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2023

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Artificial Intelligence-Based Medical Device Technologies Implementation Strategies In The Nigerian Health Care Industry, Oliver Chikaodinaka Iheme Jan 2023

Artificial Intelligence-Based Medical Device Technologies Implementation Strategies In The Nigerian Health Care Industry, Oliver Chikaodinaka Iheme

Walden Dissertations and Doctoral Studies

Artificial intelligence (AI)-based medical device technologies can aid medical professionals in delivering faster and more accurate treatment, but health care leaders are concerned with eliminating challenges that impede implementation. Grounded in the technology-organization-environment and technology acceptance models, the purpose of this qualitative multi-case study was to explore strategies health care leaders in Nigeria use to obtain, adopt, and implement AI-based medical device technologies. The participants were 11 health care leaders in Nigeria who successfully implemented AI-based medical device technologies in their hospitals. Data were collected using semi-structured interviews and the review of organizational documents. Through thematic analysis, five themes were …

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Employee Engagement Strategies In Manufacturing Organizations In Nigeria, Mofoluwaso Ilevbare Jan 2023

Employee Engagement Strategies In Manufacturing Organizations In Nigeria, Mofoluwaso Ilevbare

Walden Dissertations and Doctoral Studies

Employee engagement is a major concern for business leaders in the manufacturing sector due to the constantly shifting labor market and the demanding nature of the manufacturing work environment. Manufacturing leaders who lack effective strategies to improve employee engagement risk losing valuable employees, which can pose significant threats to productivity and business profitability. Grounded in Kahn’s engagement and disengagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing leaders in Nigeria use to increase employee engagement. Using semi-structured interviews, company business reports, and employee survey action plans and reports, data were collected from eight manufacturing leaders …

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Technical Training To Nonprofit Managers Influences Using Big Data Technology In Business Operations, Dr. Arslan Isaac Phd Jan 2023

Technical Training To Nonprofit Managers Influences Using Big Data Technology In Business Operations, Dr. Arslan Isaac Phd

Walden Dissertations and Doctoral Studies

This nonexperimental, survey-based online quantitative study on nonprofit managers’ technical training measures the extent of the influence on big data technology use. The unified theory of acceptance and use of technology is a theoretical framework to determine whether business managers are trained to have know-how in using big data technology. This study followed a quantitative methodology to help narrow the gap in research between what is not known in relation to the nonprofit manager’s technical training on the use of big data technology. Today’s data is the most critical asset, but progress toward big data technology-oriented usage needs to be …

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Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola Jan 2023

Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola

Walden Dissertations and Doctoral Studies

A lack of diversification strategies can negatively impact business profitability. Business managers of small and medium-sized enterprises who implement appropriate diversification strategies can improve business profitability, ensuring the firm’s sustainability. Grounded in the modern portfolio theory, the purpose of this qualitative single case study was to explore diversification strategies business managers use to improve profitability. The participants were five business managers who successfully used diversification strategies to enhance business profitability. Sources for data collection were semi-structured interviews, company archival documents, and field notes. Data were analyzed using thematic analysis. Four themes emerged: concentric diversification strategy, horizontal diversification strategy, customer needs …

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Transitioning Elementary-Aged Students With Emotional And Behavioral Disorders Into An Inclusive Educational Setting, Stevanie Jackson Jan 2023

Transitioning Elementary-Aged Students With Emotional And Behavioral Disorders Into An Inclusive Educational Setting, Stevanie Jackson

Walden Dissertations and Doctoral Studies

In an urban school district in the southwestern United States, students with emotional and behavioral disabilities (EBD) who were in third- through fifth-grade self-contained classes were not consistently transitioning successfully into inclusive classrooms; therefore, the students were remaining in a restrictive environment for an extended time. The purpose of this basic qualitative study was to explore the reasons for such inconsistencies. The concept of inclusion as outlined in the Salamanca Statement framed the study. Semi structured interviews were conducted with six special education teachers and six general education teachers, all of whom had experience educating students with EBD. Research questions …

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Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson Jan 2023

Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson

Walden Dissertations and Doctoral Studies

AbstractResearch has shown that technology-mediated interventions in education can increase students’ understanding of academic vocabulary. However, it is not known how teachers provide opportunities for kindergarten English learners (ELs) to learn vocabulary using technology, and school leaders support teachers in this endeavor. The purpose of this basic qualitative study was to understand teachers' and school leaders’ perspectives on opportunities for kindergarten ELs to use technology to develop vocabulary in an urban school in the southwest United States. The theoretical framework for this study was based on Cummins’s theory of basic interpersonal communication skills and cognitive academic language proficiency. Using purposeful …

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The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson Jan 2023

The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson

Walden Dissertations and Doctoral Studies

The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …

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Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson Jan 2023

Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson

Walden Dissertations and Doctoral Studies

AbstractMental illness has a negative influence on U.S. society, affecting more than 21% of adults. Worldwide, approximately 264 million people are impacted by psychiatric conditions. Despite the prevalence of psychological disorders, treatment resources are lacking. As such, the addition of adjunctive therapeutic interventions could benefit society. Researchers have demonstrated that the bond formed between humans and animals offers a vital healing tool. However, there was limited information on the use of service dogs in the psychiatric population. This qualitative interpretative phenomenological analysis explored how adults with psychiatric diagnoses describe attachment to service dogs used to mitigate the symptoms of their …

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African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns Jan 2023

African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns

Walden Dissertations and Doctoral Studies

Sub-Saharan Africa is not yet ready to embrace the digital and the fourth industrial revolution, and there remains a literature gap about technology readiness and effective technology diffusion to support a circular economy transition in West and East African countries. The purpose of this qualitative, multiple case study was to describe African public leadership experts' views on how sub-Saharan African leaders can enable technology readiness and the technology diffusion needed for a successful transition to a circular economy. A multiple case study design was used to collect data from a purposeful sample of 14 African public leadership experts. Semistructured interviews, …

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Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky Jan 2023

Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky

Walden Dissertations and Doctoral Studies

Obesity and substance use are two significant public health issues among Native American adolescents. Despite much evidence linking obesity and substance use during adolescence to several long-term health conditions and increased morbidity and mortality, evidence describing the relationship between current substance use and obesity among Native American adolescents is lacking. The purpose of this quantitative study was to investigate associations between current substance use – specifically alcohol, marijuana, and tobacco products – and obesity among Native American high school students, when adjusted for sex, soda consumption, and physical activity. Rosenstock’s health belief model served as the theoretical foundation for this …

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Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith Jan 2023

Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith

Walden Dissertations and Doctoral Studies

English languages learners (ELLs) are the fastest-growing student population in the United States. Federal mandates, including the Every Student Succeeds Act (ESSA) of 2015, provide guidance and resources to states and local school districts to remove barriers for ELL students. Despite guidelines from one northeastern state to increase professional development, improve metrics to assess proficiency growth, and provide family outreach to support ELLs, school leaders have not achieved this goal of raising graduation rates for ELLs so they are comparable with their non-ELL peers. This project study uses a transformational leadership framework to explore perceptions of principals, assistant principals, and …

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Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac Jan 2023

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac

Walden Dissertations and Doctoral Studies

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

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A Case Study Of Joint Accountability Mechanism And Interorganizational Collaboration In Post-Earthquake Haiti, Jude J. Jean-Gilles Jan 2023

A Case Study Of Joint Accountability Mechanism And Interorganizational Collaboration In Post-Earthquake Haiti, Jude J. Jean-Gilles

Walden Dissertations and Doctoral Studies

Abstract: The earthquake that hit Haiti on January 12, 2010, caused massive destruction of its capital city Port-au-Prince and its suburbs and killed over a quarter of million people. The recovery period that followed required effectiveness to plan and mobilize resources. The magnitude of the destruction, lack of local recovery plans or previous disaster experience, and scarcity of local resources inspired the creation of the Interim Haiti Recovery Commission (IHRC), a compilation of local and international stakeholders who agreed to collaboratively address the recovery challenges. Several studies have examined post-earthquake recovery initiatives under the leadership of local governments, but having …

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Managers' Experiences Coordinating Peer Mediation Programs In Schools, Ingrid Jeannis Jan 2023

Managers' Experiences Coordinating Peer Mediation Programs In Schools, Ingrid Jeannis

Walden Dissertations and Doctoral Studies

AbstractPeer mediation (PM) programs implemented in schools promote resolution of disputes and conflicts among peers. Several benefits have been associated with young children involved in these programs including reductions in physical aggression, as well as learning skills involving communication, problem solving, and decision making. While positive outcomes have been observed, less was known about manager experiences involving coordinating PM programs. The purpose of this phenomenological study was to explore manager thoughts and experiences regarding their roles in PM programs and how they perceived strengths and weaknesses of these programs. The social learning theory was the theoretical framework for this study. …

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Elementary Teachers’ Perceptions Regarding Behaviors That Lead To Disproportionate Referrals By Race, Susan Johannes Jan 2023

Elementary Teachers’ Perceptions Regarding Behaviors That Lead To Disproportionate Referrals By Race, Susan Johannes

Walden Dissertations and Doctoral Studies

AbstractDisproportionate office referrals through teachers in Grades 3-5 based on their students’ race are documented. At a Title I elementary school in the northeastern part of Virginia, non-White students are referred to the office for behavior issues 5% more times than their White peers. Guided by Bell’s critical race theory, the purpose of this study was to examine Grade 3-5 elementary teachers’ perceptions regarding types of behaviors that are leading to disproportionate numbers of office referrals for non-White students. A basic qualitative research design was employed. Semistructured interviews were conducted with 8 purposefully sampled teachers to explore teachers’ perceptions about …

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Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson Jan 2023

Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson

Walden Dissertations and Doctoral Studies

Schools have reported disparities in the use of discipline on a nationwide scale. The problem for this study was that early childhood teachers referred Black students for disciplinary action or exclusionary discipline at higher rates than their peers.The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives of referring Black students for disciplinary action. Weinstein, Curran, and Tomlinson-Clarke’s model of culturally responsive classroom management formed the conceptual framework that guided this study. The research question focused on teacher perspectives about referring Black students for disciplinary action. A basic qualitative design was used to capture the insights …

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Kindergarten Through Second Grade Teachers’ Collaboration On Reading Instruction Through Virtual Communities Of Practice, Nakaydria Johnson Jan 2023

Kindergarten Through Second Grade Teachers’ Collaboration On Reading Instruction Through Virtual Communities Of Practice, Nakaydria Johnson

Walden Dissertations and Doctoral Studies

Kindergarten through second grade (K–2) teachers have different experiences with support when teaching beginning reading. However, there is a problem with K–2 teachers having access to virtual collaboration to support beginning reading instruction. The purpose of this qualitative study was to understand the experiences and perceptions of K–2 teachers collaborating virtually on Google Platforms to support beginning reading instruction within a community of practice (CoP). The research questions were used to understand the interaction and accountability of K–2 teachers collaborating within a CoP. The conceptual framework was constructed from elements of CoPs and the social theory of learning because of …

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Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson Jan 2023

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

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Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson Jan 2023

Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson

Walden Dissertations and Doctoral Studies

The focus of this study was to examine mental health literacy as a predictor of the mental health service utilization of foster parents after controlling for age. There is an absence of research addressing variables that contribute to the use of mental health services by foster parents. In this nonexperimental study, survey data were collected in an electronic format. Statistical analysis was performed through use of a logistic regression. A mental health literacy conceptual framework was the theoretical foundation of the study. The sample consisted of 42 foster parents from the northwest panhandle of Florida. The study yielded findings indication …

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Auto-Theft Coverage In New Jersey-Based Online News Articles From 2017–2022, Tyler Michael Johnson Jan 2023

Auto-Theft Coverage In New Jersey-Based Online News Articles From 2017–2022, Tyler Michael Johnson

Walden Dissertations and Doctoral Studies

News organizations at both the local and national level report current events through many platforms, including print media, online news media, television programming, and social media posting. All these mediums have virtually unlimited reach as the internet, social media, and smartphones have proliferated globally. A popular topic reported by the media is crime. This study was focused on how crime, specifically auto theft, has been reported on by New Jersey web-based news organizations and public officials in the past 5 years. To obtain a local perspective, three news organizations were randomly selected from the News Bank archive, and all articles …

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Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones Jan 2023

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

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Continuous Vascular Access Education For Health Care Staff, Denise R. Jones Jan 2023

Continuous Vascular Access Education For Health Care Staff, Denise R. Jones

Walden Dissertations and Doctoral Studies

AbstractEnd-stage renal disease is a growing public health problem associated with high healthcare costs and high morbidity and mortality rates. Dialysis patients’ vascular access is a critical component to their survival, and knowledge in managing patients’ vascular access can reduce access complications and improve vascular access outcomes including in community settings. This DNP project is an education program developed for healthcare staff who attend church services to provide ongoing vascular access education to address vascular access outcomes in dialysis patients. The education project was developed using the ADDIE model. The site of the project was a rural city in the …

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Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones Jan 2023

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …

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Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones Jan 2023

Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones

Walden Dissertations and Doctoral Studies

The prevalence of adolescent depression in the United States is increasing as adolescents’ use of electronic screen devices increases. Some studies have found associations between screentime and adolescent depression, and other researchers have posited that screentime is not intrinsically harmful. High screentime in African American adolescents may place them at risk for worse depressive symptom outcomes, but the relationship between screentime and depressive symptoms for this population is unknown. The three research questions of this study addressed whether there is a relationship between screentime and depressive symptoms in African American adolescents, and whether sleep duration and the frequency of physical …

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Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd Jan 2023

Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd

Walden Dissertations and Doctoral Studies

AbstractHealthcare systems incur significant uncompensated costs due to uninsured chronic disease patients’ overutilization of urgent and emergent emergency care. This study was important because there was very little literature addressing the impact of the chronic care model (CCM) on reducing uncompensated healthcare system costs regarding patients with chronic disease. The purpose of the study was to investigate whether the Healthy Education Lifestyles Program (HELP) was of any significance to healthcare system’s cost of uninsured chronic disease patients. The theoretical foundation for the study was the CCM espoused by Wagner and colleagues. The research questions were to determine significant differences in …

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Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian Jan 2023

Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian

Walden Dissertations and Doctoral Studies

Health care worker shortage is a global problem and is challenging for human resources managers. Human resource managers need more strategies to recruit and retain healthcare workers in rural areas to decrease healthcare worker shortages, unemployment rates, patient morbidity, and mortality rates. Grounded by Maslow’s hierarchy of needs theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers use to recruit and retain healthcare workers in rural areas. The participants were three managers from Southern Louisiana rural area medical facilities with at least 5 years of experience developing and implementing successful recruitment and retention …

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The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski Jan 2023

The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski

Walden Dissertations and Doctoral Studies

Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …

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Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga Jan 2023

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

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Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel Jan 2023

Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel

Walden Dissertations and Doctoral Studies

In 2020, U.S. hospitals became overwhelmed by patients with the viral illness COVID-19. Health systems were advised by the U.S. Surgeon General and Centers for Disease Control and Prevention to suspend elective procedures, including mammograms, colonoscopies, and lung computed tomography scans. The purpose of this quantitative study was to investigate whether there was a significant difference in completed appointments, cancer screenings, and cancer diagnoses in consumers receiving targeted direct mail and email communications during the COVID-19 pandemic, based on age, gender, and geographic location. The elaboration likelihood model of persuasion, which emphasized the use of marketing to change consumer behaviors …

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Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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