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Relationship Between English Proficiency And Academic Achievement Of Nigerian Secondary School Students, Goldlyn Ugonna Ozowuba

Walden Dissertations and Doctoral Studies

Nigerian stakeholders are concerned with the continuous low scores of final-year senior secondary school students (FYSSS) in the West African Senior School Certificate Examination (WASSCE). Studies have shown that limited proficiency in English among FYSSS is the cause of low scores on the WASSCE. The purpose of this quantitative correlational study was to investigate the relationship between English proficiency and academic achievement among FYSSS as measured by the WASSCE. The theoretical framework for the study was Cummins's theory of second language acquisition to address the distinction between conversational language and academic language. Archival data from 225 FYSSS were collected from …

Reshaping Management Effectiveness And Its Effect On Organizational Resilience In Multinational Enterprises, Franzelle Pertilla

Walden Dissertations and Doctoral Studies

Given the state of accelerating change in technology, globalization, and society, long-term planning has become challenging, thus improving organizational resilience to environmental change has become more important. The management problem addressed the need for strategies to improve organization resilience in the face of environmental change. The purpose of this phenomenological study was to explore the lived experiences of managers to use a firm's human, financial, and technological resources to improve organizational resilience. The lived experiences of organizational leaders in addressing organizational resilience was the central research question. The conceptual framework was built on the World Economic Forum's National Resilience Beta …

Effectiveness Of Continuous Subcutaneous Insulin Infusion Therapy Education In A Clinic Setting, Kimberly Rizzo

Walden Dissertations and Doctoral Studies

Diabetes affects an estimated 29.1 million Americans, with approximately another 1/3 of Americans not yet diagnosed. Complications associated with diabetes include heart disease, stroke, hypertension, blindness, kidney disease, neuropathy and death. All of these complications can be prevented with optimal control of blood glucose levels. Advances in technology provide people living with diabetes (PLWD) a multitude of treatment options such as continuous subcutaneous insulin infusion (CSII) therapy. Unfortunately, sustained improvement in glycated hemoglobin A1c (HgA1c) is not always achieved even with this advanced therapy. The purpose of this doctoral project was to educate nurses on CSII therapy and promote improved …

Initiating Kangaroo Care In The Neonatal Intensive Care Unit, Karen Stadd

Walden Dissertations and Doctoral Studies

Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway …

The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails

Walden Dissertations and Doctoral Studies

Within the 21st century, Type II diabetes has emerged as a public health crisis. African Americans and Hispanic Americans have the highest rates of Type II diabetes and obesity compared to European Americans. The purpose of this DNP project was to teach medical assistants (MA) to provide self-management of diabetes and obesity for the African American population in the local clinical setting. An educational tool kit for health providers was developed to guide the educational project. The chronic care model was used to guide the development of the educational toolkit. A pretest posttest design was incorporated into the educational program. …

County Health Leadership And Readiness For Noncommunicable Disease Services, Paul Wekesa Agunga

Walden Dissertations and Doctoral Studies

Premature mortality resulting from the growing global burden of noncommunicable diseases (NCDs) is a contemporary development challenge. Low-income and lower-middle-income countries are disproportionately affected, with the poorest in society considered the most vulnerable. A paucity of literature exists on how leadership practices at the implementation level relate to ensuring readiness for NCD services. The purpose of this study was to investigate whether any relationship exists between leadership practices at the county level and readiness for NCD services in Kenya. Path-goal and adaptive leadership theories were used to guide this quantitative correlational study, using secondary data from a 2013 Service Availability …

Factors Affecting Colorectal Cancer Screening Among African-Born Immigrants In The United States, Chidoziri Chibundu

Walden Dissertations and Doctoral Studies

Despite the evidence that colorectal cancer screening is effective in reducing the incidence of and mortality from colorectal cancer, racial and ethnic disparities in colorectal cancer screening persist in the United States. African-born immigrants in the United States have lower colorectal cancer screening rates than native-born Americans. The purpose of this quantitative, retrospective, cross-sectional study was to examine how family income, health insurance status, language of interview, length of stay in the United States, perceived health status, level of education, and having a usual place for medical care affect colorectal cancer screening among African-born immigrants in the United States. The …

Perceived Cardiovascular Risk Among West Africa Immigrants In Dekalb County, Georgia, Oluwayomi Fabayo

Walden Dissertations and Doctoral Studies

West African immigrants appear to carry a heavier burden of hypertensive heart disease than the native-born African Americans in the United States. In this study, I used the socioecological model theory as a guide to examine the association between perceived stress, length of stay in United States, smoking status, housing conditions, and the risk of hypertensive heart disease among West African immigrants, ages 18 - 54 years in DeKalb County, Georgia. In this quantitative, cross-sectional design, self-reported data were collected from a sample of West African immigrant (N=107) in the DeKalb County of Georgia, using a demographic data/screening sheet and …

Experiences Of Current Or Former Homeschool Students Who Report Adhd Symptoms, Melissa Felkins

Walden Dissertations and Doctoral Studies

Homeschooling is currently the fastest-growing educational population in the United States with an estimated 2 million students. Because 11% of school children have been diagnosed with attention deficit/hyperactivity disorder (ADHD), there are likely to be many children with ADHD symptoms in the homeschooling population. The purpose of this study was to extend knowledge of the experiences of homeschooling in this population to assist students with ADHD as well as their parents and educators to make informed educational decisions. The multiple intelligences theory provided the theoretical framework for this phenomenological study. The key research question was focused on how current or …

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 …

Influence Of Distributed Reporting Of Terror Violence On Implicit Associations Of Individuals, Carter Matherly

Walden Dissertations and Doctoral Studies

Following the 9/11 terror attacks, many Americans experienced some form of habit or mood-altering stress though, most had received their impressions of the violence via distributed media reporting rather than firsthand exposure. Researchers have found that the propagating effects of media broadcasting can exasperate the effects of terror. However, little is known of how reports of terror violence affect group dynamics in geographically distant nations. The purpose of this study, following terror management theory, was to understand if terrorist violence influences cognitive and implicit racial evaluations in a culturally similar, but geographically distant, population. The study's design was a quantitative …

Perceptions Of Mathematics Teachers Regarding Common Core State Standards And Formative Assessment, Julie Gale Mest

Walden Dissertations and Doctoral Studies

The adoption of the Common Core State Standards has necessitated a change in the instructional practices used by many mathematics teachers. The new standards encourage problem solving and the development of conceptual understanding rather than rote memorization of formulas and rules. Researchers have demonstrated that formative assessment is a powerful instructional tool that, when implemented properly, can increase student achievement. The purpose of this quantitative study was to determine how mathematics teachers in Pennsylvania perceive the new standards; how they value and use formative assessment practices including involving students in their work, modeling quality work, providing feedback, and providing opportunities …

Strategies Of Successful Government It Projects Based On Cost And Time, Ullice John Pelican

Walden Dissertations and Doctoral Studies

From 2001 through 2015, some information technology (IT) project managers failed to deliver U.S. Government IT projects on time and within budget. The failure of IT project managers to complete projects on time and within budget provoked the U.S. Government Accountability Office to classify IT projects as high risk. This multiple case study explored strategies government contracted IT project managers use to reduce cost overruns and improve on-time delivery. The participants in this study were government contracted IT project managers from organizations that provide IT project management in the Maryland area. Employing purposeful sampling of the explicit population, 5 selected …

Emergency Management: A Qualitative Study Of Flood Disaster Vulnerability In Liberia, Morris Tennesse Koffa

Walden Dissertations and Doctoral Studies

Abstract

Flood disasters have been a challenge in Liberia for the past 15 years. The result has been hardship for residents, which has created major disruptions to social and economic services. Global warming, poor environmental conditions and weak disaster management policies among other factors are largely blamed for the floods. The conceptual framework for this study was Barton's collective stress theory and Edwards' varied response theory, which guided this exploration of how flood victims perceive the effectiveness of the Liberian government's flood disaster management strategies. A total of 25 participants were recruited for this grounded theory study. Twenty participants were …

Trauma And Juvenile Justice In Carson City, Nevada, Ali M

Walden Dissertations and Doctoral Studies

The Nevada State Juvenile Justice and School systems do not currently screen or treat juveniles for post-traumatic stress disorder (PTSD). Left untreated, PTSD may contribute to behaviors that can lead to engagement with the juvenile justice system and contribute to high rates of recidivism and possible future engagement with the adult justice system. Using Erickson's theory of psychological development as the foundation, the purpose of this case study was to explore whether, from the perspectives of key stakeholders whether interventions and prevention services for juvenile justice clients in Carson City met the needs of youthful offenders also diagnosed with PTSD. …

Assessment And Treatment Of Postpartum Depression Among Mothers In Imo-State, Nigeria, Allison Chinyere Nnaka

Walden Dissertations and Doctoral Studies

Postpartum depression affects many postpartum mothers. When postpartum depression is not timely assessed, identified, and treated, it can lead to problems with mother child bonding and cause family problems, negligence, and infant death. The purpose of this phenomenological study was to understand Imo State women's lived experiences and perception on sufficiency of the assessment and treatment received for their postpartum depression. The conceptual theory for this study was the empowerment theory. In-depth, face-to-face interviews were conducted to examine 10 Imo State postpartum mothers' lived experiences of assessment processes and to understand if their psychological desires were addressed. The interviews were …

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 …

An Exploratory Case Study: Persistence And Retention Of Students In An Alternative High School, Lametrica Andrews

Walden Dissertations and Doctoral Studies

Students with emotional behavioral disorders (EBD) are at greater risk for dropping out of high school than other students, and are likely to experience fewer employment options and more societal marginalization. Alternative schools have been viewed as a last chance and best option for educating many students with EBD who have not actually been diagnosed. The purpose of this qualitative case study was to explore persistence and retention in the alternative school setting for students who may or may not have been diagnosed with EBD. Students in this study will be referred to as EBD. Although they have not been …

Understanding Socialization Efficacy And Loneliness Of Baby Boomers Through Facebook, Lindsay Ballinger

Walden Dissertations and Doctoral Studies

Baby boomers are the largest age cohort in the United States, making up approximately 20% of the population. This cohort is faced with global problems that contribute to perceived loneliness and a lack of socialization. Additionally, baby boomers have an increased online presence on Facebook (FB), yet little is known about this age group and FB use. This research study addressed this issue with an examination of the relationships between overall perceived loneliness, socialization efficacy, and FB use. The theoretical framework that guided this study was Bandura's social learning theory, which was used to examine the effects of social reinforcement. …

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 …

The Lived Experiences Of Managing Uncertainty In Chronic Illness, Amanda Brown

Walden Dissertations and Doctoral Studies

Chronic illness is an increasing concern in the United States as the CDC reports that about 50% of adults have at least 1 chronic illness. When individuals must adjust to chronic illness they may experience uncertainty regarding the illness, prognosis, and symptoms. The purpose of this qualitative, phenomenological study was to explore the lived experiences of individuals living with uncertainty in chronic illnesses. A Merle Mishel's uncertainty in illness theory was the framework used to explore the lives of individuals diagnosed and living with chronic illness. In-depth interviews were conducted with 8 individuals who have chronic disease; data were audio-recorded …

Understanding E-Learning As Professional Development For Rural Child Welfare Professionals, Linda S. Kingery

Walden Dissertations and Doctoral Studies

Ongoing professional development is an integral part of a child welfare agency's strategy toward the provision of services to children and families involved with a child welfare intervention. Electronic learning (E-Learning) is popular as a fiscally responsible and flexible way to deliver such trainings. There is a gap in the research addressing the problem of how child welfare professionals are motivated to engage in the E-learning process. The purpose of this qualitative case study was to explore the perceptions of child welfare professionals regarding their motivation to use an agency provided E-learning program. Eight child welfare professionals employed by a …

A Qualitative Study Of Factors Related To Weight Regain Following Roux-En-Y Surgery., Samone Renee Marion

Walden Dissertations and Doctoral Studies

During the past decade, obesity has become a worldwide epidemic, and bariatric surgery has been used to treat obesity. Previous researchers have addressed the success of the Roux-en-Y bariatric (RYGB) surgery within 12 months or later of the surgical procedure; however, a lack of research exists regarding participant success in maintaining their post-surgery weight loss long term. The current qualitative, phenomenological study was based on the conceptual framework of social learning and examined the beliefs, experiences and perceptions of women who underwent RYGB weight loss surgery but did not maintain their ideal weight during the 1st year and later following …

Strategies For Retaining Employees In The Nonprofit Sector, George Parker

Walden Dissertations and Doctoral Studies

Voluntary employee turnover is a concern for nonprofit leaders due to human capital's strategic role in achieving performance excellence. The consequences of volunteer turnover include loss of profitability, productivity, knowledge, and financial stability. The purpose of this single-case study was to explore strategies used by 3 leaders of a nonprofit organization in the Washington, DC, area who have experience with the nonprofit's employee retention efforts. Data were collected from semistructured face-to-face interviews and organizational documentation and analyzed through the conceptual lens of Maslow's hierarchy of needs theory. Data gathered from interviews and analyses of organizational data and performance outcomes were …

Exploring Peace Education For Consensual Peace Building In Nigeria, Agada John Elachi

Walden Dissertations and Doctoral Studies

Violence, insurgency, and terrorism have been a recurring problem in Nigeria. Efforts to address these challenges through the use of force have proved ineffective. The purpose of this study was to explore the application of peace education in the educational curriculum with a view to promoting consensual peace building in Kafanchan Town, Jema'a Local Government Area of Kaduna State, Nigeria. Although peace education has been applied in some countries, this approach has not been applied to these challenges plaguing Nigeria. This study adopts the survey research method and utilizes the tripodal theoretical framework of ethnic conflict theory, enemy system theory, …

The Single Working Mother's Experience Of Listening To New Age Music For Stress Relief, Estella M. Castillo

Walden Dissertations and Doctoral Studies

Many single working mothers are challenged with the task of balancing work and home demands. Prolonged exposure to stress can threaten individuals' physical and emotional health and well-being. Listening to music is one commonly used positive coping mechanism for stress management and relief. The purpose of this phenomenological study was to explore the lived experiences of single working mothers who regularly listen to New Age music for stress relief. Participants were single working mothers, 30-45 years old, with self-reported stress, who were employed at least part time and who had at least 1 child under 18 years of age in …

Cultural And Environmental Determinants Of Dental Discoloration Among School-Aged Children In Nigeria, Ogbudu Gabriel Ada

Walden Dissertations and Doctoral Studies

Dental discoloration from fluorosis is a global public health problem. In Nigeria, 11.4% of the population is impacted by this disorder. Dental discoloration is caused by successive exposures to high fluoride concentrations during tooth development in utero and it is linked to the development of a variety of psychological and physiological problems, from dental aesthetics to a reduction in intelligence and skeletal changes. The purpose of this quantitative, cross-sectional study was to examine the cultural and environmental determinants of dental fluorosis in children in a rural community in Nigeria. A multilevel theoretical model was used to develop possible fluoride exposure …

Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford

Walden Dissertations and Doctoral Studies

Among young adults at risk for unintended pregnancies, preconception health and prenatal care programs aimed at positive birth outcomes remain unaddressed. The purpose of this phenomenological study was to explore the lived experiences of young adults in terms of their willingness to use preconception health and prenatal care as a means for increasing both positive birth outcomes and overall health. All study participants met the following criteria: (a) young adult man or woman, (b) age 18 to 25, (c) at risk for unintended pregnancies, (d) sexually active, (e) single or in cohabiting partnerships, and (f) living in the greater Los …

Effects Of Micronutrients On The Status Of Hiv-Infected African American Women, Veronica Alicia Graham

Walden Dissertations and Doctoral Studies

Weight loss among HIV-infected African American women (AAW), results in the fall of the cluster of differentiation (CD4) cell count and an increase in the viral load. There are 48,126 HIV-infected AAW who reported weight loss within the first year. AAW who report more than 10% weight loss within the first year progress to AIDS due to a deficiency in micronutrients and poor linkage to care. The phenomenon that occurs with individuals living with HIV does not necessarily occur among individuals who have cancer, heart disease, or some other life-threatening illness, and this phenomenon indicates a direct threat to the …

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 …