Digital Commons Network^™

Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang

Walden Dissertations and Doctoral Studies

Every year thousands of patients in the United States undergo cardiothoracic surgery. These patients have high levels of anxiety because they do not know what to expect. At the same time, many nurses on the cardiac telemetry/surgical floor are not aware that effective preoperative teaching can make a significant difference in patients' outcomes; thus, nurses had focused on postoperative teaching. The purpose of this project was to develop a preoperative teaching program through which nurses could help patients undergoing open heart surgery. The mentioned above practice initiative used Neuman's systems model as a framework. The project used a before-and-after design: …

Who Believes In A Male God? Ideological Beliefs And Gendered Conceptualizations Of God, Simon Howard, Debra L. Oswald, Mackenzie S. Kirkman

Psychology Faculty Research and Publications

Recent studies have explored whether certain conceptualizations of God are associated with various attitudes and beliefs. In the current study, we examined the relationship between gendered God concepts and the belief that God is involved in one’s life and religious-related rigid ideologies (i.e., religious fundamentalism and right-wing authoritarianism [RWA]). Across two studies, one conducted with religious students at a Jesuit university and the other with a national sample, we found that individuals who believed God to be male were more likely to believe that God had more control and involvement in their life, had higher levels of religious fundamentalism and …

Identity Style Preference And Marriage Among Black Americans, Russell Klumpp

Walden Dissertations and Doctoral Studies

Blacks marry less and divorce more than any other racial demographic in the United States. The purpose of this quantitative study was to examine identity style preferences in relation to attitudes toward marriage and marital satisfaction among Black Americans. Identity style is the way in which a person approaches and processes information that has the potential to affect self-identity. Identity style theory suggests there are three primary styles (informative, normative, and diffuse-avoidant) and that each person will eventually settle upon a preferred style. All participants in this study were United States citizens, over the age of 18, and self-identified as …

Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer

Walden Dissertations and Doctoral Studies

The September 11, 2001 terrorist attacks exposed considerable breakdowns in communications interoperability and information sharing among first responders. Multijurisdictional responses to the active-shooter incidents at the University of Texas in 2010; Sandy Hook Elementary of Newtown, Connecticut in 2012, and the Reynolds High School shooting of Multnomah County, Oregon in 2014 were replete with interoperability failures as well. Recent multijurisdictional response events continue to illuminate difficulties with first-responder interoperability and minimal research exists to promote understanding of the interoperability challenges of university police departments. The purpose of this study was to explore the barriers that impede communications of campus based …

The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell

Walden Dissertations and Doctoral Studies

In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund …

Immunoglobulin Therapy And Primary Immunodeficient Patients' Health-Related Quality Of Life And Well-Being, Niedre Heckman

Walden Dissertations and Doctoral Studies

Individuals born with primary immune deficiency diseases (PIDD) have a dysfunctional immune system, and many are treated by lifelong injections of immunoglobulin therapy. Studies have shown that these patients have low health-related quality of life (HRQOL) and well-being (WB) and that these outcomes might be improved by the availability of therapy innovated according to preferences for fewer needle sticks or a shorter infusion time. Regulators at the U.S. Food and Drug Administration (FDA) have approved therapies innovated per these preferences. However, there is limited data demonstrating how these innovations impact HRQOL and WB. Using the biopsychosocial model, the purpose of …

Entrepreneurship Growth During A Recessionary Period, Ralph Ndubuisi Igwedibie

Walden Dissertations and Doctoral Studies

Small business entrepreneurs in the United States often struggled or went out of business during the recession of 2007-2009. The purpose of this phenomenological study was to explore the strategies entrepreneurs needed to grow their businesses during a recessionary period. The conceptual framework for the study was effectuation theory. The population consisted of small business entrepreneurs whose businesses survived the recession of 2007-2009 in Atlanta, Georgia. Data were gathered through semistructured interviews with 20 participants. Data organization and thematic analysis involved coding interview data and using software to categorize themes and subthemes. Major themes that emerged from the study included …

Social Isolation Risk Among Older Adults Who Live Alone, Nadine Lukes-Dyer

Walden Dissertations and Doctoral Studies

As individuals age, their likelihood of experiencing mental and physical problems increases, as does their risk of developing social isolation. Behavioral, physiological, and/or psychological changes are common manifestations of social isolation. Increased morbidity and mortality are the outcome. Ecological systems theory and social baseline theory provided the framework to explore 10 older individuals' perceptions of risk for social isolation and their perceived barriers to social integration. Data for this interpretive phenomenological study were collected from participant diaries, interviews, the 6-item de Jong Gierveld Loneliness Scale (DJGLS-6), the Lubben Social Network Scale 6 (LSNS-6), a demographic survey, and a social support …

Industrial Voluntary Consensus Standards – A Process Under Threat, Joel Blumenthal

Walden Dissertations and Doctoral Studies

The world relies heavily on industrial voluntary consensus standards to serve public interests through the development of uniform and harmonized social and economic procedures. The research problem focused on generating suggestions for improving collaborative practices between U.S.-based accredited and unaccredited standards development organizations that create voluntary consensus standards. The research centered on assessing the level of consensus among experts regarding what actions may be conducive to improving collaborative practices through the lenses of stakeholder and institutional theory. This modified 3-round qualitative Delphi study began with open-ended questions in Round 1 and progressed towards consensus in Rounds 2 and 3 using …

Urban High School Educators' Perceptions Of Pre-Service And In-Service Conflict Resolution And Violence Prevention Education, Sean M. Brooks

Walden Dissertations and Doctoral Studies

Studies have shown that conflict resolution and violence prevention education may be lacking within school-based environments. There is a gap in the literature regarding pre-service and in-service conflict resolution and violence prevention education for urban high school educators. The purpose of the study was to understand the experiences and perceptions of urban high school educators' pre-service and in-service conflict resolution and violence prevention education, and the student health-related antecedents that contribute to both. Utilizing a case study methodology, this study emphasized the diverse geographic locations of urban high school educators' pre-service institutions and the perceptions of their pre-service and in-service …

Cox-Type Model Validation With Recurrent Event Data, Muna Mohamed Hammuda

Doctoral Dissertations

"Recurrent event data occurs in many disciplines such as actuarial science, biomedical studies, sociology, and environment to name a few. It is therefore important to develop models that describe the dynamic evolution of the event occurrences. One major problem of interest to researchers with these types of data is models for the distribution function of the time between events occurrences, especially in the presence of covariates that play a major role in having a better understanding of time to events.

This work pertains to statistical inference of the regression parameter and the baseline hazard function in a Cox-type model for …

Urban And Suburban Differences In Cultural Identification, Life-Guiding Principles, And Person-Organization Fit, Joseph Edigin

Walden Dissertations and Doctoral Studies

Diversity practitioners in the United States have taken steps to implement programs for integration of people in organizations from across the socioeconomic and demographic spectrum. Despite changes in U.S. discrimination laws and work by diversity practitioners, maintaining equitable workplace diversity continues to be a problem in U.S. corporations. This correlational study was conducted to examine differences in life-guiding principles, urban identification, and person-organization fit between urban and suburban residents. A purposive sample of 180 adults was drawn in a voluntary online survey from industries in two U.S. representative counties with a mix of urban and suburban sprawl. This study was …

Shortage Of Licensed Independent Social Workers With The Training Supervision Designation, Justa Link

Walden Dissertations and Doctoral Studies

There is a shortage of Licensed Independent Social Workers with the Training Supervision Designation (LISW-S) in a county in rural Ohio. If there are not enough LISW-Ss, social workers may not have the ability or opportunity to work independently or gain the supervision needed to become more competent in specific areas of practice. The purpose of this project was to gain a better understanding of why some social workers in rural Ohio decide not to pursue an LISW-S credential, as well as whether there are resources or incentives that might prompt individuals to pursue this credential. This action research project …

Frequency Of Cell Phone Texting And Social Competency In Adolescents, Anita Marie Phillips

Walden Dissertations and Doctoral Studies

There is no current research on the relationship between texting frequency, social competency development, and the moderating effect of gender in adolescents. A quantitative study involving a moderation design using multiple regression assisted in determining the relationship between cell phone texting and gender and whether or not the interaction of these variables predicted social competency development. The theoretical base that grounded this study was the taxonomic model of social competence, which identified the importance of examining social awareness abilities such as communication, an essential component for the development of social competency. The study included 74 participants. The participants were parents …

Parents' And Teachers' Perception Of An Alternative School, Larry Lee Adams

Walden Dissertations and Doctoral Studies

The alternative school in this case study has experienced resistance to the assignments the past few years. Present enrollment consists mostly of African American male students, whose parents complain about constant fighting, inadequate educational resources and the lack of class selections necessary for student academic progress. The purpose of this qualitative case study was to explore the perceptions of teachers and parents regarding academic information, and general information, they perceived have had the greatest impact on behavior, discipline, and achievement in the school environment. In addition, parents' primary concerns about student assignment to the alternative school were explored. Constructivist learning …

Police Culture And Decision-Making, Larry D. Anthony

Walden Dissertations and Doctoral Studies

Decisions made by street-level police officers during encounters with the public have an immediate and long-lasting effect. Bad choices can cause a loss of trust, respect, and legitimacy for the police in a community and lay a foundation for violent confrontations between officers and citizens. Layers of culture that shape human decisions consist of social and institutional culture, including interactions that shape an individual's culture and beliefs and demographics and technology that affect cultural development. Police culture (which includes these layers of culture and factors like rank, units, and history) shapes attitudes and opinions about communities and people in a …

Impact Of Empowerment And Autonomy On The Nursing Director's Intent To Stay, Tiffany Bergquist

Walden Dissertations and Doctoral Studies

Retention of nursing directors is important to the viability and success of the healthcare industry because they have a large impact on nursing job satisfaction, overall retention of nurses in an institution, productivity, and patient outcomes. Factors that retain nurse directors, such as autonomy and empowerment, appear to be important to job satisfaction, but there is little in the current research to corroborate these findings. The purpose of this quantitative study was to determine what factors impact nursing directors' intent to stay in their current role and what effect role autonomy and empowerment have on their intent to stay as …

The Relationship Between Positive Academic And Behavior Support Services: School Failure Prevention-Plan, Tujaim M. Berry

Walden Dissertations and Doctoral Studies

Urban middle school students experience poor self-efficacy and poor attitudes toward school climates after being retained. Previous research has indicated that grade-level retention in primary and secondary education might cause long-term achievement gaps, school failure, and high school dropout rates. However, current research has yet to examine relationships between archival data retrieved on retained middle school students' achievement outcomes and perceptions of school climate. The purpose of this nonexperimental, quantitative study was to assess the relationships between retained middle school students' self-efficacy as measured by the School Climate Survey and their performance outcomes as measured by PowerSchool®. Bandura's theory of …

Experiences Of Interpersonal Interaction Between Nurse Educators And Minority Nursing Students, Debra Boldan

Walden Dissertations and Doctoral Studies

Changes in the cultural composition of the United States population are not reflected in the nursing workforce. The lack of diversity in nursing may be due to the unique interpersonal needs of minority nursing students remaining unmet in traditional nursing education programs, which might unintentionally lead to alienation, isolation, and lower graduation rates for minority students. The purpose of this phenomenological study was to explore interpersonal interaction experiences nursing educators have in teaching minority nursing students. Critical social theory provided the theoretical framework to explore the ways social inquiries may hinder learning and keep marginal groups from reaching their full …

Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner

Walden Dissertations and Doctoral Studies

Nurse educators make decisions regarding the inclusion or exclusion of non-nursing courses in a curriculum. The current literature lacks research regarding which courses have the most impact on first-time nursing licensing examination pass-rates. The purpose of this quasi-experimental study was to investigate if there is a specific combination of courses that enhance first-time licensing examination pass-rates, using 161 randomly selected accredited associate degree nursing programs. General systems theory applied to nursing education was the framework for the study. ANOVA and independent t-tests were used to address the questions of non-nursing courses or discipline-specific set of non-nursing courses' impact on first-time …

Teachers' Experiences With Web-Based Professional Development For Diffusing State Standards, Nadine Petrie-Waymyers

Walden Dissertations and Doctoral Studies

School reform efforts ultimately affect the students, but what is seldom looked at is how they affect teachers. This phenomenological study examined the experiences of teachers with regards to web-based professional development during a systemic change. The purpose of this qualitative study was to generate an in-depth understanding of the lived experiences of 6 teachers in a Southeastern state who had participated in the initial process of implementing organizational changes and the diffusion of the new state educational standards. Rogers's diffusion of innovation theory served as the study's conceptual framework. Research questions focused on the perspectives of teachers regarding the …

Sustainability Strategies For Successful Small Businesses, Barbara Stovall

Walden Dissertations and Doctoral Studies

Small businesses struggle to survive for longer than 5 years because owners lack knowledge of strategies to sustain financial capital. The purpose of this multiple case study was to explore strategies small business owners used to maintain financial capital to ensure survivability for longer than 5 years. The sample included 3 successful service- related small business owners located in the southeastern United States. Systems theory and the theory of entrepreneurship provided the conceptual framework for the study. Data collection involved face-to-face, semistructured interviews and a review of company websites and organizational documents. Member checking enhanced the credibility of the findings. …

Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason

Walden Dissertations and Doctoral Studies

In society, individuals tend to be socialized into roles that take on characteristics of masculine and feminine. Studies exist on the role strain experienced by heterosexual couples dealing with a life-threatening illness due to this characterization. The scholarly literature lacks studies on the understanding of roles, as well as possible role strain, in lesbian, gay, bisexual, transgender, and queer (LGBTQ) couples when dealing a life-threatening illness. The purpose of this qualitative case study was to explore the role strain experiences of LGBTQ couples who are living with cancer diagnoses of a partner. Biddle's role strain theory provided the conceptual framework …

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …

Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster

Walden Dissertations and Doctoral Studies

Every year, several documented data breaches happen in the United States, resulting in the exposure of millions of electronic records. The purpose of this single-case study was to explore strategies some information technology managers used to monitor employees and reduce internal theft and loss. The population for this study consisted of 5 information technology managers who work within the field of technology in the southwestern region of the United States. Participants were selected using purposeful sampling. The conceptual framework for this study included elements from information and communication boundary theories. Data were collected from semistructured interviews, company standard operating procedures, …

An Exploration Of Male College Student Departure In The Southcentral United States, E. Ted Siebert

Walden Dissertations and Doctoral Studies

Male college students' attrition has been a concern for higher education for 3 decades. This study focused on why young male college students leave postsecondary education before graduating. The purpose of this study was to explore the experiences former male college students that led to their decision to leave a community college in the Southcentral United States. Research questions in this generic qualitative study were: How do men describe their experiences leading to the decision to discontinue their community college education and what supports do men perceive colleges could offer to support their decision to continue postsecondary education. Astin's theory …

The Effects Of Academic Parent Teacher Teams On Latino Student Achievement, Barbara Dee Bench

Walden Dissertations and Doctoral Studies

Decades of research have noted the importance of parent involvement in students' academic success. Less is known about parent engagement models that aim to increase Latino students' reading achievement. This project study examined the effectiveness of a 2-year parent engagement program implemented to address poor reading achievement of Latino elementary school students in a small urban district. The purpose of this study was to determine disparities in student scores between those parents who participated in the program and those parents who did not participate. The research questions examined parent engagement levels in comparison to increased summative reading scores. Based on …

Middle School Parents' Beliefs Regarding Learning Management System Use In Mathematics, Vaughn Malcolm Bradley

Walden Dissertations and Doctoral Studies

Middle school is a critical time in students' learning of mathematics, something a Learning Management System (LMS) is designed to help parents support. What remains unknown is how parents use an LMS to monitor their children's progress in mathematics. This qualitative case study explored how parents from one midAtlantic middle school with 543 students used an LMS, EdLine, to support their children's autonomous achievement in mathematics. Expectancy-value theory and social cognitive theory made up the conceptual framework used to evaluate study findings. A criterion-based process was used to select nine middle school parents from grades 6, 7, and 8 as …

Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown

Walden Dissertations and Doctoral Studies

Lead exposure during childhood is a significant global public health concern as the potential effects of exposure can result in the need for long-term treatment, diminished productivity in society, and financial strain on the health care system. There is strong evidence of a relationship between lead exposure and attention-deficit/hyperactivity disorder (ADHD); however, there is a gap in the current literature regarding the relationship between lead exposure and specific symptoms of ADHD and the strength of that relationship. The purpose of this meta-analysis was to examine and help quantify this relationship. Cohen's d was used as the standardized mean effect size …

Stress And Coping Abilities Of Swat Personnel In A Metropolitan Area Of Florida, Pedro Corpas

Walden Dissertations and Doctoral Studies

For decades, stress has been scientifically studied and found to have effects on the law enforcement community. Furthermore, scholars have thoroughly studied the correlation between stress and the law enforcement occupation which has been proven to affect their well-being. Although there is currently ample literature on stress and police officers, to date there has been little research on factors associated with stress and SWAT police officers. Using Lazarus and Folkman's cognitive theory of stress and coping as the foundation, the purpose of this phenomenological study was to explore how SWAT police officers cope with stress while on duty and off …