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Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett Oct 2024

Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett

Walden Dissertations and Doctoral Studies

The persistent shortage of commercial truck drivers remains a prominent concern in the industry. There is a potential for the shortage to exacerbate, possibly reaching an estimated 50,000 drivers, due to the need for more adequately qualified candidates. The purpose of this qualitative study was to improve the understanding of how commercial truck drivers who have worked in the industry for at least 1 year perceived the relevance of the U.S. Department of Transportation’s (DoT) safety regulation 49 CFR Part 395 on the number of allowed active driving hours potentially impacts their retention decisions. The research questions focused on the …

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Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies Oct 2024

Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies

Walden Dissertations and Doctoral Studies

Each year, nearly 100,000 patients in the United States die as a result of medication errors. Medication errors are a concern to hospital leaders, resulting in increased expenses, extended hospital stays, and patient harm. Grounded in the Lean Six Sigma quality model, the purpose of this qualitative single case study was to explore the strategies three hospital managers in one hospital system in the eastern United States used to reduce medication errors. Data were collected through semistructered interviews, archival hospital documents, and analyzed using Yin's 5-step approach. The findings revealed key themes, including prioritizing staff training, building a safety culture, …

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Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez Oct 2024

Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez

Walden Dissertations and Doctoral Studies

Staff Education to Nurses of Five Departments Performing Point-of-Use Treatment by Natalia G. Nunez MPH, Walden University, 2019 BS, Florida International University, 2011 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 Point-of-use treatment (POU) treatment is the first step of sterilization, and it is critical for staff performing this process to undergo proper education and training as noted by the Centers for Disease Control and Prevention (CDC). Performing proper POU treatment reduces the risk of infections in patients and extends the life of the instruments and devices. A …

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Senior Managers’ Perception Of Inclusion Management Policy Implementation, Regina Lassey Oct 2024

Senior Managers’ Perception Of Inclusion Management Policy Implementation, Regina Lassey

Walden Dissertations and Doctoral Studies

The lack of inclusiveness is a problem in managing diversity in today’s workforce. Senior managers are charged with demonstrating leadership commitment to managing diversity and inclusion in the workplace as inclusion concepts go beyond diversity management. The purpose of this hermeneutic phenomenological qualitative study was to explore the lived experiences of 17 senior managers in the New York transportation industry in the implementation of inclusion management programs and policies in the New York transportation industry. The study was grounded in transformational leadership theory. Senior managers’ lived experiences revealed in semi structured interviews that while diversity initiatives are widely adopted, achieving …

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Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde Oct 2024

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …

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Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett Oct 2024

Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett

Walden Dissertations and Doctoral Studies

The persistent shortage of commercial truck drivers remains a prominent concern in the industry. There is a potential for the shortage to exacerbate, possibly reaching an estimated 50,000 drivers, due to the need for more adequately qualified candidates. The purpose of this qualitative study was to improve the understanding of how commercial truck drivers who have worked in the industry for at least 1 year perceived the relevance of the U.S. Department of Transportation’s (DoT) safety regulation 49 CFR Part 395 on the number of allowed active driving hours potentially impacts their retention decisions. The research questions focused on the …

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Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde Oct 2024

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …

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Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis Oct 2024

Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis

Walden Dissertations and Doctoral Studies

Summary A clinical practice guideline (CPG) was developed because the perinatal department lacked standardized management of pregestational and gestational diabetes. The practice issue is relevant since managing maternal glucose ranges during pregnancy mitigates adverse maternal and neonatal outcomes. The practice-focused question asks, “What are the best practices to manage diabetes in the intrapartum and postpartum settings?” The project was designed to develop an evidence-based protocol to provide standardized management for nurses and providers. Most studies in the literature search were quantitative sources with either A or B overall quality ratings. Based on the evidence, the intrapartum target maternal glucose range …

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Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly Oct 2024

Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly

Walden Dissertations and Doctoral Studies

Ineffective leadership styles among healthcare administrators can negatively impact employee and patient satisfaction, ultimately reducing organizational revenue. Grounded in transactional, transformational, and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by healthcare administrators to enhance employee and patient satisfaction. The study involved six healthcare administrators from three rural hospitals in Arkansas, with data gathered through semi-structured interviews and public records. Thematic analysis revealed four key themes: (a) communication, (b) employee engagement, (c) ethics, and (d) monitoring key performance indicators (KPIs). A key recommendation is for healthcare administrators to invest in leadership development …

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Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo Oct 2024

Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo

Walden Dissertations and Doctoral Studies

Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …

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Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano Oct 2024

Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano

Walden Dissertations and Doctoral Studies

This study addresses the critical need to understand how mental health challenges and external stressors affect long-term recovery from an Opioid Use Disorder (OUD). Grounded in the Recovery Capital Framework, this study analyzed the relationship between depression, stressful life events, and recovery capital (RC) among individuals in recovery from severe OUD. Utilizing a quantitative nonexperimental survey design, data were collected from a purposive sample of 107 adults aged 18 and older who had been in recovery for at least 2 years. Participants completed surveys assessing depression, life stressors, and their RC through established instruments including the Zung Self-Rating Depression Scale, …

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The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez Oct 2024

The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez

Walden Dissertations and Doctoral Studies

Animal agriculture, the second-largest contributor to climate change, poses serious risks to human and global health. Animal/environmental activists work to reduce these risks but often face verbal ridicule and physical violence; however, little is known about the psychological suffering experienced by this group. This interpretative phenomenological analysis (IPA) aimed to explore the experience of psychological suffering in animal/environmental activists committed to ending exploitative animal agriculture and environmental activities. Ecopsychological theory and psychological constructs, such as eco-anxiety, eco-grief, and vicarious trauma, comprised the conceptual framework for this study. Data were collected through semistructured interviews with 18 animal/environmental activists, incorporating participant-selected photographs …

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The Application Of Therapeutic Communication Between Staff And Patients, Aloysius Mokom Tamufor Oct 2024

The Application Of Therapeutic Communication Between Staff And Patients, Aloysius Mokom Tamufor

Walden Dissertations and Doctoral Studies

The practice problem identified was the limited use of therapeutic communication among staff at the project site facility, which was attributed to low knowledge. The purpose of the project was to improve nurses’ knowledge of and intent to use therapeutic communication when interacting with patients with mental health disorders. The question that guided the project was: Does staff education about therapeutic communication improve nurses’ knowledge of and intent to use it when interacting with patients? A sample of 20 healthcare staff, which included advanced practice registered nurses and registered nurses who practiced in a mental health facility completed the education …

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Preparation Of K–12 Preservice Music Teacher Educators Using Assessment Strategies, Frederica Doctor Oct 2024

Preparation Of K–12 Preservice Music Teacher Educators Using Assessment Strategies, Frederica Doctor

Walden Dissertations and Doctoral Studies

Recent studies suggest that preservice music teacher educators (MTEs) had more experience in assessment preparation at the graduate level than during their undergraduate experience. Although music standards and assessments emphasize providing information about student learning, research investigating what assessment strategies music faculty are using and teaching to prepare preservice MTEs is limited. The purpose of this basic qualitative research study was to address the gap in research regarding assessment strategies used and taught by music faculty across the United States to prepare K–12 preservice MTEs for classroom instruction. The study is grounded in the Analysis, Design, Development, Implementation, and Evaluation …

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Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks Oct 2024

Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks

Walden Dissertations and Doctoral Studies

There has been a decline in tuition revenue for some private historically Black colleges and universities (HBCUs); an above-average tuition discount rate may impede the financial performance of private HBCUs. The purpose of this qualitative phenomenological study was to explore the lived experiences of business officers and other employees of private HBCUs managing the tuition discount rate. The transcendental phenomenological framework guided the study. Individual semistructured interviews were conducted with seven participants who self-identified as managing the tuition discount rate of private HBCUs. Data were analyzed using Moustakas’s modified van Kaam method. Six themes emerged from the data analysis: (a) …

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Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie Oct 2024

Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that online undergraduate adult students, 25 years of age or older, do not persist to graduation at Caring University, a pseudonym for an online university. The purpose of this qualitative study was to investigate the perceptions of online adult undergraduate alumni about what motivated them to persist in their educational pursuits and what recommendations they have for instructors to motivate current students. The conceptual framework that guided this research is Ryan and Deci’s self-determination theory, which explores why humans are motivated to change. For this basic qualitative design, 10 adult undergraduate …

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Principals’ Perspectives Of Their Role In The Success Of Positive Behavior Interventions Program In Secondary Schools, Andrea Felicia Bishop-Knight Oct 2024

Principals’ Perspectives Of Their Role In The Success Of Positive Behavior Interventions Program In Secondary Schools, Andrea Felicia Bishop-Knight

Walden Dissertations and Doctoral Studies

In Barbados, there has been an increase in violence and disruptive behavior among students at urban secondary schools. The problem is that some Barbadian urban secondary principals struggle to implement the Schools’ Positive Behavior Management Program (SPBMP), while other principals successfully reduce disruptive behaviors. This basic qualitative study explored the perspectives of principals who have successfully implemented and sustained SPBMP at secondary schools in Barbados. The conceptual framework for this study was Bandura’s social cognitive theory. The research questions focused on Barbadian urban secondary principals’ perspectives on the strategies to implement SPBMP successfully and the challenges to effectively sustaining SPBMP …

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Planning And Instruction Of Social Emotional Learning In Elementary Art Education, Jonathan Daniel Juravich Oct 2024

Planning And Instruction Of Social Emotional Learning In Elementary Art Education, Jonathan Daniel Juravich

Walden Dissertations and Doctoral Studies

Educators, parents, and researchers uphold that intentional social emotional learning (SEL) can positively benefit student well-being, especially when the learning is integrated into all educational content areas. The problem under study was that though research has highlighted the connection between SEL and visual art education, how teachers intentionally plan for and implement an SEL-integrated art curriculum was not well researched. The purpose of this basic qualitative study was to explore how elementary visual art educators in a midwestern state, with both visual art and SEL standards, intentionally plan for and implement an SEL-integrated art curriculum. This study was grounded in …

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Information Systems Management Strategies For Faith-Based Organizations To Maintain Funding, Jacquelyn Faucette Oct 2024

Information Systems Management Strategies For Faith-Based Organizations To Maintain Funding, Jacquelyn Faucette

Walden Dissertations and Doctoral Studies

Faith-based organizations that fail to secure consistent funding risk discontinuation of operations. To ensure stable funding, leaders of these organizations must understand effective information systems management strategies. Grounded in the management information systems (MIS) framework, the purpose of this qualitative pragmatic inquiry study was to explore effective information systems management strategies that leaders of faith-based organizations use to maintain funding to continue their operations. The participants were six leaders of faith-based organizations in central Arkansas. Data was collected using semistructured interviews and a review of publicly available documents about MIS strategies and financial statements. Using thematic analysis, three themes were …

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Prompting Effective Learning Pathways: Applied Behavior Analysis In Practice, Brandie Ann Kretzschmar Oct 2024

Prompting Effective Learning Pathways: Applied Behavior Analysis In Practice, Brandie Ann Kretzschmar

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to contribute to the literature for prompting interventions in the field of applied behavior analysis (ABA). This study examined the clinical utilization of prompting strategies with verbal operant programming across currently credentialed practitioners. Evidence-based practices are well known, but clinical guidance regarding prompting strategies is still emerging. This gap is potentially related to the lack of a prompting assessment to assist practitioners in creating clients' programming. To collect data a 52-question survey was used in this ethnographic study. Data was collected from 62 respondents, with 55 overall completed surveys. Errorless learning was reported …

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Inclusiveness Of English As A Second Language Nursing Students In The Academic Setting, Bahgat Youwakeem Oct 2024

Inclusiveness Of English As A Second Language Nursing Students In The Academic Setting, Bahgat Youwakeem

Walden Dissertations and Doctoral Studies

This study explored the perceptions of English as a Second Language (ESL) nursing students regarding inclusiveness in nursing programs in the southern United States. The problem addressed is the limited research on how ESL nursing students perceive inclusiveness in academic environments, particularly in the Southern States, where diversity is increasing. Previous studies have focused on the general challenges faced by ESL students, but few have examined their specific perceptions of inclusivity in nursing programs. The purpose of this qualitative phenomenological study, guided by Whannell and Whannell’s identity theory, was to gain insights into ESL nursing students' lived experiences of inclusiveness. …

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New Local Government It Employees’ Onboarding Perception Of Barriers, Solutions, And Expected Outcomes For Service Delivery Engagement, Ursula White-Oliver Oct 2024

New Local Government It Employees’ Onboarding Perception Of Barriers, Solutions, And Expected Outcomes For Service Delivery Engagement, Ursula White-Oliver

Walden Dissertations and Doctoral Studies

Employee onboarding and socialization experienced by local government information technology (IT) employees is an industry issue among those without prior public sector employment. This study entailed an evaluation of the onboarding process by gathering perspectives from a local government IT department to help an organization understand onboarding and socialization needs and desires of new employees. The purpose was to address public IT employees’ experiences and what they thought needed to change about their experiences. Surveys of employees and personal individual interviews with thirty-one managers and subject matter experts from across the organization were used to provide data about transitioning to …

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Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White Oct 2024

Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White

Walden Dissertations and Doctoral Studies

Burn injuries are wounds that affect the skin and other organic tissue, categorized according to the mechanism of injury and brought on by heat, electricity, chemicals, fire, or flames. In the United States, researchers have shown that race and other healthcare inequalities lead to increased burn injuries among African Americans but have yet to explore their lived experiences after sustaining these injuries. This phenomenological study explored perceptions and understanding of the manifestation of burn injuries of seven African American burn survivors. Participants were recruited in health services public waiting areas, community storefronts, mailers, and on Facebook. Data were collected via …

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Strategies To Enhance Employee Knowledge Retention In Public And Private Universities, Funmilola Adebunmi Iyiola Oct 2024

Strategies To Enhance Employee Knowledge Retention In Public And Private Universities, Funmilola Adebunmi Iyiola

Walden Dissertations and Doctoral Studies

Retaining an employee's knowledge becomes a significant challenge when skilled and experienced employees leave an organization. Human resources (HR) professionals/leaders at public and private universities are particularly concerned about the detrimental impact of knowledge loss in such cases. Grounded in the knowledge management cycle (KMC) model, the purpose of this qualitative multiple case study was to explore strategies that HR professionals/leaders of public and private universities use to enhance employee knowledge retention. The participants were nine HR professionals/leaders in public and private universities who successfully enhanced employee knowledge retention. Data were collected using semistructured interviews and a review of publicly …

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Effective International Corporate Diversification And Performance Improvement Strategies, Danielle L. Oswald Oct 2024

Effective International Corporate Diversification And Performance Improvement Strategies, Danielle L. Oswald

Walden Dissertations and Doctoral Studies

Ineffective international diversification strategies can potentially cause negative operational performance and return on investment (ROI). Business leaders are concerned with ineffective international diversification strategies, as performance improvement drives business growth, innovation, and profitability in international markets. Grounded in the Baldrige excellence framework (BEF) and stakeholder theory, the purpose of this qualitative single case study was to identify and explore effective international diversification strategies senior leaders can use to create a franchise or growth platform for organizational expansion. Participants were two experts in the business consulting industry in New Zealand who contributed to international diversification strategies. Data were collected using semistructured …

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Relationship Between Enrollment, Retention, Alumni Giving, And Financial Health At Historically Black Colleges And Universities, Kenneth Mercury Oct 2024

Relationship Between Enrollment, Retention, Alumni Giving, And Financial Health At Historically Black Colleges And Universities, Kenneth Mercury

Walden Dissertations and Doctoral Studies

Decreasing financial health damages an organization’s reputation and economic viability to survive. Historically Black Colleges and Universities (HBCUs) leaders must strive to improve their financial health to protect their institution’s reputation and risk of closure. Grounded in strategic enrollment management theory, the purpose of this quantitative ex-post facto study was to examine the relationship between student enrollment, student retention, alumni giving, and financial health of HBCUs. The participants were 101 HBCUs collected from the National Center for Education Statistics and the Voluntary Support of Education databases, from 2020 to 2022. The results of the multiple linear regression analysis showed that …

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Staff Education Project For Adult Icu Nurses, Hani Ayyad Oct 2024

Staff Education Project For Adult Icu Nurses, Hani Ayyad

Walden Dissertations and Doctoral Studies

This staff education project is a crucial initiative designed to enhance nursing knowledge and skills in the care of central lines. Its overarching goal is to reduce the incidence of central line-associated bloodstream infections (CLABSI) in a teaching hospital. Given that CLABSIs are a major concern in Intensive Care Units (ICUs), due to higher morbidity, mortality, and healthcare expenditures, this project is very important. My goal was to fill these gaps by providing a comprehensive staff education program addressing this critical issue. The evidence-based practice question (EBP) guiding this Doctor of Nursing Project (DNP) project was: Does the Staff Education …

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The Pulse Of Connection: Trust And Confidentiality In Internal Coaching Dynamics, Mehdi Ebrahimi Oct 2024

The Pulse Of Connection: Trust And Confidentiality In Internal Coaching Dynamics, Mehdi Ebrahimi

Journal of Social, Behavioral, and Health Sciences

Internal coaching is growing in popularity across various industries and sectors, either as a standalone resource or in conjunction with external coaching and other relevant programs and initiatives. Despite the growing popularity and reported benefits, there is a substantial dearth of research on the dynamics of “internal coaching” relationships, making it one of the least explored areas in organizational coaching literature. This paper contributes to addressing the research gap by presenting the outcomes of a study that explores the coach–client relationship and captures perspectives from internal coaches, external coaches, managers, and, notably, coachees, also known as coaching clients. Employing a …

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Strategies To Overcome Burnout In Women In Behavioral Health Leadership, Pamela Atueyi Oct 2024

Strategies To Overcome Burnout In Women In Behavioral Health Leadership, Pamela Atueyi

Walden Dissertations and Doctoral Studies

The global mental health landscape is currently facing a significant crisis, characterized by an unprecedented surge in patient demand and a concurrent shortage of therapists. This imbalance has led to overwhelmed mental health facilities, prolonged access and wait times for patients, and diminished quality of care. Several factors contribute to this crisis, including the increased prevalence of mental health issues exacerbated by the COVID-19 pandemic, the ongoing stigma surrounding mental health treatment, and systemic problems, such as the lack of training programs, leaders not feeling supported, and low retention rates. This study explored significant burnout levels among women behavioral health …

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Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant Oct 2024

Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant

Walden Dissertations and Doctoral Studies

Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …

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