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Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu
Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu
Walden Dissertations and Doctoral Studies
This doctoral project was conducted as a staff education initiative based on a comprehensive literature review that emphasized the importance of staff education in improving healthcare outcomes. The practice problem identified was a lack of staff knowledge and education regarding long-acting injectables (LAIs) in clients with schizophrenia, which contributed to inconsistent support for client medication adherence. It was essential to address this issue because nurses play a crucial role in medication management, patient education, and adherence support. The practice-focused question explored was: Will staff education regarding the use of long-acting injectables in clients with schizophrenia to enhance medication adherence improve …
Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley
Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley
Walden Dissertations and Doctoral Studies
Independent quick-service restaurant owners face challenges sustaining their businesses beyond 5 years of operation. Many independent quick-service restaurant owners are concerned about maintaining sustainable business operations, as failure can negatively affect owners, employees, and the communities they serve. Grounded in the resourcebased view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful sustainability strategies that quick-service restaurant owners used to survive beyond 5 years. The participants were six independent, quick-service restaurant owners operating in the state of Maryland who employed effective sustainability strategies to survive for more than 5 years. Data were collected using semistructured …
Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton
Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton
Walden Dissertations and Doctoral Studies
Teacher retention has been a growing issue, as the rate of teacher vacancies has continued to increase after the COVID-19 pandemic. The increase in teacher vacancies after the pandemic highlighted the importance of retaining and attracting highly qualified teachers for schools and school districts. A coastal South Carolina school district had been providing employee support services to retain current staff and create a competitive advantage over other school districts in attracting new staff. The purpose of this generic qualitative study is to examine the perception of classroom teachers regarding the efficacy of free afterschool childcare as an employee support service …
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Walden Dissertations and Doctoral Studies
Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …
Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy
Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy
Walden Dissertations and Doctoral Studies
Ineffective strategies to reduce burnout for employees can decrease productivity and quality of work, and can increase turnover. Event industry leaders who struggle to reduce burnout of employees with high workload demands are at risk of employee turnover. Grounded in the Job Demands-Resources (JD-R) model, the purpose of this qualitative, pragmatic inquiry research project was to explore effective strategies to reduce burnout for employees with high workload demands. The participants were eight event industry leaders who had effectively implemented strategies to reduce burnout. Data were collected using semistructured interviews and a review of public websites and documents. Using thematic analysis, …
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Walden Dissertations and Doctoral Studies
Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …
In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs
In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs
Walden Dissertations and Doctoral Studies
Counselor educators lack an in-depth understanding of the unique needs and experiences of African American women with binge eating behavior, leading them to be ill-equipped to train counselors to meet these culturally specific needs. As a result of this study, counselor educators were able to understand how African American women experience binge eating behavior, enhancing training for counselors. This qualitative study included a transcendental phenomenological approach and focused on providing answers regarding the lived experiences of African American women with binge eating behavior during their binge eating episodes. Semistructured interviews with eight African American women with binge eating behavior were …
Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson
Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson
Walden Dissertations and Doctoral Studies
Information technology (IT) supply chains need innovative technology integration strategies to create and maintain a competitive advantage. IT supply chain managers who lack effective technology supply chain integration strategies risk decreased competitive advantage and reduced profitability. Grounded in the Technology Acceptance Model, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective innovative technology integration strategies supply chain managers use to enhance profitability. Participants consisted of six IT and supply chain managers with at least 5 years’ experience in integration of technology into supply chains. Data was collected through semi-structured interviews and a review of …
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Walden Dissertations and Doctoral Studies
Telehealth has emerged as a transformative approach to healthcare delivery, particularly for populations facing geographic, financial, and mobility-related barriers. In rural communities such as Sumter, South Carolina, seniors 50 and older continue to experience challenges in accessing timely care, including limited transportation, provider shortages, digital illiteracy, and financial constraints. Conducted by Andersen’s Behavioral Model of Health Services Use (ABMHSU), this qualitative phenomenological study explored the lived experiences of seven seniors in Sumter to understand how telehealth influences engagement in healthcare. This study was guided by three research questions (RQ) that examined seniors’ experiences using ABMHSU, focusing on predisposing factors, enabling …
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Walden Dissertations and Doctoral Studies
Organizations may experience negative impacts, such as the loss of valuable employees and disruptions in team dynamics, when coaching interventions lead to challenges against organizational norms or policies. Coaching industry leaders must understand the negative impacts as indicators of workplace vulnerability affecting employees and productivity. The purpose of this qualitative phenomenological study was to explore how coachees describe their lived experiences of strengths-based coaching (SBC) and its impact on their psychological well-being (PWB). The SBC’s dual outcomes on PWB, using a conceptual framework that integrates positive psychology coaching, Ryff’s model of PWB, and social exchange theory, grounded this study. The …
Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne
Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne
Walden Dissertations and Doctoral Studies
Abstract A lack of effective communication strategies to increase employee productivity and profitability is a concern among leaders in the finance industry. This problem is important because, without such strategies, organizations might experience decreased employee morale and misalignment, which could reduce productivity and profitability. Grounded in leader–member exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective communication strategies that senior finance leaders use to increase employee productivity and organizational profitability. Participants were six senior leaders from the finance industry in the Cayman Islands, each with at least 5 years of executive responsibility over …
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Walden Dissertations and Doctoral Studies
The transition from graduate education to clinical practice marks a pivotal point in the professional journey of advanced practice registered nurses (APRNs). Despite rigorous preparation, many APRN MSN graduates struggle to adapt to the complex expectations of autonomous practice. The lack of structured mentorship, inconsistent orientation processes, and unclear performance expectations contribute to high stress, role confusion, and early turnover. This Doctor of Nursing Practice Executive Leadership project addressed this critical issue by evaluating whether an interprofessional team could achieve consensus on developing a best practice program to guide APRN MSN graduates’ transition to independent clinical practice. This initiative was …
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Walden Dissertations and Doctoral Studies
The doctoral project investigates the impact of education on Clinical Documentation Integrity (CDI) nurses in enhancing the accuracy and quality of clinical documentation within healthcare organizations. Clinical documentation plays a crucial role in accurately reflecting patient care and is essential for capturing proper diagnoses, coding, and reimbursement. In contrast, inaccurate or incomplete documentation can lead to misdiagnoses, poor patient outcomes, and financial deficits. Due to frequent updates in clinical guidelines and coding standards, CDI professionals require continuous, specialized training to stay informed with ever-changing medical terminology, disease processes, and coding regulations. By enhancing the CDI education, the aim is to …
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) can be detrimental to survivors well into adulthood and can affect the relationships of everyone with whom they are involved. Knowing the perpetrator is a determining factor in the equation and is associated with increased odds of behavioral health challenges among survivors. This is especially true within African American communities, where cultural violence results in an increased level of trauma. The purpose of this qualitative study was to examine the lived experiences of African American CSA survivors and their relationships with the perpetrators. As part of the phenomenological design, data were collected through semi-structured interviews with …
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Walden Dissertations and Doctoral Studies
Abstract This Doctor of Nursing Practice project involved the development and quality appraisal of a clinical practice guideline (CPG) for early depression screening in adults with opioid use disorder (OUD), addressing the absence of standardized, evidence-based screening protocols in addiction treatment settings. Guided by the practice-focused question of whether existing evidence supports the development and evaluation of such a guideline using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, a systematic synthesis of 35 research articles was conducted, with 15 high-level studies informing guideline development. A multidisciplinary panel of four experts evaluated the CPG using the …
A Shareholder Primacy Mindset In The Benefit Corporation’S Top Management Team And Greenwashing Actions, Jonathan Wimberly
A Shareholder Primacy Mindset In The Benefit Corporation’S Top Management Team And Greenwashing Actions, Jonathan Wimberly
Walden Dissertations and Doctoral Studies
Benefit corporations exist to benefit society and generate profit for shareholders and stakeholders, but there is evidence that greenwashing is prevalent among these entities. Business leaders need to understand the extent to which a shareholder primacy mindset influences the collective top management team and drives greenwashing in benefit corporations. The purpose of this quantitative correlational study was to determine the relationship between the collective demographic characteristics of top management teams and a shareholder primacy mindset, and to assess the relationship between a shareholder primacy mindset in the top management team of a benefit corporation and greenwashing behavior. Upper echelons theory …
Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork
Walden Dissertations and Doctoral Studies
Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …
The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward
The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward
Walden Dissertations and Doctoral Studies
Abstract The problem that was addressed through this study is that Black women are underrepresented in executive leadership roles in the United States. Grounded in Ladson-Billings’ critical race theory and Hill Collins’ Black feminist theory, the purpose of this basic qualitative study was to explore the perceptions and experiences of Black women executives regarding the challenges they face in attaining executive leadership roles and their recommendations to address the underrepresentation of Black women in executive leadership roles. Data were collected using semistructured interviews of 13 adult Black female executive leaders in a private sector organization who had at least 2 …
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Walden Dissertations and Doctoral Studies
Abstract Outpatient addiction treatment centers face significant challenges from inefficient appointment scheduling systems that contribute to high no-show rates, delayed care, and weakened organizational performance. These barriers affect more than daily operations; they disrupt the flow of treatment, increase patient disengagement, and place additional strain on limited healthcare resources. For patients navigating substance use disorders, a missed appointment may jeopardize continuity of care and undermine recovery efforts. This integrative review explored strategies to improve scheduling efficiency and enhance patient engagement in outpatient addiction care. A systematic search of recent U.S. studies was conducted and appraised using the Johns Hopkins Evidence-Based …
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Walden Dissertations and Doctoral Studies
As baby boomers, Generation X, millennials, and Generation Z converge in healthcare settings, their distinct values and work styles influence organizational culture, communication, and collaboration, ultimately affecting patient care outcomes. This study was conducted to explore the impact of generational differences on registered nurses’ intentions to leave their organizations or the nursing profession. By examining how these generational differences shape nurses’ intentions to leave their organizations, the study can help to identify challenges and opportunities for healthcare leadership. Through an analysis of generational expectations and workforce dynamics, this research aimed to inform strategies for supporting retention, enhancing job satisfaction, and …
The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes
The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes
Walden Dissertations and Doctoral Studies
Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Walden Dissertations and Doctoral Studies
Scholarly literature has found that post-traumatic stress impacts first responders; however, little attention has been paid to how first responders learn resiliency through post-traumatic growth (PTG). The purpose of this hermeneutic phenomenological study was to explore a gap in the literature of first responders who learned resiliency through posttraumatic growth following a critical incident in the line of duty. The research study was grounded in Heidegger’s philosophy of hermeneutic phenomenology, guided by resiliency theory , and informed by post-traumatic growth theory. Seven first responders from multiple disciplines were invited to participate in semi-structured interviews designed to provide rich and reflective …
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Walden Dissertations and Doctoral Studies
This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …
African American Small Business Success Strategies, Zena Foster
African American Small Business Success Strategies, Zena Foster
Walden Dissertations and Doctoral Studies
Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …
Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis
Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis
Walden Dissertations and Doctoral Studies
A lack of successful strategies can lead to a high failure rate among small businesses. Women small business owners often express concerns about identifying successful strategies, which research shows are a key predictor of business sustainability. Grounded in entrepreneurship theory and participative leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that some women small business entrepreneurs use to sustain their businesses beyond 5 years. The participants were five women small business owners from different sectors in the East Coast region of the United States who had sustained their businesses beyond 5 …
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Walden Dissertations and Doctoral Studies
Summary This doctoral project was a staff education program designed to improve depression screening among patients in an adult primary care setting. The practice problem addressed was the lack of standardized depression screening that led to inconsistent detection, delayed diagnosis, and fragmented mental health care. A move to address the issue is critical in nursing practice since nurses play a central role in early identification, patient advocacy, and integration of behavioral health into primary care. The practice-focused question guiding the project was, Will implementing a nursing staff education program impact their knowledge of Clinical Practice Guideline (CPG) for depression screening …
Effective Digital Marketing Strategies For Small Businesses, Shannon Springob
Effective Digital Marketing Strategies For Small Businesses, Shannon Springob
Walden Dissertations and Doctoral Studies
The inability of many small businesses to effectively use digital marketing is a critical challenge for small business owners. Small business owners who lack effective digital marketing strategies are at greater risk of facing failure. Grounded in the do-it-yourself (DIY) behavioral theory, this qualitative pragmatic inquiry was conducted to identify, analyze, and explore the effective strategies employed by small business owners in the development and implementation of effective digital marketing campaigns. The participants included six small business owners in the United States who have used DIY digital marketing strategies within their businesses. Data were collected using semistructured interviews. Thematic analysis …
Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders
Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders
Walden Dissertations and Doctoral Studies
Ineffective retention strategies can lead to employee turnover. Private childcare business owners who struggle to improve employee retention may find their business confronting attrition as a result. Grounded in job embeddedness theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective retention strategies used by private childcare business owners to reduce high employee turnover rates. The participants were eight private childcare business owners who had implemented retention strategies. Data were collected through semistructured interviews, public websites, and public documents. Through thematic analysis, five themes were identified: (a) providing competitive rewards and family support; (b) …
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Walden Dissertations and Doctoral Studies
Scientists and health professionals have established the connection among physical activity and overall wellbeing. In more recent years, scholars have also researched the correlation among increased self-connection with increased overall well-being. Nevertheless, insignificant data has been gathered to investigate the impact of predictor variables upon the connection between exercise and wellbeing. This research study examined the mediating effect of self-connection among the relationship between exercise and wellbeing. The current study’s purpose was to gain better insights on how self-connection predicts a person’s physical activity, contributing to comprehensive insights how exercise habits may predict a person’s wellbeing by using a cross-sectional …