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Articles 2911 - 2940 of 16849
Full-Text Articles in Entire DC Network
Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie
Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie
Walden Dissertations and Doctoral Studies
In practice, social workers are expected to translate cultural competency skills and knowledge they have acquired to handle diverse clients whose gender, racial, ethnic, religious, and personal beliefs and orientations can conflict. Using a qualitative research approach, the study addressed perceptions and roles of cultural competence in social work practice. Three research questions guided the study. The Campinha-Bacote framework of culturally competent healthcare was used for this study. The study involved employing thematic analysis to analyze research questions. It was determined that social workers must meet clients where they are culturally, respecting and learning from them to adapt interventions accordingly. …
Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis
Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis
Walden Dissertations and Doctoral Studies
Rural hospitals experience challenges in supplying the physician workforce, leading to poor organizational and population health outcomes. The purpose of this integrative review was to determine factors that affect physician recruitment and retention in rural hospitals and provide strategies for administrators to support sufficient physician staffing. The review question was used to identify effective strategies to improve physician recruitment and retention in rural hospitals. An integrative review was completed using empirical and nonempirical research published between 2019 and 2024. The results of the literature demonstrated components affecting physician motivation and job satisfaction. Five main themes surfaced: (a) professional education, (b) …
Lived Experiences Of Geriatric African American Males In Recovery And Participation In Spiritual Social-Oriented Communities, Gail Venerable
Lived Experiences Of Geriatric African American Males In Recovery And Participation In Spiritual Social-Oriented Communities, Gail Venerable
Walden Dissertations and Doctoral Studies
Substance use among older persons has increased among the aging baby boomer generation. At the same time, individuals aged 65 and beyond see increased longevity. The utilization of alcohol and drugs as a means of managing associated challenges has been shown to contribute to health problems that lead to a diminished quality of life and early death rates. Empirical investigations have demonstrated that social-oriented interventions such as Alcoholics Anonymous (AA) have a beneficial role in sustaining an individual’s recovery process. However, joining such programs may pose challenges for African American males 65 and older due to African Americans’ distrust of …
Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor
Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor
Walden Dissertations and Doctoral Studies
Employees with nonnative accents sometimes avoid leadership roles, engage less in the workplace, and perform poorly. Organizational leaders need to understand how the challenges of individuals with nonnative accents specifically affect millennials. Grounded in attribution theory and social identity theory, the purpose of this qualitative study was to explore how millennial employees with nonnative accents experience leadership opportunities in the corporate workplace. The participants were 10 millennial corporate employees in the United States with nonnative accents working toward or already holding leadership positions. Data were collected using in-depth interviews for thematic and interpretive phenomenological analysis. Seven themes emerged: (a) challenges …
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Walden Dissertations and Doctoral Studies
The staff education project aimed to address the gap in practice regarding the use of the PHQ-9 depression screening tool in a primary care setting. The providers at the setting demonstrated variations in screening practices leading to potential missed opportunities for early depression identification and treatment. This Doctor of Nursing Practice project explored the question: “What is the effect of implementing a staff education program to improve staff knowledge to effectively implement changes that affect the use of the PHQ-9 screening tool to improve depression identification and treatment of adult patients in a primary care clinic?” This project aimed to …
Staff Education: Antihypertensive Medication Adherence In The Primary Care Clinic, Shannon Leigh Hilling
Staff Education: Antihypertensive Medication Adherence In The Primary Care Clinic, Shannon Leigh Hilling
Walden Dissertations and Doctoral Studies
I completed a staff education project in a primary care clinic focused on increasing staff knowledge of antihypertensive medication adherence. More than 1 in 3 adults in West Virginia (or 41% of the adult population in the state) has hypertension, which is equal to about 602,000 adults. The project question was developed to investigate the extent to which education on hypertensive medications will enhance staff knowledge and their ability to educate patients in the primary care clinic. The staff education project was implemented via PowerPoint, pre-/post education testing, and measurements using an online percentage gain calculator. Findings revealed an overall …
Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle
Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle
Walden Dissertations and Doctoral Studies
In the United States, lung cancer is responsible for killing more people than prostate, breast, and colon cancer combined. African Americans are at a greater risk of dying from the disease due to the infrequency of early detection achieved through screening. This research focused on African American female smokers (AAFS) in the District of Columbia, Maryland, and Virginia between the ages of 50 and 80 with a 20-year pack history and who were smoking or had quit within the past 15 years. A quantitative correlational research design was employed with a sample of 101 participants to explore the relationship between …
Adhd Awareness And Management In Adults And Children Among Healthcare Providers, Germaine Mbuh
Adhd Awareness And Management In Adults And Children Among Healthcare Providers, Germaine Mbuh
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to enhance healthcare providers' awareness and knowledge of Attention Deficit Hyperactivity Disorder (ADHD) in both children and adults through a targeted staff education program. The project addressed the gap in ADHD understanding and management at a healthcare facility, aiming to improve diagnostic accuracy, treatment outcomes, and reduce stigma associated with the disorder. The project implemented an ADHD training program covering the disorder's pathophysiology, diagnostic criteria, and evidence-based management strategies. Pre- and post-training assessments indicated a significant increase in staff knowledge, confidence in diagnosing ADHD, and willingness to incorporate learned strategies into practice. …
Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem
Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a clinical practice guideline project focused on overweight and obesity management of adult women in primary care. The practice problem identified was the lack of an evidence-based clinical practice guideline to manage overweight/obesity in adult women. It was important to address this problem because overweight and obesity were significant health concerns at this clinical site in the United States and the world. The practice-focused question was the following: “Does the evidence support the development and Appraisal of Guideline for Research and Evaluation (AGREE) II instrument quality scoring of a clinical practice guideline on …
Leaders’ Experience Of Spiritual Leadership Concerning Followership In Brazilian Organizations, Livia Mandelli
Leaders’ Experience Of Spiritual Leadership Concerning Followership In Brazilian Organizations, Livia Mandelli
Walden Dissertations and Doctoral Studies
Spiritual leadership has been the focus of scholars since 2003. Researchers have demonstrated the relevance of spiritual leadership as a new leadership model. Researchers have yet been able to understand the practice of spiritual leadership in Latin America. The purpose of this phenomenological qualitative study was to describe the leaders’ lived experiences concerning followership, taking into consideration the meanings they ascribe to the relationship with their followers and the description of the subjective lived experiences of adopting spiritual leadership practice. The nexus between leaders’ lived experiences and their meaning regarding followership was given special consideration. This was a qualitative research …
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the critical issue of medication nonadherence among mental health patients by implementing a staff education program at an outpatient clinic in the Mid-Atlantic region USA. The program focused on enhancing staff knowledge and confidence through training in psychoeducation, motivational interviewing, and multidisciplinary collaboration. Nonadherence often leads to relapse, hospitalization, and poor outcomes, compounded by a lack of structured interventions at the project site. Sixteen clinic staff members participated in biweekly training sessions over a one-month period. Pre- and post-training assessments revealed a 44.79% increase in staff knowledge and a 50% improvement in confidence …
Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke
Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke
Walden Dissertations and Doctoral Studies
Rising costs in healthcare is a social problem in the United States with medical errors contributing to the rising costs; communication has been identified as a key contributor to medical errors. The purpose of this quantitative study was to further examine if there was a correlation between the independent variable of doctor communication scores and the dependent variable of readmission rates of coronary artery bypass graft surgery patients. This research could contribute to the social problem of rising healthcare costs specifically by identifying variables that may be contributors to costs due to errors. The theoretical framework was Donabedian’s theory of …
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Walden Dissertations and Doctoral Studies
This project aimed to improve the consistency of PHQ-9 depression screenings for young adults in an outpatient mental health clinic. Through the implementation of standardized protocols and staff training, the goal was to reduce variability in screening outcomes. The evaluation method of the project involved staff interviews, surveys, and comparing pretest and post-test results to measure staff knowledge and confidence improvements. The results showed that there were significant improvements in staff knowledge and confidence. This project highlights the importance of standardized procedures in improving mental health care for young adults.
The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton
The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton
Walden Dissertations and Doctoral Studies
Hospitals with high readmission rates face financial penalties due to the Medicare Hospital Readmissions Reduction Program (HRRP). The purpose of this quantitative, retrospective, quasi-experimental study was to determine the relationship between pre- and post-implementation of an Acute Care for Elders (ACE) Unit in a critical access hospital (CAH) and length of stay (LOS) and readmission rates within 30 days. The theoretical framework used for this study was Donabedian’s theory of evaluating the quality of medical care delivered. Donabedian’s theory of quality care delivery is composed of three elements, structure, process, and outcome. For the purpose of this study, structure consists …
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Walden Dissertations and Doctoral Studies
Depression is one of the most common psychiatric illnesses and one of the main causes of disability globally. Currently, at behavioral care facility patients are not consistently screened during the initial and follow-up visits due to limited staff knowledge in using the Patient Health Questionnaire-9 (PHQ-9) screening tool. Evidence-based literature recommends depression screening be done at every initial and follow-up visit. The PHQ-9 tool is valid and reliable for identifying, diagnosing, and monitoring depression treatment outcomes. Inadequate use of the PHQ-9 tool can lead to several negative patient outcomes. The project practice-focused question was: Does comprehensive education increase the knowledge …
Public Policy And Trust In Artificial Intelligence Decision Making, Avril A. Bunbury-Thomas
Public Policy And Trust In Artificial Intelligence Decision Making, Avril A. Bunbury-Thomas
Walden Dissertations and Doctoral Studies
Technology is largely unregulated at present, which raises a safety issue for the automated decision-making process of multiagent systems (MAS) using AI applications. This study was conducted to explore whether a policy-making rule for decisions can protect the public from the social implications of biases, challenges, risks, and uncertainty while exposing a trust gap. Computers can dominate life, and this research was conducted to explore how to trust the decision-making process of MAS, mainly when there are no guardrails or regulations to manage the system. As a result, the generic qualitative inquiry was used to explore how concerned computer users …
The Relationship Between Anthropometric Sizing, Fit Issues, And Return Rates In Plus-Size Women's Apparel, Cassondra Smith
The Relationship Between Anthropometric Sizing, Fit Issues, And Return Rates In Plus-Size Women's Apparel, Cassondra Smith
Walden Dissertations and Doctoral Studies
Retail business owners remain concerned with apparel sizing and return sales, as sizing is a frequent predictor of apparel returns and decreased revenue. Grounded in new product development theory (NPD), the purpose of this quantitative correlational study was to examine the relationship between anthropometric apparel sizing standards, sizing and fit issues, and return sales. The participants were 89 women’s bridal apparel owners and leaders within the retail business sector who completed a 5-point Likert-type survey. The results of the multiple linear regression were significant, 3, 85) = 32.301, p < .001, R2 = .533. In the final model, there were two predictors which were significant, sizing and fit (t = 9.718, p = <.001, ß = .735) and sizing standards (t = 2.478, p = .01, ß = .205). A key recommendation is for retail business leaders to acknowledge the growth in the U.S. female apparel consumer. Further, the alignment of sizing standards and product offerings provides functional apparel and mitigates return sales due to sizing. The implications for positive social change include the potential for the apparel industry to acknowledge the growing complexity of women’s sizing, which is influenced by diverse cultural backgrounds and body types. This shift could promote greater inclusivity, enhance consumer confidence, reduce return rates, and foster broader acceptance of diverse female body types within the industry.
Stories Of Pastors' Wives, Their Responsibilities, And Their Mental Health, Marsha Patrice Wilson
Stories Of Pastors' Wives, Their Responsibilities, And Their Mental Health, Marsha Patrice Wilson
Walden Dissertations and Doctoral Studies
Church ministry has many written and unwritten rules, responsibilities, and expectations for those who choose to serve in pastoral roles. Some responsibilities and expectations cause church pastors to experience stress and burnout, which has residual effects on their wives and families. Many church leaders or congregations are not aware of or consider the emotional impact of unwritten rules and expectations on the pastors’ wives. The purpose of this narrative research was to explore the stories of Protestant church pastors’ wives and highlight how their various supportive roles in marriage and ministry impacts their emotional and mental health. With a feminist …
The Lived Experiences Of Prediabetes And Type 2 Diabetes Among African Americans In Rural West Virginia, Orlando Craighead
The Lived Experiences Of Prediabetes And Type 2 Diabetes Among African Americans In Rural West Virginia, Orlando Craighead
Walden Dissertations and Doctoral Studies
African Americans in rural Appalachian West Virginia experience disproportionate rates of diabetes, with limited research examining their unique challenges in managing this chronic condition. This qualitative study aimed to explore how African Americans in rural Appalachia develop and utilize diabetes management skills, examining the intersections of cultural influence, healthcare access, and technological adoption. Using a hermeneutic phenomenological approach grounded in the Social Determinants of Health theory, Health Belief Model, and Social Ecological Model, semi-structured interviews were conducted with nine African American adults diagnosed with pre-diabetes or Type 2 diabetes in Kanawha County. Thematic analysis revealed four main themes: Cultural and …
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
Walden Dissertations and Doctoral Studies
It is estimated that by 2050, individuals ages 65 and older will comprise 20% of the U.S. population. Further, research has demonstrated that among these aging adults, 80% have one chronic condition with 77% having at least two chronic conditions. Given this, the Institute for Healthcare Improvement (IHI) developed the Age-Friendly Health System framework for the care of older adults centering on what matters, medication, mentation, and mobility, or the 4Ms. In the local organization, leadership determined there was a need for an older adult-centered care model given their population includes aging individuals. Thus, the purpose of this doctor of …
Social Media Influence On African American Women Mental Health And Self-Image, Terressa Sanchez Gamble
Social Media Influence On African American Women Mental Health And Self-Image, Terressa Sanchez Gamble
Walden Dissertations and Doctoral Studies
African American women’s perspectives on the influence of social media content on their mental health (i.e., moods, thoughts, and behaviors) and self-image were explored in this qualitative study. The theoretical framework chosen for this study was Festinger’s (1954) social comparison theory, which was used to examine whether there was a logical connection between the study topic and the framework presented. Data were collected through semistructured interviews that were conducted via Zoom. The data from 10 participants’ interviews were transcribed and analyzed using a thematic analysis approach, resulting in the following two emergent themes: (a) pressure to compare and emulate and …
The Relationship Between Percentage Of Layoffs, Company Age, And Earnings Per Share In Tech Firms, Demarco Dejion Pope
The Relationship Between Percentage Of Layoffs, Company Age, And Earnings Per Share In Tech Firms, Demarco Dejion Pope
Walden Dissertations and Doctoral Studies
Business owners and investors are concerned that layoff announcements and company age may negatively impact earnings per share (EPS), reducing investor confidence and ultimately lowering stock performance. This decline in stock value can affect a company’s ability to attract investment and sustain long-term growth. Grounded in the prospect theory, the purpose of this quantitative correlational study was to examine the relationship between the percentage of layoffs, company age, and earnings per share. The participants were 107 technology firms with at least 1,000 employees on the NASDAQ Stock Index that initiated layoffs during the 2021–2022 calendar years. The data was collected …
Violence Among Nigeria’S Female And Predictors Of Help-Seeking Behavior Using Technology, Abayomi Karunwi
Violence Among Nigeria’S Female And Predictors Of Help-Seeking Behavior Using Technology, Abayomi Karunwi
Walden Dissertations and Doctoral Studies
The decision-making autonomy of female intimate partner violence (IPV) survivors to make financial transactions is a stronger predictor of help-seeking behavior that is not yet fully explored. Despite the plausibility of using the mobile phone for financial transactions, it is yet to be explored as a predictor of help-seeking behavior after IPV events through digital financial inclusion. The dataset from the 2018 Nigerian Demographic Health Survey was used to explore if digital financial inclusion could predict help-seeking behavior instead of the severity of abuse among ever-partnered Nigerian female IPV survivors (aged 15 to 49 years) who use their mobile phones …
Black Online College Students' Perceptions Of Their Unmet Needs During Covid-19, Zanita Gaither
Black Online College Students' Perceptions Of Their Unmet Needs During Covid-19, Zanita Gaither
Walden Dissertations and Doctoral Studies
Black college students face unique challenges in achieving academic success, particularly when their unmet needs are not addressed adequately. The COVID-19 pandemic worsened these challenges for online learners in this group, impacting motivation and learning experiences. This interpretive phenomenological analysis explored the lived experiences of Black online college students and their perceptions of unmet needs during the pandemic. Despite numerous studies on Black college students during the pandemic, little literature has been focused on their perceptions of unmet needs. To understand their needs and experiences, this study considered internal and external influences based on Maslow’s hierarchy of needs and Rovai’s …
The Perceptions Of Nursing Faculty Who Experience Student Incivility Behavior, Dehlia Abaya Parsons
The Perceptions Of Nursing Faculty Who Experience Student Incivility Behavior, Dehlia Abaya Parsons
Walden Dissertations and Doctoral Studies
Incivility among nursing students is well documented in the academic, clinical, and leadership literature. Student incivility towards faculty was less studied, and merited investigation because incivility can lead to faculty discontentment, stress, and attrition, exacerbating the scarcity of nursing faculty. The purpose of this qualitative phenomenological study, which was underpinned by the health belief model, was to explore the perceptions of nursing faculty who experience student incivility in the Western region of the United States. Open-ended, semistructured interviews were conducted with 11 nursing faculty who shared perceptions of their experience of student incivility behavior. Open coding and thematic analysis yielded …
Executive Leadership Practice Through The Lens Of Religiosity And Ethics, Christopherlie Roger
Executive Leadership Practice Through The Lens Of Religiosity And Ethics, Christopherlie Roger
Walden Dissertations and Doctoral Studies
The specific research problem addressed through this study is executive leadership religiosity and decision-making that leads to unethical behaviors and practices that could result in corporate corruption at Fortune 500 companies in the United States region of New York State. The purpose of this qualitative multiple case study research was to explore executive leadership religiosity and decision-making through three research questions, for example, how executive leadership perceives unethical leaders' behaviors and practices that could result in corporation corruption. This study's conceptual foundation and key concepts included religiosity, ethics, decision-making, and the theory of planned behavior. The participants comprised nine executive …
African American Mothers’ Descriptions Of Teaching Their Daughters Racial Socialization And Identity Development In Affluent Communities, Vashonda Helen Eason
African American Mothers’ Descriptions Of Teaching Their Daughters Racial Socialization And Identity Development In Affluent Communities, Vashonda Helen Eason
Walden Dissertations and Doctoral Studies
African American mothers’ experience of teaching self-love and confidence to their daughters while faced with discriminatory practices has been examined regarding African American parenting in urban and low-income areas. However, the experiences of African American mothers who face similar discrimination but live in affluent communities are less understood. Grounded in motivation and systems theories, the purpose of this qualitative ethnographic study was to describe how African American mothers in affluent communities teach racial socialization and identity development to their daughters. Ten African American mothers residing in the Northwest Arkansas region participated in one-on-one in-person interviews to explore their individual experiences …
Strategies For Technology Adoption In Small- And Medium-Sized Enterprises To Improve Competitiveness, Anthony Marcus Williams
Strategies For Technology Adoption In Small- And Medium-Sized Enterprises To Improve Competitiveness, Anthony Marcus Williams
Walden Dissertations and Doctoral Studies
Small- and medium-sized enterprises (SMEs) in the food and beverage industry play a vital role in local economies but face significant challenges in adopting technology to remain competitive. Without effective growth and sustainability strategies, SME leaders may face business closures that will lead to job losses, economic instability, and lost innovation opportunities. Grounded in the technology acceptance and diffusion of innovations models, the purpose of this qualitative pragmatic inquiry was to explore effective strategies used by food and beverage SME owners in California to integrate new technologies. Participants included six SME owners who had operated their businesses for over five …
University Counselor Perceptions Of Safety And Safety Coping Strategies After On-Campus Mass Shootings, Tonya Sims
University Counselor Perceptions Of Safety And Safety Coping Strategies After On-Campus Mass Shootings, Tonya Sims
Walden Dissertations and Doctoral Studies
For over 2 decades, mass college campus shootings have been a problem in the United States. College counselors are required to assist and support others on campus after mass shootings and coping with their own concerns and safety. The purpose of this generic qualitative study was to explore coping strategies and perceptions of safety of college counselors in response to the potential risk of gun violence on campus. The framework was based on Figley’s principles of stress theory. Semistructured interviews were conducted with a purposeful sample of eight university counselors. Narrative data were collected and analyzed manually for emerging themes. …
The Lived Experience Of Leaders With Work-Related Unresolved Grief, Jennifer Harden
The Lived Experience Of Leaders With Work-Related Unresolved Grief, Jennifer Harden
Walden Dissertations and Doctoral Studies
Unresolved grief within organizational contexts has remained an underexplored area in literature, with most research focusing on grief related to personal loss rather than unique challenges leaders face during organizational transitions. The purpose of this qualitative phenomenological hermeneutic study was to explore and understand the leaders’ lived experiences with unresolved grief for addressing intricate emotions, perceptions, and coping mechanisms within the context of organizational change. The grief model, the dual process model, and the sensemaking theory grounded this study. Ten human services industry leaders were participants in semistructured interviews. The thematic analysis revealed four themes: the emotional and physical toll …