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Articles 2011 - 2040 of 16849
Full-Text Articles in Entire DC Network
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Walden Dissertations and Doctoral Studies
An education agency experienced a decline in loan originations from 2013 to 2023, creating fiscal challenges that threatened service sustainability. This created a need for operational strategies to stabilize funding and preserve resources. The problem was significant to the organization and the community’s ability to obtain equitable educational opportunities. The practice-focused question asked: What are the perspectives of staff and management concerning the agency's strategies to downsize and realign for sustainability? The purpose of this qualitative case study was to explore staff and management perspectives on downsizing and outsourcing as strategies to maintain operations. The study was informed by concepts …
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Walden Dissertations and Doctoral Studies
The chosen approach for the Doctor of Nursing Practice (DNP) project was a clinical practice guideline (CPG) on interventions to improve antidepressant medication adherence in adults diagnosed with depression in an outpatient setting. The consequences of medication nonadherence in patients with depression are devastating for individuals and the healthcare system. Therefore, addressing it within nursing practice is essential to improve treatment efficacy and patient outcomes. The practice question related to the DNP project was to determine whether the CPG could improve antidepressant medication compliance in adults diagnosed with a depressive disorder in an outpatient setting. I aimed to develop a …
Strategies To Recruit And Retain Physicians In Rural Hospital Health Systems, Montoya Major
Strategies To Recruit And Retain Physicians In Rural Hospital Health Systems, Montoya Major
Walden Dissertations and Doctoral Studies
Physician shortages in rural areas represent a serious and escalating challenge in the United States, with approximately 20% of the population residing in these regions while only about 9% of physicians practice there. The purpose of this integrative review was to identify key underlying factors contributing to physician shortages in rural hospital health settings and identify potential strategies to recruit and retain physicians. The review question concerned strategies and practices administrators use to attract and retain physicians in underserved rural areas. Herzberg’s two-factor theory serves as the framework and offers a perspective on employee motivation and job satisfaction. A review …
An Educational Intervention Focused On Identifying Adverse Childhood Experiences, Laconia Bacon
An Educational Intervention Focused On Identifying Adverse Childhood Experiences, Laconia Bacon
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) refer to traumatic childhood experiences that individuals may have been exposed to during their youth, such as child maltreatment, domestic violence, or interparental violence. Research has demonstrated that experiencing ACEs in childhood may result in physical and mental illnesses that led to dangerous lifestyle patterns in adulthood. In the local organization, several patients with ACEs presented in the emergency department (ED). The nurses, unaware of ACEs, were unable to detect and respond to the consequences of ACEs. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused …
Strategies For Volunteer Firefighter Recruitment And Retention, Teddy Gene Abbey
Strategies For Volunteer Firefighter Recruitment And Retention, Teddy Gene Abbey
Walden Dissertations and Doctoral Studies
Volunteer fire departments (VFDs) provide essential services in rural areas that cannot afford full-time staff, and they are negatively impacted by declining recruitment and retention. VFD administrators who lack strategies to recruit and retain volunteer firefighters risk reduced emergency services and increased costs for hiring paid firefighters. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore strategies some VFD administrators use to recruit and retain members and maintain necessary emergency services. Participants were six administrators from VFDs in Oklahoma and Arkansas with community populations of 1,500 citizens or fewer residents who …
A Qualitative Study On The Experiences Of Burnout Among Mental Health Practitioners Rendering Clinical Care During Covid-19, Mykiyaa Marvella Walker-Sanchez
A Qualitative Study On The Experiences Of Burnout Among Mental Health Practitioners Rendering Clinical Care During Covid-19, Mykiyaa Marvella Walker-Sanchez
Walden Dissertations and Doctoral Studies
Prior to the COVID-19 pandemic, between 21% and 67% of mental health practitioners in the United States experienced signs of burnout. The pandemic exacerbated these challenges, with an increased demand for mental health services. By 2022, 45% of practitioners reported burnout, and the APA’s 2023 Practitioner Pulse Survey noted that psychologists were working at the limits of their capacity, with high levels of burnout. While research on COVID-19 and burnout has expanded for physicians and nurses, less focus has been placed on mental health practitioners' experiences. The purpose of this generic qualitative study aimed to understand how mental health practitioners …
Strategies To Recommend Compliance For Cna Staffing Ratios In New Jersey Nursing Homes, Mira Gaba
Strategies To Recommend Compliance For Cna Staffing Ratios In New Jersey Nursing Homes, Mira Gaba
Walden Dissertations and Doctoral Studies
Skilled nursing facilities (SNFs) in New Jersey, which provide both short-term rehabilitation and long-term residential care, are faced with mounting pressure due to mandated staffing ratios for certified nursing assistants (CNAs). The purpose and review question for this integrative review centered on best practices and strategies for nursing home leaders to meet the new Centers for Medicare & Medicaid Services and New Jersey standards for CNA staffing ratios in nursing homes. This review used the systems theory to look at SNFs as connected networks where staffing, leadership, finances, and care delivery all work together. An examination of the literature published …
Strategies To Improve Psychiatrist Understaffing In Psychiatric Hospitals In Rural And Underserved Communities: Addressing Administrative Challenges, Carla Aramouni
Walden Dissertations and Doctoral Studies
Psychiatric hospitals across the United States face a worsening shortage of psychiatrists, particularly in rural and underserved communities, which limits timely mental health care, increases wait times, and places unsustainable strain on the psychiatric workforce. The purpose of this integrative review was to identify administrative strategies that can mitigate psychiatrist understaffing and support sustainable care delivery in psychiatric hospitals. An integrative review methodology was used to explore both empirical and nonempirical literature, resulting in 92 articles, including 32 peer-reviewed sources and several supporting studies selected through a systematic search, screening, and critical appraisal. Thematic analysis of the evidence revealed five …
Educating Nurses On The Agency Of Healthcare Research And Quality Pressure Ulcer Prevention Program To Reduce The Rate Of Pressure Ulcers, Marie France Destaul
Educating Nurses On The Agency Of Healthcare Research And Quality Pressure Ulcer Prevention Program To Reduce The Rate Of Pressure Ulcers, Marie France Destaul
Walden Dissertations and Doctoral Studies
A staff development project was conducted to address the practice problem encountered in a healthcare setting. The identified gap in practice was related to a lack of knowledge of pressure ulcer injury prevention among inpatient staff. Leadership deemed it essential to address this practice problem in nursing care because the prevalence of pressure ulcer injuries in hospitalized patients was high. The following practice-focused question guided the project: For staff in an inpatient setting, will education on the Agency of Healthcare Research and Quality (AHRQ) Pressure Ulcer Prevention Program increase knowledge toward the goal of decreasing the incidence of pressure ulcers? …
Canada’S Indigenous Social Workers’ Medicinal Plant Knowledge: A Land-Based Way Of Knowing For Indigenous Practice, Iris Kim Plain Eagle
Canada’S Indigenous Social Workers’ Medicinal Plant Knowledge: A Land-Based Way Of Knowing For Indigenous Practice, Iris Kim Plain Eagle
Walden Dissertations and Doctoral Studies
Canada’s Indigenous people of Treaty 7 region have experienced intergenerational trauma resulting from colonization perpetrated by the Canadian government. While the use of medicinal plants, are employed by Indigenous social workers, their integration into mainstream human services organizations remains limited. The gaps in Indigenous social work practice hinders client culturally competent care and the acknowledgement of Indigneous knowledge systems in colonial systems. This generic qualitative study explored the experiences of participants who integrate medicinal plant healing and ancestral knowledge into practice. Informed by indigenous wholistic theory, the study aimed to understand how Indigenous social workers navigate the challenges and opportunities …
Women Veterans' Use Of Gender-Specific, Online, Social Support Systems For Social Identity After Military Service, Katie M. Baillio
Women Veterans' Use Of Gender-Specific, Online, Social Support Systems For Social Identity After Military Service, Katie M. Baillio
Walden Dissertations and Doctoral Studies
The number of women veterans serving in the military is growing. This qualitative study explored women veterans' perspectives and experiences with gender-specific online social support services, and how that contributes to their social identity after military service. A generic qualitative design was used, and data were collected through semistructured interviews for 10 women veterans who had transitioned out of the military within the last 5 years. Five themes emerged: (a) big picture: connecting with other women veterans was helpful; (b) veteran forums were used for federal or state benefits, but women used gender-specific forums for questions specific to women's issues; …
Effects Of Social Influences On Adult Male Politicians Who Engage In Sexually-Exploitative Behaviors, Rodshana M. Ulery
Effects Of Social Influences On Adult Male Politicians Who Engage In Sexually-Exploitative Behaviors, Rodshana M. Ulery
Walden Dissertations and Doctoral Studies
Sexually-exploitative behaviors by adult male politicians is a significant societal concern that reflects deeper issues involving power misuse, gender inequality, and institutional failure. This qualitative research involved examining societal factors that were linked with this type of misconduct. Guided by the status characteristics theory, the study involved examining how status-related traits such as political power, public image, and institutional affiliation shaped social dynamics and fostered environments that enabled these behaviors. Using NVIVO, thematic content analysis was applied to 24 adult male politician cases. Five key themes emerged: early life and family influences, position and power, opportunity expectations, cultural and institutional …
The Perceived Impact Of Officer-Involved Domestic Violence On Law Enforcement Administrators, Victoria Smith
The Perceived Impact Of Officer-Involved Domestic Violence On Law Enforcement Administrators, Victoria Smith
Walden Dissertations and Doctoral Studies
The frequency of officer-involved domestic violence (OIDV) is a serious problem in the law enforcement profession. This qualitative phenomenological study aimed to determine what measures and specific domestic violence policies are working well and what is working poorly in Florida. This study is critical because it can aid upcoming law enforcement administrators (LEAs) and current LEAs in improving the policies and measures they use in their agency to combat OIDV among their officers and recruits. Jacques’s organizational culture theory (OCT) provided a framework for this study. I used purposeful snowball sampling methods to recruit participants for this study. Six law …
Relationship Between Perioperative Nurses’ Perception Of Empowerment Versus Burnout And Intent To Leave In A Level 1 Hospital On The East Coast, Kelly D. Sambrano
Relationship Between Perioperative Nurses’ Perception Of Empowerment Versus Burnout And Intent To Leave In A Level 1 Hospital On The East Coast, Kelly D. Sambrano
Walden Dissertations and Doctoral Studies
Retaining perioperative nurses is vital for maintaining high-quality care, operational efficiency, and financial stability in healthcare settings. These nurses are integral to surgical care and require significant training and resources, making their retention a strategic priority. This quantitative study, grounded in Kanter’s theory of structural empowerment, used secondary data to explore two main questions: (a) Which demographic factors—such as age, experience, training, certification, and loyalty predict empowerment, burnout, and intent to leave? and (b) How do empowerment and job satisfaction influence the intent to stay? With nearly 20% of the perioperative workforce expected to retire within five years, identifying retention …
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Walden Dissertations and Doctoral Studies
Newborn screening (NBS) is a vital U.S. public health initiative that identifies medical conditions shortly after birth. Patients with positive screenings are referred for medical follow-up or evaluation. However, many patients do not receive the recommended long-term follow-up, posing concerns for healthcare providers and public health professionals working to ensure timely treatment and care continuity. Based on the Social Determinants of Health framework, this quantitative, retrospective cohort study aimed to examine demographic and clinical factors associated with follow-up adherence among 691 infants identified through NBS in Colorado and Wyoming. The purpose of the study was to determine whether race, ethnicity, …
Predicting Utilization Of Mental Health Services Among Undergraduate Nursing Students On College Campuses In The Mississippi Delta, Deidra Michelle Byas
Predicting Utilization Of Mental Health Services Among Undergraduate Nursing Students On College Campuses In The Mississippi Delta, Deidra Michelle Byas
Walden Dissertations and Doctoral Studies
Over recent years, concerns about the mental health of nursing students in the Mississippi Delta have increased. However, research indicated that many nursing students do not utilize mental health services. This population has received little research attention, creating a gap in the literature and leaving counselor educators and supervisors ill-equipped to prepare counselors to meet the needs of nursing students. This quantitative study examined whether attitudes toward mental health services, social and cultural stigmas, and demographic characteristics explained the variance in nursing students’ willingness to seek help. Guided by the Theory of Planned Behavior, the study focused on three areas: …
A Content Analysis Of Podcasts Exploring The Experiences Of Nba Players And Mental Health, Joanna D. Hedin
A Content Analysis Of Podcasts Exploring The Experiences Of Nba Players And Mental Health, Joanna D. Hedin
Walden Dissertations and Doctoral Studies
Black male athletes are at a greater risk of not seeking treatment for their mental health issues due to cultural stigmas and expectations. The purpose of this qualitative secondary data research study was to understand the experiences of Black NBA players regarding their mental health and the sociocultural factors that influence their decision making regarding participation in mental health services, as revealed through podcast appearances. Vygotsky’s sociocultural theory was applied in this study to suggest that learning is an integral part of the social process and that culture contributes to how and what one learns. This study asked about what …
Strategies To Use Diversity, Equity, And Inclusion Programs To Increase Employee Performance And Profitability, Kecia Bailey Alexander
Strategies To Use Diversity, Equity, And Inclusion Programs To Increase Employee Performance And Profitability, Kecia Bailey Alexander
Walden Dissertations and Doctoral Studies
A lack of effective strategies for implementing diversity, equity, and inclusion (DEI) programs to increase employee performance and profitability is a concern for leaders in the education industry. This problem is significant to educational leaders because, without effective strategies for implementing DEI programs, they cannot address the gap in practice that hinders improvements in employee performance and organizational profitability. Grounded in Ajzen’s theory of planned behavior, this qualitative pragmatic inquiry identified and explored the effective strategies educational leaders used to successfully implement DEI programs to increase employee performance and profitability. Participants were six leaders from both for-profit and non-profit educational …
Insights Regarding The Role Of Administrative Support And Teacher Retention In A Suburban Arizona School District, Kristen Louise Tiffany
Insights Regarding The Role Of Administrative Support And Teacher Retention In A Suburban Arizona School District, Kristen Louise Tiffany
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that teachers are leaving the profession in an Arizona high school district (AHSD, a pseudonym), which might be due to a lack of administrator support. The purpose of this basic qualitative study was to explore teachers’ perceptions of reasons they chose to remain in their positions as well as administrators’ perceptions on the support they provide to encourage teacher retention at AHSD. Grounded in Bandura’s social cognitive theory, semistructured interviews were conducted with six administrators and 10 teachers from AHSD. Saldana’s pattern coding was used with the following themes emerging: Teachers …
Using Exercise To Treat Anxiety In Adult Patients With Addiction, Emmanuella N. Nnadozie
Using Exercise To Treat Anxiety In Adult Patients With Addiction, Emmanuella N. Nnadozie
Walden Dissertations and Doctoral Studies
Summary In this Doctor of Nursing Practice (DNP) project, I selected a staff education as the best intervention to improve staff knowledge in using exercise to treat anxiety disorders in adult patients at a recovery clinic for addiction. Anxiety disorders are highly prevalent among individuals undergoing substance abuse treatment, often exacerbating withdrawal symptoms and increasing relapse risks; thus, integrating the use of exercise in addition to existing standard care for anxiety treatment in individuals with substance use disorder (SUD) will lead to decreased anxiety, decreased alcohol use and drug cravings, improved quality of life and affect, increased abstinence, and improve …
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Walden Dissertations and Doctoral Studies
Historically, substance use disorder (SUD) treatment in the United States has been firmly grounded in abstinence-only treatment approaches. Harm reduction as a treatment model has gained additional traction. With increased rates of opioid use, overdoses, and advancements in medications for SUDs, harm reduction treatment approaches are becoming more important to improve lives of people who use drugs. Little is known about how counselors who have been educated, trained, and deliver abstinence-based SUD treatment reconcile use of harm reduction into their practice. To address this gap in literature, a generic qualitative study was conducted using the social constructivism theory. A purposive …
Staff Education To Integrate Hemoglobin A1c, Blood Pressure, Cholesterol, And Smoking Cessation Diabetes Management Into The Chronic Care Model For The Management Of Type Ii Diabetes In Adults In A Primary Care Clinic, Jane Mokwenye
Walden Dissertations and Doctoral Studies
A quality review of chronic care management (CCM) for Type II diabetes in adults in a primary care clinic revealed a narrow approach, inadequate staff knowledge, and a lack of staff confidence, leading to poor patient engagement, missed screenings, inadequate detection, and unaddressed complications. A staff education intervention was implemented to enhance staff knowledge and confidence in incorporating hemoglobin A1c, blood pressure, cholesterol, and smoking cessation (the ABCs) of diabetes management into the existing process. I developed a practice-focused question to assess the impact of a staff education project on improving knowledge and confidence. Compelling evidence was compiled from peer-reviewed …
Enhancing Social Determinants Of Health Education In Home Health Care Including Social Determinants Of Health In Assessments And Care Plans For Home Health Clinicians, Emilia Mbanwite
Walden Dissertations and Doctoral Studies
This staff education-focused doctor of nursing practice (DNP) project addressed the critical practice problem of one southern health care facility staff’s knowledge on the integration of social determinants of health (SDOH) into home health care plans. Despite SDOH screening, clinicians lacked standardized training to effectively assess and intervene on factors such as housing, transportation, and food insecurity, contributing to preventable hospitalizations, particularly in vulnerable populations. The practice-focused question addressed whether an evidence-based education module could improve home health nurses’ knowledge and application of SDOH in assessments and care plans. The project’s purpose was to develop, implement, and evaluate this training …
Effectiveness Of Leadership Rounding In Reducing Patient-Related Falls In A Medical-Surgical Unit, Elsie-Solange Mvoueng Nkoi-Mimba
Effectiveness Of Leadership Rounding In Reducing Patient-Related Falls In A Medical-Surgical Unit, Elsie-Solange Mvoueng Nkoi-Mimba
Walden Dissertations and Doctoral Studies
Summary In this Doctor of Nursing Practice (DNP) project, I evaluated whether the project site organization’s implementation of leadership rounding reduced patient falls within a medical-surgical unit. Despite established fall prevention strategies, the unit continued to experience ongoing incidents, prompting the implementation of structured leadership rounding. The practice-focused question assessed changes in fall rates over a 3-month postintervention period compared to the preceding 3 months. A retrospective chart review was conducted from December 2023 to June 2024, excluding March 2024 due to partial implementation. I used descriptive statistics to analyze trends. The average monthly fall rate remained stable at 2.67 …
Staff Education On The Columbia-Suicide Severity Rating Scale, Nathlie Ndokame
Staff Education On The Columbia-Suicide Severity Rating Scale, Nathlie Ndokame
Walden Dissertations and Doctoral Studies
Summary This was a staff education project aimed at improving nurse knowledge on the Columbia-Suicide Severity Rating Scale (C-SSRS) tool. The identified gap in practice was a lack of knowledge and confidence among psychiatric nursing staff in utilizing this evidence-based suicide risk assessment tool. This project question was as follows: Does the implementation of an education program for psychiatric nursing staff on the use of the Columbia-Suicide Severity Rating Scale improve knowledge of patients at risk for suicide? The project employed the ADDIE framework and the Johns Hopkins evidence-based practice model. A comprehensive literature search was conducted, yielding 67 relevant …
Adolescent Social Media Use During Covid-19 Isolation And Subsequent Loneliness, Anxiety, And Depression, Nadine Dalheim
Adolescent Social Media Use During Covid-19 Isolation And Subsequent Loneliness, Anxiety, And Depression, Nadine Dalheim
Walden Dissertations and Doctoral Studies
Throughout the COVID-19 pandemic, adolescents spent time in social isolation from their peers due to periods of mandated lockdown. It was unclear how social media use during lockdown could have influenced adolescents’ mental health after the pandemic. Psychosocial development theory and self-socialization theory formed the theoretical framework for this study. This study examined 158 adolescents aged 13-17 who experienced lockdowns and movement restrictions during the COVID-19 pandemic. The independent variables were a) the social media sites most frequented during lockdowns, and b) the purposes of their use. The RCADS and the UCLA Loneliness Scale provided participants’ levels of anxiety, depression, …
Establishing Policies And Standards To Implement Socially Sustainable Practices, Josephine Joe Wiles-Warner
Establishing Policies And Standards To Implement Socially Sustainable Practices, Josephine Joe Wiles-Warner
Walden Dissertations and Doctoral Studies
Liberia and sub-Saharan African (SSA) countries lag behind the rest of the world due to substandard social and physical infrastructure development. Poverty is persistently increasing, and fewer than half of the countries in SSA did not meet the development goal for reducing extreme poverty. SSA countries could progress much faster by developing their core infrastructure and reforming their institutions. The purpose of the qualitative, policy Delphi study was to determine how a panel of 16 purposively selected global experts on the United Nations Sustainable Development Goals (UNSDGs) in multinational organizations in the United States and Africa view the desirability, feasibility, …
An Exploratory Examination Of Profiling Techniques In Criminal Cases, Marilou Verburg Erb
An Exploratory Examination Of Profiling Techniques In Criminal Cases, Marilou Verburg Erb
Walden Dissertations and Doctoral Studies
Profiling is a vital process in criminal investigations that facilitates not only the proper identification of offenders in the fight against crime but also the quick apprehension of said individuals. Finding viable techniques to investigate criminal activity has been a significant focus of research on crime and related fields. The objective of this qualitative study was to examine the primary techniques involved in geographic profiling, crime scene profiling, suspect-based profiling, psychological profiling, and psychological autopsies in order to assist academics and professionals in the profiling field as well as law enforcement and criminal justice officials in identifying and apprehending offenders …
Self-Distraction As A Positive Coping Mechanism For Adolescents Of Incarcerated Parents, Tysha Deve' Ushry
Self-Distraction As A Positive Coping Mechanism For Adolescents Of Incarcerated Parents, Tysha Deve' Ushry
Walden Dissertations and Doctoral Studies
Children of incarcerated parents have been an increasing area of scholarly focus, especially considering that the United States holds one of the highest rates of incarceration in the world. The purpose of this qualitative basic study was to explore the perceptions of adolescents, ages 18-21, whose parents are incarcerated in prison, and their use of self-distraction from parental incarceration as a positive coping mechanism. The study was grounded in Hill’s family stress theory. Purposive and snowball sample strategies were employed in this study to obtain participants from a private Facebook group. Data were collected through semistructured interviews with 12 participants …
Staff Education To Reduce Compassion Fatigue Among Emergency Department Nurses, Ruth Anne Dirschuweit
Staff Education To Reduce Compassion Fatigue Among Emergency Department Nurses, Ruth Anne Dirschuweit
Walden Dissertations and Doctoral Studies
I created this Doctor of Nursing Practice (DNP) project as a staff education initiative to inform emergency department (ED) nurses about the emotional toll of caring for patients in distress. This condition, known as compassion fatigue (CF), is characterized by emotional exhaustion from ongoing exposure to trauma and can lead to increased stress, reduced job satisfaction, and a decline in care quality. A gap in staff support and coping strategies was identified among frontline nurses in a large, urban healthcare environment. I developed the project to increase nurses’ knowledge and self-awareness of CF through an evidence-based educational session. The guiding …