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Jamaican Blue Mountain Coffee Farmers’ Effective Strategies For Achieving Profitability, Norman Washington Grant Jul 2025

Jamaican Blue Mountain Coffee Farmers’ Effective Strategies For Achieving Profitability, Norman Washington Grant

Walden Dissertations and Doctoral Studies

Jamaican Blue Mountain (JBM) coffee farmers often fail to improve production, which has the potential for adverse business outcomes. Farmers and business owners are concerned about the sustainability of their farm operations, which is essential for achieving profitability. Grounded in Hawley’s risk theory of profit, the purpose of this qualitative multiple case study was to identify and explore effective strategies that JBM coffee farmers used to achieve profitability. The participants were six JBM coffee farm owners in the Jamaican coffee industry who used effective strategies to achieve profitability. Data were collected using semistructured interviews and a review of organizational marketing …

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Experiences Of Post-Secondary Teachers With Using Information And Communication Technologies In Rural Communities, Latonya Shirelle Motley Jul 2025

Experiences Of Post-Secondary Teachers With Using Information And Communication Technologies In Rural Communities, Latonya Shirelle Motley

Walden Dissertations and Doctoral Studies

Teaching and learning in the 21st century requires full access and use of digital technologies but this can be challenging in rural areas. Teachers at post-secondary schools in rural communities often have limited access to information and communication technologies (ICT), which restricts their ability to fully serve their rural students. Guided by the theory of the digital divide, the purpose of this basic qualitative study was to explore the experiences of post-secondary teachers with using ICT in rural areas in the United States. Data for this qualitative study were collected from 44 participant interviews who evaluated their access of digital …

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Evaluating Nutrition, Exercise, And Education, On Mental Health And Quality Of Life In Menopause, Jill R. Stone Jul 2025

Evaluating Nutrition, Exercise, And Education, On Mental Health And Quality Of Life In Menopause, Jill R. Stone

Walden Dissertations and Doctoral Studies

Physical inactivity, poor nutrition, and a lack of understanding of menopause adversely affect mental health and quality of life in women entering menopause. Metabolic changes during this period can lead to an increase in visceral fat, loss of muscle mass, depression, and anxiety. These metabolic changes are linked to a higher risk for cardiovascular disease, type two diabetes, and metabolic syndrome. This cross-sectional quantitative study, guided by the health belief model, explored the contribution of adopting specific nutrition strategies, exercise, and education in women during menopause transition to help manage mental health (as measured by depression and tension), and quality …

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Lived Experiences Of Sexual Orientation Discrimination Of Gay Male Service Members, Dwayne A. Tyler Jul 2025

Lived Experiences Of Sexual Orientation Discrimination Of Gay Male Service Members, Dwayne A. Tyler

Walden Dissertations and Doctoral Studies

The repeal of the Don’t Ask, Don’t Tell policy (DADT) has been an area of study among scholars since 2011. Researchers have demonstrated that discrimination based on sexual orientation is still occurring in the armed forces. However, researchers have not studied the lived experiences of active-duty male service members in the army who self-identified as gay. The purpose of this phenomenological qualitative study was to examine the lived experiences of discrimination based on the sexual orientation of male service members who self-identified as gay in the army since the repeal of the DADT policy. Using semi-structured interviews, four self-identified gay …

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Staff Education Project An Educational Project To Educating Mental Health Staffs On Stress Management To Improve Knowledge And Staff Retention, Lilian Eneude Jul 2025

Staff Education Project An Educational Project To Educating Mental Health Staffs On Stress Management To Improve Knowledge And Staff Retention, Lilian Eneude

Walden Dissertations and Doctoral Studies

This evidence-based educational project addressed the knowledge gap in stress management techniques among mental health nursing staff at an acute psychiatric facility. Mental health professionals experience substantially higher rates of workplace stress and burnout compared to other healthcare workers, affecting staff wellbeing, patient care quality, and organizational outcomes. The practice-focused question was: Does educating mental health nurses on stress management improve knowledge as evidenced by pre- and post-intervention? A comprehensive literature search was done at the Walden University Library using CINAHL, PubMed, and PsycINFO databases that yielded 200 potential articles, with 45 full-text articles reviewed and 20 high-quality studies included …

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Lived Experiences Of Ex-Offenders In Securing Stable Employment After Reentry Programs, Tony Lemar Williams Jul 2025

Lived Experiences Of Ex-Offenders In Securing Stable Employment After Reentry Programs, Tony Lemar Williams

Walden Dissertations and Doctoral Studies

The reintegration of formerly incarcerated individuals into society has garnered increasing attention largely due to structural and social barriers that impede their successful transition. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of ex-offenders who successfully obtained gainful employment following their reintegration into society while navigating the enduring consequences of their past convictions. Self-determination, self-efficacy, and implicit theories grounded this study. Ten participants were recruited through social media platforms and flyers on community billboards in a suburban area of Ohio. Data were collected using semistructured in-depth interviews. Narrative coding, according to Saldana, was used …

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Strategies In Cybersecurity For The Protection Of Patient Health Information (Phi), Denise Holloway Jul 2025

Strategies In Cybersecurity For The Protection Of Patient Health Information (Phi), Denise Holloway

Walden Dissertations and Doctoral Studies

Health information technology (IT) professionals are consistently seeking better ways to balance the availability of patient health information (PHI) with data breach prevention, as these breaches negatively impact health organizations legally and ethically due to the exposure of PHI. However, some health IT professionals lack strategies to protect PHI against cybersecurity attacks. Grounded in Dr. Edward Hutchins’ distributed cognition framework, the purpose of this qualitative pragmatic inquiry was to understand what strategies health IT professionals use to protect PHI against cybersecurity attacks. The participants were six IT professionals from Washington D.C., Maryland, and Virginia with at least five to seven …

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Service Provider Practice And Dual Victimization Survivors Seeking Emergency Shelter, Lana Heinen Jul 2025

Service Provider Practice And Dual Victimization Survivors Seeking Emergency Shelter, Lana Heinen

Walden Dissertations and Doctoral Studies

The Violence Against Women Act supports responses to the crimes of domestic violence, sexual assault, dating violence, and stalking. It does not provide a permanent or guaranteed pathway to safe and stable housing for those experiencing the dual victimization of domestic violence and human trafficking. Service provider practices can alleviate or aggravate barriers faced by this population. These practices are influenced by the education and training service providers receive before entering the field and throughout their career. The purpose of this generic qualitative study was to explore service providers’ perceptions of structures and barriers contributing to the obstacles of accessing …

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Elementary School Administrators Perceptions Of School-Wide Restorative Practices In A School District In Georgia, Simone Simmons Jul 2025

Elementary School Administrators Perceptions Of School-Wide Restorative Practices In A School District In Georgia, Simone Simmons

Walden Dissertations and Doctoral Studies

This basic qualitative study explored the perceptions of elementary school administrators regarding the uses of restorative practices (RPs) to address an increase in undesirable behaviors among K–5 students in a northern public school district in Georgia. Guided by restorative justice theory, which emphasizes repairing harm and fostering positive relationships, the study focused on understanding how administrators perceive the effectiveness of RPs in managing student behavior during instructional time. The research questions focused on administrators’ perceptions of the effectiveness of RPs in addressing student behaviors in the classroom. Data were collected through semi-structured interviews with 10 elementary school administrators from the …

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Burnout Theory, Pandemic Teaching And Teacher Efficacy: What Is Lost When Schools Return To “Normal”?, Katy Farber, Penny A. Bishop Jul 2025

Burnout Theory, Pandemic Teaching And Teacher Efficacy: What Is Lost When Schools Return To “Normal”?, Katy Farber, Penny A. Bishop

Journal of Educational Research and Practice

Our qualitative study examined educators’ perceptions of teaching during the COVID-19 pandemic through the lens of burnout theory. Using the three components of burnout as theorized by Maslach and Leiter (2016), we analyzed teachers’ self-reports of emotional exhaustion, cynicism/depersonalization, and reduced sense of professional self-efficacy. We interviewed 16 teachers who taught through the emergency remote-learning phase of the pandemic in March 2020 and remained in the same district when prepandemic practices returned. We conducted semistructured interviews in person and on Zoom with special educators, integrated arts teachers, school counselors, and general classroom teachers. We describe the unanticipated finding that teachers …

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Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson Jul 2025

Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson

Walden Dissertations and Doctoral Studies

Child welfare workers have high turnover rates and low retention rates. While there is well-documented research on reasons for turnover, no research was found on how a case manager's practicum experience impacts turnover rates. The purpose of this qualitative study was to explore child welfare case managers' perspectives on retention and to understand how their practicum and internship experiences influence retention. The theories that ground this research include systems theory by Bertalanffy and social constructivism by Vygotsky. The two research questions for this generic qualitative study were: What are the experiences of child welfare case managers during their internship and …

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The Lived Mental Health Experiences Of African American/Black Mothers With An Infant In The Neonatal Intensive Care Unit During Covid-19, Dr. Shewonyui S. Lurker Jun 2025

The Lived Mental Health Experiences Of African American/Black Mothers With An Infant In The Neonatal Intensive Care Unit During Covid-19, Dr. Shewonyui S. Lurker

Walden Dissertations and Doctoral Studies

African American/Black (AA/B) women are more likely than other women in the United States to give birth prematurely. Experiencing premature birth and infant hospitalization in the neonatal intensive care unit (NICU) during the COVID-19 pandemic may have negatively affected AA/B mothers’ mental health and led them to experience elevated rates of increased posttraumatic stress disorders, depression, anxiety, and postpartum depression. The purpose of this study was to understand the lived mental health experiences of AA/B mothers of infants in the NICU during COVID-19. Feminist theory provided a lens for understanding intersectionality in the experiences of AA/B mothers. Semistructured interviews were …

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Havana To Port-Au-Prince: Cuba’S Medical Internationalism Aid To Haiti, Wilner Saint Cyr Jun 2025

Havana To Port-Au-Prince: Cuba’S Medical Internationalism Aid To Haiti, Wilner Saint Cyr

Walden Dissertations and Doctoral Studies

Haiti ranks among the lowest in healthcare quality in the Americas, according to the health indicators used by the World Health Organization. Despite national and international efforts to improve health service delivery, access to primary medical care and preventive services is limited, especially in rural areas. In response to a request from the Haitian government following the devastating Hurricane Georges, the arrival of the first Cuban doctors to support ongoing public health needs commenced in December 1998. Recognizing an opportunity for international cooperation, the Haitian president sought assistance from Cuba by signing a bilateral cooperation agreement for initial and ongoing …

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Strategies It Managers Use To Manage Remote Teams In The Medical Industry, Sonia Raj Gandham Jun 2025

Strategies It Managers Use To Manage Remote Teams In The Medical Industry, Sonia Raj Gandham

Walden Dissertations and Doctoral Studies

Healthcare IT managers experience significant challenges while leading remote teams, as they must maintain secure communication practices and regulatory compliance while achieving high-performance standards. Organizations without proper strategies face data breaches and productivity losses that harm operational performance and patient care, leading to legal troubles and reputational harm. Grounded in adaptive structuration theory (AST), this qualitative pragmatic study explored successful remote team management strategies among U.S. healthcare IT managers with five or more years of experience. AST provided the theoretical lens to examine how technology and organizational structures interact in distributed work environments. Interviews with six participants were analyzed thematically …

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Hospital Unit Leaders’ Strategies In Maintaining Safe Work Environments, Karen Jeffrey Jun 2025

Hospital Unit Leaders’ Strategies In Maintaining Safe Work Environments, Karen Jeffrey

Walden Dissertations and Doctoral Studies

Unsafe working conditions in hospitals can lead to increased turnover among nurses, which can disrupt patient care and the overall stability of the organization. This is a pressing issue for hospital executives, leaders, and nurses on the front lines, as workplace safety is essential for keeping staff, controlling costs, and ensuring high-quality care. Grounded in the job demands-resource theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies hospital unit leaders use to create a safe work environment. The participants were six hospital unit leaders from different hospitals in the United States. Data were collected through semistructured …

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Exploring Strategies For Improving Employee Engagement In Large Technology Companies, Antonio Evocatio Montiero Jun 2025

Exploring Strategies For Improving Employee Engagement In Large Technology Companies, Antonio Evocatio Montiero

Walden Dissertations and Doctoral Studies

A lack of effective employee engagement strategies is a pressing concern for large technology companies aiming to stay competitive and profitable. Business leaders are concerned about this issue, as ineffective engagement can jeopardize both the company's financial health and its ability to retain talent. Grounded in Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to identify and explore strategies that large technology company leaders use to effectively engage their employees to remain competitive and profitable. The participants were six leaders of large technology companies in the United States who had success with engaging their employees. …

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A Correlational Study Of The Impact Of Coordinated Care On The Management Of Early Onset Dementia And Caregiver Stress Levels In Aging Populations, Spencer Castro Jun 2025

A Correlational Study Of The Impact Of Coordinated Care On The Management Of Early Onset Dementia And Caregiver Stress Levels In Aging Populations, Spencer Castro

Walden Dissertations and Doctoral Studies

Health care administration continues to face challenges related to inefficient coordination among providers caring for individuals with early onset dementia, often leading to poor outcomes and increased caregiver stress. The purpose of this quantitative study was to examine how provider coordination relates to care quality and caregiver stress, using the framework of interprofessional collaboration. This study addressed two research questions: (1) What is the relationship between provider coordination and perceived quality of care for individuals with early onset dementia?; and (2) What is the relationship between provider coordination and caregiver stress?. Data were drawn from the AARP and National Alliance …

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Relationship Between Dynamic Capabilities Characteristics And Organizational Performance In Specialty Health Care Organizations, Raymond Deloyd Hall Jun 2025

Relationship Between Dynamic Capabilities Characteristics And Organizational Performance In Specialty Health Care Organizations, Raymond Deloyd Hall

Walden Dissertations and Doctoral Studies

As the environment undergoes rapid changes—like shifting patient needs, new regulations, evolving work dynamics, and increasing competition—the specialty health care organizations in the United States are experiencing noticeable declines in their organizational performance. For health care leaders, grasping how these external factors relate to organizational performance is essential to uphold service quality and ensure effectiveness. Grounded in dynamic capabilities theory, the purpose of this quantitative correlational study was to examine the relationship between sensing, seizing, transforming capabilities, and organizational performance. The participants were 77 executives and managers from specialty health care organizations in the Southwestern United States. The results of …

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The Experiences Of Adolescent Caregivers Of A Parent With Amyotrophic Lateral Sclerosis, Barbara Thornton Jun 2025

The Experiences Of Adolescent Caregivers Of A Parent With Amyotrophic Lateral Sclerosis, Barbara Thornton

Walden Dissertations and Doctoral Studies

In many families in the United States, minor children fulfill care duties for sick or disabled family members living within the children’s homes. Although there is extensive research and established support systems for adult family caregivers in the context of long-term illness, children in this caregiving role have been largely overlooked, resulting in a lack of support services to meet their unique needs and challenges. Grounded in Bronfenbrenner's ecological systems theory, the purpose of this qualitative phenomenological study was to examine the experiences of children who serve as caregivers for parents with amyotrophic lateral sclerosis (ALS), a progressive and terminal …

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Examining Firefighters’ Perspectives On Critical Incident Stress Debriefing, Olivia O'Hare Jun 2025

Examining Firefighters’ Perspectives On Critical Incident Stress Debriefing, Olivia O'Hare

Walden Dissertations and Doctoral Studies

Firefighters are routinely exposed to critical incidents, potentially resulting in mental health consequences. Critical incident stress debriefing (CISD) is a common postcritical incident intervention used among fire departments in the United States to address these mental health impacts. Understanding the perspectives of firefighters’ experience with CISD can contribute information to the social work profession, may engage firefighters in the discussion surrounding their mental health needs, and could provide effective postcritical incident coping strategies. The purpose and research questions of this study were focused through a vicarious trauma lens was to understand firefighters’ perspectives and experiences of CISD, explore CISD trauma …

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Staff Education On Evidence-Based Interventions To Reduce Fall Rates Among Hospitalized Adult Psychiatric Patients, Blessing Rita Ugbor Jun 2025

Staff Education On Evidence-Based Interventions To Reduce Fall Rates Among Hospitalized Adult Psychiatric Patients, Blessing Rita Ugbor

Walden Dissertations and Doctoral Studies

A staff education initiative was implemented in an inpatient psychiatric facility in the Southern United States to address the significant practice problem: inadequate knowledge of fall prevention strategies among psychiatric nurses. The identified knowledge gap impairs the nurses’ ability to recognize fall risk factors and apply evidence-based interventions. Psychiatric inpatients are particularly vulnerable to falls, which compromise patient safety, increase health care costs, and contribute to poor outcomes. The project was guided by a practice-focused question addressing whether staff education on evidence-based fall prevention strategies would enhance nurses’ knowledge and reduce fall rates. The purpose of the project was to …

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Do Minorities Attend Culturally Competent Hospitals? The Case Of Minority-Serving And Safety-Net Hospitals, Rumel Mahmood Jun 2025

Do Minorities Attend Culturally Competent Hospitals? The Case Of Minority-Serving And Safety-Net Hospitals, Rumel Mahmood

Journal of Social, Behavioral, and Health Sciences

Minorities disproportionately attend minority-serving hospitals (MSHs) and safety-net hospitals (SNHs). This study examines whether MSHs or SNHs are more culturally competent than their counterparts. No research to date has examined the cultural competency of MSHs and SNHs with hospitals outside of these categories. The literature on the determinants of hospital-level cultural competence is sparse, with limited measures used nationally and a robust measure used in a single U.S. state. I calculated a 100-point score of hospital cultural competence from a nationally representative survey of hospitals (N = 849 respondents). Using multilevel regression models, I found that MSHs are culturally …

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Strategies Health Care Leaders Use For Telemedicine Utilization And Subsequent Revenue Enhancement, Wesley Raymond Wingate Jun 2025

Strategies Health Care Leaders Use For Telemedicine Utilization And Subsequent Revenue Enhancement, Wesley Raymond Wingate

Walden Dissertations and Doctoral Studies

Health care leaders face challenges in increasing the utilization of alternative synchronous health care platforms, such as telemedicine, which enable real-time virtual consultations, which can influence in-person clinic visits and impact organizational revenue. Rising demand for accessible health care, and ineffective telemedicine implementation limits patient access and overall organizational sustainability, increasing the need for evidence-based strategies critical for health care leaders to improve both service delivery and financial outcomes. This qualitative pragmatic inquiry, grounded in the health belief model, aimed to explore strategies used by health care leaders in the South Texas region to implement telemedicine effectively. The participants included …

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Strategies Minority Small Business Owners Use To Obtain Access To Capital, Marchelle Ronique Yearby Jun 2025

Strategies Minority Small Business Owners Use To Obtain Access To Capital, Marchelle Ronique Yearby

Walden Dissertations and Doctoral Studies

Minority small business owners (MSBOs) often experience significant challenges in securing business capital, which is critical for sustaining and growing their businesses. MSBOs are concerned with the lack of business capital because it restricts their ability to expand operations, innovate, and generate employment within their communities. The purpose of this qualitative multiple-case study, which was grounded in the financial inclusion theory, was to identify and explore strategies MSBOs employ to secure access to capital. The participants were nine MSBOs in the Southeastern United States, each of whom had successfully maintained and secured working capital to sustain a profitable business for …

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Cultural And Structural Barriers Influencing The Mental-Health-Seeking Behaviors Of South Asians In Dallas, Texas, Judith Jose Jun 2025

Cultural And Structural Barriers Influencing The Mental-Health-Seeking Behaviors Of South Asians In Dallas, Texas, Judith Jose

Walden Dissertations and Doctoral Studies

Despite being one of the fastest growing immigrant populations in the United States, South Asians experience disproportionately high rates of untreated mental health conditions while reporting low utilization of professional mental health services. This qualitative phenomenological study explored the cultural and structural barriers that influence mental-health-seeking behaviors among South Asians residing in Dallas, Texas. Guided by the health belief model and principles of cultural competency, this research investigated how perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy intersect with cultural stigma, religious beliefs, generational dynamics, and systemic obstacles. Semistructured interviews with 12 South Asian adults revealed seven major …

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Technology Manufacturing Organizations’ Strategies For Achieving Sustainability, Kate Cheney Jun 2025

Technology Manufacturing Organizations’ Strategies For Achieving Sustainability, Kate Cheney

Walden Dissertations and Doctoral Studies

Sustainability remains a challenge for technology manufacturers struggling to integrate environmental priorities into core operations. This issue is critical for technology manufacturing managers who must embed sustainability into organizational systems and decision-making processes to meet rising expectations from regulators, investors, and consumers. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study is to identify and explore effective strategies used by technology manufacturing managers in the western region of the United States. The data collected from seven semistructured interviews were analyzed using thematic analysis. The five themes that emerged were (a) leadership and company culture, (b) collaboration, …

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Examination Of Evidence-Based Practices Implementation And Perceived Job Satisfaction With Mental Health Providers, Rafael Montoya Jun 2025

Examination Of Evidence-Based Practices Implementation And Perceived Job Satisfaction With Mental Health Providers, Rafael Montoya

Walden Dissertations and Doctoral Studies

Job satisfaction among mental health providers continues to be an important area of inquiry, particularly in relation to professional development and training. However, limited studies have evaluated whether training in evidence-based practices (EBPs) is associated with different levels of job satisfaction compared to traditional training models. The purpose of this cross-sectional, quantitative study was to examine whether a statistically significant difference in job satisfaction exists between mental health providers trained in EBPs and those trained using traditional approaches. The study was guided by Spector’s multidimensional job satisfaction model, which categorizes job satisfaction into nine key domains. Data from 81 mental …

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Associations Between Daytime Sleepiness, Obesity, And Sleep Apnea Severity Among Caribbean Women, Melaine F. Mcleod Jun 2025

Associations Between Daytime Sleepiness, Obesity, And Sleep Apnea Severity Among Caribbean Women, Melaine F. Mcleod

Walden Dissertations and Doctoral Studies

Obstructive sleep apnea is the most common type of sleep-disordered breathing. Obstructive sleep apnea (OSA) is a global health epidemic that is associated with the obesity pandemic and daytime sleepiness. This quantitative cross-sectional descriptive study aimed to examine associations between daytime sleepiness measured by the Epworth Sleepiness Scale, obesity measured by body mass index (BMI), and severity of OSA measured by the apnea-hypopnea index among Caribbean women residing in the Cayman Islands. The health belief model served as the theoretical framework to guide this research. Daytime sleepiness and obesity were independent variables; the dependent variable was the severity of OSA, …

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Provision Of Transportation To Psychiatric Follow-Up Appointments, Eliane Sandrine Tueche Fankam Jun 2025

Provision Of Transportation To Psychiatric Follow-Up Appointments, Eliane Sandrine Tueche Fankam

Walden Dissertations and Doctoral Studies

This quality improvement initiative is focused on the lack of transportation as a significant barrier to obtaining health care services for patients with severe psychiatric disorders. Transportation issues remain an important factor that hinders the attainment of health care services by the members of this population. Transportation challenges should be addressed as much as possible for improving healthcare accessibility and providing timely care. Prior to the implementation of the transportation service, only 30% of patients with severe mental illness (SMI) attended their scheduled appointments, demonstrating the need for intervention. This project focused on whether providing transportation services would improve compliance …

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Non-Profit Mental Health Organization: Overcoming Employee Turnover With Retention Strategies, Navpreet Brar Jun 2025

Non-Profit Mental Health Organization: Overcoming Employee Turnover With Retention Strategies, Navpreet Brar

Walden Dissertations and Doctoral Studies

This professional administrative study explored the root causes of employee turnover at a nonprofit mental health organization, where turnover had reduced treatment consistency, increased emotional distress among clients, and decreased staff morale. The purpose of this study was designed to develop effective strategies to enhance retention, improve employee engagement, and support high-quality patient care through an application of the social exchange theory. The study addressed four practice-focused questions: (a) What are the underlying causes of turnover at this organization? (b) How can effective strategies be developed and implemented to reduce turnover? (c) How can the organization enhance employee engagement to …

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