Digital Commons Network^™

Nurses' Perception Of Their Role In Patient Safety, Janeane Walker

Walden Dissertations and Doctoral Studies

Despite efforts to ensure patient safety in the United States, patients are being harmed by preventable errors. There is a gap in the literature from the nurse's perspective as to why medical errors continue to occur despite having evidence-based safety strategies available. The purpose of this constructivist grounded theory study was to develop a theory explaining nurses' perception of their role in patient safety and why medical errors are still occurring despite implementation of evidence-based safety strategies. The systems engineering initiative for patient safety (SEIPS) model provided the conceptual framework for the study. Data collection included interviews with 11 nurses …

An Assessment Of The Financial Literacy Of Undergraduates At One Community College In Texas, Melissa J. Weathersby

Walden Dissertations and Doctoral Studies

At a Texas community college, stakeholders wanted to strengthen the financial literacy module offered in the student development course for undergraduates. The problem was that no formative data existed on students' financial literacy, and it was not known if knowledge of financial literacy for students who participated in a prior financial literacy class in high school differed from students who had not. The purpose of this study was to obtain formative data regarding students' needs for financial literacy education and to examine whether the knowledge of financial literacy for college students who participated in a prior financial literacy class in …

Exploring Relationships Between Resilience, Thinking Styles, And Ptsd Scores In Women Veterans, Tanya Wilson

Walden Dissertations and Doctoral Studies

In 2013, military leadership took action to lift the ban on women participating in combat roles, thus creating a vital need to understand protective cognitive factors in women veterans exposed to combat. There is no prior research examining the relationship between resilience and thinking styles in this population. The purpose of this quantitative survey study was to examine the predictive relationship between resilience, measured with the Connor-Davidson Resilience Scale, and thinking styles, measured with the Thinking Styles Inventory-Revised 2, on posttraumatic stress disorder (PTSD) scores, measured by PCL-5, in women with combat exposure (CE). A cross-sectional design was used. A …

Associations Between Substance Abuse And Mental Illness Among Sexual Minority Adults, Blanche O. Wright

Walden Dissertations and Doctoral Studies

Sexual minorities (lesbians, gays, and bisexuals) have a greater risk for substance abuse and mental illness than sexual majorities (heterosexuals). Associations between substance abuse and mental illness among sexual minority adults have not been widely studied. The purpose of this quantitative cross-sectional study was to use the 2015 National Survey on Drug Use and Health data from the Substance Abuse and Mental Health Administration to study the association of substance abuse (alcohol; hard drugs such as heroin, cocaine, methamphetamine; and hallucinogens), prescribed drugs (pain relievers, tranquilizers, sedatives, stimulants, psychotherapeutic, and inhalants, as well as marijuana) and mental illness (no past …

Virtual Worker Perceptions Of Retention In The Financial Services Industry, Shelly Zaldivar

Walden Dissertations and Doctoral Studies

As the need for cost-efficient, talented teams continues to grow, leaders often consider the use of globally dispersed teams, also defined as virtual teams. Despite the apparent benefits, the unique needs of virtual team members are often overlooked in general leadership, change management, and retention discussions. Leaders need to understand contributing factors to the attrition of virtual workers. The foundation for this research included theories of employee retention and change management. The research question for this qualitative phenomenological study focused on the lived experiences of current or former virtual financial services workers regarding job retention. Participants were chosen using purposeful …

Policy Implications And Perceptions Of African American Men Who Used Ritalin As Children, Divine Ayivor

Walden Dissertations and Doctoral Studies

Even though there are high diagnosis rates of ADHD among young African American

men, policy makers and parents have largely viewed the use of Ritalin as a psychotrop

ic

drug that raises public health concerns. African American parents may be reluctant to

treat their children pharmacologically. Very few studies have fully explored the

perceptions of African American men

about the consequences of their

Ritalin

use

as

chi

ldren. The purpose of this qualitative study was to explore the experiences of African

American men who used Ritalin as children

so that

policy makers

and

parents of children

with ADHD

might

better …

Student Perceptions Of E-Assessment Tools For Sign Language Interpretation, Marc Boese

Walden Dissertations and Doctoral Studies

American Sign Language (ASL) has grown to be the 3rd largest enrolled secondary language course in the United States, and colleges and universities seek to identify effective assessment methods for this visual-based language. Although much research exists on sign language e-learning programs, asynchronous video feedback, and sign recognition software, very few studies have been conducted on using technology to as a method of assessment for sign language courses. The purpose of this hermeneutical, phenomenological, qualitative study was to document the lived experiences of students using the electronic assessment tool, GoReact, in courses. The conceptual framework was guided by engagement theory …

How Fine Particulate Matter Modifies Preterm Birth Risks In Korea, Hyun Jin Choi

Walden Dissertations and Doctoral Studies

Despite the increasing interest in preterm birth risk associated with maternal exposure to the current level of fine particulate matter (PM2.5) in Korea, there is little information on differences in PM2.5 exposure and its impact on preterm birth. This study was designed to examine the effects of Korea's air quality on preterm birth, including the possibility of moderation and mediation. This work was also designed to investigate manipulable factors for PM2.5 exposure. The theoretical framework of this quantitative and observational study included the social ecological theory and systems theory. The conceptual framework of this partially ecologic and retrospective cohort study …

The Relationship Between Body Dissatisfaction And Cosmetic Enhancement Surgery, Amanda Crandall Sharp

Walden Dissertations and Doctoral Studies

Previous research has indicated an increasing trend toward elective cosmetic surgery to achieve a perceived ideal body image and meet psychological and social needs. However, there remains a gap in the literature regarding the number of procedures performed on a single patient, and the potential that patients may suffer from body dysmorphic disorder (BDD). Therefore, the purpose of this quantitative study was to examine the relationship between the number of cosmetic surgeries undergone, level of body dissatisfaction, level of dysmorphic concern, and preoccupation with appearance. Participants included 75 females and 55 males, ranging in age from 18 to 64 years. …

Third-Party Logistics' Hiring Manager Strategies To Recruit Supply-Chain Professionals, Beth D'Alessandro

Walden Dissertations and Doctoral Studies

Leaders of third-party logistics companies face a critical talent shortage because of the global deficiency of supply-chain professionals. The lack of trained supply-chain professionals negatively affects business and market performance. The purpose of this multiple case study was to explore the strategies used by third-party logistics hiring managers to recruit supply-chain talent to meet industry demands. The resource-based view theory was used as a lens for this study. Data were collected from 5 Pennsylvania third-party logistics hiring managers from interviews, organizational documents, and company websites. Member checking occurred after transcription and summarization of the interview data. Data analysis occurred using …

Public Awareness Of Human Trafficking, Chelsea Annette Farrell

Walden Dissertations and Doctoral Studies

Public awareness is crucial in the fight against human trafficking, but little academic research looks at the public policy implications of different types of messaging the public may be using in recognizing human trafficking. Using policy feedback theory as the theoretical lens, the purpose of this quantitative study was to compare mean awareness scores for both film and social media to determine if there was a statistically significant difference between the scores and their degree of public awareness. Data were collected through an online survey, which included questions related to both film and social media, using a participant pool service. …

The Predictability Of Facebook Memorial Page Participation On Grief, Colleen Grote

Walden Dissertations and Doctoral Studies

As the world's largest social networking site, Facebook, continues to grow in popularity, it is imperative for counselors and counselor educators to better understand how online environments impact all facets of life, including death. Grief behaviors on Facebook have been a focus of scholars since the launch of the social networking site in 2004. Researchers have demonstrated that Facebook memorial pages have a significant impact on the social and cultural practices related to death and memorialization for Facebook users. However, despite a rapid rise in research related to online mourning, researchers have yet been able to establish the potential risk …

Influence Of Privatization Policies On Residential Satisfaction In Military Family Housing, Kirsten R. Hawley

Walden Dissertations and Doctoral Studies

Little published research has examined the post-implementation outcomes of public private partnerships for housing, specifically the Military Privatized Housing Initiative (MPHI) from the perspective of the end user, the Military Family Housing (MFH) resident. Using Mettler and SoRelle's conceptualization of policy feedback theory as the foundation, the purpose of this repeated cross-sectional study was to assess residential satisfaction pre- and post- implementation of the MPHI. The study also addressed the influence of sociodemographic factors on MFH residents' perceived residential satisfaction. Secondary data were collected using 2 Department of Defense surveys administered pre- and post-implementation. An independent-samples t test was used …

A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark

Walden Dissertations and Doctoral Studies

There are approximately 1.3 million youth who have been diagnosed with a co-occurring disorder. The purpose of this study was to analyze the relationship between the type of therapy (brief strategic family therapy or family functional therapy), demographic factors (age, race, type of drug used), and therapy discharge status (successful or unsuccessful) in male youth with a co-occurring disorder of attention-deficit hyperactivity disorder and substance use disorder. A correlational research design of a cross-sectional nature was used for this study and secondary data were obtained from a mental health agency located in Hampton Roads Virginia. The theoretical basis for this …

Evidence-Based Education Program To Reduce Nurse Manager Burnout, David Howe

Walden Dissertations and Doctoral Studies

Nurse managers face numerous challenges and stressors in their daily practice. The support services offered to managers to facilitate coping in stressful situations vary among employers and may be ineffective depending on the stressors faced. Implementation of evidence-based best practices may positively impact nurse managers' ability to manage stress. The purpose of this project was to develop an evidence-based stress reduction education program to empower nurse managers to handle work-related stressors and reduce burnout. The primary theory used to inform this project was the job demands-resource model, which explains how job demands and resources have multiple effects on job stress, …

Parenting And Discipline Correlations With Social Supports For Single, African American Mothers, Veronica D. King

Walden Dissertations and Doctoral Studies

Assistance to young, single, African American mothers requires adaptation to their environmental stressors along with reliance on social support. Further information is necessary for developing and supporting an appropriate model for delivery of that assistance. The purpose of this quantitative study was to examine potential correlations between general social support and parenting skills and disciplinary practices amongst low-income, African American single mothers. Bronfenbrenner's ecological systems theory model supported this study to further develop an accurate perspective of African American families to inform more effective approaches to parenting. The participants for this correlational research design study were 78 mothers who had …

Evaluating Parents' Decisions Regarding Recommended Childhood Vaccinations, Jennifer Kline

Walden Dissertations and Doctoral Studies

Vaccinations are among the greatest accomplishments of public health. However, many parents are choosing not to vaccinate. The purpose of this study was to explore the association between social media influence and parents' decisions to vaccinate their children. The health belief model indicates that individuals' likelihood of engaging in a health-related behavior is determined by their perceptions of susceptibility, severity, benefits, and barriers. The research questions addressed whether there is an association between parents' perception of their children's disease susceptibility and their decisions about vaccination, and whether there is an association between exposure to messaging from social media and parents' …

Strategies Used By Women To Secure Sba's 8(A) And 504 Loan Financing, Valencia Y. Locust

Walden Dissertations and Doctoral Studies

Many woman small business owners lack strategies to obtain Small Business Administration's (SBA) 8(a) and 504 Loan financing to start and grow their businesses. This exploratory case study explored strategies that 5 women business owners used to secure SBA's 8(a) and 504 Loan financing. The TPB and feminist theory were the conceptual frameworks used in this multiple case study. In-depth, semistructured interviews with purposively selected women small business owners supplemented a review of loan acceptances and certifications. Yin's 5-step analysis guided the coding process of participants' responses, and member checking verified the transcription accuracy and that emerging themes and inferences …

Strategies And Assessments To Support Special Education Students' Writing The Literacy Test, Angelo Caesar Maniccia

Walden Dissertations and Doctoral Studies

Many special education (SPED) students are failing the Ontario Secondary School Literacy Test (OSSLT) despite writing instruction provided by SPED teachers. The purpose of this study was to understand teachers' perceptions about why students were failing the literacy/writing test and document whether evidence-based assessment and writing practices were implemented. Cognitive-behavioral theory served as the conceptual framework for this study. The research questions in this study focused on SPED teachers perceptions regarding students not passing the OSSLT, observations of whether assessment and instruction for writing aligned with best practices, and collecting baseline curriculum-based measurement (CBM) data of SPED students' current writing …

Blended Learning As An Instructional Strategy To Improve Academic Performance, Debra-Dreana Marshall-Stuart

Walden Dissertations and Doctoral Studies

Higher education institutions in Barbados have introduced blended learning as a strategy to improve students' academic performance and achievement. Despite the implementation of blended learning, the poor student performance and outcomes persist. The purpose of this qualitative case study was to explore how teaching processes and practices at the institution have influenced blended learning to improve student achievement. A social constructivist framework was used to guide the study. The research question addressed the practices and processes used by teachers to increase student learning and performance in a blended learning environment. Data collection involved semistructured interviews with 6 teachers from the …

Work-Life Balance Of Women Employed Within State Government, Luisa Cunanan Martinez

Walden Dissertations and Doctoral Studies

Women in the U.S. workforce have been a focus of scholars since the onset of the 21st century, when work-life balance skewed in favor of the term work-life integration because professional working mothers found that balance was an unachievable ideal in the fast pace of the contemporary world. Accordingly, this research study examined the work-life challenges and career choices of women working in the public sector through the framework of the Kaleidoscope Career Model (KCM). While research has been conducted on women in corporate America, there have been limited studies exploring the work-life challenges and career decisions of women working …

A Phenomenological Analysis Of Formerly Incarcerated Women's Perceptions Of Successful Reentry, Angela Martilik

Walden Dissertations and Doctoral Studies

Female offenders are distinctly different from male offenders, and present with their own gender-specific needs and issues both in and out of the correctional setting. Most approaches to treatment and programming for female offenders are currently based on research involving males and approaches designed for males. Inquiry regarding the gender-specific needs of female inmates as they pertain to treatment and reentry programs is necessary so professionals can better understand how to serve this population. Through in-depth semi-structured interviews with 8 women who were formerly incarcerated in the United States, this phenomenological study was used to examine the perceptions of successful …

African American Women Managers' Experiences In Predominantly Black Work Environments, Ray Muhammad

Walden Dissertations and Doctoral Studies

The experiences of African American women managers in predominantly Black work environments and the implication of these experiences on their ability to lead remains unknown. The purpose of this qualitative multiple case study was to gain deeper understanding of the leadership experiences of African American women managers employed in predominantly Black work environments. This study was framed by three key concepts: intersectionality of gender and race, intraracial discrimination, and colorism. The trustworthiness of the study's data was supported by employing methodological triangulation of the study's multiple data sources: semistructured interviews with 10 African American women managers as participants, journaling/ reflective …

Female Caribbean Immigrants' Perceptions Of The Influence Of Immigration On Obesity, Kerryann Nelson

Walden Dissertations and Doctoral Studies

Obesity is a significant global issue, and its incidence has increased over time. A substantial percentage of the U.S. population suffers from this disease with a relatively high prevalence seen in individuals from the Caribbean. The purpose of this phenomenological study was to explore Caribbean women's perception of how migration to South Florida may have impacted the onset of obesity in this population. The social ecological model provided the framework for the study. Data were collected from 1-on-1 interviews held with 12 female participants between the ages of 18 and 35, who previously resided in the Caribbean at a healthy …

Examining Attrition Among Bahamian Special Education Teachers And Implications For Special Education Reform, Norrisa Newton

Walden Dissertations and Doctoral Studies

Increasing levels of teacher attrition in special education within Bahamian public schools are preventing students with learning disabilities from achieving their learning goals within inclusive classroom settings. Addressing factors that influence attrition is vital to enhance the quality of education and the efficacy of educators while supporting positive social change. The purpose of this general qualitative study was to ascertain why Bahamian educators leave special education. This was achieved by exploring the influencing factors that have incited the decisions of public special education teachers within The Bahamas to resign or request premature retirement from the teaching profession, as well as …

Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez

Walden Dissertations and Doctoral Studies

Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …

Employer Attitudes And Beliefs About Hiring Post Incarcerated Offenders In Mississippi, Ora Starks

Walden Dissertations and Doctoral Studies

Employer Attitudes and Beliefs About Hiring Post-Incarcerated Offenders in Mississippi

by

Ora Starks

MS, Criminal Justice, 1999

BS, Criminal Justice,1994

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Human Services Program

Criminal Justice Specialization

Walden University

May 2018

Patient Experience And Readmissions Among Medicare Shared Savings Programs Accountable Care Organizations, Benjamin Michael Anderson

Walden Dissertations and Doctoral Studies

In 2011, Medicare patients represented the largest share of total readmissions and health costs when compared to all other patient categories. Because patient-centered care drives the use of health services, the U.S. Patient Protection and Affordable Care Act outlined improving the patient experience to reduce readmission rates; however, the relationship between patient experience and readmissions is not well understood. Grounded in systems theory, the purpose of this correlational study was to determine if the relationship between patient experience and readmission rates in Medicare Shared Savings Program accountable care organizations. Data from the Consumer Assessment of Healthcare Providers and Systems survey …

Motivation And Sociodemographic Factors In Organized Physical Activity Events, Katy Gozalka

Walden Dissertations and Doctoral Studies

Adult physical activity is important for prevention of chronic diseases and to minimize health issues; therefore, the motivational influences of sociodemographic variables on participation in organized physical activity events warrant an investigation. The purpose of this quantitative study was to investigate differences in motivational influences between various sociodemographic variables as related to physical activity events in organized settings. The theoretical framework that guided this research study consisted of the theory of reasoned action (TRA), and the health belief model (HBM). The TRA was applied to study the intention of health behavior, while the HBM was used to investigate individuals' motivation …

Aleks Constructs As Predictors Of High School Mathematics Achievement For Struggling Students, Nadine Mills

Walden Dissertations and Doctoral Studies

Educators in the United States (U.S.) are increasingly turning to intelligent tutoring systems (ITS) to provide differentiated math instruction to high school students. However, many struggling high school learners do not perform well on these platforms, which reinforces the need for more awareness about effective supports that influence the achievement of learners in these milieus. The purpose of this study was to determine what factors of the Assessment and Learning in Knowledge Spaces (ALEKS), an ITS, are predictive of struggling learners' performance in a blended-learning Algebra 1 course at an inner city technical high school located in the northeastern U.S. …