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Small And Medium-Size Enterprise Owner Strategies For Invoice Factoring Financing, Winniefred Nabawanda Jan 2018

Small And Medium-Size Enterprise Owner Strategies For Invoice Factoring Financing, Winniefred Nabawanda

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprise (SME) business owners influence the growth and development of sub-Saharan Africa and the welfare of its citizens. However, SME owners often lack the strategies to access and obtain invoice factoring financing to fund their businesses. Guided by the pecking order theory and the credit rationing theory, the purpose of this multiple case study was to explore strategies that 3 SME owners in Kenya used to access and obtain invoice factoring financing to fund their businesses. Data were collected from in-depth semistructured Skype interviews and organizational documents. Data were analyzed using the Krippendorff content analysis methodology. Member …

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Public Health Providers' Perceptions Of Electronic Health Records In A Disaster, Sherhonda Yvette Harper Jan 2018

Public Health Providers' Perceptions Of Electronic Health Records In A Disaster, Sherhonda Yvette Harper

Walden Dissertations and Doctoral Studies

The introduction of federal initiatives and incentives regarding health information technology fostered a movement towards the adoption of electronic health records (EHR). Implementation of EHRs sparked discussions among healthcare providers, patients, and others about the benefits or challenges of the move from the traditional paper method to the electronic version in healthcare settings. A knowledge gap in research involving the usefulness of EHRs and their impact to the delivery of care in other settings exists. The purpose of this qualitative study was to explore public health providers' perceptions of the meaningful use of EHRs in a disaster setting. Study participants …

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Young Female College Millennials' Intent For Behavior Change With Wearable Fitness Technology, Andrea Christine Haney Jan 2018

Young Female College Millennials' Intent For Behavior Change With Wearable Fitness Technology, Andrea Christine Haney

Walden Dissertations and Doctoral Studies

Among young college-aged females, overweight and obesity, type 2 diabetes, uncontrolled hypertension, and high stress levels have increased, causing overall worse health conditions than previous generations. The use of wearable fitness technology (WFT) by young adults assists in fitness and nutrition monitoring, provides feedback in health statistics, and has shown improvements in reducing health-related issues in young college females. A wide body of literature related to physical activity, nutrition, and health issues in young college females exists; however, the experiences and intent of WFT use for behavior change by young college female millennials has not been well researched. The purpose …

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Strategies To Minimize Direct Care Worker Shortages, Eric Ik Iloabachie Jan 2018

Strategies To Minimize Direct Care Worker Shortages, Eric Ik Iloabachie

Walden Dissertations and Doctoral Studies

There is a worldwide shortage of direct care workers who help older adults in their own homes. The purpose of this multiple case study was to explore strategies that owners of home health care businesses can use to retain adequate direct care workers for their businesses. Five home care agency owners from Wake County, North Carolina, participated. Each owner had successfully implemented strategies to ensure adequate caregivers to sustain the business. Human relations theory was used to address the business problem. Data collection involved interviewing the 5 owners of home care agency businesses in their offices. Through a process of …

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Technology Acceptance And Compliance In Obstructive Sleep Apnea Patients, Asif Kidwai Jan 2018

Technology Acceptance And Compliance In Obstructive Sleep Apnea Patients, Asif Kidwai

Walden Dissertations and Doctoral Studies

The focus of this study is the problem of declining trend in obstructive sleep apnea (OSA) patient compliance. Studies reported improved compliance in patients with chronic diseases due to technology-based interventions. However, researchers have not investigated the advantages of technology to improve the compliance of OSA patients in detail. The specific problem was the lack of engagement between patients and healthcare managers, resulting in low compliance within OSA patients. The purpose of this qualitative study was to evaluate how technology-based interventions can improve OSA patient engagement with the healthcare managers resulting in improved compliance with treatment procedures. In this study, …

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Parents Of At-Risk Students Reluctance To Using Technological Learning Platforms, Michelle J. Landley Lee Jan 2018

Parents Of At-Risk Students Reluctance To Using Technological Learning Platforms, Michelle J. Landley Lee

Walden Dissertations and Doctoral Studies

Despite school leaders' attempts to implement technology designed to provide resources for parent and student use at home, many parents of at-risk children are reluctant to use the learning platforms. The purpose of this phenomenological study was to describe the meaning of human experiences as they related to parents' reluctance to using learning management systems (LMSs). Elements from Rogers's innovation diffusion theory, Davis's technology acceptance model, and Epstein's parent involvement model were combined for the study's conceptual framework. The research questions addressed the challenges parents encounter with learning platforms; parents' experiences with teachers and schools with regard to training, orientation, …

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Strategies For-Profit Educational Leaders Use To Reduce Employee Turnover And Maintain Sustainability, Denise Janet La Salle Jan 2018

Strategies For-Profit Educational Leaders Use To Reduce Employee Turnover And Maintain Sustainability, Denise Janet La Salle

Walden Dissertations and Doctoral Studies

In educational institutions, employee turnover decreases productivity, profitability, and sustainability. In 2015, organizations lost $60 million in assets as the result of employee turnover. High employee turnover rates have an adverse influence on productivity, which leads to unsustainable business practices. Some college leaders lack strategies to reduce employee turnover and maintain sustainability. Using the motivation-hygiene needs (2-factor theory), the purpose of this single case study was to explore strategies for-profit educational leaders used to reduce employee turnover and maintain sustainability in Florida. Participants were purposefully selected to ensure they had experience implementing effective employee turnover reduction strategies. The data collection …

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Elementary Teachers' Beliefs Of Using Guided Reading Pedagogy And Student Data, Ivonne Miranda Jan 2018

Elementary Teachers' Beliefs Of Using Guided Reading Pedagogy And Student Data, Ivonne Miranda

Walden Dissertations and Doctoral Studies

In today's classrooms, many teachers meet students' reading needs by providing guided reading. However, little is known about how teachers combine student data and pedagogical content knowledge to plan guided readings lessons. This study focused on understanding how elementary teachers use guided reading pedagogical content knowledge and student data when planning a guided reading lesson. The conceptual framework was based on Fountas and Pinnell's guided reading framework, and Clay's theory of data collection with respect to literacy processing. The research questions concerned how teachers' use, guide, and reflect on guided reading pedagogical content knowledge and students data when planning a …

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Preschool Teachers' Decision-Making Process In Reporting Child Abuse, Mytra Thi Nguyen-Vu Jan 2018

Preschool Teachers' Decision-Making Process In Reporting Child Abuse, Mytra Thi Nguyen-Vu

Walden Dissertations and Doctoral Studies

Despite being mandated reporters by law, preschool teachers often fail to report suspicion of child abuse or neglect. Although research has been conducted regarding reasons why teachers do not report, no study has yet examined preschool teachers' thinking as decisions are being made. Therefore, the purpose of the study was to examine the in-the-moment decision-making process of preschool teachers to report or not report cases of suspected child abuse or neglect. Three research questions guided this exploration of teachers' responses to cases of possible child abuse or neglect, the reasons teachers give for their responses, and their confidence in the …

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Reshaping Management Effectiveness And Its Effect On Organizational Resilience In Multinational Enterprises, Franzelle Pertilla Jan 2018

Reshaping Management Effectiveness And Its Effect On Organizational Resilience In Multinational Enterprises, Franzelle Pertilla

Walden Dissertations and Doctoral Studies

Given the state of accelerating change in technology, globalization, and society, long-term planning has become challenging, thus improving organizational resilience to environmental change has become more important. The management problem addressed the need for strategies to improve organization resilience in the face of environmental change. The purpose of this phenomenological study was to explore the lived experiences of managers to use a firm's human, financial, and technological resources to improve organizational resilience. The lived experiences of organizational leaders in addressing organizational resilience was the central research question. The conceptual framework was built on the World Economic Forum's National Resilience Beta …

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The Effects Of Computer Crimes On The Management Of Disaster Recovery, Tim Gene Proffitt Jan 2018

The Effects Of Computer Crimes On The Management Of Disaster Recovery, Tim Gene Proffitt

Walden Dissertations and Doctoral Studies

The effects of a technology disaster on an organization can include a prolonged disruption, loss of reputation, monetary damages, and the inability to remain in business. Although much is known about disaster recovery and business continuance, not much research has been produced on how businesses can leverage other technology frameworks to assist information technology disaster recovery. The problem was the lack of organizational knowledge to recover from computer crime interruptions given the maturity level of existing disaster recovery programs. The purpose of this Delphi study was to understand how disaster recovery controls and processes can be modified to improve response …

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Increasing Medication Adherence In Hypertensive Patients With Million Hearts® Health Literacy Program, Tammy Ross Jan 2018

Increasing Medication Adherence In Hypertensive Patients With Million Hearts® Health Literacy Program, Tammy Ross

Walden Dissertations and Doctoral Studies

Healthy People 2020 identified hypertension (HTN) as a controllable risk factor to prevent cardiovascular disease and stroke. Adhering to regular antihypertensive (AHT) medications improves outcomes in patients diagnosed with HTN by controlling blood pressure, reducing hospital visits, and promoting patient wellness. Medication adherence occurs when prescribed medicine regimens are utilized by the patient as directed to manage illness or disease, as evidenced by patients receiving medications at their pharmacy. The practice-focused question for this quality improvement project asked whether implementation of health literacy tools from Million Hearts® HTN Control: Action Steps for Clinicians, increased medication adherence as evidenced by regular …

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Initiating Kangaroo Care In The Neonatal Intensive Care Unit, Karen Stadd Jan 2018

Initiating Kangaroo Care In The Neonatal Intensive Care Unit, Karen Stadd

Walden Dissertations and Doctoral Studies

Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway …

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Understanding Quality Of Care In A Hospice Setting, Sarah Fese Taylor Jan 2018

Understanding Quality Of Care In A Hospice Setting, Sarah Fese Taylor

Walden Dissertations and Doctoral Studies

Assuring quality of care for patients who face the end of life has been a major concern for those in hospice settings. Limited research is available that has a focus on understanding what quality of care in a hospice setting looks like. This research is important to provide insight into hospice health care providers' perceptions of the quality of care in the hospice setting and on the indicators that influence care quality. A qualitative phenomenological approach was used to answer the research questions on the perspectives of the health care providers in the hospice care setting regarding the quality of …

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The Effect Of Gender And Narcotic Or Stimulant Abuse On Drug-Related Locus Of Control, Yolanda Rene Travis Jan 2018

The Effect Of Gender And Narcotic Or Stimulant Abuse On Drug-Related Locus Of Control, Yolanda Rene Travis

Walden Dissertations and Doctoral Studies

Substance use disorders cause significant neurological damage, cognitive impairment, and maladaptive behaviors that negatively affect a person's quality of life. The purpose of this study was to explore the effect gender and primary drugs have on locus of control. Generalized expectancy theory helped to explain the behavior of patients diagnosed with substance use disorders and their inability to control ongoing drug use. The research question focused on to what extent drug-related locus of control scores differ by primary drug (narcotic vs. stimulant), gender (male vs. female), and their interaction. Data measuring locus of control from 553 participants provided a subset …

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The Relationship Between Parenting Styles And Conduct Disorder In Hispanic Families, Jessica Vera-Rios Jan 2018

The Relationship Between Parenting Styles And Conduct Disorder In Hispanic Families, Jessica Vera-Rios

Walden Dissertations and Doctoral Studies

Conduct disorder (CD) is prevalent among American teens, yet limited research has been conducted on Hispanics adolescents. Based on social learning theory and parenting theory, the purpose of this quantitative study was to examine the relationship amongst parenting styles, Hispanic cultural influences, and CD. A sample of 85 parents with adolescents receiving juvenile probation services in South Texas were surveyed to assess their parenting style, Hispanic cultural influences, and their adolescent's symptoms of CD. The Mexican Parent Questionnaire measured the independent variable: parenting styles. The Brief Acculturation Rating Scale for Mexican Americans-II measured the independent variable: Hispanic cultural influences. The …

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Analysis Of Latent Tuberculosis Infection Treatment Adherence In An Inner-City Clinic, Yvonne Washington-Turay Jan 2018

Analysis Of Latent Tuberculosis Infection Treatment Adherence In An Inner-City Clinic, Yvonne Washington-Turay

Walden Dissertations and Doctoral Studies

More than 10 million people in the United States are known to have latent tuberculosis infection (LTBI), and more than 300,000 begin treatment for LTBI annually. However, many fail to adhere to therapy for numerous reasons. The purpose of this project was to evaluate the impact of a new guideline, Targeted Tuberculin Testing and the Treatment of Latent Tuberculosis, at inner-city tuberculosis (TB) control clinic in the United States. The practice-focused question for the project asked if the implementation of the clinical guideline using a shorter regimen improved LTBI treatment adherence. The health beliefs model was the framework used to …

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County Health Leadership And Readiness For Noncommunicable Disease Services, Paul Wekesa Agunga Jan 2018

County Health Leadership And Readiness For Noncommunicable Disease Services, Paul Wekesa Agunga

Walden Dissertations and Doctoral Studies

Premature mortality resulting from the growing global burden of noncommunicable diseases (NCDs) is a contemporary development challenge. Low-income and lower-middle-income countries are disproportionately affected, with the poorest in society considered the most vulnerable. A paucity of literature exists on how leadership practices at the implementation level relate to ensuring readiness for NCD services. The purpose of this study was to investigate whether any relationship exists between leadership practices at the county level and readiness for NCD services in Kenya. Path-goal and adaptive leadership theories were used to guide this quantitative correlational study, using secondary data from a 2013 Service Availability …

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Teacher Implementation Of A School Based Anxiety Prevention Program In British Columbia, Natashia Soraiya Bacchus Jan 2018

Teacher Implementation Of A School Based Anxiety Prevention Program In British Columbia, Natashia Soraiya Bacchus

Walden Dissertations and Doctoral Studies

The Friends for Life program is an evidence-based practice being used in schools to assist children to learn skills to manage anxiety. The Friends for Life program has been used by school districts in British Columbia, Canada, for over 10 years, yet there is little research on how the program is being implemented in schools by teachers. This qualitative case study investigated the implementation practice of the Friends for Life program by teachers in Grades 4 and 5. Semi-structured interviews were conducted with 8 teachers from a smaller school district in British Columbia, Canada. The results yielded themes, which described …

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Diabetes Management Protocol In The Rehabilitation Setting, Hannah Mottel Jan 2018

Diabetes Management Protocol In The Rehabilitation Setting, Hannah Mottel

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a growing healthcare problem in the United States. Diabetes affects 1.4 million Americans yearly, impacting the lives of individuals of all ages. One of the most challenging aspects about diabetes is that many individuals are not aware of the impact of the disease on multiple organs until the progression of the disease has reached latter stages. Prevention and early detection of diabetes is a key component of lifesaving interventions including proper nutrition counseling, exercise regimens, management, and patient compliance with a treatment plan. The purpose of this doctoral project was to create a standardized diabetes management protocol …

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Utility Of The Hpt Framework For Improving Distance Education In Nigeria, Equi Nwulu Jan 2018

Utility Of The Hpt Framework For Improving Distance Education In Nigeria, Equi Nwulu

Walden Dissertations and Doctoral Studies

The fusion of the Internet with instructional design, and curricula delivery methods eliminated transactional distance in online learning. However, distance education (DE) in Nigeria has not aligned its pedagogy to the new reality in technology. The purposes of this non-experimental, predictive, validity study were to determine faculty and administrators' perceived barriers and concerns to online adoption and to validate the behavior engineering model (BEM) instrument. Ninety-six respondents from four public universities in Nigeria completed the questionnaires. Descriptive statistics and structural equation modeling (SEM) were used respectively, to assess barriers and concerns militating against faculty and administrators' online adoption, as well …

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The Impacts Of Religious Discrimination Towards Anxiety In Diverse Populations, Sharlaine Marie Ortiz-Diaz Jan 2018

The Impacts Of Religious Discrimination Towards Anxiety In Diverse Populations, Sharlaine Marie Ortiz-Diaz

Walden Dissertations and Doctoral Studies

Previous research has indicated that outcomes of depression, anxiety, and suicidal ideation could stem from religious discrimination (RLGD). However, there remains an important gap in the current literature regarding RLGD impacts with non-Muslim populations. Further, the moderating effects of sex, race, and national origin (moderating variables [MVs]) have yielded mixed findings concerning anxiety (dependent variable). The intergroup anxiety theory and the integrated threat theory elaborate on perceived threats and potential anxiety of intergroup dynamics. The purpose of this quantitative study was to examine the role of religious preferences (independent variable), the MVs, and the RLGD-anxiety relationship. The sample consisted of …

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An Exploratory Study Of A Nondenominational Church And Leadership Behaviors, Principles, Strategies, And Practices, Celeste Beatrice Palmer-Atkins Jan 2018

An Exploratory Study Of A Nondenominational Church And Leadership Behaviors, Principles, Strategies, And Practices, Celeste Beatrice Palmer-Atkins

Walden Dissertations and Doctoral Studies

Leadership plays a significant role in the advancement of the church, the followers, and the community that the church serves. If the church fails to train leaders, growth within the church becomes hindered, and its mission becomes aborted. The problem researched in this study is the declining support church leaders are receiving from the community. The purpose of this qualitative study was to explore church leadership effectiveness in meeting the expectations of followers, the local church community, and the church. The target population consisted of 3 nondenominational church leaders located in Philadelphia, Pennsylvania. The conceptual framework for this study was …

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Parental Characteristics And Parent-Child Relationship Quality In Families With Disabled Children, Tammy Young Jan 2018

Parental Characteristics And Parent-Child Relationship Quality In Families With Disabled Children, Tammy Young

Walden Dissertations and Doctoral Studies

Parenting can be very challenging, especially when raising a disabled child. Children with disabilities require more supports and are more likely to be abused. The parent-child relationship is an important factor in ensuring child welfare. Little research has focused on identifying the impact of parenting characteristics on raising a child with a disability. The purpose of this study was to examine whether parenting style, parenting competence, and parenting stress were predictors of parent-child relationship quality in parents of children with disabilities ages 3 to 12 years. This study was quantitative and used multiple linear regression to identify predictor variables of …

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Organizational Culture And Individuals' Experience Of Workplace Bullying, Luan Zeka Jan 2018

Organizational Culture And Individuals' Experience Of Workplace Bullying, Luan Zeka

Walden Dissertations and Doctoral Studies

Workplace bullying is an epidemic in the United States. The purpose of this qualitative phenomenological study was to increase understanding of employees' lived experiences of bullying in an organizational culture. Schein's organizational cultural model provided the conceptual framework for the study. The research question addressed how individuals who were bullied or witnessed bullying in the New York State area perceived their experiences within the organizational culture. Data collection included a researcher's journal and in-depth interviews with 25 participants. Data were analyzed using Moustakas's modified van Kaam method of phenomenological analysis. From the data analysis process, three categories of bullying emerged …

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Domestic Violence And Demographic Variables As Predictors Of Resiliency Among Young Adults, Sylvanus O. Abraham Jan 2018

Domestic Violence And Demographic Variables As Predictors Of Resiliency Among Young Adults, Sylvanus O. Abraham

Walden Dissertations and Doctoral Studies

An increased understanding of resilience may determine how human psychological development can result in positive outcomes despite adversarial situations. However, current studies have not provided a relevant predictive model that can adequately predict resilience, particularly among young adults exposed to domestic violence. Based on Bronfenbrenner's ecological systems theory, the purpose of this quantitative noncomparative study was to examine whether domestic violence, age, gender, ethnicity, individual emotional and physical abilities, types of domestic violence exposure, and frequency of domestic violence exposure could adequately predict resilience among young adults. Quantitative data were collected from 118 young adults in the Midsouth region of …

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A Chronic Obstructive Pulmonary Disease Self-Management Packet To Reduce 30-Day Readmissions, Josette Askratni Jan 2018

A Chronic Obstructive Pulmonary Disease Self-Management Packet To Reduce 30-Day Readmissions, Josette Askratni

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) signifies a significant public health challenge that is both avoidable and treatable. There was no standardized education offered to the COPD population at the practice location. The scope of the project encompassed standardizing education by developing a self-management packet for the COPD patients. The goal of this project was to examine how the development of a standardized COPD self-management packet enhances the quality of care and strategizes reducing 30-day readmissions compared to nonstandardized delivery of education. Orem's self-care theory and Bandura's self-efficacy concept were used to explain the principle of self-management, while Rosswurm and Larrabee's …

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A Nurse-Led Evidence-Based Quality Improvement Program On Childhood Obesity Prevention, Ana Flor Rasonabe Ciocson Jan 2018

A Nurse-Led Evidence-Based Quality Improvement Program On Childhood Obesity Prevention, Ana Flor Rasonabe Ciocson

Walden Dissertations and Doctoral Studies

The increased prevalence rate of childhood obesity in Saudi Arabia is a nationwide health issue. The doctoral project was instituted in the pediatric out-patient clinic (POPC) of a tertiary university hospital in Riyadh, Saudi Arabia. Child obesity clinic and clinical practice guideline (CPG) for primary prevention were not available in the pediatric outpatient clinic with a high incidence of newly diagnose obese children. The focus of this doctoral project was to improve the clinical nursing practice of POPC nurses through the adoption of CPG on primary prevention of childhood obesity. The knowledge translation into action framework provided a summary of …

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Strategies To Increase Employee Engagement In Long-Term Residential Agencies, Corey Fair Jan 2018

Strategies To Increase Employee Engagement In Long-Term Residential Agencies, Corey Fair

Walden Dissertations and Doctoral Studies

Disengaged employees adversely affect organizational strategies to promote higher standards of care and quality of life for long-term residential patients. The purpose of this single case study was to explore strategies healthcare leaders use to engage employees. The targeted population for this study was the senior leaders of a long-term residential care agency located in South Carolina who had initiated strategies and practices to engage employees. Kahn's theory of personal engagement and disengagement was the conceptual framework for this study. Data collection included semistructured face-to-face interviews with open-ended questions, and the long-term residential agency's employee handbook, training agenda, and incentive …

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Systematic Review Of Sedation Management In The Pediatric Critical Care Unit, Myrlene Madelon Jan 2018

Systematic Review Of Sedation Management In The Pediatric Critical Care Unit, Myrlene Madelon

Walden Dissertations and Doctoral Studies

Nurse-driven guidelines existed for the management of sedation in adult population; however, there is a lack of guidelines for the critically ill children. Nurses play significant roles in the management of sedation for mechanically ventilated patients in the Pediatric Intensive Care Unit (PICU), nonetheless, comprehensive guidelines for the management of sedation does not exist. The purpose of this systematic literature review was to evaluate and synthesize evidence-based research that can be used to adapt a pediatric clinical guideline for sedation management. The ACE star model and the evidence-based practice model were used as a framework to guide this review. The …

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