Digital Commons Network^™

Factors Associated With Patients Who Leave Emergency Departments Without Being Seen, Eva E. Koci

Walden Dissertations and Doctoral Studies

AbstractPatients leaving an emergency department (ED) without being seen by a provider are a significant problem in United States for patient health. Research on leaving without being seen (LWBS) has been conducted; but very few researchers have examined patients with Tricare or military members. This quantitative study explored the association between patients’ social demographic characteristics (age, gender, race, ethnicity), triage levels, visit characteristics (hour of arrival, day of the arrival), and LWBS rates. The theoretical framework for this study was the Donabedian theory. Secondary data from Agency for Healthcare Administration located in Florida were examined. The research questions explored whether …

Nigerian Women Entrepreneurs’ Strategies For Financial Inclusion: A Generic Qualitative Inquiry, Oluwatoyin Madein

Walden Dissertations and Doctoral Studies

Women in Nigeria are approximately 50% of the population and operate significantly in the micro, small, and medium enterprises. Women entrepreneurs in Nigeria are experiencing business failure, early exit, stagnant growth, and low return on investment due to inadequate finance. This study’s specific management problem is that many women entrepreneurs in Nigeria lack strategies to develop financial literacy and access to external loans for business sustainability. Using the concepts of financial inclusion and financial exclusion, the purpose of this qualitative inquiry was to explore the strategies women entrepreneurs use and whether they have the required experience and knowledge of financial …

Relationship Between Risk Identification, Risk Response, And Project Success, Marsha Marinich

Walden Dissertations and Doctoral Studies

AbstractProjects are used to implement the organization's strategic goals, but high failure rates reduce projects' effectiveness in successfully achieving goals. High failure rates reduce project managers’ effectiveness of projects in successfully achieving goals. Senior leaders and project managers are unable to deliver successful projects due to unmanaged risks. Grounded in expected utility theory, the purpose of this quantitative correlational study was to examine the relationship between risk identification, risk responses, and project success. A survey was created in SurveyMonkey® and distributed on LinkedIn. Survey responses were analyzed from 71 project managers with at least five years of experience in Washington, …

Parent–Teacher Online Communication And Third- Through Fifth-Grade Student Academic Achievement, Sandra Joyce Mcknight

Walden Dissertations and Doctoral Studies

AbstractTechnology-based tools for parent–teacher communication, such as online parent portals, are becoming the preferred method of exchanging information between home and school. However, little research has been conducted on parent–teacher communication using online parent portals. The purpose of this quantitative nonexperimental cross-sectional study was to examine the relationship between parents’ use of a parent–teacher online communication parent portal and students’ academic achievement. Bandura’s social cognitive theory of self-efficacy provided the theoretical framework for this study. Archival data from a Southeast U.S. public school district were used to examine the relationship between parents’ average quarterly use of a parent portal and …

Key Strategies For Successful Information Technology Projects, David Morris

Walden Dissertations and Doctoral Studies

AbstractThe successful implementation of information technology (IT) projects globally depends on the increasing reliance of project managers on IT innovations. Some project managers and business leaders do not possess the strategies to effectively manage and successfully implement IT projects. Grounded in coordination theory, the purpose of this qualitative multiple case study was to explore strategies used to successfully implement IT projects. Data were collected using semistructured interviews and from company documents. The participants comprised 6 IT project managers in Northeast Ohio who successfully implemented IT projects. Thematic analysis was used to analyze the data. Four themes emerged: communication amongst all …

Health Systems Predictors And Trends Of Access To Vaccinations In 9 Sub-Saharan African Countries, Mirfin Mpundu

Walden Dissertations and Doctoral Studies

The purpose of this ecological quantitative study was to examine the predictors of health systems building blocks and their interactions in improving access and uptake of immunizations in nine sub-Saharan African countries. Immunization rates in this region remain lower than global targets leading to preventable diseases and mortality. Using the systems approach, the study examined the relationships among five independent variables: quality of service delivery, governance, vaccine supply, health financing, socioeconomic factors and the dependent variable, access to immunizations. Datasets from the WHO and UNICEF were used. Analysis included a series of descriptive statistics, logistic and linear regression, and correlations. …

Research In Biological Sciences, Steelman Library, Melba Horton

Syllabus Repository

No abstract provided.

Impact Of Nurse Education Program On 30-Day Readmissions Among Ischemic Stroke Patients, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

Unplanned 30-day readmissions among patients diagnosed with ischemic stroke (IS) is a significant public health problem in the United States. The Affordable Healthcare Act introduced financial penalties and incentives for facilities to encourage the adoption of care plans aimed at reducing 30-day readmissions rates for stroke and 5 other illnesses. Therefore, facilities with high rates of 30-day readmissions for IS patients are penalized by the Centers for Medicare and Medicaid services in addition to receiving poor scores on the quality of care they provide. This project was a staff education program aimed to improve postacute stroke transitional care and reduce …

Latino Caregivers Experiences With Transitioning Children From Pediatric To Adult Disability Services, Gloria Yvette Velazquez

Walden Dissertations and Doctoral Studies

Caregivers for children with disabilities may experience caregiver burden when transitioning their offspring to adult healthcare services. As the Latino population in the United States increases, so will the numbers of Latino caregivers of children with disabilities. This research described the experiences of Latino female caregivers who transitioned their children from pediatric to adult healthcare services. General systems theory was used to guide this research. The hermeneutical phenomenological approach was used to describe Latino female caregiver's experiences involving transitioning children with disabilities from pediatric to adult services. Bryman's 4 stages of data analysis were used to assist with thematic content …

Expressions Of Sexual Deviance In Black Serial Killers, Lucia J. Weatherall

Walden Dissertations and Doctoral Studies

The number of Black serial killers (BSKs) has increased, but empirical studies have not focused on this unique population, including their expressions of sexual deviance. The purpose of this case study was to understand the common socialization experiences and the expressions of sexual deviance in BSKs. Two conceptual frameworks were used to identify the concepts to explore: Bandura’s social learning theory of aggression and Agnew’s general strain theory. Data collected came from archival court and police records in Texas. A content-analysis approach was used to analyze the archival data, organized by criminal background, sexual deviance, familial data, and social development. …

How Teachers And Counselors Collaborate Formally And Informally To Improve The Precollege Curriculum, Amanda Williams

Walden Dissertations and Doctoral Studies

Teachers and counselors in a large suburban district in the Southeastern United States strive to collaborate to equip students with key skills needed to succeed in their first year of college. The problem is that little was known about the collaborative challenges teachers and counselors faced as they implemented the precollege curriculum in secondary schools. The purpose of this qualitative case study was to examine how teachers and counselors collaborate formally and informally to improve the precollege curriculum as recommended by the guidelines of the American School Counselor Association and adopted by the local district. Knowles’s theory of andragogy provided …

Parents And Educators Perspectives Of Chronic Absenteeism: Strategies To Improve Attendance, Gloria Genene Woullard-Wilder

Walden Dissertations and Doctoral Studies

The research problem for this study was the chronic absenteeism for students in Grades 1–3 in a high-poverty, low-performing elementary school in a Southern state. Chronic absenteeism (CA) can result in poor reading skills and high dropout rates for students in low-income areas. The purpose of this basic qualitative study was to explore the perspectives of 6 parents, 6 educators, and 4 school support staff regarding the causes of CA in Grades 1–3 and recommendations to increase and sustain attendance. Bronfenbrenner’s ecological systems theory served as the framework. The research questions were used to identify causes of CA and suggestions …

Recovering Illicit Substance Users' Perspective About Mandatory Drug Testing In Schools, Julie Bowser

Walden Dissertations and Doctoral Studies

The purpose of this exploratory qualitative study was to examine recovering substance

abusers' perceptions about the usefulness of mandatory drug testing in schools for adolescent substance abuse. Illegal substance abuse has reached epidemic proportions as more than half of U.S. adolescents, aged 12 to 17 years, have engaged in illicit drug use. Substance abuse information has been a part of school health education programs since the United States Drug Free Schools and Communities Act of 1986. Despite substance abuse education and school programs about the effects of drug use, many high school students abuse illicit drugs. Face-to-face interviews were conducted …

The Impact Of Dietary Intake On Mortality Risk In Colorectal Cancer Survivors, Ellen Chow

Walden Dissertations and Doctoral Studies

The colorectal cancer (CRC) survivor population is increasing in the United States. The lack of effective dietary recommendations in recurrence prevention undermines the health-related quality of life of survivors. Grounded in the socioecological model, dietary behavior is a personal-level risk factor that individuals may control. This study investigated the CRC-specific mortality risk as predicted by diet quality, dietary fiber intake, and dietary fat intake in hope of contributing to future dietary recommendations. A secondary analysis using data from 1,166 CRC survivors in the Multiethnic Cohort Study was analyzed via Cox proportional hazard regression models to estimate mortality risk. Results from …

Teachers' Perceptions Of Bullying And School Policy Enforcement, Angelena Elizabeth Clagon

Walden Dissertations and Doctoral Studies

Bullying has grown attention since the Columbine High School shooting; in April, 1999. Throughout the years, there has been an increase in aggressive behaviors including via the Internet across school districts in the United States. There was a gap in the literature regarding whether bullying-related school policies are enforced during school hours. The purpose of this qualitative study was to explore the perceptions of middle school teachers about bullying. This study was steered by Husserl's phenomenological theory. Five middle school teachers were interviewed to gather information regarding their experiences with and perceptions of bullying based on behaviors and school policy …

Voluntary Male Circumcision And Risk For Human Immunodeficiency Virus In Homa Bay, Kenya, George Obhai Gabriel

Walden Dissertations and Doctoral Studies

The role played by the belief about voluntary medical male circumcision (VMMC) in predicting HIV status has not been examined. The purpose of this study was to investigate whether there were any differences between belief about VMMC, unprotected sex, age, number of sexual partners, relationship status, and HIV status among circumcised males aged between 18-49 years in Homa Bay County, Kenya. Drawing from the health belief model and case-control study design, 936 men were recruited based on their HIV status (468 HIV cases and 468 controls). A bivariate logistic regression was applied, and the results indicated that unprotected sex, age, …

Self-Efficacy Of Older Homeless African American Men, Renee Carnithia Harvin

Walden Dissertations and Doctoral Studies

Older adults in the United States without permanent housing are witnessed living in shelters, cars, and on street corners in many urban centers and older adults now make up a third of the homeless population. There are stressors that may precede, or may result in homelessness, which may also affect older (i.e., age 50 or above) homeless adults' abilities to maintain their self-efficacy, a key to their self- management. This study further explored the lived experiences of self-efficacy among older homeless African American men. A descriptive phenomenological design and individual semi-structured interviews of 10 African American homeless men, aged 50 …

Collectivism And Uncertainty Avoidance In Narrative Oral Histories Of Resettled Syrian Refugees, Suzy S. Ismail

Walden Dissertations and Doctoral Studies

Emotional resilience among resettled refugees is an indicator of cultural integration and adaptation into a host country which in turn impacts schools, resettlement agencies, and refugee service organizations in how they can best meet the needs of refugees. The documented decline in emotional resilience among resettled Syrian refugees during the past decade is linked to the problem of cultural value disparities causing a resultant decline in mental health and socioemotional wellbeing. The purpose of this narrative qualitative study was to explore expressions of cultural value dimensions such as collectivism and uncertainty avoidance in oral histories of resettled Syrian refugees. Applying …

Strategies Restaurant Managers Use To Improve Brand Equity, Shamilleon Kechel Kelly-Payne

Walden Dissertations and Doctoral Studies

Failure to establish brand equity can adversely impact the sustainability of a business organization. Upscale full-service restaurant managers who fail to establish brand equity risk intricate assets to enhance shareholder value. Grounded in the brand equity theory, the purpose of this qualitative multiple case study was to explore customer retention strategies upscale full-service restaurant managers use to improve brand equity. The participants included 3 senior-level managers in 3 upscale full-service restaurants in the southeastern United States who successfully developed customer retention strategies to improve brand equity. Data were collected using (a) semistructured interviews with member checking follow-up interviews, (b) direct …

Calworks Participation And Poverty Rates In Multigenerational Families, Destiny Wray Lovato

Walden Dissertations and Doctoral Studies

The State of California aids more than a million individuals under the California Work Opportunity and Responsibility to Kids (CalWORKs) program at a cost of billions of dollars each year. Although adult recipients are given supportive services and offered various programs in a motivational attempt to achieve self-sufficiency, the needs of children, who are the highest population group living in poverty, are not currently addressed. The absence of programs and services targeted to children may perpetuate the generational cycle of poverty. Yet researchers have not yet examined the underlying reasons behind multiple generations receiving CalWORKs and the continuation of poverty …

Exploring Occupational Therapy Faculty Beliefs Related To Technology Acceptance Of High-Fidelity Simulation, Elisabeth Mcgee

Walden Dissertations and Doctoral Studies

High-fidelity simulation-based learning (SBL) is used in occupational therapy (OT) to immerse students in realistic clinical situations using advanced technology to better prepares health care professionals for the workplace. However, researchers have not explored OT graduate faculty technology acceptance using high-fidelity simulation (HFS) as a learning and instructional tool. The purpose of this basic qualitative study was to explore OT graduate faculty members' beliefs related to technology acceptance of high-fidelity SBL at a multicampus university. To accomplish this purpose, research questions were developed to examine faculty beliefs of high-fidelity SBL using Gu et al.'s four key constructs (outcome expectancy, task …

Obesity, Snoring, Sleep Apnea, And Coronary Heart Disease, Maryam Khalilah Muhammad

Walden Dissertations and Doctoral Studies

Coronary heart disease (CHD) is a significant public health issue that affects communities across all socioeconomic and demographic groups. Risk factors for CHD include sleep apnea and snoring. Obesity with short sleep duration also places individuals at higher risk for CHD. Although limited research has been conducted on CHD and its relationship to obesity, sleep apnea, and snoring as individual risk factors for CHD, a gap exists as these factors had not been studied as paired in this study. The purpose of this quantitative, cross sectional study was to determine if a significant relationship existed between obesity, snoring, sleep apnea, …

Factors Associated With Hepatitis B Vaccination Among Asian Adults (≥ 18 Years) In The United States., Naana Abena Ohemeng-Tinyase

Walden Dissertations and Doctoral Studies

In the United States, hepatitis B disproportionately affects Asian and Pacific Islanders (AAPIs). Hepatitis B related liver cancer is the leading cause of cancer deaths among Asian Americans. Despite the proven significant economic, health, and social effect of hepatitis B virus, immunization rates remain low. The purpose of this study is to examine the association between sociodemographic factors (age, marital status, gender, work experiences), health status factors (chronic disease, nonchronic disease), health behavior factors (smoking, alcohol intake, tobacco use, physical activity), and hepatitis B vaccination among Asian adults (≥ 18 years) in the United States. The main theory that frames …

Social Grants Transfer Program: The Role Of Policy Actors In Policy Implementation, David Quist

Walden Dissertations and Doctoral Studies

The scholarly literature lacks the knowledge to support the view that policy actor activities in policy streams were not limited to the 3 initial stages of the policy cycle. Finding evidence through a study to either back or refute this view among scholars was important to explain how policy implementation effort works to yield results. Thus, the purpose of this general qualitative and policy implementation research was to generate additional knowledge about the role of policy actors in policy implementation. The 5-stream framework theoretical lens for this study suggested that the policymaking process involved 5 streams with active policy actors …

A Phenomenological Study Of Factors Influencing Senor Female United States Marine Corps Officer Retention Decisions, Angel Rae Smith

Walden Dissertations and Doctoral Studies

The study showed factors that influenced senior female U.S. Marine Corps' (USMC) officer retention decisions. The qualitative study was based on the interpretivism research philosophy and Mobley's model of turnover and employed a phenomenological research design to identify themes regarding participants' perceptions of their lived experiences involving their professions and factors that affected their mandates to remain on active duty. The study included 11 women volunteers who had either earned membership in General Officer (GO) ranks or were competitive for within the USMC as a colonel (CV); they were recruited through purposive sampling, and data were collected through interviews. Data …

Adaptive Leadership Strategies And Project Success Of Construction Project Managers In Jamaica, Devon Rohan Smith

Walden Dissertations and Doctoral Studies

The lack of effective project leadership strategies can influence organizations' performance to deliver projects successfully in a rigorous and complex business environment. Project leaders whose leadership performance is poor may experience business failure. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore adaptive leadership strategies used by some project managers in Jamaica to increase project success rates. Participants were 8 senior public sector project managers who successfully managed projects using adaptive leadership strategies. The data collection techniques were semistructured face-to-face interviews and review of company archival documents and artifacts from the organizations' websites. …

The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman

Walden Dissertations and Doctoral Studies

Teen pregnancy prevention has been a focus for clinical and medical professionals for many years now, and it is an extensively documented social issue, especially in the foster care system. In an effort to promote pregnancy prevention, clinical caseworkers who work with foster youth educate at-risk youth in regards to the difficulties that can be experienced as a result of teen pregnancy. The purpose of this generic qualitative study was to explore the perceptions and experiences of clinical caseworkers as they promoted pregnancy prevention in foster care youth. The 6 purposefully selected respondents were all clinical caseworkers. The study used …

Exploring The Strategies For Sustaining Small- To Medium-Scale Enterprises, Kingsley Onochie Umadia

Walden Dissertations and Doctoral Studies

The lack of development and the continued survival of small- to medium-scale enterprises (SMEs) poses a challenge to SME practices in Nigeria. Using sustainability theory, the purpose of this qualitative multiple case study was to explore the strategies that leaders use in sustaining SMEs in Lekki, Lagos, Nigeria. Ten SME leaders from the manufacturing sector, trading services, education, oil and gas service companies, and financial services sector provided comments during the interviews that addressed the research question. Data were analyzed by transcription, coding, categorizing and analysis of participants' responses using member checking. From the themes that emerged from the study, …

Perceptions Of K-12 School Principals Regarding Instructional Leadership To Support Music Teachers, Erick Cuthbert Willie

Walden Dissertations and Doctoral Studies

K-12 school principals, as instructional leaders, are critical to supporting music teachers. The problem addressed in this project study was that principals have been inconsistently applying instructional leadership to support music teachers to remain in the teaching profession. The purpose of this basic qualitative research design study was to understand how principals applied instructional leadership practices to support music teachers in order to retain them. The conceptual framework was the instructional leadership model of Hallinger and Murphy, which defines three main dimensions of instructional leadership: (a) the school mission, (b) the instructional program, and (c) the school climate. The research …

Project Management Strategies To Reduce Post-War Project Failure Rates In Liberia, Thomas Asafua Nketsia Wobill

Walden Dissertations and Doctoral Studies

Project managers working in post-war Liberia from 2006 to 2020 have been struggling to reduce project failure rates due to ineffective project management strategies. This case study included the Delphi technique to explore strategies that project managers working in post-war Liberia's Ministry of Education may use to reduce project failure rates. The study addressed use of knowledge management principles in post-war project management. The resource-based view and knowledge-based view of organizations provided the conceptual framework. The purposeful international sample consisted of 20 project managers working with international organizations registered with Liberia's Ministry of Finance and Development Planning and affiliated with …