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Clinical Practice Guideline For Delirium Screening, Raji George Mar 2025

Clinical Practice Guideline For Delirium Screening, Raji George

Walden Dissertations and Doctoral Studies

Summary This doctoral project developed a clinical practice guideline (CPG) to address the critical health issue of early identification of delirium among hospitalized high-risk patients. Hospital delirium is associated with prolonged hospital stay, increased nursing home or rehab use after hospitalization, and higher mortality. Evidence shows that systematic screening improves delirium identification among hospitalized high-risk adults. However, there was no clinical practice guideline for delirium screening at the project facility for high-risk, non-intensive care unit patients. Therefore, the practice-focused question for the project was, “Does the evidence support the development of a CPG for delirium screening in high-risk hospitalized patients …

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A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson Mar 2025

A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson

Walden Dissertations and Doctoral Studies

Despite calls from the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and the American Counseling Association (ACA), counseling programs struggle to recruit and retain Black women. One contributing factor to this issue is gendered racism directed toward Black women in the counseling profession. However, the research surrounding the race-based stress (RBS) and race-based traumatic stress (RBTS) experienced as a result of encounters with gendered racism among Black women leaders in this profession remains limited. This inquiry utilized a hermeneutic phenomenological qualitative methodology and the race-based traumatic stress inquiry model as a conceptual framework to explore the nature …

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Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson Mar 2025

Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson

Walden Dissertations and Doctoral Studies

Over 1,000 lives have been lost in school shootings in the United States. Many school shooters are current or former students ages 12 to 18, predisposed to risk factors (e.g., mental illness, bullying, trauma). Teachers have a crucial role in school safety, but their voices are underrepresented regarding school shooting interventions. Guided by the social ecological model, this generic qualitative research explored teachers’ perspectives of the risk factors, protective factors, and intervention strategies for school shootings. Data were collected through semistructured interviews with 10 secondary education teachers from various states in the United States. The collected data were then thematically …

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Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn Mar 2025

Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn

Walden Dissertations and Doctoral Studies

The separation of physical and behavioral healthcare and a dominant medical model have left a void in practice and research, especially pertaining to the leadership strategies necessary to integrate the two forms of care in college campus healthcare clinics. This is especially important given the rise of mental health concerns on and off college campuses. Without integration, there are missed opportunities for care delivery, in general, and a missed opportunity for the provision of care to individuals who historically have not accessed physical and behavioral healthcare at equivalent rates as other populations. The subject of care integration is addressed in …

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Narrative Inquiry: Exploring Black Female Professional Counselors’ Storied Experiences Of Supervision, Donald Theophilus Cooper Mar 2025

Narrative Inquiry: Exploring Black Female Professional Counselors’ Storied Experiences Of Supervision, Donald Theophilus Cooper

Walden Dissertations and Doctoral Studies

Black women supervisees are underrepresented in research. Given the importance of relational connections in women’s lives and how the supervision process occurs in relational interactions of intersecting contextual variables, an investigation into the supervision experiences of Black female professional counselor supervisees was warranted. This narrative inquiry aimed to explore and understand how Black female professional counselor supervisees narrate their supervision experience. The research question focused on how Black female professional counselor supervisees narrated their supervision experience. Eight participants were recruited from social media. They self-identified as Black and female, lived in the United States, and were licensed professional counselors. Narrative …

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Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed Mar 2025

Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed

Walden Dissertations and Doctoral Studies

As a result of a lack of effective risk management strategies, some minority small business owners are unable to address business challenges during changing business environments. Small business leaders who cannot mitigate challenges in changing business environments risk financial loss and business failure. Grounded in general system theory and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry study was to explore effective risk management strategies of minority small business owners used to mitigate challenges of changing business environments. The participants were six minority small business owners from southwest region of the United States who successfully mitigated the challenges of …

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Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye Mar 2025

Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye

Walden Dissertations and Doctoral Studies

African American business owners experience challenges in enhancing customer experience and increasing sales. African American retail business owners are concerned with financial and technological limitations because these factors directly impact customer satisfaction and overall sales growth. Grounded in the theory of technology advancement and heuristic theory, the purpose of this qualitative pragmatic inquiry was to explore the financial and technological strategies that African American retail business owners of medium-sized retail supply chain retail organizations in the Northeastern United States use to enhance the customer experience and increase organization sales. The participants were six African American retail business owners who have …

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Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole Mar 2025

Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole

Walden Dissertations and Doctoral Studies

In this qualitative case study, the employee retention problem of a rural nonprofit organization in North Carolina was explored. Specifically, the employees’ feelings regarding the issues affecting the organization’s employee retention problem were collected to provide administrators at the organization with recommendations to increase employee retention. Through interviews, participants shared their perspectives on employee retention and why they believe there is a retention problem at the organization. In addition, 10 exit interview records of previous employees were reviewed. Applying the conceptual framework of Maslow’s hierarchy of needs, the data collected from the interviewed participants and from exit interviews of previous …

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Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong Mar 2025

Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong

Walden Dissertations and Doctoral Studies

Corruption in Nigeria’s educational sector, especially the tertiary sector, exists as a gap in the literature between policy formulation and implementation. Government agencies structure educational policies for their personal goals rather than enacting a policy framework promoting broad national interest. Current literature reveals that policies on recruitment and admissions in the tertiary education system are personality-oriented and allow tribalism, nepotism, favoritism, and even discrimination. This general qualitative study used the narrative policy framework to examine nepotistic practices in recruitment and admissions in Nigeria’s tertiary education sector. The purpose was to examine how nepotism in recruiting qualified employees impacts the tertiary …

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Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes Mar 2025

Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes

Walden Dissertations and Doctoral Studies

Teacher retention remains a persistent challenge in the field of education, with teachers of color (TOCs) experiencing disproportionately higher attrition rates compared to their White counterparts while affect schools nationwide, particularly in high-need areas. The purpose of this qualitative study was to investigate why TOCs left their teaching positions in Virginia. This study was grounded in job demands-resources theory and focused on the significance of the demands and available resources within a workplace. For this basic qualitative design, eight former TOCs that had at least 3 years of experience in a suburban district in Virginia participated in semi structured interviews. …

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Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso Mar 2025

Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso

Walden Dissertations and Doctoral Studies

E-commerce has the potential of assisting the agriculture market to curb postharvest losses by connecting new and existing customers to agricultural products more efficiently. The purpose of this qualitative phenomenological study was to explore and describe the lived experiences of successful farmers in rural Cameroon to obtain insights into the e-commerce factors and strategies they use to manage and reduce postharvest losses. The study sample was 20 rural Cameroonian farmers using e-commerce in reducing postharvest losses. The conceptual framework for this study was Rogers’s diffusion of innovation theory. The data collection occurred through virtual interviews with the participants and their …

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Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup Mar 2025

Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup

Walden Dissertations and Doctoral Studies

Human services professionals play a vital role in managing the continuity of reentry services for post-incarcerated Black and Latinx women with mental health disorders, a significant concern in the United States. Human services professionals' perceptions of providing continuity of care in community-based reentry settings for Black and Latinx women with mental health disorders were explored. The conceptual framework of continuity of care was used to understand the professionals’ roles in supporting reentry services and how they align with or diverge from continuity of care, particularly the perceptions of human services professionals in a community-based treatment facility regarding the provision of …

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Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea Mar 2025

Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea

Walden Dissertations and Doctoral Studies

Globally, there remains a high occurrence of healthcare-associated infections (HAIs). The problem under study was the lack of information about the experiences of health professions students with a serious game on infection control. The purpose of this basic qualitative study was to explore health professions student experiences with a serious game on infection control as a tool to reinforce learning. This study was framed by Bonwell and Eison’s active learning theory and Kolb’s experiential learning cycle. The participants were 12 health professions students who played an online serious game on infection control. The data were collected from semistructured interviews with …

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Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson Mar 2025

Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson

Walden Dissertations and Doctoral Studies

The inability of full-service chain restaurant managers to attract and retain employees leads to significant understaffing. The shortage raises concerns about their capacity to meet consumer demand and maintain profitability. This qualitative pragmatic inquiry, grounded in transformational leadership theory, explored strategies restaurant managers use to attract and retain employees. The participants were six full-service chain restaurant managers in the locales of Maryland, Virginia, and Washington, D.C. of the United States, who had successfully used their strategies to attract and retain employees. Data were collected using semistructured interviews and reviewing publicly available restaurant websites. Using thematic analysis, four themes were identified: …

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Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …

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Queer Connections: Relationship Initiation Approach And Relationship Quality For Queer Couples, Kai Ambakad Mar 2025

Queer Connections: Relationship Initiation Approach And Relationship Quality For Queer Couples, Kai Ambakad

Walden Dissertations and Doctoral Studies

Queer individuals encounter unique challenges in romantic relationships, making it essential to explore factors that influence their relationship quality. The purpose of this quantitative study was to compare relationship quality among queer individuals based on the method of meeting (i.e., through dating applications vs. in person) and to test communication quality as a moderating variable. This study examined commitment and satisfaction as the dependent variables for relationship quality and meeting method as the independent variable. The research addressed whether there were (1) differences in relationship quality based on meeting method and (2) whether communication quality moderated this relationship. The study …

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Principals’ Perceptions Of Covid-19 Learning Strategies’ Influence On Reading Achievement In Title I Urban Elementary Schools, Kadian Alicia Grant Mar 2025

Principals’ Perceptions Of Covid-19 Learning Strategies’ Influence On Reading Achievement In Title I Urban Elementary Schools, Kadian Alicia Grant

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly intensified reading achievement challenges among Title I urban elementary school students. There was a need to understand the impact of district-implemented strategies to improve reading achievement during the pandemic. Guided by Fullan’s educational change theory, this qualitative case study explored principals’ perceptions of the influence of district strategies on reading achievement implemented due to the COVID-19 pandemic during the 2021–2022 school year, particularly in Title I urban elementary schools. The study specifically aimed to explore (a) principals’ perceptions of the influence of lesson acceleration, (b) principals’ perceptions of the influence of personalized learning, and (c) challenges …

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Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr Mar 2025

Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr

Walden Dissertations and Doctoral Studies

Mental health literacy (MHL) improves the recognition and treatment of mental disorders. The completion of a bachelor’s degree has been correlated with higher levels of MHL, and higher levels of MHL are reported to improve mental health status (MHS). While educational attainment has a significant positive relationship with MHL, the strength and significance of education in predicting MHL level remains unclear. A health literacy conceptualization and self-efficacy theory underpinned further examination of these variables in this study. A survey was administered to a sample of 105 university graduates in Georgia enrolled in one of five bachelor’s degree disciplines: education, humanities, …

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General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin Mar 2025

General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin

Walden Dissertations and Doctoral Studies

Students with disabilities have many diverse needs that must be met for them to thrive academically and socially. The problem that was addressed in this study was that general education teachers experience challenges to meet the needs of students with disabilities in an inclusive classroom. The purpose of this qualitative study was to explore general education teachers’ perceptions on the challenges of meeting the needs of students with disabilities in an inclusive classroom setting as well as their suggestions for improved training and resources. The conceptual framework that grounded this study was Rose and Meyer’s universal design for learning. For …

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Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher Mar 2025

Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher

Walden Dissertations and Doctoral Studies

Black/African American women face significant health disparities in hereditary breast and ovarian cancer syndrome (HBOC) due to systemic barriers to genetic counseling and testing, leading to poorer survival outcomes. Guided by the Social Determinants of Health (SDH) framework and Intersectionality Theory, this quantitative descriptive study examined disparities in access to genetic services, socioeconomic barriers, and healthcare biases. Data from the 2023 National Health Interview Survey (NHIS) included 1,357 Black/African American and White women aged 25–65 with a family history of HBOC. The Surveillance, Epidemiology, and End Results (SEER) dataset analyzed 15,684 Black/African American and 105,547 White women with breast cancer, …

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Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo Mar 2025

Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo

Walden Dissertations and Doctoral Studies

The administration at a Mid-Atlantic regional community college in the United States created a strategic plan to increase students’ critical thinking and metacognition skills by focusing on improving students’ problem-solving skills with problem-based learning. However, the problem in this study was that the faculty’s fidelity of implementation (FOI) a strategic plan to implement metacognition instruction at a community college in the Mid-Atlantic U. S. region had not been effectively monitored. The purpose of this basic qualitative study was to investigate the FOI of metacognitive instruction to a strategic plan as perceived by the community college’s science faculty. Century et al.’s …

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Effective Business Strategies To Mitigate Outsourcing Failures, Joseph Ragsdale Jr. Mar 2025

Effective Business Strategies To Mitigate Outsourcing Failures, Joseph Ragsdale Jr.

Walden Dissertations and Doctoral Studies

Business leaders’ lack of effective outsourcing strategies often results in operational inefficiencies, such as increased costs, reduced profitability, and decreased organizational performance. Addressing this issue is critical to improving business outcomes and ensuring competitive advantage in a globalized market. Grounded in the analytic balanced scorecard theory, the purpose of this qualitative single case study was to explore the effective strategies business leaders in the IT department at a large educational institution in Los Angeles, California use to address outsourcing failures. The participants were three business leaders who successfully employed effective strategies to mitigate outsourcing failures. Data were collected from semistructured …

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Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson Mar 2025

Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a pervasive social issue that affects individuals and communities, often rooted in early life experiences such as adverse childhood experiences (ACEs). Understanding the link between ACEs and IPV is crucial for developing effective prevention and intervention strategies. This quantitative research explored the potential link between ACEs encountered during early adolescence and the subsequent occurrence of IPV in adult domestic relationships, building upon the foundational work of Felitti et al. Using a quantitative survey design, 30 participants aged 18 and older who had experienced at least one ACE were recruited via social media and surveyed. Bandura's …

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African American Superintendents’ Reflections Of Their Lived Experiences To Become Superintendent, Terrell M. Johnson Mar 2025

African American Superintendents’ Reflections Of Their Lived Experiences To Become Superintendent, Terrell M. Johnson

Walden Dissertations and Doctoral Studies

The problem addressed through the study was the underrepresentation of African American superintendents in public school districts across the United States. The purpose of this basic qualitative study was to explore African American superintendents’ descriptions of their lived experiences becoming and being superintendent and to gather their reflections on the underrepresentation. Elements of Super’s developmental self-concept theory and cultural identity literature formed the framework. Semistructured interviews were conducted with 10 active, former, or retired African American superintendents who came from K-12 public school districts across the United States and had a minimum of 3 years in the superintendency. Open coding …

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Educating Substance Use Treatment Nurses On Patient Pain Assessment And Management, Emmanuel Okwuchukwu Oguno Mar 2025

Educating Substance Use Treatment Nurses On Patient Pain Assessment And Management, Emmanuel Okwuchukwu Oguno

Walden Dissertations and Doctoral Studies

The inconsistent application of evidence-based pain assessment strategies continues to be a significant challenge in nursing practice. Due to gaps in nurses’ knowledge and the variability in implementing best practices, patients with substance use disorders (SUDs) often experience inadequate pain management. These deficiencies exacerbate patient suffering, impair functioning, and usually lead to prolonged hospitalizations. Addressing these challenges is vital because nurses’ pain assessment and management knowledge can enhance patient pain outcomes. I conducted this project to strengthen the knowledge of nursing staff in pain assessment and management through an evidence-based educational intervention for nurses working with patients with SUD. I …

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Nurse Managers’ Effective Strategies For Retaining Nurses, Sharina Johnson-King Mar 2025

Nurse Managers’ Effective Strategies For Retaining Nurses, Sharina Johnson-King

Walden Dissertations and Doctoral Studies

Ineffective strategies for retaining registered nurses (RNs) can lead to negative business and patient care outcomes. High RN turnover rates pose a challenge for nurse managers, as they can reduce the quality of patient care and strain healthcare resources. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies nurse managers use to successfully retain RNs. The participants were 11 nurse managers in the Southeastern United States who had retained their full-time RNs for 2 years. Data were collected using semistructured interviews and a review of Health Resources and Services Administration data. Through thematic …

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Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart Mar 2025

Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a significant public health crisis that disproportionately affects African American and Latina women due to systemic barriers, cultural stigmas, and inadequate culturally competent support services. This qualitative study explored the experiences of English-speaking African American and Latina women aged 23 to 60 in seeking culturally competent assistance for IPV in the United States. Using a generic qualitative research design and relational-cultural theory as a theoretical framework, this study examined how cultural beliefs and values influence help-seeking behaviors and the perceived adequacy of IPV support services. Semistructured interviews were conducted with 10 participants who had previously …

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Exploring Juvenile Probation Officers' Perception Of Strategies To Reduce Juvenile Recidivism In Southeastern Michigan, Nikaya Cecelia Robin Banks Mar 2025

Exploring Juvenile Probation Officers' Perception Of Strategies To Reduce Juvenile Recidivism In Southeastern Michigan, Nikaya Cecelia Robin Banks

Walden Dissertations and Doctoral Studies

The high rate of juvenile recidivism in southeastern Michigan poses a threat to the safety of the community as well as a challenge to the juvenile probation officers (JPOs) who supervise them. The literature is abundant with data on juvenile recidivism; however, little is known about JPO’s perceptions on the efficacy of strategies and practices that aid in the rehabilitation of juvenile probationers. Grounded in both social learning and social bond theoretical frameworks, the purpose of this study was to explain how behavior is learned through processes of observation and the significance of positive bonds in minimizing delinquent behavior. The …

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Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer Mar 2025

Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer

Walden Dissertations and Doctoral Studies

Walden University College of Education and Human Sciences This is to certify that the doctoral dissertation by Bryan L. Spencer has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Michael Langlais, Committee Chairperson, Psychology Faculty Dr. Matthew Hertenstein, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025   Racialization of Urban Black Middle School Students from the Perspective of Middle School Teachers: A Phenomenological Study in Central and Southeast Michigan by Bryan L. Spencer MPhil, Walden …

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Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe Mar 2025

Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe

Walden Dissertations and Doctoral Studies

Nigerian government organizations face significant challenges in complying with cybersecurity policies, threatening the security and efficiency of their e-government systems. IT leadership groups are concerned that compliance issues could lead to data breaches, service disruptions, and diminished public trust, ultimately hindering economic growth and digital transformation efforts. This qualitative multiple-case study, framed through the lens of neo-institutional theory, aimed to explore the cybersecurity policies and effective compliance strategies employed by information security officers to secure e-government systems against cyberattacks. The participants consisted of nine information security officers from three information security-certified government institutions in central Nigeria. Data collection included semi-structured …

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