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Depression Screening For Bariatric Surgical Patients, Cova Teresa Stidham Jan 2019

Depression Screening For Bariatric Surgical Patients, Cova Teresa Stidham

Walden Dissertations and Doctoral Studies

Obesity in the United States has increased to epidemic numbers over the last decade. Practitioners need to reverse the trend. To address the problem of depression in obesity, a practice guideline from a bariatric clinic for under-served populations was proposed to an expert panel. The Spell Out on First Use (PHQ-9) screening is a valid and reliable self-screening tool to assist the practitioner in determining the level of depression if any. The PHQ-9 has nine questions. No formal screening existed at the bariatric clinic, and the practice guideline (with algorithm and revised workflow) was proposed for use at the clinic. …

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Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas Jan 2019

Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas

Walden Dissertations and Doctoral Studies

Systemic lupus erythematous (SLE) is an autoimmune and inflammatory disease that can affect all organs of the body. The purpose of this quantitative cross-sectional study was to examine SLE-related issues associated with depression and work-productivity impairment, and to assess if depression mediated the relationship between SLE disease activity and damage and work-productivity impairment. Participants were 257 residents of the state of Georgia in the United States with SLE and were recruited from the Georgians Organized Against Lupus study. Bandura'€™s social cognitive theory was the guiding theoretical framework of the study. Findings showed that the majority of participants worked full time …

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Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden Jan 2019

Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden

Walden Dissertations and Doctoral Studies

Research is limited on the differences between mothers and fathers on traditional and Internet parenting styles, particularly fathers' Internet parenting styles. Baumrind's parenting styles typology guided this quantitative, cross-sectional assessment of mothers and fathers of children age 6-13 years old on 4 dimensions of the Parenting Style Scale; 6 subscales of the Internet Parenting Style Instrument, hours a child spent on the Internet for school versus entertainment, and several key demographics to examine canonical correlation dimensions relating traditional and Internet parenting styles and to examine differences in styles between mothers and fathers. A convenience sample (N =129) was collected from …

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Foster Care System Effectiveness In Assisting Young Adults' Transition To College, Vivienne Mitchell Jan 2019

Foster Care System Effectiveness In Assisting Young Adults' Transition To College, Vivienne Mitchell

Walden Dissertations and Doctoral Studies

Research suggests that the relatively low rates of former foster youth enrolling in and graduating from a postsecondary institution may be related to lack of foster care system support. This study examined whether perceived support from the foster care system was related to the postsecondary enrollment and academic performance of former foster youth, and whether males and females differed in perceived support from the foster care system. Forty-five former foster youth aged 18-24 years who had transitioned from a southeastern state completed a measure of social support and reported whether they had attended a postsecondary institution and, if so, their …

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Discipline Policy And Preschool Special Education Students' Social Skills, Amanda Lee Tamagni Jan 2019

Discipline Policy And Preschool Special Education Students' Social Skills, Amanda Lee Tamagni

Walden Dissertations and Doctoral Studies

Preschool special education students lack of personal-social skills is affecting their kindergarten readiness and placing them at risk for exposure to school discipline in a large school district in the Southeastern United States. The purpose of this quantitative study was to examine the relationship between the quality of school discipline policies and personal-social skills of preschool special education students within the focus district. Ecological systems theory provided the framework for the study. Data collection included archived personal-social skills scores, as measured by the Battelle Developmental Inventory 2 (BDI 2), of 354 preschool special education students. Four trained educators rated the …

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Stress And Burnout: Empathy, Engagement, And Retention In Healthcare Support Staff, Burnette Vidal Jan 2019

Stress And Burnout: Empathy, Engagement, And Retention In Healthcare Support Staff, Burnette Vidal

Walden Dissertations and Doctoral Studies

Research on stress and burnout and their influence on empathy, engagement, and retention, in healthcare support staff is scarce in the literature. The theoretical framework for this study was the conservation of resources (COR) theory which claims that when people are stressed, emotionally exhausted, and experiencing burnout, they protect and preserve their physical and mental resources from becoming depleted by reducing their effort and withdrawing from work. The key research question was: Does burnout mediate the relationship between stress and empathy, engagement, and turnover intentions in healthcare support staff working in a Federally Qualified Health Center (FQHC)? This quantitative, non-experimental, …

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Social Workers'/Case Manager's Knowledge Deficits Of Adults With Precomorbid Attention Disorders, Denise Ford Brown Jan 2019

Social Workers'/Case Manager's Knowledge Deficits Of Adults With Precomorbid Attention Disorders, Denise Ford Brown

Walden Dissertations and Doctoral Studies

There is a lack of knowledge about how to provide services for adults with attention deficit hyperactivity disorders (ADHD) among healthcare professionals, particularly for adults with precomorbid ADHD. The purpose of this qualitative, multiple case study was to explore the knowledge deficits of social workers and case managers regarding adults with precomorbid ADHD and their perception of obstacles in providing medication and counseling referrals. Participants' perceptions of obstacles was assessed through the framework of social problem-€solving theory. The sample included 10 participants: 6 case managers and 4 social workers. There were three codes that represented participants' perceptions of knowledge deficits …

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Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens Jan 2019

Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens

Walden Dissertations and Doctoral Studies

Numerous faith-based organizations (FBOs), denominations, and religious groups are represented in the United States. Faith leaders have the responsibility of addressing the spiritual needs of the congregation; however, the health needs of parishioners may be a point of discussion faith leaders should address. Communities surrounding FBOs may have limited health care services, lack transportation, and have serious health issues. The purpose of this phenomenological qualitative study was to explore the experiences of faith leaders on giving health counseling to their congregation. Faith leaders play an essential role in providing health counseling on various health topics to their congregation and community. …

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Predictors Of Poor Pregnancy Outcomes Among Pregnant Women In Island Maternity, Nigeria, Letam Nwi-Ue Jan 2019

Predictors Of Poor Pregnancy Outcomes Among Pregnant Women In Island Maternity, Nigeria, Letam Nwi-Ue

Walden Dissertations and Doctoral Studies

Pregnancy outcomes have improved tremendously in developed countries. Notwithstanding, it is still a huge challenge in developing countries, especially Sub-Saharan Africa. In 2015 in Nigeria, about 145 women died daily from pregnancy-related causes. Similarly, nearly 2,300 children under 5 years were lost in the same year. Nigeria consistently underperformed in some of the critical pregnancy indicators such as maternal and neonatal mortality, second worst only to India in the world. Studies on poor pregnancy outcomes are scarce in Nigeria. The purpose of this quantitative, retrospective cross-sectional study was to use local evidence to ascertain the risk factors that predict poor …

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Redefining Protection Intervention In Humanitarian Aid Through External Factors: A Case Study Of Niger, Valerie Svobodova Jan 2019

Redefining Protection Intervention In Humanitarian Aid Through External Factors: A Case Study Of Niger, Valerie Svobodova

Walden Dissertations and Doctoral Studies

The magnitude of internal displacement worldwide is growing every year and represents a tripling of the existing number of refugees worldwide. Internally displaced persons have specific vulnerabilities and the system of assistance to them needs to be adapted and revised. The purpose of this case study was to identify external factors that influence protection interventions for internally displaced persons in humanitarian response. Using Benet's Polarities of Democracy theory and the Theory of Change Conceptual Framework as a framework, the study sought to identify key external factors influencing protection intervention in humanitarian aid settings. Data for this study was gathered through …

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The Effects Of A Multicultural Overseas Community On Military Adolescents, Nicole Hayes Jan 2019

The Effects Of A Multicultural Overseas Community On Military Adolescents, Nicole Hayes

Walden Dissertations and Doctoral Studies

Several reserachers have identified the challenges faced by military adolescent dependents. However, scholarly literature provides little evidence regarding examples of the impact of military adolescents' transition and adjustment to residing in a multicultural community overseas. A qualitative case study was conducted of 6 former military adolescents between the ages of 18 and 25, regarding their perceptions of the experiences and challenges they encountered while residing in a multicultural overseas community as a military dependent between grades 8-12. Benet's polarities of democracy served as the theoretical framework. All data were inductively coded and subjected to a thematic analysis from which 5 …

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Factors Leading Corporations To Continue To Engage In Corporate Social Responsibility Initiatives, Radu-Marius Gavrila Jan 2019

Factors Leading Corporations To Continue To Engage In Corporate Social Responsibility Initiatives, Radu-Marius Gavrila

Walden Dissertations and Doctoral Studies

Accountability for corporate social responsibility (CSR) and its societal challenges is undetermined, and it is unclear whether business or society should carry these responsibilities. Despite severe criticism from some, many organizations continue to invest in and promote CSR. The purpose of this multiple-case study was to increase the understanding of the phenomenon from the perspective of a purposeful sample of participants who contribute to CSR execution and who were representatives of the 10 organizations identified as active promoters. The participant corporations (case studies), in Europe and North America, were mainly in the telecommunications industry. Study data came from 11 face-to-face, …

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Drones And American Domestic Policy: An Analysis Of Elite And Mass Opinion, Kevin Michael Leonard Jan 2019

Drones And American Domestic Policy: An Analysis Of Elite And Mass Opinion, Kevin Michael Leonard

Walden Dissertations and Doctoral Studies

Researchers have primarily focused on the use of drones for military purposes. Yet, understanding how the use of drones influences domestic policymaking from the perspective of mass and elite opinion was generally absent from the academic literature. The purpose of this descriptive study was to explore and describe the perceptions of policy elites and the mass public on the impact of drone use on domestic policy. Guided by Donohue, Tichenor and Olien's theories of media framing and salience, mass opinion was measured through a convenience sample via the Walden Participant Pool, whereas elite opinion was measured through a purposive sampling …

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Case Workers' Perspectives Of Their Impact On First-Time, Female Status Offenders, Nikki Amanda Miller Jan 2019

Case Workers' Perspectives Of Their Impact On First-Time, Female Status Offenders, Nikki Amanda Miller

Walden Dissertations and Doctoral Studies

Female status offenders recidivate in the juvenile justice system within 1 to 3 years once released of the initial incarceration. The purpose of this basic qualitative study was to explore juvenile delinquent case workers' impact on first-time, female status offenders. Urie Bronfenbrenner's social ecological model informed the conceptual framework. The research instrument used for this study was the interview. Criteria for selecting 12 juvenile professionals to participate in the study included working 3 years or longer inside a women's forensic population, working with first-time offenders, having caseloads of female offenders, and focusing on the crime of status offenses. Initial and …

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Community Risk Factors And Health Inspection Violations In Mississippi Delta Census Tracts, Chrystal S. Early Jan 2019

Community Risk Factors And Health Inspection Violations In Mississippi Delta Census Tracts, Chrystal S. Early

Walden Dissertations and Doctoral Studies

A concerning public health issue in America is about food deserts urban and rural communities that lack grocery retailers that offer affordable, nutritious, and diverse foods. Empirical evidence has shown significant associations between neighborhood disadvantage/disorder risk factors of high poverty and high percentages of ethnic minority residents with presence/ absence of healthy food retailers in food deserts. The purpose of this quantitative correlational study, framed by the disparities in food safety conceptual model, was to examine if county-level poverty, number of African American residents, number of elderly (i.e., age 65 or older) residents, vehicle ownership, and crime rates were significantly …

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Nurse Managers’ Self And Authentic Leadership In Relation To Their Job Satisfaction, L'Ouverture Ellis Jan 2019

Nurse Managers’ Self And Authentic Leadership In Relation To Their Job Satisfaction, L'Ouverture Ellis

Walden Dissertations and Doctoral Studies

There is a high cost to nurse manager turnover and added to this challenge is the difficult tasks that hospitals have of recruiting and retaining nurse managers. These difficulties make it challenging for healthcare providing institutions to achieve consistent positive patient and staff outcomes. The current study examined the relationship between self-leadership, authentic leadership, and job satisfaction with nurse managers. Three elements making up the theoretical framework of this research were self-leadership, authentic leadership, and job satisfaction. The 2 predictor variables were self-leadership and authentic leadership. An evaluation of whether a relationship existed between the predictors and the criterion, job …

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Employee Awareness Of Organizational Cultural And Climate Expectations, Venita M. Govan Jan 2019

Employee Awareness Of Organizational Cultural And Climate Expectations, Venita M. Govan

Walden Dissertations and Doctoral Studies

Organizational culture statements are established to pronounce and promote core values for employees to live while performing roles and responsibilities. It is essential for employees to be knowledgeable of cultural expectations. When considering organizational alignment, research has indicated there is deficient linkage when analyzing applied strategies versus envisioned strategies focusing on employees’ actual lived experiences. The purpose of this phenomenological study was to survey whether the corporate health care employees’ lived experiences mirrored the stated cultural values associated with the theoretical framework concerning artifacts, espoused values, and basic assumptions. Through an online survey, this phenomenological study analyzed cultural experiences of …

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Thinking About Engaging In Charitable Behaviors And Its Influence On Loneliness, Nicole Kristin Graves Jan 2019

Thinking About Engaging In Charitable Behaviors And Its Influence On Loneliness, Nicole Kristin Graves

Walden Dissertations and Doctoral Studies

There are negative correlations between prosocial behaviors and loneliness and negative correlations between thinking about prosocial behaviors and loneliness. The purpose of this study was to investigate the influence of thinking about engaging in charitable behaviors on immediate feelings of social and emotional loneliness, as measured by the Social and Emotional Loneliness Scale (SELSA). To compare influences of thinking about charitable behaviors and not thinking about charitable behaviors, an experimental design was used. The theoretical framework was a mediational model in which thinking about engaging in a specific charitable behavior leads to perceived ability to participate in positive social interaction, …

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Reducing Reliance On Government Funding In The Nonprofit Sector, Bryan K. Kieler Jan 2019

Reducing Reliance On Government Funding In The Nonprofit Sector, Bryan K. Kieler

Walden Dissertations and Doctoral Studies

Many leaders of nonprofit organizations are challenged by limited and declining financial resources from government grants, while being asked by funders and their constituent base to provide better quality services to a larger population. Nonprofit leaders are exploring strategies to reduce their reliance on government grants by diversifying and growing alternative funding sources. The purpose of this single case study was to explore, through the conceptual lens of the balanced scorecard theory, strategies used by 4 leaders of a nonprofit organization in southern California who have experience managing and growing alternative revenue sources by creating a social enterprise. Semistructured interviews …

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Nonfatal Strangulation Continuing Education Program For Forensic Nurses, Pamela Susan Holtzinger Jan 2019

Nonfatal Strangulation Continuing Education Program For Forensic Nurses, Pamela Susan Holtzinger

Walden Dissertations and Doctoral Studies

Patients experiencing nonfatal strangulation during intimate partner violence (IPV) are suffering the consequences of unrecognized injuries and delayed life-threatening medical sequela. Forensic nurses offer expertise in the physical assessment and documentation to a variety of assault victims including those impacted by IPV. This project addressed whether an educational program on nonfatal strangulation increased the knowledge and assessment skills of forensic nurse examiners. The purpose of this doctoral project was to develop a continuing education program on the topic of nonfatal strangulation for forensic nurse examiners. The project design was created using Knowles's adult learning theory principles. The content outline was …

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The Impact Of Parental Support On The Health Behaviors Of Transgender Young Adults, Jill Hingston Jan 2019

The Impact Of Parental Support On The Health Behaviors Of Transgender Young Adults, Jill Hingston

Walden Dissertations and Doctoral Studies

Paralleling recent increased public awareness of transgender issues, gender nonconforming youth are coming out at increasingly earlier ages. It is important to understand the impact that family acceptance or family rejection has on the health outcomes of transgender young people, who are at increased risk of discrimination, prejudice, harassment, victimization, violence, and possible mental health issues and who are understudied. This understanding can be framed within the minority stress model and Carl Rogers' theory of self, which provide insight into how minority groups experience negative reactions from both society and an internalized sense of congruence. The purpose of this descriptive, …

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Teachers' Perspectives Of Their Engagement Of Fathers In Early Childhood Classrooms, Tymeshia L. Gadson Jan 2019

Teachers' Perspectives Of Their Engagement Of Fathers In Early Childhood Classrooms, Tymeshia L. Gadson

Walden Dissertations and Doctoral Studies

Despite positive effects of parent engagement on children's school success, prior research into parent engagement has relied almost exclusively on interactions by mothers and has not included fathers. The purpose of this basic qualitative study was to explore the perspectives of preschool teachers regarding their engagement with fathers of children in their classrooms. The conceptual framework was Epstein's 6 types of parental involvement. Three research questions, regarding teachers' perspectives of father engagement, teachers' reported efforts to increase the engagement of fathers, and the barriers teachers describe in increasing fathers' engagement, form the basis of this study. This was a qualitative …

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Depression Screening In Poststroke, Shannah Lowe Jan 2019

Depression Screening In Poststroke, Shannah Lowe

Walden Dissertations and Doctoral Studies

Depression, a sequela of stroke, is underrecognized and underreported. The American Heart/Stroke Association estimated 1/3 of patients develop depression after a stroke. Depression after a stroke has negative influence on stroke recovery through decreased participation in rehabilitation, and increased morbidity and mortality. The American Heart/Stroke Association recommended that depression screening be conducted on stroke patient; however, there is a lack of guidance regarding the optimal time and tools for depression screening. The practice problem identified was the absence of depression screening in poststroke patients at the project site. The project question focused on identifying evidence-based approaches for depression screening in …

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Social Disorganization Theory: The Role Of Diversity In New Jersey’S Hate Crimes Based On Race And Ethnicity, Dana Maria Ciobanu Jan 2019

Social Disorganization Theory: The Role Of Diversity In New Jersey’S Hate Crimes Based On Race And Ethnicity, Dana Maria Ciobanu

Journal of Social, Behavioral, and Health Sciences

The purpose of this correlational panel study was to test Shaw and McKay’s theory of social disorganization by examining the relationship between demographic diversity and hate crime rates. The study focused on the relationship between the level of diversity, residential mobility, unemployment, family disruption, proximity to urban areas, and population density in all 21 New Jersey counties and hate crime rates. The existing data of Federal Bureau of Investigations’ hate crime rates and the U.S. Census Bureau’s demographic diversity were operationalized as the percentage of Whites over all other races, and social disorganization from the 21 counties of New Jersey …

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Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema Jan 2019

Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema

Walden Dissertations and Doctoral Studies

Obstructive sleep apnea (OSA) is a sleep-related disorder that pauses or decreases air flow during sleep as a result of an obstructed upper airway. About 25 million people in the United States are affected by OSA. OSA has low identification and referral rates, especially in primary care facilities as indicated by the lack of patients' sleep histories. Screening tools such as questionnaires ensure an effective detection of OSA. The practice-focused question examined whether implementing the Epworth sleepiness scale (ESS) in an outpatient primary care setting would increase the number of referrals of high-risk patients. The purpose of the project was …

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Leveraging Internal Resources For Business Sustainability In Independent Quick-Service Restaurants, Mario De' Nell Wallace Jan 2019

Leveraging Internal Resources For Business Sustainability In Independent Quick-Service Restaurants, Mario De' Nell Wallace

Walden Dissertations and Doctoral Studies

Quick-service restaurant owners who fail to apply effective business strategies could risk business closure within the first 5 years of operations. The purpose of this multiple case study was to explore effective strategies that independent quick-service restaurant owners used to sustain business longer than the first 5 years. Resource-based theory was the conceptual framework for this study. Data were collected via semistructured interviews with 6 owners of independent quick-service restaurants in the southern region of the United States who sustained their businesses longer than the first 5 years, and from the review of business documents pertaining to sustainability. Data were …

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Patient Views On Social Media Communication With Their Health Care Providers, Brenda Elaine Welch Jan 2019

Patient Views On Social Media Communication With Their Health Care Providers, Brenda Elaine Welch

Walden Dissertations and Doctoral Studies

Communication between patients and health care providers at hospital discharge is a critical factor that determines whether a patient understands their treatment plan and self-care instructions. Lack of effective health management after hospital discharge can decrease the quality of life for a patient and increase the likelihood of costly hospital readmission. The purpose of this phenomenological study was to explore factors affecting the receptivity of patients using social media as a platform for post discharge, provider-client communication, and assessment. This was explored using social presence theory. Twenty patients between 45 to 65 years of age, who received care from hospitals …

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The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria Jan 2019

The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria

Walden Dissertations and Doctoral Studies

Diabetes is a chronic condition affecting more than 30 million adults living in the United States. Diabetes self-management (DSM) can prevent or delay the complications of diabetes and improve clinical outcomes; however, data show that low-income, food insecurity, female gender, and race contribute to challenges performing effective DSM. The health belief model was the theoretical framework for this cross-sectional study, which examined how food insecurity, low-income, and race affect DSM activities in women with diabetes. The sample population from the 2017 Behavioral Risk Factor Surveillance System survey consisted of 1,842 women with diabetes who were 18 years of age or …

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Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo Jan 2019

Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo

Walden Dissertations and Doctoral Studies

The purpose of this project was to evaluate the impact of a quality improvement strategy to implement an RN clinical learning and development specialist (CLDS) with the intent to reduce high turnover in novice nurses and low nurse engagement. The CLDS served as expert, role-model, coach, and mentor. Benner'€™s model of novice-to-expert was used as the conceptual framework to monitor progression of nurses mentored by the CLDS. The Institute for Healthcare Improvement model for improvement was reviewed to assess the effectiveness of the CLDS on turnover rates and nurse engagement. At the time of program evaluation, the CLDS role had …

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Strategies To Improve Customer Care Services In Urgent Care Businesses, Marcus Ellis Caster Jan 2019

Strategies To Improve Customer Care Services In Urgent Care Businesses, Marcus Ellis Caster

Walden Dissertations and Doctoral Studies

Healthcare industry owners who have unsatisfactory customer care services may experience a financial risk and create dissatisfied patients. The purpose of this case study was to explore customer care strategies that managers of urgent care businesses used to improve customer care services and patient satisfaction. The target population consisted of 1 urgent care manager from 3 separate urgent care clinics with the highest customer satisfaction ratings in Alabama. The urgent care managers were knowledgeable about effective customer care strategies that improved customer care services and patient satisfaction. Customer loyalty theory with emphases on customer behavior, customer attitude, repeat patronage, and …

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