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The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga Feb 2026

The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga

Walden Dissertations and Doctoral Studies

Helicopter parenting has been extensively studied within the emerging adult population. However, previous studies have recruited their participants solely from a university setting. The current literature on grit and emerging adults is limited. Therefore, this study sought to add to the current literature by recruiting emerging adults through multiple platforms, such as multiple social media platforms, to allow non-university participants. This study also sought to add to the current literature on emerging adults and grit. Utilizing the theories of social learning theory and self-determination theory, the purpose of this quantitative, correlational study was to determine if helicopter parenting and grit …

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Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel Feb 2026

Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel

Walden Dissertations and Doctoral Studies

A lack of staff knowledge regarding timely intake response and follow-up communication processes resulted in inconsistent management of client follow-up at the private mental health clinic in Florida. This gap in practice guided the practice-focused question: Does educating mental health clinical staff on timely intake response and follow-up communication improve staff knowledge in managing client follow-up processes in a private mental health clinic, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the Johns Hopkins evidence-based practice (JHEBP) model, the Walden University DNP Project Checklist, and the DNP Project Process …

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Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown Feb 2026

Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown

Walden Dissertations and Doctoral Studies

Mental health conditions affect 59 million individuals annually in the United States, translating to one in every four adults. Given this, mental health has emerged as a critical component of an individual’s overall health and well-being, with nurses being pivotal in identifying and addressing mental health concerns. However, research indicates that nurses often lack the knowledge and awareness to conduct mental health assessments. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on mental health assessments increased knowledge and awareness among nurses working in a local organization. A total of …

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Staff Education To Medical Surgical Nurses On Structured Discharge Checklist, Johnmary Odinigwe Feb 2026

Staff Education To Medical Surgical Nurses On Structured Discharge Checklist, Johnmary Odinigwe

Walden Dissertations and Doctoral Studies

Inconsistent discharge practices among medical-surgical nurses contribute to communication gaps, patient confusion, and preventable adverse outcomes following hospital discharge. Nurses, as frontline providers of discharge education, play a critical role in ensuring safe and effective transitions of care. This Doctor of Nursing Practice (DNP) project addressed a practice gap in nurses’ knowledge of implementing a structured discharge checklist. The purpose of this staff education project was to evaluate whether a structured discharge checklist education program would improve medical-surgical nurses’ knowledge of standardized discharge education practices. A pretest–posttest design was used to assess changes in knowledge among 36 medical-surgical nurses. Participants …

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Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran Feb 2026

Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran

Walden Dissertations and Doctoral Studies

As Generation X (GenX) women near full retirement age, concerns about retirement preparedness have increased due to limited time to save and greater dependence on employer-sponsored retirement plans. The purpose of this qualitative single case study was to explore Gen X women’s perceptions of their retirement preparedness and to identify themes that influence effective retirement planning. Life cycle theory, the theory of reasoned action, and vested interest theory ground the conceptual framework for this study, which together explain how individuals anticipate future needs and engage in intentional financial behaviors. The study primarily focused on participants’ perceptions of retirement preparedness and …

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Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky Feb 2026

Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky

Walden Dissertations and Doctoral Studies

Burnout is a significant concern in nursing practice as it is linked to emotional exhaustion, decreased job satisfaction, compromised patient safety, and increased nurse turnover—especially in high-acuity settings. Targeted education is essential to supporting nurse well-being and sustaining high-quality care This doctoral project entailed the implementation of a structured, practice-focused educational intervention to address nurse burnout and limited awareness of mental health resources in an acute care setting. The guiding question was, among acute care nurses, does participation in a one-day educational workshop on burnout and available mental health resources improve knowledge and awareness of burnout prevention compared to before …

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Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson Feb 2026

Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson

Walden Dissertations and Doctoral Studies

This staff education project addressed a practice gap in a psychiatric facility where nonclinical staff frequently submitted incomplete referral documentation for patients with co-occurring medical and psychiatric conditions. Due to the facility’s inability to provide acute medical stabilization, medical clearance is required before nurse practitioners can determine admission appropriateness. The project question was, Does educating intake staff on a standardized referral checklist improve knowledge of referral criteria, as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model informed evidence translation, and the analysis, design/development, implementation, and evaluation (ADDIE) instructional design model underpinned the development and evaluation …

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A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije Feb 2026

A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije

Walden Dissertations and Doctoral Studies

Mental health stigma among healthcare professionals remains a barrier to help-seeking behaviors, workforce well-being, and psychological safety. This Doctor of Nursing Practice project addressed a practice gap by providing standardized, evidence-based staff education to reduce mental health stigma. The practice-focused question examined whether implementing an evidence-based staff education guideline improved healthcare professionals’ knowledge, attitudes, and confidence regarding mental health stigma. An evidence-based educational intervention was developed using the ADDIE instructional design model and informed by an integrative literature review. The intervention was delivered through structured staff education sessions and evaluated using pre- and post-intervention design. Results demonstrated improved knowledge of …

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Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin Feb 2026

Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin

Walden Dissertations and Doctoral Studies

The increasing complexity of healthcare delivery in Ghana highlighted the need for accurate and timely data-driven decision-making in clinical settings. The study examined how implementation affects the accuracy of immunization records, the speed of clinical decision-making, and overall immunization coverage rates in Ghanaian healthcare facilities. A quasi-experimental, cross-sectional design was used to compare clinical encounters in facilities that implemented the EIR with those that continued using paper-based systems. The Technology Acceptance Model guided the assessment of how healthcare providers’ perceptions of the EIR affected system utilization, while the Data-Driven Decision-Making framework and Anderson’s Behavioral Health Theoretical Model provided additional conceptual …

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Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu Feb 2026

Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu

Walden Dissertations and Doctoral Studies

This doctoral project implemented a staff education program to promote nursing knowledge of resilience training and stress management at an outpatient mental health clinic. Workplace stress contributes to medication errors and to poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Nurse Communication scores, both of which undermine patient safety. The practice-based question was: Does resilience education enhance stress management strategy knowledge from pre- to post-education? The purpose was to evaluate whether structured resilience education improved nursing knowledge of stress management, guided by the analysis, design, development, implementation, and evaluation (ADDIE) model. Using the Johns Hopkins evidence-based practice (JHEBP) …

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Middle School Teachers’ Perceptions Of Integrating Technology Into Facilitating Learning In Georgia, Monia Gibbs Thomas Feb 2026

Middle School Teachers’ Perceptions Of Integrating Technology Into Facilitating Learning In Georgia, Monia Gibbs Thomas

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that middle school teachers in Georgia Middle School Districts (GMSD, a pseudonym) face challenges integrating technology into their teaching. Guided by Mishra and Koehler’s technological pedagogical content knowledge framework, the purpose of this qualitative study was to explore teachers' perceptions of successes, challenges, and support needed to effectively integrate technology into their teaching at GMSD. For this basic qualitative design, semistructured interviews were conducted with 11 middle school teachers who were purposively selected by emailing all GMSD teachers. Through Braun and Clarke’s thematic analysis, the following themes emerged: GMSD teachers have (1) no …

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Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion Feb 2026

Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion

Walden Dissertations and Doctoral Studies

Although childhood sexual abuse (CSA) is known to affect survivors’ subsequent self- esteem and interpersonal trust levels, its long-term impacts among African American women were not fully understood. The purpose of this qualitative phenomenological study, which was grounded in attachment theory and trauma theory, was to explore how CSA shapes African American women’s self-esteem, interpersonal trust, and healing processes in adulthood. To answer the study’s seven research questions, semistructured interviews were conducted with eight African American women. The use of Braun and Clarke’s reflexive thematic analysis approach yielded seven themes: (a) impaired trust, (b) disrupted self-esteem, (c) resilience and strength …

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Staff Education For Timely Sepsis Intervention At The Medical Center, Latonya Summers-Oliver Feb 2026

Staff Education For Timely Sepsis Intervention At The Medical Center, Latonya Summers-Oliver

Walden Dissertations and Doctoral Studies

This project developed a staff education program to clarify the concept of “time zero,” essential for timely sepsis intervention, in alignment with the SEP-1 core measure by CMS, which prescribes evidence-based treatment bundles within specific time frames. Aiming to improve staff knowledge in sepsis identification, treatment, and management, the program incorporated a literature review supporting educational strategies that enhance mortality rates and clinical outcomes. Using pre- and posttest assessments, the study demonstrated significant improvements in staff knowledge following targeted education on sepsis recognition and timely management. The findings underscore the importance of standardized, accessible training programs to improve clinical response, …

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Standardized Staff Education Project For Medication Adherence, Adebukola Kayode Feb 2026

Standardized Staff Education Project For Medication Adherence, Adebukola Kayode

Walden Dissertations and Doctoral Studies

Psychotropic medication nonadherence is a pervasive issue in psychiatric care and one of the leading contributors to relapse, symptom destabilization, and preventable behavioral‐health crises. At the outpatient psychiatric clinic project site, inconsistent medication-adherence education and the absence of a standardized, evidence‐based approach resulted in variable patient understanding and engagement. The purpose of this doctoral project was to implement and evaluate a structured staff education program to determine its effect on staff knowledge, confidence, and consistency in delivering standardized psychotropic medication-adherence education. I developed the intervention to engage clinical staff through a structured educational session grounded in Knowles’s adult learning theory …

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Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer Feb 2026

Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer

Walden Dissertations and Doctoral Studies

This study explored how informal caregivers of colorectal cancer (CRC) gain access to supportive care services at integrated cancer care institutions. Although supportive care aims to improve the quality of life for patients and caregivers, there is limited research on how informal caregivers participate in distress screening, and no standard process exists across settings. This study used a qualitative phenomenological approach to explore the lived experiences of 10 oncology nurses with screening informal caregivers for distress and referring them to supportive care within integrated cancer care institutions. The Global Supportive Care Framework for Cancer Care served as the theoretical framework …

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Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren Feb 2026

Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed stigma and implicit bias toward individuals with opioid use disorder (OUD) within a rehabilitation subacute care setting. OUD remains a significant public health concern and at the project site, inconsistent staff education was identified as a practice gap requiring intervention. The purpose of this practice-focused DNP project was to evaluate the impact of a structured staff education intervention on healthcare staff knowledge, attitudes, and confidence in caring for patients with OUD. The project was guided by a thorough evidence search. The project was implemented using brief, unit-based educational sessions delivered to interdisciplinary …

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Food Security Through Church-Sponsored Food Programs, Samantha Scott Feb 2026

Food Security Through Church-Sponsored Food Programs, Samantha Scott

Walden Dissertations and Doctoral Studies

A south-suburban Cook County, IL city lacks grocery stores with high-quality food options, which contributes to food insecurity. Residents often rely on highly processed, low-nutrient foods, contributing to nutritional vulnerability. Friendship Church’s food bank sporadically serves this food desert, but sustaining its operations is challenging. Using community-based participatory action research design and the food security theory, data were collected from 25 semistructured interviews with food bank beneficiaries and church staff/volunteers and analyzed using reflective thematic analysis. The four dimensions were examined: availability, access, utilization, and stability. Two questions guided the research: How do parishioners in one south-suburban Cook County community …

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Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson Feb 2026

Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was focused on a staff education program aimed at addressing the knowledge gaps of primary healthcare providers regarding pediatric medication adherence. Nonadherence among pediatric patients is a significant issue leading to adverse health outcomes and increased healthcare costs. The project underscores the necessity of enhancing provider knowledge and communication skills, alongside implementing systematic strategies to promote adherence. My objective with the project was to elevate primary healthcare providers’ understanding and practical application of pediatric adherence techniques through targeted, evidence-based education. I developed the practice-focused question to examine whether this tailored staff education could bolster …

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Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba Feb 2026

Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …

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Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor Feb 2026

Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor

Walden Dissertations and Doctoral Studies

Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …

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Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele Feb 2026

Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele

Walden Dissertations and Doctoral Studies

Clinician burnout is increasingly prevalent in outpatient mental health settings due to high emotional demands, heavy caseloads, and limited organizational resources, contributing to reduced job satisfaction, increased turnover, and diminished quality of care. The gap in practice at the project center revealed a deficiency in knowledge among mental health clinic staff regarding effective stress management and burnout prevention, which led to the practice question: Does educating providers and staff on mindfulness-based interventions improve knowledge, as evidenced by pre- and postsurveys? To close this gap, this Doctor of Nursing Practice (DNP) project educated staff members on mindfulness-based interventions (MBIs). The Walden …

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Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel Feb 2026

Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel

Walden Dissertations and Doctoral Studies

There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …

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Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota Feb 2026

Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a practice-focused staff education initiative designed to improve clinical staff knowledge, confidence, and readiness to educate adult patients enrolled in a Tirzepatide weight-management program. Tirzepatide has demonstrated superior weight-loss outcomes compared to other glucagon-like peptide-1 (GLP-1) receptor agonists; however, inconsistent staff education practices related to medication administration, adverse-event management, and lifestyle counseling present a gap in practice. Variability in staff knowledge and teaching approaches may reduce confidence, contribute to inconsistent patient education, and limit the effectiveness of evidence-based care delivery. The purpose of this DNP project was to address this practice gap …

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Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott Feb 2026

Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott

Walden Dissertations and Doctoral Studies

Due to complex neurological deficits that raise the risk of falls, falls among persons admitted to inpatient tele-neurology units represent a substantial and continuous problem in nursing practice. A preliminary evaluation conducted at the project site revealed inconsistent fall prevention procedures, inconsistent use of risk assessments, and a lack of a standardized, evidence based strategy to lower fall risk in this especially susceptible group. A practice focused investigation into whether the adoption of a standardized, nurse led fall prevention bundle would improve staff adherence to fall prevention protocols and lower the incidence of inpatient falls over a six month period …

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Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa Feb 2026

Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa

Walden Dissertations and Doctoral Studies

This evidence-based educational project focused on solving two problems at a private mental health clinic: Staff members used different methods to record patient intake information and schedule appointments. The methods staff used to interact with patients resulted in inaccurate documentation and longer response times. The project question was: Does educating staff on standardized intake procedures and appointment scheduling processes lead to better knowledge acquisition, as indicated by pre- and postsurvey results? The analysis, design, development, implementation, and evaluation (ADDIE) instructional design framework and the Johns Hopkins Evidence-Based Practice Models (JHEBP) were used in this educational project. A Walden University librarian …

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General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson Feb 2026

General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that secondary coteachers struggle to support students with disabilities in inclusionary college preparatory science classes. Grounded in Bandura’s theory of collective agency and supported by Pratt’s framework for achieving symbiosis, the purpose of this study was to explore secondary coteachers’ experiences and challenges as well as their perceptions of collaboration and professional development opportunities related to coteaching in inclusive college preparatory science classrooms in the Mid-Atlantic region of the United States. For this basic qualitative design, semistructured interviews were conducted with 10 secondary college preparatory science coteachers. The data were analyzed …

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Staff Education To Clinical Staff Within An Outpatient Psychiatric Practice, Ivy Dzifa Dzivenu Feb 2026

Staff Education To Clinical Staff Within An Outpatient Psychiatric Practice, Ivy Dzifa Dzivenu

Walden Dissertations and Doctoral Studies

No abstract provided.

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Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey Feb 2026

Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey

Walden Dissertations and Doctoral Studies

Current literature does not adequately address the factors that lead to and prevent burnout and poor work performance among inexperienced clinicians and clinical supervisors working in group private practice. Exploring supervision experiences, specifically leadership style, employee engagement, and internal communication, may provide insight into the experiences of novice mental health professionals and their supervisors in addressing burnout and enhancing work performance. Through a qualitative single-case study design informed by interpretative phenomenological principles, data were collected in semistructured interviews with five behavioral health leaders from a two-location group private practice who hold dual roles as clinicians and supervisors. The interview data …

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Staff Education Project To Improve Hypertension Medication Adherence In An Underserved Clinic, Margaret Mboe Etukeni Feb 2026

Staff Education Project To Improve Hypertension Medication Adherence In An Underserved Clinic, Margaret Mboe Etukeni

Walden Dissertations and Doctoral Studies

Hypertension is one of the most common chronic conditions managed in primary care. The identified practice problem for this staff education project was the lack of structured staff training and inconsistent provider knowledge regarding evidence-based strategies to improve medication adherence among patients with hypertension. Poor medication contributes to preventable complications such as stroke, heart failure, and kidney disease. The purpose was to evaluate if an educational intervention could improve provider knowledge related to medication adherence strategies in an underserved clinical setting. The practice question guiding the project was: In clinical staff working in an underserved clinic, does a staff education …

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Improving Follow-Up And Continuity Of Care Protocols Through Staff Education In An Outpatient Mental Health Clinic, Bimpe Omobolade Adedo Feb 2026

Improving Follow-Up And Continuity Of Care Protocols Through Staff Education In An Outpatient Mental Health Clinic, Bimpe Omobolade Adedo

Walden Dissertations and Doctoral Studies

In this DNP staff education project, I aimed to solve two main issues which disrupted patient treatment continuity: better documentation and follow-up care practices. The existing gaps in knowledge have led to missing scheduled appointments, missing medical information, and weak communication between hospital staff and clinic staff resulting in disorganized patient care. The main goal of the project was to improve staff understanding of post treatment procedures, maintenance systems, and medical recordkeeping requirements. Ten clinical staff members participated in education. Pre- and post-knowledge assessments were used to evaluate knowledge change. The normalized learning gain formula served to measure the extent …

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