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Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie Jun 2025

Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the influence of leadership on low treatment completion rates in a nonprofit outpatient substance use disorder program in the Pacific Northwest region of the United States. The purpose of this case study was to examine how leadership styles, decision-making processes, and supervisory alignment affected client engagement and treatment outcomes at the program. The study was grounded in the Baldrige Excellence Framework, which provided a systems-thinking lens to assess leadership behavior and organizational performance. Data were collected through semistructured interviews with two senior leaders and a review of limited internal documents, including the organization’s …

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Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg Jun 2025

Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg

Walden Dissertations and Doctoral Studies

The problem addressed through this study was many preschool students in the United States lack the social skills needed to be successful in kindergarten. The study’s purpose was to explore preschool teachers’ perspective regarding some children’s lack of social skills needed for success in kindergarten and the efforts teachers made to promote development of these skills. Using Flavell’s theoretical framework of metacognition and cognitive monitoring, 2 research questions were developed to address teachers’ perspectives and efforts to improve children’s social skills. Twelve preschool teachers from Louisiana with one to twenty years of experience in early childhood were interviewed via Zoom, …

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Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway Jun 2025

Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway

Walden Dissertations and Doctoral Studies

Disengaged employees present significant challenges to firm profitability and competitiveness in the U.S. medical device industry. Leaders of U.S. medical device firms are concerned disengaged employees could negatively impact organizational sustainability. The purpose of this qualitative pragmatic inquiry study was to explore strategies used by leaders in the U.S. medical device industry to enhance employee engagement. Purposeful sampling of six medical device leaders in Massachusetts was used; participants held leadership roles, had at least five years of leadership experience, and were directly involved in employee engagement. The study was grounded in Kahn’s engagement theory, focusing on psychological meaningfulness, safety, and …

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African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris Jun 2025

African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris

Walden Dissertations and Doctoral Studies

African American women veterans' race and gender present challenges as the compounded nature of the racism and sexism they experience creates specific barriers to seeking access to mental health treatment. Much of the research to date has focused on the interconnections between African American women veterans' state of mental health and their experiences in the military; however, their lived experience of encountering barriers to seeking access to mental health treatment has remained unexplored. The purpose of this phenomenological study was to explore African American women veterans' lived experience of encountering barriers to seeking access to mental health treatment to better …

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The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez Jun 2025

The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez

Walden Dissertations and Doctoral Studies

This study examined the impact of the 2017 New Jersey regulation requiring vendors to have 1,000 square feet of retail space in order to participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) food program. Specifically, it examined vendors' role in developing the policy and their perspectives on its implementation. Previous research indicated improved policy outcomes by including policy targets in policy dialogue, but there was a lack of research exploring the experiences of vendors. Not known was how the policy affected WIC vendors, the essential frontline suppliers of nutritional foods to WIC participants. The purpose of …

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Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah Jun 2025

Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Euphemia Mah has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Corinne Wheeler, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Summary Poor adherence to medication regimens among patients who have a mental illness leads to multiple adverse outcomes, which include symptom exacerbation, decreased quality of life, and repeated hospitalizations. To address this …

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Staff Education On Strategies To Eliminate Medication Errors And Promote Medication Compliance In The Community And Healthcare Settings, Rita Nyongkah Yeba Jun 2025

Staff Education On Strategies To Eliminate Medication Errors And Promote Medication Compliance In The Community And Healthcare Settings, Rita Nyongkah Yeba

Walden Dissertations and Doctoral Studies

Patient health is highly influenced by non-adherence to medications and faults in them. Longer diseases, unneeded hospital visits, and growing healthcare expenses are the effects of these problems. Medication errors can arise from incorrect prescriptions, too low or too high doses, poor administration, or inconsistent provider communication. Patients may also neglect their prescriptions for several reasons, including lack of motivation, forgetfulness, or worries about side effects. This initiative aimed to provide medical staff members with techniques meant to help lower errors in the healthcare environment and enhance medication adherence. The aim of this initiative was to instruct the staff members …

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International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson Jun 2025

International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson

Walden Dissertations and Doctoral Studies

The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …

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Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander Jun 2025

Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander

Walden Dissertations and Doctoral Studies

Opioid abuse is a significant problem in the United States. People with opioid use disorder (OUD) visit the emergency room (ER) for pain management. OUD is the overuse and abuse of opioids, which can result in dependence, relapses, and death. Nurses in the ER and medical-surgical units face challenges in distinguishing OUD from chronic pain. The purpose of this qualitative interpretive phenomenological study, guided by Benner’s novice-to-expert framework, was to explore the lived experiences of ER and medical-surgical nurses who provide care to OUD patients. Eight ER and medical-surgical nurses were interviewed using semi-structured interviews. The main themes from coding …

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Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic Jun 2025

Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic

Walden Dissertations and Doctoral Studies

The hospitality industry in the Southeast United States plays a vital role in economic growth but faces leadership challenges that impact employee engagement and organizational commitment. Hospitality industry leaders should understand these challenges that disrupt service quality and negatively impact customer satisfaction and organizational stability. The purpose of this quantitative correlational study was to examine the relationship between transformational leadership, employee engagement, and organizational commitment in the hospitality industry of the Southeast United States. The participants were 100 full-time hospitality employees who completed the Multifactor Leadership Questionnaire, Organizational Commitment Questionnaire, and Utrecht Work Engagement Scale. The results revealed significant positive …

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Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr. Jun 2025

Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr.

Walden Dissertations and Doctoral Studies

Underrepresentation of women in senior management positions within the tech industry poses a significant challenge in terms of organizational equity and effectiveness. Business leaders are concerned with this disparity, as it reflects systemic barriers to women’s advancement. Grounded in the people’s capability maturity model (P-CMM), the purpose of this qualitative pragmatic inquiry was to explore strategies that senior executives in the Washington, DC tech industry use to promote women to senior management positions. The participants were eight senior women executives purposefully selected for their leadership roles. Data was collected using semistructured interviews. Through thematic analysis, four themes were identified: personalized …

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Challenges Identified By Educators Who Teach Students With Disabilities, Christine Elizabeth Fityere Jun 2025

Challenges Identified By Educators Who Teach Students With Disabilities, Christine Elizabeth Fityere

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that educators are challenged to meet the needs of students with disabilities (SWDs) in the inclusion classrooms at a northeastern school district in New Jersey (NSD, a pseudonym). The purpose of this qualitative study was to explore educator’s experiences with the system of inclusion as well as resources needed to overcome any issues or barriers at NSD. The conceptual framework was von Bertalanffy’s systems theory. For this basic qualitative design, semistructured interviews with 13 educators that were recruited through purposeful sampling from NSD through an email sent by the director of …

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Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall Jun 2025

Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall

Walden Dissertations and Doctoral Studies

The lack of employee engagement negatively impacts organizations through revenue loss, poor productivity, and toxic cultures. Purchasing managers are concerned with decreased employee engagement as it negatively impacts productivity and revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies purchasing managers use to increase engagement and productivity. The participants were six managers who have been successful in implementing strategies to increase employee engagement. Data were collected using semistructured interviews. Through thematic analysis, three key themes were identified: (a) communication, (b) leadership styles, and (c) culture. A key recommendation is for purchasing managers …

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The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister Jun 2025

The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister

Walden Dissertations and Doctoral Studies

There are currently four generations in the workplace—Generation Z, millennials, Generation X, and baby boomers—each having its own values and motivations due to different life experiences. Leaders are facing new challenges regarding how to motivate each generation in relation to rewards, recognition, and work values. It was unknown whether there are empirical differences in motivation and leadership preferences based on generational cohort. The purpose of this study was to examine how the members of four different generations are motivated based on their preferred rewards and recognition, and the work values they hold. The targeted population were members of Generation Z, …

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Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi Jun 2025

Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi

Walden Dissertations and Doctoral Studies

The type of project was a quality improvement intervention. The identified practice problem was limited appointment shows among patients with appointments. Outpatient clinics often struggle with patients not showing up for appointments. Addressing this gap was critical for improving patient outcomes and resource efficiency. The practice problem must be addressed within the context of nursing practice by enhancing access to consistent mental health care and giving patients more timely support, leading to better outcomes and overall wellbeing.

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Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha Jun 2025

Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha

Walden Dissertations and Doctoral Studies

This project was developed as a staff education program using the analyze, design, develop, implement, and evaluate (ADDIE) model with a focus on discharge planning in a medical clinic in northern Maryland. There is a gap in discharge planning for older adults due to shortage of providers and inadequate education related to care transitions among the elderly. The care transition process can be improved through education. The practice focused question was: “Does an educational project for nurses on care transitions for the elderly increase knowledge as compared pre-to post education?” The Johns Hopkins evidence-based practice model (Appendix A) was the …

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Reducing Hospital Readmissions For Medicare Patients With Chf And Copd, Darrell Shatel Mccrimon Jun 2025

Reducing Hospital Readmissions For Medicare Patients With Chf And Copd, Darrell Shatel Mccrimon

Walden Dissertations and Doctoral Studies

Hospital readmissions for Medicare beneficiaries with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) contribute to increased healthcare costs and adverse outcomes. Evidence-based interventions, such as discharge planning, multidisciplinary care coordination, and patient education, have been implemented to reduce ambulatory care-sensitive admissions (ACSA), yet challenges in care continuity persist. This integrative review examined strategies adopted by healthcare organizations to reduce ACSA among Medicare beneficiaries with CHF and COPD. Guided by the utilization management framework, the review analyzed 19 studies and identified six primary themes: (a) integrated care models, (b) discharge and transitional care, (c) patient-centered interventions, (d) economic …

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Employee Engagement And Productivity Among Remote Workers In The Finance Industry, Mauriom Ndikeh Jun 2025

Employee Engagement And Productivity Among Remote Workers In The Finance Industry, Mauriom Ndikeh

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic and its related restrictions made remote work a defining feature of the modern workforce. Some finance industry leaders lack effective employee engagement strategies to increase productivity in remote work environments. The purpose of this qualitative pragmatic inquiry project was to identify and explore successful employee engagement strategies some finance industry leaders used to increase productivity in remote work environments. This project was grounded in Kahn’s employee engagement theory. The participants were six finance industry leaders from financial organizations in the Northeast and Mid-Atlantic regions of the United States. Data were collected using semistructured Zoom interviews, field notes, …

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A Clinical Practice Guideline For Enhanced Rehabilitation Assessment In Poststroke Patients, Chanda Honeywood Jun 2025

A Clinical Practice Guideline For Enhanced Rehabilitation Assessment In Poststroke Patients, Chanda Honeywood

Walden Dissertations and Doctoral Studies

This doctoral project aimed to develop clinical practice guidelines (CPG) to strengthen the assessment of poststroke patients for rehabilitation. The project sought to adopt an evidence-based approach to develop standardized recommendations that can help in the timely and appropriate rehabilitation of stroke survivors, thereby reducing the risk of long-term disability and readmissions. Stroke is a significant cause of disability and poor functional recovery, increased healthcare costs, and lower quality of life for patients occur because of poor rehabilitation assessment. While rehabilitation protocols already exist, discrepancies in patient evaluations result in intervention delays and ineffective uptake of rehabilitation programs, limiting the …

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Preoperative Clinical Practice Guidelines For Patients Undergoing Coronary Artery Bypass Graft Surgery, Marjorie Badong Yumul Jun 2025

Preoperative Clinical Practice Guidelines For Patients Undergoing Coronary Artery Bypass Graft Surgery, Marjorie Badong Yumul

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Marjorie B. Yumul has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Patricia Schweickert, Committee Chairperson, Nursing Faculty Dr. Diane Whitehead, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Executive Summary: Clinical Practice Guideline Preoperative Clinical Practice Guidelines for Patients Undergoing Coronary Artery Bypass Graft Surgery by Marjorie B. Yumul MS, University of the Philippines Manila, 2003 BS, La Concordia, …

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The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim Jun 2025

The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim

Walden Dissertations and Doctoral Studies

The increasing prevalence of mental health issues among college students is a critical concern. Disorders such as depression and anxiety are becoming more common, with depression notably a major risk factor for suicide—the second leading cause of death in this age group. Despite this troubling trend, significant barriers to accessing mental health services remain. While research has explored various factors contributing to students’ reluctance, such as stigma, distrust in the mental health system, lack of social support, and mental health literacy, none to date has examined the relative strength of help-seeker stereotype, help-seeking self-stigma, and self-esteem in predicting attitudes toward …

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Small Business Leaders’ Strategies To Improve Employee Retention By Increasing Flexible Work Arrangements, Allen M. Looney Jun 2025

Small Business Leaders’ Strategies To Improve Employee Retention By Increasing Flexible Work Arrangements, Allen M. Looney

Walden Dissertations and Doctoral Studies

Employee retention is a critical challenge for small business leaders in the finance and insurance sector. These leaders are concerned with identifying effective strategies to retain employees to avoid turnover costs and maintain operational stability. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective flexible-work-arrangement (FWA) strategies that small business leaders in the finance and insurance sector used to retain employees. The participants included six small business leaders in the finance and insurance sector in the Southeast United States with successful experiences using such strategies. Data were collected from semistructured …

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Nurses’ Role In Reducing Mental Health Stigma In Healthcare, Olufunmilayo Elizabeth Adeloye Jun 2025

Nurses’ Role In Reducing Mental Health Stigma In Healthcare, Olufunmilayo Elizabeth Adeloye

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project implemented a targeted educational intervention to reduce mental health stigma among healthcare providers. Mental health stigma, often resulting in misdiagnosis, delayed treatment, and decreased patient engagement, represents a significant barrier to effective nursing practice. The project’s practice-focused question examined whether an educational program could improve provider knowledge and attitudes toward mental illness. Using the ADDIE model (analysis, design, development, implementation, and evaluation), a needs assessment at a family practice and behavioral healthcare clinic identified gaps such as judgmental perceptions, avoidance behaviors, and lack of empathy among providers. An extensive literature review supported the …

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Efficacy Of New Jersey's Child Protection Policy Among Local Superior Courts, Nerissa G. Collins Jun 2025

Efficacy Of New Jersey's Child Protection Policy Among Local Superior Courts, Nerissa G. Collins

Walden Dissertations and Doctoral Studies

Despite the existence of New Jersey Department of Children and Family (NJDCF) policy guidelines, it remained unclear whether New Jersey superior courts consistently applied these principles and guidelines in Department of Child Protection and Permanency (CP&P) child abuse cases. Limited research had been conducted to examine how courts interpreted and adhered to these policies in legal rulings, leaving a gap in understanding how NJDCF principles influenced judicial decision-making. This gap in the literature made it difficult to assess whether policy guidelines effectively shaped court outcomes in ways that supported child protection and welfare. Child protective advocate attitudes and opinions concerning …

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Bias In Media Portrayals Of Filicide Cases Involving African American Women, Channing Lelar Collins Jun 2025

Bias In Media Portrayals Of Filicide Cases Involving African American Women, Channing Lelar Collins

Walden Dissertations and Doctoral Studies

This study was conducted to examine racial disparities in media portrayals of filicide cases involving African American and Caucasian women, exploring how systemic biases and societal narratives influenced public perception, policy, and the child welfare and legal systems. Using a qualitative content analysis of 42 cases involving African American women and 20 involving Caucasian women, framing techniques, language, and imagery were analyzed. The research addressed three questions were (a) What narratives and framing were used?, (b) How did these differ across racial lines?, and (c) What are the broader societal and systemic implications? Results showed that media coverage of African …

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Examining The Relationship Between Employee Engagement, Job Satisfaction, And Turnover Intention In Healthcare Organizations, Nadiel Arocho-Saez Jun 2025

Examining The Relationship Between Employee Engagement, Job Satisfaction, And Turnover Intention In Healthcare Organizations, Nadiel Arocho-Saez

Walden Dissertations and Doctoral Studies

Turnover intention among healthcare staff adversely affects the delivery of high-quality patient care and compromises healthcare organizations' financial sustainability. Effectively managing factors influencing turnover intention is critical for healthcare leaders to reduce turnover. Grounded in the Herzberg’s two-factor theory, the purpose of the quantitative correlational study was to examine the relationship between employee engagement, job satisfaction, and turnover intention in healthcare organizations. Primary data were collected from 74 nurses employed at a large multi-hospital healthcare organization in the Pacific Northwest of the United States, who completed an anonymous online survey using existing questionnaires. Data were analyzed using multiple linear regression. …

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Experiences Of Black Women In Black Colleges Voluntarily Seeking Psychiatric Services, Linda Jarvis Brown Jun 2025

Experiences Of Black Women In Black Colleges Voluntarily Seeking Psychiatric Services, Linda Jarvis Brown

Walden Dissertations and Doctoral Studies

Black Americans face significant barriers to psychiatric services including a lack of access to culturally competent care. Mental illnesses continue to be the leading causes of disability in the United States. This qualitative phenomenological study, guided by the health belief model, explored the experiences of Black women in Black colleges who voluntarily seek psychiatric services. My study addressed a gap in understanding the facilitators and barriers for Black women voluntarily seeking mental health services. Data were collected through semistructured interviews with nine participants who were Black women attending Black colleges who voluntarily sought psychiatric services. Data analysis was accomplished using …

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Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones Jun 2025

Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones

Walden Dissertations and Doctoral Studies

Some school leaders lack strategies to impact educational funding performance in prekindergarten through 12th grade (PK-12) public schools and increase students’ academic achievement and performance. School leaders and policymakers are concerned with improving educational funding, student achievement, and student performance in PK-12 public schools. Grounded in the Baldrige excellence framework, the purpose of this qualitative pragmatic inquiry study was to identify effective strategies that school leaders use to improve educational funding performance in PK-12 public schools and increase students’ academic achievement and performance. Participants were six PK-12 public school leaders with at least 5 years of leadership experience who had …

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Crisis Management Strategies For Sustaining Small Business Operations And Profitability During Unexpected Events, Dr. Brandy Marie Jones Jun 2025

Crisis Management Strategies For Sustaining Small Business Operations And Profitability During Unexpected Events, Dr. Brandy Marie Jones

Walden Dissertations and Doctoral Studies

Small business leaders face financial and logistical challenges during crises, such as economic downturns, natural disasters, and supply chain disruptions. This issue is critical for small business owners and policymakers, as effective crisis management ensures economic stability and community resilience. Grounded in situational crisis communications theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective crisis management strategies that small business leaders use to remain operational and profitable during unexpected events. The participants were seven small business leaders in Dallas, Texas who used effective crisis management strategies to remain profitable during unexpected events. Datum was collected …

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Psychiatric Boarding Discharge Strategies That Improve Service Quality And Throughput In Emergency Departments, Dr. Charille Caldwell Jun 2025

Psychiatric Boarding Discharge Strategies That Improve Service Quality And Throughput In Emergency Departments, Dr. Charille Caldwell

Walden Dissertations and Doctoral Studies

A lack of effective psychiatric discharge process strategies affects the service quality, throughput efficiency, and revenue of emergency departments (EDs). Consequently, ED discharge coordinators are concerned about the significant financial losses from these deficiencies. The purpose of this multiple qualitative descriptive case study was to explore discharge strategies ED discharge coordinators used to improve service quality and throughput of psychiatric-boarded patients in ERs by reducing the number of psychiatric-boarded patients' length of stay (LOS). The Donabedian model grounded this study. The participants were three ED discharge coordinators in the United States who successfully implemented such strategies. Data were collected from …

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