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Articles 3601 - 3630 of 16849
Full-Text Articles in Entire DC Network
Strategies To Reduce Employee Turnover In The Insurance Industry In Jamaica, Kenneth Barrington Roberts
Strategies To Reduce Employee Turnover In The Insurance Industry In Jamaica, Kenneth Barrington Roberts
Walden Dissertations and Doctoral Studies
High employee turnover in insurance agencies can have a detrimental effect on overall team performance and significantly impact on the organization's financial health. To address the problem, insurance managers must understand effective strategies to improve employee retention. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies insurance managers use to reduce their employee turnover rate. The participants were three insurance managers of the Jamaican insurance industry. Data were collected using semistructured virtual interviews and a review of public documents related to turnover data. Through thematic analysis, three themes emerged: a) supportive leadership for …
Restoring And Improving Senior Citizens' Trust In Water Safety In Flint, Michigan, Jessica Nichole Burt
Restoring And Improving Senior Citizens' Trust In Water Safety In Flint, Michigan, Jessica Nichole Burt
Walden Dissertations and Doctoral Studies
Trust can be defined as a belief in truth, hope, or simply the idea that a person or group has the best interest or ability of the next party. During the Flint, Michigan, water crisis, trust significantly impacted how a person or group perceived the person deemed dependable when decisions made impacted their life. The purpose of this study was to explore senior citizens' experiences and perceptions and make recommendations for restoring the public's confidence in water safety in Flint, Michigan, which has been fragmented within the minority senior community. A qualitative case study was designed by using interviews to …
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Walden Dissertations and Doctoral Studies
Stroke, the leading cause of death and disability worldwide, is a significant public health issue in Jamaica, affecting individuals, families, and the healthcare system. This study identified demographic and health factors associated with stroke, enabling medical professionals to better understand high-risk factors and implement preventative care strategies in Jamaica—filling a significant gap in public health knowledge. The quantitative cross-sectional study examined Jamaican demographics, health, and stroke rates. Secondary data from the Office of the Consultant Neurologist (OCN) from 2000-2023 was integrated into the Social Ecological Model (SEM). The study included 291 stroke patients aged 18 and older, excluding those under …
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Walden Dissertations and Doctoral Studies
In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …
Strategies To Reduce Diagnostic Laboratory Technologist Shortages In Veterans Health Administration Hospitals, Leke Abiodun Ayanbukola
Strategies To Reduce Diagnostic Laboratory Technologist Shortages In Veterans Health Administration Hospitals, Leke Abiodun Ayanbukola
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) faces historically high turnover in diagnostic laboratory operations due to burnout resulting from the increases in testing and staffing issues. The purpose of this integrative review was to determine strategies to reduce laboratory technologists’ burnout, lessen the turnover effect, and increase the retention of VHA laboratory technologists. The review question focused on strategies related to actions that could be implemented to improve retention for laboratory technologists. A literature search of both empirical and non-empirical literature for the past five years yielded a total of 98 articles that qualified for the project. After further analysis, 25 …
Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Walden Dissertations and Doctoral Studies
Background: There has been an increase in pregnant incarcerated women, which is a growing concern for this high-risk and special population. This specialty group indicates a need for attention to ensure access to timely and proper medical care. Incarcerated pregnant women are a noted vulnerable group and do not have access to standardized clinical guidelines. Imprisonment imposes unique restrictions regarding access to care. A Federally Qualified Health Center (FQHC) in Pennsylvania has been providing ambulatory/obstetrics and gynecology (OBGYN) care to incarcerated pregnant women. Purpose: This research aimed to investigate strategies FQHC leadership can use to improve access to care for …
Exploring Body Composition And Sexual Behavior In South Texas College Students, Soyoung Kwon, Shannon Shen
Exploring Body Composition And Sexual Behavior In South Texas College Students, Soyoung Kwon, Shannon Shen
Journal of Social, Behavioral, and Health Sciences
In this exploratory study, we examined the understudied relationship between body composition and sexual behavior among freshmen college students, addressing a gap in empirical research. Our sample consisted of 217 nonclinical college students recruited from a university in the southwestern United States; a majority of the students were Hispanic (70%) and freshmen (95%). Using multivariate logistic regression, we explored associations of body mass index, body fat percentage, and fat mass index with sexual behaviors. More than half of the participants were either overweight (22.5%) or obese (30.4%), and nearly 70% fell outside the healthy range of body fat. Results showed …
Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez
Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez
Walden Dissertations and Doctoral Studies
Staff Education to Nurses of Five Departments Performing Point-of-Use Treatment by Natalia G. Nunez MPH, Walden University, 2019 BS, Florida International University, 2011 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 Point-of-use treatment (POU) treatment is the first step of sterilization, and it is critical for staff performing this process to undergo proper education and training as noted by the Centers for Disease Control and Prevention (CDC). Performing proper POU treatment reduces the risk of infections in patients and extends the life of the instruments and devices. A …
Exploring South Texas Teachers’ Perceptions Of Challenges Implementing Blended Learning Into Their Classrooms, Lisa Mischelle Watts
Exploring South Texas Teachers’ Perceptions Of Challenges Implementing Blended Learning Into Their Classrooms, Lisa Mischelle Watts
Walden Dissertations and Doctoral Studies
Blended learning (BL), also known as hybrid or flipped classroom learning, is a method that involves both traditional face-to-face teaching and online media instruction. The problem experienced in South Texas school districts (STSD), despite research showing evidence of the BL model’s benefits, is that some teachers are struggling to implement BL into their classrooms. The purpose of this qualitative study was to explore STSD teachers’ perceptions of the challenges and support needed to incorporate BL into their classrooms. The conceptual frameworks that supported this study were Davis’s technology acceptance model and Bloom’s digital taxonomy. For this basic qualitative design, six …
Sustainability Strengths, Weaknesses, Opportunities, And Threats And Pestel Analysis For Special District Revenue Generation, Toyasha Sebbag
Sustainability Strengths, Weaknesses, Opportunities, And Threats And Pestel Analysis For Special District Revenue Generation, Toyasha Sebbag
Walden Dissertations and Doctoral Studies
This study addresses the ability of the client organization to create new programming that is separate from its general fund and is revenue-neutral because the client organization is a conservation district operating under the California Water Code Division 21 Sections 74000-76501. The constraint of California Proposition 13’s property tax rate increases makes it difficult for the client organization to fund new programming. To overcome these limitations, the multiple streams framework (MSF) and the s/SWOT and PESTEL frameworks were used to analyze the role of policy entrepreneurs and address potential limitations in the client organization’s creation of new programming, ensuring sustainability …
Senior Managers’ Perception Of Inclusion Management Policy Implementation, Regina Lassey
Senior Managers’ Perception Of Inclusion Management Policy Implementation, Regina Lassey
Walden Dissertations and Doctoral Studies
The lack of inclusiveness is a problem in managing diversity in today’s workforce. Senior managers are charged with demonstrating leadership commitment to managing diversity and inclusion in the workplace as inclusion concepts go beyond diversity management. The purpose of this hermeneutic phenomenological qualitative study was to explore the lived experiences of 17 senior managers in the New York transportation industry in the implementation of inclusion management programs and policies in the New York transportation industry. The study was grounded in transformational leadership theory. Senior managers’ lived experiences revealed in semi structured interviews that while diversity initiatives are widely adopted, achieving …
Moving Teamwork Into Teaming: Evaluating A Team-Based Model Of Nursing Care, Katie Lynn Maloney
Moving Teamwork Into Teaming: Evaluating A Team-Based Model Of Nursing Care, Katie Lynn Maloney
Walden Dissertations and Doctoral Studies
Nursing practice faces staffing shortages, complex patient care, and a need to develop creative ways to fill staffing holes within the acute care clinical setting (Beckett et al., 2021). A hospital in New Hampshire, United States implemented a team-based nursing care model on a geriatric psychiatric unit in January 2023. The model has been in place for 18 months. The focus of this Doctor of Nursing Practice (DNP) quality improvement (QI) evaluation project was to determine if implementing the team-based nursing model of care improved patient outcomes such as falls, restraint use, and hospital-acquired pressure injuries and reduced the number …
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Walden Dissertations and Doctoral Studies
Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …
Assessing Female Breast Cancer Patients’ Intention To Attend Mindfulness-Based Stress Reduction Program Via Telehealth/In-Person, Maxine Rose Duncan
Assessing Female Breast Cancer Patients’ Intention To Attend Mindfulness-Based Stress Reduction Program Via Telehealth/In-Person, Maxine Rose Duncan
Walden Dissertations and Doctoral Studies
Factors influencing female breast cancer patients' intentions to attend mindfulness-based stress reduction (MBSR) programs, crucial for developing targeted interventions to enhance participation and improve outcomes, were examined in this study. Grounded in the theory of planned behavior (TPB), the influence of attitudes, subjective norms, and perceived behavioral control on intentions was examined. The key research question focused on the relationship between these constructs and patients' intentions to attend MBSR sessions, either via telehealth or in-person sessions. Using a quantitative cross-sectional survey design, data were collected via SurveyMonkey from a convenience sample of female breast cancer patients from the Gulf Coast …
Effective Strategies To Mitigate The Impact Of Cargo Shipment Abandonment, Ozoemenam Peter Peter Ohagwu
Effective Strategies To Mitigate The Impact Of Cargo Shipment Abandonment, Ozoemenam Peter Peter Ohagwu
Walden Dissertations and Doctoral Studies
Business leaders in multiple U.S. exporters refuse to pay freight charges and abandon their cargo shipments, leaving shipping business leaders with monetary losses. Some small and medium-sized U.S.-based shippers lack effective strategies to address the risk of cargo shipment abandonments. Grounded in the theory of constraints, the purpose of this qualitative pragmatic inquiry study was to explore the effective strategies used by small and medium-sized U.S.-based shippers to successfully mitigate the risk of cargo shipment abandonment. The participants included three U.S. shipping industry leaders from non-vessel-operating common carriers and three from vessel-operating common carriers, all with an average of 25 …
Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies
Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies
Walden Dissertations and Doctoral Studies
Each year, nearly 100,000 patients in the United States die as a result of medication errors. Medication errors are a concern to hospital leaders, resulting in increased expenses, extended hospital stays, and patient harm. Grounded in the Lean Six Sigma quality model, the purpose of this qualitative single case study was to explore the strategies three hospital managers in one hospital system in the eastern United States used to reduce medication errors. Data were collected through semistructered interviews, archival hospital documents, and analyzed using Yin's 5-step approach. The findings revealed key themes, including prioritizing staff training, building a safety culture, …
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Walden Dissertations and Doctoral Studies
The persistent shortage of commercial truck drivers remains a prominent concern in the industry. There is a potential for the shortage to exacerbate, possibly reaching an estimated 50,000 drivers, due to the need for more adequately qualified candidates. The purpose of this qualitative study was to improve the understanding of how commercial truck drivers who have worked in the industry for at least 1 year perceived the relevance of the U.S. Department of Transportation’s (DoT) safety regulation 49 CFR Part 395 on the number of allowed active driving hours potentially impacts their retention decisions. The research questions focused on the …
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Walden Dissertations and Doctoral Studies
Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …
Barriers And Facilitators To Culturally Appropriate Cancer Health Education For Kenyan Immigrants In Washington State, Rael Kobe Odengo
Barriers And Facilitators To Culturally Appropriate Cancer Health Education For Kenyan Immigrants In Washington State, Rael Kobe Odengo
Walden Dissertations and Doctoral Studies
Access to culturally linguistically appropriate services, such as cancer information in languages other than English that consider a group's cultural beliefs, traditions, values, and practices, is increasingly recognized as a global health communication priority. However, African immigrants face significant barriers to accessing these resources, making it difficult for them to make informed healthcare decisions. Grounded in the conceptual framework of the Andersen behavioral model of health care utilization and the social determinants of health, the purpose of this study was to explore the barriers and facilitators to accessing culturally appropriate cancer health education by Kenyan immigrants in Washington State. The …
Home And Community-Based Case Manager Job Satisfaction During The Covid-19 Public Health Emergency, Timothy Frederick Conroy
Home And Community-Based Case Manager Job Satisfaction During The Covid-19 Public Health Emergency, Timothy Frederick Conroy
Walden Dissertations and Doctoral Studies
There is limited information on the impact on Home and Community-Based Services (HCBS) case managers’ job satisfaction as COVID-19 policies altered the way their jobs were performed. Many HCBS case managers in the United States experience high levels of turnover and burnout, resulting in difficulty maintaining appropriate service levels. Public health emergency (PHE) policies used to limit exposure of high-risk community-based individuals to COVID-19 resulted in various adjustments to traditional job responsibilities. The purpose of this research was to qualitatively study the impact of HCBS policy changes on the job satisfaction of HCBS case managers prior to and throughout the …
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde
Walden Dissertations and Doctoral Studies
Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Walden Dissertations and Doctoral Studies
The persistent shortage of commercial truck drivers remains a prominent concern in the industry. There is a potential for the shortage to exacerbate, possibly reaching an estimated 50,000 drivers, due to the need for more adequately qualified candidates. The purpose of this qualitative study was to improve the understanding of how commercial truck drivers who have worked in the industry for at least 1 year perceived the relevance of the U.S. Department of Transportation’s (DoT) safety regulation 49 CFR Part 395 on the number of allowed active driving hours potentially impacts their retention decisions. The research questions focused on the …
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Walden Dissertations and Doctoral Studies
Summary A clinical practice guideline (CPG) was developed because the perinatal department lacked standardized management of pregestational and gestational diabetes. The practice issue is relevant since managing maternal glucose ranges during pregnancy mitigates adverse maternal and neonatal outcomes. The practice-focused question asks, “What are the best practices to manage diabetes in the intrapartum and postpartum settings?” The project was designed to develop an evidence-based protocol to provide standardized management for nurses and providers. Most studies in the literature search were quantitative sources with either A or B overall quality ratings. Based on the evidence, the intrapartum target maternal glucose range …
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Commercial Truck Drivers' Perceptions About The Influences Of Safety Regulations On Retention, Akeisha Arnett
Walden Dissertations and Doctoral Studies
The persistent shortage of commercial truck drivers remains a prominent concern in the industry. There is a potential for the shortage to exacerbate, possibly reaching an estimated 50,000 drivers, due to the need for more adequately qualified candidates. The purpose of this qualitative study was to improve the understanding of how commercial truck drivers who have worked in the industry for at least 1 year perceived the relevance of the U.S. Department of Transportation’s (DoT) safety regulation 49 CFR Part 395 on the number of allowed active driving hours potentially impacts their retention decisions. The research questions focused on the …
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Walden Dissertations and Doctoral Studies
Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …
Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie
Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that online undergraduate adult students, 25 years of age or older, do not persist to graduation at Caring University, a pseudonym for an online university. The purpose of this qualitative study was to investigate the perceptions of online adult undergraduate alumni about what motivated them to persist in their educational pursuits and what recommendations they have for instructors to motivate current students. The conceptual framework that guided this research is Ryan and Deci’s self-determination theory, which explores why humans are motivated to change. For this basic qualitative design, 10 adult undergraduate …
Changes In Quality, Cost, Expenses Per Capita, And Beneficiaries Of The Medicare Shared Savings Program, Vanessa Lee Weaver
Changes In Quality, Cost, Expenses Per Capita, And Beneficiaries Of The Medicare Shared Savings Program, Vanessa Lee Weaver
Walden Dissertations and Doctoral Studies
Annual national health spending continues to increase, and evidence does not support the notion that the majority of reform programs, which have concentrated on quality-based payment schemes, have improved healthcare quality or health outcomes in a way that is necessary. Consequently, health care expenses are still linked to high expenditures despite the intended improvements in outcomes not occurring. Using the Donabedian model of structure-process-outcome as the conceptual framework, the relationship between the quality score and the generated total savings and generated total losses for Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) Participants from 2019 through 2021 was investigated. …
The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez
The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez
Walden Dissertations and Doctoral Studies
Animal agriculture, the second-largest contributor to climate change, poses serious risks to human and global health. Animal/environmental activists work to reduce these risks but often face verbal ridicule and physical violence; however, little is known about the psychological suffering experienced by this group. This interpretative phenomenological analysis (IPA) aimed to explore the experience of psychological suffering in animal/environmental activists committed to ending exploitative animal agriculture and environmental activities. Ecopsychological theory and psychological constructs, such as eco-anxiety, eco-grief, and vicarious trauma, comprised the conceptual framework for this study. Data were collected through semistructured interviews with 18 animal/environmental activists, incorporating participant-selected photographs …
Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin
Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin
Walden Dissertations and Doctoral Studies
Native Americans are disproportionately affected by suicide, with mortality rates that are 2.5 higher than White and non-Hispanic Americans. Nursing staff in an Indian Health Service (IHS) outpatient and specialty care clinic inconsistently assess for suicide risk before outpatient and specialty clinic appointments due to sporadic use of screening tools and lack of confidence to ask patients suicide risk screening questions. The purpose of this staff education project was to determine if interactive education of outpatient nursing providers regarding universal screening for suicide risk using the Ask Suicide Screening Questions (ASQ) for patients who are 8 to 11. Patient Safety …
Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano
Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano
Walden Dissertations and Doctoral Studies
This study addresses the critical need to understand how mental health challenges and external stressors affect long-term recovery from an Opioid Use Disorder (OUD). Grounded in the Recovery Capital Framework, this study analyzed the relationship between depression, stressful life events, and recovery capital (RC) among individuals in recovery from severe OUD. Utilizing a quantitative nonexperimental survey design, data were collected from a purposive sample of 107 adults aged 18 and older who had been in recovery for at least 2 years. Participants completed surveys assessing depression, life stressors, and their RC through established instruments including the Zung Self-Rating Depression Scale, …