Digital Commons Network^™

Characteristics Of Successful Early Childhood Educational Leaders, Darla Tucker

Walden Dissertations and Doctoral Studies

The problem that precipitated this study was the marked differences among early childhood education leaders in the quality of leadership for private early childhood entities as indicated by a voluntary quality rating improvement system in a Midwestern state. The scholarly literature lacks studies on characteristics of high-€quality leadership in early childhood education. The purpose of this qualitative descriptive case study was to explore characteristics of quality early childhood leadership based on examination of successful early childhood programs using leadership trait theory as a conceptual framework. Research questions were designed to examine characteristics of successful early childhood leaders based on the …

The Moderating Influence Of Social Media On The Relationship Between Perceptions Of Police And Community Violence Among African American Men, Herman Charles Tucker

Walden Dissertations and Doctoral Studies

African American males experience homicides significantly higher than other groups throughout the United States. More African Americans are victims of violence, especially deadly violence, compared to any other racial or ethnic group. While research has been conducted on the association between perceptions of police and violence among African American men ages 18 to 44, no research exists on whether social media use moderates this association among African American men ages 18 to 44. This quantitative, cross-sectional study included 45 African American men. The Past Feelings and Act of Violence (PFAV) instrument, the Perceptions of Police (POP), and the Social Media …

Perceptions Of Fatherhood Programs From The Experiences Of Uninvolved Fathers, Rahsaan Roland Turpin

Walden Dissertations and Doctoral Studies

Past researchers have reported that father absence and low engagement affects 24 million children in the United States. African American fathers make up the largest group with low involvement. Fatherhood programs support men in their roles, yet little is known about why this group still exhibits low engagement. Using the family systems theory as a foundation, the purpose of this phenomenological study was to explore the lived experiences of African American fathers who participated in fatherhood programs and their engagement after these programs. This study used purposeful sampling and semi-structured interviews to collect information from 9 African American men aged …

Parent Perceptions Of Biofeedback Treatment Effectiveness For Pediatric Migraine, Andrea Grando Weber

Walden Dissertations and Doctoral Studies

Gate control theory posits the idea that the brain and spinal cord have the ability to control the perception of pain sensation throughout the body. Biofeedback provides a proven way to teach a person how they may control their heart rate, breathing, and skin temperature. Through this process, individuals learn to lessen their migraine frequency and intensity. There are no studies to date that have measured the effectiveness of biofeedback in conjunction with medication for migraines in children despite established evidence of success in adults. In this study, an online format via SurveyMonkey was used to document the perceptions of …

Secondary Teachers' Perceptions Of Professional Development's Role For Instruction In Inclusive Settings, Dwight Erving Williams

Walden Dissertations and Doctoral Studies

Students with disabilities (SWDs) are being placed in inclusive settings. The problem is that in many cases, teachers who are assigned to these students may not have necessary training in special education. Lack of such teacher training can lead to deficits in learning for SWDs. The purpose of this phenomenological study was to identify secondary general education teachers' perspectives on professional development (PD) regarding teaching SWDs in inclusion classroom settings. The conceptual framework for this study was Bandura's self-efficacy construct as presented in social cognitive theory. For teachers, self-€efficacy may influence instructional practices, classroom climate, and attitudes toward educational processes. …

Mental Health Courts: Mental Illness, Diversion Programs And Recidivism, Michelle Blount

Walden Dissertations and Doctoral Studies

Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how …

Nursing Program Progression Requirements And Student Success At A U.S. Community College, Deborah Joleen Cipale

Walden Dissertations and Doctoral Studies

Although licensed registered nurses (RNs) comprise a significant percentage of the U.S. health care workforce, there is a lack of qualified nurses to meet patient needs. This shortage is expected to intensify as practicing nurses leave the profession. The problem that prompted this study was that an attrition-reduction program implemented in the nursing program at a U.S. midwestern community college did not show a reduction in the average attrition rate. The academic integration construct of Tinto's theory of student departure was used to examine archival academic performance records of 145 students enrolled in the local program from 2010 to 2012. …

Strategies Nonprofit Leaders Use To Achieve Financial Stability Through Sustainable Funding, Jerel Lynnette Colemon

Walden Dissertations and Doctoral Studies

Leaders of nonprofit organizations fail to achieve financial stability to meet their mission and vision without sustainable funding. The achievement of fiscal sustainability is the most pressing challenge facing the nonprofit sector. Through the lens of the balanced scorecard model, the purpose of this multiple case study was to explore strategies that nonprofit organization executive leaders used to secure sustainable funding for financial stability. Data were collected from semistructured interviews with 5 executive directors of nonprofit organizations in Ohio and a review of their organizational documents relevant to sustainable funding. Data were analyzed using Yin's 5-step process for analysis. The …

The Psychological Impact Of Testosterone Replacement Therapy In Middle-Aged Men, Gregory E. Coles Sr.

Walden Dissertations and Doctoral Studies

Decreased testosterone levels (hypogonadism) in middle-aged men (aged 45-64) has been associated with increased levels of depression. Studies have suggested that increases in anxiety and/or attention problems may also be associated with hypogonadism but have not provided empirical evidence to support these suggestions. The purpose of this quantitative study was to examine depression, anxiety, and attention problems in middle-aged men using a psychological self-report inventory. The theoretical model used in this study was the biomedical model, which combined pharmacological treatment with psychological self-report inventories to determine if there was an association or relationship between the testosterone levels in men and …

Promoting Nursing Communication Competence On A Spinal Cord Injury Unit, Tishon L. Creswell

Walden Dissertations and Doctoral Studies

The power to communicate effectively and respectfully in the health care setting promotes job satisfaction, retention, and healthy relationships. Ineffective communication is one of the major causes of sentinel events, incivility, nurse turnover, and workplace hostility in the health care environment. This project examined a communication competence educational program on a spinal cord injury (SCI) nursing department and its potential to improve communication competence. The project question explored whether an educational series on incivility and creating healthy relationships would increase communication competence in nurses on the SCI unit. The project used the high reliability solutions for health care model communications …

Factors Contributing To High Readmissions For Congestive Heart Failure Among African Americans, Shavonda Caprice Devereaux

Walden Dissertations and Doctoral Studies

Abstract

African Americans are disproportionately affected by heart failure, with prevention and treatment of heart failure being a public health concern in the United States. The purpose of this retrospective quantitative study was to examine the primary variable race, specifically African Americans, and how this variable relates to 30-day readmission post discharge when controlled with geographic location (urban vs. rural), gender, and insurance status. The expanded chronic care model was used as a framework to shape health promotion, prevention efforts, and social determinants of health and to enhance community involvement related to chronic disease issues. The research questions were focused …

Increasing Clergy's Knowledge Of Mental Illness, Confidence, And Willingness To Refer, Suzan Mae Davis Merritt

Walden Dissertations and Doctoral Studies

Over 43 million Americans suffer from mental illness annually with 40% seeking support from clergy (Polson & Rogers, 2007) who claim to be ineffectively prepared (Farrell & Goebert, 2008). This study investigated if mental health training administered to clergy would increase their knowledge of various mental disorders, alter their opinion regarding helpful resources, grow their self-confidence to help individuals experiencing mental health issues, and increase clergy's willingness to refer out. The theoretical basis for this research was attribution theory that attempts to explain social perceptions (Mannarini & Boffo, 2013) and the struggle individuals (i.e. clergy) have regarding the causation of …

Revenue Diversification To Improve And Maintain Service Offerings Of Nonprofit Organizations, Ganga Kosala Bandara Heengama

Walden Dissertations and Doctoral Studies

Leaders of nonprofits businesses adopt revenue diversification strategies to create innovative program services, creative ways to source materials, utilize volunteers and community partnerships, and identify business solutions related to solving societal problems. To continue providing services, it is crucial for nonprofit leaders to maintain adequate financial resources. The purpose of this single-case study was to explore revenue diversification strategies used by 3 leaders of a nonprofit organization in western California of the United States using Markowitz's modern portfolio theory as the conceptual lens. Data were collected through in-depth semistructured interviews and examination of organizational documents, internal archival data, and online …

Human Resources Management Professionals' Experience With Online Degree Holders In Recruitment, Dominic Ugochukwu Isaac

Walden Dissertations and Doctoral Studies

Online degree holders in Nigeria have poor acceptability during recruitment and promotion decisions because of reliability and legality perceptions of online degrees. There is little knowledge about how human resource (HR) managers identify employability skills in online degree holders. Guided by Bills's screening conceptual framework, the purpose of this case study was to explore how Nigerian recruiters identify employability skills in online degree holders. The participants for this study consisted of 2 participants from each of 10 sectors covering the government and nongovernmental organizations; participants had at least 5 years' experience in working with online degree holders. Data were collected …

Stakeholder Perspectives On Teacher Attrition In Private Early Childhood Schools In India, Swathi Sandesh Menon

Walden Dissertations and Doctoral Studies

Teacher attrition is a problem that has consequences for children and schools in many countries; children are affected negatively both emotionally and intellectually, while schools suffer setbacks, such as financial stress and disruption of the learning environment. This multiple case study explored the perspectives of stakeholders in India regarding how teacher attrition in private early childhood schools influenced students, teachers, parents, school leaders, and schools, as well as the factors that stakeholders identified as important for teacher retention in private early childhood education. The conceptual framework was Bronfenbrenner's ecological systems theory. Data were collected through interviews with teachers and school …

Abstract Hiv Testing And Multiple Sexual Partnerships Among Men In Nigeria, Kelvin Meyeyin-Bala

Walden Dissertations and Doctoral Studies

Low Human Immunodeficiency Virus [HIV] test uptake and multiple partnerships among men in Nigeria are contributing factors to HIV transmission. The purpose of this quantitative cross-sectional study was to examine the relationship between HIV test uptake, sociodemographic characteristics, HIV knowledge, attitude, and multiple sexual partnerships. The health belief model provided the framework for the study. Data were collected from the 2013 Nigerian National Demographic Health Survey, which surveyed 17,359 Nigerian men ages 15-49 years. Chi-square and binary logistic regression analysis showed that sociodemographic variables (age, residence, marital status, religion, wealth status, ethnicity, and educational level), HIV test uptake, HIV knowledge, …

High School Science Teachers' Perspectives On Their Technology Knowledge, Content, And Pedagogy, Mentor Mentor Jr.

Walden Dissertations and Doctoral Studies

In a southeastern U.S. school district, it was unknown how teachers integrated technology into their classroom teaching in the science, technology, engineering, and mathematics (STEM) curriculum. Teachers should be knowledgeable of their content, pedagogy of the content, and delivery instruction to improve students' learning outcomes. The purpose of this bounded qualitative case study was to examine how teachers integrated technology into their teaching to improve science students' learning outcomes. Mishra and Koehler's and Shulman's theories of technology, pedagogy, and content knowledge served as the conceptual framework. Purposeful sampling was used to select 12 certified science teachers, with at least 1 …

Telehealth Integration Influencing Success And Sustainability, Melissa Jean Miller

Walden Dissertations and Doctoral Studies

Telehealth initiated a transformation in the realm of innovative strategies to meet the demands of an ever-changing health care system. Adapting provisions to new delivery care models such as telehealth is one way to improve access to care. The purpose of this project was to explore evidence of best practices in telehealth through an extensive, systematic literature review. The practice-focused question focused on identifying advantages of and barriers to the use of telehealth for improving patient satisfaction and quality of care. The plan-do-study-act cycle served as a model for accelerating quality improvement through improved systems of practice, and the Critical …

Evaluation Of Shared Governance Implementation At A Community Hospital, Teresa Nardontonia

Walden Dissertations and Doctoral Studies

Shared governance is a model in which staff collaborate through a decentralized decision-making structure, sharing ownership and accountability and partnering to make decisions about clinical practice, professional development, patient experience, quality improvement, and research. The hospital shared governance project team aligned its shared governance model with the American Nurses Credentialing Center Pathway to Excellence standards. The purposes of this project were to do a process evaluation of shared governance implementation at one 64-bed community hospital in central Florida and make recommendations for continuous quality improvement. The project followed the plan-do-study-act methodology developed by Deming. Through the collection of meeting minutes …

Predictors Of Poor Pregnancy Outcomes Among Pregnant Women In Island Maternity, Nigeria, Letam Nwi-Ue

Walden Dissertations and Doctoral Studies

Pregnancy outcomes have improved tremendously in developed countries. Notwithstanding, it is still a huge challenge in developing countries, especially Sub-Saharan Africa. In 2015 in Nigeria, about 145 women died daily from pregnancy-related causes. Similarly, nearly 2,300 children under 5 years were lost in the same year. Nigeria consistently underperformed in some of the critical pregnancy indicators such as maternal and neonatal mortality, second worst only to India in the world. Studies on poor pregnancy outcomes are scarce in Nigeria. The purpose of this quantitative, retrospective cross-sectional study was to use local evidence to ascertain the risk factors that predict poor …

Improving Spiritual Care In Preoperative Nursing, Victoria Ngozi Ogbuji

Walden Dissertations and Doctoral Studies

Spirituality and nursing have been intertwined from the beginning of the profession; however, there is little evidence that clearly defines spiritual nursing care and no standardized practices that can be included in the routine preoperative plan of care for patients undergoing invasive surgical procedures. The purpose of this project was to conduct a systematic review of the literature to define spiritual care and identify specific spiritual nursing care interventions. The biopsychosocial model, Narayanasamy's transcultural care practice model, and Watson's theory of human caring provided the theoretical framework for the project. MEDLINE, PubMed, Wiley online library, SCIENCE, WOS, Cochrane, and SciELO …

Interpreting Belonging In People With Developmental Disabilities: A Case Study, Photovoice Exploration, Tullio Orlando

Walden Dissertations and Doctoral Studies

In this qualitative study, the social construct of community citizenship as perceived in the worldviews of adults with developmental disabilities living in a large eastern city was explored. While authors report government-sponsored institutionalization and custodial care is no longer as common, the voices of people with developmental disabilities are still to be heard on what they think about being participating members of their communities rather than segregated as they once were. This study provided a group of adults with developmental disabilities an opportunity to help others better understand their thoughts about belonging. A combined case study and photovoice research approach …

Improving Interdepartmental Care Collaboration For Pregnant Patients, Michelle Anne Ott

Walden Dissertations and Doctoral Studies

Communication is vital to improve patient care outcomes, especially with high acuity patients. Pregnant patients differ from other patient populations because their care involves 2 entities: the patient (mother-to-be) and her unborn fetus. There has been a noted gap in communication and care collaboration between the emergency department (ED) and obstetric (OB) teams at the project site, resulting in delays for patients and lack of appropriate maternal/fetal assessment and contributing negatively to patients' experiences. Using transitions theory and the Rosswurm and Larrabee model, a clinical practice guideline (CPG) inclusive of an obstetrically focused algorithm was developed and presented for use …

Quality Improvement Initiative To Improve Patient Attendance In Diabetes Self-Management Education Classes, Charon Denise Randel

Walden Dissertations and Doctoral Studies

Diabetes self-management education (DSME) is a key resource in the battle against diabetes and its secondary effects. This quality improvement project was conducted to address the decreased attendance rates of DSME classes in a community health center in the southern United States. The practice question for this project explored process-related strategies to increase patient attendance in DSME classes. Based on review of patient reports of reasons for nonattendance and an evaluation of peer reviewed literature on improving attendance in DSME, the following strategies were implemented: (a) alternative solutions such as providing patients with the dates for a year of initial …

Teacher Job Satisfaction And School Leadership, Saroya N. Pendleton-Brown

Walden Dissertations and Doctoral Studies

Teacher Job Satisfaction and School Leadership

by

Saroya N. Pendleton-Brown

MSA, Fayetteville State University, 2011

BBA, Baker College, 1993

AAS, Jordan College, 1991

Doctoral Study Completed in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

August 2019

The problem in a middle eastern school was the high annual rate of teacher attrition, which is above 25% per year. The purpose of this qualitative case study was to examine teacher perceptions of the attrition rates as they relate to the school leadership style at this study site. Herzberg's theory of motivation, which provides insights regarding job satisfaction, …

Improving Compassion Fatigue And Vicarious Trauma Knowledge For Psychiatric Nurses, Natalie P. Rebelo

Walden Dissertations and Doctoral Studies

Nurses are exposed to traumatic patients and high stress regularly; this repeated exposure can increase rates of compassion fatigue and vicarious trauma. When nurses are not properly educated about compassion fatigue and vicarious trauma, it can impact their ability to provide effective patient care and result in harmful effects including insecurity, altered cognitive functioning, loss of empathy and diminished self-esteem. This project focused on educating psychiatric nurses regarding compassion fatigue and vicarious trauma. The theory guiding the project was the Neuman's system model. Fifty-six psychiatric nurses were administered a pretest consisting of 10 multiple choice test questions. They were educated …

Understanding Nonoffending Caregiver Protection In Child Sexual Abuse, Christina Lynn Sally

Walden Dissertations and Doctoral Studies

Child sexual abuse is a global issue that has affected children, families, and communities for centuries regardless of socioeconomic, religious, ethnic, race, or multicultural factors and distinctions. Sexually abused children may be reluctant to disclose sexual abuse due to perceptions or realities that their nonoffending caregiver (NOC) will not believe their reports and may fail to provide adequate protection. The purpose of this quantitative study was to assess if child demographics (i.e., age, sex, and race/ethnicity); type of sexual offense (i.e., contact or noncontact); and perpetrator relationship to the child (i.e., familial or extrafamilial) predict a NOC's response (i.e., protection …

Success And Failure Of Drug Rehabilitation: Pets Accompanying Clients To Treatment, Rikki Schwab

Walden Dissertations and Doctoral Studies

This research addresses the use of canine animals in substance abuse treatment. There is research that addresses the importance of animals regarding therapy and mental illness, as well as research on the comorbidity of severe mental illness and substance abuse disorder. However, there is no research that looks at utilizing canines in substance abuse therapy. The purpose of this research was to examine the utilization of canine animals in rehab for those with substance abuse issues. The theoretical foundation for this study is the theory of contextualism. This theory focuses on humans with animals. To address the gap in research, …

Comparison Of Army Veterans' And Nonveterans' Individual Work Performance, Petrina Veola Stack

Walden Dissertations and Doctoral Studies

Business managers lack knowledge and understanding of the transferability of Army veterans' individual work performance (IWP) in the private sector, which results in organizations' failure to hire Army veterans who possess strong IWPs. The purpose of this nonexperimental, cross-sectional study was to compare Army veterans' and nonveterans' transferable IWP as defined by task performance (TP), contextual performance (CP), and counter-productive work behavior (CWB). The IWP framework provided the theoretical foundation for this study. The research question examined how veterans' IWPs compared to those of nonveterans. The sample frame included U.S. Army civilian veterans and nonveterans at a large military installation …

Educational Program For New Nurses Dealing With The Death Of Patients, Diana Vazquez

Walden Dissertations and Doctoral Studies

The exposure of newly graduated nurses to the death of their patients causes a significant emotional impact that may affect the nurses' job performance and social interaction with the patients' families. Therefore, it is necessary to explore the clinical circumstances, the impact, the challenges and rewards of the nurses' first experiences with the death of a patient. This education program focuses improving knowledge and decreasing negative feelings of newly graduated nurses towards death and supporting their understanding of this phenomenon as one that is part of nursing professional practice. Knowles' theory of adult learning informed this project. Fifteen newly graduated …