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Articles 1471 - 1500 of 18118
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Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Walden Dissertations and Doctoral Studies
The current study was administered in order to examine Oklahoman social workers’ perception of collaborating with police officers to foster community trust. The goal was to determine whether the collaboration amongst social and police officer fostered trust when collaborating during services calls. The theory of planned behavior and policing (TPBP) studied by Ishoy and giving credit to Ajzen’s were the foundational theory used to support this study. Collaboration among social workers and police officers can foster community trust and benefit both parties. Such collaboration could also lead to joint training and education, as well as alleviating public fears and misconceptions. …
Employee Perception Of Administrator Leadership Behaviors In Southeastern U.S. Hospitals That May Contribute To Employee Turnover, Kim Steele
Walden Dissertations and Doctoral Studies
Given the increasing significance of employee turnover, administrative leadership in U.S. Southeastern hospitals stands at a critical turning point. The specific research problem is that leadership behaviors may create an intolerable environment for employees, leading to an intent to leave and turnover. The purpose of this descriptive phenomenological study was to explore administrative leadership behaviors that contribute to employee turnover, with a specific focus on leadership behaviors in U.S. Southeastern hospitals. The conceptual framework included grounded theory, which examines underlying social processes, and behavioral theory, focusing on leadership practices and behavior change. Fifteen administrative employees, four men and 11 women, …
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that grades 6-12 principals and assistant principals are unprepared to support teachers’ planning and implementation of standards-based learning in classrooms at mid-size rural school districts in a single midwestern state. Grounded in Senge’s five disciplines of a learning organization, the purpose of this study was to examine grades 6-12 principals’ and assistant principals’ experiences and challenges, the resources needed, and the perceived influence of their leadership in the implementation of standards-based learning in content-area classrooms at the study sites. For this basic qualitative study, semistructured interviews were conducted with 11 principals and two …
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Walden Dissertations and Doctoral Studies
Delays and inefficiencies in the hiring process can significantly hinder production and create instability within the manufacturing workforce. This, in turn, has a negative effect on employee well-being and the overall effectiveness of the organization. The purpose of this qualitative research project, grounded in the Job Demands-Resources model, was to explore successful strategies hiring managers use to address hiring inefficiencies. The study was guided by a pragmatic inquiry design and included semistructured interviews with six hiring managers in the manufacturing sector who held responsibilities related to hiring. Data were analyzed using thematic analysis following Braun and Clarke’s six-step framework. Data …
Improving Healthcare Providers’ Knowledge On Heart Failure Self-Care Management, Linda Nkeiruka Ukwu
Improving Healthcare Providers’ Knowledge On Heart Failure Self-Care Management, Linda Nkeiruka Ukwu
Walden Dissertations and Doctoral Studies
N/A
Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Walden Dissertations and Doctoral Studies
Emergency department (ED) overcrowding has become an increasingly critical issue for the healthcare system of Puerto Rico, resulting in delayed care and increased patient morbidity, among other challenges faced by hospital leaders and administrators. This paper explores evidence-based strategies tailored to the Puerto Rican healthcare context to alleviate ED overcrowding. An integrative review of literature published between 2020 and 2025 was conducted. For this review, 15 articles were selected and appraised using the Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals. The strategies gleaned from the literature comprised six themes and 21 subthemes, centered on two major outcomes: …
Implementing A System- Wide Program To Reduce Burnout Among Healthcare Providers, Caroline Njeri Munene
Implementing A System- Wide Program To Reduce Burnout Among Healthcare Providers, Caroline Njeri Munene
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addresses the pervasive health issue of burnout among healthcare providers, focusing on a community mental health clinic where internal data revealed high levels of staff turnover, absenteeism, medication errors, financial constraints, poor patient outcomes, and low staff satisfaction. Shortage of healthcare providers, exposure to patient trauma, high emotional demands, and administrative burdens are the systemic stressors of burnout at the project site mental health facility. These factors collectively underscored the need for a system-wide burnout reduction program to safeguard provider well-being and ensure the delivery of high-quality patient care and safety.
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Walden Dissertations and Doctoral Studies
African American males encounter more severe penalties, academic under-performance, and lower graduation rates compared to their Caucasian male counterparts. Numerous studies have delved into and elucidated the schooling experiences of African American male students from various perspectives, encompassing cultural, structural, racial, community, family, and school viewpoints. However, there remains a scarcity of voices documenting the experiences of African American males who have successfully completed high school in urban settings. The purpose of this descriptive qualitative study was to examine the schooling experiences of African American males who graduated from high schools located in urban settings. The Critical Race Theory and …
Staff Education To Improve Phq-9 Depression Screening And Management In Primary Care, Elizabeth Ezeamaka
Staff Education To Improve Phq-9 Depression Screening And Management In Primary Care, Elizabeth Ezeamaka
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project aimed to improve staff knowledge and enhance the consistency in administering and interpreting the Patient Health Questionnaire-9 (PHQ-9) within a mental health clinical setting. The practice problem was significant because variability in PHQ-9 use resulted in unreliable depression screening data, potentially leading to missed detection of depression or suicidal ideation, which undermines patient safety and quality of care. The guiding practice-focused question was: Among healthcare staff administering the PHQ-9, what effect does an educational program have on their knowledge related to the administration, documentation, and interpretation of depression screening? The purpose of …
Executive Summary: Quality Improvement Initiative Enhancing Early Identification Of Adolescent Depression And Anxiety, Delphine Sirri
Executive Summary: Quality Improvement Initiative Enhancing Early Identification Of Adolescent Depression And Anxiety, Delphine Sirri
Walden Dissertations and Doctoral Studies
Universal staff training to increase the validity and reliability of adolescent mental health screening was implemented in this quality improvement (QI) initiative. Depression and anxiety disorders often emerge between ages 12 and 17, yet evidence-based screening measures such as the Patient Health Questionnaire (PHQ-9/PHQ-9M) and Generalized Anxiety Disorder (GAD-7) are underutilized due to provider knowledge gaps, workflow inefficiencies, and cultural barriers. Guided by the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, the project evaluated whether structured staff education improved early identification and diagnosis of adolescent depression and anxiety compared to routine practice. In workshops, web-based learning modules, case simulations, and …
Supports And Barriers Experienced By African American Men Aspiring To Become Elementary School Principals, Douglas Handy
Supports And Barriers Experienced By African American Men Aspiring To Become Elementary School Principals, Douglas Handy
Walden Dissertations and Doctoral Studies
African American male elementary school principals are rare in diverse public school settings across the United States. The problem investigated was the limited awareness of how African American male elementary principal aspirants experience and understand supports and barriers related to becoming a principal. Guided by Hallinger and Murphy’s instructional leadership theory, the purpose of this basic qualitative study was to explore how African American male elementary school principal aspirants understand the supports and barriers to becoming principals. Data were collected using semistructured interviews with nine participants from a school district in the mid-Atlantic region who were state-certified and had been …
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Walden Dissertations and Doctoral Studies
Summary This doctoral, practice-focused quality improvement project used a mixed-methods design to evaluate the usability, acceptability, and clinical integration of a nutrition screening tool in a mental health outpatient clinic. The project addresses a key practice gap, the lack of evaluation of the implementation of a systematic nutrition screening for individuals with severe mental illness (SMI), which contributes to worsening psychiatric symptoms and delayed recovery. Aligning with nursing’s holistic and patient-centered framework, the initiative aimed to strengthen interprofessional collaboration and preventive care. The guiding practice-focused questions addressed: How usable and acceptable is the clinical practice guideline (CPG) tool among clinic …
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Walden Dissertations and Doctoral Studies
Despite increasing attention to public service motivation (PSM) in organizational research, there is a notable absence of studies examining the experiences of women in military contexts, particularly within the United States Coast Guard (USCG). This generic qualitative study, grounded in PSM theory, explored why junior-level women in the USCG prematurely exited military service. While existing research on PSM and women is limited and none specifically focused on women in the USCG, this study addressed that gap by interviewing 16 junior-level women who had separated from the USCG between four and eight years prior. The purpose of the study was to …
Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison
Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison
Walden Dissertations and Doctoral Studies
Teachers serving U.S. military-connected students (MCS) overseas regularly address student trauma in the classroom that stems from relocation and separation events due to parents’ or guardians’ military service. The problem addressed in this study was that Grade K–5 teachers struggle to support overseas who experience trauma. The purpose of this basic qualitative study was to explore Grade K–5 teachers’ perceptions of the challenges to support MCS overseas who have experienced trauma. The study was guided by three principles from Soma and Allen’s trauma informed model, which emphasizes understanding trauma as an experience, prioritizing social and emotional skill development, and supporting …
Staff Education To Improve Provider Knowledge On Antibiotic Prescribing, Jessica Nicole Jaimez
Staff Education To Improve Provider Knowledge On Antibiotic Prescribing, Jessica Nicole Jaimez
Walden Dissertations and Doctoral Studies
Summary This Doctor of Nursing Practice (DNP) staff education project addressed a gap in guideline-based antibiotic prescribing among advanced practice registered nurses (APRNs) in an urgent care setting. The practice problem identified at the local project site was inconsistent adherence to Centers of Disease Control and Prevention (CDC) outpatient stewardship expectations, resulting in unnecessary antibiotic use for viral conditions and contributing to antimicrobial resistance. The practice-focused question for this project was as follows: In urgent care APRNs, does implementing a staff education program on guideline-based antibiotic prescribing improve provider-reported knowledge on antibiotic prescribing use? The purpose of this doctoral project …
U.S. Government Software Development Entity Implements A Hybrid Of Waterfall And Agile To Address Failures, Dwight Jerome Peters Jr.
U.S. Government Software Development Entity Implements A Hybrid Of Waterfall And Agile To Address Failures, Dwight Jerome Peters Jr.
Walden Dissertations and Doctoral Studies
Although organizations allocate substantial resources to software development process initiatives, a significant portion of these projects fail. The U.S. government software development leaders and managers need to understand the disadvantages of both waterfall and agile methodologies as leading indicators of project failure. Grounded in the diffusion of innovation theory, the purpose of this qualitative case study was to explore the consequences in government software development fostered by a hybrid approach of waterfall and agile methodologies pertaining to the inherent shortcomings of each methodology. The participants consisted of four current and four former team members from the U.S. government software development …
Depression Screening In Veterans And Active-Duty Service Members With Chronic Pain, Lynelle Marie Endsley
Depression Screening In Veterans And Active-Duty Service Members With Chronic Pain, Lynelle Marie Endsley
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the absence of evidence-based depression screening among military members and veterans with chronic pain. Contrary to national guidelines, no standardized depression screening process was in place. This gap in practice was attributed to inadequate staff knowledge and understanding in using such tools. The purpose of this project was to evaluate whether staff education on the Patient Health Questionnaire-9 (PHQ-9) improved knowledge and confidence, in evaluating for and identifying depression in a high-risk population. The practice-focused question asked: Will staff education on the importance and consistent use PHQ-9 increase knowledge and confidence in depression …
Experiences Of Child Welfare Workers In Ohio Serving Justice-Involved Youth Who Exhibit Aggressive Behaviors, Charnella Boykins
Experiences Of Child Welfare Workers In Ohio Serving Justice-Involved Youth Who Exhibit Aggressive Behaviors, Charnella Boykins
Walden Dissertations and Doctoral Studies
Social workers with high work demands and low resources are likely to experience burnout. The specific social work practice-focused research problems that were addressed in this project were job demands, available resources, and perceptions of burnout in child welfare social workers. The focus was on burnout in social work practice from the perspectives of child welfare social workers providing services to justice-involved children with aggressive behaviors. The practice-focused research questions for this project concerned the participants’ descriptions of job demands and employer-provided resources and their feelings of burnout when working with justice-involved youth who have aggressive behaviors. Bakker and Demerouti’s …
Executive Leadership System Improvement: System- Level Program To Improve Care For Type-Ii Diabetic Patients, Jane Chukwura
Executive Leadership System Improvement: System- Level Program To Improve Care For Type-Ii Diabetic Patients, Jane Chukwura
Walden Dissertations and Doctoral Studies
The DNP Scholarly Project presents the Diabetes Interprofessional Management Program, an organization-wide, logic-model–driven initiative to improve glycemic control, empower self-management, and advance health equity for adults with type II diabetes. The project leverages an interprofessional team, targeted training, culturally tailored education, health technology tools, and community partnerships to translate resources into team-based care, personalized plans, self-management support, and continuous education, with outputs including trained staff, engaged patients, and standardized care protocols. Short-term outcomes center on reduced mean HbA1c, more patients achieving HbA1c <7%, and widespread adoption of evidence-based pathways with standardized testing cadences. Long-term outcomes focus on fewer complications, higher patient satisfaction, and reduced disparities through the expansion of Diabetes Self-Management Education (DSME) and culturally appropriate resources, underpinned by robust data governance. The evaluation and implementation plan measures clinical outcomes, patient experience, and equity over 0–24 months, using formative metrics (workflow deployment, training, testing timeliness, DSME referrals, portal use) and summative metrics (HbA1c changes, HbA1c <7% at 12 months, hospitalizations, complications, knowledge and quality of life, equity indicators, and ROI). Governance features a Data Steering Subcommittee and quarterly dashboards. Deliverables include standardized protocols, DSME curricula, EHR workflows, training, and a scalable, sustainable model for broader deployment.
Evaluating The Compliance Of A Patient-Centered Daily Care Plan In An Acute Care Setting, Abigale Tzu
Evaluating The Compliance Of A Patient-Centered Daily Care Plan In An Acute Care Setting, Abigale Tzu
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) quality improvement evaluation project addressed inconsistent use of the Patient-Centered Daily Care Plan at a local acute care hospital. The problem was a gap in compliance with California Title 22 requirements, creating risk for survey deficiencies and limiting interdisciplinary communication. The purpose of this project was to evaluate whether the revised daily care plan improved individualized documentation and organizational compliance. De-identified aggregate data from pre-implementation (August–October 2023) and post-implementation (June–August 2024) periods were analyzed descriptively. Results showed a meaningful improvement in checklist completion, with compliance increasing from 94.8% to 97.3%. These findings demonstrated stronger …
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice (DNP) project, I created a staff education initiative aimed at enhancing nurses’ understanding of heart failure (HF) and clarifying their role within clinical pathways for managing decompensated HF. HF is a common and complex condition, accounting for 1-2% of hospital admissions. In response to the rising 30-day readmission rate and lack of a standardized discharge protocol, an evidence-based staff education program was developed. According to the “ACC/AHA/HFSA 2022 HF guidelines”, effective prevention and management require nurses to understand causes, risk factors, and pathophysiology of HF, along with their role in patient-centered care. Nurses routinely …
Staff Education To Improve Staff Knowledge On Self-Care Management Of Hypertension, Zainab Kebbie Turay
Staff Education To Improve Staff Knowledge On Self-Care Management Of Hypertension, Zainab Kebbie Turay
Walden Dissertations and Doctoral Studies
Summary This DNP staff education project focused on improving staff knowledge on self-care management of hypertension. The overarching patient care problem at the project site was uncontrolled hypertension among adult patients with lack of staff knowledge and confidence in delivering related patient education. Addressing uncontrolled hypertension is vital within nursing practice due to its impact on public health and the opportunity for a nurse-led evidence-based intervention to improve patient outcomes. The practice-focused question for this project was: “In adults with uncontrolled hypertension, does staff education program on hypertension self-care management improve staff knowledge on how to educate patients on self-care …
Development Of An Evidence-Based Clinical Practice Guideline For A Comprehensive Care Partner Program For Postpartum Women, Abibat Yusuff
Development Of An Evidence-Based Clinical Practice Guideline For A Comprehensive Care Partner Program For Postpartum Women, Abibat Yusuff
Walden Dissertations and Doctoral Studies
This doctoral project focuses on the development of a clinical practice guideline (CPG) aimed at addressing a critical gap in postpartum care, particularly postpartum depression (PPD), inconsistent follow-up, and low breastfeeding continuation rates, which disproportionately affect African American women and other underserved populations. These gaps contribute to preventable morbidity, poor maternal experiences, and health inequities, making this issue a priority for nursing and public health. The guiding practice-focused question asked if an interdisciplinary team would achieve consensus on a clinical practice guideline for the development of a comprehensive care partner program for postpartum women. Analytical strategies included a systematic evidence …
Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Walden Dissertations and Doctoral Studies
The Ministry of Education in Guyana has focused on improving primary students’ performance in mathematics; however, low student performance persists. The problem addressed in this study was the limited understanding of how Guyanese primary teachers used the national professional development policies (NPDP) to address the low performance of students on the Math National Grade 6 Assessment (MNGSA). Grounded in Bandura’s social cognitive theory and Senge’s systems thinking theory, the purpose of this study was to explore Guyanese primary teachers’ perceptions of their successes and challenges using the NPDP to address the low performance of students on the MNGSA. For this …
Development Of An Evidence-Based Educational Intervention To Advance Nurse Knowledge In Comprehensive Care Of Patients With Congestive Heart Failure, Jessica Smith
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project was a staff education intervention to increase nursing staff knowledge. Congestive heart failure (CHF) remains one of the leading causes of hospitalizations and has the highest readmission rates within 30 days of a previous admission. Consistent evidence reveals improving nursing knowledge reduces complications, improves self-management support, lowers readmission rates in this particular patient population. The DNP project was developed as a staff education intervention and focused on 30 nurses working on a telemetry unit in an acute care hospital. The project question was whether an educational intervention would increase general nursing knowledge caring …
Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey
Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey
Walden Dissertations and Doctoral Studies
Employee resistance to organizational change reflects significant challenges for healthcare organizations. Healthcare leaders are concerned with employee resistance as it negatively influences patient care outcomes. Grounded in Lewin’s three-stage change model, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies healthcare leaders used to manage employee resistance during organizational change. Six healthcare leaders participated, each of whom had successfully implemented change initiatives while minimizing resistance. Data were collected through semistructured interviews and publicly available documents. Through thematic analysis, three themes emerged: (a) transparent communication and employee involvement, (b) supportive leadership behavior and emotional intelligence, …
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Walden Dissertations and Doctoral Studies
Underutilizing trauma-informed approaches in correctional rehabilitation has had detrimental consequences, particularly for gang-involved populations. Theories of personality, responsivity, and stress suggest that gang-affiliated individuals, shaped by coercive environments, may develop psychological reactions such as fear, guilt, and moral shame that contribute to posttraumatic stress disorder (PTSD) and moral injury (MI). This study examined whether gang role, psychopathy, and perpetration predicted PTSD and MI among 70 incarcerated adult males. Participants completed the Moral Injury Outcome Scale (MIOS), the PTSD Checklist for DSM-5 (PCL-5), and the Levenson Self-Report Psychopathy Scale (LSRP). Two hierarchical regressions were conducted. In the PTSD model, only education …
Developing A Clinical Practice Guideline For Screening Patients With Generalized Anxiety Disorder, Ijeoma Christiana Onyeagocha
Developing A Clinical Practice Guideline For Screening Patients With Generalized Anxiety Disorder, Ijeoma Christiana Onyeagocha
Walden Dissertations and Doctoral Studies
No Abstract Available
Staff Education To Improve Medicare Lung Cancer Screening And Processes, Ashley Mccammon
Staff Education To Improve Medicare Lung Cancer Screening And Processes, Ashley Mccammon
Walden Dissertations and Doctoral Studies
The doctoral project was a staff education initiative to address underutilization of low-dose computed tomography (LDCT) lung cancer screening among Medicare-eligible patients at the project site. Lung cancer is the leading cause of cancer death, and LDCT screening reduces mortality by up to 20%. Internal data from the project site revealed that only 20.13% of eligible patients completed screening, underscoring the need for structured staff education to improve knowledge and support early detection. The practice focused question asked: Will a staff education on Medicare LDCT screening and processes increase staff knowledge towards the ultimate goal of increasing LDCT screening rates? …
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Walden Dissertations and Doctoral Studies
Critical food safety violations in food facilities are severe infractions that may affect the quality and safety of foods as well as the health and wellbeing of consumers in Canada. In 2023, Alberta Health Services heightened scrutiny on these violations in Calgary. However, no investigation has been undertaken to document its potential effects on types and trend (from the previous year) of food safety violations in food facilities across Calgary regions. The purpose of this quantitative study was to examine the associations between Calgary regions of Canada, Year (2022 versus 2023), and the number of types of critical food safety …