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Articles 1291 - 1320 of 15019
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Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …
Special Education Teachers' Experience Implementing Constant Time Delays On Young Adults With Autism Spectrum Disorder To Improve Employment Stability, Ayodele Salihu
Walden Dissertations and Doctoral Studies
Individuals with autism spectrum disorder (ASD) often encounter challenges in securing and maintaining employment. With appropriate support, they can gradually develop the functional and social skills necessary to perform job tasks independently, fostering long-term employment and greater autonomy. Achieving independence depends on both the cognitive abilities of individuals with ASD and the instructional strategies educators employ to engage them effectively in the learning process. Constant time delay (CTD) is an evidence-based practice that has demonstrated significant benefits for individuals with ASD in skill acquisition and task mastery. This qualitative study explored the experiences of special education (SPED) teachers in implementing …
Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan
Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan
Walden Dissertations and Doctoral Studies
Mainstream high school teachers in a district in the state of Mississippi have struggled to consistently implement research-based strategies that address the needs of English Language Learners (ELLs). Guided by Echevarría et al.’s sheltered instruction observation protocol (SIOP), the purpose of this basic qualitative study was to explore the instructional practices implemented by mainstream high school teachers at a Title I high school in a Mississippi district that are aligned with research-based practices and the challenges they reported in improving ELL student achievement in mainstream classrooms. Data were collected from semistructured interviews with nine teachers from a Title I high …
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Walden Dissertations and Doctoral Studies
The identified problem at the project site facility was rising incidences of patient falls, which was attributed to insufficient staff knowledge of evidence-based strategies for preventing falls, including purposeful hourly rounding (PHR). Research has demonstrated that PHR effectively reduces the risk of falls among patients by allowing clinicians to proactively address patient needs. The purpose of this staff education project was to enhance healthcare providers’ knowledge of PHR and its role in fall prevention. The practice-focused question that guided this project was: For staff in a long-term care facility, will training on hourly rounding increase knowledge toward the goal of …
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Walden Dissertations and Doctoral Studies
Studies show Black Americans face high police brutality, leading to mental health issues like PTSD, depression, and anxiety. The purpose of this qualitative interpretive phenomenological study is to explore the lived experiences of Black Americans who have been exposed to police brutality on social media and how it impacts their racial identity and emotional well-being. This study employed critical race theory as both a theoretical lens and a conceptual framework to examine how race and systemic inequalities shape legal systems and societal narratives. I used IPA to explore how people interpret their experiences and the meanings they assign. This study …
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Walden Dissertations and Doctoral Studies
The phenomenon of Military sexual trauma (MST) among male survivors is significantly underreported and lacking in scholarly research. The purpose of this qualitative generic study was to explore male veteran MST survivors’ perspectives on military culture and institutional betrayal. Cultural spillover theory provided the framework, emphasizing that a culture that legitimizes violence to achieve its goals has the potential to foster illegitimate violence within that culture. The primary research question in this study was: What are the perceptions and experiences of male veteran MST survivors on military institutional culture and MST? Six semi-structured interviews were conducted via Zoom with male …
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Walden Dissertations and Doctoral Studies
A lack of effective strategies to improve employee retention and organizational performance is a concern for healthcare leaders. Without such strategies, organizations may incur costs through recruitment and training, reduce productivity due to workflow disruption and knowledge gaps, damage employee morale by increasing workloads for remaining employees, and harm the organization’s reputation, potentially affecting patient relationships, hindering growth, and eroding any competitive advantage. Grounded in Penrose’s resource-based view theory, this qualitative pragmatic inquiry was to identify and explore the effective strategies healthcare leaders use to improve employee retain and organizational performance. Participants were six leaders of healthcare organizations located in …
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Walden Dissertations and Doctoral Studies
Prostate cancer screening has been a focus of scholars since the late 20th century, as researchers have sought to address persistent disparities in early detection and mortality rates among African American men. Researchers have demonstrated that cultural beliefs, mistrust of the medical system, and limited access to healthcare significantly influence prostate cancer screening behaviors within this population. However, researchers have yet to establish how younger African American men specifically interpret prostate cancer risk and how their beliefs and attitudes shape decisions regarding screening participation. The purpose of this study was to explore the beliefs, perceptions, and attitudes of younger African …
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Walden Dissertations and Doctoral Studies
I designed this Doctor of Nursing Practice staff education project to enhance the ability of primary care nurses at a mental health outpatient clinic to manage depression in patients who are non-compliant with treatment. Currently, nurses lack structured training in recognizing and addressing depression, which contributes to inconsistent care, increased relapse and readmission rates, lower patient satisfaction, and greater healthcare utilization. This project aimed to provide evidence-based education to close a critical gap in practice that affects care quality, continuity, nurse confidence, and patient outcomes. The guiding practice-focused question was: In primary care nurses at a mental health outpatient clinic, …
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Walden Dissertations and Doctoral Studies
Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Walden Dissertations and Doctoral Studies
Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Walden Dissertations and Doctoral Studies
Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Walden Dissertations and Doctoral Studies
Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical gap in care at a 24-bed, combined, intensive care unit (ICU): The absence of a standardized, evidence-based clinical practice guideline (CPG) for managing diabetic ketoacidosis (DKA). DKA is a life-threatening emergency requiring timely, coordinated, and evidence-driven management. Despite its prevalence, the project site ICU lacked formal guidelines, resulting in fragmented care delivery and inconsistent treatment practices. Project site leadership expressed concerns that the absence of a unified protocol contributed to increased workload for nurses and physicians with frequent interruptions for order verification and delays that compromised patient safety and care …
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Walden Dissertations and Doctoral Studies
Abstract Thirty-day hospital readmissions continue to be an increasing problem for healthcare administrators due to quality and costs. This study was conducted to examine whether gender and race were related to 30-day readmissions in urban and rural counties of North Carolina and Wisconsin. Research questions included the dependent variable of 30-day acute hospital readmissions and the independent variables of race (Black and White) and gender (male and female). The framework was Donabedian’s quality of care model consisting of three components: structure, process, and outcomes. Centers for Medicare and Medicaid Services secondary data were gathered in 2022 from 595,294 patients in …
Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Walden Dissertations and Doctoral Studies
Psychiatric advance directives (PADs) are binding documents through which a patient who has severe mental illness can specify their treatment preferences before becoming mentally ill in a crisis. PADs support patient autonomy, shared decision-making, and reduce the reliance on coercive or involuntary treatments. However, patient record reviews in this practice setting revealed that PAD documentation was not frequently practiced, and nurses were not even aware of or confident enough to assist patients in preparing these directives. This DNP project was designed to bridge this gap by implementing a formal staff education program that would improve the knowledge and awareness of …
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice project in physical medicine and rehabilitation (PM&R), the focus was on enhancing education for acute care nurses about the benefits of inpatient rehabilitation for appropriate patients. The practice problem was the underutilization of inpatient rehabilitation despite its proven benefits in improving patient outcomes and reducing readmissions. With this project, I aimed to educate nurses on identifying suitable candidates for inpatient rehabilitation, thereby improving patient care transitions and outcomes. The practice-focused question revolved around assessing the effectiveness of educational interventions in increasing nurse knowledge and referral rates to inpatient rehab. Analytical strategies included pre- and …
Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice (DNP) project involved implementing a cultural competency staff education program at an outpatient mental health clinic. The identified practice problem was poor cultural competence practices knowledge among staff, resulting in poor patient engagement and a low patient satisfaction rate. Improving cultural competency in nursing practice was necessary to facilitate therapeutic trust, increase patient treatment adherence, and enhance staff compliance with Culturally and Linguistically Appropriate Services (CLAS). The practice-focused question guiding the DNP project was: Does implementing staff education impact their knowledge of cultural competence and confidence in adhering to CLAS? Data were collected through …
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Walden Dissertations and Doctoral Studies
Dental health is a critical component of overall well-being but is not a mandatory benefit in the Traditional Medicare or Medicare Advantage programs. Few researchers explore whether the generosity of supplemental benefits in Medicare Advantage, such as dental coverage, are associated with better beneficiary experience and retention in the program. The purpose of this quantitative study was to explore the potential associations between supplemental dental benefits generosity and voluntary disenrollment in Medicare Advantage plans. Penchansky and Thomas’ theory of access (1981) and Rivera-Hernandez et al.’s (2021) Medicare Advantage plan choice and retention framework were used to understand the associations between …
Improving Staff Knowledge And Competency In Saint Louis University Mental Status Dementia Screening, Arteece Noel Crum
Improving Staff Knowledge And Competency In Saint Louis University Mental Status Dementia Screening, Arteece Noel Crum
Walden Dissertations and Doctoral Studies
Summary Early recognition of cognitive decline is vital to improving outcomes and maintaining patient safety across healthcare settings. The Saint Louis University Mental Status (SLUMS) screening tool assists nurses in detecting early cognitive changes; however, inconsistent administration and interpretation of the screening tool can reduce its effectiveness. A gap in staff knowledge regarding scoring, education-level adjustments, and documentation accuracy was identified at the practice site. To address this gap in practice, I developed and implemented a staff education program focusing on SLUMS administration and evidence-based clinical response to abnormal scores. The practice-focused question guiding this Doctor of Nursing Practice project …
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Walden Dissertations and Doctoral Studies
In Colorado, early childhood education (ECE) directors are often not fully prepared to lead and develop high-quality teaching teams, which is integral to offering high-quality programming to children and families in the early years of development. Framed by transformational leadership theory, the purpose of this basic qualitative study was to explore Colorado ECE directors' experiences with training and support, and the resources needed to develop ECE directors to lead high-quality programming . Data were collected through semistructured interviews with 13 Colorado ECE directors from center-based programs that serve children from birth to 8 years. Thematic analysis using open coding yielded …
Primary Teachers’ Implementation Experiences Transitioning From Balanced Literacy To Science Of Reading, Rachael Spires
Primary Teachers’ Implementation Experiences Transitioning From Balanced Literacy To Science Of Reading, Rachael Spires
Walden Dissertations and Doctoral Studies
In a suburban charter elementary school in the southeastern region of the United States, primary grade teachers were not fully implementing new strategies for all five components of the science of reading (SoR) during the shift from balanced literacy in the reading wars. The purpose of this basic qualitative study was to explore primary grade teachers’ experiences with implementing new strategies to support the five components of the SoR. Guided by Hall and Hord’s concerns-based adoption model (CBAM), data were collected from a purposeful sample of 15 primary grade level teachers at the charter school, who participated in semistructured interviews. …
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Walden Dissertations and Doctoral Studies
This doctoral project addressed a gap in staff cultural competence at a mental health and addiction services center in the Midwest. I conducted this project to design, implement, and evaluate a staff educational program to improve staff knowledge, cultural awareness, and communication skills. The guiding practice-focused question was: Among staff at the Midwest mental health and addiction services center, how does a structured cultural competence education program compare to current practices in improving staff knowledge of cultural awareness? A 2-day educational session was held to accommodate participation within regular work schedules without interfering with the project site organization’s services. Arrangements …
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that there is a gap in the literature about the preparation of mid to lower elementary novice teachers to teach students with low-socioeconomic status (low-SES) in several districts throughout the Southern United States. Grounded in social justice theory, the purpose of the basic qualitative design was to explore lower to middle elementary teachers' perceptions on their preservice preparation to teach low-SES students. For this basic qualitative design, 12 novice teachers participated in semistructured interviews. Data were analyzed through thematic analysis with the following three top themes emerging: (a) poor preparation towards …
Comparison Of Two Clinical Education Models On Confidence, Resilience, Organizational Commitment, And Stress And Burnout Of New Graduate Registered Nurses, Lenore Reilly
Walden Dissertations and Doctoral Studies
The transition to independent clinical practice is a stressful experience that may lead many new graduate RNs (NGRNs) to leave their first role within a year. Effective clinical education can help prepare NGRNs for the dynamic environment of the acute care setting. The purposes of this study, guided by Meleis’s transitions theory, were to determine if there was (a) a difference in confidence in NGRNs who experienced a dedicated education unit (DEU) and NGRNs who experienced a traditional clinical education model (TCEM), (b) a difference in resilience in NGRNs who experienced a DEU and NGRNs who experienced a TCEM, (c) …
Bridging The Knowledge Gap Of Nursing Staff Understanding Patient Medication Discharge Instructions, Tracy L. Outlaw
Bridging The Knowledge Gap Of Nursing Staff Understanding Patient Medication Discharge Instructions, Tracy L. Outlaw
Walden Dissertations and Doctoral Studies
The project, a Doctor of Nursing Practice (DNP) staff education project, addresses a gap in nursing practice by focusing on the need for comprehensive knowledge and effective communication skills among nursing staff regarding antidepressant discharge instructions. The practice-focused question is as follows: How does a structured educational program on antidepressant pharmacology and communication strategies impact staff knowledge and satisfaction compared to standard discharge practices? The primary purpose of the project is to improve nursing staff knowledge and communication through a systematic, phased approach that aligns with project management principles through the lens of project management theory, thereby increasing and sustaining …
Enhancing Ptsd Diagnostic Accuracy Among Immigrant Patients Through Staff Education On The Harvard Trauma Questionnaire, Elijah Machogu Mabururu
Enhancing Ptsd Diagnostic Accuracy Among Immigrant Patients Through Staff Education On The Harvard Trauma Questionnaire, Elijah Machogu Mabururu
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project is a staff education initiative addressing the underdiagnoses of post-traumatic stress disorder (PTSD) among immigrant patients. The project was developed in response to inconsistent screening practices, lack of standardized tools, and limited provider confidence in assessing PTSD in culturally diverse populations. The purpose is to equip clinical staff with the knowledge and skills to apply the HTQ appropriately and consistently, thereby improving diagnostic accuracy and supporting equitable access to mental healthcare. The practice-focused question guiding this project was: Can an educational intervention using the HTQ improve staff’s ability to identify PTSD symptoms among …
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
Walden Dissertations and Doctoral Studies
Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Walden Dissertations and Doctoral Studies
Childhood Sexual Abuse (CSA), traumatic sexual violence within trusted relationships, continues to impact children in the United States and often leads to insecure attachments in adulthood. There was a gap in the literature concerning the experiences of adult survivors of CSA within marginalized communities, where such experiences are frequently ignored. The purpose of this qualitative descriptive phenomenological study was to explore how adult survivors of CSA from marginalized populations develop attachments. Bowlby argued that maintaining mental health in adulthood depends on forming healthy and secure relationships during childhood. Bowlby’s attachment theory served as the framework to understand how early attachment …
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Walden Dissertations and Doctoral Studies
This DNP staff education project was an initiative focused on improving fall-related knowledge among faculty members. The practice problem identified at the local project site was the frequent rate of patient falls. Analysis established the role of staff in the inefficient implementation of best practices and to the staff’s limited knowledge regarding the application of existing fall prevention strategies. The practice-focused question for this project was, In the emergency department setting, how does a fall prevention education program compared to pre-implementation practices, affect staff knowledge of fall prevention strategies within three months? The purpose of the project was to improve …