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Articles 1711 - 1740 of 16255
Full-Text Articles in Entire DC Network
Impact Of Mental Illness On Colon Cancer Screening Participation, Stephanie Tejada
Impact Of Mental Illness On Colon Cancer Screening Participation, Stephanie Tejada
Walden Dissertations and Doctoral Studies
This study analyzed the impact of mental illness on colon cancer screening participation. The research problem centers on the under-screening of colorectal cancer (CRC) in psychiatric patients, leading to delayed diagnoses and poorer treatment outcomes. This quantitative retrospective cohort study examined how demographic factors (age, gender, ethnicity), healthcare access, and support group participation influenced CRC screening among individuals with mental illness. The research used data from 571 adults aged 50 and older from the National Health Interview Survey (NHIS). The Social Ecological Model served as the guiding theoretical framework for this study. Statistical analyses included t-tests, chi-square, logistic regression, and …
Exploring The Service-Learning Volunteer Experience Of African American Male Educators In Urban Schools, Gia N. Paige
Exploring The Service-Learning Volunteer Experience Of African American Male Educators In Urban Schools, Gia N. Paige
Walden Dissertations and Doctoral Studies
Educators who self-identify as African American male educators are underrepresented in educational leadership and scholarship on service learning, despite the significant roles they play in shaping urban educational spaces. In this qualitative phenomenological study, the lived service experiences of five African American male educators who engaged in service-learning and volunteerism in urban schools were explored. The purpose was to examine how these educators narrated their service experiences and how those experiences intersected with their identity as African American males. African American male theory was used to frame the study, emphasizing cultural heritage, resistance to deficit perspectives, and the affirmation of …
Implementing Clinical Guidelines To Improve The Number Of Inpatient Visits At A Mental Health Clinic, Kimberly Rochelle Miles
Implementing Clinical Guidelines To Improve The Number Of Inpatient Visits At A Mental Health Clinic, Kimberly Rochelle Miles
Walden Dissertations and Doctoral Studies
This DNP quality improvement project focused on addressing a critical gap in psychiatric care: the high rate of missed inpatient mental health visits. Missed follow-up appointments after hospital discharge are associated with medication nonadherence, relapse, hospital readmissions, psychiatric decompensation, and increased emergency department use. In severe cases, they may increase suicide risk. Contributing factors include patient-level barriers such as cognitive impairment, socioeconomic instability, stigma, low motivation, and transportation difficulties, as well as systemic issues like inadequate discharge planning and lack of standardized follow-up protocols. The evidence-based practice question guiding this project was: Will a clinical practice guideline (CPG) improve number …
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
Walden Dissertations and Doctoral Studies
There is no in this project
Employees’ Perceptions Of Their Performance Based On Continuous Training In Hospitals, Mohamad El Fakih
Employees’ Perceptions Of Their Performance Based On Continuous Training In Hospitals, Mohamad El Fakih
Walden Dissertations and Doctoral Studies
Training perceived as irrelevant or insufficient may lead to disengagement, lower performance, and even burnout, particularly in high-stress healthcare environments. The specific research problem is that Lebanese hospitals fail to adopt tailored training strategies that effectively enhance healthcare workers’ perceptions of their performance. The purpose of this qualitative interpretive phenomenological study was to explore the lived experiences of hospital employees in Lebanon, focusing on how ongoing training influenced their perceived job performance. Social learning theory, organizational learning theory, and institutional theory grounded this study. The participants comprised nine hospital administrators in Beirut. Data were collected using in-depth, semistructured interviews. Ten …
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Walden Dissertations and Doctoral Studies
Bystanders play a vital role in reducing opioid overdose deaths by administering naloxone, a medication that can reverse the effects of opioids when used promptly. With opioid-related fatalities considered a public health emergency in the United States, increasing public access to naloxone and education on overdose prevention has become a key strategy in harm reduction. Research shows that these efforts effectively lower overdose deaths in affected communities. As part of this public health approach, many states allow individuals to obtain naloxone without a prescription through standing orders at pharmacies and community programs. Additionally, legal protections such as Good Samaritan laws …
Staff Education To Improve Mental Health Knowledge Among Critical Care Staff, Ashton Barnes
Staff Education To Improve Mental Health Knowledge Among Critical Care Staff, Ashton Barnes
Walden Dissertations and Doctoral Studies
Mental health literacy is increasingly recognized as a critical component of nursing practice, particularly in high-acuity environments. At a local healthcare organization, leadership identified a gap in staff education related to mental health, contributing to elevated incidences of anxiety, depression, posttraumatic stress disorder (PTSD), burnout, and diminished patient outcomes. In response, I conducted this Doctor of Nursing Practice project to evaluate whether a structured educational intervention could enhance mental health knowledge and competency among critical care staff. Participants completed pre- and postintervention assessments to evaluate core concepts in mental health awareness and clinical application, with supplementary qualitative feedback gathered to …
Strategies Used In The Biotechnology Industry To Develop And Continuously Improve Compliant Regulatory Processes To Meet The Food And Drug Administration Quality Federal Regulations, Vicki Mckee
Walden Dissertations and Doctoral Studies
Failure to comply with the U.S. Food and Drug Administration (FDA) quality regulations can lead to enforcement actions for the biotechnology (biotech) industry. Noncompliant regulatory strategies have the potential for adverse medical outcomes for patients. As a result, managers in the biotech industry are concerned about ensuring compliance to avoid adverse medical outcomes for patients and sustain business operations. Grounded in Deming’s total quality management concept, the purpose of this qualitative pragmatic inquiry project was to explore effective quality management strategies that managers in the biotech industry use to develop and continuously improve compliant regulatoryQuality Federal Regulations processes to meet …
Successful Hiring Strategies Of Unmanned Aerial System Leaders In The United States, Gerald Evans
Successful Hiring Strategies Of Unmanned Aerial System Leaders In The United States, Gerald Evans
Walden Dissertations and Doctoral Studies
Ineffective hiring strategies in the unmanned aerial systems (UAS) industry can result in performance deficiencies, increasing operational costs and reducing profitability, which hinders industry growth. UAS leaders are concerned about these impacts on organizational and economic outcomes. Grounded in Kristof-Brown’s person–organization fit theory, the purpose of this qualitative pragmatic inquiry project was to explore the strategies used by UAS industry leaders who successfully hired personnel capable of minimizing performance inefficiencies. The participants were six UAS industry leaders in the United States who had effective hiring practices. Data were collected using semistructured interviews. Through thematic analysis, three themes were identified: importance …
Parent Roles Supporting Curriculum And Instruction With Virtual Learning During The Covid-19 Pandemic, Keli Louise Amprey
Parent Roles Supporting Curriculum And Instruction With Virtual Learning During The Covid-19 Pandemic, Keli Louise Amprey
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic created an educational crisis when schools across the United States closed abruptly, requiring parents to assume new roles as facilitators of online learning without adequate preparation. Guided by Bandura’s social learning theory, the purpose of this retrospective basic qualitative study was to investigate parents’ perceptions of their roles as instructional and curriculum facilitators for elementary-level students during COVID-19 distance learning. Research questions examined how parents described their roles as online instructional facilitators, what challenges they faced in supporting curriculum and instruction virtually, and what types of support they needed to succeed in their new educational roles during …
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
Walden Dissertations and Doctoral Studies
Cancer is a major public health problem in the United States and around the world. The condition is reported to be among the leading causes of death and has a significant impact on quality of life. The purpose of this study was to explore the association of smoking, education, and income level with cancer in the Mexican migrant population at U.S./Mexico border while controlling for age and gender. This quantitative, retrospective, cross-sectional study with a sample size of 988 used secondary data from the Mexican Migrant Project to explore the potential association between smoking, education and income level with cancer …
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
Walden Dissertations and Doctoral Studies
Malnutrition and gingivitis are common diagnoses in primary medical and dental care. The purpose of this quantitative study was to understand the association between malnutrition and gingivitis among residents in St. Louis, Missouri. The study was based on the social ecological model (SEM). The cross-sectional design involved secondary data (N = 2,553) from a Federally Qualified Health Center in St. Louis, Missouri that included de-identified patient demographic and diagnosis information of St. Louis City residents with a medical and dental visit in 2024. This study examined the relationship between malnutrition and gingivitis while controlling for ethnicity, preferred language, race, and …
Staff Education Project To Train Charge Nurses On The Use Of The Tsam Framework To Improve Leadership Competencies, Natoya Gaye Langley
Staff Education Project To Train Charge Nurses On The Use Of The Tsam Framework To Improve Leadership Competencies, Natoya Gaye Langley
Walden Dissertations and Doctoral Studies
The purpose of this doctoral project was to improve charge nurse leadership competencies through education on the tiered skills acquisition model (TSAM), addressing challenges of high turnover, limited orientation, and compromised care quality in an inpatient psychiatric facility. The background reveals a two-year financial loss of over $1.8 million tied to staff attrition, highlighting the urgent need for a structured training framework. TSAM, a progressive, competency-based model, offers a pathway for deliberate skill acquisition, leadership growth, and enhanced role clarity. A staff education program was implemented with ten charge nurses, incorporating a pretest, PowerPoint training, scenario-based roleplays, and a posttest. …
Transforming Fall Prevention Using A Systems-Wide Approach, Jessica Pierce
Transforming Fall Prevention Using A Systems-Wide Approach, Jessica Pierce
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project proposal targets fall reduction and injury prevention in a Veteran Affairs Medical Center (VAMC). The initiative implements a non-restrictive, evidence-based fall prevention program that excludes side rails and bed alarms, emphasizing systematic patient safety and personalized care. Falls are a major safety concern at the VAMC due to ineffective traditional methods, inconsistent assessments, and reliance on restraints, contributing to high fall rates and increased healthcare costs. The project successfully achieved consensus from an interprofessional team on developing a comprehensive fall reduction program. Evidence indicates that removing restrictive devices enhances staff engagement and protocol …
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Walden Dissertations and Doctoral Studies
The 2011 Patient Protection and Affordable Care Act (PPACA) mandated that Primary Care Providers (PCPs) offer brief cognitive assessments during the Medicare Annual Wellness Visit (AWV), but this practice was inconsistent at best. This study investigated factors that influenced PCPs intentions to routinely assess cognition during the AWV. The theory of planned behavior (TPB) was used to assess the relationship between PCPs' behavior beliefs, subjective norm beliefs, perceived behavioral control (PBC) beliefs, and external control factors and their intentions to conduct brief cognitive assessments during the AWV. Using a quantitative correlational design, a cross-sectional online survey was administered to 86 …
Crime Prevention Professionals’ Perspectives On Using Cpted To Mitigate Targeted Violence On K-12 School Campuses, Bridgit C. Didier
Crime Prevention Professionals’ Perspectives On Using Cpted To Mitigate Targeted Violence On K-12 School Campuses, Bridgit C. Didier
Walden Dissertations and Doctoral Studies
Targeted violence in K-12 schools across the United States is a serious concern. These incidents not only endanger students and staff, but also cause lasting trauma and erode trust in schools. While existing measures may deter some violence, questions remain regarding their overall effectiveness. This study involved exploring perspectives of crime prevention experts on using Crime Prevention Through Environmental Design (CPTED) strategies to mitigate violence in K-12 schools. Although CPTED is recognized as effective in terms of reducing crime, research on its use in schools, especially from the perspective of crime prevention professionals, is limited. This generic qualitative study involved …
Staff Education To Nursing Leadership On Implementation Requirements Of A Nurse Residency Program, Sherri Ulfig
Staff Education To Nursing Leadership On Implementation Requirements Of A Nurse Residency Program, Sherri Ulfig
Walden Dissertations and Doctoral Studies
Nurse residency programs provide new graduate nurses with a solid foundation to support their transition into practice. The DNP students completed a staff education project to educate nurse leaders on the implementation requirements of a nurse residency program at a not-for-profit hospital in the Midwest. The identified practice problem was that the organization paused its nurse residency program during the COVID-19 pandemic due to critical staffing needs, and the leaders wanted to redesign the program to meet current practice standards. The educational project question addressed whether education for site leaders would increase their knowledge of the implementation requirements of a …
Strategies To Mitigate Contractor Safety Noncompliance In The Construction Industry, Sallieann Wilson
Strategies To Mitigate Contractor Safety Noncompliance In The Construction Industry, Sallieann Wilson
Walden Dissertations and Doctoral Studies
Some contract managers lack clear communication channels with their contract stakeholders on construction safety noncompliance, which is a well-known industry challenge. Stakeholders, contractors, and workers of construction companies need to communicate more effectively with contract managers to ensure job-related injuries are minimized. Grounded in contingency theory, the purpose of this qualitative pragmatic inquiry research study was to explore the strategies contract managers use to mitigate contractor safety noncompliance with awarded contracts. Ten contract managers with more than 5 years of experience in contract or construction management participated in semistructured interviews guided by an interview protocol. Data were analyzed thematically, revealing …
Staff Education On Using The Epworth Sleepiness Scale In Primary Care, Amanda Robyn Jones
Staff Education On Using The Epworth Sleepiness Scale In Primary Care, Amanda Robyn Jones
Walden Dissertations and Doctoral Studies
Sleep disorders are prevalent in primary care settings and often remain underdiagnosed due to inconsistent assessment practices. This doctoral project was conducted to develop, implement, and evaluate whether an educational intervention for registered nurses would enhance their knowledge on using the Epworth Sleepiness Scale (ESS) for sleep assessment in primary care. Guided by adult learning theories and the analysis, design, development, implementation, and evaluation instructional design model, the aim of the project was to address the practice gap related to inadequate sleep evaluations, ultimately improving patient outcomes and promoting holistic care. Evidence was collected through pre and post intervention assessments, …
Covid-19 Crisis: Contemporary Trauma Theory And Clinical Social Workers’ Perspectives Of Work-Related Secondary Trauma Post-Pandemic, Dr. Veronica Y. Griffin
Covid-19 Crisis: Contemporary Trauma Theory And Clinical Social Workers’ Perspectives Of Work-Related Secondary Trauma Post-Pandemic, Dr. Veronica Y. Griffin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic was an unprecedented global crisis that challenged clinical social workers’ traditional client-centered strategies and exposed some to secondary trauma. The purpose of this qualitative study was to explore clinical social workers’ perspectives on work-related secondary trauma post-COVID-19 pandemic using the contemporary trauma theory as the theoretical framework. The research question involved exploring their perspectives of how this trauma affected their biopsychosocial functioning. Semi-structured interviews were conducted with eight participants who were clinical social workers between 28 and 36. Using thematic analysis, themes were identified and grouped into the three functioning groups: personal, relationships, and career. Twelve themes …
Staff Education On Suicidal Screening In Young African American Male Adults With Bipolar Disorders, Tokunbo Ndidi Allen
Staff Education On Suicidal Screening In Young African American Male Adults With Bipolar Disorders, Tokunbo Ndidi Allen
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice education project aimed to enhance mental health providers’ preparedness in culturally competent suicide screening, specifically for African American males with bipolar disorder in a behavioral health department. The practice issue identified was a lack of documented training, leading to underdiagnosis, missed interventions, and health disparities driven by cultural stigma, provider discomfort, and the absence of standardized guidelines. This represents a serious patient safety concern for African American males with mood disorders, such as bipolar, who are significantly underserved in mental health care. The guiding question was: Does a suicide screening education program improve the knowledge …
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Walden Dissertations and Doctoral Studies
The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …
Implementation Of Patient-Centered Approaches To Enhance Engagement And Satisfaction In Psychiatric Care Within A Family Mental Health Service, Nnenna Attah
Walden Dissertations and Doctoral Studies
Summary I conducted this evaluation of a quality improvement initiative at a family mental health service center aimed to enhance patient engagement and satisfaction in psychiatric care through patient-centered approaches. The practice problem addressed in this project was the lack of patient engagement and satisfaction. This issue is critical to address within the context of nursing practice because patient-centered care is fundamental to improving clinical outcomes, patient satisfaction, and overall quality of care. The practice-focused question was: How can patient-centered approaches enhance patient engagement and satisfaction in psychiatric care? In the project, I focused on evaluating the impact of patient-centered …
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Walden Dissertations and Doctoral Studies
Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …
State Government Policies And Opioid Overdoses And Deaths, William Jerome Howard
State Government Policies And Opioid Overdoses And Deaths, William Jerome Howard
Walden Dissertations and Doctoral Studies
In the United States, opioid deaths posed a significant public health crisis with profound social and economic implications. The opioid crisis continued despite the implementation of state-level prescription drug monitoring programs (PDMP), naloxone access laws (NALs), and Medicaid expansion programs. Existing research demonstrated opioid deaths and nonfatal overdose patterns highlight the need for targeted harm reduction strategies, but there remained a lack of quantitative studies that addressed the effectiveness of opioid harm reduction policies. The purpose of this quasi-experimental quantitative research was to evaluate the relationship between state-level PDMPs, NALs, Medicaid expansion programs, and the COVID-19 global pandemic period (2020-2023), …
Travel Professionals’ Successful Strategies For Implementing New Products, Mary Ashley Switzer
Travel Professionals’ Successful Strategies For Implementing New Products, Mary Ashley Switzer
Walden Dissertations and Doctoral Studies
The rapid introduction of new and innovative travel products presents challenges for travel industry professionals striving to stay competitive in a dynamic marketplace. This is a significant concern for travel professionals and industry leaders, as effectively implementing strategies can improve client satisfaction and support sustained business growth. The purpose of this qualitative pragmatic inquiry study was to explore the strategies used by travel industry professionals to successfully implement new, innovative tourism products to gain a competitive advantage. Grounded by the Red Queen effect competitive advantage model, six U.S.-based travel professionals with 5 years of experience and at least $1 million …
The Impact Of Digital Sexual Health Education Using Social Media On African American Undergraduate Students, Valora Reid Bishop
The Impact Of Digital Sexual Health Education Using Social Media On African American Undergraduate Students, Valora Reid Bishop
Walden Dissertations and Doctoral Studies
Despite making up approximately 12% of the United States’ population in 2020, African Americans ages 15 to 24 years old comprised 32% of the reported sexually transmitted diseases. The purpose of this quantitative research was to examine the impact of digital sexual health education (SHE) information on sexual health behaviors among African American undergraduate college students aged 18 to 24 years. The two research questions explored if the use of digital SHE information reduced the risk of adverse sexual health behaviors among African American undergraduate college student ages 18 to 24 years old; and if there was a relationship between …
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Walden Dissertations and Doctoral Studies
An education agency experienced a decline in loan originations from 2013 to 2023, creating fiscal challenges that threatened service sustainability. This created a need for operational strategies to stabilize funding and preserve resources. The problem was significant to the organization and the community’s ability to obtain equitable educational opportunities. The practice-focused question asked: What are the perspectives of staff and management concerning the agency's strategies to downsize and realign for sustainability? The purpose of this qualitative case study was to explore staff and management perspectives on downsizing and outsourcing as strategies to maintain operations. The study was informed by concepts …
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Walden Dissertations and Doctoral Studies
The chosen approach for the Doctor of Nursing Practice (DNP) project was a clinical practice guideline (CPG) on interventions to improve antidepressant medication adherence in adults diagnosed with depression in an outpatient setting. The consequences of medication nonadherence in patients with depression are devastating for individuals and the healthcare system. Therefore, addressing it within nursing practice is essential to improve treatment efficacy and patient outcomes. The practice question related to the DNP project was to determine whether the CPG could improve antidepressant medication compliance in adults diagnosed with a depressive disorder in an outpatient setting. I aimed to develop a …
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Walden Dissertations and Doctoral Studies
Evidence shows students who are not reading proficiently by the end of third grade are more likely to eventually drop out of high school or be considered illiterate as adults, making it challenging to function adequately in society. The problem addressed through this study was that as many as 60% of U.S. third-grade students scored below proficiency on annual standardized reading assessments. Guided by faucet theory by Alexander et al., the purpose of this causal-comparative quantitative study was to compare reading standardized test scores of third-grade students who participated in a summer school program (SSP) in the summer following second …