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Effective Leadership Strategies That Enhance Banking Employees’ Productivity, Biljana Matevska
Effective Leadership Strategies That Enhance Banking Employees’ Productivity, Biljana Matevska
Walden Dissertations and Doctoral Studies
Ineffective leader-follower relationships in banks can negatively affect productivity. Branch bank leaders in New Jersey are concerned that low productivity reduces the quality of service provided to clients. Based on leader-member exchange theory, the purpose of this qualitative pragmatic inquiry project is to identify and explore effective strategies that some leaders in the banking industry in New Jersey use to build leader-follower relationships for increasing and sustaining worker productivity. Participants were six bank managers in New Jersey who had implemented strategies. Data were collected through semistructured interviews and a review of publicly available industrial documents, and three themes were identified …
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Walden Dissertations and Doctoral Studies
Adjustment from military life to the corporate or civilian world can be challenging for some individuals who have served in the armed forces. The purpose of this qualitative phenomenological study was to explore the lived experiences of U.S. military veterans transitioning from overseas service to civilian employment and to identify the factors contributing to long-term job retention. The military transition theory and turnover contagion theory grounded this study. The participants consisted of 20 male veterans representing the U.S. Army, Navy, Air Force, and Army National Guard in Dayton, Ohio. Data were collected using semistructured interviews and public documents. Two themes …
Exploring Effective Strategies For Optimizing Financial Investments In Healthcare Technology, Bashir Adeniyi Agboola
Exploring Effective Strategies For Optimizing Financial Investments In Healthcare Technology, Bashir Adeniyi Agboola
Walden Dissertations and Doctoral Studies
Ineffective optimization of the billions of dollars spent annually on healthcare technology threatens the sustainability of healthcare systems and exacerbates inequities in patient access. Healthcare technology leaders who lack effective investment optimization strategies risk reducing the operational effectiveness of their healthcare system. The purpose of this qualitative, pragmatic inquiry was to explore the effective strategies that healthcare technology leaders use to optimize financial investments in healthcare technology to improve the patient care experience and equitable access to healthcare services. The participants were nine healthcare technology leaders who used optimal financial investment strategies. Data were collected through semistructured interviews and a …
Identifying Best Practices To Decrease The High Rate Of 30-Day Rehospitalization Of Patients With Dementia From Skilled Nursing Facilities, Mavis Johnson
Walden Dissertations and Doctoral Studies
Abstract As CMS continues to prioritize quality care over quantity and positive patient outcomes, hospitals and nursing homes must ensure that their mission and goals align. The high rehospitalization rate is a current and ongoing concern among policymakers and healthcare administrators. Adverse patient outcomes and increased financial costs to both patients and Health Service Organization (HSO) administrators highlight the need to identify best practices to help reduce rehospitalization. The purpose of this integrative review is to identify best practices for reducing the high rate of 30-day rehospitalization among patients with dementia in skilled nursing facilities (SNF). The review question that …
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Walden Dissertations and Doctoral Studies
Chemical-industry accidents remain a persistent threat capable of injuring workers, damaging communities, and destabilizing organizations, despite decades of safety regulations and technological advancements. Chemical facility managers, workers’ families, emergency responders, local communities, and entire supply chains bear the burden of every preventable failure. Grounded in human capital theory, the purpose of this qualitative pragmatic research project was to identify and explore effective strategies that managers use to reduce safety accidents in chemical facilities. The participants were six managers from chemical facilities in the eastern United States. Data were collected using semistructured and publicly available documents. Through reflexive thematic analysis, five …
Lived Experiences Of Caregivers Navigating The Individuals With Disabilities Education Act For Their Disabled Children, Natasha Weber Holmes
Lived Experiences Of Caregivers Navigating The Individuals With Disabilities Education Act For Their Disabled Children, Natasha Weber Holmes
Walden Dissertations and Doctoral Studies
The Individuals with Disabilities Education Act (IDEA) was designed to guarantee equitable access to special education services for children with disabilities. Yet, disparities persist in how caregivers navigate protections. They often face barriers related to limited legal knowledge, inconsistent school support, and systemic inequities, leaving many unable to fully advocate for their children. The purpose of this interpretative phenomenological analysis study was to explore lived experiences of caregivers as they engaged with the IDEA to secure services for their children with disabilities. Guided by the legal consciousness and empowerment theories, the study involved examining how caregivers interpret and act upon …
Enhancing Anxiety Identification In Adult Patients, Wonda Crump
Enhancing Anxiety Identification In Adult Patients, Wonda Crump
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing (DNP) project, I focused on implementing a staff education program for anxiety screening at a health and wellness clinic. Mental health conditions, particularly anxiety disorders, are common in primary care settings. Research shows that anxiety affects millions of adults, yet many cases remain undiagnosed. The practice problem that I identified was that many patients with anxiety disorders were going undiagnosed during regular clinic visits. The clinic had no standard process for screening anxiety, and staff members had a knowledge deficit on the proper use of anxiety assessment tools. This gap in practice led to missed …
Evaluation Of Unmet Needs Of Vulnerable Populations And At-Risk Communities Through Disaster Management Planning, Ryan Austin Crowe
Evaluation Of Unmet Needs Of Vulnerable Populations And At-Risk Communities Through Disaster Management Planning, Ryan Austin Crowe
Walden Dissertations and Doctoral Studies
This community-based non-profit organization aimed to aid those most in need by providing critical social services. The client organization has been selected numerous times as a recipient of federal disaster case management programs, often not until a year after the disaster, resulting in distrust of the federal government and organizations contracted to perform recovery services. Providing services to areas impacted has been difficult due to contract delays. The practice research question addressed in this study was: How can a client organization address the one-year service gap frequently associated with federal contracts through a disaster management planning system? The purpose of …
Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy
Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy
Walden Dissertations and Doctoral Studies
The role of law enforcement officers is to restore peace and safety when chaos occurs, which can be life-threatening and stressful as officers respond to the critical incidents unfolding. For this study, a qualitative approach and phenomenological framework were utilized to gain insight into the first-hand psychological experiences of officers responding to critical incidents. Police officers work in demanding environments that can lead to mental health conditions such as depression and post-traumatic stress disorder. Peer support and communication among coworkers have emerged as a potentially important factor, as officers would share traumatic events with other officers. Therefore, my research focused …
Clinical Practice Guideline: Self-Care Management For Patients With Chronic Obstructive Pulmonary Disease (Copd), Scholastica Nnedimma Ihejirika
Clinical Practice Guideline: Self-Care Management For Patients With Chronic Obstructive Pulmonary Disease (Copd), Scholastica Nnedimma Ihejirika
Walden Dissertations and Doctoral Studies
Summary The DNP project is a clinical practice guideline (CPG) quality improvement project to guide nurses in caring for patients admitted with chronic obstructive disease (COPD). The quality issue identified was an increased readmission rate for patients with COPD in the facility, of which knowledge and awareness remain extremely low. An annual target of 19.36% was set by the facility to track the readmission rate of patients with COPD, and according to statistics from the facility, from July 2021 to June 2022, the rate was 25.7%; from July 2022 to June 2023, the readmission rate increased to 26%, thus necessitating …
Development Of An Educational Intervention To Enhance Nurses’ Knowledge And Intent To Implement Evidence-Based Diabetes Self-Management In Clinical Practice, Anne Marie Sieyou Ngouane
Development Of An Educational Intervention To Enhance Nurses’ Knowledge And Intent To Implement Evidence-Based Diabetes Self-Management In Clinical Practice, Anne Marie Sieyou Ngouane
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was purposed with closing critical gaps in staff knowledge and adherence to diabetes self-management protocols in a busy primary care clinic. Rising readmission rates and uneven use of American Diabetes Association (ADA) standards signaled an urgent need for a structured approach to staff education. To address this, a one-hour interactive training session was created that blended teaching, evidence-based handouts, and a practical diabetes care checklist. Staff learning was measured through pretest and posttest, confidence and adherence used a 5-point Likert-scale survey, and 21day readmission data tracked patient outcomes. The project question asked if …
Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee
Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee
Walden Dissertations and Doctoral Studies
The purpose of this qualitative research was to explore how self-identified Hmong college students aged 18–24 perceived their culture’s influence on their academic experiences. The study examined the relationships shaping individual identity and their effects on academic pursuits. A basic qualitative inquiry approach was used to interview ten Hmong undergraduate students enrolled in colleges across the United States. Semi-structured interviews facilitated data collection guided by the ecological systems theory, while thematic analysis and inductive coding were employed to identify patterns and develop themes from the data. The themes identified in the study were family as the central influence, negotiating conflicting …
Staff Education To Enhance Provider Knowledge On Lifestyle Modification For Hypertension Management, Chinyere Maria Assumpta Ofoegbu
Staff Education To Enhance Provider Knowledge On Lifestyle Modification For Hypertension Management, Chinyere Maria Assumpta Ofoegbu
Walden Dissertations and Doctoral Studies
Summary A doctor of nursing practice (DNP) staff education project was designed to enhance healthcare providers' knowledge of lifestyle interventions for hypertension management. At the practice site, primary healthcare providers were not regularly integrating lifestyle counseling. The practice-focused question guiding this project was: In primary care providers, how does implementing an evidence-based lifestyle education training program for hypertension management affect provider knowledge? An in-person educational session was provided to ten (10) healthcare practitioners who voluntarily participated. Pre- and post-training knowledge assessments was the analytical techniques employed to examine changes in provider comprehension of lifestyle-based hypertension care. Descriptive statistics and paired-sample …
A Qualitative Study Of Medical Cannabis Policy For Multiple Sclerosis In Kansas And Colorado, Haydn Primrose
A Qualitative Study Of Medical Cannabis Policy For Multiple Sclerosis In Kansas And Colorado, Haydn Primrose
Walden Dissertations and Doctoral Studies
Medical cannabis may alleviate symptoms associated with multiple sclerosis (MS), yet access to cannabis-based treatment (CBT) remains inconsistent across U.S. states. The research problem was that state policy variation and administrative implementation produce inequitable access and clinical uncertainty for individuals with MS and for clinicians and policymakers responsible for compliant care decisions. Existing literature on cannabis for MS primarily addresses symptom relief, including spasticity reduction, pain relief, and improved sleep quality; however, access policies vary by state. The purpose of this qualitative systematic review was to synthesize evidence on policy and administrative barriers shaping access to medical cannabis for MS …
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
Walden Dissertations and Doctoral Studies
There is no systematic process of orienting non-Hawaiian educators to Hawaiian culture, as evidenced by name mispronunciation. The purpose of this phenomenological study was to explore the experiences of individuals with traditional Hawaiian first names in a classroom environment. Critical race theory (CRT), especially the concept of microaggressions, was used as the framework for the study. Two research questions guided the study: What are the adult lived experiences with traditional Hawaiian first names encountered in academic settings during childhood? How do adults with traditional Hawaiian first names describe their experiences of race in the classroom? Semistructured interviews were conducted with …
A Phenomenological Exploration Of Lgbtq+ High School Graduates’ Perspectives On Lgbtq+-Related Legislation, Thomas James Foley
A Phenomenological Exploration Of Lgbtq+ High School Graduates’ Perspectives On Lgbtq+-Related Legislation, Thomas James Foley
Walden Dissertations and Doctoral Studies
Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) students’ social, emotional, and academic experiences and outcomes are not on par with their non-LGBTQ+ peers. Understanding how LGBTQ+ young adults experienced high school in a state with LGBTQ+-affirmative education legislation provides insight for counselors and educators to identify policies and practices that support positive outcomes for LGBTQ+ students. This qualitative phenomenological study explored how LGBTQ+-identifying high school graduates made meaning of their experiences in school as they related to LGBTQ+-affirmative education legislation. Interpretive phenomenological analysis (IPA) was used for the research methodology and data analysis process. Results included four themes: (a) …
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that approximately 34% of African American male students had dropped out of high school in an urban public school district in the Northern United States. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this basic qualitative study was to explore school social workers’ perceptions of the effectiveness of strategies used to reduce dropout rates among African American male high school students. Purposive sampling was used to recruit 10 school social workers from one urban public school district who worked with African American male students at risk of dropping out. Data was collected …
Multidisciplinary Approach To Reducing Healthcare-Associated Infections: A Dnp Project, Jovinsky Jonaldo Eliscard
Multidisciplinary Approach To Reducing Healthcare-Associated Infections: A Dnp Project, Jovinsky Jonaldo Eliscard
Walden Dissertations and Doctoral Studies
Healthcare-associated infections are increasingly common in healthcare facilities due to multiple concerns, including negligence, human error, and poor conditions. According to Chuwa (2024), secondary infections are a significant threat to patient safety and wellness, reducing an organization’s ability to realize clinical objectives. The facility is a large healthcare provider operating numerous hospitals and care homes across the United States. The organization continues to report increased infection rates across its branches owing to a lack of standardized infection prevention and control protocols, reducing its efficiency and appeal. Internal audits point to inconsistencies in general sanitation, cleanliness, and hygiene. The organization also …
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Walden Dissertations and Doctoral Studies
Workplace diversity continues to face criticism due to the limited representation of minority groups, with little progress made in the corporate sector. Despite corporations’ efforts to increase diversity and inclusion in the workplace, a notable lack of minority leadership persists in upper management roles. The purpose of this explanatory sequential mixed-method study was to explore the factors that affect the selection of minority leaders and how corporate executives utilize diversity, equity, and inclusion (DEI) initiatives to foster significant organizational change, even in the face of ongoing underrepresentation in upper management. Social dominance theory, anti-egalitarianism, and social construction theory grounded this …
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
Walden Dissertations and Doctoral Studies
Physical inactivity among older adults remains a major national and global public health concern linked to preventable morbidity, mortality, and rising healthcare costs. Physical therapists are uniquely positioned to promote physical activity (PA) through health education, yet their engagement in this role is not well defined. This quantitative cross-sectional study examined associations between clinical practice factors—years of experience, board certification status, and practice setting—and three domains of the theoretical domains framework (knowledge, skills, and behavioral regulation) related to PA promotion among older adults. The framework guided identification of behavioral and contextual factors influencing therapists’ delivery of PA promotion interventions. Data …
Social Workers' Perspectives Of Using Teletherapy To Foster Resilience Among Middle-Class Single Black Mothers, Yvonne Judge
Social Workers' Perspectives Of Using Teletherapy To Foster Resilience Among Middle-Class Single Black Mothers, Yvonne Judge
Walden Dissertations and Doctoral Studies
Inadequate mental health support, particularly from social workers, disproportionately affects middle-class single Black mothers. Prior studies have examined low-income single mothers’ access to mental health care and the potential of teletherapy as a tool for improving access; however, few have explored how middle-class single Black mothers navigate mental health challenges. Further, there is a lack of research on social workers’ perspectives of using teletherapy to foster resilience among middle-class single Black mothers. This is a critical gap, as social workers play a key role in tailoring mental health interventions. The purpose of this study was to explore social workers’ perspectives …
Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha
Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha
Walden Dissertations and Doctoral Studies
The experiences of parenting a child with autism spectrum disorder (ASD) have been widely studied in Western contexts. Still, limited research has explored how sociocultural factors shape these experiences in India. This qualitative study aims to address this gap by exploring and comparing the lived experiences of mothers and fathers raising a child with ASD in Kerala, India. The purpose of this study was to investigate how gender roles, cultural expectations, and social structures impact parental adaptation, coping, and caregiving practices. Bronfenbrenner’s ecological systems theory and Crenshaw’s ideas of intersectionality provide the conceptual framework of this study. Using an interpretative …
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Walden Dissertations and Doctoral Studies
The rise of online health information has increased access to cancer resources but also amplified misinformation, creating trust gaps that threaten prevention, treatment, and health equity. This study examined how trust in cancer information sources, online information-seeking, and healthcare perceptions relate among U.S. adults. Guided by the health information seeking behavior, the socioecological model, and the structural influence model of health communication, data from the 2022 Health Information National Trends Survey (N = 6,197) were analyzed with logistic regression, mediation, and moderation modeling, controlling for demographics. Trust in government agencies predicted greater cancer information seeking (odds ratio [OR] = 1.94, …
Community College Faculty Experiences As Post-Pandemic Online Instructors, Irene Arshad
Community College Faculty Experiences As Post-Pandemic Online Instructors, Irene Arshad
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic caused a sudden transition from face-to-face to online instruction. The problem that was addressed through this study is that little is known about the experiences of community college faculty members when teaching online in the post-pandemic era. Grounded in Hall’s and Hord’s concerns-based adoption model, the purpose of this qualitative study was to explore the experiences of community college faculty members’ perceptions of their teaching experiences working online post-pandemic. For this basic qualitative design, data were collected through semistructured interviews with 10 community college faculty. A thematic analysis of the data revealed the following six themes: (1) …
Staff Education To Strengthen Nurses’ Knowledge Of Evidence-Based Strategies For Medication Adherence In Psychiatric Care, Constantine Lewko
Staff Education To Strengthen Nurses’ Knowledge Of Evidence-Based Strategies For Medication Adherence In Psychiatric Care, Constantine Lewko
Walden Dissertations and Doctoral Studies
This DNP staff education project involved addressing the absence of a structured and standardized approach to guide nurses in promoting medication adherence among psychiatric patients. The practice problem at the local project site was inconsistent use of adherence counseling strategies, which contributed to early treatment discontinuation, poor patient engagement, and frequent readmissions. The practice-focused question for this project was: Does implementing a structured staff education program improve nursing staff knowledge on medication adherence compared to usual care? The purpose of this doctoral project was to implement and evaluate an evidence-based education session to improve nurse knowledge and standardize adherence counseling …
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Walden Dissertations and Doctoral Studies
Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …
Community College And School Administrators’ Perspectives On Communication And Collaboration In The Formation Of Partnerships, Shannon Stukes Williams
Community College And School Administrators’ Perspectives On Communication And Collaboration In The Formation Of Partnerships, Shannon Stukes Williams
Walden Dissertations and Doctoral Studies
Challenges have limited the opportunities for educational institutions to support student transitions and success. The problem addressed through this study was the challenge to establish effective partnerships between community colleges and public K–12 schools in a rural county in a southern state. Grounded in Hartford’s small group theory, the purpose of this basic qualitative study was to examine community college and K–12 administrators’ perspectives on the role of collaboration and communication, as well as the knowledge and skills needed for faculty, staff, and officials to create and sustain partnerships. Semistructured interviews were conducted with 18 community college and K–12 administrators. …
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Walden Dissertations and Doctoral Studies
Organizations increasingly rely on business process outsourcing (BPO) to reduce costs, access specialized expertise, and improve efficiency; however, failure rates in BPO initiatives remain high, leading to financial loss, operational disruptions, and reduced competitiveness. Business leaders who lack effective strategies to manage outsourcing projects risk eroding customer satisfaction and organizational performance. Grounded in transaction cost economics and the resource-based view, the purpose of this qualitative single-case study was to explore strategies some business leaders used to successfully manage BPO initiatives. The participants included 10 senior managers from organizations in the southeastern United States who had demonstrated success in overseeing outsourcing …
Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson
Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson
Walden Dissertations and Doctoral Studies
Juvenile recidivism persists in the U.S. justice system, highlighting the need for effective reentry programs. However, limited research exists on juvenile justice professionals’ perceptions of program success. The purpose of this qualitative study was to explore these professionals’ perceptions regarding the effectiveness of juvenile reentry programs in reducing recidivism. Guided by Bandura’s social learning theory, the study examined how observation and modeling influence youth behavior during reentry. The research questions focused on professionals’ perceptions of program effectiveness and how these perceptions impact recidivism reduction efforts. A qualitative phenomenological design involved semi-structured interviews with 13 juvenile justice professionals in the southwest …
Staff Education To Improve Patient Safety Using Standardized Medication Transcription Verification, Beloved Martey
Staff Education To Improve Patient Safety Using Standardized Medication Transcription Verification, Beloved Martey
Walden Dissertations and Doctoral Studies
This staff education project was a quality improvement initiative aimed at reducing medication transcription errors by implementing a standardized verification protocol. The project addressed the critical practice problem of transcription-related medication errors, which contribute to wrong medication administration, adverse drug events, and patient harm. The practice-focused question was: How does implementing a staff education program on standardized medication transcription verification processes in healthcare institutions affect the rate of wrong medication administration compared to traditional transcription methods without education? The project was implemented over 8 weeks in an outpatient clinic with 20 participants (8 prescribers and 12 nurses). The primary data …