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Articles 121 - 150 of 15517
Full-Text Articles in Entire DC Network
Implementation Of A Discharge Planning Protocol, Sylvia Ngwikooh Forku
Implementation Of A Discharge Planning Protocol, Sylvia Ngwikooh Forku
Walden Dissertations and Doctoral Studies
This doctoral project was a nursing led quality improvement initiative focused on standardizing discharge planning on an adult inpatient psychiatric unit. The goal of the project was to strengthen evidence-based, person-centered transitions of care to reduce readmissions and promote safer community reintegration for adults with serious mental illness. The practice focused question guiding this project was whether implementing an evidence based, standardized discharge planning protocol on an adult inpatient psychiatric unit would improve staff knowledge and adherence to best practice discharge elements and contribute to a favorable decrease in 30-day readmission rates. Analytical strategies included descriptive analysis of pre and …
Determinants Of Antenatal Care Utilization: A Community-Based, Cross-Sectional Study In Morang And Sunsari Districts, Eastern Nepal, Sunil Shah, Chandra Jha
Determinants Of Antenatal Care Utilization: A Community-Based, Cross-Sectional Study In Morang And Sunsari Districts, Eastern Nepal, Sunil Shah, Chandra Jha
Journal of Social, Behavioral, and Health Sciences
This study examined the factors influencing antenatal care (ANC) utilization in the eastern region of Nepal, focusing on the Morang and Sunsari districts, with the aim of identifying key determinants affecting ANC uptake and assessing the extent of ANC service utilization among mothers. Using lot quality assurance sampling, a community-based, descriptive, cross-sectional design was employed, surveying 164 mothers who had given birth within the previous 12 months; data were collected from June through November 2023. Data were collected through a semi-structured questionnaire and analyzed using SPSS, with descriptive statistics, chi-square tests, and logistic regression. Findings revealed that 80.5% of respondents …
Staff Education To Improve Confidence Of Triage Decision-Making In Hospice After-Hours Care, Kelly Hurst
Staff Education To Improve Confidence Of Triage Decision-Making In Hospice After-Hours Care, Kelly Hurst
Walden Dissertations and Doctoral Studies
A quality improvement project addressed variability in after-hours hospice telephone triage through implementation of structured communication and symptom-based decision-support tools. The practice-focused question examined hospice triage nurses’ perceived confidence following implementation of these tools. A descriptive quality improvement design was used. Five hospice triage nurses received education on the CALMER communication technique and symptom-specific decision-support guides for anxiety and dyspnea. Outcomes were evaluated through a postimplementation survey assessing confidence, tool utilization, intervention perceptions, and practice recommendations. Quantitative responses were summarized using descriptive statistics, and qualitative responses were reviewed for themes. All participants reported high baseline confidence in hospice telephone triage. …
Effective Strategies Human Resource Business Leaders Use To Decrease Employee Turnover, Dorothy Norton
Effective Strategies Human Resource Business Leaders Use To Decrease Employee Turnover, Dorothy Norton
Walden Dissertations and Doctoral Studies
Employee turnover continues to be a widespread organizational challenge because it increases recruitment and training costs, disrupts productivity, and negatively affects organizational performance and sustainability. The research problem was that some business leaders lack effective strategies to reduce employee turnover. The purpose of this qualitative pragmatic inquiry project was to explore strategies business leaders use to reduce employee turnover. Herzberg’s two-factor theory served as the conceptual framework for the study. The participants were six business leaders with responsibility for employee retention who successfully implemented employee retention strategies. Data were gathered through semistructured interviews and analyzed using Braun and Clarke’s reflexive …
Treatment Alternatives To Incarceration Program (Taip) Counselor’S Perceptions Of The Effectiveness Of Taip Within West Texas, Patricia Arenas
Treatment Alternatives To Incarceration Program (Taip) Counselor’S Perceptions Of The Effectiveness Of Taip Within West Texas, Patricia Arenas
Walden Dissertations and Doctoral Studies
Substance abuse remains a major challenge in the U.S. probation system, as recidivism persists despite specialized treatment programs such as the Treatment Alternatives to Incarceration Program (TAIP) available in Texas. This issue matters to policymakers, judges, community supervision officers, TAIP administrators, treatment providers, and local communities because decisions about funding, supervision, sanctions, coordination, and service delivery affect rehabilitation outcomes, public safety, and reoffending. This transcendental phenomenological study explored TAIP counselors’ perceptions of the program’s effectiveness in treating substance abuse offenders and reducing recidivism in West Texas. Guided by Husserl’s phenomenology, data were collected through semi structured interviews with four TAIP …
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Walden Dissertations and Doctoral Studies
Pulmonary hypertension (PH) is a progressive, life-limiting disease that significantly affects quality-of-life (QoL). Limited research has explored lived experiences of individuals with PH. Guided by Parse’s human becoming theory, this qualitative descriptive phenomenological study explored the lived experiences of individuals affected by PH and examined how activity-induced respiratory distress affected QoL. The research Question was: How do individuals with PH describe the impact of activity-induced respiratory distress on their QoL. I conducted interviews with nine participants, including eight adults diagnosed with PH and one caregiver of an individual with PH. Data were analyzed using Saldaña's comparative coding framework to identify …
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Walden Dissertations and Doctoral Studies
Early childhood teachers are often the first to observe behaviors that could be a result of trauma. The problem that was addressed in this study is that preschool teachers are not adequately trained to effectively address the social, emotional, and academic needs of children who have experienced trauma. Framed by Bandura’s theory of self-efficacy, the purpose of this basic qualitative study was to explore preschool teachers’ preparedness and training needs to effectively respond to children who have experienced trauma. Data were collected through semistructured interviews with 10 general education preschool teachers, who have at least 2 years of teaching experience. …
Understanding Relapse And The Correlation With Group Counseling Accountability, Attendance, And Attitudes, Willie Sanders
Understanding Relapse And The Correlation With Group Counseling Accountability, Attendance, And Attitudes, Willie Sanders
Walden Dissertations and Doctoral Studies
Substance abuse continues to create significant personal, family, and legal challenges, yet limited research exists on mandated clients receiving counseling within rural municipal court systems. Studying factors associated with relapse allows counselors and counselor educators to develop interventions to prevent relapse and improve treatment outcomes. The purpose of this quantitative study was to investigate the relationship between group counseling attributes of attendance, accountability, attitudes and the level of relapse rates among rural municipal court clients in Columbus, Mississippi, as measured by the DEF, Subtle, Face Valid Alcohol, Face Valid Other Drugs, and the OAT Scales of the SASSI-4 Assessment. Theoretical …
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Walden Dissertations and Doctoral Studies
The utilization of substance use disorder (SUD) screening tools at the practice site was inconsistent, contributing to limited identification and diagnosis of SUDs. The project was conducted at a psychiatric outpatient clinic in an urban region of Maryland that serves many patients with co-occurring mental health and substance use disorders. The purpose of the project was to develop, implement, and evaluate a staff education program focused on the Drug Abuse Screening Test (DAST-10). The primary goal was to improve staff knowledge and understanding of the DAST-10 screening tool. A 14-item multiple-choice questionnaire was administered before and after the educational intervention …
Licensed Counselors’ Meaning-Making Of Debriefing Experiences Following Client Crises In Community Mental Health Centers, Donna Howard
Licensed Counselors’ Meaning-Making Of Debriefing Experiences Following Client Crises In Community Mental Health Centers, Donna Howard
Walden Dissertations and Doctoral Studies
Licensed professional counselors working in community mental health centers (CMHCs) frequently respond to client crises; however, little was known about how they understand and make meaning of debriefing following those events. The purpose of this qualitative interpretative phenomenological analysis (IPA) study was to explore counselors’ meaning-making of debriefing following client crises in CMHCs. Guided by IPA and grounded in phenomenology and hermeneutics, data were collected through semistructured interviews with five licensed professional counselors who had at least 5 years of CMHC experience, participated in postcrisis debriefing, and graduated from programs accredited by the Council for the Accreditation of Counseling and …
Staff Education To Nurses On Trauma-Informed Care, Lorna Sackey
Staff Education To Nurses On Trauma-Informed Care, Lorna Sackey
Walden Dissertations and Doctoral Studies
Many nurses receive little formal instruction about trauma-informed principles and their practical application in behavioral health settings. To address this practice gap, the project implemented a staff education program for staff at an intensive outpatient program (IOP) and a partial hospitalization program (PHP) located in a northeastern state. The aim was to increase staff knowledge and confidence in trauma-informed principles within clinical practice. The education program emphasized the relevance of trauma-informed care (TIC) in outpatient behavioral health settings, its principles, and its application in nursing assessments, therapeutic communication, and patient interactions. A pretest and posttest questionnaire consisted of 12 multiple-choice …
Exploration Of Black American Women's Lived Experiences With Structural Barriers In Human Resource Leadership Positions, Joyce Chimeziem Diala
Exploration Of Black American Women's Lived Experiences With Structural Barriers In Human Resource Leadership Positions, Joyce Chimeziem Diala
Walden Dissertations and Doctoral Studies
Black American women’s marginalization in leadership roles, including in human resources (HR), remains a significant concern in U.S. workplaces. Organizations need to understand this concern as a leading indicator of systemic workplace barriers that may restrict opportunities for leadership advancement for Black American women and hinder organizational diversity efforts. The specific research problem was the limited understanding of the lived experiences of Black American women who face structural barriers to advancement in HR leadership positions. The purpose of this qualitative interpretative phenomenological study was to explore the lived experiences of Black American women in HR leadership positions. This study was …
Impact Of Ownership Change, Administrator Turnover, And Registered Nurse Turnover On Operational Outcomes In Nursing Homes, Tanveer Dhaliwal
Impact Of Ownership Change, Administrator Turnover, And Registered Nurse Turnover On Operational Outcomes In Nursing Homes, Tanveer Dhaliwal
Walden Dissertations and Doctoral Studies
Nursing homes frequently experience leadership and structural disruptions that affect facility performance. The purpose of this quantitative correlational study using archival data was to examine the extent to which ownership change, administrator turnover, and registered nurse turnover predict operational outcomes in U.S. nursing homes. Four Centers for Medicare & Medicaid Services (CMS) measures represented indicators of operational outcomes: (a) staffing rating, (b) rating cycle 1 total health deficiencies, (c) number of fines, and (d) total weighted health survey score. Resource dependence theory and transaction cost economics served as the theoretical foundation. Data from July 2025 CMS public files (N = …
Clinical Practice Guideline For Sepsis In Skilled Nursing Facility, Chinyere Okoroh
Clinical Practice Guideline For Sepsis In Skilled Nursing Facility, Chinyere Okoroh
Walden Dissertations and Doctoral Studies
Sepsis is a life-threatening condition that can rapidly lead to organ dysfunction, septic shock, and death if not recognized and treated early. Older adults in skilled nursing facilities (SNFs) are especially vulnerable because of age-related physiological changes, chronic conditions, weakened immunity, and increased exposure to infections. Consequently, sepsis remains a major cause of hospital readmissions, mortality, and healthcare utilization among SNF residents. The SNF serving as the site for this Doctor of Nursing Practice (DNP) project experienced increased hospital readmissions associated with recurrent sepsis, highlighting the need for a standardized, evidence-based approach to sepsis recognition and management. The practice-focused question …
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Walden Dissertations and Doctoral Studies
Staff Education to Primary Care Staff About the Standardized Asthma Control Test by Paulina Asiedu Walden University, 2026. Background Inconsistent primary care asthma tracking leads to reactive management and avoidable emergency utilization. At a Minnesota community clinic, baseline electronic health record (EHR) audits revealed validated Asthma Control Test (ACT) scores were documented in only 5% of eligible encounters, driving a 12% emergency department utilization rate. Purpose & Methods This Doctor of Nursing Practice quality improvement project evaluated whether educating primary care staff on a standardized ACT protocol improved clinical knowledge, behavioral intent, and documentation compliance. Using ADDIE and ADKAR change …
Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber
Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber
Walden Dissertations and Doctoral Studies
Social and economic disparities in the Midwestern Reservation Community have persisted for more than five decades despite the enactment of federal Indian policy designed to address them. Based on the existing research, the Bureau of Indian Affairs’ (BIA’s) failure to effectively administer programs addressing health care, housing, and economic opportunity has perpetuated systemic inequities that disproportionately affect tribal nation members. The purpose of this generic qualitative study was to explore how members of the Midwestern Reservation Community viewed the implementation of BIA public policies intended to support tribal nations through the lens of the resource dependence theory, the narrative policy …
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Walden Dissertations and Doctoral Studies
Polycystic ovary syndrome (PCOS) is an endocrine disorder leading to varied health complications, such as high blood pressure, Type 2 diabetes, infertility, and depression among women in the United States. Most studies have focused on managing the physical aspects of PCOS. Limited research to date has been conducted to determine the intrinsic and extrinsic motivation women living with PCOS harness to navigate the physical, psychosocial, and access to care in New Jersey, which are contributors to positive social change. This basic qualitative study utilized semistructured open-ended questions to determine the experiences and perspectives of women between the ages of 18 …
Texas Teachers’ Perspectives On Work Experiences That Influenced Their Decision To Leave Their District Or Profession Following The Onset Of The Pandemic, Rose Pham Tran
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the over 10% departure of K-12 teachers following the onset of the pandemic, contributing to widespread teacher shortages in the classrooms in Texas. Guided by Bakker and Demerouti’s job demands and resources framework, the purpose of this study was to explore K-12 teachers’ perspectives on the demands and responsibilities as well as their reasons to leave the district or profession following the onset of the pandemic. For this case study, semistructured interviews were conducted with 10 teachers from the same district who voluntarily left between 2020 and 2025. Additional data on …
Assessing The Financial Impact Of Spoofing Attacks In Michigan’S Finance Industry, Shatarsha Smith
Assessing The Financial Impact Of Spoofing Attacks In Michigan’S Finance Industry, Shatarsha Smith
Walden Dissertations and Doctoral Studies
Spoofing attacks have become an increasingly significant cybersecurity threat, exposing organizations and customers to financial losses by impersonating trusted identities in digital environments. Cybersecurity leaders need a better understanding of how information security maturity and the selection of cybersecurity strategy relate to spoofing loss outcomes. Grounded in game theory, the purpose of this quantitative cross-sectional correlational study was to examine the relationships among information security maturity, cybersecurity strategy selection, and spoofing loss outcomes in the financial industry. Data were collected from approximately 90 IT professionals employed in a Michigan-based government office in the public finance sector with at least 5 …
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Walden Dissertations and Doctoral Studies
Obesity is a major public health concern that affects millions of adults. As a chronic, progressive disease, obesity increases the risk of developing several medical conditions. Although evidence-based clinical practice guidelines recommend comprehensive lifestyle modification as a first-line treatment, implementation of structured lifestyle counseling in primary care remains inconsistent. The practice-focused question guiding this Doctor of Nursing Practice (DNP) quality improvement project was: Among obese adults aged 18–65 years in a private primary care setting, does implementing a structured lifestyle counseling program improve body weight and body mass index (BMI) outcomes over an 11-week period? An organizational change process guided …
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
Walden Dissertations and Doctoral Studies
Fetal alcohol spectrum disorder (FASD) has been extensively studied in childhood and, more recently, in adulthood. However, little is known about how adults with FASD experience faith formation and spirituality. Spirituality has been recognized as a coping resource that promotes resilience and psychological well-being, yet these experiences remain largely unexplored among adults with FASD. The purpose of this study was to explore how adults with FASD describe their faith formation and spiritual experiences. Two research questions guided the study: How do adults with FASD describe their faith formation? and How do adults with FASD describe their spiritual experiences? James Fowler's …
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Walden Dissertations and Doctoral Studies
Food insecurity is an emerging public health issue impacting collegiate student-athletes enrolled at Historically Black Universities (HBUs). Recent research revealed that 63% of football players have reported some form of food insecurity which disproportionately impacts Black athletes at higher rates. The purpose of this qualitative study was to explore the lived experiences and dietary behaviors of freshman male collegiate student-athletes who lacked access to food despite receiving athletic scholarships in a publicly funded HBU in Maryland. The research questions for this qualitative study focused on exploring the lived experiencing of Black male athletes who were experiencing food insecurity at an …
Improving Interdisciplinary Healthcare Staff Confidence And Competence In Screening, Brief Intervention, And Referral To Treatment Through Standardized Sbirt Training In A Behavioral Health Facility, Grace Kakie Awo Aidoo
Improving Interdisciplinary Healthcare Staff Confidence And Competence In Screening, Brief Intervention, And Referral To Treatment Through Standardized Sbirt Training In A Behavioral Health Facility, Grace Kakie Awo Aidoo
Walden Dissertations and Doctoral Studies
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based approach for the early identification and management of substance use concerns. However, inconsistent implementation may occur when healthcare staff lack confidence and competence in applying SBIRT in clinical practice. This Doctor of Nursing Practice staff education project addressed a practice gap related to low confidence and competence among interdisciplinary healthcare staff implementing SBIRT in a behavioral health facility. The purpose of the project was to implement and evaluate a standardized SBIRT education and competency-based training program. Guided by the Johns Hopkins evidence-based practice model, the educational intervention incorporated evidence-based …
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on developing and validating a clinical practice guideline (CPG) to improve the early identification of chronic kidney disease (CKD) among at-risk adults in a primary care practice. The project addressed a site-specific practice gap involving the inconsistent use of evidence-based CKD screening, particularly estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR) testing, which may delay diagnosis and treatment (Kidney Disease: Improving Global Outcomes [KDIGO] CKD Work Group, 2024). The purpose of this project was to develop an evidence-based CPG and evaluate its quality using the Appraisal of Guidelines for Research and …
The Association Between The 24-Hour Activity Cycle And Academic Performance Of Online Graduate Students In The United States, Alia Ouali
Walden Dissertations and Doctoral Studies
Online graduate students are a growing population in higher education. Nevertheless, only a few studies have investigated the associations between their academic performance (AP) and movement behaviors—physical activity (PA), sedentary behavior (SB), and sleep quality (SQ). Guided by the 24‑hour activity cycle framework and social cognitive theory, the purpose of this quantitative cross‑sectional study was to explore these relationships among online graduate students in the United States and examine how self-efficacy (SE) and social determinants of health (SDOH) influence them. The online survey, which included validated scales for all constructs, yielded 403 complete responses. AP showed a significant positive association …
Effective Strategies To Sustain Small And Medium-Sized Businesses From Cybercrime For More Than 5 Years After Startup, Sumeet Singh
Effective Strategies To Sustain Small And Medium-Sized Businesses From Cybercrime For More Than 5 Years After Startup, Sumeet Singh
Walden Dissertations and Doctoral Studies
Cybercrime and data breaches pose a serious threat to the long‑term sustainability of small and medium‑sized enterprises (SMEs), especially those with limited cybersecurity capabilities. Leaders of these firms recognize that inadequate cybersecurity resources significantly increase the risk of instability and reduce the likelihood that their businesses will survive beyond the first 5 years. Grounded in Schumpeter’s entrepreneurship theory and Keynesian economic theory, the purpose of this qualitative multiple case study was to identify and explore effective strategies that SME owners used to protect their businesses against cybercrime and data breaches to sustain their businesses beyond the first 5 years of …
Southeastern Michigan Firefighters’ Experiences With Their Organization’S Employee Assistance Program, Angela Patricia Johnson
Southeastern Michigan Firefighters’ Experiences With Their Organization’S Employee Assistance Program, Angela Patricia Johnson
Walden Dissertations and Doctoral Studies
Mental health challenges among first responders require coordinated stakeholder efforts. Although employee assistance programs (EAPs) are commonly offered as workplace benefits, little is known about firefighters’ experiences with these programs and how they can be tailored to meet their unique needs. Existing literature suggested that EAP utilization among firefighters is influenced by program awareness, confidentiality concerns, organizational support, stigma, and the extent to which services are tailored to first responders’ needs. Using a generic qualitative design and policy feedback theory, this study explored southeastern Michigan firefighters’ experiences with EAPs. Purposive sampling was used to recruit 11 firefighters for semi structured …
Antiterrorism Policies And Curbing Youth Involvement In Violent Extremism In Nigeria, Timothy Melaye
Antiterrorism Policies And Curbing Youth Involvement In Violent Extremism In Nigeria, Timothy Melaye
Walden Dissertations and Doctoral Studies
Nigeria continues to face significant challenges from extremist groups such as Boko Haram, unidentified militia groups, and bandits. The radicalization of youths has played a central role in the country's ongoing violent extremism and general insecurity. Efforts to curb youth radicalization remain largely unsuccessful and pose a major challenge in the country. The existing literature on curbing youth violent extremism focuses on the use of force, while other scholars argue for a complex interplay among economic, social, political, and environmental factors. They also considered that high illiteracy, lack of religious understanding, poverty, unemployment, psychological factors, and unstable family environments contribute …
A Soft-Skilled Leadership Development Course For New Nurse Managers, Kiadrick Roshelle Hood
A Soft-Skilled Leadership Development Course For New Nurse Managers, Kiadrick Roshelle Hood
Walden Dissertations and Doctoral Studies
New nurse managers are stepping into leadership roles without structured training. While organizations offer various onboarding courses for managers transitioning into new management roles, few have implemented a structured, evidence-based program focused on leadership development, particularly in the soft leadership skills needed to lead a diverse workforce. I designed this staff education project to determine whether implementation of a leadership development course focused on time management, prioritization, and delegation would improve new nurse managers’ self-perception of these leadership skills. To address this gap, I developed a 1-day leadership development course to introduce tools to improve new nurse managers’ time management, …
Strategies Health Care Leaders Use To Employ Ai-Supported Data-Driven Decision-Making To Increase Profitability, Lacurisia Harrison
Strategies Health Care Leaders Use To Employ Ai-Supported Data-Driven Decision-Making To Increase Profitability, Lacurisia Harrison
Walden Dissertations and Doctoral Studies
Strategies Health Care Leaders Use to Employ AI-Supported Data-Driven Decision-Making to Increase Profitability by LaCurisia Harrison MS, Alabama A&M University, 2023 BS, Alabama A&M University, 2021 Qualitative Pragmatic Inquiry Business Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2026