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Organizational Factors Of Emergency Room Fast-Track Admission Duplicate Data Entry Errors In An Alabama Health System, Shannon Harris Jan 2023

Organizational Factors Of Emergency Room Fast-Track Admission Duplicate Data Entry Errors In An Alabama Health System, Shannon Harris

Walden Dissertations and Doctoral Studies

Inaccurate patient information resulting from duplicate record data entry errors can compromise patient safety. Emergency room (ER) visits in the United States have increased by 15% over the last decade, and the increase has prompted hospitals to implement fast-track admissions in the ER to mitigate overcrowding and expedite the admission process for patients with low-acuity symptoms. Although duplicate record data entry errors occur frequently in ER admissions, there is a lack of information about fast-track ER admissions and the predictors of different types of confirmed duplicate record data entry errors. This correlational quantitative study examined the associations between work shift …


Exploring Rural Elementary Teachers’ Integration Of The Beyond Textbooks Framework, Yolanda Noriega Jan 2023

Exploring Rural Elementary Teachers’ Integration Of The Beyond Textbooks Framework, Yolanda Noriega

Walden Dissertations and Doctoral Studies

Elementary school teachers at a rural school district in southeastern Arizona integrated the Beyond Textbooks framework in their classroom instruction related to academic achievement; however, exploring how rural elementary teachers integrated Beyond Textbooks in classroom instruction had yet to be investigated. This basic qualitative project study aimed to explore rural elementary teachers’ integration of Beyond Textbooks as related to student academic achievement. Guided by David Kolb’s experiential learning theory of learning from experience, the research question explored how rural elementary teachers integrated Beyond Textbooks in classroom instruction to improve student academic achievement. Due to the Covid-19 pandemic at the time …


Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons Jan 2023

Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons

Walden Dissertations and Doctoral Studies

A key influence of children’s school readiness is parental engagement, yet less is known about father engagement. This paper explores fathers’ perspectives and challenges regarding their child’s school readiness. Data was collected from twelve fathers within a pool of community-based preschools in a large rural region in a southeastern state in the United States. A qualitative method was adopted using interviews to gather data. Findings revealed fathers perceived their engagement in supporting children’s social skills, approaches to learning, and grandparents’ influence attributed to preparing children for kindergarten. However, fathers were challenged with work obligations, feelings of inadequacy, and children’s attention …


Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew Jan 2023

Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a major public health problem in the United States. Adolescents are a high majority of these cases, with African American adolescents being affected disproportionally. Previous research has shown that risky sexual behaviors, such as non-condom use, multiple sexual partners, early initiation of sexual intercourse, and alcohol or marijuana use before sexual intercourse put adolescents at a higher risk of contracting an STI when they are sexually active. These behaviors can be observed through the theoretical framework of the problem behavior theory that describes the constructs of why individuals engage certain behaviors. How alcohol and drug …


Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale Jan 2023

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …


Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller Jan 2023

Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller

Walden Dissertations and Doctoral Studies

It may or may not be true that the conditions and practices associated with supermax sentencing are both creating and exacerbating psychological harm for the inmates who are exposed to them. To date, there is evidence that both supports and refutes the contention that supermax sentencing is psychologically harmful; thus, the literature necessitates additional research into this phenomenon. This qualitative study was conducted to add to the extant body of knowledge relevant to supermax prisons and populations by exploring the lived experiences of professionals who have worked with them. This research was conceptually based in the current understanding of social …


Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses Jan 2023

Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses

Walden Dissertations and Doctoral Studies

Small island developing states, especially those within the Caribbean community, are faced with the challenges of overfishing and illegal, unregulated, and unreported (IUU) fishing activities. Despite global legal reforms, enforcement continues to be ineffective. In the policymaking process, the perspectives of those critically impacted are rarely taken into consideration The purpose of this qualitative study was to explore the issues leading to the lack of inclusion of fisherfolk knowledge in the policymaking process and policies that promote SDG 14. The goal was to explore the importance of fisherfolk involvement in the policymaking process. The research question focused on identifying the …


Male Sexual Offender Recidivism Impact On Sex Crime Investigations, Jessica Ann Muccione Jan 2023

Male Sexual Offender Recidivism Impact On Sex Crime Investigations, Jessica Ann Muccione

Walden Dissertations and Doctoral Studies

The purpose of this research was to explore how male sexual offender recidivism impacted sex crime investigations. Recidivism is a widely recognized social problem that affects all of society. Understanding the influence that male sex offender recidivism may have on a sex crime investigation is key to recognizing its relationship to recidivism. The methodology used in this study was a basic qualitative inquiry to explore how male sex offender recidivism impacts sex crime investigations. Based on Hirschi’s social bond theory, the study addressed ways a sexual offender may conform to societal requirements through attachments and personal values. The application of …


Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro Jan 2023

Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro

Walden Dissertations and Doctoral Studies

Abstract Sexually transmitted infections or diseases (STIs/STDs) acquired through sexual activities lead to compromised sexual health. The adolescent population is at high risk of acquiring STIs/STDs due to their lack of knowledge. The gap in practice was that the nurse practitioners (NPs) were deficient in standard of care; adolescent patients lacked consistent evaluation, education, or documentation of the education in their medical records. The practice-focused question focused on the evaluation of the effectiveness of a quality improvement (QI) initiative that incorporated the use of the American Association for Pediatrics screening and Center for Disease Prevention and Control (CDC) treatment guidelines …


Staff Education For Nurses And Providers On Rapid Mood Screener, Lolade Adekemi Ogunleye Jan 2023

Staff Education For Nurses And Providers On Rapid Mood Screener, Lolade Adekemi Ogunleye

Walden Dissertations and Doctoral Studies

Advances in the psychiatric field have led to the development of valuable tools that can be used in screening patients to understand their condition better. Indeed, instruments such as the Rapid Mood Screener (RMS) have been significantly used to help diagnose conditions such as bipolar disorder. The implication is that such tools need to be appropriately used by health care practitioners such as nurses for better and more accurate diagnostic results. A more accurate diagnosis is a foundation for better patient management and outcomes. Therefore, as part of a bigger plan, mental health facilities should make deliberate efforts to ensure …


Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae Jan 2023

Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae

Walden Dissertations and Doctoral Studies

Abstract Managing HIV requires lifelong therapy. Retaining clients on lifelong therapeutic antiretroviral therapy (ART) ensures the suppression of viral replication and better health outcomes. The time of the start of ART management is also a factor in determining better health outcomes for persons living with HIV. This study examined the association between initiation criteria (treat all, Option B+, and CDC T-cell count < 500) and retention on ART at 12 months for 17,974 randomly selected clients in the Ghana Health Service's HIV patient electronic database. Analyses controlled for age, gender, educational status, alcohol use, treatment/adherence monitoring, and tuberculosis disease treatment. Bronfenbrenner's ecological systems theory guided the interpretation of the findings. Results shows that retention was positively associated with all treatment initiation criteria. Clients initiated with CD4 count ≤ 500 criteria seemed to be retained at 12 months on ART at a higher rate than initiation criteria based on Option B+ and treat all. The study results may contribute to positive social change by supporting CD4 testing for clients before initiation of ART to improve retention and ensure the availability and use of adherence counseling, no tuberculosis disease and its prevention, and low use of alcohol among people living with HIV. The results of this study may also provide opportunities for public health policy intervention efforts requiring a personalized, group-based approach to service delivery at the intrapersonal level, interconnected with interpersonal, meso, and meta factors at the community level.


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 …


Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell Jan 2023

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell

Walden Dissertations and Doctoral Studies

Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …


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 …


Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson Jan 2023

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …


Exploring Supervisory Experiences After The Legalization Of Recreational Marijuana In Colorado, Charles Daniel Mason Jan 2023

Exploring Supervisory Experiences After The Legalization Of Recreational Marijuana In Colorado, Charles Daniel Mason

Walden Dissertations and Doctoral Studies

AbstractColorado became the first state to decriminalize recreational marijuana in 2014. This new public policy resulted in unproven regulatory changes in any population in the United States. The purpose of the study was to discover the core perspective and experiences of 12 supervisors who experienced this phenomenon in their professional occupations, through the lens of accountability. The risk perceptions of supervisors’ due to policy shifts regarding recreational marijuana in Colorado were analyzed using the Delve system and hand coding. Findings indicated employees’ use of marijuana had a direct impact on productivity, which decreased significantly over time. Employees displayed signs of …


Generational Information Security Awareness And The Role Of Big Five Personality Traits, Gloria Mccue Jan 2023

Generational Information Security Awareness And The Role Of Big Five Personality Traits, Gloria Mccue

Walden Dissertations and Doctoral Studies

AbstractTechnological change drives organizations to safeguard information systems. However, such safeguards are dependent upon people to follow security rules. This study examined generational cohorts and personality traits and their impact on information security awareness. Participants in this study were 137 volunteers who completed an anonymous survey online. Two tools were utilized to collect data from the participants: the Human Aspects of Information Security Questionnaire and the Big Five Inventory, which captured behaviors and personality traits, respectively. The three main generational cohorts represented in the study, Baby Boomers, Generation X, and Generation Y, were in today’s workforce. The results of the …


Nurse Practitioner Education On Caring For Patients Using Medical Marijuana, Zainab Kalokoh Mansaray Jan 2023

Nurse Practitioner Education On Caring For Patients Using Medical Marijuana, Zainab Kalokoh Mansaray

Walden Dissertations and Doctoral Studies

AbstractNurse practitioners are crucial components of community health care because they treat and manage individuals who use medical marijuana. Overuse of medical marijuana without proper examination and certification may result in undesirable patient outcomes, such as increased patient dependency and death, which may have a severe impact on society. The medical marijuana primary care clinic for which this Doctor of Nursing Practice project was developed lacked the information required to certify and evaluate qualifying conditions for medicinal marijuana users. The practice-focused questions investigated how nurse practitioners caring for patients using medical marijuana education based on the National Council of State …


Adolescent Rejection Sensitivity And Anxiety: The Moderating Effects Of Problem-Solving Skills And Gender, Kathleen Naumann Jan 2023

Adolescent Rejection Sensitivity And Anxiety: The Moderating Effects Of Problem-Solving Skills And Gender, Kathleen Naumann

Walden Dissertations and Doctoral Studies

AbstractRejection sensitivity is the ongoing anxious or angry expectation of interpersonal rejection. Anxiety can potentially have a significant detrimental impact on the mental health of adolescents who are characterized as having rejection sensitivity. Although negative consequences of anxiety on mental health have been studied, there is a limited understanding regarding how rejection sensitive adolescents are at risk for anxiety. This study involved examining relations between adolescent rejection sensitivity and anxiety and whether they were moderated by problem-solving skills, an indicator of resiliency, as well as gender. Theoretical frameworks in this study were the rejection sensitivity model and resilience theory. This …


Independent Restaurant Owners’ Strategies For Acquiring, Managing, And Retaining Organizational Knowledge, Skills, And Abilities, Alice Nelson Sidibe Jan 2023

Independent Restaurant Owners’ Strategies For Acquiring, Managing, And Retaining Organizational Knowledge, Skills, And Abilities, Alice Nelson Sidibe

Walden Dissertations and Doctoral Studies

Independent restaurant owners face challenges of slim profit margins and postpandemic labor shortages without the benefit of additional support their franchised counterparts receive. Independent restaurant owners are concerned about these external pressures making them more vulnerable to closure during economic downturns. Previous researchers have not explored how to use organizational knowledge, skills, and abilities (KSAs) to achieve success within an independent restaurant. Grounded in resource-based view theory, the purpose of this qualitative multiple-case study was to explore strategies that independent restaurant owners use to acquire, manage, and retain KSAs and sustain their business beyond five years. The participants were three …


Teacher Perspectives Regarding Low Teacher Retention In Rural Primary Schools In Tanzania, Tumaini Urio Morgan Jan 2023

Teacher Perspectives Regarding Low Teacher Retention In Rural Primary Schools In Tanzania, Tumaini Urio Morgan

Walden Dissertations and Doctoral Studies

Tanzania, similar to other nations in Sub-Saharan Africa, has been experiencing a severe teacher shortage. The problem that was addressed is that factors influencing rural primary school teachers’ decision to continue teaching in Northeast Tanzania are unknown. The purpose of this qualitative descriptive study was to investigate teachers’ perceptions on teaching in rural primary schools in Northeast Tanzania and the reasons why they remain. This study was guided by self-efficacy theory, a subset of Bandura's social cognitive theory. This descriptive qualitative study explored how rural primary school teachers in northeast Tanzania describe the challenges that cause them to consider abandoning …


Perspectives On Instructional Barriers To Inclusion At Primary Schools In Jamaica, Marcia Hillary Peak Jan 2023

Perspectives On Instructional Barriers To Inclusion At Primary Schools In Jamaica, Marcia Hillary Peak

Walden Dissertations and Doctoral Studies

AbstractInclusive education, which is a global practice in schools, recognizes the rights of all children to equal educational opportunities, including those with special needs or disabilities; however, educators in low-income countries like Jamaica struggle with its implementation. This basic qualitative study explored teachers’ and principals’ perceptions toward instructional and curricular barriers to inclusion in primary level schools. The theory supporting this study is Bronfenbrenner’s development ecology model. Research questions focused on educators’ perspectives of instructional barriers to inclusion. Twelve participants from seven mainstream schools in a single region were interviewed. Data were analyzed using open coding to determine patterns, and …


Strategies To Meet The Budgeted Ratio Between Adjunct And Full-Time Faculty, Tanja Pennino Jan 2023

Strategies To Meet The Budgeted Ratio Between Adjunct And Full-Time Faculty, Tanja Pennino

Walden Dissertations and Doctoral Studies

Human resource managers are concerned that the budgeted ratio between adjunct and full-time faculty will not meet certification standards, but human resource managers lack faculty hiring strategies to manage the budgeted ratio between adjunct and full-time faculty to maintain the institutional operating budget and meet certification standards. Grounded in the human capital theory, the purpose of this qualitative multiple case study was to explore the strategies used by human resource managers to manage the ratio between adjunct faculty and full-time faculty to maintain the institutional operating budget. The participants comprised of four human resource managers within 4-year state colleges in …


Foster Youth's Experience With Visitation During The Covid-19 Pandemic., Carrie Player Sexton Jan 2023

Foster Youth's Experience With Visitation During The Covid-19 Pandemic., Carrie Player Sexton

Walden Dissertations and Doctoral Studies

Much has been learned about how the shelter-in-place (SIP) orders imposed during the coronavirus disease 2019 (COVID-19) pandemic affected children socially and emotionally. However, less was known about how the youths in foster care settings experienced visitation with their approved visitors because of the shelter-in-place order. In this phenomenological study, the lived experiences of 10 foster youths between the ages of 16 and 18 years during the COVID-19 SIP were explored using semi structured interviews. The theory that grounded this study was Ainsworth and Bowlby's attachment theory. Evernote was used to guide, store, observe, and record the data in one …


Leadership Strategies For Modeling Ethical Behavior In The Real Estate Industry, Lakecia Ann Reddrick Jan 2023

Leadership Strategies For Modeling Ethical Behavior In The Real Estate Industry, Lakecia Ann Reddrick

Walden Dissertations and Doctoral Studies

Real estate brokers face challenges in cultivating and supporting the ethical conduct oftheir agents. Developing ethical behavior and decision-making is crucial as it directly impacts the trust, satisfaction, and protection of clients, buyers, sellers, and other stakeholders in the real estate industry. Grounded in the theories of emotional intelligence and servant leadership, this qualitative multiple-case study aimed to explore strategies real estate brokers used in modeling ethical behavior and decision-making for their agents to influence performance and profitability positively. The participants were nine real estate brokers who modeled the ethical behavior and decision-making their agents must practice to impact performance …


Victim Advocates' Experiences Of Challenges And Opportunities In Supporting Children Of Homicide Victims, Ed Rahkeem Simmons Jan 2023

Victim Advocates' Experiences Of Challenges And Opportunities In Supporting Children Of Homicide Victims, Ed Rahkeem Simmons

Walden Dissertations and Doctoral Studies

Homicide is a preventable public health issue that has detrimental effects for victims, witnesses, and the broader society. Although a number of studies have substantiated the adverse effects on children when a parent dies by homicide, few studies have addressed how critical the support of victim advocates is in minimizing the adverse effects. The purpose of this qualitative study was to examine victim advocate professionals' experiences of challenges and opportunities in delivering services to children of homicide victims. Policy feedback theory was the theoretical framework for the study. Semistructured interviews were conducted with 10 victim advocate professionals who were members …


Issues Encountered By Parents In Continuing School-Based Obesity Prevention Programs At Home, Prenu Skaria Jan 2023

Issues Encountered By Parents In Continuing School-Based Obesity Prevention Programs At Home, Prenu Skaria

Walden Dissertations and Doctoral Studies

Childhood obesity is a public health problem that can lead to various chronic health diseases such as cardiovascular disease and diabetes later in life. School-based obesity prevention programs are a public health recommendation to reduce and prevent obesity in schools through increased physical activity and better nutritional habits. This qualitative research involved exploring the reason for the discontinuation of school-based interventions at home using multi-theory model (MTM) constructs for health behavior change. A convenience sample of three focus groups of consenting parents whose children participated in the Wolf Pack Coaches Challenge (WPCC), a school-based obesity prevention program in Nevada, was …


Laboratory Practices And Antimicrobial Resistance In A Florida Hospital, Crispina Marie Sy-Trias Jan 2023

Laboratory Practices And Antimicrobial Resistance In A Florida Hospital, Crispina Marie Sy-Trias

Walden Dissertations and Doctoral Studies

Antibiotic resistance is a health threat affecting millions of Americans. Microorganisms develop resistance to antibiotics, rendering them useless for treating infections. The purpose of this quantitative study was to assess the associations between sample processing time and antibiotic resistance and is based on the health belief model. A retrospective specimen tracking activity of data from November 2019 to November 2020 was obtained by random sampling of 246 bacterial cultures. One hundred ninety-six (80%) samples were processed on time, and 50 (20%) were delayed; 167 (68%) samples were determined to have the presence of antimicrobial resistance (AMR), and 79 (32%) with …


Overcoming Barriers To Private-Public Partnerships, Lavina Valentine Jan 2023

Overcoming Barriers To Private-Public Partnerships, Lavina Valentine

Walden Dissertations and Doctoral Studies

SA is an organization that promotes science, technology, engineering, and math (STEM) education. As a small organization, it continues to look for partnerships that allow the expansion and development of this educational coursework. The organization faces barriers to receiving private and public partnerships. In this professional administrative study, barriers were identified and addressed. Opportunities to improve the availability of collaborations and effective partnerships for this organization were also addressed, expressing the significant benefit that the community receives. The evidence drawn from scholarly resources, quantitative research, and articles highlighted the importance of STEM subjects, and their role in their community. The …


Social Worker Perspectives Of Working With Aging African Americans With Depressive Disorders, Sherian Waite Jan 2023

Social Worker Perspectives Of Working With Aging African Americans With Depressive Disorders, Sherian Waite

Walden Dissertations and Doctoral Studies

Although there is a greater proportion of people living with depressive disorders within the African American older adult population compared to their White counterparts, fewer African Americans are engaging in mental health treatment when compared to the Caucasian community. The purpose of this qualitative study was to explore the experiences and practices of social workers who are providing mental health care treatment to African American older adult patients (aged 65 and over) living with a depressive disorder. The study was framed using both the health belief model and critical race theory. To address the research questions, a generic qualitative design …