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Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi Jan 2023

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

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Retention Rate Factors Of Junior Enlisted Females In The U.S Marine Corps, Iris I. Esquilin Jan 2023

Retention Rate Factors Of Junior Enlisted Females In The U.S Marine Corps, Iris I. Esquilin

Walden Dissertations and Doctoral Studies

The modern United States Armed Forces is the largest and most powerful military force the world has ever experienced, and the U.S. Marine Corps represents the most elite members thereof, claiming the iconic tagline “The Few, The Proud.” However, while the Marine Corps expends considerable effort in recruiting excellent personnel, the branch also faces a high turnover rate, with 75.0% of first-year enlistees choosing not to continue their service for a subsequent term. This retention problem is especially pronounced with respect to female Marines, who only make up 8.0% of the Marine force, the lowest of any U.S. military branch. …

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Teachers’ Perceptions Of Student Performance On The Advanced Placement English Language And Composition Exam In Department Of Defense Schools, Tracee Nichole Fisher Jan 2023

Teachers’ Perceptions Of Student Performance On The Advanced Placement English Language And Composition Exam In Department Of Defense Schools, Tracee Nichole Fisher

Walden Dissertations and Doctoral Studies

The problem that guided this study was the low proportion of students scoring 3 or more on the Advanced Placement English Language and Composition (APELC) exam at one Department of Defense (DoD) school. Moreover, the qualifying ratios were lower than students attending all DoD and U.S. schools. The need for teachers to examine the performance of military-connected students has become a critical element of high-stakes accountability in all schools, most importantly at military-connected schools. The aim of this research was to explore DoD teachers’ insights into the factors influencing military-connected students’ low scores on the APELC exam and the instructional …

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Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy Jan 2023

Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy

Walden Dissertations and Doctoral Studies

According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …

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Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D Jan 2023

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

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Fact Finders: Exploring Perspectives Of Abuse Investigators For People With Developmental Disabilities, April Delandro Jan 2023

Fact Finders: Exploring Perspectives Of Abuse Investigators For People With Developmental Disabilities, April Delandro

Walden Dissertations and Doctoral Studies

Abuse towards people with intellectual and developmental disabilities has been a long-standing area of study. One aspect of the post abuse process that has not been thoroughly considered is the perspective of abuse investigators. This is important because abuse investigators are to ascertain the safety of an alleged victim and then gather the information necessary to resolve issues with the intent to prevent further abuse. Using the Thomas theorem of interpretation and action, this study explored the experiences of abuse investigators by delving into how investigators’ experiences influence the conduct of an investigation and how investigators perceive their role and …

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College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel Jan 2023

College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel

Walden Dissertations and Doctoral Studies

The purpose of this study is to examine the relationship regarding a loss of parent during adolescence with psychosocial development into early college years (18 through 22 years of age) as measured by the Modified Erikson Psychosocial Stage Inventory (MEPSI). A sample of 15 young college students, ages 18 to 22, completed the MEPSI and a second sample of young college students 18 to 22, who lost a parent, completed the MEPSI. No significant difference was found in the variance of the means; therefore, the null hypothesis was retained. A small sample t test analysis was used to compare the …

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Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che Jan 2023

Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che

Walden Dissertations and Doctoral Studies

AbstractBurnout negatively impacts the performance of health care providers, decreasing the quality of care provided to patients and affecting patients’ experience. This problem is evident in health care staff on long-term care units (LTCUs) as they strive to meet their patients’ chronic and acute care needs. Health care professionals often lack adequate knowledge on how to manage work-related stress and reduce the issue of burnout in this work environment. The health care professionals working on the LTCU at the local continuing care retirement facility were identified as lacking knowledge to manage work-related stress and burnout. Addressing this problem is essential …

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Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …

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Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White Jan 2023

Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White

Walden Dissertations and Doctoral Studies

Although there has been much media focusing on child sexual abuse in the Catholic Church, in many cases Protestant church leaders who committed child sexual abuse were held to no level of accountability. The purpose of this qualitative phenomenological study was to explore the modus operandi of child sexual predators and their target selection criteria in Protestant churches. Hickey’s relational paraphilic attachment theory provided the framework for the study. Fifteen cases from the United States were analyzed using inductive coding to identify six themes: (a) Leaders from Protestant churches who were convicted of sexually abusing minors possessed gross psychological immaturity, …

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African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes Jan 2023

African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes

Walden Dissertations and Doctoral Studies

AbstractFor many years, African American mothers have endured negative experiences with law enforcement (LE) involving themselves, their children, or both. These personal experiences with LE contribute to the lack of trust African American mothers have in LE. The purpose of this study was to explore African American mothers’ perceptions of LE in terms of trust. Social conflict theory was used as the conceptual framework for this study. Eight African American mothers residing in the United States were recruited by means of snowball sampling to participate in semistructured interviews. The resulting interview transcripts were coded via the six-steps method, and the …

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A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker Jan 2023

A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker

Walden Dissertations and Doctoral Studies

AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …

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Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr Jan 2023

Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr

Walden Dissertations and Doctoral Studies

Registered nurse turnover is a severe problem for all healthcare organizations because it negatively affects financial growth, patient care, and reputation, ultimately resulting in financial losses. Grounded in Herzberg’ two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies hospital leaders use to mitigate RN turnover. The participants included three hospital leaders from three different hospitals in the southeastern United States who mitigated RN turnover. Data were collected from semistructured interviews and company documents and analyzed using Yin’s five-phase data analysis process. Three themes emerged: nurse engagement, job satisfaction, and trust in leadership mitigated RN turnover. A …

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An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson Jan 2023

An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson

Walden Dissertations and Doctoral Studies

s the prevalence and incidence of childhood obesity has increased, so has the number of cases of pediatric Type 2 diabetes mellitus (T2DM). Although made unconstitutional in 1968, the transgenerational implications of redlining can be observed in disinvestments resulting in neighborhood detraction. Utilizing the 2019–2020 National Children’s Health Survey, the purpose of the study was to evaluate the relationship between obesity, T2DM, and neighborhood detraction elements as well as assessed indicators of T2DM in non-institutionalized children 6 through17 years of age (N = 34,725). The social determinants of health perspective served as the conceptual framework for the study. Results indicated …

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Early Childhood Teachers’ Perspectives On Their Responses To Children’S Challenging Behaviors, Dr. Sharon Denise Scallion Jan 2023

Early Childhood Teachers’ Perspectives On Their Responses To Children’S Challenging Behaviors, Dr. Sharon Denise Scallion

Walden Dissertations and Doctoral Studies

AbstractThe problem that was the focus of this study was the high rate of suspensions and expulsions of preschool children enrolled in independently funded childcare centers in Texas, and the lack of understanding of preschool teachers’ response to children’s challenging behavior. The purpose of this basic qualitative study was to explore preschool teachers’ perspective on how they handle children’s challenging behaviors, and what inclines teachers toward suspending or expelling children from independently funded childcare centers. Liu’s theory of children’s externalizing behavior provided the conceptual framework for the study. Ten preschool teachers from urban, independently funded childcare centers in Texas were …

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Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings Jan 2023

Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings

Walden Dissertations and Doctoral Studies

The inability to age in place among people 65 years old and older is a public health problem in the United States. However, it is unknown what neighborhood factors (i.e., trust, safety, shared values) impact the communities that are struggling to support individuals looking to stay in their homes as they age. The purpose of this quantitative correlational study was to examine the relationship between neighborhood factors (i.e., trust, safety, and shared values), cardiovascular illness (i.e., heart attack and stroke), mental health (i.e., depression), and aging in place, controlling for sex, age, marital status, educational level, employment status, and race. …

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Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage Jan 2023

Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage

Walden Dissertations and Doctoral Studies

Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …

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Attachment And Its Prediction Of Emotional-Social Intelligence (Esi) Of African American Females During Mid-To-Late Adolescence, Lauren N. Callahan Jan 2023

Attachment And Its Prediction Of Emotional-Social Intelligence (Esi) Of African American Females During Mid-To-Late Adolescence, Lauren N. Callahan

Walden Dissertations and Doctoral Studies

Attachment and emotional-social intelligence (ESI) have been an area of study among scholars since attachment has been shown to impact important areas of psychosocial development. This study involved exploring attachment or the adolescent bonding experience, and its prediction of ESI of African American females during mid-to-late adolescence. Researchers have demonstrated there are ethnic differences in terms of attachment and ESI but have not established predictive relationships among African Americans. The purpose of this study was to examine attachment and its prediction of ESI of African American females between 15 and 18. Using a quantitative design, the Adolescent Attachment Questionnaire and …

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The Role Of Parental Military Status And Educational Attainment On Mental Health Service Usage Among Children And Adolescents, Cierra Jones Williams Jan 2023

The Role Of Parental Military Status And Educational Attainment On Mental Health Service Usage Among Children And Adolescents, Cierra Jones Williams

Walden Dissertations and Doctoral Studies

A lack of mental health services for children and adolescents has been linked to significant health problems in adulthood. Researchers have investigated factors that influence usage of mental health services among children and adolescence, but significant gaps persist regarding use of mental health service among military-connected youth. This quantitative study was conducted to examine if parental military status and parental education affected the usage of mental health services among children and adolescents ages 3–17 in the United States. Multivariable logistic regression was used to analyze secondary data from the combined 2019–2020 National Survey of Children’s Health. After adjusting for income, …

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Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry Jan 2023

Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry

Walden Dissertations and Doctoral Studies

AbstractTitle III Strengthening Institutions Program is a supplemental grant that was designed to help eligible higher education institutions improve and strengthen academic quality, institutional management, and fiscal stability of eligible institutions. A community college in the Midsouth region was the focus of this quantitative study. Graduation and retention rates have steadily declined, and there are significant achievement gaps in terms of ethnicity and race, program completion, and failure rates in high-enrolled courses among first-year students. Using the retention model, this study involved examining the impact on retention for students participating in supplemental instruction upon entering college during their freshman year. …

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Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …

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Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris Jan 2023

Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris

Walden Dissertations and Doctoral Studies

Integration of an inclusive educational environment requires nursing faculty to embrace a transformational change in academics. The cultural interactions of an educator teaching in an urban district may differ from the relations experienced by a rural nurse educator. The purpose of this quantitative study, guided by Bandura’s social cognitive theory, was to determine whether there is a difference between the cultural self-efficacy scores of nurse faculty teaching in a rural location compared to those in an urban location as well as whether the demographics of age, ethnic background, and years in the nursing profession predict cultural self-efficacy scores. Nursing faculty …

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A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington Jan 2023

A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington

Walden Dissertations and Doctoral Studies

Abstract The spread of Coronavirus (COVID-19) created a pandemic and had a world-shattering effect on healthcare organizations. As a result, many healthcare professionals were exposed to health situations that stretched them beyond their professional ethics, mental health, and emotional capacity. Throughout the last 30 years, moral distress has been understood as the type of stress that medical professionals experience. Research has substantially grown regarding COVID-19 and moral distress, exposing gaps in the ability of experts to care as they should. Moral distress was a term created to define the emotional disruption that occurs when a professional cannot work within their …

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Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West Jan 2023

Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West

Walden Dissertations and Doctoral Studies

AbstractAfrican American small food service business owners contribute to national and local economies; however, only 45% of them sustain their businesses beyond 5 years. African American small food service business owners are concerned with the lack of effective business strategy implementation, as it is the number one predictor of actual business failure. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies African American small food service business owners used to sustain their businesses beyond 5 years. The participants were seven African American small food service business owners in the southeastern United …

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Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …

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Enrollment In Science, Technology, Engineering, And Math Courses After Enactment Of Texas' House Bill 5, Carlana Cla'shette Allen Jan 2023

Enrollment In Science, Technology, Engineering, And Math Courses After Enactment Of Texas' House Bill 5, Carlana Cla'shette Allen

Walden Dissertations and Doctoral Studies

Student participation and performance in science, technology, engineering, and math (STEM) have been an education concern in the United States for years. In 2013, Texas lawmakers passed House Bill 5 (HB5) to support increases in STEM awareness, particularly among ethnic minority and female students. To date, no studies have been conducted on the impact, if any, of HB5 on Texas high school students’ course selections in STEM areas. Further, it is unknown whether the impact that does exist is equally distributed across socioeconomic status (SES), race/ethnicity, and gender groups. The purpose of this nonexperimental correlational quantitative study was to determine …

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Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly Jan 2023

Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly

Walden Dissertations and Doctoral Studies

AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale Jan 2023

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …

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Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady Jan 2023

Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady

Walden Dissertations and Doctoral Studies

AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …

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