Digital Commons Network^™

Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon

Walden Dissertations and Doctoral Studies

Nongovernmental organizations (NGOs) in unstable developing nations face major sustainability challenges. In Cameroon, an ongoing sociopolitical crisis has increased demand on NGOs, including VWXZY, which supports girls and women fleeing civil unrest. This study investigated sustainable strategies to strengthen VWZYZ’s financial stability. Drawing on financial resilience literature and the strengths, weaknesses, opportunities, and threats (SWOT) framework, it addressed two questions: (a) How can VWXZY-Cameroon effectively leverage SWOT analysis to address financial challenges, improve financial oversight, diversify funding sources, and strengthen operational efficiency? (b)What strategies can VWXZY-Cameroon use to enhance its financial resilience and ensure sustainability amid sociopolitical and economic instability? …

Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is a significant public health concern, and educating nursing staff is crucial to improving patient outcomes and supporting public health initiatives. This staff education project focused on improving the quality of hypertension management by empowering nurses to provide evidence-based, patient-centered care. The practice-focused question is as follows: Will HTN education improve staff knowledge of HTN diagnosis, treatment, and management? I employed a quantitative pre-test/post-test design to measure changes in staff (n = 10) knowledge before and after training. Descriptive statistics measure knowledge gain and the effectiveness of educational strategies. The pre-test percentage of correct answers improved from 79% …

Staff Education To Reduce Compassion Fatigue In Acute Care Staff Nurses, Kamala C. Mcgee

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF), burnout, and moral distress are common in high-acuity nursing environments, yet nurses are rarely taught how to recognize or manage these challenges. The guiding question for this staff education project was about whether education focused on CF and mindfulness-based coping strategies would improve nurses’ knowledge and attitudes in an acute care VA medical center. Posteducation results (n = 20) showed meaningful, statistically significant improvements. Familiarity with CF increased from baseline (M = 2.35; SD = 1.04) to post implementation (M = 3.75; SD = .91), t(19) = −5.085, p < .001. Confidence in recognizing CF in oneself improved from baseline (M = 2.6; SD = .875) to post implementation (M = 3.60; SD = .821), p = .004. Confidence in recognizing CF in colleagues increased from baseline (M = 2.40; SD = .821) to postimplementation (M = 3.15; SD = .671), p = .012. Agreement that seeking help is a sign of weakness decreased from baseline (M = 2.00; SD = .503) to postimplementation (M = 1.40; SD = .951), p = .024. Although perceptions of organizational support did not change, nurses reported greater use of mindfulness, peer support, and boundary setting, supporting nurse wellbeing and psychological safety. Several recommendations emerge from this project. CF education should be integrated into routine staff development, annual competencies, and onboarding for new nurses. By reducing stigma around seeking help and promoting peer awareness, this work supports fostering a workplace culture where all nurses feel safe, supported, and valued, a positive social change.

Effective Mentoring Strategies For Career Advancement For Mid- And Senior-Level Scientific Professionals In The Biotechnology Industry, Rachel Ayekor Hanson

Walden Dissertations and Doctoral Studies

Leaders of biotechnology organizations struggle to retain and promote experienced scientific professionals, thereby weakening innovation and long-term competitiveness. Biotechnology leaders are concerned about the successful development and retention of mid- and senior-level professionals as they move from technical to leadership roles to improve innovation and long-term competitiveness. Grounded in Kram’s mentoring theory and Ragins’s diversity and inclusion framework, the purpose of this qualitative pragmatic inquiry was to identify and explore mentoring strategies effectively implemented for biotech organization leaders, tailored to mid- and senior-level scientific professionals, to promote career progression and contribute to organizational performance. The participants were six biotechnology leaders …

Using Fire Investigators' Narratives To Explore Serial Firesetting Behaviors, Alisha Jones-Creel

Walden Dissertations and Doctoral Studies

This qualitative narrative inquiry examined how fire investigators share tacit knowledge related to threat assessment and risk management in cases of serial firesetting. Data were derived from eight semi-structured interviews with fire investigators from Louisiana, Mississippi, and Texas who had investigated firesetting incidents within the past five years. Narrative analysis was used to identify cross-case patterns in how investigators recognize offender characteristics, assess contextual risk factors, and detect early warning signs across incidents. Analysis identified three themes addressing how lived experience informs peer understanding of offender behavior, risk indicators, and warning signs, and three themes addressing how narrative experience guides …

Strategies For Reducing Fraud In Corporate Organizations, Tarshall Horton Mccauley

Walden Dissertations and Doctoral Studies

Financial statement fraud has been a persistent problem that poses risks to corporations globally. Business leaders are concerned about financial statement fraud due to its potential to weaken financial stability, erode stakeholder confidence, and create conditions that may lead to significant financial distress or organizational collapse. Grounded in the fraud triangle theory, the purpose of this qualitative pragmatic inquiry research was to explore internal control strategies corporate leaders use to reduce financial statement fraud risk. The participants were 11 financial leaders in North Carolina, the District of Columbia, and Virginia who practiced effective internal controls to minimize financial fraud. Data …

Effective Strategies For Small And Mid-Sized Enterprises To Leverage Resources And Sustain Operations, Priscilla Neri Rebibis Barbero

Walden Dissertations and Doctoral Studies

Ineffective strategies for leveraging resources can lead to early business closures. Small-to medium-sized enterprise (SME) owners who struggle to acquire sufficient resources for their operations may experience diminished profits and business instability as a result. Grounded in resource-based view (RBV) theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by SME owners to leverage resources and sustain business operations beyond 5 years. The participants were 10 SME owners who had implemented strategies for sustainable business operations. Data were collected through semistructured interviews and a review of relevant public documents. Using thematic …

Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie

Walden Dissertations and Doctoral Studies

Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …

Challenges And Supports Of Principals’ Implementation Of Social-Emotional Learning, Nikomar Mosley

Walden Dissertations and Doctoral Studies

School districts throughout the United States are increasingly implementing social and emotional learning (SEL). The problem addressed in this study is that K-12 principals are struggling with the mandated implementation of SEL at Northeastern School District (NSD), a large, diverse urban school district. Guided by the collaborative for academic, social, and emotional learning competency and implementation frameworks, the purpose of this qualitative study was to explore K-12 principals’ experiences with the mandated implementation of SEL at NSD. For this basic qualitative study, semistructured interviews were conducted with 10 principals. Through thematic analysis, the following themes emerged: (a) SEL is not …

Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon

Walden Dissertations and Doctoral Studies

Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …

Impact Of Cloud Computing On Organization’S Profitability, Simeon Adeoye Bakare

Walden Dissertations and Doctoral Studies

Cloud computing is a virtual pool of services that provides confidentiality, availability, integrity, and authenticity for customers and cloud service providers, yet many organizations underutilize available cloud resources. This underutilization is a concern for organizational information technology (IT) leaders because solving it would improve secure scalability, operational efficiency, and return on investment. Grounded in the Technology Acceptance Model (TAM3) and the Unified Theory of Acceptance and Use of Technology (UTAUT3), the purpose of this multiple case study was to explore the security measures that IT Security managers can implement to ensure their organizations remain secure when using cloud computing infrastructure. …

A Nurse-Led Clinical Practice Guideline To Improve Medication Adherence Among Psychiatric Home-Health Patients, Amber Murillo - Alonzo

Walden Dissertations and Doctoral Studies

Medication nonadherence among psychiatric patients receiving home-health services contributes to symptom relapse, preventable hospitalizations, and decreased quality of life. Inconsistent medication education and adherence monitoring within home-health settings may further exacerbate this problem. The purpose of this Doctor of Nursing Practice project was to develop and evaluate a nurse-led clinical practice guideline (CPG) designed to improve medication adherence among psychiatric home-health patients. The practice-focused question asked: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, supports the quality and usability of a CPG to improve medication adherence in a …

Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has placed stress on healthcare systems globally, with emergency department (ED) physicians experiencing an acute impact due to their frontline role. Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, has been widely reported by healthcare providers during the pandemic. However, the specific manifestations of burnout among ED physicians remain underexplored, particularly from their own perspectives. This study is grounded in Maslach’s Multidimensional Theory of Burnout and Alan Card’s theory of Avoidable versus Unavoidable Suffering, providing a framework to interpret ED physicians’ experiences and distinguish between the inherent challenges of frontline work and …

Effective Human Resources Strategies For Flexible Parental Leave Applications, Omolola Balogun

Walden Dissertations and Doctoral Studies

A lack of flexibility in the application of human resources (HR) parental leave policy can negatively affect employee capacity and organizational sustainability. HR leadership policymakers are concerned that parental leave policies fail to accommodate individual employee circumstances, limiting effective workforce support and retention. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that HR leadership policymakers use to develop and implement flexible parental leave HR policy applications tailored to individual employee situations, thereby supporting improved employee capacity and the overall success and sustainability of the business. The participants …

Improving Rural Health Through Nutrition Incentives: A Mixed Methods Evaluation Of The First Year Of The Appalachian Farmacy Program, Bethesda O'Connell, Harrison Ihrig, Andrea D Nutsugah, Ignacio Garcia, Michael Rice, Ashley Cavender

Journal of Social, Behavioral, and Health Sciences

Food insecurity remains a critical public health concern, particularly in rural, low-income communities. In 2023, 13.5% of United States households experienced food insecurity, with rates in Tennessee (15.6%) exceeding the national average. Produce prescription programs have emerged as a strategy to improve food access and promote healthier eating behaviors. This study presents an evaluation of Appalachian Farmacy, a produce prescription program in Northeast Tennessee designed to increase fruit and vegetable consumption among individuals receiving Medicaid, Medicare, or Supplemental Nutrition Assistance Program (SNAP) benefits. Program evaluation methods included semi-structured interviews for process evaluation and pre- and post-surveys for outcome evaluation. Interviews …

Faculty Readiness And Ethical Perceptions Of Artificial Intelligence Integration In Higher Education Teaching And Assessment, Ayesha Afzal, Shahid Rafiq, Aisha Sami

Higher Learning Research Communications

The rapid advancement of artificial intelligence (AI) technologies presents both transformative opportunities and complex challenges for higher education, particularly in teaching and assessment. This study examines the readiness of faculty members in Pakistani universities to integrate AI tools into pedagogical and evaluative practices, alongside their ethical perceptions of AI use in academic contexts. Using a qualitative research design, semi-structured interviews were conducted with 20 faculty members across diverse disciplines and institutions. Thematic analysis, guided by the Technology Acceptance Model (TAM), the Technological Pedagogical Content Knowledge (TPACK) framework, and Rest’s Four-Component Model of ethical decision making, revealed four interrelated themes: (1) …

Exploring The Role Of Higher Education Leaders In Quality Culture Development: A Mixed Methods Study, Eshetu Mandefro, Tesfaye Semela, Ashebir Bezabhi

Higher Learning Research Communications

Objectives: In higher education institutions (HEIs), building a strong quality culture (QC) is essential to ensure the quality of education provided. QC integrates organizational, managerial, and psychological elements that shape how quality is understood and improved in HEIs. This study explores how leaders at the departmental and faculty levels navigate and contribute to quality culture development (QCD).

Methods: We employed a sequential explanatory mixed-methods design. A total of 1,029 academics completed questionnaires, and 33 leaders at the departmental and faculty levels were interviewed at three public universities in Ethiopia.

Results: The findings reveal that leadership roles at the departmental and …

Analytical Review Of Current Educational Public Policy For California Department Of Education Common Core Curriculum Guidelines Pertaining To Law-Related Education For Grades K–12, Aubray Mcpherson

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the lack of a mandated statewide law-related education (LRE) requirement within the California K–12 curriculum. Existing research linked structured LRE exposure to greater civic knowledge, stronger legal understanding, increased social responsibility, and reduced delinquency risk among disadvantaged youth. However, a gap exists due to the absence of integrated qualitative analyses combining prior LRE research with stakeholder perceptions. The purpose of this qualitative study was to examine the potential social, emotional, and economic implications associated with implementing a statewide LRE public policy. Guided by the conceptual framework consisting of new public administration and the …

Psychological Safety And Prosocial Rule Breaking Within Leader–Member Exchanges In A State Government Agency, Larry Standfield

Walden Dissertations and Doctoral Studies

Psychological safety is often insufficiently supported in organizations, leading to strained leader-member exchanges (LMXs), reduced employee well-being, and diminished overall organizational performance. Government agency leaders need to understand this concern as a primary indicator of job satisfaction and organizational effectiveness. The purpose of this qualitative descriptive study was to explore how employees of a state government agency described leader support of psychological safety and prosocial rule breaking in their LMXs and how these LMX exchanges influenced their psychological safety and organizational performance. Psychosocial safety climate theory and LMX theory provided the grounding for this study. The participants consisted of 10 …

Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project involved development and approval of a clinical practice guideline (CPG) for management of alcohol withdrawal syndrome (AWS) in the emergency department (ED) of a large community trauma center in the southeastern United States. AWS is a common, potentially life-threatening condition requiring timely assessment and intervention to prevent. Variability in ED screening and treatment contributes to delayed intervention, increased rapid response activations, and intensive care transfers. The project purpose was to develop and obtain expert approval of an evidence-based CPG using the Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) tool to support standardized screening, symptom-triggered …

Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson

Walden Dissertations and Doctoral Studies

Workforce burnout, low morale, and high turnover are persistent challenges in psychiatric emergency services, where clinicians work in high-acuity environments. These conditions threaten workforce sustainability and continuity of crisis care. The problem addressed in this study was difficulty retaining staff within a nonprofit psychiatric emergency services organization due to burnout and morale erosion. The purpose of this study was to examine how leadership practices influence staff morale, burnout, and workforce retention at Psychiatric Emergency Stabilization Services X, located in New Jersey. The study was grounded in a qualitative conceptual framework informed by the Baldrige Excellence Framework. The study population included …

Staff Education On Evidence-Based Interventions To Improve Patient Engagement In An Outpatient Mental Health Clinic, Gloria Egeh

Walden Dissertations and Doctoral Studies

In this project, I implemented a staff education initiative at an outpatient psychiatric facility in Michigan to address gaps in clinicians’ and office managers’ knowledge of evidence-based patient engagement strategies. Limited understanding had hindered patient participation in treatment planning, symptom self-management, and shared decision-making, key components of recovery-oriented care. The education initiative was aimed at enhancing staff competencies to strengthen therapeutic alliances, improve treatment adherence, and support positive mental health outcomes. Guided by a practice-focused question, in the project I examined whether an evidence-based staff education program would improve patient engagement among adults receiving outpatient mental health services. A pre-/postintervention …

Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek

Journal of Educational Research and Practice

Since 2012, a Japanese and a German university have conducted exchange programs. This study examined the effects of a short-term exchange program in 2023, focusing on intercultural sensitivity. Nine Japanese students and nine German students completed a 24-item Intercultural Sensitivity Scale before and after the program using a 5-point Likert scale. We performed cross-tabulations and analyzed differences between countries and pre- and post-program changes using chi-square or Fisher’s exact tests. The results suggest that even a short-term exchange enhanced Japanese students’ confidence in intercultural interactions and encouraged German students to reflect on their own culture. However, Japanese students showed lower …

Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore

Walden Dissertations and Doctoral Studies

This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …

Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris

Walden Dissertations and Doctoral Studies

Many outpatient substance use treatment centers struggle with retention and recruitment of counseling staff. Without sufficient staff, substance use outpatient treatment centers are unable to provide services to patients who need such support, and patients often seek care in places like the emergency department, which creates problems for the healthcare system, such as overcrowding. The purpose of this research was to identify strategies to increase retention and improve recruiting effectiveness for counseling staff at outpatient substance use treatment centers. The conceptual framework of plan, recruit, retain underpinned this integrative review. The review question centered on the best strategies to reduce …

Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice (DNP) staff education project was to enhance psychiatric nursing staff's knowledge and attitudes regarding the promotion of hygiene among adult behavioral health inpatients. Hygiene neglect is a widespread concern in psychiatric units as patients often experience psychomotor retardation, hopelessness, and low motivation that hinder self-care. To address this gap, a staff education program was implemented. Staff members (N = 35) participated in live huddle-based education sessions that included case discussions, demonstrations, and reflection exercises. Participants completed pre- and posttests measuring knowledge (10 items) and attitudes (6 Likert-scale items). Following the education, staff …

The Relative Strength Of Paternal Absence, Strong Black Woman Schema, And Self-Esteem In Predicting Resilience Among Black Women, Aqueelah Wheatley

Walden Dissertations and Doctoral Studies

The continued rise in single-mother households within Black communities has led to an increase in hyper-independence among Black women, a phenomenon referred to as the strong Black woman schema. Studies have found an association between hyper-independence (i.e., excessive self-reliance and emotional invulnerability) and absent fathers (i.e., due to incarceration or abandonment), forcing Black women to assume the roles of financial provider, caregiver, and community agent. Though studies have found a link between the strong Black woman and negative health outcomes (e.g., emotional distress), other studies have found that strong Black women characterize themselves as independent, empowered, and content individuals, feelings …

Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a staff education initiative addressing a critical practice gap: clinical staff at a mental health facility lacked the practical knowledge to implement evidence-based telemonitoring protocols for suicide prevention, despite strong supporting research. High rates of suicide attempts and readmissions underscored the urgency for this intervention. The practice-focused question was: “Will a staff education program designed to educate healthcare providers on nurse-led telemonitoring protocols increase staff knowledge?” The purpose of this project was to develop, implement, and evaluate an educational program for providers to increase their knowledge on how a telemonitoring protocol can reduce …

Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth

Walden Dissertations and Doctoral Studies

Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …

An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro

Walden Dissertations and Doctoral Studies

The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …