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Articles 2191 - 2220 of 16255
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Health Equity And Social Determinants Of Health Nurse Education, Jacqueline Arana Clements
Health Equity And Social Determinants Of Health Nurse Education, Jacqueline Arana Clements
Walden Dissertations and Doctoral Studies
The primary care setting provides integrated healthcare services where nurses address many healthcare needs, develop patient relationships, and practice in the context of family and community. To provide comprehensive care, nurses must complete a social determinants of health screening that addresses the social factors that impact clinical outcomes. In 2021, the National Academies of Sciences, Engineering, and Medicine published a nursing education strategy on educating nurses on social determinants of health. This project aimed to develop a staff education program to prepare primary care nurses on the concepts and terminology encompassing social determinants of health, identifying the severity of health …
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Walden Dissertations and Doctoral Studies
Public hospitals undergoing mergers and acquisitions (M&As) often encounter complex supply chain challenges that disrupt operations, decrease efficiency, and jeopardize financial sustainability. Ineffective post-merger integration may result in increased costs, lower employee performance, and diminished patient satisfaction. The purpose of this quantitative study was to examine whether key post-merger supply chain strategies: supply chain integration, vendor consolidation, inventory rationalization, and healthcare landscape evolution (independent variables) were significantly associated with hospital performance outcomes: supply chain efficiency, employee performance, employee satisfaction, patient care experiences, and financial efficiency (dependent variables). Grounded in organizational change theory, this study utilized a secondary data analysis design …
Developing Organizational Leaders’ Personal Mastery Through Emotional Intelligence Training In The Workplace: An Interpretive Phenomenological Analysis, Billie Bruce Relyea
Developing Organizational Leaders’ Personal Mastery Through Emotional Intelligence Training In The Workplace: An Interpretive Phenomenological Analysis, Billie Bruce Relyea
Walden Dissertations and Doctoral Studies
Mayer and Salovey, seminal researchers of emotional intelligence (EI), indicated that the ability measures of EI are still evolving, and the mental abilities involved in EI remain to be determined. Organizational leaders should understand this intention as the key to developing EI and personal mastery, resting firmly upon attaining accurate self-awareness as a prerequisite for human behavior. The purpose of this interpretive phenomenological analysis was to gain an understanding of the socially constructed realities of the lived experiences of organizational leaders and organizational development specialists who have completed Ennea International’s 5 Lens Development Platform (5LDP). Bandura’s social cognitive theory grounded …
Staff Education To Address Communication In Correctional Healthcare, Pamela Renee Bredy
Staff Education To Address Communication In Correctional Healthcare, Pamela Renee Bredy
Walden Dissertations and Doctoral Studies
This doctoral project was a staff education initiative focused on enhancing staff knowledge of Situation Background Assessment Recommendations (SBAR) communication through structured educational intervention in correctional healthcare settings. The practice problem centered on significant deficiencies in standardized communication. The practice-focused question was, Will implementing staff education on SBAR communication increase staff knowledge and confidence? I aimed to enhance staff communication and knowledge through SBAR implementation using live sessions, hands-on practice, and reference materials.
Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris
Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris
Walden Dissertations and Doctoral Studies
Early childhood teachers’ understanding of developmentally appropriate practice (DAP) is necessary to support children’s development and learning in early childhood settings. The problem was many early childhood teachers experience challenges using DAP to make informed decisions in the classroom to support birth to 3-year-old children’s development and learning. The purpose of this qualitative study was to explore early childhood teachers’ perspectives on challenges using DAP to make informed decisions to support birth to 3-year-old children’s development and learning in the classroom and what was needed to improve their use of DAP. The conceptual framework for this study was the National …
Elementary School Counselors Perceived Barriers To Service Delivery Throughout The Covid-19 Pandemic, Kimberly L. Johnson
Elementary School Counselors Perceived Barriers To Service Delivery Throughout The Covid-19 Pandemic, Kimberly L. Johnson
Walden Dissertations and Doctoral Studies
Elementary school counselors are essential to shaping the foundation of academic, social, and emotional development of children which was negatively impacted by the COVID-19 pandemic. ESCs were required to maintain the same level of engagement despite the pressing circumstances. No one has explored the lived experiences of ESCs as they faced extreme barriers and without this study, stakeholders would be ill-equipped to address their needs. The purpose of this descriptive phenomenological study was to explore ESCs perceived barriers to comprehensive service delivery during the COVID-19 pandemic. Husserl’s descriptive phenomenological research approaches were used, including only ESCs who worked throughout the …
Staff Education On The Importance Of Polypharmacy Management, Ronie Emmanuel
Staff Education On The Importance Of Polypharmacy Management, Ronie Emmanuel
Walden Dissertations and Doctoral Studies
This DNP project was a staff education created to address the practice problem of staff knowledge deficit around polypharmacy management in an outpatient internal medicine clinic. Inadequate staff education and inconsistent use of validated tools contribute to medication errors, adverse drug events, and fragmented care, thereby increasing health care costs and patient risk. The practice-focused question was: Will staff education on the importance of polypharmacy management increase staff knowledge? The purpose of this education project was to implement and evaluate a targeted staff education program focused on polypharmacy risks, safe prescribing practices, and the application of evidence-based strategies, such as …
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Walden Dissertations and Doctoral Studies
Declining church membership has reduced congregational engagement, and challenges in fostering self-efficacy and well-being have created significant concerns for Christian church leaders in the United States. Understanding how church leaders perceive and address these challenges is crucial for sustaining faith-based organizations and their impact on communities. The purpose of this qualitative case study was to explore the Christian church leaders’ perceptions of improving their congregation’s self-efficacy, well-being, and membership in Westchester, New York. Bandura’s theory of self-efficacy and Seligman’s theory of well-being grounded this study. The participants comprised 10 Christian church leaders. Data were collected using semistructured interviews. Through Braun …
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Walden Dissertations and Doctoral Studies
African American ex-offenders in Michigan have faced numerous challenges when trying to secure employment after incarceration. Despite the well-documented difficulties of reintegration, their personal experiences and perceptions of these obstacles remain largely unexplored. Successful reintegration has required individuals to break free from the behaviors and social patterns reinforced during their time in prisons. This generic qualitative study examined the role of reentry programs in addressing these challenges and emphasizes the need to reassess current criminal justice practices to better support formerly incarcerated individuals. This generic qualitative study focused on the employment struggles faced by African American ex-offenders and the broader …
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Walden Dissertations and Doctoral Studies
Coparents and partners of African American mothers are critical in the initiation and continuation of breastfeeding and influence a woman’s decision to breastfeed. The purpose of this qualitative study was to explore the experience of coparents/partners of African American mothers participating in breastfeeding education and its impact on the support they provide. Bandura’s social cognitive theory provided the theoretical foundation for this study. Data were collected via semi-structured interviews with 11 participants. Data analysis followed the traditional seven steps of interpretative phenomenological analysis. Findings showed that while coparents and partners of African American breastfeeding mothers found breastfeeding education to be …
Grades 5–6 Mathematics Teachers’ Experiences Implementing Professional Learning Communities, Jamarc Rashad Crawford
Grades 5–6 Mathematics Teachers’ Experiences Implementing Professional Learning Communities, Jamarc Rashad Crawford
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that in an urban Southeast Texas school district (SETSD), professional learning communities (PLCs) were implemented to provide support for mathematics teachers; however, Grades 5–6 teachers continued to struggle with providing mathematics instruction for their students in this Title I district. This ongoing challenge indicated a gap between the intended support mechanisms and their practical impact on teaching practices, necessitating a deeper investigation into the factors contributing to this persistent issue. The purpose of this basic qualitative study was to explore the SETSD Grades 5–6 teacher experiences with mathematics PLCs aimed at developing their …
Increasing Diversity, Equity, And Inclusion Among C-Suite Executives In Non-Profit Rural Hospitals, Veaunka Gulley
Increasing Diversity, Equity, And Inclusion Among C-Suite Executives In Non-Profit Rural Hospitals, Veaunka Gulley
Walden Dissertations and Doctoral Studies
Rural hospital health systems in the United States provide different services to rural communities, such as serving vulnerable populations, providing better access to healthcare, and contributing to the overall health of the community. Ninety percent of nonprofit CEOs are White, and 90% of nonprofit board members are White. This integrative review aimed to explore evidence of strategies to implement, promote, and increase DEI representation among C-suite executives in rural health systems. Twenty-five articles published between 2018 and 2024 were selected based on words used across the databases which included rural health*, hospital*, diversity*, and equity*. Literature containing the inclusion criteria …
Lived Experiences Of African American Women Exposed To Intimate Partner Violence In Single-Parent Homes, Lattakka Salley
Lived Experiences Of African American Women Exposed To Intimate Partner Violence In Single-Parent Homes, Lattakka Salley
Walden Dissertations and Doctoral Studies
Exposure to intimate partner violence (IPV) is widespread in childhood, but it is generally higher among African American children. Extensive qualitative analyses to understand the experiences of youth who have experienced IPV have suggested that help-seeking is vital to the survival rate of African American women. Nonetheless, most studies have involved mainly White participants from two-parent households. The current research included African American women who experienced IPV. Social learning theory was used in this study to describe the participants’ behaviors and experiences with IPV. A phenomenological approach was employed to uncover the participants’ lived experiences of IPV. Two research questions …
Mitigating Supply Chain Disruptions In The Retail Warehousing Industry, Terricka Nichole Townsend
Mitigating Supply Chain Disruptions In The Retail Warehousing Industry, Terricka Nichole Townsend
Walden Dissertations and Doctoral Studies
Retail warehousing stability is increasingly threatened by global uncertainties and supply chain disruptions, requiring urgent and innovative strategies. This issue is critical for retail warehousing managers and supply chain leaders, as their ability to respond impacts organizational resilience, business continuity, and customer satisfaction. The purpose of this qualitative pragmatic inquiry was to explore strategies used by retail warehousing managers to mitigate the negative impacts of supply chain disruptions on business stability. The situational crisis communication theory and attribution theory provided the conceptual framework for understanding how retail warehousing managers communicate and respond to supply chain disruptions while maintaining stakeholder trust …
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the teacher-reported increase in behavioral problems among students with attention-deficit hyperactivity disorder (ADHD) since a mandated introduction of educational technology in the classroom aimed at improving student performance. Using the PICRAT (passive, interactive, creative, replacement, amplification, transformation) describes the impact of technology on a teacher's previous practice model as the conceptual scaffold, this study was conducted to explore teachers’ experiences integrating educational technology and any corresponding student behavioral changes in classrooms that include students with ADHD. Following a basic qualitative design, data were collected through semistructured interviews, using a self-designed interview protocol, with …
Staff Education To Early Detection And Response To Patient Decline, Kein Gareth Rufino Pantaleon
Staff Education To Early Detection And Response To Patient Decline, Kein Gareth Rufino Pantaleon
Walden Dissertations and Doctoral Studies
This doctoral project implemented a staff education program to enhance early recognition and escalation of patient deterioration. Conducted at a 343-bed acute care hospital, the initiative addressed the ongoing problem of delayed detection and response to clinical decline, which often results in rapid response team activations and code blue events. Delays in intervention increase patient morbidity and mortality, despite many of these events being preventable through timely action. The project evaluated whether an interactive targeted education program could improve nursing staff’s knowledge, confidence, and willingness to activate escalation protocols, including Condition H and Code Help. Pre- and post-education surveys were …
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
Walden Dissertations and Doctoral Studies
Identifying gaps in reentry programs for formerly incarcerated women is challenging due to the lack of evaluations that include the perspectives of the transitioning women on which components most effectively support their reintegration. The purpose of this generic qualitative study was to explore the experiences and perceptions of transitioning women who received reentry services, in order to assess program effectiveness in community reintegration and inform future interventions. The research question for this study was, how do women served by Organization A’s reentry program describe the program’s effectiveness in preparing them for community reintegration after incarceration? To answer the practice-focused research …
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored probation officers’ perceptions of the economic barriers that prevent probationers in Eastern North Carolina from successfully completing probation. Challenges such as unemployment, financial sanctions, housing instability, and debt were identified as key obstacles contributing to noncompliance and recidivism. Grounded in Merton’s Strain Theory, the study addressed a gap in research by focusing on the experiences of officers who directly supervise probationers facing economic hardship. Data was collected through semi-structured interviews with twelve officers and analyzed using thematic analysis. The study was guided by two research questions: (1) What economic barriers prevent probationers from successfully completing …
Faculty Perceptions Of Challenges To Faculty Retention In Workforce Training Programs At A Higher Education Center In The Southern United States, Brea Terry
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the challenges of retaining faculty in the workforce training program division at a higher education center in the southern United States. The purpose of this basic qualitative study was to explore faculty perceptions regarding challenges to faculty retention in the workforce training program division at a higher education center in the southern United States and their recommendations for improved faculty retention. The conceptual framework that supported the study was Maslow’s hierarchy of needs theory. Data were collected through semistructured interviews with eight full-time workforce training faculty members who had been employed with the …
Developing An Effective Business Strategy For Microinsurance Demand In Nigeria, Adewale Ayokunle Adewusi
Developing An Effective Business Strategy For Microinsurance Demand In Nigeria, Adewale Ayokunle Adewusi
Walden Dissertations and Doctoral Studies
Nigerian insurance leaders face significant challenges in developing a sustainable microinsurance sector. Despite subsidies from governments and donors aimed at increasing demand, microinsurance operators struggle to expand and sustain their customer base, posing a critical challenge for industry leaders. Grounded in the cumulative prospect theory, the purpose of this qualitative multiple-case study was to explore strategies some insurance leaders in Nigeria use to grow and sustain business demand for microinsurance products. The participants were five insurance leaders in Nigeria who had employed successful strategies to develop and sustain business demand for microinsurance products. Data were collected using semistructured interviews and …
Parental Vaccine Hesitancy And The Decision To Vaccinate Children Against Covid-19, Jessica Mckee
Parental Vaccine Hesitancy And The Decision To Vaccinate Children Against Covid-19, Jessica Mckee
Walden Dissertations and Doctoral Studies
While there is a significant body of literature regarding vaccine hesitancy, there is a gap in the literature on its impact to parents’ decisions to vaccinate their children against a pandemic pathogen. The purpose of this study was to examine the relationship between parental vaccine hesitancy, measured using the health belief model (HBM) theoretical framework constructs of the Vaccine Hesitancy Scale (VHS; the degree to which an individual trusts in vaccine efficacy, safety, the reliability and trustworthiness of vaccine programs, community impact, perceived risks, and the importance of childhood vaccinations), and parents’ decision to vaccinate their children against COVID-19 with …
Addressing Assistive Technology Training Needs For Special Education Paraprofessionals In School Districts In A South-Central State, Presttee Robinson
Addressing Assistive Technology Training Needs For Special Education Paraprofessionals In School Districts In A South-Central State, Presttee Robinson
Walden Dissertations and Doctoral Studies
Paraprofessionals who work with students with disabilities in K-12 settings play a significant role in implementing assistive technology (AT); however, inefficient training often limits their ability to implement AT effectively. This training gap hinders inclusive education and equitable access for students with disabilities and may negatively impact their academic outcomes and independence. The purpose of this basic qualitative study was to explore the training needs and support requirements of special education paraprofessionals regarding AT in school districts within a South-Central U.S. state. Guided by the technological pedagogical content knowledge (TPACK) framework, which describes the knowledge educators need to effectively integrate …
Community Stakeholders’ Perceptions On Growing A Nonprofit Donor Base Through In-Kind Donations, Brittany A. Heine
Community Stakeholders’ Perceptions On Growing A Nonprofit Donor Base Through In-Kind Donations, Brittany A. Heine
Walden Dissertations and Doctoral Studies
In Northern Virginia alone, over 90,000 people are food insecure. The USDA has reported strong correlations between food insecurity and negative health outcomes. The purpose of this qualitative case study was to determine community stakeholders’ perceptions on engaging in strategic partnerships with Organization X using in-kind donations as a strategy to decrease the organization’s expenditures and grow its donor base. 14 community stakeholders were chosen through purposive sampling and participated in semi structured interviews. Using the conceptual framework of the unified theory of revenue generation for nonprofits, interview questions were developed to determine the variables that impact a stakeholder’s decision …
The Role Of Empathy On Suicidality Among Adults Receiving Mental Health Services, Chelsea Lynn Wade
The Role Of Empathy On Suicidality Among Adults Receiving Mental Health Services, Chelsea Lynn Wade
Walden Dissertations and Doctoral Studies
Efforts have been made to manage the phenomenon of suicide within the clinical setting; however, suicide remains a prevalent public health concern. The purpose of this research project was to explore the relationship between empathy and suicidality. The study was framed using Joiner’s interpersonal theory of suicide to determine the relationship between empathy, perceived burdensomeness, thwarted belonging, and suicidality in participants receiving outpatient mental health services. The research study was conducted utilizing a quantitative cross-sectional correlational survey design. Suicidality was measured using the Beck scale for suicide ideation and suicide behaviors questionnaire–revised; empathy using the cognitive, affective, and somatic empathy …
Staff Education On The Use Of An Evidence-Based Practice Tool To Manage Alcohol Use Disorder, Anyinkia Forteh
Staff Education On The Use Of An Evidence-Based Practice Tool To Manage Alcohol Use Disorder, Anyinkia Forteh
Walden Dissertations and Doctoral Studies
This project was a staff education on an evidence-based practice (EBP) tool used to manage alcohol use disorder (AUD). The staff at the project site demonstrated a lack of knowledge of an EBP tool to manage patients with AUD, which can lead to undiagnosed and untreated AUD and adverse health outcomes. Unhealthy alcohol use causes serious health, economic, and social problems, and it is a leading cause of death and disability in the United States. The practice-focused question was, “Will staff education on the use of an evidence-based practice tool to manage alcohol use disorder increase staff knowledge of the …
Challenges Individuals With Mental Illness Encountered With Reasonable Accommodation After The Implementation Of Title I Of The Americans With Disabilities Act, Kristie Demarco
Walden Dissertations and Doctoral Studies
Policy makers often lack information associated with the perspective of those living with mental illness as to whether Title I of the Americans with Disabilities Act is working as intended. When considering requests for workplace accommodations, the research literature has focused on the perspective of employers, and the impact on those with physical disabilities, yet few studies considered the impact on individuals with mental illness. The purpose of this generic qualitative study was to obtain the perspective of individuals with mental illness who have requested reasonable accommodations. Using a conceptual framework comprised of narrative policy framework and critical disability theory, …
Teachers’ Perceptions When Working With Students Who Have Mild Intellectual Disabilities, Mirra Ann Lefort
Teachers’ Perceptions When Working With Students Who Have Mild Intellectual Disabilities, Mirra Ann Lefort
Walden Dissertations and Doctoral Studies
A persistent problem in special education was the limited research on how teachers perceived and supported students with mild intellectual disabilities (MID) in junior grade classrooms. While inclusive education has been widely studied, few studies have addressed the specific instructional experiences of teachers working with this population. The purpose of this study was to explore teachers’ perceptions of students with MID in junior grades. A generic qualitative design was used to gain insight into teachers’ experiences and perspectives. Guided by the self-determination theoretical framework (SDT), the study explored how teachers responded to students’ needs for autonomy, competence, and relatedness in …
Staff Education To Enhance The Diagnosis Of Depression In Older Adults, Abiola Oyenwen Izekor
Staff Education To Enhance The Diagnosis Of Depression In Older Adults, Abiola Oyenwen Izekor
Walden Dissertations and Doctoral Studies
The aim of this staff education project was to improve provider knowledge on using the Geriatric Depression Scale (GDS) for screening depression in older adults. Geriatric depression is often underdiagnosed due to atypical symptoms and reliance on generalized tools such as the Patient Health Questionnaire-9 (PHQ-9), leading to delays in treatment and increased health care costs. To address this gap, I collaborated with a librarian to conduct a literature search, initially identifying 149 articles and refining them to 20 for review. I followed the analysis, design, development, implementation, and evaluation (ADDIE) model to structure the educational intervention. The training included …
Mentoring Teacher Identity Development Among Early Childhood Preservice Teachers, Marla Ruth Pankratz
Mentoring Teacher Identity Development Among Early Childhood Preservice Teachers, Marla Ruth Pankratz
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that many mentor teachers struggle to support early childhood preservice teachers in developing teacher identity. The purpose of this basic qualitative study was to understand mentor teachers’ challenges and what professional development or support fosters development of teacher identity in early childhood preservice teachers. Guided by Wenger’s communities of practice conceptual framework, data were collected via semistructured interviews with seven participants who had at least 3 years of early childhood teaching experience and had mentored an early childhood preservice teacher from a midwestern regional university in the last 5 years. Data analysis involved …
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Walden Dissertations and Doctoral Studies
Medicaid fraud and abuse in health care billing is committed by licensed practitioners, patients, or criminal organizations and can pose a serious business problem. Health care managers are particularly concerned because fraudulent claims can result in lost revenue, legal consequences, and diminished resources for legitimate patient care. Grounded in the Complex Adaptive Systems Model, the purpose of this qualitative pragmatic inquiry was to explore the strategies some health care managers use to reduce fraud and abuse in health care billing. The participants included four health care managers in California who have successfully implemented strategies to mitigate fraud and financial abuse. …