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Articles 391 - 420 of 7146
Full-Text Articles in Entire DC Network
Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie
Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie
Walden Dissertations and Doctoral Studies
Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …
Improving Rural Health Through Nutrition Incentives: A Mixed Methods Evaluation Of The First Year Of The Appalachian Farmacy Program, Bethesda O'Connell, Harrison Ihrig, Andrea D Nutsugah, Ignacio Garcia, Michael Rice, Ashley Cavender
Improving Rural Health Through Nutrition Incentives: A Mixed Methods Evaluation Of The First Year Of The Appalachian Farmacy Program, Bethesda O'Connell, Harrison Ihrig, Andrea D Nutsugah, Ignacio Garcia, Michael Rice, Ashley Cavender
Journal of Social, Behavioral, and Health Sciences
Food insecurity remains a critical public health concern, particularly in rural, low-income communities. In 2023, 13.5% of United States households experienced food insecurity, with rates in Tennessee (15.6%) exceeding the national average. Produce prescription programs have emerged as a strategy to improve food access and promote healthier eating behaviors. This study presents an evaluation of Appalachian Farmacy, a produce prescription program in Northeast Tennessee designed to increase fruit and vegetable consumption among individuals receiving Medicaid, Medicare, or Supplemental Nutrition Assistance Program (SNAP) benefits. Program evaluation methods included semi-structured interviews for process evaluation and pre- and post-surveys for outcome evaluation. Interviews …
Faculty Readiness And Ethical Perceptions Of Artificial Intelligence Integration In Higher Education Teaching And Assessment, Ayesha Afzal, Shahid Rafiq, Aisha Sami
Faculty Readiness And Ethical Perceptions Of Artificial Intelligence Integration In Higher Education Teaching And Assessment, Ayesha Afzal, Shahid Rafiq, Aisha Sami
Higher Learning Research Communications
The rapid advancement of artificial intelligence (AI) technologies presents both transformative opportunities and complex challenges for higher education, particularly in teaching and assessment. This study examines the readiness of faculty members in Pakistani universities to integrate AI tools into pedagogical and evaluative practices, alongside their ethical perceptions of AI use in academic contexts. Using a qualitative research design, semi-structured interviews were conducted with 20 faculty members across diverse disciplines and institutions. Thematic analysis, guided by the Technology Acceptance Model (TAM), the Technological Pedagogical Content Knowledge (TPACK) framework, and Rest’s Four-Component Model of ethical decision making, revealed four interrelated themes: (1) …
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Walden Dissertations and Doctoral Studies
Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Walden Dissertations and Doctoral Studies
Police officers across the United States frequently respond to individuals experiencing mental health crises, yet many lack specialized training to manage these encounters effectively. The Crisis Intervention Team (CIT) model was developed to improve law enforcement responses through collaboration with mental health professionals and an emphasis on de-escalation. Although prior research has examined measurable outcomes associated with CIT programs, limited qualitative research has explored CIT-trained officers’ lived experiences and perceptions of effectiveness. The purpose of this qualitative exploratory case study was to examine how CIT-trained officers use their skills to reduce arrest, officer and citizen injury, and use of force …
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
Walden Dissertations and Doctoral Studies
In The Bahamas, the quality of care received by culturally diverse patients remains generally poor, highlighting an inability to adapt to the changing climate and adopt culturally responsive practices. The purpose of this quantitative causal-comparative study was to examine the relationship between perceived cultural competence of healthcare providers in The Bahamas and its impact on patient outcomes for the non-Bahamian patients they treat. The tripartite model of cultural competence grounded this study. The participants comprised 49 non-Bahamian patients from the public and private sectors. They completed the patient-reported physician cultural competency measure, self-efficacy for managing medications and treatments, and the …
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study is that third through fifth grade students continue to score below district expectations on the Georgia Milestones Assessment System in narrative writing. Guided by the Ofsted inspection framework, the purpose of this basic qualitative study was to understand the experiences of upper elementary teachers teaching writing in Title I classrooms. Data were collected through semistructured interviews with 10 participants who taught upper elementary grades. Through thematic coding, four themes emerged outlining (a) the instructional success teachers experienced teaching narrative writing, (b) the instructional challenges of teaching narrative writing, (c) teachers’ beliefs about …
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Walden Dissertations and Doctoral Studies
Early childhood education (ECE) educators leave their profession at a rate 14% higher than K-12 educators, resulting in multisystemic issues that affect children, families, staff, and the ECE industry. Research has shown a connection between leadership practices and ECE educator turnover intentions; however, there is limited research on the relationship between the servant-leadership (SL) practices of ECE directors and ECE educators’ turnover intentions. Grounded in Greenleaf’s theory of servant-leadership, the purpose of this quantitative study was to explore the relationship between ECE director SL practices and its seven dimensions, measured using the SL scale, and ECE educator turnover intentions, measured …
Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Walden Dissertations and Doctoral Studies
The problem examined in this study is how colorism affects Black families. The purpose of this qualitative case study was to explore the lived experiences of Black women and the colorist messages they received from family members, how those messages were internalized, and the messages perceived effects. The conceptual framework for this study was based on the colorist-historical trauma framework, and data were obtained through individual interviews with Black women ages 22–70, from various socioeconomic backgrounds and selected through purposeful sampling. A multiple case study approach was used to examine similarities and differences among the participants. A thematic analysis was …
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Walden Dissertations and Doctoral Studies
Hospitals and healthcare facilities in the United States continue to face persistent shortages of ancillary imaging technologists, creating significant challenges for hospital administrators. The purpose of this integrative review was to identify effective strategies for recruiting and retaining imaging staff in hospitals. The review question concerned what best practices and strategies healthcare administrators can use to improve the recruitment and retention of ancillary imaging staff. The theoretical frameworks for this research, strategic human resource development and Maslow’s theory of human motivation, provided a lens for understanding organizational enhancement and employee engagement, respectively. Following the application of inclusion and exclusion criteria, …
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Walden Dissertations and Doctoral Studies
School social workers practice in a post-COVID-19 educational context where anxiety, depression, and emotional dysregulation are closely associated with chronic absenteeism among middle school students. This practice problem is central to clinical social work because distress-based avoidance is often misinterpreted as defiance, resulting in punitive responses that intensify disengagement. The purpose of this doctoral project was to explore how school social workers perceive and respond to the interconnected dynamics of student mental health and chronic absenteeism following COVID-19. Bronfenbrenner’s ecological systems theory guided the inquiry. A qualitative descriptive design was employed using semi-structured interviews with 10 middle school social workers …
Educators Of Color’S Perceptions On The Influence Of Induction Practices, Malia Oshiro Lee
Educators Of Color’S Perceptions On The Influence Of Induction Practices, Malia Oshiro Lee
Walden Dissertations and Doctoral Studies
The problem addressed in this this study is the low retention of educators of color despite increased funding and resources aimed at supporting early career teachers in Washington State public schools. Elfers et al. noted that in Washington State over the course of 4 periods of time, early career educators of color are more likely to leave the profession than their White counterparts. Grounded in Holtom et al.’s job embeddedness theory, the purpose of this qualitative study was to explore educators of color’s perceptions about the usefulness of induction practices as it relates to their professional needs and career retention. …
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Walden Dissertations and Doctoral Studies
No abstract provided.
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Walden Dissertations and Doctoral Studies
A significant issue in human services practice in Macon, Georgia, is law enforcement officers’ responding to individuals experiencing a mental health crisis in public. Many police officers are not equipped to handle situations involving individuals experiencing mental health events, leading to possible adverse outcomes such as injury, incarceration, or even fatalities. There are increasing rates of mental illness disorders, and therefore, the need for compassionate, informed approaches for human service professionals to respond to those in crisis. More training to improve responses can lead to better outcomes for individuals in crisis, foster community trust in law enforcement, and enhance overall …
Using Artificial Intelligence To Mitigate Bottlenecks In Last-Mile Logistics: A Developing Country Perspective, Marvel S. Ogah, Comfort Ademola, Gregory Asiegbu
Using Artificial Intelligence To Mitigate Bottlenecks In Last-Mile Logistics: A Developing Country Perspective, Marvel S. Ogah, Comfort Ademola, Gregory Asiegbu
International Journal of Applied Management and Technology
The digital revolution of the logistic value chain has improved critical aspects of the global supply chain, especially in the aspect of last-mile logistics (LML). Bottlenecks, however, such as delays in deliveries, increased lead times, pollution, poor cost management, and tracking issues, among several others, plague the logistics operations in developing countries. Artificial intelligence (AI) can help mitigate these bottlenecks toward delivering incremental value to the end customers. This paper investigates the extent to which AI has been adopted in the logistics value chain in developing countries using a descriptive approach. Quantitative data were collected from 290 logistics and e-commerce …
Experiences Of Loneliness And Belonging Among U.S.-Born Women During The Covid-19 Pandemic In Germany, Anna Sizorina
Experiences Of Loneliness And Belonging Among U.S.-Born Women During The Covid-19 Pandemic In Germany, Anna Sizorina
Walden Dissertations and Doctoral Studies
Existing literature indicates that the COVID-19 pandemic led to increased levels of loneliness, particularly among individuals with transnational ties. Travel and entry bans, along with social distancing, led to separation from family abroad and from people and communities in the countries of new residence. In this qualitative phenomenological study, experiences of loneliness and belonging among U.S.-born women during the COVID-19 Pandemic in Germany were explored. The transaction theory of stress guided the scientific enquiry, and the evolutionary theory of loneliness served as a conceptual framework for examining loneliness in the given context. Six adult female participants, born in the United …
Work-Life Balance And Occupational Stress: Moderating Factors Among African American Telecommunication Workers, Robert Charity
Work-Life Balance And Occupational Stress: Moderating Factors Among African American Telecommunication Workers, Robert Charity
Walden Dissertations and Doctoral Studies
After the COVID-19 pandemic, remote call center employees faced intensified challenges in maintaining work-life balance (WLB) while experiencing elevated occupational stress (OS) levels. The purpose of this quantitative correlational study was to investigate the relationship between WLB and OS among African American (AA) call center professionals employed in the telecommunications industry, moderated by resilience (RS), gender, and generational age (GenAge). The theoretical framework included boundary theory, the job demands-control model, and resilience theory. The participants comprised 103 AA telecommunications call center professionals aged 28 to 65 in the southwestern United States. They completed the work-life balance scale, perceived occupational stress …
Impact Of Workplace Ostracism, Moderated By Personality Traits On Psychological Safety, Aniko Rastovac
Impact Of Workplace Ostracism, Moderated By Personality Traits On Psychological Safety, Aniko Rastovac
Walden Dissertations and Doctoral Studies
Psychological safety, an essential element for fostering collaboration, trust, and innovation, can be undermined by negative interactions in the workplace. Most importantly, a lack of psychological safety is a barrier to individual and organizational growth, development, and innovation, which is necessary for gaining a competitive organizational advantage. The present study examines the concept of workplace ostracism as a negative interaction in the workplace that affects psychological safety. Using the big five personality traits framework, Edmondson’s (1999) concept of psychological safety, and Tett et al.’s (2021) trait activation theory, this quantitative study examined how individual differences moderate the impact of workplace …
The Moderating Role Of Self-Esteem In The Relationship Between Perceived Gender Bias And Job Satisfaction Among Women In The Technology Industry, Roberta L. Minicola
The Moderating Role Of Self-Esteem In The Relationship Between Perceived Gender Bias And Job Satisfaction Among Women In The Technology Industry, Roberta L. Minicola
Walden Dissertations and Doctoral Studies
Women employed in the technology industry continue to experience gender-based bias that may adversely affect job satisfaction. Although the deleterious impact of gender bias on women’s job satisfaction has been well documented, the potential of self-esteem to mitigate this impact has not yet been examined. Informed by social dominance theory, the purpose of this quantitative, cross-sectional, correlational study was to examine the moderating effect of self-esteem on the relationship between perceived gender bias (i.e., insufficient support, devaluation, hostility) and job satisfaction among women working in the U.S. technology sector. Data were collected from 138 female technology professionals recruited through Amazon …
Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro
Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro
Walden Dissertations and Doctoral Studies
The present global business environment requires organizations to be proactive, dynamic, innovative, and resilient in the face of increasing competition. Corporate executives must understand how effective implementation of finance strategies influences performance and how these strategies can be leveraged to support sustainable, socially responsible initiatives. The purpose of this qualitative case study was to improve the understanding of corporate executives’ perspectives about the effects of the efficient implementation of corporate finance strategy on company performance. The conceptual framework included Modigliani and Miller’s capital structure theory, stakeholder theory, and agency theory. The participants comprised 13 senior corporate executives and finance managers …
North Dakota Emergency Medical Personnel’S Perceptions Of Human Trafficking, Jessica Evans
North Dakota Emergency Medical Personnel’S Perceptions Of Human Trafficking, Jessica Evans
Walden Dissertations and Doctoral Studies
Human trafficking is an abhorrent human rights violation, and victims experience a myriad of health disturbances while being exploited. Victims often seek emergency medical care, but research consistently shows that emergency medical personnel (EMP) are largely unprepared to screen, identify, and respond to them. However, there has been no research exploring their preparedness to screen, identify, and respond to victims of human trafficking, the barriers and challenges to identification of human trafficking victims, and training needs to improve screening, identification, and response to human trafficking victims in North Dakota. This study employed a generic qualitative approach grounded in constructivism. The …
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Walden Dissertations and Doctoral Studies
Substance use disorder counselors face increasing challenges in responding to a growing and more severely affected population, often presenting with co-occurring mental health conditions and complex clinical needs. Clinical supervision plays a critical role in supporting counselor development, yet little is known about the factors that contribute to clinical supervisors’ self-efficacy in providing supervision for alcohol and drug counselors. The purpose of this quantitative correlational study was to examine whether years of counseling experience, years of substance use disorder (SUD) counseling experience, years as a clinical supervisor, professional counseling credentials, and supervisory credentials predicted self-efficacy among clinical supervisors. This study …
Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter
Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter
Walden Dissertations and Doctoral Studies
Women who experience both sexual trauma and abortion within their lifetime are highly likely to struggle with serious mental health symptoms; however, social work students and practitioners lack education and knowledge on how to serve these women. Recent events, including the uprising of gender and race related movements, COVID-19, heightened political division, and increased governmental control on abortion rights also impact social-work practice. Acknowledging intersectionality, the purpose of this qualitative study was to explore the experiences of abortion for Black women in the Southern United States who have a history of sexual trauma. The experiences of 6 Black women with …
Staff Education To Improve Knowledge On Early Recognition Of Staff Burnout In Nurses Working In Long-Term Care, Geraldine Ndeng Akonwah
Staff Education To Improve Knowledge On Early Recognition Of Staff Burnout In Nurses Working In Long-Term Care, Geraldine Ndeng Akonwah
Walden Dissertations and Doctoral Studies
This doctoral project was a practice-based staff education project aimed at educating nurses concerning early burnout recognition. The educational intervention was chosen to promote awareness and knowledge related to the concept of burnout and self-care among nurses employed in a long-term care facility. The practice problem addressed was the high prevalence of nurse burnout and the limited ability of nurses to recognize early signs of burnout. The problem is significant in nursing practice as burnout is detrimental to the clinical judgment, patient safety, job satisfaction and staff retention. The guiding question of the project was as follows: Does a staff …
Understanding Reporting Decisions: Qualitative Exploration Of Hate Crime Underreporting Among Minority Transgender Individuals, Shanise Anita Benitez
Understanding Reporting Decisions: Qualitative Exploration Of Hate Crime Underreporting Among Minority Transgender Individuals, Shanise Anita Benitez
Walden Dissertations and Doctoral Studies
Minority transgender individuals experience disproportionately high rates of hate‑motivated violence, yet these incidents remain substantially underreported. This qualitative study examined the social, structural, and identity‑based factors that influence reporting decisions among minority transgender adults in the United States. Guided by Bandura’s social learning theory and Crenshaw’s intersectionality theory, the study examined how participants’ lived experiences, community-based observations, and intersecting marginalized identities influence their perceptions of safety, trust, and institutional legitimacy. Semi‑structured interviews with minority transgender participants were analyzed using thematic analysis to identify patterns related to reporting behaviors, community‑driven coping strategies, and barriers to formal engagement with law enforcement. Findings …
Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes
Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes
Walden Dissertations and Doctoral Studies
The nursing shortage is a critical global issue that significantly impacts emergency nurses (ER), leading to increased workloads, psychological stress, and heightened exposure to workplace violence (WPV). This phenomenon raises concerns among healthcare administrators and nurse leaders who seek strategies to improve retention and ensure quality patient care. The purpose of this qualitative study was to explore the meaning of workload, stress, and WPV among ER nurses during the U.S. nursing shortage. Guided by Herzberg’s two-factor theory, the study employed a phenomenological approach to capture nurses’ lived experiences. Data were collected through semi-structured interviews with eight ER nurses from diverse …
Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena
Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena
Walden Dissertations and Doctoral Studies
Healing generational trauma involves counselors’ understanding and recognizing the symptoms of unhealthy coping mechanisms in adults who witnessed adverse emotional reactions as children. Generational trauma occurs when generations have trouble building healthy relationships and pass unhealthy coping mechanisms to future generations. There has been a reported increase in youth and adults seeking mental health services for generational trauma. The problem was that there was insufficient information about how counselors recognize and respond to the symptoms of generational trauma or what treatment methods or modalities to use to support patients. The purpose of this generic qualitative study was to explore the …
Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD) affects approximately 18 million individuals in India, yet the factors influencing parental care-seeking behavior were not well understood. Guided by the health belief model, the purpose of this basic qualitative study was to explore how parents’ perceived severity of a child’s symptoms, parental beliefs about the causes of autism, and perceived mental and physical health outcomes of caregiving influence parents’ intention to seek services for children aged 1–10 years diagnosed with ASD in India. Data were collected using semistructured interviews with 10 mothers of autistic children. Data were analyzed using Braun and Clarke’s six-step thematic analysis. …
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Walden Dissertations and Doctoral Studies
Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …