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Articles 2551 - 2580 of 16849
Full-Text Articles in Entire DC Network
Staff Education To Facilitate Patient Medication Adherence Among Schizophrenia Patients, Fri Florence Fon
Staff Education To Facilitate Patient Medication Adherence Among Schizophrenia Patients, Fri Florence Fon
Walden Dissertations and Doctoral Studies
Over the years, mental health practice has been characterized by a lack of compliance by schizophrenic patients after receiving a prescription for medication when discharged from the hospital (Kim et al., 2020). This issue has adversely affected the quality of experience and treatment outcomes among schizophrenia patients in my organization, an outpatient mental health clinic a similar challenge exists. Many patients diagnosed with schizophrenia struggle with medication adherence postdischarge, leading to increased relapse rates and hospital readmissions. This recurring issue has highlighted the need for enhanced patient education to improve compliance. The identified practice problem was the need for a …
From The Classroom To The Boardroom: Reducing Teacher Turnover By Enhancing Employee Engagement, Robert Thurston Fitzgerald Britton
From The Classroom To The Boardroom: Reducing Teacher Turnover By Enhancing Employee Engagement, Robert Thurston Fitzgerald Britton
Walden Dissertations and Doctoral Studies
Teacher turnover and low engagement levels present significant challenges for K-12 public schools, destabilizing academic progress and underscoring the need for educational leaders to develop sustainable strategies for teacher retention and positive work environments. The purpose of the qualitative pragmatic inquiry was to explore high-performing K-12 district educational leaders' strategies to enhance employee engagement and reduce turnover. The study involved six district or school-based leaders, all with over 10 years of educational experience and at least 2 years in leadership roles. The study was grounded in the self-determination theory and focused on autonomy, competence, and relatedness in influencing teacher engagement …
Reducing Medical Supplies Waste By Managing Healthcare Resources In A Clinical Setting In The United States: Lessons Learned From The Covid-19 Pandemic, Chiatuogu Anna Ukaga
Reducing Medical Supplies Waste By Managing Healthcare Resources In A Clinical Setting In The United States: Lessons Learned From The Covid-19 Pandemic, Chiatuogu Anna Ukaga
Walden Dissertations and Doctoral Studies
The gap in practice identified for my DNP capstone project is reducing medical supplies waste by managing healthcare resources in a clinic setting in the United States of America. The Organizational Change Process (OCP) Evaluation project assessed a tracking and exchange system to track the inventory of supplies used in different worksite clinics and their expiration dates. Knowledge of the expiration dates enabled exchange or shift to high-utilization areas before the supplies expired, thereby reducing waste, costs, and environmental pollution. The healthcare organization was a mix of ambulatory clinics and hospitals of varying scopes and sizes. The small clinics served …
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Walden Dissertations and Doctoral Studies
Public hospitals undergoing mergers and acquisitions (M&As) often encounter complex supply chain challenges that disrupt operations, decrease efficiency, and jeopardize financial sustainability. Ineffective post-merger integration may result in increased costs, lower employee performance, and diminished patient satisfaction. The purpose of this quantitative study was to examine whether key post-merger supply chain strategies: supply chain integration, vendor consolidation, inventory rationalization, and healthcare landscape evolution (independent variables) were significantly associated with hospital performance outcomes: supply chain efficiency, employee performance, employee satisfaction, patient care experiences, and financial efficiency (dependent variables). Grounded in organizational change theory, this study utilized a secondary data analysis design …
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Walden Dissertations and Doctoral Studies
Declining church membership has reduced congregational engagement, and challenges in fostering self-efficacy and well-being have created significant concerns for Christian church leaders in the United States. Understanding how church leaders perceive and address these challenges is crucial for sustaining faith-based organizations and their impact on communities. The purpose of this qualitative case study was to explore the Christian church leaders’ perceptions of improving their congregation’s self-efficacy, well-being, and membership in Westchester, New York. Bandura’s theory of self-efficacy and Seligman’s theory of well-being grounded this study. The participants comprised 10 Christian church leaders. Data were collected using semistructured interviews. Through Braun …
Impact Of Ohio Senate Bill 265 On Infant Mortality Rate In Ohio, Lauren Crawford
Impact Of Ohio Senate Bill 265 On Infant Mortality Rate In Ohio, Lauren Crawford
Walden Dissertations and Doctoral Studies
There is a problem with the infant mortality rate among Black women living in Ohio. Despite programs such as the Ohio Infant Mortality Reduction Initiative and Celebrate One, the infant mortality rate among Black women continues to persist, and a rate disparity between White women and Black women remains. The purpose of this generic qualitative inquiry was to explore retail pharmacists’ behavioral beliefs and attitudes toward providing prenatal care as a reimbursed service in Ohio. Currently, no studies exist that explore retail pharmacists' behavioral beliefs and attitudes toward expanding their services to include prenatal care. Using Ajzen’s theory of planned …
Staff Education On The Importance Of Polypharmacy Management, Ronie Emmanuel
Staff Education On The Importance Of Polypharmacy Management, Ronie Emmanuel
Walden Dissertations and Doctoral Studies
This DNP project was a staff education created to address the practice problem of staff knowledge deficit around polypharmacy management in an outpatient internal medicine clinic. Inadequate staff education and inconsistent use of validated tools contribute to medication errors, adverse drug events, and fragmented care, thereby increasing health care costs and patient risk. The practice-focused question was: Will staff education on the importance of polypharmacy management increase staff knowledge? The purpose of this education project was to implement and evaluate a targeted staff education program focused on polypharmacy risks, safe prescribing practices, and the application of evidence-based strategies, such as …
Elementary School Counselors Perceived Barriers To Service Delivery Throughout The Covid-19 Pandemic, Kimberly L. Johnson
Elementary School Counselors Perceived Barriers To Service Delivery Throughout The Covid-19 Pandemic, Kimberly L. Johnson
Walden Dissertations and Doctoral Studies
Elementary school counselors are essential to shaping the foundation of academic, social, and emotional development of children which was negatively impacted by the COVID-19 pandemic. ESCs were required to maintain the same level of engagement despite the pressing circumstances. No one has explored the lived experiences of ESCs as they faced extreme barriers and without this study, stakeholders would be ill-equipped to address their needs. The purpose of this descriptive phenomenological study was to explore ESCs perceived barriers to comprehensive service delivery during the COVID-19 pandemic. Husserl’s descriptive phenomenological research approaches were used, including only ESCs who worked throughout the …
Crowdsourcing And Open Innovation For Strategic Planning At The National Defense University: A Case Study, Gregory M. Mcguire
Crowdsourcing And Open Innovation For Strategic Planning At The National Defense University: A Case Study, Gregory M. Mcguire
Walden Dissertations and Doctoral Studies
It is important within strategic planning to conduct stakeholder analysis and provide stakeholder participation; however, this can be a problem for organizations with a large number of stakeholders. A gap in current research exists regarding the nuanced application of crowdsourcing and open innovation explicitly applied to stakeholder analysis and participation in public organizations’ strategic planning process. While the emerging ideas of open innovation and crowdsourcing can effectively reach stakeholders, their success in involving them has had limited evaluation. The purpose was to determine the extent to which open innovation and crowdsourcing can be used to involve stakeholders in the strategic …
How Do African American Women In Halfway Housing Perceive Their Experiences With Mental And Emotional Rehabilitation, Eiyana Middleton
How Do African American Women In Halfway Housing Perceive Their Experiences With Mental And Emotional Rehabilitation, Eiyana Middleton
Walden Dissertations and Doctoral Studies
After reviewing the literature, Black women living in halfway housing needed more culturally accommodative and responsive access to mental health care. Despite recent efforts to improve the access and quality of mental health services for Black Americans, some of the most common barriers that continued to exist include and were not limited to the following: stigma associated with mental illness and distrust of the health care system. The purpose of this hermeneutic phenomenological study was to understand Black women’s perceptions of their mental and emotional rehabilitation while living in halfway housing. The hermeneutic phenomenology theory was most appropriate as it …
Impact Of Pediatric Urgent Care Center Utilization, Deiandria Robinson
Impact Of Pediatric Urgent Care Center Utilization, Deiandria Robinson
Walden Dissertations and Doctoral Studies
Across the United States, the utilization of the emergency department for nonemergent conditions has gained the attention of public health officials, hospital administrators, and policymakers. Care in the emergency department comes with negative factors such as overcrowding, increased wait times, patient dissatisfaction, and higher costs. Urgent care centers offer viable, cost-efficient options for nonemergent care. The purpose of this quantitative study was to examine the use of a pediatric urgent care center for nonemergent conditions in relation to race for patients that live within 5 miles of the pediatric urgent care center. The Anderson and Newman model of health service …
Developing An Effective Business Strategy For Microinsurance Demand In Nigeria, Adewale Ayokunle Adewusi
Developing An Effective Business Strategy For Microinsurance Demand In Nigeria, Adewale Ayokunle Adewusi
Walden Dissertations and Doctoral Studies
Nigerian insurance leaders face significant challenges in developing a sustainable microinsurance sector. Despite subsidies from governments and donors aimed at increasing demand, microinsurance operators struggle to expand and sustain their customer base, posing a critical challenge for industry leaders. Grounded in the cumulative prospect theory, the purpose of this qualitative multiple-case study was to explore strategies some insurance leaders in Nigeria use to grow and sustain business demand for microinsurance products. The participants were five insurance leaders in Nigeria who had employed successful strategies to develop and sustain business demand for microinsurance products. Data were collected using semistructured interviews and …
Staff Education To Reduce Medication Error In Psychiatric Intensive Care Unit, Christiana Omodugba-Udeh
Staff Education To Reduce Medication Error In Psychiatric Intensive Care Unit, Christiana Omodugba-Udeh
Walden Dissertations and Doctoral Studies
Summary This staff education project was an initiative designed to address the practice problem of medication errors in the psychiatric intensive care unit (PICU). The project’s purpose was to improve the nursing staff’s knowledge regarding medication administration and documentation through a structured educational intervention. The practice-focused question was: Will staff education on medication administration and documentation in the electronic medical record (EMR) result in an increase in staff knowledge with an aim to promote a reduction in medication errors in the PICU? The education was delivered through in-person sessions during regularly scheduled staff meetings to ensure full participation without disrupting …
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the teacher-reported increase in behavioral problems among students with attention-deficit hyperactivity disorder (ADHD) since a mandated introduction of educational technology in the classroom aimed at improving student performance. Using the PICRAT (passive, interactive, creative, replacement, amplification, transformation) describes the impact of technology on a teacher's previous practice model as the conceptual scaffold, this study was conducted to explore teachers’ experiences integrating educational technology and any corresponding student behavioral changes in classrooms that include students with ADHD. Following a basic qualitative design, data were collected through semistructured interviews, using a self-designed interview protocol, with …
Faculty Perceptions Of Challenges To Faculty Retention In Workforce Training Programs At A Higher Education Center In The Southern United States, Brea Terry
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the challenges of retaining faculty in the workforce training program division at a higher education center in the southern United States. The purpose of this basic qualitative study was to explore faculty perceptions regarding challenges to faculty retention in the workforce training program division at a higher education center in the southern United States and their recommendations for improved faculty retention. The conceptual framework that supported the study was Maslow’s hierarchy of needs theory. Data were collected through semistructured interviews with eight full-time workforce training faculty members who had been employed with the …
Successful Strategies Utilized By Business Leaders To Balance Tax Planning With Profitability, Quarnelia Patterson
Successful Strategies Utilized By Business Leaders To Balance Tax Planning With Profitability, Quarnelia Patterson
Walden Dissertations and Doctoral Studies
The absence of business tax planning strategies can lead to a higher tax burden. Business owners are concerned because a higher tax burden may result in lower after-tax earnings and reduced cash flow. Grounded in the PESTLE analysis framework, the purpose of this qualitative pragmatic inquiry study was to explore successful strategies that business leaders use to balance tax planning with profitability. The participants were eight small business owners located in the southwest United States who actively engaged in tax planning. Data were collected using semistructured interviews and a review of publicly available documents. Through thematic analysis, nine themes were …
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Walden Dissertations and Doctoral Studies
African American ex-offenders in Michigan have faced numerous challenges when trying to secure employment after incarceration. Despite the well-documented difficulties of reintegration, their personal experiences and perceptions of these obstacles remain largely unexplored. Successful reintegration has required individuals to break free from the behaviors and social patterns reinforced during their time in prisons. This generic qualitative study examined the role of reentry programs in addressing these challenges and emphasizes the need to reassess current criminal justice practices to better support formerly incarcerated individuals. This generic qualitative study focused on the employment struggles faced by African American ex-offenders and the broader …
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored probation officers’ perceptions of the economic barriers that prevent probationers in Eastern North Carolina from successfully completing probation. Challenges such as unemployment, financial sanctions, housing instability, and debt were identified as key obstacles contributing to noncompliance and recidivism. Grounded in Merton’s Strain Theory, the study addressed a gap in research by focusing on the experiences of officers who directly supervise probationers facing economic hardship. Data was collected through semi-structured interviews with twelve officers and analyzed using thematic analysis. The study was guided by two research questions: (1) What economic barriers prevent probationers from successfully completing …
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
Walden Dissertations and Doctoral Studies
Identifying gaps in reentry programs for formerly incarcerated women is challenging due to the lack of evaluations that include the perspectives of the transitioning women on which components most effectively support their reintegration. The purpose of this generic qualitative study was to explore the experiences and perceptions of transitioning women who received reentry services, in order to assess program effectiveness in community reintegration and inform future interventions. The research question for this study was, how do women served by Organization A’s reentry program describe the program’s effectiveness in preparing them for community reintegration after incarceration? To answer the practice-focused research …
Lived Experiences Of African American Women Exposed To Intimate Partner Violence In Single-Parent Homes, Lattakka Salley
Lived Experiences Of African American Women Exposed To Intimate Partner Violence In Single-Parent Homes, Lattakka Salley
Walden Dissertations and Doctoral Studies
Exposure to intimate partner violence (IPV) is widespread in childhood, but it is generally higher among African American children. Extensive qualitative analyses to understand the experiences of youth who have experienced IPV have suggested that help-seeking is vital to the survival rate of African American women. Nonetheless, most studies have involved mainly White participants from two-parent households. The current research included African American women who experienced IPV. Social learning theory was used in this study to describe the participants’ behaviors and experiences with IPV. A phenomenological approach was employed to uncover the participants’ lived experiences of IPV. Two research questions …
Staff Education To Early Detection And Response To Patient Decline, Kein Gareth Rufino Pantaleon
Staff Education To Early Detection And Response To Patient Decline, Kein Gareth Rufino Pantaleon
Walden Dissertations and Doctoral Studies
This doctoral project implemented a staff education program to enhance early recognition and escalation of patient deterioration. Conducted at a 343-bed acute care hospital, the initiative addressed the ongoing problem of delayed detection and response to clinical decline, which often results in rapid response team activations and code blue events. Delays in intervention increase patient morbidity and mortality, despite many of these events being preventable through timely action. The project evaluated whether an interactive targeted education program could improve nursing staff’s knowledge, confidence, and willingness to activate escalation protocols, including Condition H and Code Help. Pre- and post-education surveys were …
Healthcare Use: Impact Of Race And Insurance Status On Influenza In The Bronx, Miselie Charite
Healthcare Use: Impact Of Race And Insurance Status On Influenza In The Bronx, Miselie Charite
Walden Dissertations and Doctoral Studies
Underuse of healthcare services by Blacks, who receive fewer influenza vaccinations than Whites in New York, has resulted in elevated health complications and increased healthcare costs. The purpose of this quantitative correlational study was to determine if there is an association between race and insurance status with length of inpatient stay and total charges. Theoretical frameworks were the Quality, Cost, and Health Model and the Institute for Healthcare Improvement Triple Aim framework. Using a dataset from the New York State Planning and Research Cooperative System with a sample size of 3,137 cases, findings showed significant disparities during analysis. Regression analysis …
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Walden Dissertations and Doctoral Studies
Coparents and partners of African American mothers are critical in the initiation and continuation of breastfeeding and influence a woman’s decision to breastfeed. The purpose of this qualitative study was to explore the experience of coparents/partners of African American mothers participating in breastfeeding education and its impact on the support they provide. Bandura’s social cognitive theory provided the theoretical foundation for this study. Data were collected via semi-structured interviews with 11 participants. Data analysis followed the traditional seven steps of interpretative phenomenological analysis. Findings showed that while coparents and partners of African American breastfeeding mothers found breastfeeding education to be …
Increasing Diversity, Equity, And Inclusion Among C-Suite Executives In Non-Profit Rural Hospitals, Veaunka Gulley
Increasing Diversity, Equity, And Inclusion Among C-Suite Executives In Non-Profit Rural Hospitals, Veaunka Gulley
Walden Dissertations and Doctoral Studies
Rural hospital health systems in the United States provide different services to rural communities, such as serving vulnerable populations, providing better access to healthcare, and contributing to the overall health of the community. Ninety percent of nonprofit CEOs are White, and 90% of nonprofit board members are White. This integrative review aimed to explore evidence of strategies to implement, promote, and increase DEI representation among C-suite executives in rural health systems. Twenty-five articles published between 2018 and 2024 were selected based on words used across the databases which included rural health*, hospital*, diversity*, and equity*. Literature containing the inclusion criteria …
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Walden Dissertations and Doctoral Studies
Medicaid fraud and abuse in health care billing is committed by licensed practitioners, patients, or criminal organizations and can pose a serious business problem. Health care managers are particularly concerned because fraudulent claims can result in lost revenue, legal consequences, and diminished resources for legitimate patient care. Grounded in the Complex Adaptive Systems Model, the purpose of this qualitative pragmatic inquiry was to explore the strategies some health care managers use to reduce fraud and abuse in health care billing. The participants included four health care managers in California who have successfully implemented strategies to mitigate fraud and financial abuse. …
Staff Education On Medication Reconciliation, Ivana Priscilla Adwoa Antwiwaa Buamah
Staff Education On Medication Reconciliation, Ivana Priscilla Adwoa Antwiwaa Buamah
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice education project focused on improving staff knowledge of medication reconciliation through an evidence-based educational intervention in an outpatient clinic. Medication reconciliation is crucial for ensuring accurate and consistent medication lists across care transitions, helping to prevent errors, such as omissions, duplications, dosing mistakes, and drug interactions. The project’s central question was whether staff education on an evidence-based approach to medication reconciliation would improve staff knowledge. A pre- and post-education survey was used to measure changes in staff knowledge after a PowerPoint presentation. Results showed a significant increase in staff knowledge after the intervention; the participants’ …
Treatment-Seeking Behavior: A Quantitative Study Of Firefighters And Mental Health Literacy, Sarah Thompson
Treatment-Seeking Behavior: A Quantitative Study Of Firefighters And Mental Health Literacy, Sarah Thompson
Walden Dissertations and Doctoral Studies
The mental health of firefighters is a pressing concern, especially given the increasing suicide rates within this demographic. This quantitative nonexperimental study examined the impact of mental health literacy on the intention of firefighters to seek help for personal or emotional issues, employing the Mental Health Literacy Scale and the General Help-Seeking Questionnaire. Key variables, including years of service, rank, and age, were analyzed for their influence on this relationship. Grounded in the conservation of resources theory, the study aimed to answer two primary research questions: the predictive relationship between mental health literacy and help-seeking behavior, and the role of …
Teachers’ Perceptions When Working With Students Who Have Mild Intellectual Disabilities, Mirra Ann Lefort
Teachers’ Perceptions When Working With Students Who Have Mild Intellectual Disabilities, Mirra Ann Lefort
Walden Dissertations and Doctoral Studies
A persistent problem in special education was the limited research on how teachers perceived and supported students with mild intellectual disabilities (MID) in junior grade classrooms. While inclusive education has been widely studied, few studies have addressed the specific instructional experiences of teachers working with this population. The purpose of this study was to explore teachers’ perceptions of students with MID in junior grades. A generic qualitative design was used to gain insight into teachers’ experiences and perspectives. Guided by the self-determination theoretical framework (SDT), the study explored how teachers responded to students’ needs for autonomy, competence, and relatedness in …
Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh
Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh
Walden Dissertations and Doctoral Studies
Following a 16% increase in patient falls from 2023 to 2024 in an inpatient psychiatric detoxification unit, a quality improvement education project was implemented to assess the impact of an evidence-based fall prevention bundle on fall rates and nursing compliance. Nurses received education through a PowerPoint presentation to enhance understanding and implementation of the bundle, which included Edmonson reassessments after high-risk medication administration, ISHAPED bedside shift handoffs, care plan updates, and SWIFT daily safety huddles. Posttests identified that the objective score of 80% knowledge for nurses was met. During the 10-week implementation, the goal was 100% compliance with all bundle …
The Role Of Empathy On Suicidality Among Adults Receiving Mental Health Services, Chelsea Lynn Wade
The Role Of Empathy On Suicidality Among Adults Receiving Mental Health Services, Chelsea Lynn Wade
Walden Dissertations and Doctoral Studies
Efforts have been made to manage the phenomenon of suicide within the clinical setting; however, suicide remains a prevalent public health concern. The purpose of this research project was to explore the relationship between empathy and suicidality. The study was framed using Joiner’s interpersonal theory of suicide to determine the relationship between empathy, perceived burdensomeness, thwarted belonging, and suicidality in participants receiving outpatient mental health services. The research study was conducted utilizing a quantitative cross-sectional correlational survey design. Suicidality was measured using the Beck scale for suicide ideation and suicide behaviors questionnaire–revised; empathy using the cognitive, affective, and somatic empathy …