias may cause organizations to lose the values that women bring to the workplace in leadership positions and may thwart women from reaching their personal goals. The purpose of this qualitative descriptive multiple case study was to explore gender bias and its influence on women on corporate boards, their roles, appointment, and the need to develop coping strategies to deal with gender bias to execute their roles. The conceptual lens used was Tajfel and Turner's social identity theory to explain the basis for intergroup discrimination, and Eagly and Karau's role congruity theory of prejudice to explain the exclusion of …

Effect Of Gender On Attitudes Toward Female Sexual Offenders, Heidi Senethavilay

Walden Dissertations and Doctoral Studies

Mental health professionals may lack the necessary knowledge and competency to work with female sexual offenders. The purpose of this quasi-experimental study was to determine whether gender influences attitudes toward sexual offenders and their treatment outcomes among psychology and mental health graduate students. This study was grounded in a dual form of deductive theory; alpha and beta bias was the primary theory and constructivism was the secondary theory. Data were collected from 186 graduate students in mental health programs from multiple universities. The Community Attitudes Towards Sex Offenders and the Attitude Towards the Treatment of Sexual Offender assessments were used …

Ethical Decision-Making In Construction Engineering Projects, Monique Sidaross

Walden Dissertations and Doctoral Studies

Problems exist with ethical decision-making in U.S. construction engineering projects.

The purpose of this study was to explore factors that affect ethical decision-making in engineering construction in the United States. The general concepts of marketing ethics, Kohlberg's discussion of ethical and moral reasoning development, and Gillian's discussion of ethical care served as the basis of the conceptual framework. Factors that inhibit ethical decision making were addressed in the research questions. The resulting narrative framework included implementable initiatives based on these factors that could improve the quality of ethical decision-making and the impact of these initiatives on the cost and quality …

Development Of Patient-Centered Team-Based Care Certification, Stephanie Lynn Stewart

Walden Dissertations and Doctoral Studies

Accountable care units (ACU-?¢) provide a new model for integrated patient care. The ACU-?¢ promotes patient centeredness in nursing units as team members work collaboratively with physicians to improve patient outcomes and reduce unwarranted variations. A health system in the southeastern United States incorporated the ACU-?¢ as part of their care model. These units were held accountable for their clinical, service, and cost outcomes but lacked a validation process to demonstrate the effective utilization of their data. The purpose of this DNP project was to create a patient centered care (PCC) certification process, guided by the Donabedian model, that would …

Increasing The Career Longevity Of Teachers Of Students With Emotional And Behavioral Disorders, Leroy V. Smith

Walden Dissertations and Doctoral Studies

Teachers of students with emotional and behavioral disorders (EBD) have among the highest attrition rates of any teaching discipline in the United States. High attrition rates affect EBD teachers, school districts, and students with EBD. Through the theoretical lenses of Maslow's hierarchy of needs theory and Eisenberger's organizational support theory (OST), this study sought to determine if there was a difference in college preparation, job support, and job benefit/amenity factors identified by EBD teachers who intended to leave the discipline (n = 6) and those who intended to stay (n = 9). This quantitative, survey-based study yielded data from 15 …

Improving Human Papillomavirus Vaccination Rates Through Evidence-Based Interventions, Deidra Thompson

Walden Dissertations and Doctoral Studies

Cervical cancer is the most common human papilloma virus (HPV) -associated cancer and is the second leading cause of death in the world. Vaccination against HPV is essential to reduce the incidence of HPV and subsequent morbidity and mortality. According to the Centers for Disease Control and Prevention (CDC), approximately 79 million Americans are currently infected with HPV. The site for this DNP project was a 163-bed facility with inpatient and outpatient services in the southern United States. The vaccination rate at the site was 48%. The facility lacked educational interventions to prepare and remind providers to offer HPV vaccine. …

Strategies To Sustain Small Businesses Beyond 5 Years, Kayaso Cosmas Wani

Walden Dissertations and Doctoral Studies

According to the U.S. Small Business Association, the failure rates for small businesses in 2014 were as high as 50% to 80% within the first 5 years of establishment. The purpose for this multiple case study was to explore the strategies that small business owners have used to sustain their businesses beyond 5 years. Guided by entrepreneurship theory as the conceptual framework, and a purposive sampling method, this qualitative case study used semistructured interviews with 3 successful, small, ethnic grocery business owners in Anchorage, AK to better understand small business strategies for survival. Member checking and triangulation with field notes, …

The Relationship Between Alabama's Prison Reentry And Rehabilitative Programs And Recidivism, Kenneth Whitman

Walden Dissertations and Doctoral Studies

Recidivism is a vital concern to the Alabama Department of Corrections (ADOC), Alabama Board of Pardons and Parole (ABPP), taxpayers, and family members affected by the revolving door of inmates in and out of the Alabama prison system. Little, however, is understood about the relationship between the effectiveness of prison programs and rates of recidivism. Using social learning theory as a theoretical framework, the purpose of this study for the ADOC was to explore the nature of the relationship between prison program efficacy and improvements on recidivism. Data were collected through a convenience sample of 17 ADOC and 1 ABPP …

Childhood Lead Exposure And Adult Verbal Comprehension And Perceptual Reasoning, Carrie A. Wonderly

Walden Dissertations and Doctoral Studies

Lead neurotoxicity is considered a problem in young children and the long-term effects of lead exposure on them have yet to be determined. Studies have been completed to determine how lead exposure has affected children through their most important developmental stages. However, there is a lack of research to uncover any long-term effects lead may have as children enter adulthood. The purpose of this study was to determine long-term effects of lead exposure on IQ. The theoretical foundation for this study is the Cattell Horn Carroll theory of intelligence, which is based on fluid (novel experiences) and crystallized (previous experiences) …

Leadership Communications Strategies For Enhancing Virtual Team Performance, Rachel Oludolapo Agbi

Walden Dissertations and Doctoral Studies

The fast-growing trend of using virtual teams comes with challenges including the lack of knowledge by some virtual team leaders for managing virtual teams. The purpose of this single case study was to explore the communication strategies that leaders use to manage virtual teams in real time to enhance team performance. The sample was composed of 4 successful virtual team leaders of a multinational accounting firm whose headquarters is in the northeastern region of the United States of America. The conceptual framework that guided this study was Tuckman's small group developmental model. Data consisted of semistructured interviews and the review …

Perceptions And Experiences Of Students Who Withdrew From College Prior To Degree Attainment, Enedine B. Andre

Walden Dissertations and Doctoral Studies

Nationally an estimated 41% of traditional students who begin seeking an undergraduate degree do not persist through degree attainment. Guided by Tinto's theory of student departure and the theory of social integration, the purpose of this study was to identify the reasons students withdrew from college prior to degree completion. A qualitative case-study design was implemented, and 13 former college enrollees were purposefully selected for individual semistructured interviews. The students graduated from one high school in the Southeastern United States. Data analysis was conducted using open coding procedures with iterative recategorization to identify key themes. Findings indicated that inadequate preparation, …

Living With Muscular Dystrophy: Sexual Education, Leanne Beers

Walden Dissertations and Doctoral Studies

Sexual pleasure and intimacy are fundamental and innate human needs. Individuals with physical disabilities often find it difficult to meet these needs because of such factors as impaired mobility and lack of knowledge about sexual health. People with physical disabilities are often seen as asexual and not capable of having sex, and sexuality is often not considered a concern among this population. These misconceptions can result in individuals with physical disabilities not receiving basic sex education or advice and guidance when issues arise. Not receiving this attention may impede disabled individuals' sexual potential and personal relationships. This study's focus was …

Identifying Factors That Predict Policy Practice Among Social Workers, Dawn R. Broers

Walden Dissertations and Doctoral Studies

The social work profession has long touted a dual focus on service within micro and macro realms of practice, preparing social workers to serve marginalized populations at the boundary between the powerful and the powerless. Research, however, has shown that macro social work, or policy practice, has diminished. Current research has been inconsistent in identifying predictive factors of increased policy practice. With recent efforts by the profession to bolster waning policy practice among social workers, it is vital to identify factors that predict higher engagement. Theoretical frameworks suggest that professional socialization in policy practice as a group norm, having resources …

The Role Of Motivation In Financing Women-Owned Businesses, Severine C. Bryan

Walden Dissertations and Doctoral Studies

Women-owned small businesses contribute significantly to the U.S. economy, accounting for 55% of all new ventures; however, women entrepreneurs receive only 2% in external financing. The growth of small businesses is contingent on business owners receiving adequate financing. Business leaders should consider how obstacles, such as lack of motivation, impede the pursuit of external financing. Grounded in Vroom's expectancy theory of motivation, the purpose of this correlational study was to analyze the relationships among valence, instrumentality, expectancy, and the desire to seek business financing. The study included women small business owners in the United States. Data were collected from a …

Metacognitive Reading Strategy And Emerging Reading Comprehension In Students With Intellectual Disabilities, Natasha Cox-Magno

Walden Dissertations and Doctoral Studies

Historically, students with intellectual disabilities (ID) have low reading comprehension skills that can impede their overall academic success. There is a gap in practice regarding the identification and effective use of evidence-based reading comprehension instructional strategies for students with ID. Guided by Piaget's and Vygotsky's constructivist theories, the purpose of this study was to test the effectiveness of a metacognitive reading strategy on the emerging reading comprehension (ERC) skills of kindergarten students with ID. A single-participant, multiple baseline design with graphical visual analysis was used across 4 kindergarten students with ID to illustrate the influence of the reading intervention. All …

Credit Recovery And Grade Point Average In An Alternative High School System, Antoinette Marie Cunningham

Walden Dissertations and Doctoral Studies

Abstract

The dropout rates of African American and Hispanic students in the United States are significantly higher than that of White students. Failure to obtain a high school diploma has adverse economic and social implications for these students and for society. The purpose of this study was to assess the relationship between a credit recovery program with key demographic variables and high school GPA, which is a graduation antecedent, for students in an alternative school. Knowles' framework of adult learning theory was used to examine how participation in the credit recovery process in a system of predominantly African American-serving alternative …

Impact Of Individualized Learning Plans On Educational Completion Among Incarcerated Youth, Laura Lee D'Anna

Walden Dissertations and Doctoral Studies

Interruptions to juvenile detainees' education often delay their progress toward high school completion. Implementing an individualized learning plan (ILP) has been suggested as a solution to this problem. The purpose of this case study was to explore how ILPs facilitate attainment of graduation among incarcerated youth. The study was guided by the Washington State legislative framework for individualized learning plans and the efforts of the Office of Juvenile Justice and Delinquency to increase educational opportunities. Three research questions were formulated to explore perceptions of local juvenile detention center educators and administrators regarding their experiences in the development, implementation, and effectiveness …

Psychometric Properties Of The Modern Homonegativity Scale In The Southern United States, John T. Gavlas

Walden Dissertations and Doctoral Studies

The Modern Homonegativity Scale (MHS) is designed to measure a distinct modern form of prejudice against gay people. Based on the conceptual framework of old-fashioned and modern antigay prejudice advanced by Morrison and Morrison, the present study was conducted to assess the reliability and validity of the MHS as a measure of modern antigay prejudice in the southern United States a region where antigay prejudice appears to be particularly pervasive and damaging. This purpose was achieved by analyzing survey responses from 691 adult residents of 14 southern states. As hypothesized, MHS scores were correlated with political conservatism, contact with gay …

Small Business Restaurant Marketing Strategies For Sustainability, Lyle John Hubbard

Walden Dissertations and Doctoral Studies

Approximately 52% of food and accommodation businesses survive 5 years or more. Small business restaurant owners face greater challenges in marketing and sustainability than larger and well-established chain restaurants. The purpose of this multiple case study was to explore the successful marketing strategies of small business restaurant owners who sustained their businesses 5 years or more. The population was small business restaurant owners in Eugene, Oregon. The conceptual framework for this study was Porter's 5 forces. Data collection included semistructured interviews with 4 business owners, and data analysis consisted of coding and thematically analyzing interview data and data collected from …

Self-Care Management Of African American Men With Type 2 Diabetes, Kevin Konstantinos

Walden Dissertations and Doctoral Studies

African American men are disproportionately affected by type 2 diabetes and have a 3 times higher rate of 3 serious complications of diabetes, including blindness, amputations, and end-stage renal disease, compared to other groups. The purpose of this project was to address the gap-in-practice disparity that exists in care of African American men with diabetes by providing one-on-one self-care management education in an outpatient clinic setting. The behavior change theories that supported the project intervention were Orem's self-care theory and Bandura's self-efficacy theory. Employing a quasi-experimental design, 33 participants between the ages of 40 and 65 were divided into an …

Physical Activity And Veteran Status In Obesity And Chronic Obstructive Pulmonary Disease, Erin Mcguire Kren

Walden Dissertations and Doctoral Studies

There are few data available regarding the relationship between physical activity and veteran status in those with combined chronic obstructive pulmonary disease (COPD) and obesity. COPD is a common illness and a leading cause of death in the United States. Veterans represent a distinct subpopulation in the United States and are more likely to have COPD, which is a disease with a high rate of comorbidities such as obesity. Physical activity can improve outcomes for those with COPD and obesity. However, recommendations for physical activity for those with COPD and obesity are vague. This study, based on the self-determination theory, …

Factors That Influence How Sunni Muslims In Western Michigan Perceive Violence, Joyce Busch

Walden Dissertations and Doctoral Studies

Decisionmakers in organizations like the Department of Defense and the State Department rely on accurate information to develop strategies to engage foreign populations. There is gap in understanding how perceptions are formed in religious adherents, specifically understanding how Muslims determine if violence is an acceptable or unacceptable behavior. Informed by Hobföll's conservation of resources theory of stress, the purpose of this case study was to identify and understand the religious and secular factors that influenced a group of Sunni Muslims in Western Michigan to accept or reject violent behaviors. Research questions focused on how this population's perception of violence was …

Perceptions Of Healthcare Workers Toward Influenza Vaccination, Amos Adedokun

Walden Dissertations and Doctoral Studies

Even though influenza vaccinations were provided free to all healthcare workers in the United States, healthcare workers were not 100% compliant. The non-compliance with influenza vaccinations may expose their patients, their families, and the public at large to a high-risk source of influenza infection. This study's research questions included how registered nurses perceived influenza and influenza vaccination; registered nurses' self-reported incidents with influenza vaccination; and factors that contributed to registered nurses' non-compliance with influenza vaccination. Guided by the theory of reasoned action and the theory of planned behavior, the purpose of this qualitative study was to determine the factors that …

African American Women Caring For Loved Ones With Alzheimer's Disease And Dementia, Lisa M. Forbes

Walden Dissertations and Doctoral Studies

Abstract

In 2016, a dramatic shift occurred in demographics in the United States because the oldest people in the baby boomer generation, which consists of people born between 1946 and 1964, reached age 65. The larger aging population and longer lifespans have produced an increased need for care and services. There are an estimated 5.4 million Americans of varying ages living with a diagnosis of dementia or Alzheimer's disease. Diagnoses of Alzheimer's disease are more prevalent among African Americans than other ethnicities. With little research found on culturally appropriate interventions for specific ethnic groups, a more detailed review of the …

Systematic Review Of The Literature On Why There Is Hospice Underutilization, Maria J Garcia

Walden Dissertations and Doctoral Studies

Despite hospice and palliative care services being available for patients at the end-of-life, it remains an easily accessible health care service which has been mostly underutilized and/or misunderstood. For this project, the practice problem was underutilization of hospice and palliative care services. A systematic review of the literature which focused on under usage of end-of-life care was conducted. MEDLINE, CINAHL, and ProQuest Nursing and Allied Source databases were searched (2005 to 2017). Studies that evaluated interventions for increasing hospice and palliative care services were selected. Conceptual variables included studies that addressed the under usage of end-of-life care. Kolcoba's comfort theory, …