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Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate May 2025

Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate

Walden Dissertations and Doctoral Studies

Students with mild to moderate exceptionalities often do not receive adequate instruction in self-advocacy skills during their elementary or middle school years. The specific problem addressed in this study was that many teachers at the research setting are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Grounded by the theory of self-advocacy, the purpose of this basic qualitative study was to explore the strategies used and the barriers faced by teachers who are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Four elementary and five middle …

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Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh May 2025

Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh

Walden Dissertations and Doctoral Studies

Using national cross-sectional data sets and explanatory variables from CMS, the purpose of this study was to analyze identified adolescents on Medicaid from 2019 to 2021, to determine the interaction of length of stay (LOS) on the frequency of unplanned 30-day readmissions. Students with mental disorders are the most susceptible population during enrollment in healthcare facilities, which is why LOS and readmissions represent one of the most critical points in supporting these learners. This study established the association between LOS and the increased proportion of 30-day readmissions among consumers under Medicaid with mental health conditions in the adolescence stage. To …

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Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy May 2025

Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy

Walden Dissertations and Doctoral Studies

According to recent studies, Asian American history has been misrepresented or omitted from the overall narrative of American history in standards, textbooks, and curricula. The problem was that Asian American Pacific Islander (AAPI) perspectives were missing and underrepresented in the middle school social studies curriculum in Wisconsin. Framed by Ladson-Billings’ culturally responsive pedagogy (CRP), the purpose of this basic qualitative study was to explore how middle school social studies teachers integrated the voices of AAPI identities into the curriculum. The research questions probed how middle school teachers met state statutes on including multicultural voices and how they included AAPI perspectives …

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Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane May 2025

Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane

Walden Dissertations and Doctoral Studies

This doctoral project is a staff education initiative designed to address the lack of knowledge on how to use and interpret the Patient Health Questionnaire (PHQ-9) tool. The practice problem highlights a knowledge gap, leading to the underutilization of the PHQ-9 tool for depression screening. This underutilization hinders timely diagnosis and effective management, presenting a significant challenge to achieving optimal patient outcomes. The project explores the question: Will implementing a staff education program on the use and interpretation of the PHQ-9 tool improve staff knowledge? The project was designed to enhance staff knowledge in utilizing and interpreting the PHQ-9 tool …

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A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson May 2025

A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson

Walden Dissertations and Doctoral Studies

The practice problem this DNP project addressed was the lack of a of consensus for a brief cognitive screening (BCS) tool that can be most predictive of mild cognitive disorder (MCI) and dementia in a Veteran Affairs (VA) outpatient clinic. Addressing this gap in practice is important because the veteran population may be at increased risk of MCI and dementia due to age, a history of traumatic brain injury, and posttraumatic stress disorder. This DNP project was a systematic review of the literature. A population, exposure, outcome (PEO) framework and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) theory guided …

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Clinical Practice Patient Education Guideline For Patients With Substance Use Disorders, Josephine Nandzo May 2025

Clinical Practice Patient Education Guideline For Patients With Substance Use Disorders, Josephine Nandzo

Walden Dissertations and Doctoral Studies

The Veteran’s hospital for which this DNP clinical practice patient education guideline (CPPEG) was developed has made strides in addressing the needs of patients with substance use disorders (SUDs). However, the problem identified for this project was the need for veterans with SUDs to obtain information about resources available in the hospital, community, or state to manage their recovery. The project question was as follows: Will a CPPEG on resources for patients with SUDs meet the optimal threshold of 7 on the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument? The purpose was to plan, implement, and evaluate …

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Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard May 2025

Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard

Walden Dissertations and Doctoral Studies

The underutilization of AI in Texas state courtrooms challenges judicial efficiency, fairness, and transparency. Despite AI’s potential to enhance evidence management and decision-making, its adoption remains limited. Legal professionals and information technology (IT) managers stress the need for strategies to address these barriers and promote equitable justice. The purpose of this qualitative multiple-case study, which was grounded in the technology acceptance model, diffusion of innovation theory, and unified theory of acceptance and use of technology, was to explore strategies IT managers use to implement AI in criminal justice information systems. Semi-structured interviews and organizational documents provided data for thematic analysis, …

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Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda May 2025

Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda

Walden Dissertations and Doctoral Studies

Dementia is a chronic neurodegenerative disease that is incurable and unpredictable. Patients with dementia experience a decline in functional abilities, communication, and social skills. Fifty-five million people worldwide live with dementia with over 6.9 million people over 65 years of age diagnosed in the United States. The practice problem identified by a 25-bed assisted living facility in the north-central United States was staff’s lack of knowledge of dementia diagnosis, person-centered care approaches, and optimal care strategies supporting a positive quality of life for patients with dementia. The practice-focused question addressed whether an education program consisting of evidence-based practices using the …

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Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique May 2025

Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique

Walden Dissertations and Doctoral Studies

Teacher retention has long been an area of study, as schools struggle with high teacher turnover, adversely affecting students’ quality of education. Researchers have demonstrated that low scores on evaluations and low salary adversely affect general education teacher retention, but there is little literature on how these variables influence teachers in online alternative learning environments (ALEs). The problem addressed in this study was low teacher retention, leading to a shortage of teachers. Guided by Ryan and Deci’s self-determination theory, the purpose of this quantitative, correlational, nonexperimental study was to examine the relationship between teacher performance evaluation outcomes, salary, and retention …

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Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray May 2025

Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray

Walden Dissertations and Doctoral Studies

Suicide represents a major public health and educational concern and presents profound emotional and professional challenges for school counselors. This transcendental phenomenological study explored the lived experiences of nine certified school counselors of color who had experienced the death of a student by suicide while employed in K–12 educational settings. With this research, I sought to answer the question: What are the lived experiences of school counselors of color who have had a student die by suicide? Guided by Moustakas’ transcendental phenomenological framework, this study employed bracketing to set aside researcher bias and uncover the essence of participants lived experiences …

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Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow May 2025

Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow

Walden Dissertations and Doctoral Studies

While there is no single solution to responding to active threats and targeted acts of violence, strategies such as awareness, preparedness through threat assessment practices, and education are the keys to prevention. Threat assessment practices and mandates are widely used in university and K-12 educational environments and have successfully prevented these acts. However, research up until this point seemed to indicate that local municipal police departments were slow to adopt these practices. As a result, communities suffer through targeted acts of violence, senseless tragedies, and untimely deaths of innocent victims. The purpose of this qualitative study was to explore how …

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Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher May 2025

Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher

Walden Dissertations and Doctoral Studies

Adolescent completion of pertussis-containing vaccines is a public health concern, especially with rising online anti-vaccine misinformation. Incomplete vaccination increases risk for preventable diseases and impacts community health. A gap in the literature on the relationship between online anti-vaccine search trends during the COVID-19 pandemic and adolescent pertussis vaccine completion was addressed in this quantitative, repeated cross-sectional study. Andersen’s behavioral model of health services use guided the study. Secondary data from the 2019 and 2022 National Immunization Survey-Teen (NIS-Teen) compared adolescents aged 13–17 in the five U.S. states with the highest (n=5,464) versus the five with the lowest (n=3.031) population-adjusted anti-vaccine …

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Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul May 2025

Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul

Walden Dissertations and Doctoral Studies

This project’s aim was to educate staff on physical activity (PA) as a therapeutic option for anxiety and depression to relieve psychotic symptoms, enhancing patients’ quality of life. PA enhances cognitive functioning, reduces anxiety and depression, and decreases the risk of cardiovascular conditions and early death. Patients with severe mental illnesses face barriers to PA and exercise, so providers and policymakers must create an environment that encourages participation. A knowledge gap for staff exists in promoting PA in mental health patients. Healthcare professionals should recommend the right amount of PA for each patient. This initiative aims to increase staff confidence …

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Leadership Perspectives On Clinical Staff Turnover In A Behavioral Health Organization, Carla Evans May 2025

Leadership Perspectives On Clinical Staff Turnover In A Behavioral Health Organization, Carla Evans

Walden Dissertations and Doctoral Studies

Clinical staff turnover is a persistent challenge within behavioral health organizations (BHOs), impacting service continuity, staff morale, and client outcomes. The purpose of the case study was to understand the perspectives of behavioral health leaders (BHLs) regarding clinical staff turnover and their adaptive strategies and approaches to sustaining organizational continuity. The study was grounded in the Baldrige Excellence Framework criteria to examine leadership practices, core values of visionary leadership, workforce engagement, agility, and operational sustainability. Data were collected from semi-structured interviews with BHLs and administrative data from a BHO located on the U.S. East Coast. Thematic analysis involved identifying patterns …

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Strategic Practices Of Muslim-Led Nonprofits Operating Successfully Beyond 4 Years, Tayyab Yunus May 2025

Strategic Practices Of Muslim-Led Nonprofits Operating Successfully Beyond 4 Years, Tayyab Yunus

Walden Dissertations and Doctoral Studies

Muslim-led nonprofit organizations experience high levels of organizational failure during the startup phase, often failing to operate beyond 4 years of existence. Muslim nonprofit founders, funders, and community leaders are concerned with this lack of sustainability, often attributed to strategic planning and talent management missteps. Grounded in the entrepreneurial value creation theory, this qualitative pragmatic inquiry explored strategies successful Muslim-led nonprofit organizations used to sustain operations beyond 4 years. Data collection occurred through semistructured interviews with six expert consultants who have supported Muslim-led nonprofits operating across the United States. Data were triangulated with publicly accessible U.S. Muslim-led nonprofit website data …

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Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson May 2025

Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson

Walden Dissertations and Doctoral Studies

Student homelessness is an issue affecting Polk County Public Schools in Central Florida. It is important to address this problem to equip teachers with the skills necessary to recognize its signs. The practice-focused questions included: How familiar are teachers with student homelessness, and what should be done to help those students? The purpose of this administrative study was to explore teachers’ awareness of student homelessness and identify strategies to support affected students. The conceptual design for this study was based on environmental scanning, needs assessment, and strategic planning. A survey was sent out through email to over 100 teachers at …

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Age, Race, Religious Commitment, And Fertility Quality Of Life, Dana L. Ward May 2025

Age, Race, Religious Commitment, And Fertility Quality Of Life, Dana L. Ward

Walden Dissertations and Doctoral Studies

Infertility is a major health issue that impacts an individual’s physical, social and mental well-being. Women who are childless due to infertility experience a reduced fertility quality of life. Quality of life is directly related to an individual’s overall well-being and happiness. Using family systems theory, this quantitative research study aimed to answer how age, race, and religious commitment influence the fertility quality of life in women aged 25 to 50 who are involuntarily childless due to infertility. Data were collected from 132 participants using a demographic survey, The Religious Commitment Inventory (RCI-10), and the Fertility Quality of Life Survey …

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Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus May 2025

Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus

Walden Dissertations and Doctoral Studies

The exponential growth of big data—characterized by high volume, velocity, and variety—has overwhelmed the capacity of traditional data warehouses, making it difficult to deliver timely and actionable insights. This problem is critical for IT professionals in large organizations, who face the absence of robust, evidence-based migration strategies and rely on efficient data infrastructure to maintain competitive performance and support strategic decision-making. Anchored in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic study was to explore strategies employed by large organizations to migrate data warehouses to data lakehouses. The study involved semistructured interviews with six IT professionals from California-based …

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Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King May 2025

Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King

Walden Dissertations and Doctoral Studies

Nursing facilities experienced heightened unfavorable outcomes related to quality of care and staffing patterns during the COVID-19 pandemic. The purpose of this quantitative, quasi-experimental, retrospective study was to determine if there was a relationship between nursing home administrator turnover, total nurse staffing (i.e., LPN, RN, and nurse aides) hours per resident per day, and the quality of care as measured by the Long Stay Quality Measure (LSQM) rating in Texas after the COVID-19 pandemic in 2023. The Donabedian model, using the elements of structure, process, and outcomes, served as the theoretical framework for this study. Structure was represented by the …

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Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales May 2025

Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales

Walden Dissertations and Doctoral Studies

The research problem for this study was that teachers are inconsistent in using inquiry-based instruction in secondary science classrooms. Guided by Vygotsky’s theory of constructivism, the purpose of this basic qualitative study was to explore teachers’ perspectives of the obstacles to implementing inquiry-based instruction in secondary science classrooms and what they believe will be needed to allow them to overcome these obstacles. Semistructured interviews were conducted with 10 certified, current Grade 8 to 12 teachers within the United States who had experience and familiarity with inquiry-based instruction. The data were analyzed through thematic analysis with open coding. The five themes …

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Vocational Education Leaders’ Perceptions Of Institutional Readiness For Online And Blended Learning, Gennette P. Clacken May 2025

Vocational Education Leaders’ Perceptions Of Institutional Readiness For Online And Blended Learning, Gennette P. Clacken

Walden Dissertations and Doctoral Studies

Recent studies highlight institutional readiness as critical to the successful adoption of online and blended learning (OBL) in higher education; however, limited research in Jamaican vocational institutions presents a risk of implementation failure and reduced return on investment for stakeholders. This basic qualitative study explored how institutional leaders in Jamaican vocational education institutions describe institutional readiness for OBL adoption and implementation. Grounded in facilitating conditions as a construct of the unified theory of acceptance and use of technology and guided by the blended learning adoption framework, the study focused on the readiness of institutional strategy, structure, and support. Semistructured interviews …

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Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard May 2025

Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard

Walden Dissertations and Doctoral Studies

End stage renal disease requires dietary education and behavior modifications to manage the condition. The purpose of this quantitative study was to investigate the role of rapport and trust between the patients and registered dietitians and its impact on self-efficacy. The study was implemented over 12 weeks in multi-site dialysis units in urban Georgia. The health belief model was used as the framework to explain the participants’ desire toward self-efficacy. Data were obtained for the 14-item Health Care Relationship Trust scale and the self-efficacy scales and analyzed using multiple linear regression. A convenience sample of 125 patients between the ages …

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Staff Education On Documentation For Hospice Registered Nurses, Sharon Spencer Cunningham May 2025

Staff Education On Documentation For Hospice Registered Nurses, Sharon Spencer Cunningham

Walden Dissertations and Doctoral Studies

Summary Documentation is a part of a daily task that all nurses undertake. Its purpose is to provide validation of care rendered to patients. In the hospice setting, nurses’ documentation is crucial, as it supports whether a patient qualifies to receive hospice services. If proper documentation is not recorded, patients can lose services and organizations can face a loss of revenue and potential fines. At a hospice organization in the Southeast United States, there was little emphasis of the importance of documentation that adheres to guidelines set by Centers for Medicare and Medicaid Services (CMS). Therefore, nurses’ documentation lacked the …

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Addressing Barriers In A Domestic Violence Program For Balkan American Women, Yasmina Isa Malas May 2025

Addressing Barriers In A Domestic Violence Program For Balkan American Women, Yasmina Isa Malas

Walden Dissertations and Doctoral Studies

The issue of domestic violence is a pressing concern, both globally and within specific communities, remaining a significant issue with unique implications for Balkan American women. It is important to understand the unique challenges faced by Balkan American women in accessing and benefiting from domestic violence support services and programs. The focus of this case study was a nonprofit behavioral health organization that serves a population of women who have experienced domestic violence abuse in the northeastern part of the United States. Grounded in the Baldrige Excellence Framework, the research investigated the strategies and initiatives of Organization X in reducing …

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Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny M. Sung May 2025

Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny M. Sung

Walden Dissertations and Doctoral Studies

Ineffective leadership characteristics hinder employee engagement in the financial industry, leading to negative organizational outcomes. The purpose of this quantitative, correlational, cross-sectional study was to examine the relationship between servant leaders’ humility, active listening, and trust-building for employee engagement in U.S. private financial organizations. The servant leadership theory of serving followers and the social exchange theory of reciprocity grounded this study. Using simple random sampling, the participants comprised 190 employees from private financial organizations in the United States. They completed the Servant Leadership Scale-7, Servant Leadership Assessment Instrument factors six and seven, hearing, understanding, remembering, interpreting, evaluating, and responding (HURIER) …

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Staff Educational Program On The Patient Health Questionnaire-9 Depression Screening Tool In A Psychiatric Outpatient Clinic, Chinwe Genevive Nwaigwe May 2025

Staff Educational Program On The Patient Health Questionnaire-9 Depression Screening Tool In A Psychiatric Outpatient Clinic, Chinwe Genevive Nwaigwe

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project focused on improving the knowledge and confidence of psychiatric outpatient clinic staff in administering and interpreting the Patient Health Questionnaire-9 (PHQ-9), a critical tool for depression screening. Given the high prevalence of depression and disparities in mental health care, inconsistent PHQ-9 use can lead to delayed diagnoses and unequal access to treatment. Addressing this gap is both a clinical priority and a matter of social justice. I delivered a 2-hour educational program for 17 staff members to improve screening practices. The session included a PowerPoint presentation, role playing, and an interactive …

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School Principals’ Perceptions Of Hiring School Counselors, Wendy Carol Vaughn May 2025

School Principals’ Perceptions Of Hiring School Counselors, Wendy Carol Vaughn

Walden Dissertations and Doctoral Studies

School principals are the primary hiring authorities in U.S. K-12 public schools when employing school counselors. Despite the expansion and diversification of schools’ qualifications, characteristics, and roles, there is a gap in knowledge about principals’ hiring perspectives, priorities, and specific criteria. These elements provide vital information for school counseling educational programs and organizational advocacy for hiring school counselors based on current standards and qualifications. The purpose of this hermeneutic phenomenological study was to understand the perceptions of school principals regarding the hiring of school counselors. Targeting the research question “What are the perceptions of principals interviewing and hiring school counselors …

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Public Policy And Homeless Youth In Kansas, Esther Abigail Andrew May 2025

Public Policy And Homeless Youth In Kansas, Esther Abigail Andrew

Walden Dissertations and Doctoral Studies

Youth homelessness rose in Johnson County, Kansas, by 37 percent, partly due to family conflict and socioeconomic challenges. The lack of guidance, social support, and resources can create a domino effect. While existing literature has examined youth homelessness at the national level and in other sub-national locations, the impact of federal and state policies related to homelessness among youth in Johnson County, Kansas, has not been explored. The purpose of this qualitative phenomenological study was to explore the perceptions and practices of administrators in homeless services who manage federal and state funding guided by public policies for homeless youth, based …

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Staff Education On Importance Of Medication Adherence For Patients Living With Schizophrenia, Sonia Obehi Okojie May 2025

Staff Education On Importance Of Medication Adherence For Patients Living With Schizophrenia, Sonia Obehi Okojie

Walden Dissertations and Doctoral Studies

This DNP project aimed to address the lack of staff knowledge regarding medication adherence in patients with schizophrenia to better support these patients and to address a critical organizational knowledge gap. Schizophrenia is a chronic illness that impacts quality of life and medication noncompliance, often causing relapses and hospitalization. Evidence has shown that medication compliance improves symptoms, reduces hospital visits, and leads to better overall disease outcomes. A review on the project site indicated a wide knowledge deficit for the staff on interventions to enhance compliance to medication regimens by schizophrenia patients. It is an important issue to address in …

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Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell May 2025

Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell

Walden Dissertations and Doctoral Studies

The successful application of core transformational leadership (CTL) in healthcare may enhance the quality of patient care and foster a positive and optimistic workforce. As such, CTL may be linked with job satisfaction (JS) and organizational citizenship behavior (OCB). There was a knowledge gap in understanding CTL’s relation to JS and OCB. In this quantitative study, the influence of the predictor variable CTL on the dependent variables JS and OCB was examined. Maslow’s hierarchy of needs provided a theoretical lens for the investigation. The secondary data set included data from 221 participants: 37 physicians, 111 nurses, and 73 other workforce …

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