Digital Commons Network^™

Addressing Spiritual Care Needs In Primary Care, Olayinka Akerele-Olufidipe

Walden Dissertations and Doctoral Studies

This DNP project focused on the spiritual aspects of care that are often neglected in the outpatient setting. Most patients value their spiritual health and believe that it is just as important as their mental and physical health. The purpose of this project was to improve the overall spiritual care provided to patients, their families, and/or caregivers in times when they were experiencing spiritual distress. This quality improvement (QI) project was designed to determine whether embedding a chaplain in an outpatient clinic instead of providing a pamphlet about chaplain services increases patient satisfaction. Secondary analysis of the data in this …

Strategies To Reduce Voluntary Employee Turnover In Business Organizations, Kevin Lance Bernard

Walden Dissertations and Doctoral Studies

Industry leaders in the United States have spent $11 billion annually in advertising, hiring, and training expenditures associated with voluntary employee turnover. Using employee turnover theory as the conceptual framework, the purpose of this multicase study was to explore strategies leaders of marketing and consulting firms used to reduce voluntary employee turnover. Participants were purposefully selected based on evidence of their successful experiences in reducing voluntary employee turnover in their organizations. Data were collected by conducting semistructured interviews with 6 leaders in 3 marketing and consulting firms located in the southeastern United States and by reviewing organizational documents related to …

Quantifying The Spectrum Of Depression, Octavious Bishop

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Octavious Bishop

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Thomas Edman, Committee Chairperson, Psychology Faculty

Dr. Ricardo Thomas, Committee Member, Psychology Faculty

Dr. Joanna Bissell-Havran, University Reviewer, Psychology Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Quantifying the Spectrum of Depression

by

Octavious Bishop

MA, University of Texas at Austin, 2008

BS, University of Texas at Austin, 2001

Dissertation Submitted in Partial Fulfillment …

Relationships Between Project Cost, Project Team Member Role, Project Schedule, And Burnout, Alan Lee Bundschuh

Walden Dissertations and Doctoral Studies

Employees affected by burnout syndrome often experience reduced engagement and decreased

job performance, costing their organizations through lost productivity and profit. However, it is

not clear what causes employee burnout in working environments. The purpose of this

correlation study was to examine the relationships between project cost, project team member

role, project schedule, and project team member burnout. This study was grounded in the job

demands-resources theory, which states that all employees experience demands in their work that

may lead to long-term stress and eventually burnout syndrome if these demands are not mitigated

by job resources. The population for this …

Low-Income Uninsured Perceptions, Beliefs, And Level Of Knowledge Concerning Primary Care Services, Pamela Ann Brown

Walden Dissertations and Doctoral Studies

In the United States, there is an issue with low-income uninsured patients using emergency services for nonurgent conditions instead of using primary care services. Primary care services are more beneficial than emergency services for such patients, in that they can receive continual or follow-up care through primary care and thus achieve better health outcomes over the long term. Though information is available concerning factors in (or the rationale for) low-income uninsured patients choosing the emergency department (ED) instead of primary services for nonurgent conditions, research focusing on low-income uninsured patients' perspectives, beliefs, and level of knowledge about this matter is …

The Relationship Between Transformational Leadership Behaviors And Employee Engagement And Turnover Intent, James Bruce Bright

Walden Dissertations and Doctoral Studies

The fast food industry is experiencing issues related to employee engagement and retention. Researchers have shown that managers' transformational leadership behaviors impact employee engagement and turnover intent in various work environments; however, no research to date has evaluated its influence on the fast food industry's hourly-wage, nonmanagement workforce. Building on the theoretical research of Burns and Bass, this study was conducted to examine the relationships among managers' 5 transformational leadership behaviors of idealized influence attributes, idealized influence behavior, inspirational motivation, intellectual stimulation, and individualized consideration and employee engagement and turnover intent. The Multifactor Leadership Questionnaire , the Utrecht Work Engagement …

Effect Of Early Exposure To Technology On Student Satisfaction With Online Education, Mohamed Boudalia

Walden Dissertations and Doctoral Studies

U.S. student enrollment in online classes in the higher education sector has grown rapidly since 2001. Researchers have found that student satisfaction often leads to higher student retention, yet more research was needed to understand reasons for student satisfaction with online education. The purpose of this nonexperimental study was to examine the relationship between students' early exposure to technology (i.e., before college) and their satisfaction with online education in college. The unified theory of acceptance and use of technology were the theoretical framework. A convenience sample of 103 participants from the population of online students at colleges and universities in …

Improving Recruitment And Retention Of Volunteer Firefighters, Jason Decremer

Walden Dissertations and Doctoral Studies

The number of active volunteer firefighters has been steadily dropping in the state of Connecticut for several years. At the same time, the number of public service calls for fire departments has been on the rise. This problem impacts fire protection and municipalities that rely on volunteer fire departments. The purpose of this narrative study was to explore why volunteer firefighter numbers have been declining, the extent to which recruitment and retention programs are used in volunteer fire departments, and how these programs contribute to a fire department's ability to recruit members. Perry's public service motivation model provided the theoretical …

Factors Contributing To Substance Abuse Treatment Completion Among Alaska Natives, Courtney Kay Donovan

Walden Dissertations and Doctoral Studies

Alaska Native populations have experienced significant struggles with addictions to alcohol and other substances. The Alaska Native population's access to treatment services is riddled with problems. This quantitative study served the purpose of identifying factors that lead to the prediction of successful treatment discharges among Alaska Native clients who received treatment for substance abuse at a treatment center in Alaska. Based on the theoretical framework of Marlatt's relapse prevention theory, using archival data, as well as a cross-sectional, quantitative research design, predictive variables of the efficacy of substance use treatment among outpatient clients (N = 278) were examined. Multiple regression …

Teachers' Perspectives Of Low Student Achievement Within Social Promotion Practices, Denise Monifa Connor

Walden Dissertations and Doctoral Studies

Researchers have reported the positive and negative effects of social promotion and retention. The problem at a large elementary school in the southeastern United States was inadequate achievement scores of 70% of socially promoted students in grades 3 through 5 on mandated state tests. The purpose of this case study was to explore the perspectives of teachers on social promotion, grade retention, and how to improve achievement in grades 3 through 5. Tomlinson's differentiated instruction was used as the conceptual framework. Twelve teachers from Grades 3 through 5, who had been at the school at least 1 year and represented …

Screening And Educating Military Veterans About Post-Traumatic Stress Disorder, Jane Egbufoama

Walden Dissertations and Doctoral Studies

Veterans are at increased risk for developing mental illnesses because of separation from families, distressing experiences in the military, and previous injury to the brain. Approximately 30% of U.S. veterans returning from war suffer from post-traumatic stress disorder (PTSD). The incidence of acute PTSD is reduced when victims are aware of the condition and its associated factors. Through education and screening, the project bridged the gap between deployment of military veterans and treatment of PTSD in this population by addressing whether screening veterans and providing an educational process affected veterans' early PTSD recognition and treatment. The project study addressed the …

Leadership Strategies To Reduce Employee Turnover In Luxury Hotels In China, Iwan R. Dietschi

Walden Dissertations and Doctoral Studies

Some midlevel managers in the China's luxury hotel industry lack leadership strategies for engaging employees to reduce employee turnover. Employee turnover rates in China's hotel industry have reached the 30% mark, affecting hotels' bottom lines. This high employee turnover rate is impacting the hotels' performance, and negatively affecting the industry's profitability. The purpose of this qualitative multiple case study was to explore employee engagement strategies luxury hotel industry midlevel managers apply to reduce turnover. The conceptual framework for this study was the three levels of leadership model created by Scouller. The participants in this study were 5 midlevel department managers …

Use Of Antipsychotic Medications In Individuals With Alzheimer's Disease In Nursing Facilities, Michelle M. Dionne-Vahalik

Walden Dissertations and Doctoral Studies

Patients with Alzheimer's disease or other types of dementia often require long-term care in nursing facilities (NF) where they may display out-of-character behaviors complicating their care. While antipsychotic medications are sometimes prescribed for NF residents, their use is considered inappropriate for the control of dementia behaviors. The Centers for Medicare and Medicaid Services have rated Texas the worst state in the country for the inappropriate use of antipsychotic medications for NF residents with dementia. This project was guided by the star model of knowledge transformation with the goal to reduce inappropriate use of antipsychotic medications through NF staff education. The …

Determining Perceived Barriers Affecting Physicians' Readiness To Disclose Major Medical Errors, Jean-Pierre K. Folligah

Walden Dissertations and Doctoral Studies

Medical errors have been detrimental in the field of medicine. They have impacted both patients and doctors. While physicians recognized that error disclosure was an ethical and professional obligation, most remained silent when mistakes happened for different reasons. Guided by the theory of planned behavior and Kant's deontological theory, the purpose of this quantitative study was to investigate the perceived barriers affecting physicians' willingness to report major medical errors. An association was tested between the independent variables physician fear of disclosure of errors, organizational culture toward patient safety, physician apology, professional ethics and transparency, physician education, and the dependent variable …

Community College Transitioning Experiences Of Dual Enrollment Students, Sandra Lucille Fuline

Walden Dissertations and Doctoral Studies

Dual enrollment transitioning experiences of students are poorly understood, leaving higher education stakeholders without the proper information to smooth the transitioning process and keep students in college. This basic qualitative study using interviews explored how 10 dual enrollment students described their transitioning experiences from high school to community college by investigating their motivations, ability to acknowledge self-efficacy, and understanding of social interactions using Badura's self-efficacy model and Keller's motivational theory and the attention, relevance, confidence, and satisfaction model. Data were analyzed through an open coding method to categorize themes and patterns as well as discrepant information. Key findings indicated that …

A Critical Perspective Of Transformational Leadership And Safety Management Practices, Larry D. Frazier

Walden Dissertations and Doctoral Studies

A troubling trend has developed in the increasing number of commuter rail accidents

causing injuries, fatalities, and safety concerns. The specific problem addressed in this study is that current leadership practices have not achieved success reducing safety violations and rail accidents. The purpose of this qualitative cross-sectional study was to explore the potential influence of perceived leadership styles of 16 frontline rail supervisors and 4 managers on safety management practices within a metro rail system. The conceptual framework was based on Bass's transformational leadership theory and Reason's human error model. The key research question dealt with how leadership style might …

Program Evaluation Of An Induction Program In A Rural U.S. Middle School, Jean Dorinda Graddick

Walden Dissertations and Doctoral Studies

This project study addressed the problem of induction teacher attrition at a rural middle school in the Southeastern United States. The study consisted of a program evaluation of a new induction program to ascertain the program's effectiveness in reducing induction teacher attrition. The theoretical framework for this study was Social constructivism. The goals of the evaluation were to (a) examine evidence supporting the effectiveness of the program, (b) identify whether the program helped the school to meet its new-teacher retention goals, and (c) evaluate induction program processes for their possible revision and improvement at other rural middle schools. A qualitative …

The Role Of Empathy In Nursing Assistant Retention, Garlina Finn

Walden Dissertations and Doctoral Studies

It is estimated that by 2020 there will be 2.8 million long-term care beds in residential facilities, staffed primarily with nursing assistants as the front-line care providers. The American Healthcare Association 2012 staffing survey showed that the median annual turnover rate for nursing assistants in the United States is 51.5%. High rates of turnover are associated not only with poorer quality of care but also with increased costs for facilities. The purpose of this project was to understand characteristics that are associated with long-term employment in the nursing assistant role by describing the personality characteristic of empathy in the nursing …

Young Female College Millennials' Intent For Behavior Change With Wearable Fitness Technology, Andrea Christine Haney

Walden Dissertations and Doctoral Studies

Among young college-aged females, overweight and obesity, type 2 diabetes, uncontrolled hypertension, and high stress levels have increased, causing overall worse health conditions than previous generations. The use of wearable fitness technology (WFT) by young adults assists in fitness and nutrition monitoring, provides feedback in health statistics, and has shown improvements in reducing health-related issues in young college females. A wide body of literature related to physical activity, nutrition, and health issues in young college females exists; however, the experiences and intent of WFT use for behavior change by young college female millennials has not been well researched. The purpose …

Strategies To Minimize Direct Care Worker Shortages, Eric Ik Iloabachie

Walden Dissertations and Doctoral Studies

There is a worldwide shortage of direct care workers who help older adults in their own homes. The purpose of this multiple case study was to explore strategies that owners of home health care businesses can use to retain adequate direct care workers for their businesses. Five home care agency owners from Wake County, North Carolina, participated. Each owner had successfully implemented strategies to ensure adequate caregivers to sustain the business. Human relations theory was used to address the business problem. Data collection involved interviewing the 5 owners of home care agency businesses in their offices. Through a process of …

Monetary Incentives And Adolescent Males' Athletic Performance, Sean Jones

Walden Dissertations and Doctoral Studies

Although the use of monetary incentives as motivational tools has been studied by previous researchers, the mechanism of the relationship between monetary incentives and behavior/performance remains poorly understood. The purpose of this quasi-experimental investigation was to explore the relationship between 3 levels of monetary incentives ($0, $3, and $10) and the athletic performance of adolescent male soccer players. The moderating effect of perceived physical self-efficacy or intrinsic motivation on the relationship between athletic performance and monetary incentives was also investigated. The framework for the study was comprised of expectancy theory, the theory of planned behavior, and self-determination theory. Study participants …

Technology Acceptance And Compliance In Obstructive Sleep Apnea Patients, Asif Kidwai

Walden Dissertations and Doctoral Studies

The focus of this study is the problem of declining trend in obstructive sleep apnea (OSA) patient compliance. Studies reported improved compliance in patients with chronic diseases due to technology-based interventions. However, researchers have not investigated the advantages of technology to improve the compliance of OSA patients in detail. The specific problem was the lack of engagement between patients and healthcare managers, resulting in low compliance within OSA patients. The purpose of this qualitative study was to evaluate how technology-based interventions can improve OSA patient engagement with the healthcare managers resulting in improved compliance with treatment procedures. In this study, …

Coping, Conforming, And Liquid Courage As Predictors Of Binge Drinking Among Female College Students, Melania Kim

Walden Dissertations and Doctoral Studies

College-student binge drinking presents a significant health problem on college campuses. Binge drinking has typically been associated with male college students. The rate of binge drinking (4 or more alcoholic drinks on a single occasion) for female college students increased from 46% in 1991-1992 to 52% in 2011-2012. Female alcoholics are more vulnerable to high risk of liver disease, circulatory disorders, breast cancer, fertility issues, and early menopause. Given these risks and increases in the rate of female college student binge drinking, there is a need to identify motivations for/expectations from binge drinking among females. Using the foundation of social …

Strategies For-Profit Educational Leaders Use To Reduce Employee Turnover And Maintain Sustainability, Denise Janet La Salle

Walden Dissertations and Doctoral Studies

In educational institutions, employee turnover decreases productivity, profitability, and sustainability. In 2015, organizations lost $60 million in assets as the result of employee turnover. High employee turnover rates have an adverse influence on productivity, which leads to unsustainable business practices. Some college leaders lack strategies to reduce employee turnover and maintain sustainability. Using the motivation-hygiene needs (2-factor theory), the purpose of this single case study was to explore strategies for-profit educational leaders used to reduce employee turnover and maintain sustainability in Florida. Participants were purposefully selected to ensure they had experience implementing effective employee turnover reduction strategies. The data collection …

Implementation Of The Crafft Cannabis Screening Tool, Barbara Loeprich

Walden Dissertations and Doctoral Studies

Cannabis use among teenagers in Canada is a concern because of the long-term and irreversible effects cannabis has on the developing body and mind. Nurses can be instrumental in screening for cannabis abuse by implementing a tool to assess for substance use disorder (SUD) and triage drug users to appropriate treatment. This project focused on how to implement the CRAFFT screening tool while gaining insight of the practitioner's knowledge base about the tool and how SUD is being screened for, currently. The CRAFFT screening tool aligns with the DSM-IV's SUD diagnosis criteria, allowing for efficient identification of those at risk …

Factors Affecting The Adoption Of Bring Your Own Device By Teachers In Caymanian Public High Schools, Cleyo Lutice Lawrence

Walden Dissertations and Doctoral Studies

At public high schools in Cayman, teachers need to improve their productivity and efficiency by using technologies that are simple and portable like their personal devices. Studies about bring your own device (BYOD) initiatives have revealed conflicting outcomes, and are lacking in the Caribbean and especially in Cayman. The purpose of this quantitative study was to determine the main factors related to teachers' willingness to adopt BYOD in public high schools in Cayman. The theoretical framework was the unified theory of acceptance and use of technology (UTAUT). This study employed a cross-sectional survey design using a modified UTAUT instrument, which …

Strategies For Applying Electronic Health Records To Achieve Cost Saving Benefits, Daniel Kanyi Ngunyu

Walden Dissertations and Doctoral Studies

The American Recovery and Reinvestment Act (ARRA) of 2009 authorized the distribution of about $30 billion incentive funds to accelerate electronic health record (EHR) applications to improve the quality of care, safety, privacy, care coordination, and patients' involvement in healthcare. EHR use has the potential of saving $731 in costs for hospitals per patient admission; however, most hospitals are not applying EHR to reach the level at which cost savings are possible. The purpose of this single case study was to explore strategies that IT leaders in hospitals can use to apply EHR to achieve the cost saving benefits. The …

A Qualitative Look At How Sibling Bereavement From Unnatural Causes Of Death Affects Surviving Siblings, Michael David Gilvin

Walden Dissertations and Doctoral Studies

The purpose of the study is to fill the gap in the literature regarding sibling bereavement. This study explored how sibling bereavement from unnatural causes of death affects surviving siblings. Bereavement affects millions of Americans every year. Most grieve naturally, but some experience complicated grief or depression. Many studies address parental and spousal bereavement, but few focus on sibling bereavement. This study fills that gap in the literature so that mental health care professionals and the general public understand what bereaved siblings experience after the death of a sibling. The study was a phenomenological study using social constructivism as a …

Perceptions Of Stress: Employee Participation In A Yoga Class, Rosemarie Lee

Walden Dissertations and Doctoral Studies

Abstract

Employees experience workplace stress that can affect their health resulting in chronic diseases such as diabetes, stress, hypertension, and cardiovascular diseases. Stress also contributes to staff presentism, absenteeism, and high turnover rate. The employee wellness program (EWP) yoga class at a metropolitan teaching hospital has not been evaluated for its effectiveness in employee stress reduction and improvement in employee health. The practice focus question for this project explored employees' perception of the impact of a metropolitan teaching hospital's EWP yoga class on their stress reduction and health promotion activities. The theoretical framework for this project is Lazarus' transactional model …

Examining Health Disparities And Childhood Obesity In Florida And Georgia, Jennifer Wesley

Walden Dissertations and Doctoral Studies

Childhood obesity is a major issue in the United States. The rates of obesity vary among racial and ethnic groups in the U.S. South. The purpose of this quantitative cross-sectional study was to investigate significant state health disparities differences in childhood obesity in the South region between Florida and Georgia. To steer this study, the social cognitive theory was used. The associations between neighborhood safety and support, physical activity, family health and activities on body mass index were examined in this study. Data was obtained from the National Survey of Children's Health 2011-2012 on 1,688 children aged 10-17 years residing …