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Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe
Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe
Walden Dissertations and Doctoral Studies
Patient safety is a cornerstone of effective healthcare delivery, particularly in critical care units (CCUs) where patients are at heightened risk of complications due to their complex medical conditions. The purpose of this study, guided by Watson’s theory of human caring, was to explore RNs’ perceptions of patient safety in CCUs. Data on eight RNs working in CCUs were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Data were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Using Saldana’s method of thematic analysis, three overarching themes emerged: patient safety, resource allocation, and …
Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle
Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle
Walden Dissertations and Doctoral Studies
The underuse of standardized mental health screening tools, such as the Patient Health Questionnaire-9 (PHQ-9), delays the diagnosis of major depressive disorder (MDD) in pediatric patients. This staff education project aimed to improve psychiatric providers' knowledge, confidence, and PHQ-9 utilization through an interactive training program. Over four weeks, three nurse practitioners and two medical assistants participated in an evidence-based educational intervention. Pre- and post-training assessments measured provider knowledge, confidence, and PHQ-9 usage through surveys and electronic health record (EHR) audits. Results showed provider knowledge increased from 65% to 90%, confidence improved from 60% to 85%, and PHQ-9 usage rose from …
Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes
Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes
Walden Dissertations and Doctoral Studies
In the United States, the prevalence of NAFLD is estimated at 24% of the population, and by 2030, the incidence of NAFLD will increase to 100.9 million cases. This study aimed to determine the prevalence and rate of non-alcoholic fatty liver disease (NAFLD) progression in the Alaska Native/ American Indian population (AN/AI) with and without elevated liver function tests. Two research questions guided the study: Do outcomes (abnormal/normal) of LFTs, A1C, lipids, BMI, and inflammatory markers predict or have a relationship with NAFLD progression? Does NAFLD surveillance have a relationship with the patient’s outcome as measured by the NAFLD Fibrosis …
Measuring Healthcare Quality For Sexual Minority Women, Francesca Antoine
Measuring Healthcare Quality For Sexual Minority Women, Francesca Antoine
Walden Dissertations and Doctoral Studies
Women who identify as lesbian, bisexual, or other sexual orientations (i.e., sexual minority women) experience poorer health outcomes compared to heterosexual women. Despite the increasing prevalence of sexual minority women in the United States, little research exists to identify their unique health needs. Healthcare administrators play a critical role in promoting a higher standard of patient care by identifying systemic issues and leveraging data-driven solutions. The purpose of this study was to examine various aspects of care delivery in clinical encounters involving sexual minority women and evaluate their perception of care quality. Donabedian’s model of healthcare quality served as the …
Digital Transformation Strategies Used By Church Leaders To Increase Revenues And Meet Budgetary Goals, Lee Riley
Walden Dissertations and Doctoral Studies
Ineffective strategies to use digital transformation to increase revenues and meet budgetary goals can negatively impact small rural church leadership capabilities. Small rural church leaders who struggle to increase revenues and meet budgetary goals are at high risk of business instability. Grounded in the diffusion of innovations theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective digital transformation strategies used by small rural church leaders to increase revenues and meet budgetary goals. Participants were eight small rural church leaders who had effectively used digital transformation to increase revenues and meet budgetary goals. Data were collected …
Nonprofit Marketing Strategies To Target A Specific Client Population, Daniel Curtis Grant
Nonprofit Marketing Strategies To Target A Specific Client Population, Daniel Curtis Grant
Walden Dissertations and Doctoral Studies
African American females are the fastest-growing demographic in the United States contracting HIV. Nonprofit executives are concerned that, without effective marketing campaigns, African American females are not seeking the education or testing proven to reduce the chance of contracting HIV. Grounded in the integrated marketing communications theory, the purpose of this qualitative single case study was to explore strategies that nonprofit executives use to design and execute effective marketing campaigns targeted to a specific client population. The participants were four senior leaders from a nonprofit healthcare clinic located in the south-central Region of the United States who have 10 or …
A Survey Of Practice Models And Outcomes In Michigan Residential Substance Use Disorder Treatment, Lamart Hightower, Elissa Kent, Vikash Kumar, Lauren Michie, Alysha King, Tekoa Marshall
A Survey Of Practice Models And Outcomes In Michigan Residential Substance Use Disorder Treatment, Lamart Hightower, Elissa Kent, Vikash Kumar, Lauren Michie, Alysha King, Tekoa Marshall
Journal of Social Work in the Global Community
The United States has a lengthy history of treating individuals experiencing substance use disorders (SUDs) from an abstinence-only framework. Harm reduction practices have grown a large base of empirical support in other parts of the world and have become central to treating individuals with SUDs. Within the United States, however, a substantial number of residential SUD treatment programs that continue to perpetuate an abstinence-only framework, which creates a lack of access for people who seek a harm reduction approach—and who likely need it the most. In this study, 66 residential treatment programs in Michigan were examined to determine whether they …
Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project is a staff education program aimed at improving nursing care for elderly patients with post-stroke depression (PSD) through education on the collaborative care model (CCM). The practice concern addressed is the underrecognition and undertreatment of PSD in elderly patients in a rehabilitation setting due to a lack of staff knowledge and confidence in screening for PSD in the elderly. The aim of this DNP project was to provide staff with the knowledge necessary to engage PSD screening as a part of the CCM, which has the potential to enhance PSD management and improve …
Staff Education On Uti Screening, Antimicrobial And Antibiotic Resistance, And Poor Regimen Adherence, Shereen Robinson
Staff Education On Uti Screening, Antimicrobial And Antibiotic Resistance, And Poor Regimen Adherence, Shereen Robinson
Walden Dissertations and Doctoral Studies
This staff education project focused on enhancing nurses’ knowledge of urinary tract infections (UTIs) and antibiotic and antimicrobial resistance intended to promote screening for UTIs. The practice problem addressed was lack nurses’ knowledge of UTI screening and antibiotic resistance. Inadequate screening contributed to increased UTI rates, re-occurrences, and complications such as delirium. It was essential to address the issue because nurses are at the frontline regarding educating, screening, and providing care to patients with UTIs. Knowledgeable nurses can implement standard practices to ensure adequate screening for UTIs. Effective screening would enhance early treatment and minimize misuse and unnecessary antibiotic prescriptions. …
Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez
Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez
Walden Dissertations and Doctoral Studies
Exploring the lived experiences of rural women of color in the United States who seek police intervention during an intimate partner violence crisis is a necessity. In rural regions, many African American and Caribbean Blacks in rural communities endure physical assaults perpetrated by their partners throughout their lives. IPV among women of color, especially the obstacles that they face in requesting police intervention. The findings of this research study provide valuable insights that can support the establishment of intervention centers for rural women of color by involving key stakeholders, such as police departments in these regions. This study used semi-structured …
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Walden Dissertations and Doctoral Studies
Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
Walden Dissertations and Doctoral Studies
Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …
Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk
Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk
Journal of Social, Behavioral, and Health Sciences
Unraveling provider-level sexual health stigma requires building an understanding of contributing factors, such as provider knowledge, values, beliefs, medical training, and other intrapersonal or interpersonal factors that may influence its manifestation at the clinic level during patient–provider interactions. Healthcare provider stigma has not been sufficiently understood or explained using classic psychological theories, such as Cognitive Dissonance Theory (CDT) or Social Cognitive Theory (SCT). We build a theory-based understanding of sexual health-provider stigma by proposing modifications to the SCT to develop the Modified SCT (M-SCT) model, where cognitive dissonance is hypothesized to influence the personal/cognitive and behavioral factors of the M-SCT. …
Clinical Practice Guideline For Systemic Lupus Erythromatosus And Lupus Nephritis, Seleaina A. Thomas
Clinical Practice Guideline For Systemic Lupus Erythromatosus And Lupus Nephritis, Seleaina A. Thomas
Walden Dissertations and Doctoral Studies
Summary This project addressed the critical practice problem of delayed and inaccurate diagnosis of systemic lupus erythematosus (SLE), which has been linked to increased morbidity and mortality, particularly among marginalized populations. These diagnostic challenges have been recognized globally, with international research highlighting inconsistencies in care and the absence of standardized guidelines. Implementing inclusive and equitable clinical practice guidelines (CPGs) that consider social determinants of health, political determinants of health and actively involve diverse populations in research can play a crucial role in reducing racial disparities and improve outcomes for all lupus patients. Thus, the development of a CPG focused on …
Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain
Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain
Walden Dissertations and Doctoral Studies
Small and medium-sized enterprises (SMEs) often lack dedicated public relations (PR) departments, limiting their ability to build brand identity, and gain market share compared to larger firms with greater resources. Small business owners need PR departments to improve their competitive positioning to satisfy buyers. stay competitive to maintain and increase employment, and satisfy customers. Grounded in the dynamic capability theory, this qualitative multiple case study explored how the development and strategic implementation of PR functions can provide SMEs with a competitive advantage. Participants included seven SME owners in fashion, real estate, beauty, business, technology, and retail, each with experience in …
Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes
Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes
Walden Dissertations and Doctoral Studies
The purpose of this staff education project was to improve nurses’ knowledge on burn care using an educational intervention. The project site became the children's hospital designated burn unit. Children with burns were a new patient population that the project unit had never cared for, and there was no formal training or competencies for nurses caring for these patients. Nurses requested formal education before being expected to care for these patients. This project utilized a single group, pre-post design comparing knowledge of bedside surgical nurses about pediatric burn care management principles before and after the educational intervention. The intervention was …
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Walden Dissertations and Doctoral Studies
Challenges in achieving optimal performance outcomes among employees with disabilities in U.S. business organizations can contribute to decreased organizational profitability and increased stress among managers and other employees. Business leaders have expressed concern about the lack of effective strategies to recruit, hire, and retain employees with disabilities, which may hinder overall organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies business leaders use for recruiting, hiring, and retaining employees with disabilities to increase organizational productivity. Data were collected using semistructured interviews with six purposively sampled U.S. business …
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Walden Dissertations and Doctoral Studies
Patient-centered care has become increasingly paramount in healthcare organizations (Thummak et al., 2023). A critical component of this model is patient adherence to scheduled appointments, as missed visits can negatively affect outcomes (Halladay et al., 2019), increase healthcare costs, waste resources, and disrupt workflow (Low et al., 2023). This qualitative case study investigated the factors contributing to patient nonadherence to scheduled visits in a multidisciplinary behavioral health organization (BHO) in the Southwestern United States. The study utilized data from the behavioral health leader (BHL), organizational records, and secondary sources and was guided by the Baldrige Framework of Excellence as its …
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
Walden Dissertations and Doctoral Studies
Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Walden Dissertations and Doctoral Studies
This DNP project aimed to enhance the quality of care by improving healthcare providers’ knowledge and fostering confidence in the utilization of screening, brief intervention, and referral to treatment (SBIRT). At the practice site, patients were not screened for substance use due to the lack of provider knowledge on evidence-based screening tools. The practice-focused question for this project was, Among healthcare providers in outpatient mental health clinics, does education on the use of the SBIRT screening tool increase their knowledge and skill after educational intervention? The project used a sample of 12 healthcare professionals, including four mental health practitioners and …
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
Walden Dissertations and Doctoral Studies
This qualitative review used a convergent-parallel design to explore the perspectives of prison administrators and nonprofit reentry program providers regarding inmate rehabilitation iii and reentry services. In 2021, 76,000 inmates were pardoned due to changes in California legislation (Fritz, 2024, p. 1 ). According to a 2024 report, 89,898 inmates are residing in California State prisons- 119% over capacity (Morris, 2024, p. 1 ). This study investigated two key aspects: (1) What rehabilitation and reintegration services are offered to inmates in the California State prison system, and are these services provided upon release? 2. Are inmates required to participate in …
Standardizing Discharge Planning To Reduce Readmission Rates In Outpatient Mental Health Clinics, Navasha Martin
Standardizing Discharge Planning To Reduce Readmission Rates In Outpatient Mental Health Clinics, Navasha Martin
Walden Dissertations and Doctoral Studies
Psychiatric readmission rates remain a major concern in outpatient mental health clinics, often resulting from inconsistent discharge practices and limited patient education. This Doctor of Nursing Practice (DNP) project aimed to develop and evaluate a clinical practice guideline (CPG) to standardize discharge planning and reduce psychiatric readmission rates. Guided by the question: Does evidence support the quality of an evidence-based standardized discharge planning protocol to reduce readmissions?, this project integrated findings from a structured literature review and expert panel evaluation. The CPG was developed using evidence-based strategies and evaluated using the AGREE II instrument, a validated tool for assessing the …
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Walden Dissertations and Doctoral Studies
Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Walden Dissertations and Doctoral Studies
Some small and medium-sized enterprise (SME) owners in the hotel industry face survival challenges during economic downturns, such as the coronavirus disease (COVID-19) and the 2016 oil glut crisis. SME hotel owners are concerned about addressing these challenges to ensure profitability and sustainability amid economic crises. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME hotel owners used to maintain business success amid economic crises. The participants were six SME hotel owners in Nigeria who had implemented strategies to remain profitable and sustainable. Data were collected through semistructured interviews and a …
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
Walden Dissertations and Doctoral Studies
Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …
Strategic Planning Processes For Profitability And Sustainability Of Small Restaurants In Alberta, Olufemi Oluwasanu Baiyewun
Strategic Planning Processes For Profitability And Sustainability Of Small Restaurants In Alberta, Olufemi Oluwasanu Baiyewun
Walden Dissertations and Doctoral Studies
Some small restaurant managers struggle to develop and implement strategic planning processes to achieve profitability and sustainability. As customer attendance declines, these managers face economic challenges and reduced daily sales, often stemming from inadequate strategic planning that could support sustained profitability and long-term success. Grounded in resource-based view theory and dynamic capability theory, the purpose of this qualitative multiple case study was to explore the successful strategic planning processes that small restaurant business managers in Alberta, Canada, use to achieve profitability and sustainability beyond 5 years. The participants were six small restaurant managers who successfully implemented strategic planning processes to …
Research Integrity In The Era Of Generative Artificial Intelligence, Andrea Wilson, Cheryl Burleigh
Research Integrity In The Era Of Generative Artificial Intelligence, Andrea Wilson, Cheryl Burleigh
Journal of Educational Research and Practice
Protecting research integrity is crucial for maintaining trust in the scholarly record. Historically, threats to research integrity stemmed from deliberate human actions, such as data manipulation and misrepresentation. Generative artificial intelligence (GAI) is increasingly prevalent in higher education and is capable of generating research data and scholarly papers almost instantly. The immediate production of research data challenges traditional standards of academic rigor and integrity. The purpose of this study was to explore the role and impact of GAI on research integrity and the scholarly record, emphasizing the need for robust safeguards. For this study, we submitted Likert-type survey questions to …
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Walden Dissertations and Doctoral Studies
Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Walden Dissertations and Doctoral Studies
This doctoral project evaluated the impact of a staff education program aimed at increasing healthcare workers' awareness of workplace stress dangers among teammates in an outpatient hemodialysis center. The identified practice issue was limited knowledge about the facilitators, adverse outcomes, and resources related to occupational stress in healthcare. Lack of education regarding the risks of work-related stress presents a critical concern in nursing practice, significantly affecting caregiver well-being and patient outcomes. Nurses, particularly in high-pressure environments such as hemodialysis centers, often experience unrecognized and unmanaged emotional and physical demands, leading to chronic stress and burnout. Hemodialysis nurses are especially susceptible …
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …