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Staff Education And Competency Assessment For Central Line-Associated Bloodstream Infection Reduction, Shabana Ali
Staff Education And Competency Assessment For Central Line-Associated Bloodstream Infection Reduction, Shabana Ali
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was an educational initiative to provide comprehensive central line-associated bloodstream infection (CLABSI) prevention education program for staff working in an intensive care unit (ICU). CLABSIs pose a significant threat to patient safety, contributing to increased morbidity, mortality, and healthcare costs, with annual expenditures estimated at $300 million to $2.3 billion and mortality rates ranging from 10% to 30%. Despite existing protocols, the project site facility experienced persistent CLABSI rates. The purpose of the project was to provide a comprehensive educational program to ICU staff members on the unit. The practice-focused question guiding this project …
Influence Of High-Speed Internet Infrastructure Availability On Aggregate Academic Outcome Measures For Washington State High Schools, Jessie A. Tanksley
Influence Of High-Speed Internet Infrastructure Availability On Aggregate Academic Outcome Measures For Washington State High Schools, Jessie A. Tanksley
Walden Dissertations and Doctoral Studies
Limited research has been conducted about the potential influence of high-speed broadband infrastructure availability in rural and urban communities on high school academic outcome measures in Washington state. Guided by Siemens’s theory of connectivism and van Dijk’s digital divide theory, the purpose of this quasi-experimental, causal-comparative, quantitative study was to determine whether significant differences in high school academic performance, measured by graduation rates and standardized test scores, exist between urban and rural communities with and without access to high-speed broadband internet infrastructure in Washington state. Three research questions were developed to examine differences in graduation rates, 10th-grade English Language Arts …
Trauma As A Predictor Of Engagement Among Former Foster Youth Parents Involved With Child Welfare, Sarah Gordon
Trauma As A Predictor Of Engagement Among Former Foster Youth Parents Involved With Child Welfare, Sarah Gordon
Walden Dissertations and Doctoral Studies
The specific research problem addressed in this study is that the relationship between parent engagement with child safety personnel and the trauma histories of parents with transgenerational child welfare involvement is not well understood. Parent engagement is a critical component of child safety family outcomes. Although past research recognizes lower engagement for former foster youth (FFY) parents with child safety systems and the negative effects of trauma throughout a person’s life, there is no prior research that examines how trauma affects FFY parent engagement with child safety systems. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this quantitative, cross-sectional …
System Barriers To Brokering School-Based Versus Community-Based Therapeutic Services From The Perceptions Of School Social Workers In Georgia, Jessica Ochei-Gilliam
System Barriers To Brokering School-Based Versus Community-Based Therapeutic Services From The Perceptions Of School Social Workers In Georgia, Jessica Ochei-Gilliam
Walden Dissertations and Doctoral Studies
Barriers to brokering therapeutic services cause challenges for school social workers to address their students’ mental health needs, especially in Georgia, where students’ mental health needs are high. The purpose of this qualitative study was to explore school social workers’ perceptions of the system barriers related to brokering these services. The research questions explored school social workers’ perceptions of brokering on-site versus community-based therapeutic services in the state of Georgia. In addition, this study inquired about the system barriers that school social workers face when brokering these services. This study was grounded in the ecological systems theory, which argues that …
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
Walden Dissertations and Doctoral Studies
Ex-offenders possibly felt excluded when private landlords or property managers conducted background checks and decided to immediately deny ex-offenders housing opportunities. The problem this study addressed was how landlords and property managers’ exclusion of ex-offenders impacted reentry post-incarceration. There was a gap regarding how Michigan private landlords impacted ex-offenders’ success factor in securing safe housing upon reentry back to society. The key findings related to the literature in ways that showed how landlords acknowledged outside biases, yet described ex-offender tenants as appreciative, positive, and respectful. The purpose of this general qualitative study was to explore how state and federal policies …
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Amy K Gearhard
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Amy K Gearhard
Walden Dissertations and Doctoral Studies
Firefighters are 5 times more likely than civilians to experience depression and post-traumatic stress disorder. Firefighters have suicidal ideation and attempt rates that are 2 to 3 times higher than the general population, yet most do not seek treatment. The purpose of this qualitative Delphi study was to develop an expert consensus on psychological assessment and treatment practices with firefighters through the lens of an expert panel of 19 psychologists who work with this population. Siebert’s normative theory was used with the assumption that the panelists would provide feedback based on their clients’ best interests. The expert panel was recruited …
Clinicians’ Perceptions Of Adverse Childhood Experiences, Resiliency, And Treatment Engagement With Criminal Offenders, Aaron Pena
Walden Dissertations and Doctoral Studies
This study investigated the pervasive impact of adverse childhood experiences (ACEs) on clinicians, particularly those who provide services to criminal offenders. ACEs contribute to a range of mental and physical health issues that can extend into adulthood, affecting not only individuals who experienced these adversities, but also clinicians who treat them. Despite the growing body of research on the consequences of ACEs, there remained a significant gap in terms of understanding how clinicians’ own histories influence their professional resilience and treatment efficacy. Garmezy’s resiliency theory, the framework for the study, emphasizes the role of positive contextual, social, and individual factors …
Lived Experiences Of Postdoctoral And Licensed Psychologists Diagnosing Bipolar Disorder In Adolescents, Kim Colleen Anaya
Lived Experiences Of Postdoctoral And Licensed Psychologists Diagnosing Bipolar Disorder In Adolescents, Kim Colleen Anaya
Walden Dissertations and Doctoral Studies
This interpretative phenomenological analysis (IPA) was conducted to explore the lived experiences of licensed psychologists in diagnosing adolescents with bipolar disorder, aiming to answer two key questions: How do psychologists make sense of diagnosing bipolar disorder in adolescents? And do they rely on their education and lived experience in the diagnostic process? Drawing from developmental psychology, clinical decision-making theories, and ethical considerations, the study highlights the complexities and challenges of diagnosing bipolar disorder in youth. Semi-structured interviews with four psychologists were transcribed and analyzed to identify recurring themes, which emphasized the importance of collateral information, developmental context, and professional judgment. …
Civic Engagement Among African American Women And The 2024 Presidential Election, Arquena Dailey
Civic Engagement Among African American Women And The 2024 Presidential Election, Arquena Dailey
Walden Dissertations and Doctoral Studies
Although election data exists on the importance of African American women for the Democratic Party, a gap remains in the literature regarding the influences of African American women who participated in the Democratic Party civic engagement during the 2024 presidential election. Key findings from existing literature included the tension between hope and burnout and the reliance on faith-based and peer networks to sustain motivation. The purpose of this study was to explore the influences responsible for African American women’s civic engagement in the 2024 presidential election. This authentic narrative qualitative study’s conceptual framework was grounded in the digital peer influence …
The Motivating Factors Of Volunteer Engagement: A Study Of Youth Sports Organizations, Autumn L. Tomas
The Motivating Factors Of Volunteer Engagement: A Study Of Youth Sports Organizations, Autumn L. Tomas
Walden Dissertations and Doctoral Studies
The decline in volunteer engagement within nonprofit organizations poses a significant challenge, particularly in youth sports where volunteer support is essential to program success. The purpose of this quantitative study was to examine the organizational factors that influenced volunteer motivation and satisfaction in a youth sports nonprofit. The practice focused research question for the study was: what factors within the organization either motivate or demotivate current individuals to volunteer in youth sports? Guided by Herzberg’s two-factor theory and self-determination theory, the study utilized the Modified Volunteer Functions Inventory for Sports survey to collect responses from 21 coaches and board members. …
Ai Implementation Solutions In Small Real Estate Businesses, Nathan Taylor
Ai Implementation Solutions In Small Real Estate Businesses, Nathan Taylor
Walden Dissertations and Doctoral Studies
Artificial Intelligence (AI) has the capacity to reshape business operations, yet many small real estate business leaders in the United States struggle to use it effectively due to limited resources and insufficient knowledge of its applications. These challenges place small businesses at risk of reduced competitiveness, inefficiencies, and missed growth opportunities. Grounded in the technology–organization–environment framework, the purpose of this qualitative pragmatic inquiry was to Explore strategies small real estate business owners in the Midwestern United States used to address financial limitations and knowledge gaps in adopting AI. Participants were six small business owners who successfully adopted AI. Data were …
The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr
The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr
Walden Dissertations and Doctoral Studies
Low project success rates are a significant issue for telecommunications organizations and project managers, as they can negatively impact operational efficiency and profitability. Grounded in transformational leadership theory, this quantitative project aimed to investigate the relationship between transformational leadership and project success within the telecommunications industry. A priori power analysis was conducted using G*Power, yielding a noncentrality parameter of 2.54, a critical t value of 1.68, degrees of freedom (df) equal to 49, a total sample size of 51, and an actual power of 0.80. The 51 participants were project managers in leadership positions, with two or more years of …
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Christina Holston
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Christina Holston
Walden Dissertations and Doctoral Studies
High turnover rates among clinical research staff present a business problem that reduces continuity, quality, and cost-effectiveness of clinical trials. This problem is important to clinical research managers because employee stability is essential for participant retention, regulatory compliance, and operational success. Grounded in the job embeddedness and transformational leadership theories, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that some clinical research site managers use to reduce employee turnover in the southeastern United States. Data were collected through semistructured interviews with six clinical research leaders and triangulated with publicly available documents. Using Yin’s …
Polarization, Performance, Responsiveness, And Trust In Malawian Executive, Legislative, And Judicial Institutions, Rodgers Brenner Chawani
Polarization, Performance, Responsiveness, And Trust In Malawian Executive, Legislative, And Judicial Institutions, Rodgers Brenner Chawani
Walden Dissertations and Doctoral Studies
Political trust matters for good governance and democracy. Although Malawi's constitution affirms trust as a key component of authority, Afrobarometer surveys have revealed broad declines, hindering democratic consolidation and the achievement of the long-term Vision 2063 development goals. Prior researchers studying the country have fixated on qualitative analyses and overlooked affective polarization and differentiation across government branches. The purpose of this cross-sectional quantitative study was to examine the predictive relationship between perceived government performance, responsiveness, corruption, affective polarization, democratic satisfaction, and trust in the Malawi president, parliament, and judiciary, using generalized linear models to apply Easton's political support theory to …
Novice Teachers’ Perceptions Of In-Person Professional Development On Technological Self-Efficacy, Spencer James Kiper
Novice Teachers’ Perceptions Of In-Person Professional Development On Technological Self-Efficacy, Spencer James Kiper
Walden Dissertations and Doctoral Studies
The problem that prompted this study was the lack of professional development opportunities that address novice K–12 teachers’ technological self-efficacy. The purpose of this basic qualitative study was to explore the perceptions of novice K–12 teachers in a large urban school district in Louisiana regarding professional development opportunities for technological self-efficacy. The conceptual framework for this study was composed of Bandura’s theory of self-efficacy and the technological pedagogical content knowledge (TPACK) framework. Ten novice teachers with fewer than 5 years of teaching experience participated in semistructured interviews. Data analysis procedures included descriptive coding, axial coding, and thematic analysis. Results revealed …
Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston
Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston
Walden Dissertations and Doctoral Studies
High turnover rates among clinical research staff present a business problem that reduces continuity, quality, and cost-effectiveness of clinical trials. This problem is important to clinical research managers because employee stability is essential for participant retention, regulatory compliance, and operational success. Grounded in the job embeddedness and transformational leadership theories, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that some clinical research site managers use to reduce employee turnover in the southeastern United States. Data were collected through semistructured interviews with six clinical research leaders and triangulated with publicly available documents. Using Yin’s …
The Relationship Between Telehealth And In-Person Visits And Patient Experience In Connecticut In 2021–2022, Lisa M. Roth
The Relationship Between Telehealth And In-Person Visits And Patient Experience In Connecticut In 2021–2022, Lisa M. Roth
Walden Dissertations and Doctoral Studies
As the healthcare landscape continues to shift, so does the delivery of healthcare services. Health systems now offer in-person and telehealth visits to meet the consumer’s needs. Healthcare stakeholders have been tasked with improving the quality of care and the patient’s experience during their healthcare visits. The purpose of this retrospective quantitative study was to explore the relationship between telehealth and in-person visits and patient experiences. The theoretical framework used in this study was the Donabedian model. For the purpose of this study, the structure was the hospital setting for in-person visits and use of a computer or a device …
Educational Experiences Of Traditional And Online Learning Graduate Students, Beverly Crawford Williams
Educational Experiences Of Traditional And Online Learning Graduate Students, Beverly Crawford Williams
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore how graduate-level human services students who have attended both traditional and online courses describe their educational experiences, particularly in terms of engagement, knowledge application, and peer connections. Semistructured interviews were conducted among 12 graduate-level, human services students who had experience in both learning environments. Social learning theory was the theoretical foundation used in the study. Thematic analysis, revealed four major themes describing distinct learning experiences across modalities. First, online and traditional learning involve different forms of engagement. Second, relational engagement in academic environments is important. Third, constraints on engagement across learning …
Effective Strategies To Integrate Social Media Influencers In Marketing Frameworks, Vanessa R. Alexander
Effective Strategies To Integrate Social Media Influencers In Marketing Frameworks, Vanessa R. Alexander
Walden Dissertations and Doctoral Studies
Social media dominates modern marketing, yet many retail businesses struggle to integrate social media influence into their business marketing frameworks. This problem is important to retail marketing leaders because unsuccessful integration influence can weaken brand credibility and reduce revenue. Grounded in Cialdini’s theory of social influence and the electronic word-of-mouth model, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that retail industry marketing leaders on the East Coast of the United States used to integrate social media influencers. The participants were eight retail industry marketing leaders on the East Coast of the United States. …
Strategies To Prevent Employee Turnover And Revenue Losses Resulting From Workplace Bullying, Sylvester Doby Jr
Strategies To Prevent Employee Turnover And Revenue Losses Resulting From Workplace Bullying, Sylvester Doby Jr
Walden Dissertations and Doctoral Studies
Workplace bullying is a serious issue that can lead to high employee turnover and significant revenue loss. To maintain a healthy work environment and support their employees, business leaders need to develop and implement effective strategies to prevent bullying. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore the successful strategies that U.S. business leaders used to prevent workplace bullying. Six business leaders who have successfully implemented strategies to combat workplace bullying were purposively recruited and interviewed using semistructured interviews. The reflexive six-step thematic analysis of the interview transcripts and …
Effective Marketing Strategies Business Leaders Use To Remain Profitable And Sustainable Beyond 5 Years In The Digital Age, Lauren Taylor Sawyer
Effective Marketing Strategies Business Leaders Use To Remain Profitable And Sustainable Beyond 5 Years In The Digital Age, Lauren Taylor Sawyer
Walden Dissertations and Doctoral Studies
A lack of effective marketing strategies to stay profitable in the digital age is a concern for small and medium-sized business leaders because it can lead to early business failure, lost revenue, and reduced long-term sustainability. Grounded in relationship management theory and Kotter’s (1996) 8-step change model, this qualitative pragmatic inquiry was conducted to explore effective marketing strategies business leaders use to remain profitable and sustainable beyond 5 years in the digital age. Participants were six business leaders located in the Southeastern United States who had successfully sustained their companies for over 5 years and were directly responsible for marketing …
Strategies African American Women Leaders Use To Promote Charitable Giving To Nonprofit Organizations, Christian Arko Sey
Strategies African American Women Leaders Use To Promote Charitable Giving To Nonprofit Organizations, Christian Arko Sey
Walden Dissertations and Doctoral Studies
Nonprofit organizations led by African American women face persistent challenges in achieving operational success and financial sustainability. When nonprofit leaders fail to implement effective strategies to engage and motivate diverse donors to make significant charitable donations, they could limit their organization’s capacity to fulfill its mission, which in turn affects the community. The purpose of this qualitative single-case study was to explore the strategies that some African American women leaders used to increase donor engagement and improve fundraising effectiveness. The study was grounded in the conceptual frameworks of the Baldrige Excellence Framework, McKinsey 7-S, and servant leadership theories. Data were …
Experiences Of Early Childhood Professionals Regarding Selective Mutism, Jessica Denise Huffman
Experiences Of Early Childhood Professionals Regarding Selective Mutism, Jessica Denise Huffman
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that the experiences of early childhood professionals (ECPs) working with children with selective mutism are unknown. Grounded in Bronfenbrenner’s ecological theory of child development, the purpose of this basic qualitative study was to explore the experiences of ECPs working with children with selective mutism. Data were collected through semistructured interviews with 12 ECPs who support children with selective mutism in several districts in southern California. Through open coding, the following themes emerged: ECPs noted (a) limited knowledge about selective mutism; (b) supporting children who have selective mutism is both enjoyable and …
School Leaders’ Perceptions Of Post-Covid-19 Recruiting And Retention Of Special Education Teachers In A Local School District, Framy Diaz
Walden Dissertations and Doctoral Studies
School leaders in a local school district continue to struggle keeping their special education (SPED) positions appropriately staffed. The problem was that the inability to fill these large numbers of vacancies could adversely affect the quality of services SPED students receive and impact school personnel's ability to meet legal IEP compliance requirements. Guided by Maslow’s hierarchy of needs and Herzberg’s two-way factor theories, the purpose of this qualitative study was to gain the perspectives of school and district leaders regarding difficulties in post-COVID-19 recruiting and retention of SPED teachers. A basic qualitative design was used to capture the insights of …
A Quantitative Analysis Of Postmarketing Safety Events Of Breakthrough Medicines, Richard Judson Davis
A Quantitative Analysis Of Postmarketing Safety Events Of Breakthrough Medicines, Richard Judson Davis
Walden Dissertations and Doctoral Studies
Adverse events to medicines pose a risk to the public health of patients. Breakthrough therapy medicines are designed to address unmet medical needs and are often approved on an expedited timeline; however they are also criticized for lacking an adequate understanding of their risk profile at the time of approval. This study examined the relationship between the number of concomitant medicines, as well as the approved therapeutic indication, and the outcomes of reported adverse events associated with medicines approved under the breakthrough therapy designation. The conceptual framework applied in this retrospective, cross-sectional, quantitative study is the process of pharmacovigilance, which …
Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney
Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney
Walden Dissertations and Doctoral Studies
Sepsis remains a life-threatening health challenge, contributing to significant morbidity and mortality within healthcare systems. This Doctor of Nursing Practice (DNP) project aimed to address knowledge deficits among emergency room nurses regarding the early identification and management of sepsis, mainly through the implementation of the 3-hour sepsis bundle. The practice-focused question guiding this project was whether educating nurses on the 3-hour sepsis bundle would increase their knowledge. This project aimed to educate nurses on how to identify sepsis early and implement the sepsis 3-hour bundle in a timely manner, with the overall goal of improving nursing knowledge. The sources of …
Navigating Transition: Lived Experiences Of Discharged Foster Care Youth (18–24) In Accessing Community Resources, Joi Junetta Miller
Navigating Transition: Lived Experiences Of Discharged Foster Care Youth (18–24) In Accessing Community Resources, Joi Junetta Miller
Walden Dissertations and Doctoral Studies
The transition from foster care to independent living represents a critical life stage for youth, especially those aged 18–24, who face numerous challenges in accessing and utilizing community resources. In the United States, nearly 391,000 children are in foster care, with many experiencing negative outcomes upon exiting the system, such as homelessness, unemployment, and incarceration. This qualitative phenomenological study explored the lived experiences of discharged foster care youth, focusing on their ability to access and utilize available resources, including education, employment, healthcare, and mental health services. The study was grounded in social adjustment theory and resiliency theory, which framed youth …
Effective Leadership Strategies For Retaining Millennial Employees, Michele Donna Cameron
Effective Leadership Strategies For Retaining Millennial Employees, Michele Donna Cameron
Walden Dissertations and Doctoral Studies
Millennial employees are likely to leave their jobs when work preferences are unmet. The problem is that business leaders often lack effective leadership strategies to retain millennial employees, which can hamper the productivity and profitability of their organization. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore effective leadership strategies to improve millennial employee retention rates. The participants were eight experienced business leaders who successfully led and retained millennial employees. Data were collected using semistructured interviews and a review of publicly available resources. Utilizing Braun and Clarke’s six-stage thematic analysis model, four …
School Leaders And Strategies To Address Teacher Shortages In A Rural School District, Phaniki Antwanette Jenkins
School Leaders And Strategies To Address Teacher Shortages In A Rural School District, Phaniki Antwanette Jenkins
Walden Dissertations and Doctoral Studies
The problem addressed was that education administrators struggle to reduce teacher shortages in rural public school districts in the Southeastern United States. Grounded in transformational leadership theory, the purpose of this basic qualitative study was three-fold: to understand what experiences education administrators had concerning teacher shortages, what practices they used to address shortages, and what strategies they deemed most helpful. Semistructured interviews were conducted with 10 state-certified administrators with at least 3 years’ experience in their role in one rural public school district in the Southeastern United States. Open and axial coding were used to support thematic analysis. Administrative experiences …
Strategies Managers Use To Retain Financial Advisors New To The Industry, Andraes Anthony Alexander
Strategies Managers Use To Retain Financial Advisors New To The Industry, Andraes Anthony Alexander
Walden Dissertations and Doctoral Studies
High employee turnover can negatively affect a business. Some financial advisor managers are concerned about the retention of financial advisors who are new to the industry, as addressing this issue is vital for organizational efficiency, given the high costs of employee replacement. Grounded in social exchange theory, the purpose of this qualitative, pragmatic inquiry project was to explore the strategies financial advisor managers use to improve the retention of financial advisors who are new to the industry. The participants comprised eight financial advisor managers with successful retention strategies. Data were collected using semistructured interviews and by reviewing organizational websites and …