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Patient Risks And Clinical Care Disruptions In Rural Hospital Mergers, Gabriel Muzanenhamo

Walden Dissertations and Doctoral Studies

Over 440,000 U.S. citizens are dying annually from avoidable, hospital-associated adverse events, with rural inhabitants experiencing more significant health threats than any other group in the United States. The trend of large health systems acquiring and consolidating rural hospitals (RHs) to improve the coordination of clinical care is backfiring, and accumulating patient safety risks. Although arguments for supporting hospital mergers in the past have focused on efficiency and presented a chance for struggling RHs with a financial survival mode, limited research has explicitly examined the impact of rural hospital mergers (RHMs). This study was constructed to explore the relationship between …

The Role Of Internet Of Things In Hotels’ Profitability, Gershwin Narraidoo

Walden Dissertations and Doctoral Studies

As consumers increase the use of smart technologies, the lack of or improper implementation of Internet of Things (IoT) systems may affect the profitability of hotel businesses. For this qualitative single case study, Porter’s value chain model was the conceptual framework. The data collection process also included direct observations, participant observations, company performance documents, and reflective journaling. Data analysis from multiple sources of data was triangulated to hoteliers revealing that the implementation of IoT systems strategies may increase profit through the use of IoT system technology. Using Yin’s 5-step process, data were coded and analyzed and produced 3 themes: offer …

Risk Perception Of Terrorism And Individual Preparedness In Thailand, Pinida Neenlapathna

Walden Dissertations and Doctoral Studies

Since 2001, terrorist incidents in Thailand have caused more than 6,600 deaths and nearly 13,000 people have been injured. The Thai government has employed various counterterrorism measures, but there is little attention paid to terrorism awareness and preparedness. Following the tenets of social cognitive theory, the purpose of this quantitative study was to examine the predictive relationship between the risk perception of terrorism (i.e., perceived probability, perceived seriousness, perceived impact, perceived coping efficacy, perceived government preparedness, and perceived frontline responder preparedness) and individual preparedness among Thai people. The study was conducted with a convenience sample of 327 Thai adults who …

Juvenile Recidivism After Release From A Juvenile Detention Center In Atlanta, Georgia, Jacquelyn Monique Nelson

Walden Dissertations and Doctoral Studies

After undergoing a form of rehabilitation (i.e., youth detention centers in Georgia), statistics show that juveniles have a 65% chance of reoffending within 3 years after being released. The Georgia Juvenile Justice System’s $300 million annual budget raises concerns about the acts of juvenile recidivism. The purpose of this research was to understand why juveniles reoffend after being in a juvenile detention center in Atlanta, Georgia. The conceptual framework for this study was centered on the alternative to youth detention centers. The research question addressed factors that led juvenile delinquents to reoffend after receiving an alternative treatment. This study had …

Sanctuary: Understanding Immigrant Victimization Reporting, Jonathan Joseph Niksarian

Walden Dissertations and Doctoral Studies

In the criminal justice system, the victim possesses the power to determine if crime goes unreported. The problem addressed by this study is if sanctuary type policies have an effect on victimization reporting by immigrants. The theoretical framework was based on Appleton-Dyer and Field’s interpretation of social exclusion theory. The key research question was focused on the perception of legal aid providers’ perception of immigrants’ victimization reporting determination. This qualitative phenomenological study included interviews with 4 legal aid providers who worked for an organization designed to serve victimized immigrants seeking relief. The data were coded and analyzed manually. Findings revealed …

Public Health Leadership In The Philippines: Effective Approaches In Malaria Surveillance, Gethro Nullan

Walden Dissertations and Doctoral Studies

Leadership traits that affect and shape cost-effective practices ensure the long-term

growth and success for any organization. The purpose of this single case study was to explore leadership traits that may contribute to cost-effective approaches in a malaria surveillance program in the Philippines. The National Health Service Leadership Framework provided the conceptual framework for this study. The participants included 12 public health leaders/managers who have worked or been involved in malaria surveillance programs with budgetary oversight. Data were collected through in-depth interviews and document analysis. Values coding was used for data analysis, in which participants’ perspectives were coded using the …

Fall-Related Patient Education: An Essential Feature Of A Fall Prevention Program, Immaculata Okonkwo

Walden Dissertations and Doctoral Studies

This project documented the evaluation of a voluntary patient falls prevention education

program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained

its sustainability. The project was designed using the customized Moore et al. evaluation

model and Lippitt’s planned theory of change to encourage patient engagement in

physical activity (PA) through fall prevention education to allay patients’ fear of falling.

The sample included patients who opted into the facility’s VPFPEP. Evaluation was

performed using run charts to visually and quantitatively monitor trends and patterns of

fall incidents over time. Run charts also facilitated comparison of injuries sustained …

Strategies To Improve Employee Retention In The Small Retail Industry, Martin Anokwah Owusu

Walden Dissertations and Doctoral Studies

The high turnover rates of entry-level employees adversely affect the profits of small retail businesses. Small business owners in Ghana may benefit by retaining entry-level employees and reducing replacement and training costs. Grounded in Herzberg’s two-factor theory, the purpose of this descriptive, single-case study was to identify strategies some small retail business leaders in Accra, Ghana, used to reduce the high rate of entry-level employee turnover. The participants were 6 retail business leaders recommended by their director of human resources because of the participants’ experience implementing strategies to minimize entry-level employees’ high turnover rates. Data were collected from face-to-face interviews …

Adult Attachment For African American Women Who Have Mothers With Borderline Personality Disorder, Elizabeth Uchechi Onyeali

Walden Dissertations and Doctoral Studies

The effects that borderline personality disorder (BPD) can have on the loved ones of those who suffer from the mental illness is significant and can be deleterious and enduring. Maternal BPD can adversely impact mother-daughter relationships by fostering abnormal connections and insecure attachment bonds. This is particularly the case for African American mothers, of whom research suggests that the early attachment bond between them and their daughters significantly shapes how their daughters behave, perceive themselves, and relate to others. The purpose of this qualitative transcendental phenomenological study was to explore how the experiences of being raised by a mother diagnosed …

Guidelines For Chronic Back Pain: An Education Module For Health Providers, Ron Pascual

Walden Dissertations and Doctoral Studies

Effective chronic back pain management and patient self-care guidelines are necessary for healthcare providers treating patients with complaints of low back pain (LBP). The purpose of this doctoral project was to provide an evidence-based educational program aimed at improving the knowledge and skills of healthcare professionals regarding the Center for Disease Control (CDC) and American Chronic Pain Association (ACPA) guidelines, emphasizing alternative pain management treatments. The staff education project was supported by the biomedical pain model and chronic care model. A panel of 3 experts including the clinic’s board-certified anesthesiologist and pain management specialist, clinical manager, and leading medical director …

Maintaining Small Retail Business Profitability By Reducing Cyberattacks, Ira Johnson Phillips

Walden Dissertations and Doctoral Studies

Ineffective cybersecurity strategies can detrimentally impact business profits. Small business owners who face challenges in remaining profitable because of increased cyberattacks on their business are at risk of failure. Grounded in general systems theory, the purpose of this qualitative multiple case study was to explore strategies some small business owners in the retail industry used to reduce cyberattacks to remain profitable. The participants consisted of 5 small retail business owners in the central region of Alabama, who implemented successful strategies to reduce cyberattacks and maintain profitability. Based on the methodological triangulation of the data sources, and analyzing the data using …

Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter

Walden Dissertations and Doctoral Studies

Black-owned barbershops in the Black community lack barber administered interventions to provide education and health screenings to Black men. Increasing knowledge of health assessments in a black barbershop setting increases the number of health screenings and preventative care among Black men. Grounded in general systems theory, the purpose of this qualitative summative program evaluation was to explore the extent to which a nonprofit Black barbershop health program aligns with the Health Research (HR) program objectives. The evaluation was performed for a nonprofit organization located in Maryland, 6 years after the organization implemented the HR Program Network of barbers and salon …

Examining Liquidity, Growth Strategy, Capital Structure, And Earnings Growth, Steven R. Posey

Walden Dissertations and Doctoral Studies

Many businesses experience financial deterioration after a growth period. Business leaders of firms with market capitalization value between $50 million and $300 million, known as microcap companies, might have an incomplete understanding of growth drivers. Grounded in the firm growth theory, the purpose of this quantitative, correlational study was to examine the relationship between liquidity, growth strategy, capital structure, and earnings growth. The population consisted of the more than 1,400 constituent firms from the 2019 Russell Microcap Index. Archival data from the Securities and Exchange Commission EDGAR database were collected, organized, and analyzed for 119 randomly selected firms. Multiple regression …

Predictors Of Condom Use Among High School Students In North Carolina, Danielle Cierra Robinson

Walden Dissertations and Doctoral Studies

The spread of sexually transmitted diseases is a major ongoing public health issue in North Carolina. Adolescents between the ages of 13 and 19 years have consistently contributed to this trend. Researchers have found that condom use among high school students has decreased. High school students continue to engage in sex with multiple partners, with lack of knowledge about sexually transmitted diseases, even though sex education and prevention programs have been recommended. The purpose of this quantitative study was to evaluate the predictors of condom use among adolescents. The socioecological model theoretical framework was applied to guide this research involving …

Reducing Payment-Card Fraud, Chares R. Ross

Walden Dissertations and Doctoral Studies

Critical public data in the United States are vulnerable to theft, creating severe financial and legal implications for payment-card acceptors. When security analysts and managers who work for payment card processing organizations implement strategies to reduce or eliminate payment-card fraud, they protect their organizations, consumers, and the local and national economy. Grounded in Cressey’s fraud theory, the purpose of this qualitative single case study was to explore strategies business owners and card processors use to reduce or eliminate payment-card fraud. The participants were 3 data security analysts and 1 manager working for an international payment card processing organization with 10 …

Exploring Trust In Cloud Computing For A Governmental Organization In Ethiopia: A Case Study, Estifanos Abebe Seyoum

Walden Dissertations and Doctoral Studies

Organizations face a rapidly changing environment that forces them to seek high computing power. The problem was how to overcome factors that cause managers at governmental organizations in Ethiopia to be reluctant to trust cloud computing, while some managers overcame this lack of trust. The purpose of this qualitative, single case study was to provide a deeper understanding of how a governmental organization in Ethiopia overcame the factors that adversely influenced managers of other organizations to the extent that they distrusted and decided against adopting cloud computing. The population for this study was comprised of 12 managers from a governmental …

Stress And Coping Methods In Law Enforcement Personnel, Brandon M. Sheard

Walden Dissertations and Doctoral Studies

A notable problem exists within law enforcement due to the lack of mental health assistance offered for police officers, as well as little to no literature available pertaining to officers in law enforcement who may have mental health issues. Without proper coping methods, there is a higher possibility of suicide among police officers. Therefore, the purpose of this phenomenological qualitative study was to investigate why officers were choosing to not seek mental and behavioral health assistance, as well as determine factors that could both prevent as well as encourage officers to seek mental health assistance if needed. Grounded in the …

Factors Affecting The Customer Relationship Management System Implementation Process, Enshrah Shashoug

Walden Dissertations and Doctoral Studies

Managers in the telecommunications industry face a high failure rate of customer relationship management (CRM) system implementations. The dynamic culture of employees’ resistance to and readiness for CRM system implementation may contribute to successful implementation in U.S. commercial organizations. The purpose of this quantitative cross-sectional study was to examine the relationship among employee’s resistance to and readiness for CRM system implementation, the culture of the organization, prerequisites for successful CRM system implementation, age, and gender. Using Rogers’s innovation-decision process theory, an online survey was created and sent to a random sample of all customer service employees using CRM systems in …

Marketing Strategies That Chinese Business Leaders Use To Increase Sales Of Smartphones, Byron Edward Johns

Walden Dissertations and Doctoral Studies

Chinese smartphone manufacturing business leaders are experiencing difficulties associated with entering into the U.S. market, partly because of U.S. government concerns that the technology could be used by the Chinese government to gather intelligence. Grounded in Rogers’ diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore marketing strategies Chinese smartphone marketing business leaders used to increase their smartphone sales in the United States. Data were collected from semistructured interviews and company documents from 3 Chinese smartphone marketing business leaders with successful experience in using marketing strategies to increase their smartphone sales in the United …

Utilization Of A Continuous Pericapsular Nerve Group (Peng) Block With An Opioid-Sparing Repair Of A Femoral Neck Fracture In A Pediatric Patient

Faculty, Staff and Students Publications

In the pediatric population, femoral neck fractures are usually associated with high-impact trauma and often present with pain in the groin area. Regional anesthesia can offer adjunctive therapy for acute pain management. Various techniques have been employed to circumvent pain related to hip fractures and resultant hip surgery. Neuraxial, lumbar plexus, caudal, epidural, fascia iliaca, and femoral continuous nerve block techniques are advantageous in mitigating hip pain. However, these approaches require patient repositioning during placement and carry the potential for motor blockade with resultant weakness. A newly described method, the Pericapsular Nerve Group (PENG) block, allows for analgesia of the …

Relationship Between Correctional Support Programs And Incarceration Rates In A Southeast U.S. State, Laverne Jane Knight

Walden Dissertations and Doctoral Studies

Released prisoners continue to relapse into criminal behavior resulting in high incarceration rates. The purpose of this quantitative correlational study was to examine the relationship between incarceration rates and program support types in a Southeast U.S. correctional institution. Maslow’s theory of human motivation provided the framework for the study. The research question addressed whether a correctional center’s programs (general education development and vocational certificates) predict its incarceration rates. Secondary data from the correctional center’s website were analyzed using multiple linear regression. Findings indicated that GED was not significantly related to incarceration rates, but vocational certificates showed a significant relationship to …

The Influence Of Attachment On Learning Dispositions Of Nontraditional Community College Students, Kristen E. Muleya

Walden Dissertations and Doctoral Studies

Nontraditional students constitute the majority of college students in the United States, yet compared to traditional students obtaining a bachelor’s degree, they are disproportionally at risk of not completing community college. Most research consists of traditional college students as participants. Research is needed on attachment styles and learning dispositions of nontraditional students to understand the needs for academic success. The purpose of this quantitative nonexperimental study was to investigate the differences between 174 nontraditional community college students’ attachment style (independent variable) and their behavioral learning dispositions (dependent variables). Attachment theory served as the theoretical foundation for this study. This study …

Strategies Road Freight Transport Leaders Use To Increase Driver Retention, Johnny Mumphrey Jr.

Walden Dissertations and Doctoral Studies

The turnover of skilled over-the-road (OTR) truck drivers in the road freight transportation (RFT) industry results in significant yearly financial losses to organizations across the United States. Leaders in the industry continue to struggle to develop successful strategies for retaining these drivers. Grounded in the motivation hygiene theory, the purpose of this multiple case study was to explore strategies 5 transformational leaders from two RFT firms in North Texas used to improve OTR driver retention. Data collection included semi structured face-to-face interviews, a review of company webpages, and an assessment of company documents (e.g., employee handbooks, training manuals, and vision …

Development Of A Hybrid, Interprofessional, Interactive Quality Improvement Curriculum As A Model For Continuing Professional Development, Sylvia J Hysong, Lechauncy D Woodard, Aanand D Naik, Kyler M Godwin

Faculty, Staff and Students Publications

Over the past 20 years, there has been an increased focus on quality improvement (QI) in health care, which is critical in achieving care that is patient-centered, safer, timelier, and more effective, efficient, and equitable. At the center of this movement is QI education, which is known to lead to learning, behavior change, and improved outcomes. However, there is a need for the development and provision of long-duration, interactive, interprofessional training in QI, to allow for in-depth learning and application of learned skills. To this end, we designed a curriculum for an established interprofessional, interactive, web-based QI fellowship for doctorally …

Mymathlab And Nontraditional Students' Attitudes Toward Technology In Mathematics, Lisa Sherry Olsen

Walden Dissertations and Doctoral Studies

Nontraditional students, who often do not have a background in computer usage, are a growing population in higher education. These students are often ill prepared for success in mathematics courses due to attitudes toward mathematics and the use of technology in the learning process. Researchers have looked into the needs of nontraditional students in academic settings but have not focused on nontraditional students' use of adaptive learning components, such as Pearson's MyMathLab (MML), in blended classrooms. The purpose of this sequential explanatory mixed-methods study was to explore the difference in nontraditional students' attitudes toward math and the use of technology …

Clinical Practice Guideline: Maintaining Skin Integrity In The Surgical Patient, Erin Renne Price

Walden Dissertations and Doctoral Studies

The purpose of this project was to develop clinical practice guidelines for intraoperative positioning that will help prevent deep tissue injury and skin breakdown. Maintaining skin integrity in the surgical patient by preventing deep tissue injuries and skin breakdown is an identified gap in practice for surgical patients in the Operating Room environment that a clinical practice guideline could positively impact. To assist in achieving the development of a clinical practice guideline to maintain skin integrity, Benner’s novice to expert theory addressing the educational needs for novice operating room nurses was applied. The clinical practice guideline, based on evidence, should …

Preservice Teachers' Perceptions Of Public School Violent Intruder Drills, Kati Oakes Pusey

Walden Dissertations and Doctoral Studies

Public schools in the United States are increasingly implementing violent intruder drills in response to school shootings; however, the impact these drills have on the well-being of preservice teachers is not fully understood. A lack of knowledge also exists as to how intruder drills contribute to preservice teachers’ motivation to enter the profession. The purpose of this qualitative study was to explore the perceptions of preservice teachers who have participated in violent intruder trainings and drills. Using prospect theory as the framework, the key research questions addressed preservice teachers’ perceptions of violent intruder incidents and drills as well as their …

Emotional Intelligence, Turnover Intention, And Commitment Among Nonprofit Employees, Tabitha Brewster

Walden Dissertations and Doctoral Studies

Employee turnover is a persistent problem contributing to financial issues and declining

productivity in nonprofit organizations. Nonprofits cannot fulfill their core missions of

providing services to people in need when managing staffing disruptions. Measuring

employee turnover intention can determine the probability of employee turnover, and a

potential predictor of turnover intention is emotional intelligence, an area unstudied in the

nonprofit sector. This study was designed to explore this relationship, in addition to the

employee's commitment to the organization. The population consisted of 273 nonprofit

employees older than 18 years, working in a nonsupervisory capacity. They completed an

online survey consisting …

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 …

Systematic Literature Review On Fall Prevention In An Acute Care Hospital Setting, Sonia A. Hudson

Walden Dissertations and Doctoral Studies

Falls, with and without injury, in acute care hospitals are quite common but can be prevented if appropriate interventions are in place to address this issue. It is imperative that nurses assess fall risks of all patients admitted to the hospital and advocate for appropriate interventions to prevent falls in those who are found to be at risk. The purpose of this project was to recommend changes to the current fall prevention protocol in the project facility, an acute care hospital, based on best practices identified in a systematic review of the literature. At the time of the project, the …