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Articles 2791 - 2820 of 16849
Full-Text Articles in Entire DC Network
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Walden Dissertations and Doctoral Studies
Since 2015, the number of retirees relocating after retirement has increased significantly, leading grandparents to be distant from their grandchildren. Isolation and distance from families has increased due in part to the COVID-19 pandemic which has led to high rates of loneliness and isolation for older adults. The purpose of this qualitative narrative inquiry was to explore experiences during COVID-19 for grandparents geographically distanced from their grandchildren. This research was grounded using Erikson’s psychosocial developmental theory, with a focus on the maturity stage, and thematic analysis was used to guide interviews and analysis. Purposive sampling was employed to recruit five …
Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington
Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington
Walden Dissertations and Doctoral Studies
Unskilled front-line leaders in the production industry can contribute to operational inefficiencies and delays in crisis response. Effective crisis management requires front-line leaders to employ evidence-based leadership strategies that enhance organizational resilience. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore successful leadership strategies front-line leaders use for crisis management. The participants were seven front-line leaders in the central Mississippi production industry who successfully implemented leadership strategies for crisis management. Data were collected using semistructured virtual interviews and a review of public documents related to crisis management, public safety policies, and code of …
Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones
Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones
Walden Dissertations and Doctoral Studies
Due to an increase in the presentation of adults with mental health crises and substance use disorders in rural emergency departments (EDs), solutions should focus on the enhancement of patient outcomes, improving the quality of care, health conditions, and overall patient experience. The purpose of this integrative review was to synthesize international evidence associated with initiatives to improve ED care identified through the concepts of the Donabedian framework model that can support ED managers in implementing evidence-based interventions to improve behavioral healthcare in rural EDs. An integrative review of literature published between 2019 and 2024 was conducted. The findings of …
Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi
Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice project was a practice-focused initiative to address increased hospital-associated infections (HAIs) in an outpatient mental health facility. Improper hand hygiene significantly contributes to the spread of HAIs, negatively affecting patient outcomes, increasing healthcare costs, and decreasing patient satisfaction. The practice-focused question was: For nursing staff in an outpatient clinic, will education focused on the World Health Organization (WHO) guidelines on hand hygiene increase knowledge toward the goal of decreasing HAIs? In collaboration with project site leadership, I identified the following gap in practice: Though fundamental hand hygiene practices may be known to healthcare workers, …
Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke
Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke
Walden Dissertations and Doctoral Studies
Urinalyses and urine cultures are being ordered at the facility of concern without regard to patient history/symptomatology, leading to inappropriate treatment of asymptomatic bacteriuria (ASB) and unnecessary antibiotic prescriptions. The following practice-focused question was developed to address this practice concern: Can an educational program focused on diagnostic stewardship and the mitigation of treatment of asymptomatic bacteriuria improve clinician awareness, knowledge, and confidence in identifying and diagnosing asymptomatic bacteriuria in patients over age 65 in the outpatient setting? Thus, the purpose of this doctor of nursing practice (DNP) project was to close the identified knowledge and attitude gap in a moderate-size …
Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur
Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur
Walden Dissertations and Doctoral Studies
The global shortage of nurses has become a pressing issue affecting both developed and developing nations. This widespread scarcity poses significant challenges for the entire nursing profession. The 2023 National Nursing Workforce Survey revealed that an overwhelming 91% of nurses believe the shortage is worsening. As a result, many countries are becoming increasingly worried about their capacity to recruit and retain nursing professionals. The practice-focused question for this project was: Will a mindfulness-based stress reduction education assist nurses in incorporating mindfulness in their daily routine? The primary aim of this project was to enhance job satisfaction among nurses, with the …
Strategies To Obtain Working Capital For Small Businesses, Solomon Ambili Atamaya
Strategies To Obtain Working Capital For Small Businesses, Solomon Ambili Atamaya
Walden Dissertations and Doctoral Studies
The inability to obtain working capital can affect small business continuity, especially in the long term. Small business owners must be able to access working capital or else risk business survival through liquidity shortages, lost customers, and falling profitability. Grounded in the pecking order theory, the purpose of this qualitative multiple-case study was to explore the strategies employed by small business owners to obtain working capital for business continuity beyond five years. The participants were eight small business owners in Maryland who had successful strategies to obtain working capital for business continuity beyond five years. Data were collected through semistructured …
Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson
Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson
Walden Dissertations and Doctoral Studies
Autism is diagnosable by a clinical specialist, and toddlers who receive an early diagnosis by a clinical specialist are more likely to receive the appropriate early intervention services and supports that meet their needs. However, researchers have found that clinical specialists have doubts regarding the accuracy of their diagnoses in toddlers. The purpose of this generic qualitative study was to provide an understanding of clinical specialists’ perceptions of their abilities to make an early diagnosis of autism in toddlers. Self-efficacy theory served as the theoretical framework. Semi-structured interview data were collected from 12 clinical psychologists with experience diagnosing autism in …
Staff Education On The Use Of Gad-7 To Screen For Anxiety, Abena Ofori Atta
Staff Education On The Use Of Gad-7 To Screen For Anxiety, Abena Ofori Atta
Walden Dissertations and Doctoral Studies
Summary This staff education project aimed to implement the Generalized Anxiety Disorder 7-item (GAD-7) scale for anxiety screening during routine patient visits. Integrating such tools into nursing practice is essential for early identification and timely intervention of anxiety disorders. The project investigated the effectiveness of staff education on the use of GAD-7 in enhancing the identification and management of anxiety in patients during routine visits. Its purpose was to equip providers with the skills to use the tool effectively, improving their ability to manage anxiety disorders. The practice focus question “Will an interactive educational program improve the knowledge of the …
The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks
The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks
Walden Dissertations and Doctoral Studies
African American adolescents experience racial discrimination incidents more frequently than their peers from other racial backgrounds. Racial socialization (RS) has been proven to be effective in assisting African American youth in coping with racial stressors. School counselors play a crucial role in supporting African American youth dealing with race-related stress (RRS). Research has focused on the use of RS among African American parents and children, yet there is a research gap regarding the use of RS among school counselors. Further research is necessary to explore how school counselors implement RS to help students cope with and respond to stressful discriminatory …
Adult Sexual Grooming: A Systematic Review, Christin Aletky, Bonita Sharma, Jose Carbajal, Tia Eubank
Adult Sexual Grooming: A Systematic Review, Christin Aletky, Bonita Sharma, Jose Carbajal, Tia Eubank
Journal of Social Work in the Global Community
Grooming is the manipulation and intimidation of people into acts that may appear consensual but are in fact exploitative and harmful, activities they would not have chosen otherwise. Different legal definitions and shifting social perspectives on consent complicate efforts to determine whether a given behavior is a result of informed consent or a response to grooming behaviors. Most studies on grooming and sexual assault focus on adults grooming and abusing children—research on adults grooming other adults is scarce. Therefore, the purpose of our study is to conduct a systematic review of current research on the grooming of adults. We used …
Guardians Or Bystanders? Examining School Shooting Responses In The Southern United States, Andre L. Tompkins Ed.D.
Guardians Or Bystanders? Examining School Shooting Responses In The Southern United States, Andre L. Tompkins Ed.D.
Journal of Educational Research and Practice
School shootings challenge educational safety, demanding effective leadership strategies. The Robb Elementary School shooting in Uvalde, Texas, which claimed the lives of 19 children and 2 teachers, heightened concerns about campus vulnerabilities, urging administrators to prioritize student protection. I performed a qualitative study interviewing principals, teachers, parents, and community leaders to examine their experiences addressing campus threats. The findings revealed three themes: (1) ineffective leadership affects campus safety, (2) prompt actions enhance trust in leadership, and (3) connecting with others enhances safety. In this study, I spotlight the crucial role that proactive leadership plays in building the coalitions needed to …
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Walden Dissertations and Doctoral Studies
Hospital administrators and financial decision-makers face ongoing challenges in maintaining positive operating margins, which are critical for sustaining healthcare services and delivering high-quality patient care. Errors in clinical laboratory testing—preanalytical, analytical, and postanalytical—can lead to inefficiencies, increased costs, and reduced financial performance. Grounded in total quality management, the purpose of this quantitative correlation study was to examine the relationship between preanalytical errors, analytical errors, and postanalytical errors and hospital operating margin. The participants were clinical laboratory leaders who completed an anonymous survey using Survey Monkey as a data collection tool. The sample size for this study included 77 participants. The …
Predictors Of Mental Health Seeking Behaviors Among Nigerian Immigrants, Francisca Iroh-Donawa
Predictors Of Mental Health Seeking Behaviors Among Nigerian Immigrants, Francisca Iroh-Donawa
Walden Dissertations and Doctoral Studies
Understanding the mental health seeking attitudes (MHSA) of Nigerian immigrants is a social concern for psychologists as it provides valuable information for developing outreach and clinical interventions. Unfortunately, there is scant and inconclusive research addressing potential predictors of MHSA among Nigerian immigrants, thus leaving clinicians with an unclear picture in understanding and the promoting the wellbeing of this vulnerable population. To address this gap, this study utilized the theory of planned behavior and Berry’s model of acculturation to explore if acculturation (positively), length of stay in host country (positively), religious and spiritual beliefs (negatively), and gender (women higher than men) …
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
Walden Dissertations and Doctoral Studies
Transcendental meditation (TM) is a unique meditation practice that uses a personal mantra to help the practitioner create a quiet state of mind, greater mental clarity, better concentration, and emotional control. TM has not been examined for its value to help students academically and socially. In this generic qualitative study, high school students and their guardians were asked to describe the meaning of TM practice in their academic and social life. The competencies of social emotional learning (SEL) theory were utilized as the conceptual framework to guide the study’s methodology. Data from semistructured interviews with six students and five guardians …
Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu
Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu
Walden Dissertations and Doctoral Studies
A minimum of one medication error occurs daily in the life of a hospitalized patient, which confirms the research that medication errors constitute the most significant patient safety issue and that about 20% of these errors result in patient harm. Many errors could have been averted if an accurate medication reconciliation process had been practiced. Medication reconciliation is a formal process whereby the patient’s current medication list is compared to the patient’s record or medication orders whenever the patient’s level of care changes. Framed within the analysis, design, development, implementation, and evaluation (ADDIE) model of instructional design, the purpose of …
Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston
Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston
Walden Dissertations and Doctoral Studies
There is a lack of understanding in terms of how to support effective parent-teacher communications in infant and toddler education programs. Early childhood educators are necessary to communicate with parents about what occurs in classrooms as parents are vital sources about what occurs in homes. The purpose of this study was to explore parent and teacher perspectives on parent-teacher communication to determine ways to improve and support home-school communication and support early learners. Bronfenbrenner's theory of ecological systems, particularly the mesosystem, which involves interactions between two or more settings such as homes and schools, guided the research. For this basic …
Nursing Leaders’ Perceptions Of A Revised Patient Dismissal Policy, Judi L. Brendle
Nursing Leaders’ Perceptions Of A Revised Patient Dismissal Policy, Judi L. Brendle
Walden Dissertations and Doctoral Studies
Patient aggression related to behavioral health and emotional issues is an ongoing concern in primary health care. Disruptive patient behaviors include a broad spectrum of outward conduct, from verbal violence to physical assault. The focus of the Doctor of Nursing Practice project was a quality improvement project. The purpose encompassed improving the perception of primary care nursing leaders and provider practice leadership by enhancing the current organizational policy on patient dismissal from practices. Analytical strategies included pre- and post-surveys to determine the perception of the nursing supervisors and provider practice leadership. Survey questions encompassed an understanding of the original policy, …
Challenges Faced By Women Released From Prison Leading To Criminal Recidivism, Bawana O Gayle
Challenges Faced By Women Released From Prison Leading To Criminal Recidivism, Bawana O Gayle
Walden Dissertations and Doctoral Studies
Women are more likely than men to leave prison and return to environments that are not stable, which increases the likelihood that they will engage in further criminal activities either because of being around others engaging in criminal activities or because of unstable living conditions and a lack of positive support from family and friends. This qualitative study used descriptive content analysis to analyze 30 peer-reviewed academic articles, with the purpose of understanding the challenges faced by African American and Caucasian women who were released from prison and understanding their difficulties in re-entering society. The theoretical framework for this research …
Marketing Strategies To Engage Multicultural Consumers, Nazanin Weck
Marketing Strategies To Engage Multicultural Consumers, Nazanin Weck
Walden Dissertations and Doctoral Studies
The lack of marketing strategies that engages multicultural consumers is a concern for marketing managers because it can adversely impact their business profitability and sustained market competitiveness. Grounded in identity management theory (IMT), this qualitative pragmatic inquiry was conducted to explore the marketing strategies that successful marketing managers use to engage multicultural consumers. The participants were six marketing managers from distinct companies in the southeastern United States who specialize in acquiring and engaging multicultural customers. Data were collected through semistructured interviews, analysis of public company documents, and a systematic review of secondary sources, including social media content and corporate websites. …
Lived Experiences Of Rural Female Veterans Seeking Mental Health Counseling, Tina Marie Tarryk
Lived Experiences Of Rural Female Veterans Seeking Mental Health Counseling, Tina Marie Tarryk
Walden Dissertations and Doctoral Studies
Over the past 20 years, the number of female veterans in the United States has doubled. Research has shown a gap in the literature regarding the lived experiences of female veterans seeking mental health care services in rural areas. The purpose of this qualitative phenomenological study was to explore the lived experiences of female veterans seeking mental health services in rural areas. A hermeneutic phenomenological theoretical framework through the lens of health care utilization theory was used to guide the study. Nine women meeting the inclusion criteria of being a veteran, being 18 years or older, having at least 2 …
Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar
Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar
Walden Dissertations and Doctoral Studies
Individuals in underserved communities face barriers to the management of chronic disease compounded by the lack of consideration of the social determinants of health in health education interventions. This qualitative study explored the perspectives and experiences of adults living in underserved communities who have graduated from an integrated program in a large metropolitan area in the United States. Mobile integrated health programs, conducted by community paramedics, work in underserved communities within citizens' homes, managing chronic disease. Limited research exists regarding the perspectives of participants who have received interventions from integrated programs and the perceived impact these interventions have on reducing …
Staff Education Project Staff Education To Encourage The Accurate Use The Dynamic Appraisal Of Situational Aggression In A U.S. State Psychiatric Facility, Tracy Ann Reid-Saunders
Staff Education Project Staff Education To Encourage The Accurate Use The Dynamic Appraisal Of Situational Aggression In A U.S. State Psychiatric Facility, Tracy Ann Reid-Saunders
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project involved the development and implementation of a staff education program to enhance the use of the Dynamic Appraisal of Situational Aggression (DASA) tool. The aim of the project was to address the inconsistent and inaccurate applications of the DASA tool by health staff, leading to missed opportunities for early intervention to address patient aggression and increased risk of violence to both staff and patients. The importance of addressing this issue within the context of nursing practice rests on the DASA tool’s importance as a means for nurses to assess patients with aggressive behavior, …
Perceptions Of Using Exercise As A Self-Determining Motivational Strategy For Gen Z Females With Depression Since Covid-19., Andrea Menhennet
Perceptions Of Using Exercise As A Self-Determining Motivational Strategy For Gen Z Females With Depression Since Covid-19., Andrea Menhennet
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted individuals' daily routines, which amplified mental health challenges worldwide. A demographic highly prone to depression is Gen Z females. They faced unique struggles during this period, specifically managing their well-being. This study explored the perceptions of Gen Z females with depression regarding the use of exercise as a motivational strategy based on self-determination theory (SDT). The study aimed to understand how physical activity and ways to cope were allocated to manage mental health struggles, focusing on autonomy, competence, and relatedness as pertinent psychological needs. Using the generic qualitative approach, eight female Gen Z participants shared …
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Walden Dissertations and Doctoral Studies
The demand to increase enrollment in science, technology, engineering, and mathematics (STEM) education programs has intensified globally since the early 21st century. Researchers have concentrated on the gender divide with limited research on female students with disabilities (FSwDs). The purpose of this qualitative study was to explore FSwDs’ perceptions of their successes and challenges with accessibility, inclusion, and support experienced in STEM education programs, as well as their recommendations for improving policies and practices in STEM higher education. The study was grounded in social identity and social learning theories. For this basic qualitative design, semistructured interviews were conducted with nine …
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the lived experiences of single African American mothers raising males and their association with criminal behavior. The nature of this research was phenomenological. This cross-sectional study, informed by the general strain theory, explored the effects of stress and strain from adversity and systematic racism on the criminality of African American male adolescents. The key research question was: In what ways do African American single mothers view their part and the part of their socio-economic context as contributing to the criminalization of their sons? A phenomenological research approach was used, and the …
Constraints Interfering With The Goals Of Child Maltreatment Programs In Northwestern Wyoming, Barbara Andersen
Constraints Interfering With The Goals Of Child Maltreatment Programs In Northwestern Wyoming, Barbara Andersen
Walden Dissertations and Doctoral Studies
Child abuse and neglect occurs in the United States and Wyoming. There are numerous variables that influence caregivers to abuse, and if unresolved, these variables can contribute to future events of child maltreatment. This study focused on the programs assigned to achieve reunification and the constraints observed by the program providers that interfere in resolving the variables that cause child maltreatment. The research questions were: What specific factors or constraints impede the successful achievement of program goals? In what ways do the identified constraints hinder the effectiveness of the programs? What strategies could be implemented to overcome constraints and improve …
Experiences Of Social And Emotional Learning And Resilience Among Young Adults From Socioeconomically Disadvantaged Communities, Aliyah Davis-Moore
Experiences Of Social And Emotional Learning And Resilience Among Young Adults From Socioeconomically Disadvantaged Communities, Aliyah Davis-Moore
Walden Dissertations and Doctoral Studies
The transition from adolescence to early adulthood presents many unique challenges, particularly for individuals from socioeconomically disadvantaged backgrounds. This study was conducted to explore how young adults (ages 18–30) who experienced socioeconomic hardship during their youth experience and apply the socioemotional skill of resilience as young adults. Data were collected through virtual interviews with 11 participants who were between the ages of 18 and 30, who were from a socioeconomically disadvantaged background and had participated in a social and emotional learning (SEL) program as a youth. Collected data were analyzed and themes emerged from this analysis. Despite facing systemic barriers, …
More Than Numbers: Black Adolescents’ Journey With Type 1 Diabetes Management, Vanessa Di Felice
More Than Numbers: Black Adolescents’ Journey With Type 1 Diabetes Management, Vanessa Di Felice
Walden Dissertations and Doctoral Studies
Black adolescents with Type 1 diabetes mellitus (T1DM) face significant health disparities, yet their unique treatment journeys remain largely underreported. This phenomenological qualitative study explored the lived experiences of Black adolescents with T1DM. The study addressed two research questions examining how these individuals experience and navigate T1DM self-management, self-efficacy beliefs, and perceived barriers and facilitators to optimal self-care. Virtual semi-structured interviews were conducted with 15 Black adolescents with T1DM recruited from a pediatric hospital in Washington, DC. The study utilized Bandura's social cognitive theory as the theoretical framework. Thematic data analysis identified four key themes: (1) character development through knowledge …
Staff Education Project Enhancing Provider Knowledge And Integration Of Freestyle Libre Continuous Glucose Monitoring In A Family/Occupational Health Clinic, Kesha Lebron
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project focused on enhancing provider knowledge and supporting the integration of FreeStyle Libre continuous glucose monitoring (CGM) technology in a family medicine and occupational health clinic. A gap in provider understanding of CGM technology and its role in diabetes management was identified. The intervention targeted a diverse group, including medical assistants, management, clerical staff, occupational health specialists, and medical providers. A pre- and post-education knowledge assessment was conducted, and results showed an increase in provider understanding. The pre-intervention average score was 76.52 (SD = 2.64), which increased to 98 (SD = 3.34) post-intervention. While …