Digital Commons Network^™

Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas

Walden Dissertations and Doctoral Studies

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs …

Teachers’ Perspectives On Positive Behavior Intervention And Support In The Classroom, Corlett Pinnock

Walden Dissertations and Doctoral Studies

Positive behavior intervention and support (PBIS) is a data-driven approach to promoting productive student behaviors and learning. A key facet of sustainable success when using PBIS is evaluation. More insight is needed on the perspectives that teachers have about PBIS and as well as details about whether and why it is accepted. The purpose of this phenomenological study was to examine the perceptions of teachers at 3 high schools in Western Jamaica as it relates to a PBIS pilot program. Twenty-six teachers from 3 schools in Region 4 in Jamaica were interviewed with the aim of understanding how teachers received …

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …

Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu

Walden Dissertations and Doctoral Studies

AbstractSchool counselors should be well-adjusted in their personal and professional lives and possess a keen, accurate perception of their self-care practices. However, people drawn to careers in school counseling are often at risk of developing burnout due to high professional demands and limited resources supporting their self-care and well-being. The purpose of this quantitative correlational study was to investigate the relationship between the independent variables of self-care practices, years of work experience, and educational settings and the dependent variable of levels of burnout among practicing school counselors in K-12 suburban educational settings in the Mid-Atlantic region of the United States. …

A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim

Walden Dissertations and Doctoral Studies

AbstractIn 2017, The Joint Commission issued a sentinel event alert regarding inadequate nurse hand-off communication. Inadequate hand-off communication can lead to medication errors, delay in treatment, falls, and wrong-site surgery. To help ensure safe handoff of care between nurses by involving the patient and family, bedside shift report was created. Bedside shift report was developed to help improve patient safety and quality, patient experience of care, nursing staff satisfaction and time management, and accountability between nurses. Despite the implementation of bedside shift report in nursing practice, it continues to be inconsistently applied, which poses risks to patients and can lead …

Strategies For Small Business Sustainability Beyond 5 Years In New Restaurant Industry, Alexandria Norma Wilhoite

Walden Dissertations and Doctoral Studies

More than half of small businesses in the United States are unsustainable within the first five years of existence. Small business owners who do not implement successful and sustainable strategies are at a high risk of failure. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that some small restaurant owners use to sustain business beyond five years. The participants included three small business owners in Connecticut who have been in business for five years. Data were collected from semistructured interviews, company websites, and company documents. Yin’s 5-step thematic analysis was …

Stroke Prevention Through Education, Laura Lee Ballance

Walden Dissertations and Doctoral Studies

AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns …

Where Is The Policy? A Bibliometric Analysis Of The State Of Policy Research On Medical Tourism., Altaf Virani, Adam Wellstead, Michael Howlett

Michigan Tech Publications, Part 1

Background: It is imperative that researchers studying medical tourism connect their work with policy, so that its real-world challenges can be better understood, and more effectively addressed. This article gauges the scope and evolution of

Methods: A Boolean search of the Web of Science (WoS) Core Collection was performed to identify policy-related publications on medical tourism. We analyzed the results using bibliometrics and a data visualization software called

Results: Our findings suggest that only a small proportion of medical tourism research explicitly addresses policy issues or applies policy paradigms in their study approach. Field-specialized journals serving practitioners publish less research …

Principles Of Home Rule For The Twenty-First Century, Richard Briffault, Nestor M. Davidson, Paul A. Diller, Sarah Fox, Laurie Reynolds, Erin A. Scharff, Richard Schragger, Rick Su

Faculty Scholarship

The National League of Cities’ “Principles of Home Rule for the Twenty-First Century” updates the American Municipal Association’s 1953 “Model Constitutional Provisions for Municipal Home Rule.” The AMA approach was widely adopted, but those provisions are now over 65 years old and intervening social, demographic, economic, and political changes necessitates a new approach to the legal structure of state-local relations. The NLC’s approach is organized around four basic principles, which are cashed-out in a model constitutional home rule provision, with commentary. The first principle states that a state’s law of home rule should provide local governments the full capacity to …

Emergency Exemptions From Environmental Laws, Michael B. Gerrard

Faculty Scholarship

The national response to the coronavirus crisis may face several impediments but federal and state environmental laws should not be among them. Most of these laws have emergency exemptions that allow the usual (and sometimes lengthy) procedures to be bypassed, and some substantive requirements to be waived, in instances of true urgency. However, there is concern that some agencies and corporations will use this as an excuse to bypass environmental laws that aren’t actually getting in the way of responses to the crisis.

Youth Decline In Church Growth And Attendance, Marion Diane Jones

Doctoral Dissertations and Projects

Youth attendance in the church has declined in the recent past. The reason for their decline is that they no longer find a church to be socially and spiritually relevant to their lives. The paper seeks to provide a solution to the problem through spiritual formation and increasing the depth of youth programs so that they can remain socially relevant to the lives of the young people. This will be done by encouraging youth people to know who Jesus is and how to have a personal relationship with him through faith.

Fostering Self-Efficacy For Biblical Learning And Doctrinal Awareness With Micro-Teaching In A Brief Course On Bible Study, Robin K. Henson

Doctoral Dissertations and Projects

Self-efficacy for biblical learning was explored in the context of a small group experience focused on how to study the Bible. After first developing a new instrument to measure self-efficacy for biblical learning in a pilot study, ten church attendees participated in a seven-week course designed around the hermeneutical principles of understanding a Scripture passage in textual and historical context, placing the passage in the grand story of God, and relating it to relevant doctrine. The small group process employed micro-teaching as a mechanism to facilitate challenge and mastery experience in learning. Micro-teaching places the student in the role of …

A Review Of Open Source Ventilators For Covid-19 And Future Pandemics., Joshua M. Pearce

Michigan Tech Publications, Part 1

Coronavirus Disease 2019 (COVID-19) threatens to overwhelm our medical infrastructure at the regional level causing spikes in mortality rates because of shortages of critical equipment, like ventilators. Fortunately, with the recent development and widespread deployment of small-scale manufacturing technologies like RepRap-class 3-D printers and open source microcontrollers, mass distributed manufacturing of ventilators has the potential to overcome medical supply shortages. In this study, after providing a background on ventilators, the academic literature is reviewed to find the existing and already openly-published, vetted designs for ventilators systems. These articles are analyzed to determine if the designs are open source both in …

Googly Eyes And Yard Signs: Deconstructing One Professor’S Successful Rebuffing Of A Right-Wing Attack On An Academic Institution, Theresa Catalano, Ari Kohen

Department of Teaching, Learning, and Teacher Education: Faculty Publications

Right-wing populism is on the rise worldwide, and political attacks against universities have increased in the United States since the election of Donald Trump. In 2017, an incident occurred at the University of Nebraska–Lincoln which resulted in accusations of hostility toward conservative students. Just over a year later, political forces again attempted to denigrate the university’s reputation, but this time they did not succeed. This (multimodal) positive discourse analysis/ generative critique combines collaborative auto-ethnography to describe the way these events were represented in the media, deconstructing a professor’s methods of countering a right-wing attack on an academic institution. Findings demonstrate …

Crispr/Cas9-Mediated Single And Biallelic Knockout Of Poplar Sterile Apetala (Popsap) Leads To Complete Reproductive Sterility, Abdul Azeez, Victor Busov

Michigan Tech Publications, Part 1

No abstract provided.

Navigating Multiple Worlds Of Ghanaian-Born Immigrant Adolescent Girls In Us Urban Schools, Lydiah Kananu Kiramba, Adaurennaya C. Onyewuenyi, Alex Kumi-Yeboah, Anthony Mawuli Sallar

Department of Teaching, Learning, and Teacher Education: Faculty Publications

African immigrant populations are among the fastest growing immigrant populations in the United States, yet they are understudied and are invisible immigrant group in the educational literature, particularly, in the context of educational discourses in the United States urban schools. Drawing on Phelan et al.’s multiple worlds model, we analyzed individual and focus group interviews of forty students, thirty-six parents, and twelve teachers from two schools. Findings showed that Ghanaian-born immigrant students undergo several complex transitional paradigms combining two worlds (school and home) of Ghanaian culture, past educational experiences, family values, and adapting to new school environments to achieve success …

Examining Glocal Scales And Mapping Literacy Landscapes: What We Can Learn As Ethnographers Through Geospatial Analyses, Loukia K. Sarroub, William R. England

Department of Teaching, Learning, and Teacher Education: Faculty Publications

Operationalizing space is challenging because the factors impacting education are often located at different scales. Combining Geographic Information Systems and ethnographic analyses allows researchers to conduct studies at both micro- and macro-scales, thus illuminating the connections between local and global phenomena. In our first case, we analyze refugee migration at multiple scales in order to better understand and contextualize refugee mobility. In case two we measure ‘literacy landscapes’ at the state- and district-level by mapping clusters of high/low standardized reading scores. Hot spot and cold spot analyses show that standardized reading scores are implicitly connected to socioeconomic status and are …

Intercultural Competence In Pre-Service Teacher Candidates, Joan Barnatt, Lisa Andries D’Souza, Ann Marie Gleeson, Kara Mitchell Viesca, Jessica Wery

Department of Teaching, Learning, and Teacher Education: Faculty Publications

This mixed-method study utilizes survey and interview data reflecting teacher candidates’ beliefs about intercultural competence to identify areas of targeted support in teacher preparation. Intercultural competence is operationalized by performance on the Cultural Intelligence Survey (CQS) identifying relative areas of strength and weakness in four dimensions. Participants reported awareness of cultural differences and motivation to interact with those from other cultures, with less confidence in their knowledge base and ability to adapt behavior in intercultural interactions. Qualitative data provided explanatory support for understanding how program elements influenced intercultural competence along a developmental trajectory of learning.

Experiences Of Police Officers Who Have Received Crisis Intervention Team Training, Ashley D. Yinger

Walden Dissertations and Doctoral Studies

Police officers are often the frontline responders to calls involving people in mental distress. The lack of specialized mental health training can influence stigmatization and criminalization of people with a serious mental illness (SMI). Crisis intervention team (CIT) training is a tool to provide law enforcement with specialized mental health training to enhance their skills and comfort level when responding to crisis calls. There is a gap in the research examining officers' experiences with CIT training and how they apply that training when encountering people who have a SMI. The purpose of this qualitative case study was to explore a …

Evidence-Based Diagnosis Of Posttraumatic Stress Disorder Using Quantitative Electroencephalography, Roger Yoder

Walden Dissertations and Doctoral Studies

Diagnosing post-traumatic stress disorder (PTSD) is challenging and is currently, diagnosis through self-administered checklists. Because a diagnosis of PTSD can open up significant benefits to compensation, education, and medical care, people can tailor their responses to the checklist to help ensure a diagnosis of PTSD. The purpose of the study was to examine the utility of the quantitative electroencephalograph for diagnosing PTSD. Frequency and presence of biomarkers and alpha brain wave symmetry in the frontal and parietal lobes were examined. Research questions involved examining the presence of alpha wave imbalance across the frontal lobe and between the right and left …

Lived Experiences Of African Americans 65 And Older After Rural Hospital Closures, Derrick Mike

Walden Dissertations and Doctoral Studies

African Americans 65 and older have had varied experiences due to losing immediate access to nearby hospitals for urgent treatment for emergency medical conditions. This phenomenological study was conducted to explore the lived experiences of those residing in areas after a rural hospital closure occurred. The hospital was the primary and nearest facility for receiving immediate access to urgent treatment. The research questions focused on the encounters experienced by the participants after the hospital closure. The Health Belief Model was the conceptual framework used for this study. The method and data analysis procedures included interviews, field notes, a life-course chart, …

Improving The Patient Experience With Communication, Pauline Adora Salmon

Walden Dissertations and Doctoral Studies

A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …

The Impact Of Perceived Stress, Happiness, And Religiosity On Political Orientation, Bryant Daniels

Walden Dissertations and Doctoral Studies

Increasing stress levels over the past 30 years have reached an all-time high, which has also correlated with an increase in medical insurance costs due to the adverse effects on life expectancy, obesity rates, and non-communicable disease deaths. An additional social problem affecting the U.S. is a 20-year increase in political dichotomy. Research has shown a distinction between liberals and conservatives on a variety of characteristics ranging from sleep patterns, disgust, personality, and even cleanliness. This current study used two other characteristics that correlate with both stress and political orientation, and they are happiness and religiosity. The purpose of this …

Adolescent Substance Abuse Screening, Wesley W. Lynch

Walden Dissertations and Doctoral Studies

Adolescent substance use is a key public health problem in rural Ohio. Primary care nurses lack substance use screening knowledge and skills. Early screening and detection of possible substance use issues aids in directing patients to appropriate health services. This project involved the implementation of an educational intervention on the CRAFFT screening tool for primary care nurses in rural Ohio. Guided by Kurt Lewin's 3-step model to emphasize prevalence of substance use and need for screening among adolescents, the purpose of this project was to provide training on the CRAFFT screening approach and share guidelines to implement routine substance abuse …

Pertussis Resurgence In Europe: Incidence And Epidemiologic Cycles In Immunization Required And Non-Required Countries, Sheryl Ann Duquet

Walden Dissertations and Doctoral Studies

Although pertussis vaccines have been available for over 7 decades, countries are experiencing a pertussis resurgence. This study sought to establish a relationship between the European pertussis immunization schedule designs (with and without the inclusion of adolescent boosters) and the immunization requirement (recommended or required), which potentially influences immunity waning, and thus the incidence rate and epidemiologic cycles of pertussis. The theoretical foundation for this study was the theory of herd immunity. A quantitative research method was used, supported by a secondary data source. The statistical analysis included the use of linear regression to evaluate the relationship between the requirement …

Racial Differences In Hospital Readmission And Reimbursement Rates For Patients With Congestive Heart Failure, Catherine Talongwa

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) is associated with a significant economic burden that includes frequent emergency department visits, hospitalizations, and readmissions. The purpose of this study was to examine the differences, if any, between hospital readmission rates and insurance reimbursement rates for non-Hispanic Black and White CHF patients in California. The theoretical framework was Bandura's social cognitive theory. Secondary data for this quantitative study were obtained from the Office of Statewide Health Planning and Development and State Inpatient Databases from Healthcare Cost and Utilization for calendar year 2014-2016. A t-test and Levene's test for equality of variance were conducted on a …

Leadership Strategies For Improving Mergers And Acquisitions Performance, Alon Ben Jacob

Walden Dissertations and Doctoral Studies

Mergers and acquisitions (M&A) are a critical process business leaders use to increase profitability and grow their business. Still, the majority of M&As fail to deliver the expected value to the acquirers. Grounded in Sarasvathy's effectuation theory, the purpose of this single case study was to explore strategies to conduct successful M&A processes. The participants were 8 individuals from a global healthcare company who acted as the company's presidents and had experience conducting M&As. Data were collected using semistructured interviews and a review of company documents. Data were analyzed using thematic analysis. The following themes emerged: leadership focus, value creation, …

The Perception Of Men's Preferred Female Body Size And Weight Control Behaviors Of Afro-Caribbean Women In The United States Virgin Islands, Alice Victoria Henry

Walden Dissertations and Doctoral Studies

The prevalence of obesity among Afro-Caribbean women living in the United States Virgin Islands (USVI) is a health care issue that can have detrimental effects on society. To reverse the spread of this disease, factors contributing to its prevalence must be understood so that they can be addressed. The purpose of this cross-sectional study was to examine Afro-Caribbean women's perception of the female body size preferred by Afro-Caribbean men and the influence of that perception on the women's weight control behaviors of diet and physical activity. The reasoned action approach was the basis for the theoretical foundation. The research problem …

The Caregiver Advise Record And Enable (Care) Act And Compassion Fatigue In The United States, Karen Marie Johnson

Walden Dissertations and Doctoral Studies

The transition from hospital to home can be complicated, leaving family caregivers in stressful situations that they may not know how to handle. The burden that is placed on these individuals has led researchers to focus on the public health implications of caregiving in hopes of identifying at-risk caregivers. This quantitative analysis identified what relationships exist between caregiver compassion fatigue among family caregivers and training or education received per the Caregiver Advise Record and Enable (CARE) Act and if education influences readmission rates. A purposive sample of 385 family caregivers participated in this study. The Care Transitions Measure (CTM-15), the …

Internal Business Control Systems In Small Puerto Rican Retail Businesses, Belma A. Borras

Walden Dissertations and Doctoral Studies

Small businesses' vulnerability to financial losses brought about by employee theft is higher than for larger organizations. Small business owners are concerned about occupational fraud, as the annual average loss from fraud for small business owners in the United States was $150,000 per incident. Grounded in the fraud triangle theory and COSO Internal Control Integrated Framework, the purpose of this quantitative correlational study was to examine the relationship between the degree of segregation of duties, attitude toward internal controls, and the internal control system in small gas and convenience stores in Puerto Rico. Data were collected from 129 small business …