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Increasing Self-Awareness In Nursing, Adrienne Irene Abbot Jan 2023

Increasing Self-Awareness In Nursing, Adrienne Irene Abbot

Walden Dissertations and Doctoral Studies

Nursing self-awareness is essential for nurses to develop relationships with co-workers and patients. In the local organization, the practice problem for this doctoral project is a perceived low level of self-awareness in nursing. This Doctor of Nursing project aimed to determine if an educational intervention focused on self-awareness and the benefit of self-awareness increased knowledge among nurses working on a medical-surgical unit. A comprehensive literature review of peer-reviewed evidence provided evidence to support this project. A total of 26 individuals (N = 26) participated in the educational intervention. Eighty-nine percent (89%) of the participants (n = 23) were female, and …

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Internal Population Displacement And Vaccination Completion, Malnutrition, And Respiratory Infections Among Children In The Central African Republic, Francois Xavier Batalingaya Jan 2023

Internal Population Displacement And Vaccination Completion, Malnutrition, And Respiratory Infections Among Children In The Central African Republic, Francois Xavier Batalingaya

Walden Dissertations and Doctoral Studies

Forced displacement in fragile and conflict-affected countries has the potential to disrupt access to basic primary healthcare services such as immunization. The purpose of this study was to assess the association between internal population displacement and vaccination completion, malnutrition, and acute respiratory infections (ARIs) while controlling for maternal characteristics of wealth index, education level, and residence status in the Central African Republic. The socioecological model underpinned this cross-sectional study that used a secondary dataset collected in 2018 – 2019 and maintained by UNICEF. Descriptive statistics and logistic regression tests were used to analyze the data. The findings of this study …

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Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue Jan 2023

Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue

Walden Dissertations and Doctoral Studies

The role of circulating estrogens and the impact of lifetime exposure to multiple sources of exogenous estrogens as factors in carcinogenesis were not well understood. Research showed conflicting results when dietary phytoestrogen (PE) intake and xenoestrogen (XE) exposure occurred independently and when co-exposed. The purpose of this quantitative cross-sectional study was to investigate the association between dietary PE intake and XE exposure and the development of estrogen-dependent cancers in an epidemiological context. The advanced model of the epidemiology triangle was the theoretical framework for the current study in which binary logistic regression was employed on secondary data from the 2003–2006 …

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The Relationship Between Counterproductive Work Behavior And Emotional Intelligence Among Leaders In Corrections, John Fitzgerald Caraway Jan 2023

The Relationship Between Counterproductive Work Behavior And Emotional Intelligence Among Leaders In Corrections, John Fitzgerald Caraway

Walden Dissertations and Doctoral Studies

The need for soft skills in corrections and law enforcement continues to be polarized in the media, and the courts, costing organizations billions in litigation and, in some cases, costing the lives for which the individuals have sworn to protect. The purpose of this quantitative correlational study aimed to examine the relationship between counterproductive work behavior (CWB) and emotional intelligence (EI). The research questions focused on the relationship between CWB and EI among leaders in corrections with age, gender, education, and veteran status as control variables. The relationship between a leader's CWB and their EI was not known. The theoretical …

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Sociodemographic Predictors Of Veterans’ Health-Related Quality Of Life, Tamala Jones Choice Jan 2023

Sociodemographic Predictors Of Veterans’ Health-Related Quality Of Life, Tamala Jones Choice

Walden Dissertations and Doctoral Studies

Health-related quality of life (HRQoL) is a theoretical concept that intertwines physical, mental, emotional, and social functioning, with a focus on the impact that health status has on quality of life. Although sociodemographic factors are associated with lower HRQoL, how these factors influence HRQoL in military veterans is less understood. The study’s purpose was to examine the relationships between sociodemographic characteristics (gender, military pay grade, military branch, and geographic location) and perceived HRQoL measured by the SF-8 survey among veterans living in a metropolitan community in the Mid-Atlantic region of the United States. A cross-sectional recruitment study design yielded 90 …

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Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn Jan 2023

Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn

Walden Dissertations and Doctoral Studies

High voluntary employee turnover rates can be expensive for businesses since more than half of the U.S. workforce changed jobs or left their employers in 2020. Owners of holistic wellness centers who experience high voluntary turnover can experience issues involving maintaining workloads, keeping patients satisfied, and maintaining a competitive edge. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies for holistic wellness center owners in the northeastern region of the U.S. to decrease voluntary employee turnover. Data were collected from semistructured interviews with three holistic wellness center owners and analyzed using thematic analysis. …

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Experiences Of Black Women In The Workforce, Neferiatiti Lukina Holt Jan 2023

Experiences Of Black Women In The Workforce, Neferiatiti Lukina Holt

Walden Dissertations and Doctoral Studies

Black women in America face double discrimination in the workforce. The problem is that Black women experience discrimination in the workforce based on gender and race. The purpose of this qualitative descriptive phenomenological study was to explore Black women’s experiences of discrimination in the workforce based on gender and race. The conceptual frameworks that grounded this study were general systems theory and intersectionality theory. Purposive sampling was used to identify participants; data were collected through semi-structured interviews with 13 Black women who work in a large city in central Texas. Thematic analysis based on descriptive phenomenology was applied to reveal …

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The Relationship Between Perceived Occupational Stress, Gender, Education, And Job Skill Level, Rumena Hm Kabir Jan 2023

The Relationship Between Perceived Occupational Stress, Gender, Education, And Job Skill Level, Rumena Hm Kabir

Walden Dissertations and Doctoral Studies

AbstractOccupational stress is a common problem among workers, and it may have implications for productivity, job satisfaction, and employee wellness. The purpose of this study was to explore different skill levels related to perceived occupational stress and whether gender and education influence it. Publicly available secondary data for this study came from the Public Library of Science at-risk and intervention thresholds of occupational stress using a Perceived Stress Scale 14 survey from June 2017. The 500 participants in the secondary data were a random sample of workers from five occupational health centers recruited during annual work medical examinations. Findings indicated …

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Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, And Self-Management Of Type 1 And Type 2 Diabetes, Deserie J. Otoole Jan 2023

Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, And Self-Management Of Type 1 And Type 2 Diabetes, Deserie J. Otoole

Walden Dissertations and Doctoral Studies

AbstractPoorly controlled diabetes is the result of lack of self-care, which contributes to complications, ill quality in life, the rise in health care costs, and early death. The purpose of this quantitative, nonexperimental study was to examine the extent to which diabetes type (Type 1 and Type 2), childhood trauma, and adverse childhood experiences predict diabetes self-management (glucose management, dietary control, physical activity, health care use, total self-management). Contemporary trauma theory suggests that early childhood trauma results in negative health-related consequences in adulthood. Standard multiple regression analyses showed that (a) higher levels of physical neglect and emotional abuse predicted poorer …

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College Experiences Of Female Students With Posttraumatic Stress Disorder, Cleo Patrick Jan 2023

College Experiences Of Female Students With Posttraumatic Stress Disorder, Cleo Patrick

Walden Dissertations and Doctoral Studies

AbstractThis study, using feminist trauma theory as the conceptual framework, addressed a gap in the literature about female university students’ experiences with posttraumatic stress disorder (PTSD) related to the academic and social supports needed for college success and degree completion. Nearly 30% of college students will drop out during their 1st year in school. Research suggests that personal histories of simple and complex traumas may be influential factors contributing to dropout rates. There are limited programs or resources in colleges and universities to address the needs of students struggling with past traumas aside from routine student counseling. The purpose of …

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Providing Diabetes Education To Improve Staff Nurses' Knowledge, Marcia A. Patterson Jan 2023

Providing Diabetes Education To Improve Staff Nurses' Knowledge, Marcia A. Patterson

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a chronic metabolic disease that affects over 34.2 million or 10.5% of the U.S. population and ranks as the seventh leading cause of death. Tennessee's diabetes prevalence rate is ranked 45th overall in the nation, with 14.9% of the population affected, and in the local area for this project, the rate is greater than 15%, creating a public health concern. Despite its prevalence, there is still a wide gap in knowledge among nurses on diabetes management. The practice-focused question for this project addressed whether a staff education program would improve nurses' knowledge regarding diabetes. The significant gap …

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Exploring Perspectives Of African American Pentecostal Clergy Scripture Teachings Regarding Mental Illness, Phyllis Bethea Foye Jan 2023

Exploring Perspectives Of African American Pentecostal Clergy Scripture Teachings Regarding Mental Illness, Phyllis Bethea Foye

Walden Dissertations and Doctoral Studies

Previous literature has noted that African American Pentecostals (AAP) avoid seeking secular care for mental health concerns. The purpose of this phenomenological qualitative study was to explore the lived experiences of AAP pastors’ beliefs and teachings associated with mental health care as well as stigmas regarding that care, using Niebuhr’s synthesis theory, Arnheim’s convergence theory, and Bronfenbrenner’s ecological system theory of human development. Sixteen AAP senior pastors were interviewed to explore four research questions regarding their beliefs about secular mental health care, Bible Scripture teachings, seeking support from clergy, and mental health education that may impact the acceptance of secular …

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Factors For Lgbt College Students That Predict Academic Success, Jonathan Mccormick Jan 2023

Factors For Lgbt College Students That Predict Academic Success, Jonathan Mccormick

Walden Dissertations and Doctoral Studies

Much research has been done on LGBT students in relation to campus climate and academic achievement, which suggested that a positive campus climate may positively influence students’ academic success. However, no research has yet been done to understand the value of campus climate, student levels of depression anxiety and stress, and student level of outness for predicting academic success. This quantitative study examined campus climate, depression, anxiety, and stress levels, and student level of outness together in their ability to predict self-reported grade point average of LGBT college students. Basic Psychological Needs Theory, a sub theory of Self-Determination Theory, was …

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Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy Jan 2023

Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy

Walden Dissertations and Doctoral Studies

Little is known as to the age-related presentation of somatic complaints of those diagnosed with generalized anxiety disorder in primary care settings. A retrospective medical records review sought to identify the affective symptoms of generalized anxiety disorder (GAD) by age as recorded by primary care providers and to test the association of these symptoms by age. Guided by Engle’s (1977) biopsychosocial (BPS) model, a large administrative claim database system was used to derive a sample of 1,336, including 500 patients diagnosed with generalized anxiety disorder between 2018 to 2021. Binary logistics regression, one-way ANOVA, chi-square, correlation, and logistical regression with …

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The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew Jan 2023

The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational design using secondary data from Colorado Department of Public Health and Environment was to examine the relationship between different types of sexually transmitted infections (STIs), specifically, chlamydia, gonorrhea, and syphilis, and race, gender, and age in the United States. This study is significant because it could assist medical personnel to focus on more personally-based STI treatments. This study could also lead to a call for more research regarding sexual health programs across the nation, individuals’ willingness to share personal information regarding STIs, and how sexual health programs could increase testing for STIs. The study …

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Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather Jan 2023

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …

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Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell Jan 2023

Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell

Walden Dissertations and Doctoral Studies

Caucasian social workers who work in healthcare and implement advance care planning (ACP) may not be competent regarding African Americans’ reluctance to complete advance directives. Research is lacking on how Caucasian social workers in Louisiana are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. This study explored how Caucasian social workers are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. The conceptual framework that guided this study was the cultural competence model. …

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Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran Jan 2023

Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran

Walden Dissertations and Doctoral Studies

Orientation is a pivotal moment for new graduate nurses as they transition into the acute care setting. The COVID-19 pandemic changed in-person orientation to virtual orientation, but little is known about the experiences of new graduate nurses who attended the virtual orientation process. The purpose of this qualitative interpretive descriptive study, guided by Duchscher’s theory and the technology adaptation model 2, was to understand the experiences of new graduate nurses who transitioned to practice utilizing video-based conference software for nursing orientation. Twelve new graduate nurses were interviewed using virtual conferencing software. Data were analyzed using interpretive description and then were …

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Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers Jan 2023

Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers

Walden Dissertations and Doctoral Studies

Pancreatic cancer is the fourth-leading cause of cancer-related deaths in the United States, killing more than 90% of individuals diagnosed within 5 years. Due to the lack of signs and symptoms, 82% of all pancreatic cancer cases are diagnosed in terminal stages. As such, the most powerful method to reducing the morbidity and mortality of pancreatic cancer is to further investigate the risk factors. According to the theoretical framework of the ecosocial theory, long-term exposure to exposures to unfavorable socioecological and environmental factors serve as a “web of causation” for adverse health outcomes. Using data from the North Carolina Department …

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Elements Of Scholarly Writing Identified By Writing Center Tutors In The Health Sciences, Hideki Nakazono Jan 2023

Elements Of Scholarly Writing Identified By Writing Center Tutors In The Health Sciences, Hideki Nakazono

Walden Dissertations and Doctoral Studies

Postsession narrative notes written by professional tutors in a health sciences university writing center had never been analyzed to identify the most common elements noted as subpar in graduate students’ scholarly writing. The purpose of this basic qualitative study was to examine these notes to identify the most common elements noted as subpar in graduate students’ scholarly writing. The conceptual framework was Bloom’s original taxonomy. Hand coding of archival data was used to analyze 300 postsession narrative notes submitted by professional writing tutors during the fall trimester of 2022. Descriptive first-cycle coding was followed by pattern coding. The five most …

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Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen Jan 2023

Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen

Walden Dissertations and Doctoral Studies

One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …

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A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye Jan 2023

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

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Staff Perspectives On Parent Withdrawal From Maternal, Infant, And Early Childhood Home Visiting Programs, Dr. Laquetta Delores Peoples Jan 2023

Staff Perspectives On Parent Withdrawal From Maternal, Infant, And Early Childhood Home Visiting Programs, Dr. Laquetta Delores Peoples

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study was the high withdrawal rates of families that enroll in MIECHV programs. Examining this issue provided data that will be shared with MIECHV programs to identify potential strategies to reduce high withdrawals. This basic qualitative study with semistructured interviews examined MIECHV staffs’ perspectives on the reasons for high withdrawals. The purpose of this study was to examine MIECHV program staff members’ perspectives on the reasons for the high withdrawal. The study was guided by Mowder’s parent development theory (PDT) and examined parenting as a continual process whereby parents constantly adjusted their parenting …

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Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff Jan 2023

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff

Walden Dissertations and Doctoral Studies

Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …

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Strategies To Sustain Small Businesses In The Texas Retail Fashion Beyond 5 Years, Musa Moses Raymond Jan 2023

Strategies To Sustain Small Businesses In The Texas Retail Fashion Beyond 5 Years, Musa Moses Raymond

Walden Dissertations and Doctoral Studies

Owners of small- and medium-sized enterprises (SMEs) confront different hurdles,including difficulties with business registration, a lack of government support, and bureaucracy, thus, may require different strategies to achieve business longevity. The strategies that SME owners use to sustain their businesses past 5 years, a critical benchmark, are not fully understood, the purpose of this study was to explore strategies SME owners use to sustain their business operations beyond 5 years. The conceptual framework consisted of systems theory and the Six Sigma define, measure, analyze, improve, and control model. The participants were five SME senior-level managers at five fashion retailers in …

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Technological And Pedagogical Challenges For Teachers During Covid-19, Suzanne Reaid Jan 2023

Technological And Pedagogical Challenges For Teachers During Covid-19, Suzanne Reaid

Walden Dissertations and Doctoral Studies

AbstractImplementation of a national contingency plan to mitigate the effects of a natural disaster or major health crisis for schools in the United States has been a focus of scholars since the polio epidemic in 1916. While examining the impact of the COVID-19 pandemic on education in the United States, researchers demonstrated that online remote instruction was adopted as a temporary answer to school closures, yet teachers were not prepared for this type of teaching. Researchers had yet to identify the technological and pedagogical challenges for teachers who taught remotely during the crises with little distance education experience. The purpose …

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Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds Jan 2023

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds

Walden Dissertations and Doctoral Studies

Assessing volume status in patients with congestive heart failure (CHF) remains a difficult task. Newer technology, such as CardioMEMS, allows providers to download pulmonary artery pressure measurements from an implanted sensor. In a large rural emergency department (ED), lack of staff education on CardioMEMS made the device useless when a patient presented to the ED. The purpose of this project was to develop a staff education in-service to address the gap in practice. The theory used to guide development of an effective curricular program and instruction method was Knowles’ theory of andragogy. Application of the analysis, design, development, implementation, and …

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Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger Jan 2023

Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger

Walden Dissertations and Doctoral Studies

To provide holistic care and ensure positive patient health outcomes, the social determinants of health (SDOH) must be addressed. Research demonstrates that while medical care is a contributor to wellness, the SDOH serve an influential role in patient health outcomes. There is limited literature describing how to best educate practicing nurses about SDOH concepts. The purpose of this DNP project was to provide an educational intervention to increase inpatient staff nursing knowledge of the SDOH. Sources of evidence used to create the education module included scholarly literature describing the SDOH concepts and their application to patient, community, and population health. …

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Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson Jan 2023

Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson

Walden Dissertations and Doctoral Studies

AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …

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Nursing Graduates' Strategies For Success On The Nclex-Rn, Karla Lashonda Sanders Jan 2023

Nursing Graduates' Strategies For Success On The Nclex-Rn, Karla Lashonda Sanders

Walden Dissertations and Doctoral Studies

AbstractA nursing program has had difficulty from the years 2015-2022 consistently meeting the national pass rate requirement during students’ first attempts taking the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this qualitative study was to explore perceptions of recent traditional and nontraditional nursing school graduates regarding which evidence-based learning strategies and resources were most effective in leading students to be successful during their first NCLEX-RN attempt. Knowles’ theory of andragogy was the conceptual framework for this study. Research questions involved traditional and nontraditional nursing graduates’ perceptions of which evidence-based strategies were successful for them. Using a …

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