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Formerly At-Risk, Undergraduate Alumni’S Mentoring Experiences At A Historically Black University, Calaundra M. Clarke Jan 2020

Formerly At-Risk, Undergraduate Alumni’S Mentoring Experiences At A Historically Black University, Calaundra M. Clarke

Walden Dissertations and Doctoral Studies

As evidence of the continuing attainment gap, students from low-socioeconomic backgrounds have a lower enrollment and completion rate in higher education. Although studies have documented that mentoring programs have the capability to address a variety of problems these students may face in completing college, there appeared to be limited research on examining their experiences in mentoring programs at historically Black colleges and universities (HBCUs). The purpose of this basic qualitative study was to understand the mentoring experiences of formerly at-risk, HBCU, undergraduate alumni. Astin’s theory of student involvement and Tinto’s theory of student retention provided the framework for understanding the …

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Impact Of Mentoring On First Year Nursing Student Anxiety, Heather Ann Clesi Jan 2020

Impact Of Mentoring On First Year Nursing Student Anxiety, Heather Ann Clesi

Walden Dissertations and Doctoral Studies

First-year nursing students (FYNS) experience anxiety that can decrease academic achievement and result in attrition from the nursing program (NP). Research has not evaluated the impact of faculty mentoring (FM) offered by the NP on FYNS anxiety level and academic achievement in didactic courses. This study, guided by Neuman’s system model, used a descriptive cross-sectional design. An online survey link was distributed to FYNS in a southwestern state via NP directors and social media. FYNS were asked if their NP offered FM and were sorted into groups based on their response. Responses were received from 321 participants with 75 meeting …

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Impacting Nonprofit Financial Sustainability And Mission, Jarhal Duncan Jan 2020

Impacting Nonprofit Financial Sustainability And Mission, Jarhal Duncan

Walden Dissertations and Doctoral Studies

Nonprofits in the United States have been struggling to maintain financial sustainability and create new pathways to accomplish its mission. The research problem was that there was limited research on leadership strategies for nonprofits to facilitate the balance of achieving the organizational mission and financial sustainability. The purpose of this study was to increase the understanding of how current leaders of niche-based nonprofit organizations use strategies to impact financial sustainability and maintain the mission of the nonprofit organization. Building on this understanding can help address this issue. Theoretical frameworks such as Resource Dependence Theory and General Systems Theory help develop …

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Prevention Of Care Of Catheter-Associated Infections In Long Term Care, Maureen Edozie Jan 2020

Prevention Of Care Of Catheter-Associated Infections In Long Term Care, Maureen Edozie

Walden Dissertations and Doctoral Studies

The incidence of catheter-associated urinary tract infections (CAUTI) in long-term care settings ranges from 1.5 to 3.3 per 1,000 catheter days for adult. Over 380,000 nursing home residents are hospitalized due to infections each year. Staff education using Agency for Healthcare Research and Quality (AHRQ) practice guidelines showed knowledge gained. The use of an evidence-based practice guideline developed AHRQ has been shown to significantly reduce the rate of CAUTI in the long-term care residents. The clinical practice problem was a CAUTI rate higher than the national average in the long-term care facility of interest due, in part to inconsistent nursing …

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Accelerated Baccalaureate Nursing Student And Faculty Perceptions Of Blended Learning, Emily Elliott Jan 2020

Accelerated Baccalaureate Nursing Student And Faculty Perceptions Of Blended Learning, Emily Elliott

Walden Dissertations and Doctoral Studies

In response to the demand for baccalaureate-educated nurses, nursing schools offer an accelerated baccalaureate of science in nursing (BSN). The problem is nursing programs have used blended learning approaches, but it is unclear whether and in what ways accelerated BSN students benefit from this learning design. The purpose of this qualitative case study was to explore how faculty and students perceived the benefits and challenges of an accelerated BSN program utilizing a blended learning format. Knowles’s adult learning theory served as the conceptual framework through which interview data were analyzed. Participants included 6 faculty and 7 students from 1 school …

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The Effectiveness Of The Biopatch Disc In Decreasing Mrsa In Peripherally Inserted Intravenous Catheters, Ketha Franklin Jan 2020

The Effectiveness Of The Biopatch Disc In Decreasing Mrsa In Peripherally Inserted Intravenous Catheters, Ketha Franklin

Walden Dissertations and Doctoral Studies

Methicillin-resistant Staphylococcus aureus (MRSA), drug-resistant bacterial infection, is a pressing global health care issue that decreases patients’ quality of life and places a high burden on health care delivery systems. The purpose of this quality improvement evaluation project was to evaluate an infection prevention management program derived from evidence-based research to decrease the incidence of MRSA in peripherally inserted intravenous catheters (PIVs) in acute care settings through the utilization of the Biopatch disc. The practice-focused question addressed whether the use the Biopatch disc over a 6-month period in acute care would coincide with a reduction of the incidence of MRSA …

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Strategies For Promoting Employee Engagement In The Canadian Banking Sector, Curt Donahue Henry Jan 2020

Strategies For Promoting Employee Engagement In The Canadian Banking Sector, Curt Donahue Henry

Walden Dissertations and Doctoral Studies

Globally, more than 70% of the labor force do not actively engage in the workplace. Disengaged employees are often absent, increase customer dissatisfaction, and decrease organizational profitability. Bank managers who fail to address employee disengagement risk organization profitability and competitive position. Grounded in Khan's engagement theory, the purpose of this qualitative single case study was to explore strategies bank managers use to promote employee engagement for increased organizational profitability. The participants comprised 5 bank managers from a single bank in Toronto, Canada, who successfully implemented employee engagement strategies to increase organizational profitability. Data were collected from semistructured interviews, company documents, …

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Ex-Offenders Perceptions Of Community-Based Substance Abuse Treatment Programs, Yolanda Michelle Johnson Jan 2020

Ex-Offenders Perceptions Of Community-Based Substance Abuse Treatment Programs, Yolanda Michelle Johnson

Walden Dissertations and Doctoral Studies

Many ex-offenders develop negative attitudes and lifestyles-based on adverse childhood experiences that lead to substance abuse problems, as well as negative coping strategies for managing life stressors. To understand ex-offenders negative perspectives and attitudes, one must understand the motivation for change. The purpose of this study was to explore perceptions and feelings of ex-offenders involved in community-based treatment programs pivotal in changing their attitudes and lifestyles. The theoretical framework consisted of labeling theory and social learning theory. A qualitative phenomenological approach was used to explore participants perceptions of community-based treatment. There was a total of 10 participants, 5 men and …

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Leadership Styles And Emotional Intelligence Of Federal Employees In Diversified Work Environments, Richard Lopez Jan 2020

Leadership Styles And Emotional Intelligence Of Federal Employees In Diversified Work Environments, Richard Lopez

Walden Dissertations and Doctoral Studies

On the Office of Personnel Management Federal Viewpoint Surveys, followers rated their leaders as ineffective. The public expects federal government leaders to effectively lead their followers in order to efficiently manage public services. The purpose of this correlational nonexperimental study was to determine whether there is a correlation between emotional intelligence (EQ) and a full range of leadership styles, as measured by the multileadership questionnaire (MLQ), from the perspective of the follower. Grounded in the theory of EQ, the extant scholarly literature revealed EQ skills complements leadership styles and predict leader success in a variety of business sectors, cultures, and …

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Strategies To Improve Employee Engagement In Retail Stores, Bianca Maynard Jan 2020

Strategies To Improve Employee Engagement In Retail Stores, Bianca Maynard

Walden Dissertations and Doctoral Studies

Less than one-third of workers in the United States have engaged in their work since Gallup commenced tracking employee workforce engagement in 2000. Retail store managers who fail to engage employees are at risk of losing organizational profitability. Grounded in Kahn’s theory of personal engagement and disengagement, and Sak’s theory of social exchange, the purpose of this qualitative single case study was to explore strategies retail store managers used to improve employee engagement. The participants comprised 5 retail managers from a retail organization in Metro Atlanta, who effectively used employee engagement strategies. Data were collected from semistructured interviews and company …

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Examining Icu Nurses' Knowledge Of Ventilator-Associated Events And Ventilator-Associated Pneumonia, Dorothy J. Sanders-Thompson Jan 2020

Examining Icu Nurses' Knowledge Of Ventilator-Associated Events And Ventilator-Associated Pneumonia, Dorothy J. Sanders-Thompson

Walden Dissertations and Doctoral Studies

Ventilator-associated events (VAEs) are patients' complications of respiratory conditions including ventilator-associated pneumonia (VAP). Research shows that VAP is the most common hospital-acquired infection among ventilated patients and a leading source of mortality. With greater risk for complications among ventilated- supported patients, nurses working in the ICU must keep abreast of new knowledge and update expertise to develop technical and clinical skills in daily practice. The purpose of this project was to assess whether an educational intervention would increase the ICU nurses' level of knowledge of the evidence-based intervention. Knowles' adult learning theory was chosen for this project. A paired-samples t-test …

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Gender And Millennial Support For Women Political Leaders, Delaina Lea Sawyers Jan 2020

Gender And Millennial Support For Women Political Leaders, Delaina Lea Sawyers

Walden Dissertations and Doctoral Studies

Despite comprising more than 50% of the population and voting in greater numbers than men, women are underrepresented in U.S. political leadership. Although research exists on the correlation between gender and politics, little literature addresses the influence of generation and gender on voting behavior. Using Jaggar's liberal feminist theory as a framework, the purpose of this study was to investigate the relationship between female generational cohorts and their policy preferences and candidate support. Two research questions assessed the differences between female millennials and baby boomers regarding policy preferences in the areas of income equality, opportunity, representation, and candidate support. A …

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Impact Of Adverse Childhood Experiences On Direct Care Workers Working With Juveniles, Brittany Anne Shaughnessy Jan 2020

Impact Of Adverse Childhood Experiences On Direct Care Workers Working With Juveniles, Brittany Anne Shaughnessy

Walden Dissertations and Doctoral Studies

This study investigated the impact of adverse childhood experiences (ACEs) on the development of vicarious traumatization (VT) and burnout among direct care staff working in juvenile justice residential facilities. Measures used included the ACE module of the 2012 Behavioral Risk Factor Surveillance System historical to assess for ACEs, the Trauma and Attachment Belief Scale (TABS) to measure VT, and Maslach Burnout Inventory Human Services Survey (MBI-HSS) to measure burnout. Workplace organization was also included in data collection and analysis as a covariate as past research has indicated a relationship between workplace organization and burnout and VT. A covariate of workplace …

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Patterns Of Victimization Of School-Aged Children With Autism In The Rural Southern United States, Megan Rae Marie Thornton Jan 2020

Patterns Of Victimization Of School-Aged Children With Autism In The Rural Southern United States, Megan Rae Marie Thornton

Walden Dissertations and Doctoral Studies

Individuals with disabilities experience victimization at rates higher than their typically-functioning peers. Because they are often perceived as unreliable reporters, the likelihood that victimizations of individuals with disabilities are reported is low. Data regarding the lived victimization experiences of individuals with specific disabilities are scant. Grounded in the rational choice theory and Cohen and Felson’s routine activity theory, this qualitative study investigated the victimization experiences of school-aged children with autism spectrum disorder (ASD) in the rural Southern US. This study involved 21 public school students between the ages of 12 and 17 who were interviewed using the Juvenile Victimization Questionnaire, …

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The Impacts Of Open Grazing On The People Of Anambra South Senatorial Zone, Ephraim Izundu Udeagbala Jan 2020

The Impacts Of Open Grazing On The People Of Anambra South Senatorial Zone, Ephraim Izundu Udeagbala

Walden Dissertations and Doctoral Studies

AbstractOpen grazing is a main issue in Nigeria today, as Fulani herdsmen take farms by force with weapons like AK47s, which also affects the farmers of Anambra South Senatorial Zone. Further, there are different views on what open grazing is, which takes focus off its impacts that are detrimental to the people of the area. The purpose of this phenomenological study was to understand the impacts of open grazing on the farmers of Anambra South Senatorial Zone. The research question aligned with the purpose of the study and examined the impacts of open grazing on the farmers of Anambra South …

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Double Jeopardy: African American Women And The Counselor Education And Supervision Dissertation, Beverly Lee Townsend Jan 2020

Double Jeopardy: African American Women And The Counselor Education And Supervision Dissertation, Beverly Lee Townsend

Walden Dissertations and Doctoral Studies

Half of all doctoral students do not graduate, with attrition occurring because of the dissertation process. Outcomes for women and minorities are even worse. This study is an interpretive phenomenological analysis of the lived experiences of African American women working on their dissertation for a counselor education and supervision (CES) doctoral program. This study was guided by Flynn et al.’s emergent theory of the initiation, management, and completion of the dissertation, which highlights 6 themes important to successful completion of the dissertation in CES programs. Though the theory was originally applied to a largely White and Midwestern sample, this study …

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Assessing School-Based Telehealth Utilization In Medically Underserved Communities, Danielle Wesley Jan 2020

Assessing School-Based Telehealth Utilization In Medically Underserved Communities, Danielle Wesley

Walden Dissertations and Doctoral Studies

Medically underserved communities face challenges accessing health care services, and millions of Americans have no access to primary care. In many areas of the United States, the supply of primary care providers cannot keep up with the demand for health services. Newer healthcare delivery models are needed to address the issue. Using telehealth can augment the physician workforce shortages. The purpose of this quantitative dissertation is to examine the associations of telehealth utilization using a pediatric school-based telehealth model in Health Professional Shortage Areas (HPSAs) in North Texas. Texas has many counties without a primary care provider, making them medically …

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Cross-Cultural Communication Strategies That Engage Employees And Increase Productivity., Alvin Sidney Moton Jan 2020

Cross-Cultural Communication Strategies That Engage Employees And Increase Productivity., Alvin Sidney Moton

Walden Dissertations and Doctoral Studies

AbstractLow employee engagement can negatively impact productivity for small fast-food restaurants in the United States. Small fast-food restaurant managers who do not engage employees experience decreased employee productivity. Grounded in Hofstede's cross-cultural dimensions theory, the purpose of this qualitative multiple case study was to explore strategies managers of small fast-food restaurants managers use to improve employee engagement. Participants were four small fast-food restaurants manager within the southern region of the United States who used cross-cultural strategies to successfully engage employees. Data were collected through semistructured interviews and internal company documents and were analyzed using thematic analysis. Four themes emerged: (a) …

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Childhood Obesity, Yvette Ledjo Jan 2020

Childhood Obesity, Yvette Ledjo

Walden Dissertations and Doctoral Studies

AbstractObesity in adolescents is a worldwide epidemic. According to the Centers for Disease Control and Prevention, approximately 17% of adolescents in the United States are obese. These statistics put pressure on public health nationally and internationally. Obesity leads to chronic diseases such as cardiovascular disease, diabetes, and arthritis. This doctor of nursing practice project was carried out in a juvenile correctional facility’s clinic, where detainees visited for treatment of acute and chronic health-related issues. Clinicians address detainees’ problems, but a gap was identified in the knowledge of these clinicians. This project focused on closing that knowledge gap by providing a …

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Adult Attachment Functioning Of Former Foster Youth Initially Placed In Early Adolescence, Adrienne Miller Jan 2020

Adult Attachment Functioning Of Former Foster Youth Initially Placed In Early Adolescence, Adrienne Miller

Walden Dissertations and Doctoral Studies

Child attachment has been an area of study among scholars for several decades; however, early adolescent attachment is a specific age period that few scholars have examined, especially pertaining to child welfare where placement is a necessary but forced attachment disruption. The purpose of this nonexperimental study was to examine the likelihood of early adolescent attachment during initial placement and to explore the frequencies of this population securely attaching postplacement based on the added variables of placement setting (foster home/kinship home/group home/institution) and sibling accessibility. Attachment theory was the lens through which to analyze the 83 results received via anonymous …

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Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith Jan 2020

Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus (DM) is a recognized cognitive impairment risk factor. Even with hyperglycemia being a modifiable risk factor in dementia, primary care is without an evidence-based screening tool to screen patients with diabetes for cognitive abilities. Current literature supports developing an evidence-based standardized guideline for early screening for cognitive impairment in elderly patients with DM. The purpose of this doctor of nursing practice (DNP) clinical practice guideline (CPG) project was to develop an evidence-based CPG for early screening of dementia in patients with DM, providing a means for early recognition of cognitive decline in these patients, making early intervention more …

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Retention Of Cognitive Skills In Advanced Cardiac Life Support Training, Sangeeta Srivastava Mathur Jan 2020

Retention Of Cognitive Skills In Advanced Cardiac Life Support Training, Sangeeta Srivastava Mathur

Walden Dissertations and Doctoral Studies

AbstractRespiratory therapists (RTs) and registered nurses (RNs) who work at a local hospital in the state of Maryland have expressed difficulty retaining the knowledge required to renew their advanced cardiac life support (ACLS) certification. The retention of skills is very important in responding to a life-threatening event, such as cardiac arrest. The ACLS is a key clinical competency for these clinicians, suggesting a need to understand how their retention and learning can be improved. Accordingly, the purpose of this qualitative study was to better understand the factors that may affect RNs and RTs in learning and retaining the knowledge and …

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Staff Education On American Diabetes Association Standards Of Medical Care For Diabetes, Christine Nsubuga Jan 2020

Staff Education On American Diabetes Association Standards Of Medical Care For Diabetes, Christine Nsubuga

Walden Dissertations and Doctoral Studies

Diabetes is a commonly encountered chronic illness that leads to other lifelong comorbidities if left uncontrolled. Ranked as the seventh leading cause of death in the United States, diabetes affects over 29 million Americans. Although 90%-95% of all diabetes cases are preventable with proper planning and management, clinicians continue to be challenged as they strive to achieve the desired patient care goals. This Doctor of Nursing Practice (DNP) staff education project addressed the lack of standard evidence-based care for diabetic patients in the federally qualified health center look-alike practice for which this project was developed. Guided by the practice-focused questions …

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The Lived Experiences Of African American Nurses Transitioning To The Workforce, Stephanie Carra Mitchell Jan 2020

The Lived Experiences Of African American Nurses Transitioning To The Workforce, Stephanie Carra Mitchell

Walden Dissertations and Doctoral Studies

Newly licensed registered nurses face many challenges as they transition from school to the nursing workforce. The challenges may lead to their desire to leave the workforce which negatively affects nursing retention and contributes to the nursing shortage. African American registered nurses are underrepresented when compared to the percentage of the African American population in the Unites States. Retaining African American nurses can make a significant contribution to the increasing diversity of the nursing workforce. The purpose of this qualitative phenomenological study was to explore the perceptions of African American registered nurses as they transition to the nursing workforce using …

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Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell Jan 2020

Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell

Walden Dissertations and Doctoral Studies

Peer support is built upon the premise that shared life experiences will benefit both the helper and the receiver. In the substance abuse field, this relationship has been linked to an increase in practical knowledge, empowerment, hope, and community connectedness. However, the research on peer support is primarily geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. The purpose of this generic qualitative study was to explore the experience of recovery in substance abuse peer support workers. A recovery framework and the helper …

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Understanding The Experiences Of Young Adults Receiving Community-Based Eating Disorder Care, Hali Sitarz Jan 2020

Understanding The Experiences Of Young Adults Receiving Community-Based Eating Disorder Care, Hali Sitarz

Walden Dissertations and Doctoral Studies

AbstractIn Ontario, Canada, eating disorder care is predominately delivered through nurse practitioner-led community outreach programs; however, there is a paucity of evidence informing the role of nurses in terms of outpatient treatment, community-based care, and young adult patient experiences. With high rates of morbidity and mortality, it is imperative to establish an evidence-informed approach to eating disorder treatment and ensure that care is patient-centered. This interpretive phenomenological study explored the experiences of young adults receiving community-based treatment in Ontario. Reigel, Stromberg & Jaarsma’s Middle Range Theory of Self-Care in Chronic Illness was used as an orientating framework. Seven young adults, …

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Difficulties Social Workers Face When Working With Youth Exposed To Technology Without Parental Supervision, Dorothy Williams Jan 2020

Difficulties Social Workers Face When Working With Youth Exposed To Technology Without Parental Supervision, Dorothy Williams

Walden Dissertations and Doctoral Studies

There has been a significant increase in behavioral issues in the home and school environments of youth ages 13-17 years in the state of Georgia who have constant access to technology through internet-connected devices over the past years. Due to constant evolution and advancements of technology, mental health professionals are now noticing that when youth are overly consumed with technology, it tends to correlate with problematic behaviors. The social work practice problem and purpose is understanding the difficulties social workers face when working with youth exposed to technology without parental supervision. This study is important within the context of clinical …

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Retention, Viral Suppression, And Care Models In Hiv Positive Children And Adolescents In Cameroon, Eveline Mboh Khan Jan 2020

Retention, Viral Suppression, And Care Models In Hiv Positive Children And Adolescents In Cameroon, Eveline Mboh Khan

Walden Dissertations and Doctoral Studies

Human Immunodeficiency Virus (HIV) remains a significant public health problem in Sub-Saharan Africa with poor treatment outcomes in children and adolescents (C&As). There is a lack of information on the effects of various HIV care models (Child and Adolescent Friendly Clinic model and Support Group model) on retention in care and Viral Suppression (VS) in Cameroon. This study was carried out to identify the care model with the best outcomes for C&As, inform national scale-up strategies, resource prioritization, and contribute to the existing literature. A quantitative retrospective cohort review approach guided by the social cognitive theory was used to analyze …

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Getting The End Of Life Care Conversation Started, Lisa Ann Mccabe-Evans Jan 2020

Getting The End Of Life Care Conversation Started, Lisa Ann Mccabe-Evans

Walden Dissertations and Doctoral Studies

AbstractEducation is needed among the health care collaborative team to address the lack of end of life conversation, the underutilization of hospice leading to patients’ end of life wishes not being met, the increased depression among bereaved loved ones, and the increased health care costs at the end of life. Nurses reduce the patient’s physical and emotional stress by helping guide conversations and answer questions to meet the needs of patients and their loved ones. This project addressed the practice-focused question to determine if nursing knowledge and expressed intentions about end of life care increase as shown via the difference …

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Business Funding Strategies For Women-Owned Small Businesses, Jefreda R. Brown Jan 2020

Business Funding Strategies For Women-Owned Small Businesses, Jefreda R. Brown

Walden Dissertations and Doctoral Studies

In the United States, limitations in funding allocation threaten the viability of small business success. In the United States, women start businesses at faster rates than men do, but women business owners continue to experience challenges in accessing capital to sustain their businesses. Grounded in pecking order theory, the purpose of this qualitative multiple case study was to identify business funding strategies women small business owners in Birmingham, Alabama, used to sustain their businesses for more than 5 years. The participants for this study were 3 women small business owners in Birmingham, Alabama, who have used business funding strategies to …

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