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Articles 1381 - 1410 of 13149
Full-Text Articles in Entire DC Network
Effective Strategies For Succession In Family-Owned Businesses, Laumatafiafia Rosetter
Effective Strategies For Succession In Family-Owned Businesses, Laumatafiafia Rosetter
Walden Dissertations and Doctoral Studies
Many family-owned businesses face significant difficulties when they hand leadership responsibilities from established leaders to the next generation. Without deliberate succession plans that follow a clear framework, family-owned business leaders experience uncertainty, threatening family wealth. The intergenerational sustainability of family-owned enterprises is crucial for the health of local economies, community development, and organizational resilience. Grounded in the sustainable family business theory, this project explored succession strategies employed by leaders of family-owned small and medium-sized enterprises (SMEs) in Hawaii to ensure the continuity of their businesses for future generations. Data were gathered through semistructured interviews and document analyses involving six leaders …
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Walden Dissertations and Doctoral Studies
Caring for elderly parents with Alzheimer’s disease (AD) poses two major challenges for adult-child caregivers: the tasks involved in taking care of ailing parents and also potentially living in fear of developing the same disease. This research examined how caregivers with such fear regard their vulnerability to AD and how they manage the stress that comes with caregiving for someone with a disease they dread developing themselves. This grounded theory study employed the appraisal theory of emotions and the theory of moods as frameworks and aimed to establish awareness regarding coping strategies that adult-child caregivers have about caretaking and their …
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Walden Dissertations and Doctoral Studies
Perinatal Opioid Use Disorder (POUD) constitutes a significant public health issue with important ramifications for both mothers and their newborns. The gap in practice identified for this Doctor of Nursing Practice staff education project was the perinatal nurses’ lack of knowledge regarding POUD. The problem was the need for POUD education for the nurses. The practice focus questions were: Will there be a change in knowledge by perinatal nurses following the delivery of the education as shown by a pretest/posttest? Will the participants evaluate the education as having met the program objectives related to the curriculum presented? Guided by the …
Social Media Vetting Governance And The Impact On Hiring Capacity, Jimmy Lampkin
Social Media Vetting Governance And The Impact On Hiring Capacity, Jimmy Lampkin
Walden Dissertations and Doctoral Studies
Human resource managers are concerned with weak social media vetting governance, as it is the number one predictor of reduced organizational capacity to hire candidates. Grounded in Lewin’s Situational Strength Theory, the purpose of this quantitative correlational project was to examine the relationship between social media vetting governance and organizational capacity to hire. The participants were 500 human resource leaders and hiring managers from organizations in the southwestern United States who completed the Job-Related Situational Strength Questionnaire and the Decision to Hire Scale. Although a priori power analysis required a minimum of 103 participants to detect a medium effect size, …
Staff Education Project For Enhancing Medication Adherence In Mental Health: An Evidence-Based Education Program For Healthcare Practitioners In Outpatient Clinics, Rita Erina Pyuzza
Staff Education Project For Enhancing Medication Adherence In Mental Health: An Evidence-Based Education Program For Healthcare Practitioners In Outpatient Clinics, Rita Erina Pyuzza
Walden Dissertations and Doctoral Studies
The staff education project was designed to address medication non-adherence among mental health patients in an outpatient psychiatric clinic by enhancing the knowledge and skills of mental health nurses and nurse practitioners. The lack of structured, evidence-based training on medication adherence strategies has contributed to poor patient outcomes, increased hospitalizations, and higher healthcare costs. Clinic patient reports indicated 50% medication non-adherence, highlighting the need to address non-adherence through effective nursing-led education, medication management, and adherence monitoring. The project assessed whether enhancing the outpatient healthcare providers’ skills and knowledge through a structured, evidence-based program would improve the providers’ medication adherence strategies. …
Strategies To Improve Project Portfolio Management In The Pharmaceutical Industry, Emely Nhi Thi Ai Nguyen
Strategies To Improve Project Portfolio Management In The Pharmaceutical Industry, Emely Nhi Thi Ai Nguyen
Walden Dissertations and Doctoral Studies
Poor management of pharmaceutical project portfolios can negatively impact a pharmaceutical company’s product development and profitability. Project portfolio managers must ensure the successful development of new products in the pharmaceutical pipeline as the financial investment in new product development is significant and if not managed effectively can negatively impact profitability and prevent launch of new treatment therapies. Grounded in the project portfolio management framework, the purpose of this qualitative pragmatic inquiry study was to explore successful project portfolio management (PPM) strategies that drug project portfolio managers use to contribute to business success. The participants were six employees that managed portfolios …
The Relationship Of Organizational Health Safety Efforts Specific To Covid-19 And Perceived Organizational Support On Affective Organizational Commitment, Suzzee Meusel
Walden Dissertations and Doctoral Studies
When health safety efforts for COVID-19 are perceived negatively, the implementation of health safety efforts by employers may not be effective and are therefore likely to fail in protecting employee health, such as in the agriculture industry. Guided by social exchange theory, organizational support theory, and the theory of organizational commitment, this quantitative correlational study involved examining relationships between organizational health safety efforts specific to COVID-19 (OHSE-C19), perceived organizational support (POS), and affective organizational commitment (AOC) among poultry hatchery employees. The study entailed analyzing survey and opinion poll data from 90 participants from two poultry hatcheries in Iowa and Pennsylvania, …
Impact Of Mental Illness On Colon Cancer Screening Participation, Stephanie Tejada
Impact Of Mental Illness On Colon Cancer Screening Participation, Stephanie Tejada
Walden Dissertations and Doctoral Studies
This study analyzed the impact of mental illness on colon cancer screening participation. The research problem centers on the under-screening of colorectal cancer (CRC) in psychiatric patients, leading to delayed diagnoses and poorer treatment outcomes. This quantitative retrospective cohort study examined how demographic factors (age, gender, ethnicity), healthcare access, and support group participation influenced CRC screening among individuals with mental illness. The research used data from 571 adults aged 50 and older from the National Health Interview Survey (NHIS). The Social Ecological Model served as the guiding theoretical framework for this study. Statistical analyses included t-tests, chi-square, logistic regression, and …
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
Walden Dissertations and Doctoral Studies
There is no in this project
Exploring The Service-Learning Volunteer Experience Of African American Male Educators In Urban Schools, Gia N. Paige
Exploring The Service-Learning Volunteer Experience Of African American Male Educators In Urban Schools, Gia N. Paige
Walden Dissertations and Doctoral Studies
Educators who self-identify as African American male educators are underrepresented in educational leadership and scholarship on service learning, despite the significant roles they play in shaping urban educational spaces. In this qualitative phenomenological study, the lived service experiences of five African American male educators who engaged in service-learning and volunteerism in urban schools were explored. The purpose was to examine how these educators narrated their service experiences and how those experiences intersected with their identity as African American males. African American male theory was used to frame the study, emphasizing cultural heritage, resistance to deficit perspectives, and the affirmation of …
Staff Education To Enhance Nursing Knowledge And Confidence In Withdrawal Management Using The Clinical Institute Withdrawal Assessment And Clinical Opiate Withdrawal Scale, Margaret Sarana Hector
Staff Education To Enhance Nursing Knowledge And Confidence In Withdrawal Management Using The Clinical Institute Withdrawal Assessment And Clinical Opiate Withdrawal Scale, Margaret Sarana Hector
Walden Dissertations and Doctoral Studies
This quality improvement staff education project addressed the inconsistent use of the Clinical Institute Withdrawal Assessment (CIWA) and Clinical Opiate Withdrawal Scale (COWS) assessment tools among nursing staff in an adult psychiatric and addictions unit located in the Mid-Atlantic region of the United States. Inconsistent use of the CIWA and COWS tools may lead to unfavorable patient outcomes. The goal of this project was to enhance nursing familiarity, confidence, and sense of importance in using CIWA and COWS tools for assessing and managing withdrawal symptoms in patients with co-occurring depression and substance use disorders. A pre- and posteducation survey design …
Criminal Adult Perceptions Of Transition Services Following Histories Of Physical Abuse As Children, Kimberlyn Sherie Crook
Criminal Adult Perceptions Of Transition Services Following Histories Of Physical Abuse As Children, Kimberlyn Sherie Crook
Walden Dissertations and Doctoral Studies
It is possible that childhood abuse and neglect could be linked to adult crime and delinquency. Intervention services' apparent ineffectiveness worries social workers, law enforcement, and policymakers. The literature found that abused children are more likely to commit crimes as adults without intervention and prevention, which harms society and abused children. Research suggests child abuse and adult crime may have early roots. The purpose of this qualitative study was to address adult victims firsthand accounts to identify intervention service gaps and suggest improvements. The qualitative design was used to address adult criminals who were abused as children and their unique …
Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández
Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández
Walden Dissertations and Doctoral Studies
Nonprofit organizations face distinctive challenges that require specialized leadership and effective staff development strategies, particularly in community-focused organizations in Lancaster, Pennsylvania. Leadership deficiencies can diminish employee commitment, restrict professional growth, and weaken organizational capacity, ultimately limiting mission fulfillment. The purpose of this qualitative study was to explore leadership and staff development deficiencies within a nonprofit organization in Lancaster County and identify strategies for improvement. Guided by Kurt Lewin’s change management model, the study examined barriers and supports for professional growth, the influence of leadership on organizational culture and retention, and practices promoting equity and succession planning. Semi-structured interviews were conducted …
Staff Education To Improve Mental Health Knowledge Among Critical Care Staff, Ashton Barnes
Staff Education To Improve Mental Health Knowledge Among Critical Care Staff, Ashton Barnes
Walden Dissertations and Doctoral Studies
Mental health literacy is increasingly recognized as a critical component of nursing practice, particularly in high-acuity environments. At a local healthcare organization, leadership identified a gap in staff education related to mental health, contributing to elevated incidences of anxiety, depression, posttraumatic stress disorder (PTSD), burnout, and diminished patient outcomes. In response, I conducted this Doctor of Nursing Practice project to evaluate whether a structured educational intervention could enhance mental health knowledge and competency among critical care staff. Participants completed pre- and postintervention assessments to evaluate core concepts in mental health awareness and clinical application, with supplementary qualitative feedback gathered to …
Enhancing Registered Nurse Retention And Job Satisfaction Through Comprehensive Career Development Initiatives In Non-Profit Urban Hospitals, Iwalola Iluyomade
Enhancing Registered Nurse Retention And Job Satisfaction Through Comprehensive Career Development Initiatives In Non-Profit Urban Hospitals, Iwalola Iluyomade
Walden Dissertations and Doctoral Studies
This integrative review was conducted to examine how comprehensive career development initiatives influence registered nurse retention and job satisfaction in non-profit urban hospitals, which are affected by limited advancement opportunities, inadequate mentorship, and unsupportive work environments. Guided by the Johns Hopkins Evidence-Based Practice model and the Authentic Nurse Leadership framework, this review synthesizes peer-reviewed literature from 2019 to 2024 to identify evidence-based, leadership-driven strategies for improving nurse retention. Four key themes emerged: (a) career development and advancement through structured learning pathways, mentorship, and leadership training; (b) empowerment and decision-making via participative management and clinical autonomy; (c) supportive work environments that …
Decision Making In Child Protection Services: Aftermath Of A Child Fatality, Kevin Marino
Decision Making In Child Protection Services: Aftermath Of A Child Fatality, Kevin Marino
Walden Dissertations and Doctoral Studies
Child fatalities resulting from abuse and neglect have a residual effect on families, communities, and child protective services (CPS) professionals tasked with ensuring child safety. The purpose of the mixed-methods study was to examine how CPS professionals made decisions in high-risk and fatality cases by evaluating decision-making processes, identifying contextual and interpersonal influences, and addressing practice questions related to administrative data, case records, caseworker and supervisor perspectives, cost implications, and organizational supports. The theoretical framework of Simon’s theory of bounded rationality and near decomposability along with Fluke et al.’s ecology of decision-making model formed the study’s analysis. The study included …
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Walden Dissertations and Doctoral Studies
Bystanders play a vital role in reducing opioid overdose deaths by administering naloxone, a medication that can reverse the effects of opioids when used promptly. With opioid-related fatalities considered a public health emergency in the United States, increasing public access to naloxone and education on overdose prevention has become a key strategy in harm reduction. Research shows that these efforts effectively lower overdose deaths in affected communities. As part of this public health approach, many states allow individuals to obtain naloxone without a prescription through standing orders at pharmacies and community programs. Additionally, legal protections such as Good Samaritan laws …
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
Walden Dissertations and Doctoral Studies
Cancer is a major public health problem in the United States and around the world. The condition is reported to be among the leading causes of death and has a significant impact on quality of life. The purpose of this study was to explore the association of smoking, education, and income level with cancer in the Mexican migrant population at U.S./Mexico border while controlling for age and gender. This quantitative, retrospective, cross-sectional study with a sample size of 988 used secondary data from the Mexican Migrant Project to explore the potential association between smoking, education and income level with cancer …
An Analysis Of Ex-Offender’S Perspectives On The Impact Of The Time Frame Of Reentry Programs On The Likelihood Of Recidivating, Angel Yates
Walden Dissertations and Doctoral Studies
The problem this study explored is how the timing of when reentry services are provided to incarcerated individuals and the impact it will have on their reintegration process and recidivism rates. This qualitative study analyzed the timing of when reentry programs are provided to incarcerated individuals and the impact it has on reducing recidivism rates. This study’s flyer was posted on social media platforms and shared with reentry programs. A total of 20 interviews were conducted. All participants answered the requirement questions via email; for those who met the criteria, consent forms were then sent, and interviews were scheduled. Transcripts …
Parent Roles Supporting Curriculum And Instruction With Virtual Learning During The Covid-19 Pandemic, Keli Louise Amprey
Parent Roles Supporting Curriculum And Instruction With Virtual Learning During The Covid-19 Pandemic, Keli Louise Amprey
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic created an educational crisis when schools across the United States closed abruptly, requiring parents to assume new roles as facilitators of online learning without adequate preparation. Guided by Bandura’s social learning theory, the purpose of this retrospective basic qualitative study was to investigate parents’ perceptions of their roles as instructional and curriculum facilitators for elementary-level students during COVID-19 distance learning. Research questions examined how parents described their roles as online instructional facilitators, what challenges they faced in supporting curriculum and instruction virtually, and what types of support they needed to succeed in their new educational roles during …
Government Policies Influencing The Retainment Of Civil Engineers In Guyana's Public Sector, Gracelyn George
Government Policies Influencing The Retainment Of Civil Engineers In Guyana's Public Sector, Gracelyn George
Walden Dissertations and Doctoral Studies
The low retention of civil engineers in Guyana’s public sector has impeded the execution of needed infrastructure projects in the country. The literature reviewed highlighted that there continued to be questions regarding why people leave engineering jobs. Moreover, there was a limited understanding of what societal attributes influenced the problem, while there continued to be a growing demand for civil engineers. The literature specific to government policies influencing the retention of civil engineers in the public sector was lacking, presenting an opportunity to expand the application of the policy feedback theory, which provided a lens for examining retention measures in …
Crime Prevention Professionals’ Perspectives On Using Cpted To Mitigate Targeted Violence On K-12 School Campuses, Bridgit C. Didier
Crime Prevention Professionals’ Perspectives On Using Cpted To Mitigate Targeted Violence On K-12 School Campuses, Bridgit C. Didier
Walden Dissertations and Doctoral Studies
Targeted violence in K-12 schools across the United States is a serious concern. These incidents not only endanger students and staff, but also cause lasting trauma and erode trust in schools. While existing measures may deter some violence, questions remain regarding their overall effectiveness. This study involved exploring perspectives of crime prevention experts on using Crime Prevention Through Environmental Design (CPTED) strategies to mitigate violence in K-12 schools. Although CPTED is recognized as effective in terms of reducing crime, research on its use in schools, especially from the perspective of crime prevention professionals, is limited. This generic qualitative study involved …
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Walden Dissertations and Doctoral Studies
The 2011 Patient Protection and Affordable Care Act (PPACA) mandated that Primary Care Providers (PCPs) offer brief cognitive assessments during the Medicare Annual Wellness Visit (AWV), but this practice was inconsistent at best. This study investigated factors that influenced PCPs intentions to routinely assess cognition during the AWV. The theory of planned behavior (TPB) was used to assess the relationship between PCPs' behavior beliefs, subjective norm beliefs, perceived behavioral control (PBC) beliefs, and external control factors and their intentions to conduct brief cognitive assessments during the AWV. Using a quantitative correlational design, a cross-sectional online survey was administered to 86 …
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Walden Dissertations and Doctoral Studies
Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. …
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Walden Dissertations and Doctoral Studies
The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …
Covid-19 Crisis: Contemporary Trauma Theory And Clinical Social Workers’ Perspectives Of Work-Related Secondary Trauma Post-Pandemic, Dr. Veronica Y. Griffin
Covid-19 Crisis: Contemporary Trauma Theory And Clinical Social Workers’ Perspectives Of Work-Related Secondary Trauma Post-Pandemic, Dr. Veronica Y. Griffin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic was an unprecedented global crisis that challenged clinical social workers’ traditional client-centered strategies and exposed some to secondary trauma. The purpose of this qualitative study was to explore clinical social workers’ perspectives on work-related secondary trauma post-COVID-19 pandemic using the contemporary trauma theory as the theoretical framework. The research question involved exploring their perspectives of how this trauma affected their biopsychosocial functioning. Semi-structured interviews were conducted with eight participants who were clinical social workers between 28 and 36. Using thematic analysis, themes were identified and grouped into the three functioning groups: personal, relationships, and career. Twelve themes …
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Walden Dissertations and Doctoral Studies
Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …
Parents’ Perceptions Of The Influence Of Interpersonal Trauma On Children’S Academic Achievement In Low Socioeconomic Families During The Covid-19 Pandemic, Brandi Walker
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified the challenges faced by families from low socioeconomic (SES) backgrounds regarding their children’s academic development. Students during this time experienced disruptions in their academic development, further hindering their educational progress. The purpose of this qualitative phenomenological study was to explore parents’ perceptions of how interpersonal trauma and SES challenges impacted their elementary-age children’s academic achievement during the pandemic. Bronfenbrenner’s ecological systems theory served as the theoretical foundation, offering a framework to understand how environmental factors shaped children’s experiences and academic development. Data were gathered through semistructured interviews with eight parents from low-SES backgrounds. Content analysis of …
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Antidepressant Medication Nonadherence In Adult Patients With A Major Depressive Disorder, Sandrine Djou Kaze
Walden Dissertations and Doctoral Studies
The chosen approach for the Doctor of Nursing Practice (DNP) project was a clinical practice guideline (CPG) on interventions to improve antidepressant medication adherence in adults diagnosed with depression in an outpatient setting. The consequences of medication nonadherence in patients with depression are devastating for individuals and the healthcare system. Therefore, addressing it within nursing practice is essential to improve treatment efficacy and patient outcomes. The practice question related to the DNP project was to determine whether the CPG could improve antidepressant medication compliance in adults diagnosed with a depressive disorder in an outpatient setting. I aimed to develop a …
The Meaning Of Academic Achievement For Fathers Of African American At-Risk Urban Female Youth, Shurise Telesford
The Meaning Of Academic Achievement For Fathers Of African American At-Risk Urban Female Youth, Shurise Telesford
Walden Dissertations and Doctoral Studies
Family dynamics, parenting styles, and the impact of parental involvement on children have long been studied, with much of the focus traditionally placed on the mother-child relationship. This study shifted that focus to explore the perceptions of African American fathers of at-risk female youth regarding academic achievement. Using a generic qualitative approach and guided by Freire’s Pedagogy of the Oppressed, a theory emphasizing how the marginalized learn through critical awareness and collaboration, I sought to understand how these fathers view their daughters’ educational experiences and barriers to success. Data were collected through semi-structured interviews with seven fathers living in urban …