Public Affairs, Public Policy and Public Administration Commons^™

Providers' Knowledge Of The U.S. Health Care System And Their Medical Practice Choices: A Study Of Physicians, Residents, And Non-Physician Practitioners, Cora Case

Walden Dissertations and Doctoral Studies

The expansion of health insurance through health care reform has reduced the number of uninsured. but access to providers has not been addressed. Understanding the relationship between practice choices and aptitude of health policy and delivery is essential to determine other factors or motivators that contribute to the development of health care access policies. This descriptive study explored the value-laden elements of health care reform, such as social constructions, to learn whether there are implicit ways to address the issue of access to health care in the United States. Schneider and Ingrams's conceptualization of policy making through social construction was …

Program Evaluation: A Federal Agency's Air Traffic Control Train-The-Trainer Program, Lisa Marie Mercer

Walden Dissertations and Doctoral Studies

In 2014, the Federal Aviation Administration (FAA) highlighted to the U.S. Senate the need to focus on air traffic control (ATC) training to meet job qualification and attrition rates within the career field. One U.S. Department of Defense military service assists the FAA in providing worldwide ATC services. This service is referred to as the agency throughout this paper to ensure confidentiality. The agency's ATC career field manager echoed the FAA's call for action in his 2014 Strategic/Action Plan. In August 2013, the agency's ATC trainer program was published. As of December 2015, the program had not been evaluated. The …

The Mediating Role Of Payout In The Relationship Between Private Foundations And Grantee Organizations' Financial Health, Angie Kim

Walden Dissertations and Doctoral Studies

Although private foundations are assumed to be beneficial, their impact on grantee organizations is not well understood. This quantitative research explored how private, nonoperating foundations influence grantees' financial capacity to pursue their missions. Principal-agent theory was applied to rationalize foundations' social good purpose, along with subsidy theory of public charities' need for capital accumulation, thus comprising a unique framework for identifying pathways of relationships amongst influencer variables of foundations' operating characteristics; the outcome of grantees' months of unrestricted, liquid net assets (MULNA); and the mediator of foundations' payout rate. Multiple regression and indirect effects analyses of data on 612 cases …

Critical Factors In Police Use-Of-Force Decisions, Orville Nickel

Walden Dissertations and Doctoral Studies

This study investigated law enforcement officers' perceptions of the legal, normative, and practical considerations that are implicit in their decisions when faced with using physical force. Law enforcement officers observe and protect fundamental human rights. A significant problem, however, is that physical force is sometimes misused, impacting public confidence in police services. The study was framed by Durkheim's conflict theory and Beirie's concepts of police corporate culture and social control. It used a grounded theory method and predeveloped case scenarios presented to 2 male focus groups of 7 and 6 participants respectively, and 2 female focus groups of 5 and …

Restaurant Revenue Management: Examining Reservation Policy Implications At Fine Dining Restaurants, Nanishka Hernandez

Walden Dissertations and Doctoral Studies

In the restaurant industry, some patrons do not honor their reservations, especially on holidays. Grounded in postpositivism and system theories, the purpose of this comparative study was to examine the impact of implementing a credit card payment policy for fine dining restaurants reservations and no shows after implementation of a credit card guarantee policy at a high-end hotel located in the southeast United States. Data were collected from archival records provided by the hotel executives. According to the results of a Wilcoxon Signed Rank test, there was a statistically significant decrease in the number of no shows, p < .001, after the implementation of the credit card guarantee policy. In a paired sample t-test, there was a statistically significant decrease in the number of reservations, p < .001, after implementation of the credit card guarantee policy. The implications for positive social change include the potential to increase understanding of payment policies as they relate to the restaurant industry. Service industry managers can benefit from implementing payment policies that can vary from specific dates, seasons, and type of services. Customers will also benefit by being able to make reservations not originally possible due to demand. The current study adds to service industry knowledge, increasing the understanding of payment policies as they relate to restaurant industry. Conducting a similar study in other service industries in the future may lead to a better understanding of the nature of policies and customers' traits and behaviors.

Beginning Teachers' Experiences And Use Of Time, Laura Marie Ahles

Walden Dissertations and Doctoral Studies

New teachers in a southeast Texas school district are having difficulty using their time effectively for instruction while balancing a multitude of tasks. New work responsibilities for teachers are contributing to teacher burnout and early attrition. The purpose of this study was to examine new teachers and administrators perceptions of novice teacher practices and their daily use of time. Apple s theory of intensification was used as the conceptual framework for this study. A case study design was employed to answer research questions regarding how procedures and policies affect teachers time, teacher perceptions about prior experiences with managing multiple responsibilities, …

Examination Of Adhd Symptoms In Children Of Traveling Armed Services Members, Giovanda Dewette Norman

Walden Dissertations and Doctoral Studies

Research has captured a notable increase in the diagnosis of attention deficit hyperactivity disorder (ADHD) in the United States. This increase in ADHD diagnosis is also seen in children in military communities. A gap in the literature exists regarding how military deployment affects the presentation of ADHD symptoms of children aged 3 to 15 in military families. The study examined the effect of military deployment status on children aged 3 to 15 with symptoms of ADHD. Participants were 164 military families, representative of the diversity of the military, from military bases around Southern California. Each participant responded to 2 questionnaires: …

Disaster Management And Efforts To Mitigate The Destruction Of The Human-Environment, Dorothy Henderson Bell

Walden Dissertations and Doctoral Studies

Natural disasters expose the fact that poverty, race, gender, and other indicators of social disadvantage are linked to the population of citizens who struggle the most to recover after a disaster, yet these factors are not accounted for in public policy that guides decision making related to federal assistance to residents affected by a disaster. This study used neural networks as a research strategy to determine whether the current policies under the Stafford Act related to assistance comply with Congressional intent and law that uses a formula for assistance distribution, and whether human factors such as culture, measured as residing …

Collectivizing Our Impact: Engaging Departments And Academic Change, Kevin Kecskes

Public Administration Faculty Publications and Presentations

This article invites readers to consider foundational assumptions about community-engaged work. The author envisions a path forward to help “un-stall” the community engagement movement and to deepen and broaden practice. Connecting cutting edge thinking emerging out of the public, private, and nonprofit sectors – all suggesting the need to collectivize our work – the author argues in favor of refocusing community engagement efforts on the backbone of higher education: academic disciplines and departments. The article concludes with a composite vision, compiled from data and experiences collected at multiple postsecondary institutions in the United State and beyond, for a partnership landscape …

Enacting True Partnerships Within Community-Based Learning: Faculty And Community Partners Reflect On The Challenges Of Engagement, Seanna Kerrigan, Vicki L. Reitenauer, Nora Arevalo-Meier

Public Administration Faculty Publications and Presentations

In the past two decades, the literature on campus-community partnerships as core components of pedagogies of engagement has grown exponentially. In this article, the director and a longtime faculty member of Portland State University’s capstone program report on interviews conducted with ten faculty-community partner pairs, gleaning insights on both the challenges of and lessons learned through partnering. This research adds to the literature through its use of relational methods that bring the voices of interviewees to readers, revealing a depth of connection across the institutional divide.

Impact Of Voices, Ideas, Vision, Action Exchange For Teachers In Educational Policies Of Iowa, Tammy Elaine Wawro

Walden Dissertations and Doctoral Studies

Low teacher morale and high attrition rates can be attributed in part to educational policy changes and instructional decisions made by individuals who are not connected to the classroom. Time constraints, logistical struggles of getting a critical mass of teachers together, and the geography of rural Iowa schools all play a role in teachers' inability to form a unified voice. The Voices Ideas Vision Action (VIVA) Idea Exchange-?¢ is an online process that combines crowd-sourcing methods with individual engagement strategies over a 6- to 8-week period. The purpose of this study was to determine the impact the VIVA program has …

Benefits And Barriers Of Hud Neighborhood Stabilization Program As Perceived By Stakeholders, L. Diane Bennett

Walden Dissertations and Doctoral Studies

Devalued homes and weakened economic conditions of 2008 led to lost property tax revenues, more vacant and abandoned properties, and destabilized neighborhoods. The first Neighborhood Stabilization Program (NSP1) was a federal intervention designed to mitigate the damage of the recession, but there is scant evidence of program effectiveness. A phenomenological study, using a method outlined by Moustakas,

answered questions on the benefits and barriers of NSP1 as perceived by stakeholders in a Mid-Atlantic city. Stakeholders included nonprofit housing advocates, residents, business partners, and government officials. Theories of collaborative governance and community stakeholders were used to guide the investigation of NSP1 …

Risks Of Driving While Talking On Mobile Devices: Soccer Parents' Perceptions, Tonisha Dawn Joyner-Bagby

Walden Dissertations and Doctoral Studies

The number of motor vehicle accidents that occur as a result of driving while talking on

mobile devices increases each year. Distracted driving is dangerous; however, policy

researchers have not focused on adults who talk on mobile devices as they drive children

to and from daily events. This study focused on the experiences of soccer parents, an

important focus because of soccer's year-long duration that requires a large amount of

driving in addition to the other daily tasks of parenting. The purpose of this

phenomenological study was to investigate the perceptions of parents of child soccer

players regarding the motivations …

The Impact Of Federal Emergency Management Legislation On At-Risk And Vulnerable Populations For Disaster Preparedness And Response, Joseph Catalino

Walden Dissertations and Doctoral Studies

It is well documented that in the aftermath of a natural or human caused disaster, certain at-risk and vulnerable populations suffer significantly more than do other population groups. As a result, Congress enacted the Post-Katrina Emergency Management Reform Act (PKEMRA) in part to address deficiencies in providing aid to vulnerable populations, though little is known if the PKEMRA has resulted as it was intended. The purpose of this phenomenological study was to assess the impact of the PKEMRA on addressing emergency preparedness deficits related to at-risk and vulnerable populations. The theoretical framework followed Howard's conceptualization of game and drama theory. …

Food Policy: Urban Farming As A Supplemental Food Source, Bessie Didomenica

Walden Dissertations and Doctoral Studies

The distance between farms and cities and the limited access that some residents have to fresh foods can be detrimental to a city's capacity to feed people over time. This study addressed the under-studied topic of urban farming as a secondary food source, specifically by exploring the opportunities and limitations of urban farming in a large Northeastern city. Brundtland's food policy was the pivotal theory supporting food production to end global starvation, and was the link between environmental conservation and human survival. The research question for this study examined the potential food policy opportunities and limitations that assist urban farms …

Qualitative Case Study On F-35 Fighter Production Delays Affecting National Security Guidance, Monique Marie Maldonado

Walden Dissertations and Doctoral Studies

Approaching $400 billion for its establishment and production, the F-35 Joint Strike Fighter (JSF) is the Department of Defense's (DoD) largest acquisition program in U.S. history. Unfortunately, significant delays have immobilized the program's production rate, and little research has examined whether and how such delays directly affect national security. The purpose of this study was to determine whether and how production delays in the JSF program directly affect national security. The theoretical foundations for this qualitative case study were Condorcet's modernization theory and Giddens's globalization framework. Data were collected from interviews with 15 senior DoD civilian, military, and JSF officials …

Minorities' Perception Of The Comprehensive Emergency Management Model Of Distributing Of Information, Lawrence Davis

Walden Dissertations and Doctoral Studies

Failure to receive critical and timely information from emergency management professionals (EMPs) may lead to the loss of life during disasters and emergencies. Recent research and government reports have indicated that there may be communication failures between EMPs and minority community members, though little is known about how minority communities perceive EMP communication efforts. The central research questions and purpose of this study were designed to explore the experiences of minority community members in receiving and interpreting disaster-related communications from EMPs. Data for this phenomenological study were acquired through-in-depth interviews with 13 African Americans (7 males and 6 females) located …

Health Care Reform And The Transition From Volume To Quality Payment Models: A Primary Care Focus, Kevin Lee Jackson

Walden Dissertations and Doctoral Studies

The 2010 Patient Protection and Affordable Care Act (PPACA) resulted in providers and health care organizations conforming to new payment models that connect reimbursement to patient outcomes. Primary care providers (PCPs) are tasked to provide new quality provisions as chronic disease management is a key focus to improve outcomes. The purpose of this study was to understand the transition to new payment models and determine whether care is improved. The conceptual framework is grounded in health care access models geared towards the improvement of quality outcomes including the chronic care model (CCM). The research questions were designed to understand providers' …

Employee Perception Of The Value Of Customer Focus Training In Public Transportation, Michael L. Dawkins

Walden Dissertations and Doctoral Studies

The number of service-oriented jobs has increased locally and nationally, and organizations are spending millions of dollars to train front-line employees to maintain customer satisfaction and compete in the service industry. Despite the financial investments of these training programs, little research has investigated the holistic effectiveness of customer-focused training (CFT) programs. Researchers found positive relationships between the constructs under investigation and reported that when CFT programs are delivered on a consistent basis with leadership support, they help build a service-oriented culture. The purpose of this case study was to investigate employee perceptions of CFT and relationships between performance, engagement, and …

Downsizing The United States Air Force Security Forces: A Phenomenological Investigation, Winell De Mesa

Walden Dissertations and Doctoral Studies

The United States Air Force (USAF) has downsized an average of 10,000 active duty personnel each year from 1990 to 2010. Despite this downsizing, the mission remains the same, which increases the workload on the remaining airmen, lowers morale, decreases specialization, changes the mindset/culture, accelerates promotion rates, and shifts the dependence on technology in the Security Forces career field. The USAF needs adequately sized and proficient members to meet its mission. This phenomenological study examined the effects of USAF downsizing on the USAF Security Forces career field. The great man theory, social learning theory, theory of expertise, and Maslow's hierarchy …

A Grounded Theory Study Of Navigating The Cycle Of Decline In Public School Teaching, Jenny Sanders

Walden Dissertations and Doctoral Studies

Excessive teacher turnover has considerable financial, logistical, and academic implications for public education. The purpose of this study was to develop a grounded theory (GT) that conceptualized the experiences of former Georgia public school teachers in order to better understand voluntary teacher attrition. Informed by Ryan and Deci's self-determination theory, this GT study provided insight into the process by which teachers arrive at the decision to leave public schools. Interviews with 12 former Georgia public school teachers were conducted. A constant comparative analysis was used to develop the theory of navigating the cycle of decline, which accounts for the general …

Shared Trauma And Resiliency Among Military Mental Health Veterans: A Heuristic Inquiry, Tashina Miller

Walden Dissertations and Doctoral Studies

With the wars in Iraq and Afghanistan lasting over a decade, hundreds of military mental health providers have deployed to hostile environments and some on multiple occasions. Military mental healthcare providers can experience symptoms of acute and chronic stress resulting from exposures to horrific events while caring for soldiers in a deployed environment. Indeed, in treating these soldiers, clinicians may continue to experience the same traumatic events as their clients. The purpose of this phenomenological study was to understand and describe shared trauma and resilience for military mental health professionals who have deployed. The concept of shared trauma was defined …

Employees' Perceived Effectiveness Of Outsourcing Department Of Defense Functions, Theresa J. Corzine

Walden Dissertations and Doctoral Studies

The United States Department of Defense spends billions of dollars annually on outsourcing functions to private contracted companies without knowing if their actions are effective. Guided by Feigenbaum, Henig, and Hamnett's theory of privatization and President Eisenhower's warnings of the impending military-industrial complex, the intent of this grounded theory study was to develop relevant theory regarding how the Department of Defense might accomplish missions through outsourcing during current and future fiscal constraints. This study sought to understand the perceived effectiveness of outsourcing Department of Defense functions through the perspectives of 2 employment groups directly affected by such outsourcing: federal employees …

The Effect Of A State Legitimation Process On Child Support Payments And Father-Child Relationships, Chalonda L. Smith

Walden Dissertations and Doctoral Studies

For noncustodial fathers, having legal rights and leaving an inheritance to their child or children are important aspects of being an active father. Georgia state law sees a difference between paternity and legitimation, and for some noncustodial fathers, although paternity is established and they are responsible for supporting that child financially and medically as deemed through child support enforcement, they have no legal rights to their children, nor can they petition the courts for visitation until legitimation is established. This correlational study examined the impact that the legitimation policy has on noncustodial fathers and their relationship with their child, as …

Correlations Between Childhood Obesity And Obesogenic Environmental Variables Within Durham County, North Carolina, Eureka Capri Daye

Walden Dissertations and Doctoral Studies

The application of geographic information systems was used to map obesogenic conditions by zip code tabulation areas in Durham County, North Carolina and evaluated associations between those conditions and the understudied area of early childhood obesity. Of the thirty one percent of the children in Durham County, North Carolina who were considered obese in 2010, four hundred and thirty three (1:5) 2 - 4 year old children who received supplemental nutrition services for women, infants and children were obese with BMI levels greater or equal to the 95th percentile and were used as the criterion variable in the study (N=433). …

Cyclical Economic Impacts On Aggregated Fiscal Imbalance Levels In The United States, Douglas Arthur Merriman

Walden Dissertations and Doctoral Studies

Cyclical Economic Impacts on Aggregated Fiscal Imbalance Levels in the United States

by

Douglas A. Merriman

MSM, University of Maryland University College, 2004

BS, Central Washington University, 1983

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Applied Management and Decision Science

Walden University

July 2015

The impacts of cyclical economic volatility on state-level fiscal imbalance levels have gained attention, given that beginning in late 2007, the United States experienced the deepest and longest-lasting recession in its history. The problem addressed by this study was whether there was a statistically significant relationship between certain …

Veterans In Transition: A Correlational Investigation Of Career Adaptability, Confidence, And Readiness, Schleurious Lavan Gaiter

Walden Dissertations and Doctoral Studies

Thousands of service persons and veterans may be leaving military service annually without required skills and not receiving timely career counseling and interventions needed to aid in their career transitions. Knowledge about service persons' career adaptability, confidence, and readiness could enhance the actions of all stakeholders to address the challenges that accompany career transitions and may aid in identifying needed counseling and interventions. Using a survey containing the Career Transitions Inventory and the Career Futures Inventory-Revised, perspectives were obtained from service persons (N = 264) while attending Transition Assistance Program workshops. Two research questions for the study examined associations between …

The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata

Walden Dissertations and Doctoral Studies

By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address …

A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth

Walden Dissertations and Doctoral Studies

Since 2001, increased policy attention and federal funding mechanisms have required more effective disaster response by government actors and private sector organizations, including the health care system. However, there is limited scholarly evidence documenting which structural elements have been associated with efficacious regional coalitions. This study addressed the gap by examining whether the number of different participating disciplines (a proxy for coalition roles), community setting, and prior weather-related disaster declaration influenced the number of activities (a proxy for coalition responsibilities) conducted by the health care coalition. Social network theory was the theoretical lens with which the study results were used …

Perceived Factors Contributing To Coronary Heart Disease In African American Women, Funmilola O. Sholanke

Walden Dissertations and Doctoral Studies

African American women (AAW) suffer from disproportionately high death rates due to coronary heart disease (CHD) compared to Caucasian women. Although there have been a number of studies targeting African American adults with CHD in clinical interventions, very few studies have addressed the social determinants of health and the influence of AAW's perceptions of health factors on health outcomes. The purpose of this phenomenological study was to fill the gap in the existing knowledge base by examining the lived experiences of 10 AAW diagnosed with CHD with a focus on the perceptions of environmental, socioeconomic, and cultural factors related to …