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State Consent Policies And The Meaningful Use Of Electronic Health Records Among Nonfederal Acute Care Hospitals In The United States, Adetoro Kafilat Longe

Walden Dissertations and Doctoral Studies

The less-than-nationwide use of electronic health record (EHR) systems to send, receive, and integrate (SRI) patient summary of care (PSC) records limits the ability of hospital administrators to maximize efficiency and improve quality in the continuum of care. Despite obvious differences in state health information exchange (HIE) consent policies, there is no known research that has determined if and what aspects of state-level HIE legislation affect the use of EHR systems to SRI PSC records. Guided by the unified theory of acceptance and use of technology (UTAUT), the purpose of this quantitative cross-sectional research study was to examine the relationship …

The Lived Experiences Of Minority Millennial Interns Who Reject Federal Employment Offers, Darlene Cunningham

Walden Dissertations and Doctoral Studies

In the U.S. federal government, low retention levels of minority millennial interns i.e., women and men of color, in the Honors Internship Program have reinforced a lack of diversity and the negative image associated with some federal organizations. Although researchers have examined aspects of this issue, they have not yet examined minority interns’ perspectives on why they chose not to accept a position with the federal government after completing the internship program. The purpose of this research was to understand the gap exhibited in low minority retention levels in federal organizations in relation to minority millennial inclusivity from the perspective …

Health Care Manager Electronic Medical Record Systems Implementation Strategies To Improve Patient Outcomes, Mcarthur Bruno Damis

Walden Dissertations and Doctoral Studies

Ineffective implementation of electronic medical record systems (EMRS) among health care outpatient clinics results in substantial financial loss. Health care managers (HCMs) in outpatient clinics who fail to implement EMRS adversely affect employee usage and performance. Grounded in fayolism theory, the purpose of this qualitative multiple case study was to explore the strategies health care managers used to implement EMRS in their organizations. The participants were six HCMs in a U.S East Coast city. Thematic analysis was used to analyze the data from semistructured interviews and internal company documents. Five themes emerged: internal communication, overcoming barriers, time management, compensation improving …

The Influence Of Community-Based Interventions On Behaviors Of Hiv+ Persons In Congo-Kinshasa, Max Ebengho Bokelo

Walden Dissertations and Doctoral Studies

AbstractSub-Saharan African communities bear the highest burden of HIV/AIDS in the world. Because of identifiable cultural links and local beliefs, people are more likely to engage in sexual mores that could negatively impact their lives. Starting in early 2000, Congolese HIV+ patients have undergone a variety of inputs designed to decrease HIV risk behaviors among people. The purpose of this inquiry was to understand the impact of those actions within the community. Data grounded on the socioecological model were collected regarding any changes in (1) behavioral rejection of condoms, (2) Kintwidi phenomenon, (3) levirate and (4) sororate marriage, (5) sexual …

Parenting A Child With Autism: Predictors Of Parental Self-Efficacy, Robert Milton Guy

Walden Dissertations and Doctoral Studies

As the rate of children being diagnosed with autism spectrum disorder (ASD) increases, so too does the number of parents learning to cope with their child’s disability and its effects on their own health, well-being, and parental self-efficacy. The purpose of this study was to determine the extent to which subjective social status, parental social supports, and fatigue were factors predicting parental self-efficacy in parents of children diagnosed with ASD residing in the state of Oregon. Bandura’s social cognitive theory was used to frame this study. The sample for this study consisted of 120 parents of children diagnosed with ASD …

Social Determinants Of Health Influence On Surgical Morbidity After Colorectal Surgery, Koianka J. Ivanova Trencheva

Walden Dissertations and Doctoral Studies

Decreasing surgical morbidity and improving surgical safety is a public health priority. With same-day or early hospital discharge after surgery, knowledge about social determinants of health (SDOH) impact on surgical morbidity is vital for surgical safety improvement. This study’s aim was to evaluate SDOH association with surgery-related morbidity after colorectal surgery in an adult population. This quantitative cross-sectional study used New York Statewide Planning and Research Cooperative System (SPARCS) secondary data from 2006 ⁠–2016 on 130,731 patients linked to SDOH. Dependent variables were anastomotic leak (AL), surgical site infection (SSI), Not SSI related, and overall complications (COMPL) within 30 days …

Exploring African American Women’S Transition From High School To A Postsecondary Setting, Keniesha Johnson

Walden Dissertations and Doctoral Studies

AbstractAfrican American women encounter obstacles that diminish the effectiveness of mental health treatment received through postsecondary school-based service. Consequently, there is a reduction in the population’s socioeconomic outcomes. The purpose of the study was to increase awareness of the mental health treatment experience of African American women and identify strategies that would be helpful to prepare African American women for the postsecondary setting. Black feminist theory was used to guide the research questions for the study, which examined the experiences of African American female students and identified strategies used by certified school social workers, that African American women thought prepared …

Oil And Gas Industry Leaders’ Strategies For The Development Of Local Suppliers, Henry Onyekenibe Mogbolu

Walden Dissertations and Doctoral Studies

Abstract:

The preference for international oil and gas companies in most developing countries is to use global suppliers instead of local suppliers with inadequate capacity. Leaders in oil and gas companies who lack strategies for local supplier development contribute to the ecological and social problems in oil-rich, developing countries. Grounded in the sustainable supply chain management theory, the purpose of this multiple case study was to explore the strategies leaders in the oil and gas industry use for the sustainable development of local suppliers. The participants comprised five leaders in oil and gas companies in the Niger Delta region of …

Strategies To Sustain Small Construction Businesses Beyond The First 5 Years Of Operation, Catherine Nyasha Mukopfa

Walden Dissertations and Doctoral Studies

Small business owners employ over half the U.S. labor force, yet only 50% of small businesses survive beyond 5 years. When small business owners understand the factors that lead to their business failure, they can develop strategies to remain sustainable and profitable within the first 5 years, thus reducing the potential of business failure. Grounded in the resource-based theory, the purpose of this qualitative multiple case study was to explore strategies five small construction owners in central Georgia used to remain in business beyond 5 years. Data were collected from semi structured interviews, a review of organization income statements and …

Competent Office Staffing For Minority, Women-Owned, And Local Business Enterprise Contractors Via Workforce Development, Ralston C. O'Connor

Walden Dissertations and Doctoral Studies

AbstractConversations about workforce development in the construction industry are centered around improving the construction trade skills of displaced workers or other unskilled or untrained individuals. Rarely will that conversation focus on the administrative skills necessary for contractor success, particularly in public works construction where administrative oversight is a challenge for the minority, women-owned, and local business enterprise (MWLBE) community. Anecdotal data indicated that MWLBE contractors are skilled at their trades and have little or no problem accessing a skilled labor force. Where these contractors tend to fall short is in the administrative requirements of government contracts. The purpose of this …

Strategies Security Managers Used To Prevent Security Breaches In Scada Systems' Networks, Oladipo Ogunmesa

Walden Dissertations and Doctoral Studies

Supervisory Control and Data Acquisition (SCADA) systems monitor and control physical processes in critical infrastructure. The impact of successful attacks on the SCADA systems includes the system's downtime and delay in production, which may have a debilitating effect on the national economy and create critical human safety hazards. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies SCADA security managers in the Southwest region of the United States use to secure SCADA systems' networks. The participants comprised six SCADA security managers from three oil and gas organizations in the midstream sector …

Teachers' Perceptions Of Using The Flipped Classroom Model In Inclusive High Schools, Legrand Ouabo

Walden Dissertations and Doctoral Studies

AbstractThe flipped classroom model is expanding rapidly in school districts across the United States and abroad. In a flipped classroom, students complete hands-on collaborative activities in class and watch instructional videos at home. This relatively new method has been tentatively linked to improved learning outcomes, especially for struggling students. However, there is limited literature on how teachers perceive the flipped classroom in inclusive settings. The purpose of this study was to fill that gap by exploring high school teachers’ perceptions to better understand how the flipped classroom model supports students in inclusive settings. The framework for this study was the …

Socially Constructed Journalism And Lone Wolf Terrorists - A New York City Experience, Adrienne Pascal

Walden Dissertations and Doctoral Studies

AbstractJournalistic reporting normalized radical lone wolf terrorist activities compromising public and national safety. The purpose of this research was to explore news reports of four radical lone wolf events that occurred in New York City (NYC) between 2010 and 2017 to identify political slant toward societal normalization of radical lone wolf behavior. The framework of this phenomenological study was Borum’s four-stage pathway mindset model of terrorism combined with Berger and Luckmann’s social construction theory. The central research question addressed how socially constructed journalism stories of lone wolf terrorist events in NYC aligned with liberal to conservative political newsprint continuums. Data …

Security Awareness Strategies Used In The Prevention Of Cybercrimes By Cybercriminals, Pascal Pouani Tientcheu

Walden Dissertations and Doctoral Studies

Cybercrime is a growing phenomenon that impacts many lives worldwide. Businesses, organizations, and governments continue to search for ways to protect their data and intellectual property from cybercrimes. Grounded in the routine activity theory, the purpose of this general qualitative study was to explore strategies information security officers used to prevent cybercrimes. The participants included seven information security officers listed on social media who manage information security within organizations located in the northeast geographic region of the United States. Data were collected using semistructured interviews, the National Institute of Standards and Technology documentations and analyzed using thematic analysis. Four key …

The Impact Of Sub-Baccalaureate Educational Attainment Of Post-Graduation Employment, Freda Scott

Walden Dissertations and Doctoral Studies

While level of education predicts life income, the problem for this study was to determine the extent to which educational attainment predicts level of employment. The purpose of this quantitative study of archival data was to determine whether educational attainment predicts level of post-graduation employment for sub-baccalaureate associate degree and certificate holders. The covariates for this study were age, gender, race, and field of study. Human capital theory, the theoretical framework for this study, posits that students invest their time and resources in achieving educational credentials to obtain the economic benefits associated with those credentials. The two research questions that …

Diabetes Self-Management Of Adults With Diabetes In Grenada During The Covid-19, Pauline Smith

Walden Dissertations and Doctoral Studies

Diabetes self-management involves several behaviors to prevent complications and ensure a good quality of life. Several studies addressed how the COVID-19 lockdown impacted diabetes self-management practices worldwide, yet little was known about self-management experiences in Grenada and the Caribbean region. The purpose of this phenomenological and directed content analysis study was to gain insight into the lived diabetes self-management experiences during the COVID-19 lockdown in Grenada. The theory of planned behavior was used as the theoretical framework for this study. The research questions addressed lived self-management experiences and attitudes, subjective norms, and perceived behavioral control toward diabetes self-management. Semistructured interviews …

Intimate Partner Violence: Effects Of Emotional Abuse In Women, Judith Marie Watiti

Walden Dissertations and Doctoral Studies

AbstractEstimates by the U.S. Bureau of Statistics point to over 30% of women being victims of intimate partner violence (IPV) yearly. Severity and frequency of violence in childhood have been shown in several studies to predict adult interpersonal violence. Research has shown that emotional abuse predicts other forms of abuse, thus identifying it as a potential causal link to IPV. The purpose of this quantitative study was to examine whether emotional abuse mediates the relationship between history of childhood abuse and IPV. Social learning theory served as the theoretical framework for the study, in which 182 adult female participants from …

Perceptions Of Correctional Practitioners On Contraband Prevention In Maryland Adult State Prisons, Patrick Orock Agbortarh

Walden Dissertations and Doctoral Studies

AbstractAlthough contraband trafficking has been a focus of scholars since 2013, researchers have yet been able to establish a more reliable contraband control strategy. The present study was based on the perceptions of correctional practitioners of Maryland State Department of Public Safety and Correctional Services (DPSCS). These perceptions were necessary in devising a strategy to prevent the flow of contraband items into Maryland’s adult state prisons. The purpose of this study was to explore the experiences of 10 correctional practitioners from Maryland correctional facilities, with the goal of providing insight into which efforts are most effective in preventing contraband from …

Medical Laboratory Scientists’ Perceptions Of Their Affective Domain Development, Tamera Mae Alpaugh

Walden Dissertations and Doctoral Studies

The affective and professional development of health care professionals, including medical laboratory science (MLS) professionals, is important for their employability and provision of effective patient care. The problem is that affective development is critical to graduate employability and the quality of care provided in health care settings, yet there is limited research about which activities and experiences are perceived by MLS students as beneficial for their affective domain development. The purpose of this basic qualitative study was to understand how MLS students describe the usefulness of program learning activities and experiences as supporting their affective development, within the framework of …

Service Members’ Perspectives On Veteran Homelessness In Maryland And Virginia, Olasunkanmi G. Amosu

Walden Dissertations and Doctoral Studies

Homelessness among military veterans (HAMV) is a protracted problem. In November 2009, the U.S. Department of Veterans Affairs pledged to end the issue, but almost 12 years later, HAMV persists despite various solutions proposed. In January 2020, 37,252 veterans were reported as experiencing homelessness in the United States. The creation of previous solutions did not include the perspectives of service members. The purpose of this study was to bridge this gap in knowledge by discovering the views of service members on why veteran colleagues experience homelessness. The theoretical framework for this study was Allport’s trait theory. A qualitative case study …

A Delphi Study On The Use Of Simulation In Undergraduate Nursing Education, Diana L. Bailey

Walden Dissertations and Doctoral Studies

AbstractThe lack of traditional clinical sites for nursing students has prompted a surge in simulation as an innovative teaching strategy in undergraduate nursing education. The International Nursing Association for Clinical Simulation and Learning (INASCL) developed the INACSL Standards of Best Practice: SimulationSM to direct schools of nursing in implementing high-quality simulations. As simulated experiences replace traditional clinical experiences, it is imperative that simulated experiences replicate real-life patient scenarios. The purpose of this Delphi study was to establish consensus on the use of the INACSL Standards of Best Practice: Simulation in undergraduate nursing education. The conceptual frameworks guiding this study were …

Effective Physician Engagement Strategies For Improving Healthcare, Auriesheaua Bell

Walden Dissertations and Doctoral Studies

Middle and senior-level healthcare managers lack physician engagement strategies to help avoid physician burnout. Many physicians leave the healthcare profession due to disengagement, which could cause a significant healthcare crisis. Grounded in the transformational leadership theory, the purpose of this qualitative single case study was to explore the engagement strategies healthcare middle and senior-level managers used to help avoid physician burnout. Participants comprised seven middle and senior-level healthcare managers with a minimum of five years of employee management experience who effectively used physician engagement strategies to help avoid physician burnout at a Central Pacific United States healthcare organization. Data were …

Insecticide Treated Nets And Malaria Control Strategy In Sierra Leone, Henry Nk Biayemi

Walden Dissertations and Doctoral Studies

AbstractMalaria is a deadly disease and endemic in Sierra Leone. It is the leading cause of morbidity and mortality amongst children younger than five years in Sierra Leone. Insecticide treated nets (ITNs) are not used widely despite free distribution, low health risks, and proven ability to reduce malaria. The purpose of this quantitative crosssectional study was to investigate the association between a set of independent variables (parental education, parents' economic status, household size, and residence) and the use of ITNs among children under five years of age in Sierra Leone. The study used a secondary dataset from the Ministry of …

Educators’ Perspectives On Strategies To Close The Achievement Gap For African American Elementary Students In Mathematics And English Language Arts, Keamber Denise Booker

Walden Dissertations and Doctoral Studies

There is a persistent academic achievement gap between African American and European American elementary students in mathematics and English language arts. The purpose of this basic qualitative study was to explore third through fifth-grade elementary educators’ perspectives on strategies used to narrow the gap in achievement for African American students in mathematics and English language arts from a school located in the southeastern region of the United States; consequently, the research question was developed to focus on these perspectives. The conceptual framework for this study was Ladson-Billings’s culturally relevant pedagogy. Purposeful sampling and snowball sampling were used to select study …

Strategies To Reduce Fall Rates In A Long-Term Care Facility, Kimberly H. Brewer

Walden Dissertations and Doctoral Studies

AbstractFalls among residents of long-term care facilities (LTCFs) pose significant threats to their health and quality of life, as falls often lead to life-threatening injuries such as traumatic brain injury and hip fractures. The etiology of the falls is multifactorial and complex; thus, interventions to reduce the falls typically combine two or more evidence-based interventions. The objective of this doctorate project was to develop an evidenced-based clinical practice guideline (CPG) outlining a multifaceted, evidenced-based bundled set of interventions for a fall prevention program to reduce falls for elderly patients living in the LTCFs. Lewin’s 3-step model of change was used …

The Importance Of Staff Education About Implementing Ketogenic Diet In Prediabetic Patients, Clarissa L. Dorsey

Walden Dissertations and Doctoral Studies

Diabetes, a chronic disease that can lead to many complications, is one of the leading causes of death. Obesity tends to increase the risk of diabetes. Nutritional therapy can not only control diabetes but also prevent it in some cases by decreasing weight. The ketogenic diet is a low-carbohydrate, high-fat diet that can prevent and control diabetes. The purpose of this study was to examine the recommendations of medical providers before and after the presentation of educational content on the ketogenic diet as nutritional therapy in prediabetic and diabetic patients. The practice-focused question addressed whether educating medical staff at a …

The 2009 Niger Delta Amnesty: Evaluation Of A Policy Failure, Christian Obidiche Eze

Walden Dissertations and Doctoral Studies

In 2009, the federal government of Nigeria under then-President Musa Yar’adua established the Presidential Amnesty Program (PAP), which became their flagship program in combating militancy and turning repentant ex-militants into positively contributing citizens. This is a multi-dimensional problem that involves governmental ineptitude, exploitation by multinational oil companies, and lack of sustainable developmental measures as primary drivers of instability in the Niger Delta. There are arguments that the 2009 PAP Program brought about little positive change in the region. This program brought about peace initially in the region until early 2016, when there was a brief but very destructive return to …

Strategies To Improve The Survival Rate Beyond 5 Years For Small Business In Guyana, Wayne Forde

Walden Dissertations and Doctoral Studies

AbstractIn Guyana, small business entrepreneurs with less than 25 employees without a success strategy fail at a high rate. These entrepreneurs need to develop strategies to improve survivability beyond 5 years. Grounded in Porter’s five forces theory, the purpose of this qualitative multiple case study was to explore strategies used to assist small business entrepreneurs in Guyana to sustain profitability beyond 5 years. Participants were four business owners in the manufacturing and accounting sectors who sustained their business beyond 5 years of operations. Data were collected using semistructured interviews and a review of organizational documents, including websites and meeting notes. …

The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré

Walden Dissertations and Doctoral Studies

According to recent studies, disparities are prevalent in maternal and fetal outcomes between Black and White mothers in the United States. Researchers have established that using a midwife versus other healthcare practitioners can elicit positive maternal and fetal outcomes for Black mothers. However, no within-race research has been conducted exploring midwifery as an insulating factor against these disparities. The purpose of this quantitative retrospective cohort study was to explore the impact of midwifery on infant and maternal outcomes compared to outcomes associated with other prenatal care models/caregivers among Black mothers in California using secondary data. The ecological model was used …

Coping Strategies Of Dual-Role Informal Caregivers, Lorilee Maldonado

Walden Dissertations and Doctoral Studies

There are nearly 43.5 million informal caregivers (ICGs) in the United States, and this number will nearly double by 2030. Trying to fulfill the needs of an aging family member and commitments to work, home, and other relationships create a constant state of stress that may result in either leaving the workforce or placing the care recipient in a facility. Finding strategies that support both roles is economically and socially critical. This study explored the strategies that some ICGs have acquired that enable them to cope with these pressures. Work-family conflict theory, focusing on the conflict between work and family …