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Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung Feb 2026

Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung

Walden Dissertations and Doctoral Studies

Summary Adult attention-deficit/hyperactivity disorder (ADHD) remains significantly underdiagnosed in outpatient psychiatric settings despite its substantial impact on functioning and long-term mental health outcomes. At the project site, inconsistent screening practices, limited clinician familiarity with DSM-5-TR adult diagnostic criteria, and variable application of the Adult ADHD Self-Report Scale (ASRS) contributed to delayed or missed diagnoses, representing a clear practice gap. This Doctor of Nursing Practice (DNP) project implemented a structured, nurse-led staff education program to improve clinician knowledge, diagnostic accuracy, and standardized workflow adoption for adult ADHD screening using the ASRS. Guided by national evidence-based guidelines, the intervention emphasized DSM-5-TR criteria, …

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Standardized Staff Education Project For Medication Adherence, Adebukola Kayode Feb 2026

Standardized Staff Education Project For Medication Adherence, Adebukola Kayode

Walden Dissertations and Doctoral Studies

Psychotropic medication nonadherence is a pervasive issue in psychiatric care and one of the leading contributors to relapse, symptom destabilization, and preventable behavioral‐health crises. At the outpatient psychiatric clinic project site, inconsistent medication-adherence education and the absence of a standardized, evidence‐based approach resulted in variable patient understanding and engagement. The purpose of this doctoral project was to implement and evaluate a structured staff education program to determine its effect on staff knowledge, confidence, and consistency in delivering standardized psychotropic medication-adherence education. I developed the intervention to engage clinical staff through a structured educational session grounded in Knowles’s adult learning theory …

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Staff Education Project Staff Education To Improve Tobacco-Use Screening And Referral For Patients Without A Primary Care Provide, Candra Rich Feb 2026

Staff Education Project Staff Education To Improve Tobacco-Use Screening And Referral For Patients Without A Primary Care Provide, Candra Rich

Walden Dissertations and Doctoral Studies

This project is a quality improvement initiative conducted in a rural clinic in South Carolina, focused on staff education and implementation of practices to improve tobacco use screening and referral for patients without a primary care provider. The practice problem is inconsistent screening for tobacco use and identification of patients without a primary care provider, resulting in missed opportunities for prevention and continuity of care. Addressing this issue is vital, as nurses play a key role in health promotion and connecting patients to smoking cessation resources. The practice-focused question of the DNP project asks whether empowering clinic nurses and advanced …

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Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer Feb 2026

Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer

Walden Dissertations and Doctoral Studies

This study explored how informal caregivers of colorectal cancer (CRC) gain access to supportive care services at integrated cancer care institutions. Although supportive care aims to improve the quality of life for patients and caregivers, there is limited research on how informal caregivers participate in distress screening, and no standard process exists across settings. This study used a qualitative phenomenological approach to explore the lived experiences of 10 oncology nurses with screening informal caregivers for distress and referring them to supportive care within integrated cancer care institutions. The Global Supportive Care Framework for Cancer Care served as the theoretical framework …

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Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi Feb 2026

Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi

Walden Dissertations and Doctoral Studies

N/A

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Executive Summary: Clinical Practice Guideline Improving Medication Adherence For Adult Patients With Mental Illness, Regina Bryant Norville Feb 2026

Executive Summary: Clinical Practice Guideline Improving Medication Adherence For Adult Patients With Mental Illness, Regina Bryant Norville

Walden Dissertations and Doctoral Studies

Medication nonadherence among adults with mental illness remains a persistent problem in outpatient behavioral health care and contributes to psychiatric relapse, emergency department utilization, preventable hospitalizations, increased healthcare costs, and reduced quality of life. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and obtain expert panel approval of an evidence-based clinical practice guideline (CPG) to improve medication adherence among adults with mental illness receiving outpatient behavioral health services. A comprehensive review of peer-reviewed literature from 2019 to 2025 was conducted using CINAHL, PubMed, and ScienceDirect to identify effective adherence-focused interventions, including nurse-led strategies, structured psychoeducation, …

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Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren Feb 2026

Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed stigma and implicit bias toward individuals with opioid use disorder (OUD) within a rehabilitation subacute care setting. OUD remains a significant public health concern and at the project site, inconsistent staff education was identified as a practice gap requiring intervention. The purpose of this practice-focused DNP project was to evaluate the impact of a structured staff education intervention on healthcare staff knowledge, attitudes, and confidence in caring for patients with OUD. The project was guided by a thorough evidence search. The project was implemented using brief, unit-based educational sessions delivered to interdisciplinary …

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Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa Feb 2026

Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa

Walden Dissertations and Doctoral Studies

This evidence-based educational project focused on solving two problems at a private mental health clinic: Staff members used different methods to record patient intake information and schedule appointments. The methods staff used to interact with patients resulted in inaccurate documentation and longer response times. The project question was: Does educating staff on standardized intake procedures and appointment scheduling processes lead to better knowledge acquisition, as indicated by pre- and postsurvey results? The analysis, design, development, implementation, and evaluation (ADDIE) instructional design framework and the Johns Hopkins Evidence-Based Practice Models (JHEBP) were used in this educational project. A Walden University librarian …

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Staff Education To Stop The Bleed Training, Sherron L. Butler Feb 2026

Staff Education To Stop The Bleed Training, Sherron L. Butler

Walden Dissertations and Doctoral Studies

Uncontrolled hemorrhage remains a leading cause of preventable mortality, and timely intervention is critical to improving patient outcomes. The purpose of this Doctor of Nursing Practice staff education project was to evaluate the effect of a standardized Stop the Bleed (STB) education program on emergency department and outpatient clinic nursing staff readiness and confidence in managing hemorrhage emergencies. A pre- and post-education design was used to assess changes in participants’ knowledge, confidence, and technical proficiency related to hemorrhage-control skills, including tourniquet application, wound packing, and direct pressure techniques. Data were collected using pre- and post-training surveys and skills-demonstration assessments and …

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Food Security Through Church-Sponsored Food Programs, Samantha Scott Feb 2026

Food Security Through Church-Sponsored Food Programs, Samantha Scott

Walden Dissertations and Doctoral Studies

A south-suburban Cook County, IL city lacks grocery stores with high-quality food options, which contributes to food insecurity. Residents often rely on highly processed, low-nutrient foods, contributing to nutritional vulnerability. Friendship Church’s food bank sporadically serves this food desert, but sustaining its operations is challenging. Using community-based participatory action research design and the food security theory, data were collected from 25 semistructured interviews with food bank beneficiaries and church staff/volunteers and analyzed using reflective thematic analysis. The four dimensions were examined: availability, access, utilization, and stability. Two questions guided the research: How do parishioners in one south-suburban Cook County community …

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Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson Feb 2026

Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was focused on a staff education program aimed at addressing the knowledge gaps of primary healthcare providers regarding pediatric medication adherence. Nonadherence among pediatric patients is a significant issue leading to adverse health outcomes and increased healthcare costs. The project underscores the necessity of enhancing provider knowledge and communication skills, alongside implementing systematic strategies to promote adherence. My objective with the project was to elevate primary healthcare providers’ understanding and practical application of pediatric adherence techniques through targeted, evidence-based education. I developed the practice-focused question to examine whether this tailored staff education could bolster …

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Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba Feb 2026

Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …

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Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor Feb 2026

Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor

Walden Dissertations and Doctoral Studies

Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …

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Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele Feb 2026

Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele

Walden Dissertations and Doctoral Studies

Clinician burnout is increasingly prevalent in outpatient mental health settings due to high emotional demands, heavy caseloads, and limited organizational resources, contributing to reduced job satisfaction, increased turnover, and diminished quality of care. The gap in practice at the project center revealed a deficiency in knowledge among mental health clinic staff regarding effective stress management and burnout prevention, which led to the practice question: Does educating providers and staff on mindfulness-based interventions improve knowledge, as evidenced by pre- and postsurveys? To close this gap, this Doctor of Nursing Practice (DNP) project educated staff members on mindfulness-based interventions (MBIs). The Walden …

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Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel Feb 2026

Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel

Walden Dissertations and Doctoral Studies

There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …

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Lgbtq+ Cultural Competency Training For Mental Health Care Workers, Shyla Noelle Herndon-Dye Feb 2026

Lgbtq+ Cultural Competency Training For Mental Health Care Workers, Shyla Noelle Herndon-Dye

Walden Dissertations and Doctoral Studies

The purpose of the staff education project was to address a noticeable gap in training regarding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) cultural competencies for the multidisciplinary mental health care workers of an inpatient child and adolescent psychiatry unit. LGBTQ+ individuals commonly encounter discriminatory barriers to care, resulting in mental health disparities and medical distrust; thus, mental health care workers must engage in professional allyship and improve their capability to sufficiently care for this population. The practice question that guided this project was the following: Will a staff education program designed to educate multidisciplinary mental health care workers on …

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Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota Feb 2026

Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a practice-focused staff education initiative designed to improve clinical staff knowledge, confidence, and readiness to educate adult patients enrolled in a Tirzepatide weight-management program. Tirzepatide has demonstrated superior weight-loss outcomes compared to other glucagon-like peptide-1 (GLP-1) receptor agonists; however, inconsistent staff education practices related to medication administration, adverse-event management, and lifestyle counseling present a gap in practice. Variability in staff knowledge and teaching approaches may reduce confidence, contribute to inconsistent patient education, and limit the effectiveness of evidence-based care delivery. The purpose of this DNP project was to address this practice gap …

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Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott Feb 2026

Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott

Walden Dissertations and Doctoral Studies

Due to complex neurological deficits that raise the risk of falls, falls among persons admitted to inpatient tele-neurology units represent a substantial and continuous problem in nursing practice. A preliminary evaluation conducted at the project site revealed inconsistent fall prevention procedures, inconsistent use of risk assessments, and a lack of a standardized, evidence based strategy to lower fall risk in this especially susceptible group. A practice focused investigation into whether the adoption of a standardized, nurse led fall prevention bundle would improve staff adherence to fall prevention protocols and lower the incidence of inpatient falls over a six month period …

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General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson Feb 2026

General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that secondary coteachers struggle to support students with disabilities in inclusionary college preparatory science classes. Grounded in Bandura’s theory of collective agency and supported by Pratt’s framework for achieving symbiosis, the purpose of this study was to explore secondary coteachers’ experiences and challenges as well as their perceptions of collaboration and professional development opportunities related to coteaching in inclusive college preparatory science classrooms in the Mid-Atlantic region of the United States. For this basic qualitative design, semistructured interviews were conducted with 10 secondary college preparatory science coteachers. The data were analyzed …

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Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett Feb 2026

Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett

Walden Dissertations and Doctoral Studies

In a comprehensive mental health facility, patients diagnosed with major depression continue to experience depressive symptoms despite treatment. Despite using standard treatment with antidepressants and psychotherapy, facility data showed that 40% of these patients are still experiencing depression symptoms that negatively impact their overall functioning and quality of life. There is evidence supporting exercise as an effective strategy for depression treatment. Therefore, a staff education project was proposed to educate staff about exercise for depression management in adults. A thorough literature search in four databases yielded 12 articles with high quality evidence supporting educating staff to use exercise for depression …

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Staff Education To Clinical Staff Within An Outpatient Psychiatric Practice, Ivy Dzifa Dzivenu Feb 2026

Staff Education To Clinical Staff Within An Outpatient Psychiatric Practice, Ivy Dzifa Dzivenu

Walden Dissertations and Doctoral Studies

No abstract provided.

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Education To Nursing Staff On Evidence-Based Lifestyle Interventions For Hypertension, Meagan Deese Feb 2026

Education To Nursing Staff On Evidence-Based Lifestyle Interventions For Hypertension, Meagan Deese

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a staff education project that addressed a practice gap in a primary care setting related to limited nursing knowledge of evidence-based lifestyle interventions for hypertension management. Hypertension is a prevalent chronic condition and a major contributor to cardiovascular morbidity and mortality. Although clinical guidelines recommend lifestyle modification as first-line management, nurses may receive limited formal training in nonpharmacologic interventions. The practice-focused question was, in a primary care setting, does a nursing education program on evidence-based lifestyle interventions for hypertension improve nursing knowledge as measured pre- to post education? The purpose of the …

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Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey Feb 2026

Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey

Walden Dissertations and Doctoral Studies

Current literature does not adequately address the factors that lead to and prevent burnout and poor work performance among inexperienced clinicians and clinical supervisors working in group private practice. Exploring supervision experiences, specifically leadership style, employee engagement, and internal communication, may provide insight into the experiences of novice mental health professionals and their supervisors in addressing burnout and enhancing work performance. Through a qualitative single-case study design informed by interpretative phenomenological principles, data were collected in semistructured interviews with five behavioral health leaders from a two-location group private practice who hold dual roles as clinicians and supervisors. The interview data …

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Staff Education Project To Improve Hypertension Medication Adherence In An Underserved Clinic, Margaret Mboe Etukeni Feb 2026

Staff Education Project To Improve Hypertension Medication Adherence In An Underserved Clinic, Margaret Mboe Etukeni

Walden Dissertations and Doctoral Studies

Hypertension is one of the most common chronic conditions managed in primary care. The identified practice problem for this staff education project was the lack of structured staff training and inconsistent provider knowledge regarding evidence-based strategies to improve medication adherence among patients with hypertension. Poor medication contributes to preventable complications such as stroke, heart failure, and kidney disease. The purpose was to evaluate if an educational intervention could improve provider knowledge related to medication adherence strategies in an underserved clinical setting. The practice question guiding the project was: In clinical staff working in an underserved clinic, does a staff education …

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Improving Follow-Up And Continuity Of Care Protocols Through Staff Education In An Outpatient Mental Health Clinic, Bimpe Omobolade Adedo Feb 2026

Improving Follow-Up And Continuity Of Care Protocols Through Staff Education In An Outpatient Mental Health Clinic, Bimpe Omobolade Adedo

Walden Dissertations and Doctoral Studies

In this DNP staff education project, I aimed to solve two main issues which disrupted patient treatment continuity: better documentation and follow-up care practices. The existing gaps in knowledge have led to missing scheduled appointments, missing medical information, and weak communication between hospital staff and clinic staff resulting in disorganized patient care. The main goal of the project was to improve staff understanding of post treatment procedures, maintenance systems, and medical recordkeeping requirements. Ten clinical staff members participated in education. Pre- and post-knowledge assessments were used to evaluate knowledge change. The normalized learning gain formula served to measure the extent …

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Competitive Advantage Strategies For Independent Restaurant Owners, Bobby Mccrary Feb 2026

Competitive Advantage Strategies For Independent Restaurant Owners, Bobby Mccrary

Walden Dissertations and Doctoral Studies

Independent restaurant owners often face challenges in achieving a sustainable competitive advantage, resulting in poor business performance and loss of profitability. Identifying practical competitive advantage strategies is essential for independent restaurant owners to surpass five years of business operations. Grounded in resource-based view theory, the purpose of this multiple case study was to explore effective competitive advantage strategies independent restaurant owners used to sustain operations beyond five years. Purposeful sampling was used to select four independent restaurant owners located in Wichita, Kansas, who sustained operations beyond five years through competitive advantage strategies. Data were collected from semistructured interviews and from …

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Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson Feb 2026

Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson

Walden Dissertations and Doctoral Studies

Employee disengagement is an organizational disruption that erodes trust, weakens culture, and undermines the performance systems leaders depend on to drive results. Functional leaders are concerned with employee disengagement because it can lead to poor organizational performance and affect organizational success. Grounded in leader–member exchange (LMX) theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies functional leaders use to foster employee engagement in a working environment to enhance organizational success. The project participants were six functional leaders working in an e-commerce order fulfillment center in the southeastern United States. Data were collected through semistructured interviews and …

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Staff Education On Standardized Appointment Reminder & Follow-Up Protocol, Sambila V. Zangre Congo Feb 2026

Staff Education On Standardized Appointment Reminder & Follow-Up Protocol, Sambila V. Zangre Congo

Walden Dissertations and Doctoral Studies

Inconsistent staff performance in making appointment reminders and follow-up calls contributed to workflow variability and reduced patient engagement in outpatient primary care settings. This DNP Quality Improvement Project intended to enhance staff knowledge, confidence, and consistency in implementing standardized reminder and follow-up call protocols using an evidence-based educational intervention. A quantitative pre/posttest design was used to evaluate changes in staff competency, supported by descriptive and comparative analyses of test scores, percentage changes, and qualitative feedback. Seven clinic staff members attended the PowerPoint education session, and pretest and posttest data were used to address a practice-focused question about standardized communication workflows. …

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Multimodal Education To Improve Metabolic Monitoring Knowledge Among Psychiatric Nurse Practitioners, Tania Alfonso Feb 2026

Multimodal Education To Improve Metabolic Monitoring Knowledge Among Psychiatric Nurse Practitioners, Tania Alfonso

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project was a multimodal educational intervention to improve outpatient psychiatric nurse practitioner (PNP) knowledge of metabolic monitoring guidelines for patients prescribed second-generation antipsychotics (SGAs). The project addressed low adherence to national monitoring standards that contribute to increased cardiometabolic risks associated with SGAs. The project question was: Does staff education regarding metabolic monitoring guidelines improve nursing knowledge as compared pre- to posteducation? The purpose was to enhance PNP knowledge of metabolic monitoring guidelines. Guided by the Johns Hopkins evidence-based practice (JHEBP) model, I conducted a focused literature search and identified 28 peer-reviewed articles …

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Key Strategies To Entrepreneurial Sustainability In The Information And Communications Industry, Agabi Godwin Onugba Feb 2026

Key Strategies To Entrepreneurial Sustainability In The Information And Communications Industry, Agabi Godwin Onugba

Walden Dissertations and Doctoral Studies

Many businesses in the information and communications industry fail within the first 5 years, yet the existing empirical research has not sufficiently explained how surviving businesses achieve long-term sustainability. Startup business leaders are concerned about the high failure rate and the lack of evidence-based strategies that support sustained operations beyond 5 years. Grounded in Porter’s five forces theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies that information and communications industry startup business leaders use for long-term business sustainability beyond 5 years. Purposeful sampling was employed to select six startup leaders in the …

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