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Articles 3331 - 3360 of 16264
Full-Text Articles in Entire DC Network
Successful Strategies Of Small Business Owners Of Coffee Shops, Tom Gates
Successful Strategies Of Small Business Owners Of Coffee Shops, Tom Gates
Walden Dissertations and Doctoral Studies
Many small business owners of U.S. coffee shops lack effective strategies to sustain their business beyond the first 5 years. Small business owners are concerned that the use of ineffective strategies can negatively impact the coffee shop’s profitability and competitiveness. The purpose of the qualitative multiple case study was to explore what type of skills, business acumen, and strategies small business owners of coffee shops use to be successful within the first 5 years of operation. The conceptual framework that grounded this study was von Bertalanffy’s general systems theory. The participants were five small business coffee shop owners in the …
Strategies To Address The Healthcare Staffing Crisis In An Acute Care Hospital, Allison L. Windas
Strategies To Address The Healthcare Staffing Crisis In An Acute Care Hospital, Allison L. Windas
Walden Dissertations and Doctoral Studies
Healthcare staffing shortages are widespread and challenging; developing a successful retention and recruitment strategy requires an awareness of the generational, cultural, and environmental elements that positively influence employee motivation and engagement. The purpose of this integrative review was to synthesize existing research on factors that enhance hospital staff work satisfaction and increase intent to stay. Using the Job Characteristics Theory as a framework, an integrative review of literature published between 2019 and 2024 synthesized existing research on factors that enhance hospital staff work satisfaction and increase intent to stay. Thematic analysis of 35 selected studies identified four key themes and …
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the significant increase in the number of students who lack age-appropriate social and emotional skills (SES), which has become a concern, especially for teachers. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of teaching students who lack age-appropriate SES and what support they believed would help them when working with these students in the classroom. The conceptual framework that guided this study consisted of Bandura’s social learning theory. The focus of the research questions was early childhood teachers’ perspectives on the challenges of teaching …
The Lived Experiences Of Clinical Supervision For Stress Mitigation Among Master’S Counseling Students In Internship, Marcia Kay Lebeau
The Lived Experiences Of Clinical Supervision For Stress Mitigation Among Master’S Counseling Students In Internship, Marcia Kay Lebeau
Walden Dissertations and Doctoral Studies
There is limited information on the lived experiences of stress mitigation in clinical supervision for master’s-level interns in Council for Accreditation of Counseling and Related Educational Programs (CACREP)-accredited counseling programs. There is a need for insight into how policy and supervision practices in counselor education programs can contribute to supporting and educating students during this time of professional and personal development and avoid negative personal and professional consequences. The purpose of this transcendental phenomenological study was to gain an understanding of the lived experiences of supervision for master’s-level interns in CACREP-accredited counseling programs in relation to utilizing supervision for stress …
Educators’ Perspectives Of Science Instruction In Title I Elementary Schools To Improve Achievement, Sidonye Maria Coaxum
Educators’ Perspectives Of Science Instruction In Title I Elementary Schools To Improve Achievement, Sidonye Maria Coaxum
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that students in upper elementary at four Title I elementary schools did not meet district achievement standards in science for four consecutive years, which could impede their educational and employment futures. Little is known how teachers in these elementary grades taught science content to improve student achievement. The purpose of this basic qualitative study was to explore five upper elementary educators’ perspectives of science instruction to improve achievement in Title I elementary schools in a southeastern state. The conceptual framework that grounded this study was a three-dimension concept of science, including scientific and …
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Walden Dissertations and Doctoral Studies
To efficiently identify and prevent the advancement of prostate cancer and decrease mortality rates, it is crucial to examine the impact of health literacy. Despite potential advantages associated with enhanced health literacy and early detection, the United States continues to witness a significant rise in both new prostate cancer cases and mortality rates, emphasizing the severity of the condition. However, it is unclear if those with high health literacy are discouraged from participating in prostate cancer screening due to the risks associated with screening. Based on the stimulus organism response model, 2016 Behavioral Risk Factor Surveillance System data were analyzed …
American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko
American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko
Walden Dissertations and Doctoral Studies
American Samoa, a U.S. territory, has grappled with low reading scores similar to other mainland schools. As a result, different reading interventions were implemented over the years. The problem studied was that despite using Achieve 3000 as a reading intervention for students in the local high school in American Samoa, reading scores had remained the same as expected, which suggested that there might have been issues with the instructional fidelity of the program implementation. This qualitative study explored teachers’ perceptions about the instructional fidelity of implementing Achieve 3000 in the local high school in American Samoa. Knowles’s theory of andragogy …
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Walden Dissertations and Doctoral Studies
Chronic pain is one of the leading causes of disability worldwide, with a significant financial burden on those individuals affected, the communities, the healthcare systems, and the government. Chronic pain also interferes with individuals’ daily activities and alters the quality of life. The treatment for chronic pain includes a variety of medications, including prescription opioids and nonprescription such as NSAIDS, acetaminophen, and muscle relaxants. Pharmacological treatments can result in untoward effects. The CDC has recommended nonpharmacological alternative treatment modalities that promote self-management but are not emphasized or utilized in the primary care setting. The staff education program was framed within …
Relationship Between Cultural Barriers, Adaptation Mechanisms, And Quality Of Life Among Congolese Refugees, Ndasi Zialo
Relationship Between Cultural Barriers, Adaptation Mechanisms, And Quality Of Life Among Congolese Refugees, Ndasi Zialo
Walden Dissertations and Doctoral Studies
Refugee cultural backgrounds are different from the primary culture in which they live. Cultural barriers have been identified as contributing factors to disparities in mental health services among refugees in the host country. They face racism, discrimination, and marginalization that impede their access to mental health services compared to the host populations. The Western model of mental health services was developed for the unique needs of the European refugees and could not always meet the needs of the non-European refugee populations. The lack of culturally specific mental health services creates disparities in mental health services that affect the quality of …
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Walden Dissertations and Doctoral Studies
Uninsured patients encounter major barriers to accessing healthcare, leading to delayed or missed medical care, higher rates of chronic conditions, and increased financial and psychological stress. The purpose of this integrative review study was to examine the factors that affect Texas residents who lack insurance and require access to healthcare services in outpatient community clinics. The review question was used to explore strategies to improve access to healthcare and strengthen patient-centered care for uninsured patients in Texas outpatient health clinics. A thorough integrative review was completed using empirical and nonempirical literature published between 2019 and 2024. The results of the …
Predictors Of Antisocial Behavior Among Hispanic Adults, Mara Page
Predictors Of Antisocial Behavior Among Hispanic Adults, Mara Page
Walden Dissertations and Doctoral Studies
Antisocial behavior can lead to serious social and legal consequences such as long-term involvement in criminal activities. Although there has been much research on predictors of antisocial behavior, such as perceived economic status, parental communication, impulsivity, substances, parenting styles, and parental involvement, little has been researched on how these apply to the Hispanic population. Grounded in Gottfredson and Hirschi’s general crime theory, the purpose of this nonexperimental correlational survey design study was to assess whether sensation-seeking behavior, self-control, parental monitoring, religious coping, perceived social support, and rugged resilience predicted antisocial behavior among Hispanic adults. A sample of 167 Hispanic adult …
Teachers’ Perspectives Of Readiness, Academic, And Social Skills Of First Graders Who Did Not Attend Kindergarten, Kathryn Mary Hogan
Teachers’ Perspectives Of Readiness, Academic, And Social Skills Of First Graders Who Did Not Attend Kindergarten, Kathryn Mary Hogan
Walden Dissertations and Doctoral Studies
Research suggests that kindergarten attenders benefit from the time spent learning basic academic and social skills. Skills students learn in kindergarten lead to skills taught in first grade and school readiness; however, many children do not attend kindergarten. The problem under study was that records indicate that many students do not attend kindergarten, and so may not be ready for first grade. The purpose of this study was to explore the perspectives of first grade teachers in a southeastern U.S. state regarding the readiness for first grade of students whose entry records indicate they did not attend kindergarten. Pianta’s theory …
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Walden Dissertations and Doctoral Studies
Depression is a common mental health issue that has a substantial impact on people’s well-being and healthcare results. While there is ample evidence of depression’s harmful impact, the difficulty of accurate diagnosis remains. Inadequate screening of depression in primary health clinics results in treatment delays. The PHQ-9 is a tool to diagnose depression, however many clinicians are unfamiliar with its use. As a result, individuals susceptible to depression may not receive timely appropriate management, leading to poor health outcomes and higher healthcare utilization. This practice focused project aimed to understand if staff education would improve healthcare providers’ knowledge regarding use …
Cultural Competence To Meet Students' Transcultural Learning Goals, Taijohnea Haywood
Cultural Competence To Meet Students' Transcultural Learning Goals, Taijohnea Haywood
Walden Dissertations and Doctoral Studies
Researchers have noted that some primary grade teachers do not have the cultural competence to meet transcultural learning goals for primary grade students in diverse schools. This qualitative study explored perspectives of kindergarten through second grade teachers on their cultural competence to meet transcultural learning goals for primary-grade students in diverse schools. Mishra and Metha’s 21st century learning model and Vernon’s six principles of culturally competent practice were used as the framework for this study. This study addressed two research questions focusing on primary grade teachers’ perspectives of their cultural competence to meet the transcultural learning goals for their students …
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Walden Dissertations and Doctoral Studies
Multiple chronic conditions have caused a significant increase in hospital expenses. Diabetes and obesity have been identified as variables that negatively impact patient outcomes, but hospital expenses for diabetes and obesity patients who had and did not have COVID-19 had not been explored. The purpose of this quantitative correlational study was to compare the difference in hospital expenses, if any, of diabetes and obesity patients with and without COVID-19 at a North Carolina rural health care center. The study’s design was a correlational analysis using simple linear regression guided by Andersen’s behavioral model of health service utilization. The dependent variable …
Early Childhood Teachers’ Perceptions On Well-Being Following The Covid-19 Pandemic, Janith Rena Rhodes
Early Childhood Teachers’ Perceptions On Well-Being Following The Covid-19 Pandemic, Janith Rena Rhodes
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the decrease in early childhood (EC) teachers’ well-being since 2021 at a southeastern school district (SESD, a pseudonym) following the COVID-19 pandemic. The purpose of this qualitative study was to explore the personal and professional well-being of EC teachers during the post-pandemic teaching environment to gain an understanding of how the school district can support teachers so that they work effectively. The conceptual framework for this study was Seligman’s (2016) multidimensional PERMA model, which was found useful for understanding employees’ well-being for all employees at work. Data were collected through semistructured interviews of …
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Walden Dissertations and Doctoral Studies
HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
Walden Dissertations and Doctoral Studies
Gender minorities experience higher rates of sexual assault (SA) victimization and psychological distress, including posttraumatic stress disorder (PTSD) than their cisgender counterparts. Nonbinary individuals, in particular, face elevated levels of victimization, post assault distress, and unique barriers to receiving competent care both in general and specific to their assault experiences. Current research highlights the need for culturally competent care for nonbinary and transgender individuals, as well as for SA survivors. Although the experiences of SA survivors have been previously explored, specific information regarding the experiences of nonbinary survivors remains scarce. The purpose of this hermeneutic phenomenological study, grounded in Heideggerian …
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Walden Dissertations and Doctoral Studies
During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Walden Dissertations and Doctoral Studies
An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …
Anticipatory Grief Narratives Of Caregivers Of Children With Cockayne Syndrome, Emily T. Smith
Anticipatory Grief Narratives Of Caregivers Of Children With Cockayne Syndrome, Emily T. Smith
Walden Dissertations and Doctoral Studies
Knowledge of the impending death of a loved one has been connected with experiences of anticipatory grief. Specific grief experiences such as caring for a parent with dementia and caring for a child with cancer have been explored. Other rarely occurring anticipatory grief experiences have yet to be explored. The occurrence of Cockayne syndrome (CS) is 2.7 births in 1,000,000 worldwide. CS caregivers begin grieving the moment they learn of their child’s diagnosis, and counseling professionals are ill prepared to counsel the bereaved in even the more typical post death situations. Therefore, this qualitative, narrative study asked the question: what …
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
Harold L. Hodgkinson Award for Outstanding Dissertation
Gender minorities experience higher rates of sexual assault (SA) victimization and psychological distress, including posttraumatic stress disorder (PTSD) than their cisgender counterparts. Nonbinary individuals, in particular, face elevated levels of victimization, post assault distress, and unique barriers to receiving competent care both in general and specific to their assault experiences. Current research highlights the need for culturally competent care for nonbinary and transgender individuals, as well as for SA survivors. Although the experiences of SA survivors have been previously explored, specific information regarding the experiences of nonbinary survivors remains scarce. The purpose of this hermeneutic phenomenological study, grounded in Heideggerian …
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Walden Dissertations and Doctoral Studies
The primary objective of this doctor of nursing practice (DNP) project was to educate staff on urinary tract infection (UTI) prevention. A gap in practice was identified among nursing staff at an assisted-living facility who lacked current, evidence-based knowledge. This project was conducted to determine whether educating staff on UTI prevention increased their knowledge. Knowles’s adult learning theory and the analysis, design, development, implementation, and evaluation model were used as the theoretical framework that guided this project. Eighty-eight healthcare workers at the project site voluntarily participated in this project. Before the education session, a 10-question, multiple-choice pretest was administered to …
Recidivism: Putting A Stop To The Revolving Door, Kathy Crowder Green
Recidivism: Putting A Stop To The Revolving Door, Kathy Crowder Green
Walden Dissertations and Doctoral Studies
Recidivism is a powerfully adverse factor in the lives of individuals who seek to reintegrate into society and the community at large. In this qualitative research, former inmates who were successfully released and had never been convicted within one year of their release were interviewed to discover the rationale. The research focused on understanding the skills and traits obtained through the Alternative Custody Program that can effectively reduce recidivism. Utilizing a phenomenological design, the purpose of this study was to understand the effects of program participation on the lives of former inmates concerning recidivism. Interviews lasting approximately an hour were …
Job Task Analysis: Exploring A Nonprofit Mental Health Administrative Staff’S Perceptions Of Their Job Duties And Priorities, Ella Faye Warren
Job Task Analysis: Exploring A Nonprofit Mental Health Administrative Staff’S Perceptions Of Their Job Duties And Priorities, Ella Faye Warren
Walden Dissertations and Doctoral Studies
Due to a recent expansion, Organization A encountered challenges in aligning its administrative staff duties and responsibilities with the strategic objectives of the organization. This difficulty was driven by the need to accommodate new services and the increasing demand for mental health services within the region. The purpose of this qualitative research study was to explore the job duties the administrative staff at Organization A currently perform, and what were their perceptions concerning the priorities to be fulfilled in the future. The conceptual frameworks of job task analysis and job task inventory guided the data collection process, which involved conducting …
Perceptions Of Learning Designers On Challenges Integrating Analytics To Improve Corporate Online Education, Marco D'Alessio
Perceptions Of Learning Designers On Challenges Integrating Analytics To Improve Corporate Online Education, Marco D'Alessio
Walden Dissertations and Doctoral Studies
Learning designers face challenges integrating learning analytics (LA) when designing learner-content interactions in corporate online education. The quality of the learning design directly affects learners’ engagement and impacts the transfer of learning at work. This qualitative study aimed to explore the perspectives of experienced learning designers on the challenges of integrating LA when designing corporate online education content. The conceptual framework for this study was Engeström’s activity theory. The research question guiding the study explored how experienced learning designers in corporate online education perceived the challenges of integrating LA to support data-informed decision-making when designing learner-content interactions. Semistructured interviews of …
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Walden Dissertations and Doctoral Studies
Malaria-induced child mortality is a Sub-Saharan African phenomenon, and Côte d'Ivoire, in West Africa, has one of the highest rates. This general qualitative study investigates waste management as a potential factor of malaria-induced child mortality to inform policy changes and fill a gap in the body of knowledge. The study is grounded in Skocpol's policy feedback theoretical framework. The research question explored aspects of waste management in Côte d'Ivoire which contribute to the high rate of malaria-induced child mortality. Eighteen participants, equally divided into three groups, were purposely recruited via email and WhatsApp messages for semi-structured interviews using a smartphone …
Nigerian Brewery Industry Leaders' Perceptions Of Emotional Intelligence As A Strategy To Improve Employee Job Satisfaction And Organizational Performance, Funso Ayeni
Walden Dissertations and Doctoral Studies
Employee job dissatisfaction and turnover rates increase when organizational leaders and managers have low emotional intelligence (EI). Nigerian business leaders have not placed significant importance on EI skills which has resulted in higher turnover and worse business performance. The purpose of this qualitative single-case study was to explore Nigerian brewing industry leaders’ perceptions of effectively applying EI skills to improve employee job satisfaction and organizational performance. Goleman's emotional competencies model and Herzberg’s two-factor theory provided the conceptual framework. The research questions focused on understanding Nigerian brewing industry leaders’ perceptions of effectively applying EI skills. Purposive sampling was used to identify …
Essential Resource Barriers And Perceived Implications Among Military Parents Of Autistic Children, Ann Bayron-Freay
Essential Resource Barriers And Perceived Implications Among Military Parents Of Autistic Children, Ann Bayron-Freay
Walden Dissertations and Doctoral Studies
Elevated mental health issues and health care accessibility challenges may be exacerbated by the stressors experienced by military parents of autistic children. The purpose of this interpretative phenomenological analysis was to explore how military parents with autistic children experienced and perceived essential resource barriers. Parent perceptions of the obstacles they experienced with essential resource accessibility led to significant difficulties being identified. The stress process model was used to frame the concepts in this research. Data were collected from semistructured interviews with eight active duty or recently retired military parents who had at least one autistic child during their service. Themes …
Best Practices To Improve Staffing And Retention For Women’S Health Providers In The Clinic Setting At The Veterans Health Administration, Tiffany Alexander
Best Practices To Improve Staffing And Retention For Women’S Health Providers In The Clinic Setting At The Veterans Health Administration, Tiffany Alexander
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States providing care to veterans and eligible family members with a growing population of female veterans. This has led to the need to maintain adequate physician staffing for the care of this unique population. The purpose of this integrative review was to identify strategies for maintaining women’s health providers to support the growing population of female veterans who have experienced military sexual trauma and require specialized care in the women’s health clinic setting. This integrative review provided an analysis of empirical and nonempirical literature within …