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Medical-Surgical Nurses’ Perceptions On Incivility In A Hospital Setting, Monsurat Atinuke Mohammed
Medical-Surgical Nurses’ Perceptions On Incivility In A Hospital Setting, Monsurat Atinuke Mohammed
Walden Dissertations and Doctoral Studies
Incivility in nursing has become a chronic issue that harms nurses, patients, teams, and organizations. Individuals often feel belittled, which contributes to frequent job dissatisfaction and resignation, ultimately resulting in financial losses for an organization. The purpose of this qualitative descriptive study, guided by Johnson’s behavioral model, was to explore nurses’ perceptions about incivility in a medical-surgical hospital setting. Ten semistructured audio-recorded interviews were conducted with registered nurses recruited through a professional organization. The data were manually transcribed verbatim and analyzed using Saldana’s approach. Results indicated four themes: (a) workplace culture and interpersonal dynamics, (b) need for support and mentorship, …
The Impact Of Second-Tiered Leadership Behavior On Postmerger Experience In The Jamaica Constabulary Force, James Theophilus Golding
The Impact Of Second-Tiered Leadership Behavior On Postmerger Experience In The Jamaica Constabulary Force, James Theophilus Golding
Walden Dissertations and Doctoral Studies
Following the merger of the Jamaica Constabulary Force (JCF) and the Island Special Constabulary Force (ISCF) in May 2014, complaints emerged about inequitable treatment of former ISCF members, raising questions about social justice and breaches of the moral contract. Although prior research highlighted the importance of leadership in mergers, it neglected to examine the role of second-tier leadership. The purpose of this qualitative phenomenological study was to investigate the potential role of second-tiered JCF leadership behavior in these perceived social justice breaches. A transformational leadership framework, which centers on leaders’ behavior and communication to motivate followers, underpinned the study. Purposeful …
Black Women’S Critical And Racial Literacy Practices In Higher Education, Cherita Harrell
Black Women’S Critical And Racial Literacy Practices In Higher Education, Cherita Harrell
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the limited understanding of how Black female college students experienced critical and racial literacy practices within college-level reading and writing courses, particularly within dominant literacy frameworks that privileged White, Eurocentric norms of language, knowledge, expression, and representation. Grounded in Luke’s critical literacy and Sealey-Ruiz’s racial literacy frameworks, the purpose of this qualitative study was to examine how Black female college students described their experiences in reading and writing courses, including how dominant literacy frameworks influenced their engagement in ways that limited expression, created barriers to participation, and shaped their academic experiences and personal …
The Lived Experiences Of Visually Impaired Professionals, Robert Anthony Hoyt
The Lived Experiences Of Visually Impaired Professionals, Robert Anthony Hoyt
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored the lived experiences of visually impaired professionals (VIPs) as they navigate workplace inclusion, identity, and systemic accessibility. Drawing on Giorgi’s descriptive phenomenological psychological method, the study analyzed in-depth interviews with eleven purposefully selected participants across diverse professions. The research aimed to address a gap in disability studies by centering on the psychological meanings embedded in the narratives of VIPs; voices that are often underrepresented in organizational research. Through rigorous thematic analysis, three essential themes emerged: (1) the silent erasure of competence, reflecting the emotional labor required to assert professional legitimacy in ableist environments; (2) resilience …
Barriers And Incentives For Smartphone Mhealth Adoption Among Health Care Providers In Central And Southern Appalachia, Temitope S. Ajagbe
Barriers And Incentives For Smartphone Mhealth Adoption Among Health Care Providers In Central And Southern Appalachia, Temitope S. Ajagbe
Walden Dissertations and Doctoral Studies
Rural Appalachian communities in the United States experience disproportionately high chronic disease burden. Mobile health (mHealth) technology adoption among providers remains low despite potential to improve care access. Understanding adoption factors is critical for addressing health inequities. The purpose of this quantitative cross-sectional study was to examine whether diffusion of innovations (DOI) theory attributes predict current mHealth adoption among health care professionals involved in rural Appalachian primary care delivery and whether structural constraints moderate these relationships. Despite extensive DOI validation in well-resourced settings, its applicability to severely resource-constrained contexts remained empirically uncertain. Data from 100 health care professionals across eight …
The Role Of Corporate Managers In Improving Profit Performance Of Commercial Banks In Kosovo, Flutura Beka Kamberaj
The Role Of Corporate Managers In Improving Profit Performance Of Commercial Banks In Kosovo, Flutura Beka Kamberaj
Walden Dissertations and Doctoral Studies
The profitability of commercial banks is a key indicator of financial system stability and economic growth, albeit Kosovo’s banking sector continues to face challenges from nonperforming loans, regulatory constraints, and limited innovation. Corporate managers at Kosovo’s commercial banks are reporting low profit performance despite overall sector stability. The purpose of this qualitative single-case study was to explore how corporate managers contribute to improving profit performance in Kosovo’s commercial banks. The resource-based view and corporate governance theory provided the theoretical foundation. The participants comprised 20 corporate managers at commercial banks in Kosovo. Data were collected using semistructured interviews and public documents. …
Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon
Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon
Walden Dissertations and Doctoral Studies
Nongovernmental organizations (NGOs) in unstable developing nations face major sustainability challenges. In Cameroon, an ongoing sociopolitical crisis has increased demand on NGOs, including VWXZY, which supports girls and women fleeing civil unrest. This study investigated sustainable strategies to strengthen VWZYZ’s financial stability. Drawing on financial resilience literature and the strengths, weaknesses, opportunities, and threats (SWOT) framework, it addressed two questions: (a) How can VWXZY-Cameroon effectively leverage SWOT analysis to address financial challenges, improve financial oversight, diversify funding sources, and strengthen operational efficiency? (b)What strategies can VWXZY-Cameroon use to enhance its financial resilience and ensure sustainability amid sociopolitical and economic instability? …
Using Fire Investigators' Narratives To Explore Serial Firesetting Behaviors, Alisha Jones-Creel
Using Fire Investigators' Narratives To Explore Serial Firesetting Behaviors, Alisha Jones-Creel
Walden Dissertations and Doctoral Studies
This qualitative narrative inquiry examined how fire investigators share tacit knowledge related to threat assessment and risk management in cases of serial firesetting. Data were derived from eight semi-structured interviews with fire investigators from Louisiana, Mississippi, and Texas who had investigated firesetting incidents within the past five years. Narrative analysis was used to identify cross-case patterns in how investigators recognize offender characteristics, assess contextual risk factors, and detect early warning signs across incidents. Analysis identified three themes addressing how lived experience informs peer understanding of offender behavior, risk indicators, and warning signs, and three themes addressing how narrative experience guides …
Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu
Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu
Walden Dissertations and Doctoral Studies
Hypertension (HTN) is a significant public health concern, and educating nursing staff is crucial to improving patient outcomes and supporting public health initiatives. This staff education project focused on improving the quality of hypertension management by empowering nurses to provide evidence-based, patient-centered care. The practice-focused question is as follows: Will HTN education improve staff knowledge of HTN diagnosis, treatment, and management? I employed a quantitative pre-test/post-test design to measure changes in staff (n = 10) knowledge before and after training. Descriptive statistics measure knowledge gain and the effectiveness of educational strategies. The pre-test percentage of correct answers improved from 79% …
Challenges And Supports Of Principals’ Implementation Of Social-Emotional Learning, Nikomar Mosley
Challenges And Supports Of Principals’ Implementation Of Social-Emotional Learning, Nikomar Mosley
Walden Dissertations and Doctoral Studies
School districts throughout the United States are increasingly implementing social and emotional learning (SEL). The problem addressed in this study is that K-12 principals are struggling with the mandated implementation of SEL at Northeastern School District (NSD), a large, diverse urban school district. Guided by the collaborative for academic, social, and emotional learning competency and implementation frameworks, the purpose of this qualitative study was to explore K-12 principals’ experiences with the mandated implementation of SEL at NSD. For this basic qualitative study, semistructured interviews were conducted with 10 principals. Through thematic analysis, the following themes emerged: (a) SEL is not …
Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie
Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie
Walden Dissertations and Doctoral Studies
Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …
Understanding The Lived Experiences Of Black Males Successfully Reintegrating Post Incarceration, Ashley Smith
Understanding The Lived Experiences Of Black Males Successfully Reintegrating Post Incarceration, Ashley Smith
Walden Dissertations and Doctoral Studies
Black males remain incarcerated at higher rates than any other race. Those individuals trying to reintegrate into society face many challenges with little mental and emotional rehabilitation support. The purpose of this hermeneutic phenomenology study was to improve the understanding of what contributes to successful reintegration and the mental health and emotional needs of formerly incarcerated Black males. Critical race theory (CRT) was used as a secondary lens to examine how race, systemic racism, and structural inequities shaped participants' experiences. This study examined the following research question: What are the experiences of Black males who were previously incarcerated and have …
Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui
Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has placed stress on healthcare systems globally, with emergency department (ED) physicians experiencing an acute impact due to their frontline role. Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, has been widely reported by healthcare providers during the pandemic. However, the specific manifestations of burnout among ED physicians remain underexplored, particularly from their own perspectives. This study is grounded in Maslach’s Multidimensional Theory of Burnout and Alan Card’s theory of Avoidable versus Unavoidable Suffering, providing a framework to interpret ED physicians’ experiences and distinguish between the inherent challenges of frontline work and …
Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon
Walden Dissertations and Doctoral Studies
Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …
Impact Of Cloud Computing On Organization’S Profitability, Simeon Adeoye Bakare
Impact Of Cloud Computing On Organization’S Profitability, Simeon Adeoye Bakare
Walden Dissertations and Doctoral Studies
Cloud computing is a virtual pool of services that provides confidentiality, availability, integrity, and authenticity for customers and cloud service providers, yet many organizations underutilize available cloud resources. This underutilization is a concern for organizational information technology (IT) leaders because solving it would improve secure scalability, operational efficiency, and return on investment. Grounded in the Technology Acceptance Model (TAM3) and the Unified Theory of Acceptance and Use of Technology (UTAUT3), the purpose of this multiple case study was to explore the security measures that IT Security managers can implement to ensure their organizations remain secure when using cloud computing infrastructure. …
Staff Education To Reduce Compassion Fatigue In Acute Care Staff Nurses, Kamala C. Mcgee
Staff Education To Reduce Compassion Fatigue In Acute Care Staff Nurses, Kamala C. Mcgee
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF), burnout, and moral distress are common in high-acuity nursing environments, yet nurses are rarely taught how to recognize or manage these challenges. The guiding question for this staff education project was about whether education focused on CF and mindfulness-based coping strategies would improve nurses’ knowledge and attitudes in an acute care VA medical center. Posteducation results (n = 20) showed meaningful, statistically significant improvements. Familiarity with CF increased from baseline (M = 2.35; SD = 1.04) to post implementation (M = 3.75; SD = .91), t(19) = −5.085, p < .001. Confidence in recognizing CF in oneself improved from baseline (M = 2.6; SD = .875) to post implementation (M = 3.60; SD = .821), p = .004. Confidence in recognizing CF in colleagues increased from baseline (M = 2.40; SD = .821) to postimplementation (M = 3.15; SD = .671), p = .012. Agreement that seeking help is a sign of weakness decreased from baseline (M = 2.00; SD = .503) to postimplementation (M = 1.40; SD = .951), p = .024. Although perceptions of organizational support did not change, nurses reported greater use of mindfulness, peer support, and boundary setting, supporting nurse wellbeing and psychological safety. Several recommendations emerge from this project. CF education should be integrated into routine staff development, annual competencies, and onboarding for new nurses. By reducing stigma around seeking help and promoting peer awareness, this work supports fostering a workplace culture where all nurses feel safe, supported, and valued, a positive social change.
Improving Rural Health Through Nutrition Incentives: A Mixed Methods Evaluation Of The First Year Of The Appalachian Farmacy Program, Bethesda O'Connell, Harrison Ihrig, Andrea D Nutsugah, Ignacio Garcia, Michael Rice, Ashley Cavender
Improving Rural Health Through Nutrition Incentives: A Mixed Methods Evaluation Of The First Year Of The Appalachian Farmacy Program, Bethesda O'Connell, Harrison Ihrig, Andrea D Nutsugah, Ignacio Garcia, Michael Rice, Ashley Cavender
Journal of Social, Behavioral, and Health Sciences
Food insecurity remains a critical public health concern, particularly in rural, low-income communities. In 2023, 13.5% of United States households experienced food insecurity, with rates in Tennessee (15.6%) exceeding the national average. Produce prescription programs have emerged as a strategy to improve food access and promote healthier eating behaviors. This study presents an evaluation of Appalachian Farmacy, a produce prescription program in Northeast Tennessee designed to increase fruit and vegetable consumption among individuals receiving Medicaid, Medicare, or Supplemental Nutrition Assistance Program (SNAP) benefits. Program evaluation methods included semi-structured interviews for process evaluation and pre- and post-surveys for outcome evaluation. Interviews …
Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson
Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson
Walden Dissertations and Doctoral Studies
Workforce burnout, low morale, and high turnover are persistent challenges in psychiatric emergency services, where clinicians work in high-acuity environments. These conditions threaten workforce sustainability and continuity of crisis care. The problem addressed in this study was difficulty retaining staff within a nonprofit psychiatric emergency services organization due to burnout and morale erosion. The purpose of this study was to examine how leadership practices influence staff morale, burnout, and workforce retention at Psychiatric Emergency Stabilization Services X, located in New Jersey. The study was grounded in a qualitative conceptual framework informed by the Baldrige Excellence Framework. The study population included …
Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek
Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek
Journal of Educational Research and Practice
Since 2012, a Japanese and a German university have conducted exchange programs. This study examined the effects of a short-term exchange program in 2023, focusing on intercultural sensitivity. Nine Japanese students and nine German students completed a 24-item Intercultural Sensitivity Scale before and after the program using a 5-point Likert scale. We performed cross-tabulations and analyzed differences between countries and pre- and post-program changes using chi-square or Fisher’s exact tests. The results suggest that even a short-term exchange enhanced Japanese students’ confidence in intercultural interactions and encouraged German students to reflect on their own culture. However, Japanese students showed lower …
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 …
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Walden Dissertations and Doctoral Studies
Access to effective behavioral treatment is critical for the imprisoned population and newly released individuals to reduce reentry into the penitentiary system. Social workers within correctional facilities can determine the need for treatment, how often treatment is required, what specific treatment is necessary, and what resources will be needed to provide those treatments. A qualitative exploratory design was used in this study. I explored the quality of behavioral health treatment provided to the incarcerated population. Systems theory was used as the theoretical framework this study. There were 17 participants in this study who had been incarcerated in a Kentucky prison …
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
Walden Dissertations and Doctoral Studies
Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …
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 …
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Walden Dissertations and Doctoral Studies
Black women managing Fibromyalgia Syndrome (FMS) and mood disorders navigate complex health care experiences within systems that often fail to recognize their needs. Health care disparities, cultural expectations, and systemic barriers create distinct interpretive contexts for this population, who often encounter delayed diagnoses, inadequate treatment, and dismissal of their symptoms despite often reporting higher levels of pain severity. Using the biopsychosocial model as a conceptual framework, this qualitative study utilized interpretative phenomenological analysis to explore how Black women make sense of their experiences across physical, psychological, and social dimensions. Data were collected from semi-structured interviews with six participants. Key findings …
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 …
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 …
Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis
Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice (DNP) staff education project was to enhance psychiatric nursing staff's knowledge and attitudes regarding the promotion of hygiene among adult behavioral health inpatients. Hygiene neglect is a widespread concern in psychiatric units as patients often experience psychomotor retardation, hopelessness, and low motivation that hinder self-care. To address this gap, a staff education program was implemented. Staff members (N = 35) participated in live huddle-based education sessions that included case discussions, demonstrations, and reflection exercises. Participants completed pre- and posttests measuring knowledge (10 items) and attitudes (6 Likert-scale items). Following the education, staff …
Relationship Between Transportation Availability And Obstetric Access In Predicting United States Maternal Death Rates, Veronica N. Trueblood
Relationship Between Transportation Availability And Obstetric Access In Predicting United States Maternal Death Rates, Veronica N. Trueblood
Walden Dissertations and Doctoral Studies
Maternal mortality remains a significant challenge in the United States with substantial variation across counties reflecting differences in health care delivery systems and access to obstetric services. Fragmented obstetric care networks, hospital closures, and geographic barriers to care contribute to delays in prenatal and emergency obstetric services, increasing the risk of preventable maternal deaths. Guided by the social determinants of health (SDOH) framework, this quantitative cross-sectional health services study examined relationships between transportation availability, obstetric care access, and county-level maternal mortality in the United States. A national scope was required to achieve an adequate analytic sample size, as maternal mortality …
Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Walden Dissertations and Doctoral Studies
Home care workers play a vital role in supporting older adults, yet retaining staff in these positions can often be challenging. The purpose and review question for this integrative review concerned the strategies and best practices for home health agencies to retain formal caregivers and implement in-home/informal caregiving as an integral component of the caregiving team. Penchansky and Thomas’s theory of access supported this study by highlighting how the qualities and expectations of home care workers align with their patients. A comprehensive review of the literature resulted in 53 articles, which were screened for quality and relevance. Of these, 24 …