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Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck
Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck
Walden Dissertations and Doctoral Studies
Manufacturing organizational cultures steeped in tradition, corporate loyalty, and paternalistic values have experienced a decrease in union employee engagement and organizational satisfaction. Manufacturing leaders are concerned with this decrease as a primary indicator of employee walkouts or union strikes, impeding the manufacturing process, and affecting market share, profitability, and local economies. The purpose of this qualitative hermeneutic phenomenology study was to explore the union employees’ perceptions and lived experiences of organizational culture and job satisfaction in Michigan manufacturing organizations. Shaped by Schein’s organizational culture theory, the research question queried the perceptions of the union-represented employees as a subculture in the …
Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley
Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley
Walden Dissertations and Doctoral Studies
Cancer imposes a significant and multifaceted economic burden on California’s health care system and communities. Despite extensive national data, California-specific cost analyses have been outdated and limited. This study quantified California’s cancer-care burden through a quantitative, cross-sectional design grounded in the cost-of-illness framework and human-capital theory. A retrospective modeling approach used 2015–2023 data from the California Cancer Registry, National Cancer Institute, National Program of Cancer Registries, and California’s all-payer claims database. California’s economic burden from cancer was estimated using a meta-analysis of national cost data, which was then applied to state-specific cancer incidence, prevalence, and mortality through a multicriteria decision …
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Walden Dissertations and Doctoral Studies
Falls among adults aged 65 and older represent a significant public health concern, as they are the leading cause of injury and hospitalization within this demographic. According to the Centers for Disease Control and Prevention (CDC), nearly one in four older adults experiences a fall annually, leading to over 3 million emergency department visits. In home health settings, the risk of falls is heightened due to uncontrolled environments and insufficient staff training. This quality improvement project assessed the effectiveness of an educational intervention aimed at fall prevention strategies for home health staff, including registered nurses (RNs) and certified nursing assistants …
Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen
Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen
Walden Dissertations and Doctoral Studies
For-profit social enterprises (FPSEs) represent a growing response to urgent social and environmental challenges. Yet little is known about how their leaders develop internal capacities to navigate the tensions of hybrid business models. This interpretive phenomenological analysis (IPA) explored the lived experiences of FPSE leaders, focusing on meaning-making, developmental action inquiry, and leader evolution within profit- and mission-driven contexts. Rooted in ego development theory, developmental action inquiry, and the action logic framework, the study examined intrapersonal and systemic aspects of growth. Eleven U.S.-based FPSE leaders with at least 3 years leading a mission-driven enterprise and 5 years of total leadership …
Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker
Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker
Walden Dissertations and Doctoral Studies
This staff education project focused on educating staff to use the teach-back method to decrease congestive heart failure (CHF) readmissions. It is essential to address this issue within the context of nursing practice because CHF patients have left the hospital without adequate knowledge of their care plans, which compromised their self-care and increased their chances of returning to the hospital. This project employed the teach-back method, which is an effective communication process involving the patient reiterating what the staff has told them. The practice-focused question which guided the project was: For staff in an acute care hospital, will evidence-based training …
Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah
Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah
Walden Dissertations and Doctoral Studies
Extant literature reports increased uptake of maternal health care utilization in Liberia in the era following the 14-year civil war that ended in 2004. The purpose of this secondary quantitative data analysis study was to examine the relationship between women’s place of residence, women’s earnings spending autonomy, and maternal health care utilization of women ages 15–49 in Liberia. Maternal health care utilization in this study is measured by women’s visits to government hospitals for antenatal care. Maternal health care utilization indicates whether women who were pregnant within the 3 years before the 2019–20 Demographic Health Survey in Liberia attended any …
Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez
Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez
Walden Dissertations and Doctoral Studies
Silo culture in nonprofit healthcare organizations hinders knowledge sharing and communication, which can negatively affect financial performance. This issue is particularly important for healthcare leaders and policymakers seeking to enhance organizational efficiency and improve patient care quality. Grounded in the competing values framework, the purpose of this qualitative, pragmatic research project was to explore the effective strategies used by nonprofit healthcare human resources (HR) leaders to reduce silo culture and enhance financial performance. The participants included six HR executives at the vice president level or higher from nonprofit healthcare systems with more than 5,000 employees in the Southeastern United States. …
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
Walden Dissertations and Doctoral Studies
The COVID-19 lockdown impacted chronic diseases care globally, but there is limited research on how individuals in rural Nigerian communities managed diabetes during this period. This qualitative phenomenological study explored the lived experiences of self-management with diabetes during the COVID-19 lockdown among adults in Esan Northeast. The socioecological model (SEM) served as the guiding conceptual framework, allowing for the exploration of the impact of individual, interpersonal, community, and institutional factors on self-care behaviors. The research explored how cultural, social and economic factors impacted how adults with diabetes in Esan Northeast managed their condition during the COVID-19 lockdown. Semi-structured interviews via …
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Walden Dissertations and Doctoral Studies
Maternal health disparities among homeless non-Hispanic Black women in Georgia represent a critical public health concern, driven by inequitable access to care and elevated risks of adverse pregnancy outcomes. This study examined how homelessness influences perinatal care utilization (timing and frequency of prenatal visits and postpartum checkups) and pregnancy complications (gestational diabetes, hypertension, and depression), and whether these associations differ by geographic context (urban versus rural). Grounded in the Social Determinants of Health framework, the study used a quantitative cross-sectional design, analyzing secondary data (n = 1,540; weighted ≈ 203,571) from Phase 8 (2017–2021) of the Pregnancy Risk Assessment Monitoring …
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
Walden Dissertations and Doctoral Studies
Since the late 1990s, the United States has been in the midst of an opioid epidemic that continues to present significant public health challenges. Opioid-related mortality, particularly involving fentanyl, has disproportionately affected vulnerable populations. The purpose of this quantitative study was to examine the associations between educational level, homelessness, and alcohol use with opioid-related overdose deaths involving fentanyl, while controlling for age, gender, and marital status, among Black and White populations in the U.S. state of Georgia. The theoretical framework was Bronfenbrenner’s socioecological model, which recognizes that individual behavior is influenced by multiple levels of factors, including interpersonal, community, and …
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Walden Dissertations and Doctoral Studies
The aim of this staff educational project was to improve staff knowledge by educating healthcare staff on how to minimize patients’ aggressiveness and provide a safer, more therapeutic environment for patients and healthcare providers. Patients with mental health problems can exhibit violent behavior, posing threats to patient safety and the safety of healthcare workers. To address this practice gap, I conducted a literature review; 509 articles were identified and then narrowed to 23 articles specific to this topic. The project question for my study was: Does implementing an educational program for nurses and mental health specialists on strategies to reduce …
Enhancing Onboarding And Role Transition For Advanced Practice Clinicians Through The Development Of A Structured Mentorship Program, Christina Sternesky
Enhancing Onboarding And Role Transition For Advanced Practice Clinicians Through The Development Of A Structured Mentorship Program, Christina Sternesky
Walden Dissertations and Doctoral Studies
The assimilation of advanced practice clinicians (APCs), nurse practitioners, and physician assistants into healthcare systems is significantly dependent on the quality of their onboarding experience and the availability of a structured mentorship program. Without mentorship programs, APCs often experience job dissatisfaction, reduced confidence, undefined role clarity, and increased burnout. In this quality improvement Doctor of Nursing Practice project, I conducted a comprehensive assessment of the needs of APCs and subsequently developed a structured, evidence-based mentorship program. The program, approved by an expert panel, was designed to support the onboarding of APCS, their role transition, and ongoing professional development within a …
Teachers' Perspectives On Teacher Retention In Early Childhood Programs, Christopher Lavon Curry
Teachers' Perspectives On Teacher Retention In Early Childhood Programs, Christopher Lavon Curry
Walden Dissertations and Doctoral Studies
In a Midwestern state, teacher shortages have intensified the retention challenges of prekindergarten and kindergarten (PreK–K) teachers in early childhood (EC) programs. The problem addressed in this study was the retention of PreK–K teachers in EC programs and schools at the local level. Grounded in dual-factor and coping-competence- context theories, the purpose of this basic qualitative study was to explore teachers’ perspectives of the factors affecting the retention of PreK–K teachers in EC programs at the local level. Data were collected through semistructured interviews with 12 PreK–K teachers in a Midwestern state, who had a minimum of 3 years of …
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Walden Dissertations and Doctoral Studies
This study explored the experiences and perceptions of social workers, human services professionals, and mental health counselors, psychologists, or psychiatrists who treat youth with mental health issues within the criminal justice system in Florida. Using a qualitative research method, this study was framed by relational theory. Ten participants were interviewed regarding the perspectives, challenges, successes of clinicians and how they incorporate the needs and perceptions of youth into their treatment approaches. After coding and thematic analysis, five key themes emerged from the data. First, systemic challenges and inefficiencies in service delivery were evident, highlighting gaps in execution, resource shortages, and …
Staff Education On Early Diagnosis And Management Of Hypertensive Crisis, Sharon Fairweather
Staff Education On Early Diagnosis And Management Of Hypertensive Crisis, Sharon Fairweather
Walden Dissertations and Doctoral Studies
Summary This project is a Doctor of Nursing Practice initiative to educate healthcare professionals at a primary healthcare clinic. The focus was on improving staff knowledge of hypertensive crises in African American patients aged 20 to 40. The project included face-to-face training sessions and educational resources to empower providers and enhance patient outcomes. Hypertensive crises are a significant health risk, especially in African Americans. This group has higher rates of hypertension, leading to serious health complications. Addressing this issue is crucial in nursing practice. Early diagnosis and timely interventions can significantly improve care. Equipping nurses with the necessary skills is …
Oncology Nurse Self-Assessment Of Caring Behaviors Following Telehealth And In-Person Visits, Maryann Connor
Oncology Nurse Self-Assessment Of Caring Behaviors Following Telehealth And In-Person Visits, Maryann Connor
Walden Dissertations and Doctoral Studies
Oncology nurses coordinate care, ensure the safe administration of treatments, manage symptoms, and support those newly diagnosed with cancer. Traditionally, oncology care included in-person visits, but the COVID-19 pandemic accelerated the adoption of telehealth, transforming how oncology care is delivered. The purposes of this study, guided by Watson’ theory of human caring, were to determine (a) if there is a difference in oncology RNs’ self-assessments of applying caring behaviors during in-person visits compared to oncology RNs’ self-assessments of applying caring behaviors of telehealth visits with newly diagnosed cancer patients, and (b) if there is a difference in self-assessment of caring …
Reasons For Former Teachers To Change Employment Or To Depart The Profession, Vicki Renfroe
Reasons For Former Teachers To Change Employment Or To Depart The Profession, Vicki Renfroe
Walden Dissertations and Doctoral Studies
Teacher turnover adversely affects students’ academic performance and the educational community. The problem that was addressed through study is the approximately 18% teacher turnover at a local Title I school district in southeast Texas. This purpose of this study was to explore why teachers within a local souteast Texas Title I school district left their positions. The conceptual framework was Maslow’s hierarchy of needs. The study was guided by a research question centered on recurring reasons for teachers considering retiring, leaving the profession, or changing locations. A basic qualitative study employing semistructured interviews with 14 former teachers who had left …
Improving Staff Knowledge Of Insulin Protocols, Farzana Dalal
Improving Staff Knowledge Of Insulin Protocols, Farzana Dalal
Walden Dissertations and Doctoral Studies
A midwestern inpatient hospital experienced a rise in insulin-induced hypoglycemic events on an acute medical-surgical floor as evidenced by 6-23 incidences per month between September 2024 to February 2025. A gap in practice revealed deficiencies in knowledge on the use of insulin protocols, which led to the project question addressing if nursing education on the use of insulin protocols would improve nursing staff knowledge as measured by pre- and post-educational surveys, thus resulting in decreased hypoglycemic events. This educational project utilized the ADDIE pedagogy, the John Hopkins evidence-based practice (JHEBP) model, and the Walden University's DNP Project Process Guide. This …
Type Of Intimate Partner Violence And Association With Perpetrator Demographics, Katrisha Williams
Type Of Intimate Partner Violence And Association With Perpetrator Demographics, Katrisha Williams
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a public health concern because of its long-term impact on health and well-being with 1 in 4 American women experiencing some form of IPV. To help understand how age, gender, and race of both, the perpetrator and victim, impact the type of IPV, multiple regression analysis was performed with secondary data from the National Intimate Partner and Sexual Violence survey (N=541). This study used Raewyn Connell’s Theory of Masculinity as a conceptual framework. This theory states that males have a need to show dominance, strength, and suppress emotion, which can inform patterns of violence in …
Psychotropic Medication Nonadherence Among Psychiatric Patients Using Motivational Interviewing, Kate Ananga Pabai
Psychotropic Medication Nonadherence Among Psychiatric Patients Using Motivational Interviewing, Kate Ananga Pabai
Walden Dissertations and Doctoral Studies
This educational intervention involved enhancing knowledge and competency of nursing staff in terms of application of motivational interviewing (MI) techniques to improve adherence to prescribed psychotropic medications among patients with mental health conditions. The project met criteria for a staff education initiative, directly addressing the ongoing issue of psychotropic medication nonadherence, a prevalent and pressing challenge at the project site. Clinicians observed frequent missed doses and treatment discontinuation, leading to symptom relapse, emergency room visits, and avoidable hospital admissions. These outcomes emphasized the need for a targeted intervention to support frontline nursing staff. The practice-focused question guiding the project was: …
Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown
Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown
Walden Dissertations and Doctoral Studies
Cardiovascular disease plays a significant role in the number of death and disabilities around the world. While there have been marginal gains in positive health outcomes for women who suffer from cardiovascular disease, African American women continue to fall behind compared to their White counterparts. There is a comorbidity of cardiovascular disease and depression in older African American women. The purpose of this qualitative study was to gain an in-depth understanding of how the comorbidity of cardiovascular disease and depression uniquely present in young African American women, how these two diseases influence cardiovascular health protective factors, and how components of …
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Walden Dissertations and Doctoral Studies
Low parental engagement—especially among fathers and ethnic minority groups like Latinx parents—in child psychotherapy increases the risk of treatment dropout, behavioral issues, and poorer outcomes, contributing to persistent disparities. More research was needed on perceptual barriers and facilitators to parental engagement such as attitudes, beliefs, and expectations. The purpose of this study was to gain an in-depth understanding of parents’ experiences with their child’s psychotherapy and mental illness to facilitate parental engagement in services that support the child. An interpretative phenomenological approach and multiperspectival focus group design were used to illuminate each participant’s voice and explore overarching themes. Hill’s theory …
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Walden Dissertations and Doctoral Studies
Effective leadership is crucial for educational success, yet its definition varies across cultures, which may cause communication issues, especially in culturally diverse environments like international schools. The purpose of this quantitative study was to explore differing perceptions of transformational leadership (TL) between 68 expatriate teachers and 27 administrators, representing response rates of 22% and 47%, respectively, in three Kuwait international schools. Grounded in Bass's TL theory, the Global Transformational Leadership survey, an anonymous online survey with each of seven leadership domains represented by one item, was used in the study. Data collected on a 5-point frequency scale were analyzed using …
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Walden Dissertations and Doctoral Studies
This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
Walden Dissertations and Doctoral Studies
The increasing prevalence of mental health concerns among students in the United States has amplified the demand for comprehensive school-based mental health services. School counselors are often positioned as frontline providers of this support, yet research suggests they face numerous systemic and role-related challenges. This qualitative phenomenological study was conducted to explore school counselors’ perceptions of their roles in providing mental health services, the barriers they encounter, and the ways in which self-efficacy is shaped by these experiences. Ten school counselors from diverse school settings participated in semistructured interviews. Thematic analysis revealed five central themes: (a) roles and responsibilities, (b) …
Staff Education To Improve Preceptors’ Knowledge Base To Adapt Teaching Methods Across Generations, Lucretia Dennise Sanders
Staff Education To Improve Preceptors’ Knowledge Base To Adapt Teaching Methods Across Generations, Lucretia Dennise Sanders
Walden Dissertations and Doctoral Studies
Today’s nursing workforce consists of individuals from multiple generational cohorts, which creates a dynamic mix of nurses whose behavior and work reflect the cultural and historical events that shaped their generation. As the nursing workforce becomes increasingly multigenerational, nurse educators and leaders face growing challenges in ensuring that onboarding practices meet the needs of diverse learners. In the local organization, leaders and clinical educators observed inconsistencies in preceptorship practices and onboarding experiences, particularly for newly hired nurses. As a result, leaders determined that an educational intervention focused on generational teaching strategies was needed. Thus, the purpose of this Doctor of …
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
Walden Dissertations and Doctoral Studies
This DNP project implemented an educational module on the use of continuous glucose monitoring devices (CGM) to increase staff knowledge of diabetic care and glycemic control for the diabetic population in a community healthcare clinic. Diabetes mellitus is a significant health concern that poses a substantial challenge to the community and the American healthcare system with a higher burden of diabetes complications found among the low income, uninsured, and minority populations. Poor glycemic control is a major health issue that significantly increases the risk of developing diabetes-related complications such as heart and kidney diseases, and obesity. The adoption of CGM …
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Walden Dissertations and Doctoral Studies
NAEYC accreditation is a hallmark of quality in early learning and lack of accreditation suggested a gap in practice. The problem that was the focus of this research is that only 12% of early childhood center-based programs in the United States are accredited by the National Association for the Education of Young Children (NAEYC). The purpose of the study was to explore perspectives of childcare center directors regarding NAEYC accreditation. Knowles’s adult learning provided the conceptual framework for this study and guided 3 research questions about directors’ perspectives of barriers, benefits, and the necessary support they associated with NAEYC accreditation. …
Blockchain Strategies To Enhance Transparency, Efficiency, And Governance For Public-Private Partnership Leaders, Mohamed Huubse
Blockchain Strategies To Enhance Transparency, Efficiency, And Governance For Public-Private Partnership Leaders, Mohamed Huubse
Walden Dissertations and Doctoral Studies
The lack of effective strategies for integrating blockchain technology into governance poses a significant challenge for public-private partnership (PPP) leaders in developing regions. This issue is particularly concerning in public procurement systems, where transparency, efficiency, and accountability are crucial for effective governance. Grounded in the theory of games and economic behavior, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that PPP leaders use to modernize governance practices within public procurement by adopting blockchain technology. The participants were six PPP leaders in East Africa who implemented blockchain technology strategies to modernize governance practices within …
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Walden Dissertations and Doctoral Studies
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