Digital Commons Network^™

Church-Based Intervention On Prostate Cancer Screening For African American Men, Sherly Marie Boulay

Walden Dissertations and Doctoral Studies

African American men have a significantly higher incidence of prostate cancer, they are diagnosed at a later age, have more advanced stages of cancer at diagnosis, and higher mortality rates than other ethnic group. The purpose of this project, guided by the Ottawa decision support framework and the health belief model, was to investigate whether church leaders could be trained to deliver an educational program about the value of prostate cancer screening to African American males in a church setting. The 2 participants were church leaders in a predominantly African American church. The participants were taught about prostate cancer and …

Cesarean Births Rates After Implementation Of Labor Management Guidelines, Margie Allyn Bridges

Walden Dissertations and Doctoral Studies

Cesarean birth rates are associated with increased maternal morbidity. This project evaluated a quality improvement (QI) initiative implemented to reduce cesarean births among Nulliparous Term Singleton Vertex (NTSV) obstetric populations, the largest contributor to cesarean births. Variations in labor management practice contribute to cesarean birth rate; implementation of labor management bundles have been endorsed to influence practice- and system-level changes in the promotion of vaginal births. The problem addressed in this project was an organizational NTSV cesarean section rate of 30%. The purpose of the project was to use secondary data to evaluate a previously implemented labor management bundle at …

Nursing Faculty Perspectives On Support In Technology, Learning Management Systems, And Self-Efficacy, Diane Burling

Walden Dissertations and Doctoral Studies

Past literature has shown that nursing programs reported educators were at the novice or beginner level regarding use of technology and that there was a critical need for faculty development. There was a lack of current information on the perspectives of nurse faculty utilizing learning management systems. Learning management systems are being used within nursing education, faculty should be proficient implementing the technology, if not, students and faculty suffer. The purpose of this study was to understand how nursing faculty perceive the use and support for integrated online Learning Management System (LMS) technology, along with levels of self-efficacy, at the …

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 …

Native American Women Parenting Off Reservations: A Phenomenological Study, Xan.Creighton Beverley Creighton

Walden Dissertations and Doctoral Studies

For each parent, raising a child is a daunting task and it is even a harder undertaking for parents belonging to minority communities due to discrimination, and limited occupational and educational opportunities. Prior studies have shown high dropout rates from high school among Native American (NA) women, resulting in a lack of basic knowledge about raising children. The purpose of this research study was to synthesize, analyze, and better understand the lived experiences of NA mothers who are raising their children outside the reservation. This qualitative study relied on 4 theories: historical trauma theory, systems theory, acculturation theory, and strengths …

Correlating Residual Stress With Personal And Professional Characteristics In Aircraft Pilots, Erik Eckblad

Walden Dissertations and Doctoral Studies

Every day aircraft pilots must successfully resolve significant inflight situations and then manage the possibility of residual psychological and physiological stress. Previous research has shown primary attention is given to presignificant event training and stress management, however there remains an important gap in the current literature regarding postsignificant event stress within the aviation profession. The purpose of this cross-sectional quantitative study was to use the observational lens of stress theory and survey U.S. pilots who have experienced an inflight emergency, looking for correlation between factors such as age, gender, flight experience, and training against a pilot's self-reported level of residual …

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …

Perceptions Of Chiropractors In Mississippi Regarding Obesity, Phelesia Nakita Foster

Walden Dissertations and Doctoral Studies

Obesity continues to be a growing problem across the United States. Chiropractors have made claims of providing health promotion services within their treatment protocol; however, there is a lack of empirical research regarding a need for the chiropractic profession to train chiropractors to address Healthy People 2020 public health initiatives. The purpose of this qualitative study was to examine the perceptions of Mississippi Delta Region chiropractors regarding their role in obesity management as nonmedical practitioners that implement public health objectives in their practice. The research questions aimed at addressing possible barriers and limitations that influenced chiropractors' perceptions regarding their role …

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 …

Effect Of Attentional Capture And Cross-Modal Interference In Multisensory Cognitive Processing, Michael Jennings

Walden Dissertations and Doctoral Studies

Despite considerable research, the effects of common types of noise on verbal and spatial information processing are still relatively unknown. Three experiments, using convenience sampling were conducted to investigate the effect of auditory interference on the cognitive performance of 24 adult men and women during the Stroop test, perception of object recognition and spatial location tasks, and the perception of object size, shape, and spatial location tasks. The data were analyzed using univariate analysis of variance and 1-way multivariate analysis of variance. The Experiment 1 findings indicated reaction time performance for gender and age group was affected by auditory interference …

Employee Turnover At Community Banks, Cheryl J. Johnson

Walden Dissertations and Doctoral Studies

Some community bank managers do not possess the skills needed to retain employees, which increases employee turnover and decreases their competitive advantage. The purpose of this explanatory case study was to explore strategies community bank managers use to minimize employee turnover for their organization. The population consisted of 4 community bank managers in the Central Florida area who had at least 1-year of managerial experience evaluating employee retention. The conceptual framework was the jobs characteristics theory of Hackman and Oldham. Data were collected from semistructured face-to-face interviews and business documentation. Methodological triangulation was appropriate to validate the creditability and interpretation …

Impact Of Information And Communication Technology On Academic Achievement For Exceptional Student Education Inclusion Students, Patricia Marcino

Walden Dissertations and Doctoral Studies

Students with disabilities are less likely to graduate from high school and tend to score

lower on standardized tests than their general education peers. Although use of

Information and Communication Technology (ICT) can improve these outcomes for

traditional students, it has been unclear whether its use positively affects learning gains

for the inclusion student. The purpose of this study was to determine if the academic test

performance of 5th grade ESE inclusion students was enhanced by implementing ICT as

a curriculum resource in their classrooms. Two frameworks provided structure for this

study: the theory of social constructivism and the capability …

Counselor Educators' Experiences With Emotionally Charged Exchanges While Teaching Multicultural Counseling, Marsha Milan-Nichols

Walden Dissertations and Doctoral Studies

Counselor educators foster the multicultural counseling competence of counselors-in-training; however, counselor educators face challenges that include emotionally charged exchanges that may might impact counselor educators' relationship with students. The purpose of this transcendental phenomenological study was to investigate counselor educators' experiences with emotionally charged exchanges related to teaching multicultural counseling. The ecological systems theory was used as a conceptual framework. A purposeful sample of 4 counselor educators from Council for Accreditation of Counseling and Related Educational Programs-accredited counselor education programs in the United States shared their knowledge of these emotionally charged exchanges through semistructured phone interviews in their natural settings. …

A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes

Walden Dissertations and Doctoral Studies

Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of …

General Education Teachers' Perceptions About Inclusion Of Students With Emotional-Behavioral Disabilities, Alison Patton

Walden Dissertations and Doctoral Studies

Some general education teachers do not have the training, tools, and supports to work with the diverse needs of students with emotional-behavioral disabilities. The purpose of this case study was to develop a deeper understanding of how general education teachers perceive students with emotional-behavioral disabilities to better understand the issues related to effectively work with these students in the classroom. The conceptual framework for this study was Ajzen's theory of planned behavior. Fifteen general education teachers' definitions of an emotional-behavioral disability, perceptions of students with emotional-behavioral disabilities, training and supports by the school districts, and descriptions of classroom interactions were …

Examining Trauma Exposure, Organizational Climate, And Job Outcomes In Child Welfare, Shano Rodgers

Walden Dissertations and Doctoral Studies

Exposure to traumatic situations is routine for child welfare workers in California, and the attrition rate for newly hired social workers in some states is estimated to be nearly 50% in the 1st year of employment. Prior research has indicated that reasons for dissatisfaction included dysfunctional organizational climate and culture. The purpose of this study was to examine the extent to which trauma exposure contributed to secondary traumatic stress and intent to quit and to examine the degree to which organizational climate moderated the exposure among direct service child welfare employees. Kurt Lewin's field theory, Figley's theory of secondary traumatic …

Locus Of Control, Poverty And Health Promoting Lifestyles, Cara Stephenson-Hunter

Walden Dissertations and Doctoral Studies

Despite increased access to care and interventions aimed to change health behavior, socioeconomic health disparities have remained unchanged, even for preventable illness and disease. Health behavior theories and interventions heavily rely on perceptions of control over one's fate and thus ignore populations with low perceptions of personal control. Poverty is associated with an external locus of control (LOC), while both poverty and external LOC are associated with less health protective behavior. The purpose of this quantitative study was to explore the role of LOC as an adaptive response to poverty and to discover the risks and benefits to physical and …

A Practice Change In Adult Obesity Primary Care, Jasmine Tinsley

Walden Dissertations and Doctoral Studies

The rate of obesity in American adults has increased dramatically over the last decade. Obesity has reached epidemic proportions and demands attention to reverse the current trend. This project was developed to evaluate a quality improvement initiative implemented in 2016 to address the problem of obesity in a rural southeastern primary care clinic setting where underserved populations are treated. The quality improvement (QI) initiative was developed using the plan-do-act-check model and the evaluation of the initiative was the focus of the current project. The project question asked if a quality improvement initiative for weight loss monitoring and counseling could improve …

Hypertension Awareness And Health Care Access/Use In Black Women With Hypertension, Marlène Trusiak

Walden Dissertations and Doctoral Studies

Black women in the United States have a high prevalence of hypertension and suffer the most complications of cardiovascular disease. Black women, though aware of the dangers associated with hypertension, have limited opportunity to access health care and or change their lifestyles. The purpose of this quantitative cross-sectional study was to test if there was a significant difference in hypertension awareness, health care access/use, and lifestyle modifications in Black women prior to and post implementation of The Patient Protection and Affordable Care Act, as compared to women of other races. The behavior modification theory guided this study. Secondary data from …

The Experiences Of Male Counselors Of Children Who Have Experienced Trauma, Kathleen Michelle Wallace

Walden Dissertations and Doctoral Studies

Men are increasingly underrepresented in counselor education and in the counseling profession, with only 27% of members of the American Counseling Association reporting as men. Men in counseling often feel marginalized and isolated. Additionally, they are socialized to be independent, emotionally and physically strong, and to focus on success, while being discouraged from seeking help. Continual exposure to the trauma material of others can cause secondary trauma, with cumulative deleterious effects identified in this study using the Heidegger's hermeneutic phenomenology. The purpose of this qualitative phenomenological study was to explore the lived experiences of male counselors who primarily work with …

Investigating Dropout From Mental Health Care Among Somali Immigrants In The United States, Apollo Wandera

Walden Dissertations and Doctoral Studies

African immigrants and refugees drop out of mental health care at a higher rate than other populations in the United States. However, there is a significant lack of research on mental health treatment or reasons for dropping out of mental health treatment among African immigrants and refugees. The purpose of this study was to investigate the lived experiences with mental health treatment of Somali immigrants and refugees living in the United States. Eight Somali immigrants and refugees living in a midwestern state, were interviewed, and their accounts with the mental health system in the United States were recorded. A phenomenological …

Teachers' Perceptions About The Influence Of High-Stakes Testing On Students, Sharon Christine Wisdom

Walden Dissertations and Doctoral Studies

Teachers in a New Jersey suburban high school noticed an increase in students' stress and anxiety associated with high-stakes testing, and they were struggling to find strategies and interventions to help. The purpose of this study was to investigate high school English and mathematics teachers' current knowledge, experiences, and perceptions about students' preparation and responses to high-stakes testing and to explore teachers' perceptions about teaching strategies they needed to reduce student test anxiety. Liebert and Morris's bidimensional components of anxiety, emotionality, and worry form the conceptual framework that guided this study. The research questions focused on teachers' perceptions about students' …

Characteristics Of Stocks And Individual Investor Herd Behavior: A Causal-Comparative Study, Tze Sun Wong

Walden Dissertations and Doctoral Studies

Some individual investors follow institutional investors in trading, a phenomenon called herding, that leads to excess market volatility and mispriced stocks. Individual investors who herded suffered from inferior investment performances and monetary losses, and the impact is broader in an individual investor dominant market such as Taiwan. Behavioral finance is the theoretical base of herd behavior. The purpose of this causal-comparative study was to examine individual investor herd behavior as related to characteristics of stocks in the Taiwan stock market. The research questions addressed what differences in individual investor herd behavior, if any, existed by market capitalization, price-to-book (P/B) ratio, …

Policy Implications Of News Media Coverage Of The Islamic State Of Iraq And Syria., Godfred A. Ababio

Walden Dissertations and Doctoral Studies

The Islamic State of Iraq and Syria (ISIS) garnered global news media attention in Summer 2014 when it seized a significant section of land in Iraq and Syria. The group then mishandled and executed its captives. There is a lack of consensus among the international community, led by Russia and the United States, on how best to address the threat posed by ISIS. An understanding of the function of Russian and U.S. news media coverage of the ISIS threat is an appropriate research topic. The purpose of this qualitative content analysis study was to explore how the U.S, Russian, and …

Educating Staff Members In An Outpatient Clinic On Hypertension Management, Helen Anyiam

Walden Dissertations and Doctoral Studies

An educational module on hypertension was created in response to the recurring pattern of patient visits with hypertension and an observed knowledge gap among nursing staff in an outpatient clinic located in the southern United States. The educational module was patterned after Joint National Committee-8 and American College of Cardiology guidelines involving patient lifestyle modification and provided clinic staff with information on hypertension diagnosis and self-management for use in patient education. The module was reviewed by a panel of 3 experts who approved it for appropriateness and clarity of content and made one minor recommendation for revision. The education materials …

Initial Drug Court Risk Assessment Scores And Probationers' Completion Of Drug Court Programs, Carina T. Atkins

Walden Dissertations and Doctoral Studies

Drug offenders continue to cost citizens and governments money, while drug courts attempt to rehabilitate offenders and reduce recidivism. The Level of Service Inventory-Revised (LSI-R) is a risk assessment tool used by courts and probation offices to determine needs and risks of offenders, and often determine levels of supervision. The purpose of this quasi experimental study was to determine if there is a statistically significant association between the initial LSI-R scores of offenders entering drug courts and their successful completion of the drug court program. Therapeutic jurisprudence theory, the theoretical framework for this study, suggests that the courts and the …

Strategies For Immigrant Minority Small Business Sustainability, Abdulkadir Bede

Walden Dissertations and Doctoral Studies

Immigrant entrepreneurs play a significant role in the economic development of the United States. However, some small business immigrant entrepreneurs are less successful than nonimmigrant entrepreneurs. The purpose of this qualitative multiple case study was to explore the strategies that immigrant small business owners use to grow and sustain their businesses longer than 4 years. Using a purposeful sampling technique, the population for this study consisted of 4 small business immigrant entrepreneurs who have sustained and grown businesses for a minimum of 4 years in Minnesota. The conceptual framework for this study was the bureaucratic management theory. Data collection consisted …

Leadership Satisfaction And Turnover Intention Among Public Sector Employees, Marcia Bennett

Walden Dissertations and Doctoral Studies

The changing demographics of the federal workforce require managers to understand generational differences in experiences, values, and leadership preferences that can negatively impact an agency's ability to fulfill its mission. There is a gap in the literature regarding generational cohort perceptions of employee satisfaction with leadership and turnover intention in the Small Business Administration (SBA). The purpose of this quantitative, cross-sectional study was to examine the generational perceptions of SBA employees regarding leadership satisfaction and intent to leave the organization within the next year. Strauss and Howe's generational theory served as the theoretical framework. This non-experimental quantitative study used the …

Leadership Strategies For Enhancing Employee Engagement, Ada Vanessa Bradley

Walden Dissertations and Doctoral Studies

In the food manufacturing industry, employee engagement is critical to the survival of organizations because engaged employees increase productivity, profitability, and sustainability. Using the transformational leadership theory, the purpose of this single case study was to explore strategies that leaders in the food-manufacturing industry in the northeastern region of the United States use to engage employees. Participants were purposefully selected based upon their experience implementing effective employee engagement strategies. Data were collected through face-to-face semistructured interviews with 7 food manufacturing leaders and the review of organizational documents on employee engagement. Data were analyzed using inductive coding of phrases, word frequency …