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Clinical Practice Guideline Workflow For Medication Prescription, Patience Morikang Apr 2025

Clinical Practice Guideline Workflow For Medication Prescription, Patience Morikang

Walden Dissertations and Doctoral Studies

The type of project was a clinical practice guideline (CPG) workflow for medication prescriptions. The practice problem was the lack of an evidence-based approach regarding medication prescriptions, resulting in increased errors. It is essential to address this problem to promote safe prescribing, increase team knowledge, and encourage patient safety in the organization and within nursing practice. The practice focused question was the following: Will a clinical practice guideline for medication prescription workflow be approved by experts for use in an outpatient mental health clinic to promote the reduction of errors? The project aimed to seek expert approval of a CPG …

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Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho Apr 2025

Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho

Walden Dissertations and Doctoral Studies

Blended learning using a learning management system was implemented in a gender-segregated American school in Kuwait but not evaluated to determine instructional effectiveness. Thus, the purpose of this quantitative study was to compare student performance to determine to what extent there were differences in mathematical growth from Grade 8 to Grade 10 between male and female students who were taught with the traditional classroom approach versus those taught with blended learning in an international school in Kuwait where education is segregated by gender. Grounded in the substitution, augmentation, modification, and redefinition model, this quasi-experimental study involved using pre and post …

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Nonprofit Leader Strategies To Retain First-Time Charitable Donors, Regina Goodrum Williams Apr 2025

Nonprofit Leader Strategies To Retain First-Time Charitable Donors, Regina Goodrum Williams

Walden Dissertations and Doctoral Studies

First-time donor retention remains a significant concern for nonprofit organizations, especially from rural nonprofit business leaders striving to maintain financial sustainability. These leaders care about identifying effective marketing strategies to retain first-time donors, as low retention threatens both their funding stability and their capacity to serve their communities. Grounded in single- and double-loop learning theory, the purpose of this qualitative multiple case study was to explore marketing strategies rural nonprofit business leaders use to retain first-time donors to achieve financial sustainability. The participants included four different charitable nonprofit business leaders in South Georgia and South Carolina with successful experiences in …

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Staff Education To Structured Bedside Handoff, Kevin Omwanghe Apr 2025

Staff Education To Structured Bedside Handoff, Kevin Omwanghe

Walden Dissertations and Doctoral Studies

Nursing bedside handover (NBH) strategies as a nursing practice is often implemented at the patient’s bedside to improve communication safety during the shift change. This practice is vulnerable due to inconsistent application among nurses. This staff education Doctor of Nursing Education project consisted of interviews with staff to explore the barriers to successfully implementing a bedside nurse handoff approach in an intermediate care unit and introducing a staff education program to increase staff knowledge of NBH. Ten registered nurses participated in this project. Results of the pre-education program survey revealed that 100% of the participants had participated in interviews related …

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Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson Apr 2025

Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson

Walden Dissertations and Doctoral Studies

Third-grade students are not meeting minimum proficiency in opinion and informational writing, as determined by scores from the annually mandated Georgia Milestones Assessment (GMAS) in the 19 elementary schools in a local school district in central Georgia. Guided by Vygotsky’s social-constructivist perspective, the purpose of this basic qualitative study was to explore Title 1 third-grade English Language Arts teachers’ experiences with using writing strategies designed to improve students’ writing proficiency on the GMAS in the Title 1 elementary schools in a local district in central Georgia. Data were collected using semistructured interviews with 10 third-grade teachers who were chosen from …

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Cryptocurrency Strategies For Small Enterprises, Ufuoma Omosebi Apr 2025

Cryptocurrency Strategies For Small Enterprises, Ufuoma Omosebi

Walden Dissertations and Doctoral Studies

Due to their limited creditworthiness and growth potential, small enterprises (SEs) encounter significant challenges when securing their growth needs. SEs in Florida lack awareness, understanding, or practical guidance on cryptocurrency-based growth strategies. The purpose of the qualitative, multiple-case study was to explore the cryptocurrency-based growth strategies available to SEs in Florida. Rogers’s diffusion of innovations theory, Markowitz’s modern portfolio theory, and Thaler’s behavioral finance theory grounded the conceptual framework. Four participants identified through purposeful sampling as SEs in Florida used cryptocurrency in their enterprises. Data were collected using in-depth semistructured interviews. Five themes emerged from the six-phase thematic analysis: (a) …

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Sustainable Cash Flow Management Strategies For Small To Medium-Sized Service Businesses, Melody Gray Apr 2025

Sustainable Cash Flow Management Strategies For Small To Medium-Sized Service Businesses, Melody Gray

Walden Dissertations and Doctoral Studies

Nearly 50% of small to medium-sized enterprises (SMEs) fail within five years, resulting in financial losses for business owners and reduced employment opportunities. Entrepreneurs care about this issue because poor cash flow management is a major contributor to business failure, threatening economic growth and job stability. Grounded in working capital management, the purpose of this qualitative, multiple case study is to explore successful cash flow management strategies for service industry SME owners to sustain free cash flow beyond 5 years. The study included four SME owner participants in the Dallas/Fort Worth metroplex who successfully started and sustained the business beyond …

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K-12 Administrators' And Teachers' Perceptions Of Legal Requirements For Providing Inclusive Education, Rebecca Kay Berger Apr 2025

K-12 Administrators' And Teachers' Perceptions Of Legal Requirements For Providing Inclusive Education, Rebecca Kay Berger

Walden Dissertations and Doctoral Studies

At a large school system in the northwestern United States, students who received specially designed instruction services at the middle school study site were not always included with nondisabled peers in general education classes to the extent possible. The theoretical framework guiding this study was Vygotsky’s social constructivist paradigm, which says shared experiences shape people. Using a mixed methods, nonexperimental research design, data were collected using a concurrent, embedded strategy using a pre- and posttreatment online survey with 17 teacher-participants for the pretreatment survey and 11 participants for the posttreatment survey. The treatment in this study was a district-approved professional …

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Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman Apr 2025

Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman

Walden Dissertations and Doctoral Studies

Effective communication during patient handovers is crucial for ensuring safe, quality care in the emergency departments (EDs) of small to medium-sized hospitals. The absence of standardized communication tools presents significant challenges, potentially leading to errors and hindering care coordination. This integrative review evaluates strategies for implementing standardized handover processes while examining their outcomes, underscoring the urgent need for enhanced communication practices. Grounded in the Donabedian quality conceptual framework, which encompasses structure, process, and outcomes as interconnected components of healthcare quality, the review identifies five key themes: (a) standardized communication protocols, advocating for the adoption of structured tools like SBAR and …

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The Experiences Of Veterans Seeking Peer-To-Peer Support For Mental Health Services After Covid-19, Edwin Brown Apr 2025

The Experiences Of Veterans Seeking Peer-To-Peer Support For Mental Health Services After Covid-19, Edwin Brown

Walden Dissertations and Doctoral Studies

This qualitative study explored the experiences of U.S. military veterans seeking peer-to-peer support for mental health services after COVID-19. The study investigated how veterans perceive the role of peer-to-peer support in addressing mental health challenges, particularly in the context of social isolation, anxiety, and other COVID-19 related stressors. Using semi-structured interviews, data were collected from veterans who sought peer-to-peer support services after COVID-19. A total of 14 veterans participated in this study, providing insights into their experiences accessing and utilizing peer-to-peer support mental health services after COVID-19. Thematic analysis identified key themes, including the importance of shared lived experiences, the …

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Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay Apr 2025

Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay

Walden Dissertations and Doctoral Studies

The problem that was addressed in this basic qualitative study was that fulltime college faculty was not sufficiently engaged in distributed leadership at a technical college in a western state. The purpose of this study was to explore fulltime college faculty members’ perspective about their engagement in distributed leadership at a technical college in a western state. The research questions explored how fulltime faculty described their engagement in, and knowledge of, faculty leadership, at a technical college, and recommendations for increasing engagement. Using Spillane’s leader plus paradigm as the conceptual framework, semistructured interviews of 14 purposively sampled fulltime college faculty …

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Higher Education Leaders’ Perspectives About Communication Challenges During Crises, Carey-Ann Marie Balkwill Apr 2025

Higher Education Leaders’ Perspectives About Communication Challenges During Crises, Carey-Ann Marie Balkwill

Walden Dissertations and Doctoral Studies

The problem was that while impact and problems of crisis communication have been identified in the literature, little is known about the perspectives of leaders in higher education when facing communication issues in times of crisis. Guided by crisis communication theory and leadership theory, the purpose of this basic qualitative study was to explore higher education leadership team members’ perspectives of communication challenges in times of crisis. Four research questions guided the study on the perspectives of higher education leadership team members about (a) how their own leadership and communication changed during a crisis, (b) how internal communications evolved during …

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K-12 Principals Who Persist In Their Principalship Despite Challenges In Urban Schools, Monique Nicole Durham Apr 2025

K-12 Principals Who Persist In Their Principalship Despite Challenges In Urban Schools, Monique Nicole Durham

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the approximately 13% attrition of K-12 principals in a large urban school district in the Mid-Atlantic region, exceeding the national average. The purpose of this qualitative study was to explore the perspectives of K-12 principals who had persisted in their roles despite the significant challenges in leading urban schools. The study was grounded in the job demands-resources theory, which posits that job demands could lead to burnout, while job resources help employees cope with challenges, thereby fostering resilience. For this basic qualitative design, data were collected from semistructured interviews with 12 …

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Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji Apr 2025

Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji

Walden Dissertations and Doctoral Studies

COVID-19 has put immense pressure on healthcare facilities, especially in managing patients with comorbidity. This study addressed the association between two important coinfections, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), and their effect on hospital length of stay (LOS) among COVID-19 patients. The study also explored the predictive role of the inflammatory biomarker C-reactive protein (CRP) in prolonged hospitalization, also considering the influence of age and race. This study applied the Biopsychosocial Model and Chronic Care Model (CCM) to examine health outcomes and resource use. A retrospective cohort research design was used to examine medical records of …

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Funding Opportunities For Non-Profit Organizations Led By Black Women, Laquasha A. Dixon Apr 2025

Funding Opportunities For Non-Profit Organizations Led By Black Women, Laquasha A. Dixon

Walden Dissertations and Doctoral Studies

This study addressed significant disparities in funding awarded to non-profit organizations (NPOs) in the United States, led by Black women. Racial bias and the lack of knowledge about alternative funding sources were key factors contributing to this funding gap, which limited the capabilities of these organizations. The research question guiding this study was: In addition to government grants and program sponsorships, what other funding sources are available to NPOs led by Black women? The conceptual framework employed as a foundation for the research was the concept of creating a diverse funding portfolio for sustainability. The purpose of the project was …

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Examining School Counselors’ Lived Experiences Of Relational Aggression In African American Girls, Crystal Holt Apr 2025

Examining School Counselors’ Lived Experiences Of Relational Aggression In African American Girls, Crystal Holt

Walden Dissertations and Doctoral Studies

Since the early 1990s, there have been examinations of the predictors of Relational Aggression (RA) in girls, but many questions remain unanswered that contribute to the lived experiences of school counselors addressing RA. RA is best defined as behavior that is deliberate and unfriendly, with the intent to cause harm to others through verbal, social, and emotional control. The purpose of this study was to explore the lived experiences of school counselors addressing RA in African American girls. A hermeneutic phenomenological lens was used to examine the individual perceptions of eight school counselors. Semistructured interviews were used to gather the …

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Strategies To Improve Higher Education Institutional Performance Through Predictive Analytics Implementation, Laxshaa Nadpurajah Apr 2025

Strategies To Improve Higher Education Institutional Performance Through Predictive Analytics Implementation, Laxshaa Nadpurajah

Walden Dissertations and Doctoral Studies

Higher education institutions face challenges in integrating predictive analytics due to data silos and resistance to adoption, limiting their ability to improve student outcomes and operational efficiency. This issue concerns institutional leaders, as ineffective data use can lead to declining retention rates, financial strain, and missed opportunities for growth. Grounded in the composite conceptual framework of the technology acceptance model and the diffusion of innovations theory, the purpose of this qualitative pragmatic inquiry study was to explore effective strategies to implement predictive analytics tools to reduce costs and improve student outcomes. The study included three higher education leaders in Ontario …

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Effective Social Media Strategies For Leaders Of Temporary Staffing Agencies, Latoya Laymon Apr 2025

Effective Social Media Strategies For Leaders Of Temporary Staffing Agencies, Latoya Laymon

Walden Dissertations and Doctoral Studies

Ineffective social media use strategies can negatively impact business recruitment capabilities. Temporary staffing agency (TSA) recruitment leaders who struggle to use social media for recruitment are at risk of business instability. Grounded in the Technology Acceptance Model, the purpose of this qualitative pragmatic inquiry was to explore social media strategies TSA leaders use for recruitment. The participants were seven TSA leaders who effectively implemented strategies to use social media for recruitment. Data were collected using semistructured interviews and publicly available industry documents. Using thematic analysis, four themes were identified: (a) social media platforms, (b) social media communications, (c) social media …

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Higher Education Faculty Perceptions Of The Strategies, Training, And Support Needed For Online Teaching, Jamie Wankier Apr 2025

Higher Education Faculty Perceptions Of The Strategies, Training, And Support Needed For Online Teaching, Jamie Wankier

Walden Dissertations and Doctoral Studies

Online teaching and learning are growing within higher education, and faculty require support and motivation to engage in professional development that provides training in transitioning from teaching face-to-face to online. The problem that was addressed through this project study was that few faculty members took advantage of the training in online pedagogical strategies at a midsized western state university (MWSU), despite survey results indicating that faculty wanted this training. The purpose of this qualitative study was to explore online pedagogical strategies, training, and support faculty need and are willing to participate in at MWSU. Hall et al.’s concerns-based adoption model …

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Effective Marketing For One Nonprofit Organization To Help Increase Financial Stability, Alexander King Apr 2025

Effective Marketing For One Nonprofit Organization To Help Increase Financial Stability, Alexander King

Walden Dissertations and Doctoral Studies

Effective Marketing for One Nonprofit Organization to Help Increase Financial Stability by Alexander King MS, Walden University, 2022 MA, American Military University, 2018 BA, American Military University, 2016 Professional Administrative Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Public Administration Walden University May 2025

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Successful Leadership Strategies For Reducing Staff Turnover In Clinical Research Organizations, Tamala Burden Apr 2025

Successful Leadership Strategies For Reducing Staff Turnover In Clinical Research Organizations, Tamala Burden

Walden Dissertations and Doctoral Studies

High employee turnover in clinical research organizations (CROs) disrupts research continuity, increases operational costs, and threatens the timely execution of clinical trials. High employee turnover is a critical concern to CRO leaders, as excessive employee attrition can delay developing and delivering new patient therapies and threaten organizational performance. Grounded in social exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore employee-focused strategies that CRO leaders use to reduce employee turnover successfully. Data collection included semistructured interviews with six purposively selected CRO leaders, supplemented by publicly available records to triangulate findings. Following Braun and Clarke’s 6-step …

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Perceptions Of Campus Safety And Campus Carry Among Student Veterans, Kerwin J. Flaherty Apr 2025

Perceptions Of Campus Safety And Campus Carry Among Student Veterans, Kerwin J. Flaherty

Walden Dissertations and Doctoral Studies

Student veterans are an essential population for research but remain consistently underexamined in the literature. Similarly, veterans carrying firearms are an essential but under-examined topic in the literature. This study sought to address gaps in both domains by investigating student veterans’ perspectives on safety and firearms on campus, or “campus carry”. Campus carry refers to a set of policies that vary by jurisdiction but generally allow individuals to legally carry concealed firearms on all or some parts of a public university or college campus. This qualitative phenomenological study explored how student veterans in Texas perceive campus safety and how these …

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Emergency Operations Plan To Sufficiently Support Prison Disaster Preparedness, Nyhrie Love Chapman Apr 2025

Emergency Operations Plan To Sufficiently Support Prison Disaster Preparedness, Nyhrie Love Chapman

Walden Dissertations and Doctoral Studies

Emergency management in correctional facilities is a critical aspect of institutional safety and security. Natural disasters and public health crises have exposed significant gaps in preparedness, leaving incarcerated individuals and staff vulnerable during emergencies. This qualitative study was conducted to examine prison staff members’ perspectives on the effectiveness of emergency operations plans (EOPs) in responding to natural and human-made disasters. Guided by social vulnerability theory and policy implementation and effectiveness theory, this study employed a phenomenological approach to explore staff experiences. Through 12 in-depth interviews, participants described challenges related to resource limitations, training deficiencies, and breakdowns in communication between agencies. …

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Medical Social Workers’ Self-Efficacy And Perceptions Of Interdisciplinary Collaboration Managing Patients With Chronic Pain And Opioid Use Disorder, Alexis Ware Apr 2025

Medical Social Workers’ Self-Efficacy And Perceptions Of Interdisciplinary Collaboration Managing Patients With Chronic Pain And Opioid Use Disorder, Alexis Ware

Walden Dissertations and Doctoral Studies

Social work is a complex field, with the roles and responsibilities of social workers often unclear. This ambiguity can lead to low self-efficacy and hinder effective collaboration with other disciplines, which can negatively impact patient care. The purpose of this quantitative study is to explore the relationship between the occupational self-efficacy of medical social workers, level of experience and social workers’ perceptions of interdisciplinary collaboration when managing patients with co-occurring chronic pain and opioid use disorder. The theoretical framework that guided this study is Bandura’s self-efficacy theory. The conceptual framework for this research is Bronstein’s model of interdisciplinary collaboration. The …

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Lived Experiences Of Seropositive Msm Who Face Intersectional Stigma Regarding Hiv-Prevention And Care In California, Sagar Bedi Apr 2025

Lived Experiences Of Seropositive Msm Who Face Intersectional Stigma Regarding Hiv-Prevention And Care In California, Sagar Bedi

Walden Dissertations and Doctoral Studies

Individuals who are positive for Human Immunodeficiency Virus (HIV) and identify as MSM (men who have sex with men), a population disproportionately affected by this disease, face complex struggles due to interplay between multiple forms of stigma, disclosure, and HIV risk behaviors. This results in delayed testing, poor treatment adherence, and decreased engagement in care. Despite the growing body of research on HIV among MSM, very few studies have explored the complex ways in which multiple forms of stigma intersect and impact the lives of Seropositive MSM. The purpose of this qualitative study was to explore the perception and lived …

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Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain Apr 2025

Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain

Walden Dissertations and Doctoral Studies

End-of-life (EOL) care is given to patients and their families near the end of the patient’s life or when a patient or family member chooses to stop any treatment they are receiving to either cure or control their disease process. Having discussions regarding end-of-life and dying has proven to be difficult and uncomfortable for most healthcare professionals, whether they are providers or nurses at the bedside. Part of the reason for the discomfort in having these discussions is twofold. First, healthcare professionals are trained to do what they can to save a person's life. Therefore, there is a lack of …

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Clinical Practice Guideline For The Improvement Of Care Compliance Of Children Affected By Obesity, Denise Vaz Apr 2025

Clinical Practice Guideline For The Improvement Of Care Compliance Of Children Affected By Obesity, Denise Vaz

Walden Dissertations and Doctoral Studies

Childhood obesity is diagnosed in children with a weight that is above the normal levels for their age and height. This diagnosis can be made if the child's body mass index (BMI) percentile is equal to or above 95% for age and sex. Per the Centers for Disease Control and Prevention (CDC; 2024), BMI, an anthropometric index of weight and height, is calculated by dividing a person's weight (in kilograms) by the square of their height (in meters), is used to assess if a child is underweight, overweight, obese or of healthy weight. The Cleveland Clinic (2024) noted that BMI …

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Staff Education To Increase Knowledge Of Safe And Effective Prescription Of Opioids For Pain Management For Patients With Illicit Drug Use, Kenny Adeshola Fagbamila Amanze Apr 2025

Staff Education To Increase Knowledge Of Safe And Effective Prescription Of Opioids For Pain Management For Patients With Illicit Drug Use, Kenny Adeshola Fagbamila Amanze

Walden Dissertations and Doctoral Studies

Opioid misuse and overdose continue to pose a significant public health crisis in the United States, particularly among patients with a history of substance use disorder (SUD). This Doctor of Nursing Practice (DNP) project aimed to improve healthcare staff knowledge regarding the safe and effective prescribing of opioids for pain management in patients with a history of illicit drug use. A staff education program was implemented at an outpatient clinic and evaluated using a pretest/posttest design with ten participants. The average knowledge score improved from 46% pre-intervention to 86% post-intervention, indicating a substantial increase in staff competence. The project supports …

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Effective Engagement Strategies For Management To Increase Job Satisfaction Within Virtual Teams, Judy R. Ramphal Apr 2025

Effective Engagement Strategies For Management To Increase Job Satisfaction Within Virtual Teams, Judy R. Ramphal

Walden Dissertations and Doctoral Studies

Job satisfaction within virtual teams is a significant challenge for many corporations, affecting goal achievement, retention, and performance. Some managers of medium to large companies lack strategies for the engagement of virtual team members to ensure job satisfaction. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative, multiple case study was to explore effective engagement strategies that some managers of medium and large companies use to increase job satisfaction within virtual teams. Participants included five upper-level managers from five companies who were successful in managing engagement strategies in virtual teams. Thematic analysis revealed three major themes: continuous communication with …

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Acculturation, Social Support, And Immigration-Related Stressors: Impact On Depression Among Single Mother Immigrants In The United States, Comfort Payne Apr 2025

Acculturation, Social Support, And Immigration-Related Stressors: Impact On Depression Among Single Mother Immigrants In The United States, Comfort Payne

Walden Dissertations and Doctoral Studies

Depression is a prevalent mental health condition that disproportionately affects immigrant single mothers in the United States, whose risk is heightened by unique vulnerabilities. The interplay between acculturation, social support, and economic burden in this population is underexplored. This quantitative, cross-sectional study examined the relationship between various factors and depression using 2020–2022 National Health Interview Survey data. Inclusion criteria were single immigrant mothers aged 19–60 years, who had lived in the U.S. for at least one year, had one or more dependent children, and self-reported depression status. The socioecological model provided a lens for identifying how individual, interpersonal, and structural …

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