Digital Commons Network^™

Strategies To Reduce Costs Caused By Medication Errors In Us Hospitals, Janice Leah Chobanuk

Walden Dissertations and Doctoral Studies

Medication errors result in patient harm, including deaths, costing American hospitals over $20 billion annually. The financial impact and reduced public confidence in safe patient care create a business problem for hospital leaders trying to contain costs, maintain a competitive edge, and sustain patient satisfaction. Grounded in the sociotechnical conceptual framework, the purpose of this generic qualitative study was to identify strategies hospital leaders use to reduce costs caused by medication errors in hospitals. Data collection involved semistructured interviews with 10 hospital leaders from various high-reliability hospitals across the United States and a review of documents related to medication management …

Exploring The Dating Experiences Of Biracial Women, Camela Callaway-Higgins

Walden Dissertations and Doctoral Studies

Census data highlight swiftly changing demographics in the United States with over 9 million people self-identifying as multiracial. Scholars agree that the multiracial population has been historically understudied, and that this population may have differing experiences from the majority and other minorities. The purpose of this study was to gain a better understanding of the dating experiences of women who self-identify as Latina and Caucasian. This study was grounded in literature pertaining to the unique experiences of multiracial individuals, with emphasis on biracial relationship experiences, family influence on biracial identity and experiences, and the history of biracial identity theory development. …

Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen

Walden Dissertations and Doctoral Studies

AbstractAs the leading-edge baby boomer (L-E boomer) cohort continues to age, demands of mental health services in treating diagnosed depression in this cohort are increasing. Licensed clinical social workers (LCSWs) are the most likely social workers to provide services to L-E boomers diagnosed with depression. LCSWs were the chosen participants for this generic qualitative study to gain knowledge of their perspectives of working with L-E boomers diagnosed with depression. Grounded in generational theory, this study used a generic qualitative approach allowing for nonrestrictive measures for capturing the data. NVIVO assisted in coding the data and identification of common themes, words, …

Student Perceptions About Metacognitive Learning Strategies In Introductory Biology Courses, Traci Collier

Walden Dissertations and Doctoral Studies

AbstractActive learning and argumentation are metacognitive teaching strategies that have demonstrated an effect on conceptual change in the sciences. Previous research studies have illustrated an association between active learning and argumentation, increased comprehension of content as well as improved academic performance and self-efficacy. However, there is a gap in literature about the perceptions of students on whether these teaching strategies are successful in increasing scientific conceptual understanding and self-efficacy. The first conceptual framework used for this study was Flavell’s theoretical and empirical research on metacognition, which provides a process for individuals to regulate their cognitive activity for increasing comprehension. A …

Effective Digital Marketing Strategies For Small Businesses In The Caribbean, Nicole Renee Williams Smith

Walden Dissertations and Doctoral Studies

A thriving small business sector is vital to Caribbean countries’ economies; however, nearly 60% of small businesses fail within the first 10 years, partially because of poor marketing. Caribbean small businesses with ineffective digital marketing strategies may fail to attract the buyers necessary to sustain their organization. Grounded in the competitive advantage theory, the purpose of this study was to explore the digital marketing strategies that Caribbean small business owners use to sustain their organizations beyond 10 years. Using the case study research design, the participants consisted of 7 small business owners who operate in a Caribbean Community and Common …

The Cbt Program "Thinking For A Change"And Its Impact On Offenders, James Wesson

Walden Dissertations and Doctoral Studies

AbstractThe CBT Program “Thinking for a Change” and its Impact on Offenders By James Wesson

Forensic Psychology MS, Walden University, 2014Criminal Behavior MS, Tiffin University, 2012 Criminal Justice Administration BS, Tiffin University, 2011

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy General Studies –Criminal Justice with a specialization in Law and Public Policy

Walden University May 2021

Abstract One of the major problems that the United States criminal justice system faces regarding corrections is an exceedingly high rate of recidivism. The state of Ohio has been highly proactive in trying to address this …

Profitability Strategies Of Solar Energy Businesses In Lagos, Nigeria, Mayowa Ezekiel Akeju

Walden Dissertations and Doctoral Studies

Some solar energy companies in Nigeria are not profitable because of ineffective marketing and sales strategies on the part of the business leaders and challenging operating environments. The ability to craft strategies that ensure the adoption of solar energy solutions by households is pertinent to the profitability of the solar energy business. Grounded in Rogers’s diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore strategies solar energy business leaders in Lagos, Nigeria, use to maintain a profitable business. The participants included six solar energy business leaders in two companies from Lagos, Nigeria. Data were …

Exploring Alternative Dispute Resolution For Settlement Of Criminal Disputes In Nigeria, Agatha Anulika Okeke

Walden Dissertations and Doctoral Studies

Despite advancements in modern criminal justice administration and its widespread use in criminal justice administration in other parts of the globe, alternative dispute resolution (ADR) was not widely used in Nigeria. A qualitative research method was used, anchored with Bentham’s theory of judicial organization and adjective law, cognitive-behavioral theory, and the reintegrative shaming theory. The purposeful sampling technique, a nonprobability sampling method was used to select 10 participants who were either members of the Bar or of the Bench for the interview sessions. Their responses were transcribed, analyzed, coded, decontextualized, recontextualized, and the meaning units fed into the Nvivo statistical …

Analysis Of Malaria-Induced Anemia And Gender Differences Among Children In Nigeria, Temitope Bamgbose

Walden Dissertations and Doctoral Studies

Malaria is one of the leading causes of death among children under 5 years old in sub-Saharan Africa (SSA). Also, public health efforts on malaria prevention have been successful in many regions but remains an issue in SSA. Malaria-induced anemia (MA) is associated with health complications among children. The impact of several sociodemographic factors (age, gender, residential type, and parent’s educational level) and malaria preventive/intervention measures such as mosquito net use and malaria medication use among children under 5 years old in Nigeria were assessed to inform malaria best practices and strategies, prioritize resource allocation, and support existing literature on …

Exploring Stakeholder Opinions Of A School Sentinel Security Program, John Beraud

Walden Dissertations and Doctoral Studies

AbstractSchool shootings are tragic events that receive immediate, intense, and immense media attention. In the aftermath of an attack, lawmakers and school administrators receive public pressure to provide the necessary resources to incorporate school security programs that seek to improve school safety. The School Sentinel Program (SSP) operating in one Midwest U.S. state’s school district allows school personnel or volunteers from the local community, once screened and trained, to act as armed guards on public school campuses. The SSP allows firearms on school campuses outside of the hands of school resource officers, and these policies have often been met with …

Experiences In An Online Learning Community, Michelle Potthoff Wylie

Walden Dissertations and Doctoral Studies

Master of public health online programs have been experiencing issues with retention and problems related to inconsistent implementation of online learning communities. This basic qualitative study aimed to understand the efficacy of online programs and the perceived impact of the implantation of online learning communities. The conceptual framework for this study is Siemens’s connectivism theory supporting different types of learning in the online environment. Two research questions guided the study: (a) How do graduate students in an online Master of Public Health program perceive the efficacy of online learning communities and (b) Which components of online learning communities do graduate …

Parental Stress And Coping In U.S. And Caribbean Immigrant Parents Of Adolescents, Simone A. Wright

Walden Dissertations and Doctoral Studies

The immigrant population in the U.S. is growing, and the way immigrants cope with the stress of parenting may differ from parents in their host country. There is a gap in the literature regarding knowledge about how Caribbean parents cope with parenting stress compared to U.S. parents. The purpose of this quasi-experimental quantitative study was to predict coping strategies used by Caribbean immigrant and U.S.-born parents of adolescents living in the U.S based on country of origin using transactional stress and coping theory as frameworks. Thirty-seven U.S.-born and 37 Caribbean-born caregivers living in the U.S. were recruited from social media …

The Role Of The Public During The Decision-Making Process In Preparation For And In Response To A Pandemic, Ludmila M. Flores

Walden Dissertations and Doctoral Studies

AbstractMany advances have been made in technology and medicine; however, humanity remains vulnerable to existing, emerging, and re-emerging infectious diseases that have a profound negative impact on our society. This study investigated how individuals balance socioeconomics, demographics, and religious views with their actual behavior in response to public health guidelines during an epidemic/pandemic. The participants' perceptions and experiences of a practical problem, how the public was asked to respond, and how the public ultimately responded to public health guidelines were explored. The theoretical model for the study, the polarity of democracy model, has been explored as a possible decision-making tool …

Post-9/11 Women Veterans' Experiences Transitioning Into The Civilian Workforce, Qwynn Anna Galloway-Salazar

Walden Dissertations and Doctoral Studies

Post-9/11 veterans’ transitional challenges have become an important topic in veteran studies. However, there was a gap in the literature regarding post-9/11 women veterans’ transitions into the civilian workforce. This interpretative phenomenological analysis explored the lived experiences, challenges, and perceptions of eight post-9/11 women veterans (four enlisted and four commissioned officers) who had transitioned from the military into the civilian workforce within the last 5 years. The study was guided by Schlossberg’s transition theory. Data from transcribed participant interviews were coded and analyzed for emergent themes. The superordinate themes included navigating the career transition, exploring identity shifts, accessibility and use …

Attention Deficit Hyperactivity Disorder In The Forensic Population, Amanda Joanne George

Walden Dissertations and Doctoral Studies

Individuals with attention deficit hyperactivity disorder (ADHD) are overrepresented in the forensic population, but there is a lack of research explaining this phenomenon. The purpose of this quantitative nonexperimental study was to investigate if higher levels of ADHD symptoms result in higher levels of criminal thinking or reasoning and whether gender influences levels of criminal thinking when controlling for levels of ADHD symptoms. Lastly, this study was designed to determine if higher levels of ADHD symptoms correlate with higher numbers of incarcerations across the general adult population. Gestalt versus feature intensive processing theory was used in this study to better …

Teacher Understanding Of Instructional Strategies In Elementary Mathematics, Erica Boatwright Glover

Walden Dissertations and Doctoral Studies

Synergizing Elementary School (pseudonym) consistently experiences low state-required mathematics test scores in grades 3 and 4 below district and state proficiency rates in mathematics. The purpose of this qualitative case study was to investigate what instructional practices used by Grade 3 and Grade 4 teachers are, aligned or not aligned, with research-based planning, standards-based instruction, attention to conditions of learning, and professional responsibilities of teachers to support students’ achievement in mathematics. This study's conceptual framework was grounded in Robert Marzano's model of teaching effectiveness called the focus teacher evaluation model. Data for this case study were gathered from semi-structured interviews …

Characteristics Of Authentic Entrepreneurial Leadership Within Information Technology Startups In Kenya, Christine Mukhwana

Walden Dissertations and Doctoral Studies

In Kenya, over 60% of nascent entrepreneurs start businesses with minimal leadership experience, engendering founder-CEOs who cannot sustain a business beyond its formative years. The problem is the nascent entrepreneurs’ lack of understanding of effective leadership. The purpose of this qualitative, phenomenological study was to develop a more nuanced understanding of authentic leadership behavior from the perspective of nascent entrepreneurs. Authentic leadership theory and the three-factor model were used to conceptualize the study. The research question focused on nascent entrepreneurs’ lived experiences and understanding of authentic leadership. The participants in the study were entrepreneurs from the information technology industry in …

Improving Staff Retention In Adolescent Psychiatric Residential Treatment Facilities, Tasha C. Moses

Walden Dissertations and Doctoral Studies

AbstractHigh direct care staff (DCS) turnover in psychiatric residential treatment facilities presents significant organizational challenges. Insufficient DCS levels and high turnover rates can undermine an organization’s ability to provide quality care to residents who have acute psychiatric symptoms, maintain a safe environment, and achieve strategic goals. This case study was grounded in the Baldrige Excellence Framework and focused on the DCS retention challenges experienced by a psychiatric residential treatment facility in the southeastern United States. Sources of data included semi structured interviews with seven organizational leaders, a review of organizational archival records, and an academic literature review. Thematic content analysis …

Parents’ Perceptions On The Impact That Sros Have On School Safety, John Mayfield

Walden Dissertations and Doctoral Studies

School Resource Officers (SROs) are an essential element in school safety and an even more critical component in the field of community-orientated policing. While numerous research studies have examined SROs from many different lenses, none have examined the impact that SROs have on school safety through a parents' lens. The purpose of this quantitative nonexperimental study was to examine parents’ perceptions on the impact that SROs have on school safety through an online survey accessible to parents through SurveyMonkey. The research question's goal was to answer two fundamental questions, to examine the degree that parents support the presence of SROs …

Nursing Staff Education Fall Prevention Program At A Skilled Nursing Facility, Solomon Lomo

Walden Dissertations and Doctoral Studies

Falls have negative effects on the confidence, function, and quality of life in older adults and are major cause of injury and death among this population. The quality assurance report in a long-term care facility identified an average of 10 falls per week in the last quarter of 2017. The facility has a person-centered policy, which creates fall prevention challenges when usual fall protective practices are prohibited. The purpose of this education program was to educate staff nurses working with patients in a long-term care facility on additional evidenced based practices to prevent falls and injuries without compromising the person-centered …

Mobile Technology Use By Rural Farmers And Herders, Mohamed Ali

Walden Dissertations and Doctoral Studies

Mobile technology business leaders from many mobile technology companies practice digital apartheid when improving rural farmers' communication and technology infrastructure in developing countries. Mobile technology business leaders who do not effectively plan mobile technology infrastructure deployment to rural farmers and herders are at a high risk of failure. Grounded in adaptive structuration theory of technology, the purpose of this qualitative multiple case study was to explore strategies mobile technology business leaders used to improve the mobile technology infrastructure for rural farmers and herders in the United Republic of Tanzania. The participants comprised three mobile technology business leaders from three different …

Employee Retention Strategy In The Hospitality Industry, Hauwa Dogonyaro

Walden Dissertations and Doctoral Studies

AbstractIneffective retention strategies can negatively impact employee productivity, which may hinder business profitability and sustainability. Hotel managers who struggle to improve employee retention are at high risk of not sustaining their business. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies hotel managers use to improve employee retention. The participants were three hotel managers from a hotel in Abuja, Nigeria, who used strategies to improve employee retention. Sources for data collection were semistructured interviews, company documents, observations, and field notes. Data analysis involved the use of thematic analysis. Four themes emerged: work …

Professional Development, Elementary School Teacher Self-Efficacy, And Instructional Strategies, Keisha Migail Gunter

Walden Dissertations and Doctoral Studies

AbstractTeacher self-efficacy is positively related to student achievement; however, the impact of specific training protocols to increase teachers' self-efficacy were unknown. The research purpose was to clarify the effect of a professional development training on elementary school teacher self-efficacy to promote better instruction. Guided by social cognitive theory, the quantitative purpose of this embedded mixed-method study related to the first research question, that investigated the difference between elementary school teachers’ perceived self-efficacy before and after attending a professional development training that was designed to improve teacher self-efficacy. Qualitatively, the study sought to unpack instructional themes that the teacher participants intended …

Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney

Walden Dissertations and Doctoral Studies

Many students in the local school district in a northeastern state suffer from socioemotional challenges that negatively influence their academic success. In the Adverse Childhood Experiences (ACEs) study, researchers found negative socioemotional outcomes resulting from ACEs. Risk factors associated with ACEs, and the influence of ACEs on poor school outcomes form the framework of this project study. To determine measures school leaders take to meet the needs of students in socioemotional crisis, a sample of semi-structured interview participants was selected based upon their roles in addressing students in socioemotional crisis, also forming the basis of this basic qualitative study. The …

Strategies Managers Use To Increase Collaboration And Productivity Among Multigenerational Workers, Clarissa Miram Goins

Walden Dissertations and Doctoral Studies

Age differences within the workforce continue to challenge employers because they must create environments that enhance collaboration among multigenerational workers. Grounded in emotional intelligence theory, the purpose of this single case study was to explore strategies business leaders in the financial services industry use to manage a multigenerational workforce. The participants comprised six business leaders from one financial institution headquartered in Dutchess County, New York, who successfully created strategies to promote collaboration. Data collection involved the use of semistructured face-to-face interviews and phone interviews. Data analysis included a coding process to identify themes and member checking to ensure the findings’ …

Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr

Walden Dissertations and Doctoral Studies

Ineffective patient satisfaction strategies can negatively impact patient satisfaction scores and overall organizational performance. Health care leaders who struggle to increase patient satisfaction are at high risk of diminished organizational performance and long-term sustainability. Grounded in the transformative learning theory, the purpose of this qualitative single case study was to explore strategies health care leaders implemented to improve patient satisfaction. The participants were five health care leaders in Ohio who effectively implemented strategies to increase overall patient satisfaction. Data were collected from semistructured interviews, organizational documents provided by the participants, and the company website. Yin’s five-step method was used to …

Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk

Walden Dissertations and Doctoral Studies

Women living in public housing projects experience adverse outcomes because they do not seek treatment for mental illness. It is unclear whether such women have attitudes toward voluntarily accessing mental healthcare services affected by their optimism, experienced stigma, self-efficacy, and resilience. The purpose of this quantitative study was to determine whether the individual determinants of resilience, self-efficacy, experienced stigma, and optimism predicted attitudes toward seeking professional mental health services of women living in public housing based on the self-efficacy, resilience, stigma, optimism, and help-seeking behavior theories. The first research question focused on bivariate correlations among resilience, self-efficacy, experienced stigma, and …

Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema

Walden Dissertations and Doctoral Studies

Stunting is the most common form of undernutrition globally and is a major public health concern. Child stunting has both short-term negative effects on children’s health and long-term negative effects on adult health and human capital. Zimbabwe has a high prevalence of stunting, 27% in 2015. Although some of the factors associated with stunting are known, there is a gap on comprehensive evidence on the significant factors associated with persistent high levels of child stunting. The UNICEF conceptual framework for malnutrition was used to guide a cross-sectional study using the 2015 Zimbabwe Demographic and Health Survey data to identify and …

Barriers To The Hiring Of Women For The Independent School Headship, Kelley King

Walden Dissertations and Doctoral Studies

Despite over a century of activism to increase gender equality, inequalities persist across U.S. employment sectors, including in independent K-12 schools, which are predominately staffed by women yet led by men. The purpose of this qualitative, exploratory case study was to understand the perceptions of six female heads of school and six female search consultants regarding the barriers that women face in being hired for the head of school position in independent K-12 schools. Most researchers studying gender equality have focused solely on the perspectives of female leaders, although executive search consultants are important arbiters in the search and hiring …

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …