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Articles 1021 - 1050 of 18116
Full-Text Articles in Entire DC Network
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Walden Dissertations and Doctoral Studies
This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Walden Dissertations and Doctoral Studies
Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …
Turn Teams, Ashley Johnson
Turn Teams, Ashley Johnson
Walden Dissertations and Doctoral Studies
Hospital-acquired pressure injuries (HAPIs) are recognized as a prominent cause of patient morbidity and mortality, affect lengths of stay, and are one of the most costly and chronic adverse events in healthcare. A structured Turn Teams program with enhancements was evaluated in a novel unit within a healthcare organization that had implemented the approach on another unit as the focus of this Doctor of Nursing Practice project. The guiding question was, Does implementing Turn Teams as a quality improvement measure improve pressure injury rates in patients with a Braden Score of 18 or lower and enhance staff compliance with the …
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 …
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
Walden Dissertations and Doctoral Studies
The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …
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 …
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Walden Dissertations and Doctoral Studies
There is a need for high-quality practice-based field experiences as a component of early childhood teacher preparation programs. This need had been deemed critical and was prioritized by both national and local organizations in a Midwest state. Little research had focused on the quality of field experiences. Guided by Dewey’s progressive education and Vygotsky’s social cultural theory, the purpose of this basic qualitative study was to explore the perspectives of students, mentor teachers, and faculty on what constitutes high-quality field experiences and what components of the field experience are most important. Semistructured interviews were conducted with 16 early childhood degree …
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
Walden Dissertations and Doctoral Studies
As a result of the growing diversity among citizens requiring medical care, there has been a substantial increase in immigrants globally and in the United States. In the U.S. healthcare system, nurse practitioners (NPs) have been facing increased cultural challenges. The purpose of this quantitative study was to determine the relative importance of cultural competence and compassion fatigue in predicting nursing prescribing self-efficacy. Cultural competence served as the theoretical framework, as it focuses on how NPs can effectively communicate with patients from diverse backgrounds by understanding and respecting cultural differences, thereby building trust, improving patient outcomes, and providing quality healthcare. …
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
Walden Dissertations and Doctoral Studies
This qualitative study explored the lived experiences of school administrators in Maryland public schools regarding the implementation of discipline policies and their impact on juvenile delinquency. Prompted by rising concerns about delinquent behavior and inconsistent consequences for students, the research investigated how administrators perceive and navigate the challenges of enforcing discipline and the strategies they employ to foster safe, positive school environments. Grounded in defiance theory and social learning theory, the study used open-ended surveys to gather insights from 16 retired and current principals and assistant principals in Maryland public school systems. The findings reveal that while discipline policies provide …
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Walden Dissertations and Doctoral Studies
This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …
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 …
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Walden Dissertations and Doctoral Studies
Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …
Risk Management Strategies For Project Efficiency, Paulisa Janel Scarlett
Risk Management Strategies For Project Efficiency, Paulisa Janel Scarlett
Walden Dissertations and Doctoral Studies
Ineffective risk management strategies negatively impact organizational leaders due to potential project failures, financial losses, and diminished stakeholder trust. Grounded in general systems theory, this qualitative pragmatic inquiry was to explore senior project managers’ risk management strategies for enhancing project outcomes, efficiency, and profitability. Nine senior project managers from construction, software development, marketing, mechanical engineering, and automotive manufacturing, all overseeing complex, high-risk projects, participated in the study. Data were collected through semistructured interviews, organizational reports, and project documents. Thematic analysis, using Braun and Clarke’s six-step process, was employed to identify patterns aligned with the research questions. Five major themes emerged: …
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Walden Dissertations and Doctoral Studies
Neonatal readmissions remain a significant challenge in urban acute care hospitals serving indigent preterm infants. These readmissions impose substantial financial burdens, with high-cost conditions such as bronchopulmonary dysplasia, necrotizing enterocolitis, and retinopathy of prematurity driving recurring expenditures. This integrative review examined strategies that healthcare administrators can implement to reduce neonatal readmissions, improve care equity, and optimize healthcare spending in hospitals serving vulnerable populations in the Commonwealth of Virginia. A comprehensive literature search of empirical and non-empirical studies yielded 105 results for quality assessment using the Johns Hopkins appraisal tools. A total of 29 were included for thematic analysis. Five main …
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.
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
Walden Dissertations and Doctoral Studies
Community health worker (CHW) programs are an increasingly important strategy for addressing social determinants of health (SDOH) within Medicaid systems. However, evidence on how specific SDOH impact healthcare utilization remains limited. In this quantitative, correlational study, the relationship between SDOH factors like housing instability, food insecurity, and transportation barriers, and primary care utilization among adult Medicaid recipients aged 18–65 who participated in a Medicaid managed care organization’s CHW program in Clark County, Nevada, during 2023 were examined. Retrospective administrative data from 441 participants were analyzed using negative binomial regression to assess associations between SDOH factors and postintervention primary care visits …
Assessing The Appropriateness Of Mental Health Patients For Telehealth Care, Jacquelyn Hamed
Assessing The Appropriateness Of Mental Health Patients For Telehealth Care, Jacquelyn Hamed
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project developed an evidence-based clinical practice guideline (CPG) to address the inconsistent selection of patients for telepsychiatry services. Using the Johns Hopkins evidence-based practice model and evaluated through the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument, the project translated research findings into a practical tool for improving clinical decision-making. Telepsychiatry has been shown to produce outcomes comparable to in-person care for mild to moderate psychiatric conditions. However, without clear criteria, some patients with complex or high-acuity disorders are inappropriately scheduled for virtual visits, posing safety and quality risks. The CPG …
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. …
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Walden Dissertations and Doctoral Studies
Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …
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 …
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Walden Dissertations and Doctoral Studies
Ineffective regulatory strategies can lead to reduced financial stability. Nursing home leaders who wrestle to improve regulatory practices may find their business facing reduced financial sustainability. Grounded in management by objectives theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies nursing home leaders used to implement regulatory compliance practices that increase financial sustainability. The participants were nine nursing home leaders who had successfully implemented regulatory compliance strategies within their organizations. Data was collected through semistructured interviews, public websites, and current and archival public documents. Through thematic analysis, three themes were identified: …
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 …
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 …
Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel
Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a staff education initiative to address polypharmacy and increase medication adherence among older adults in a primary care setting. Polypharmacy is a prevalent and significant safety concern in older adults, increasing the risk for adverse drug events, medication nonadherence, hospitalizations, and decreased quality of life. The purpose of the project was to implement and evaluate a structured staff education focused on evidence-based strategies for medication review, deprescribing, and the integration of smartphone-based adherence tools. The practice-focused question guiding this project was as follows: Will an evidence-based staff education program focused on polypharmacy …
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 …
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 …
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) quality improvement project addressed the ongoing issue of workplace violence (WPV) among medical-surgical nurses in an acute care setting. WPV poses significant risks to staff safety, psychological well-being, and the overall care environment. Guided by current evidence and professional guidelines, the project implemented a structured educational intervention focused on the Workplace Violence Reduction Bundle, incorporating the Broset Violence Checklist (BVC) and evidence-based de-escalation strategies. Medical-surgical nursing staff participated in tailored educational sessions; knowledge was assessed through pre- and post-intervention surveys, and program acceptability was evaluated through staff feedback. Data analysis revealed modest improvements in …
Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt
Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt
Walden Dissertations and Doctoral Studies
A lack of physician engagement in healthcare reform initiatives is a persistent problem that can negatively affect hospital performance and patient care outcomes. Hospital leaders and healthcare administrators are concerned with low levels of physician engagement because of its association with reduced organizational effectiveness and quality of care. Grounded in the distributed leadership framework, the purpose of this qualitative single case study was to explore strategies hospital leaders used to engage physicians in reforming administrative policies and processes to improve patient service delivery. Semistructured interviews were conducted with five hospital leaders from one hospital in the southeastern United States who …
Improving Blood Pressure Control In Home Care Patients Through Implementation Of Acc/Aha Hypertension Guidelines And Structured Blood Pressure Monitoring, Farrah Lynn Yuille
Improving Blood Pressure Control In Home Care Patients Through Implementation Of Acc/Aha Hypertension Guidelines And Structured Blood Pressure Monitoring, Farrah Lynn Yuille
Walden Dissertations and Doctoral Studies
This clinical practice guideline addressed the practice problem of the lack of standardized and consistent hypertension management in the home setting. Addressing this practice problem is important within nursing practice, as uncontrolled blood pressure increased the risk of hospitalizations, emergency department visits, and long-term cardiovascular complications. The practice question focused on translating evidence-based hypertension guidelines into clinical practice and evaluating their impact on patient outcomes in the home care setting. The purpose of the project was to engage three voluntary participants in evaluating the clinical practice guideline per the American College of Cardiology and American Heart Association hypertension guidelines within …