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Staff Education To Educate Healthcare Providers On Effective Communication And Support Strategies For Child Sexual Abuse Victims, Njideka Ajemba
Staff Education To Educate Healthcare Providers On Effective Communication And Support Strategies For Child Sexual Abuse Victims, Njideka Ajemba
Walden Dissertations and Doctoral Studies
With this project, I sought to enhance the quality of care provided to child sexual abuse (CSA) survivors by improving healthcare providers’ skills in trauma-informed communication and support strategies. The project was undertaken at a large, private behavioral health facility located in the mid-Atlantic region of the United States, where an assessment of the practice environment revealed a critical gap in provider training. This gap often resulted in missed indicators of abuse, limited emotional support, and poor therapeutic outcomes for children affected by sexual abuse-related trauma. To address this, the project implemented a targeted educational intervention grounded in current evidence …
Effective Strategies To Leverage Organizational Culture To Enhance Employee Retention, Tavares E. Scott
Effective Strategies To Leverage Organizational Culture To Enhance Employee Retention, Tavares E. Scott
Walden Dissertations and Doctoral Studies
Employee retention is a critical issue for healthcare organizations, with the average tenure in the U.S. being only 3.8 years. High turnover contributes to staffing shortages, increased costs, and compromised patient care. Hospital administrators and healthcare leaders are particularly concerned, as sustained turnover threatens organizational sustainability, care quality, and long-term profitability. Identifying strategies to retain employees is essential to improving workforce stability, maintaining service excellence, and securing financial viability. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare managers in private medical healthcare systems used to leverage organizational culture to enhance employee …
Probation Officers’ Perspectives Of Outside Services In Reducing Recidivism, Karla Murguia
Probation Officers’ Perspectives Of Outside Services In Reducing Recidivism, Karla Murguia
Walden Dissertations and Doctoral Studies
Research has underscored the critical role of probation officers in improving rates of recidivism. However, the literature on the comprehensive impact of outside services on recidivism was sparse and underdeveloped. The purpose of this qualitative study was to explore how probation officers in court services and a community corrections agency in Garden City, Kansas perceived the utility of outside services in reducing adult recidivism for probationers. Ecological systems theory was used to guide the study. Eight probation officers recruited via purposive sampling participated in semistructured interviews. Transcribed data were analyzed using a six-step thematic analysis protocol. Findings revealed that probationers …
Identifying And Exploring Successful Leadership Strategies To Improve Nurse Retention, Jennifer Triggs Rickerson
Identifying And Exploring Successful Leadership Strategies To Improve Nurse Retention, Jennifer Triggs Rickerson
Walden Dissertations and Doctoral Studies
Nurse turnover has become a critical concern in healthcare, as low retention rates lead to decreased patient care quality and increased operational costs. A critical issue for hospital stakeholders is that many nursing leaders lack strategies to improve nursing retention. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore successful leadership strategies used by nurse managers in the Pacific South region of the United States to improve nurse retention. The study included interviews with six nurse managers who successfully implemented retention strategies. Data were collected through semistructured interviews and publicly available …
Staff Education Project On Genetic Testing In A Psychiatric Facility, Chinenye Vivian Akpuaka
Staff Education Project On Genetic Testing In A Psychiatric Facility, Chinenye Vivian Akpuaka
Walden Dissertations and Doctoral Studies
The project was an educational DNP project that aimed to improve staff knowledge on genetic testing. The practice focused question was “Will an education module on best practices for genetic testing increase self-reported knowledge among health care professionals in a mental health clinic?” The purposes of genetic testing in psychiatry are to improve pharmacological therapy through better prescription of the right medications (Pinzón-Espinosa et al., 2022). The implementation of genetic testing at the project site is limited due to gaps in knowledge and attitudes as well as efficacy of this intervention. The leaders at the practicum site supported the potential …
Exploring Strategies In Manufacturing To Reduce Loss Of Workers And The Costs Associated With Turnover, Aaron Sterrett
Exploring Strategies In Manufacturing To Reduce Loss Of Workers And The Costs Associated With Turnover, Aaron Sterrett
Walden Dissertations and Doctoral Studies
High employee turnover rates in the U.S. manufacturing firms create significant operational and financial challenges. Leaders of U.S. manufacturing firms seek to address employee turnover, which threatens productivity, profitability, and long-term sustainability. Grounded in the competing values framework, this qualitative pragmatic inquiry project aimed to identify and explore manufacturers' efficient management strategies to reduce employee turnover. The participants were five individuals who work in different management roles within the manufacturing industry and have assisted in developing successful employee retention strategies. Data were collected using semistructured interviews and a review of organizational information. Four themes were identified during qualitative coding analysis: …
Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones
Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones
Walden Dissertations and Doctoral Studies
Maternal depression, including perinatal depression (PND), poses significant public health risks to women, infants, and families. Although routine PND screening is recommended, limited research has examined screening and referrals among military spouses, an underserved population affected by frequent relocations and deployments. This study examined how permanent change of station (PCS) frequency affects PND screening and referrals to mental health services. Grounded in Bronfenbrenner’s socioecological model and the CDC’s social ecological model of health, eight research questions explored associations between PCS frequency, PND screening, referrals, and the moderating roles of military branch and deployment status. A quantitative cross-sectional design was used …
Novice Early Childcare Educators’ Experiences Applying Pre-Service Education Knowledge And Theories In Practice At Childcare Centers, Jodi Mcbride
Walden Dissertations and Doctoral Studies
Some novice early childhood educators (ECEs) experience barriers to applying knowledge gained during their pre-service education in practice and experimenting with their roles at childcare centers. The purpose of this basic qualitative study was to explore novice ECEs’ experiences of barriers to applying knowledge gained during their pre-service education in practice at childcare centers. Mezirow’s transformative learning theory grounded this study by describing adult learners’ personal transformation from obtaining and understanding new knowledge to applying it in practice. For this study, eight adult learners who completed an early childhood education program, had up to 5 years’ experience, held a current …
Lived Experiences Of Black African Non-Denominational Pastor’S Perceptions, Attitudes, And Beliefs Of Mental Health, And Their Referral Practice In The United States, Esther Paul
Walden Dissertations and Doctoral Studies
The high frequency of mental health issues within the Black African Christians communities and the insufficient use of mental health resources, was the driving forces for this study. This qualitative study aimed to explore the attitudes, beliefs, and lived experiences of non-denominational Black African pastors on mental health and identified potential barriers to mental health care and create culturally appropriate solutions by investigating their experiences. The theoretical basis of this study was centered on Goffman’s social stigma theory, which was created by Erwin Goffman, the social identity theory (SIT), and the role identity theory, the latter which served as the …
Perspectives Regarding Creating A Community Of Inquiry In Online Versions Of Lab Courses, Yuna Buhrman
Perspectives Regarding Creating A Community Of Inquiry In Online Versions Of Lab Courses, Yuna Buhrman
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic shut down science, technology, engineering, and mathematics (STEM) college labs due to the restricted physical access to resources. The problem that was addressed in this study was that there is a lack of understanding of how the three presences of the community of inquiry were implemented by STEM lab instructors when developing online lab courses during emergency remote teaching (ERT). The purpose of this generic qualitative study was to explore perspectives of college STEM lab instructors regarding social, teaching, and cognitive presences in online versions of their lab courses during ERT. Data were collected using semistructured interviews …
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Walden Dissertations and Doctoral Studies
Primary unpaid family caregivers of Alzheimer’s care recipients endure physical fatigue, emotional stress, psychological pressures, and health issues that could hinder their capacity to deliver consistent care. Respite care services can help reduce caregiver burden and enhance health outcomes; therefore, examining and evaluating their effectiveness is beneficial in meeting the needs of primary unpaid family caregivers. This study was conducted to address a lack of information in the literature and to evaluate the efficacy of respite care services for primary unpaid family caregivers of Alzheimer’s care recipients in Alaska and their caregivers’ awareness of and motivation to utilize these services …
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Walden Dissertations and Doctoral Studies
African American women residing in rural communities have seen substantial increases in preventable diseases resulting from obesity. The research problem addressed in this study surrounded the perspectives that African American women have towards initiating a fitness program. The purpose of this study was to explore those perspectives utilizing a sample population of African American women living in Salisbury, North Carolina. This study embraced the Theory of Reasoned Action (TRA) created by Prachaseree et al., (2021) and the Self-Determination Theory (Deci & Ryan, 1991) as the conceptual frameworks. Three research questions guiding this study were: What specific barriers do African American …
Disability And Leadership: Barriers And Business Culture Perspectives, Ernest Edward Garrett
Disability And Leadership: Barriers And Business Culture Perspectives, Ernest Edward Garrett
Walden Dissertations and Doctoral Studies
Persistent disparities in employment rates between people with disabilities (PWDs) and people without disabilities (PWODs) indicate that PWDs continue to face barriers and challenges to employment opportunities. The research problem is the underrepresentation of PWDs in leadership positions within business cultures and persistent barriers and challenges faced by human resource managers (HRMs) and leaders concerning their hiring and retention. The purpose of this qualitative descriptive study was to explore the varying perspectives of business leaders with disabilities (LWDs) and HRMs concerning the barriers and challenges associated with hiring and retaining PWDs for leadership roles. Critical realism, universal design, and human …
Effective Employee Retention Strategies Used By U.S. Hotel Organizations, Marian Yvette Woods
Effective Employee Retention Strategies Used By U.S. Hotel Organizations, Marian Yvette Woods
Walden Dissertations and Doctoral Studies
High employee turnover rates continue to represent a significant challenge for U.S. hotel organizations, impacting operational efficiency. Hotel leaders are concerned that turnover negatively affects profitability and organizational viability, making retention strategies critical for competitiveness. Grounded in Herzberg’s two-factor motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that some business leaders in U.S. hotel organizations use to enhance employee retention. The participants were eight leaders who have implemented effective employee retention strategies in U.S. hotel organizations in Georgia. Data were collected using semistructured interviews, company website information, and publicly available documents. …
Maintaining Number Sense Mastery In Urban Primary Grades, Colese Brown
Maintaining Number Sense Mastery In Urban Primary Grades, Colese Brown
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that urban kindergarten to third grade students demonstrated decreased levels of number sense mastery on state-mandated assessments as they matriculated across grade levels. The purpose of this basic qualitative study was to explore school-based educators’ perceptions on what they believe are the reasons urban students demonstrated decreased levels of number sense mastery, and to identify what improvements are needed to support teachers in determining students’ zone of proximal development (ZPD) while scaffolding students towards number sense mastery. The conceptual framework comprised Bruner’s theory of instruction and Vygotsky’s ZPD. A purposeful sample of six …
Sustainability Of Private Historically Black Colleges Or Universities, Herbert A. Stewart
Sustainability Of Private Historically Black Colleges Or Universities, Herbert A. Stewart
Walden Dissertations and Doctoral Studies
In the United States, private Black colleges and universities (HBCUs) have been declining in enrollment, revenues, and profitability, and many have closed permanently. The problem, which is important to HBCU leaders, is the lack effective strategies for sustainability. Grounded in the transformational leadership theory as the conceptual framework, the purpose of this pragmatic inquiry research project was to explore the successful strategies some successful HBCU leaders have used to increase enrollment and maintain profitability for sustainability. Data were collected through personal interviews and publicly available documents or documents provided by participants. Yin’s 5-step process was used for data analysis, which …
Reducing Readmission Rates In A Mental Health Hospital, Zamzam Mohamed
Reducing Readmission Rates In A Mental Health Hospital, Zamzam Mohamed
Walden Dissertations and Doctoral Studies
Summary I designed this clinical practice guideline (CPG) doctoral project to address the critical practice problem of high readmission rates in a mental health unit at a large academic medical center. This quality improvement initiative focused on developing and evaluating CPG to improve discharge planning. I aimed to address gaps in continuity of care, inadequate discharge education, and limited post discharge follow-up, which had been identified as contributing factors to early psychiatric readmissions. The practice-focused question guiding this project was: What evidence supports the development of a discharge planning CPG designed to reduce readmission rates in a mental health unit? …
Clinical Practice Guideline For Intentional Rounding, Julia Griggs
Clinical Practice Guideline For Intentional Rounding, Julia Griggs
Walden Dissertations and Doctoral Studies
This is a quality improvement clinical practice guideline (CPG) to address the inconsistent staff rounding practices, developed following recognition of a fall rate of 3.2 per 1000 patient days and declining patient satisfaction in the project facility. I developed the CPG using current evidence-based practices to establish standardized procedures for purposeful rounding to enhance patient safety, satisfaction, and care quality. Three experts, including an educator, clinician, and administrator, evaluated the CPG using the Appraisal of Guidelines for Research and Evaluation II (AGREE II), a tool consisting of seven domains used for measuring the methodological rigor and transparency in which a …
Cybersecurity Risk Assessment Methods For Digital Financial Services In Sub-Saharan Africa, Emmanuel Niyikora
Cybersecurity Risk Assessment Methods For Digital Financial Services In Sub-Saharan Africa, Emmanuel Niyikora
Walden Dissertations and Doctoral Studies
The rapid growth of digital financial services (DFS) in Sub-Saharan Africa (SSA) has significantly expanded access to financial services for underserved populations. However, cybersecurity managers within telecommunications regulatory agencies in SSA remain concerned about emerging cyber threats that pose risks to DFS providers and their customers, potentially undermining trust and economic growth. Grounded in the technology-organization-environment framework, the purpose of this qualitative pragmatic inquiry study was to explore strategies cybersecurity managers within telecommunications regulatory bodies in SSA use to assess the cybersecurity readiness of DFS providers. Data were collected using semistructured interviews with six cybersecurity managers from telecommunications regulatory bodies …
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Walden Dissertations and Doctoral Studies
Medication-assisted treatment (MAT) programs, especially those led by providers, can expand access to care for persons with opioid use disorder (OUD). The gap in practice at the site was the insufficient knowledge among nurses on how to effectively use MAT in treating OUD. The purpose of this staff educational project was to design and implement a training module to educate mental health providers on the principles and interventions of MAT. The practice-focused question was: Does educating nurses on MAT principles while incorporating evidence from the literature improve their knowledge as measured by pre- and post-test? The ADDIE pedagogy model was …
Faculty Implementation Of Online Teaching Practices Learned In A Professional Development Course, Laurie Ann Pendleton
Faculty Implementation Of Online Teaching Practices Learned In A Professional Development Course, Laurie Ann Pendleton
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the low implementation rate of practices learned during professional development courses which can limit positive student outcomes. The purpose of this qualitative study was to identify the challenges online faculty encounter when implementing teaching practices learned in an online PD course in effective online teaching practices and to better understand the characteristics of the practices they were able to implement. Rogers's diffusion of innovation theory grounded the study. In this basic qualitative study, semistructured interviews were conducted with a purposeful sample of 12 participants who recently completed the course and responded to an …
Improvisation In Agile Environments To Manage Disruption From Vuca Events, Christopher J. Remediani
Improvisation In Agile Environments To Manage Disruption From Vuca Events, Christopher J. Remediani
Walden Dissertations and Doctoral Studies
Volatility, uncertainty, complexity, and ambiguity (VUCA) events have always existed and demonstrated increases in regularity as well as damage. Management’s ability to mitigate and manage VUCA events has been challenged as they and nonmanagement employees are required to engage in rapid problem analysis and decision-making outside of standard procedures to identify and implement solutions. The purpose of this hermeneutic phenomenological study was to explore lived experiences of Agile practitioners in the information technology (IT) industry regarding their integration of improvisation techniques to mitigate and manage VUCA disruptions. Semi-structured interviews with open-ended questions were used to guide the study and address …
Teachers’ Perceptions Of The Benefits Of Art Education For Elementary Students With Autism, Brenda Lynn Miller
Teachers’ Perceptions Of The Benefits Of Art Education For Elementary Students With Autism, Brenda Lynn Miller
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of knowledge regarding art teachers’ perceptions of the social and emotional benefits of art classes for elementary school students with autism spectrum disorder (ASD). The purpose of this basic qualitative study was to explore elementary school art teachers’ perspectives regarding the social and emotional benefits of school-based art education for elementary school students with ASD. Schweizer et al.’s art therapy model was the conceptual framework. Semistructured interviews from 12 elementary school art teachers were used to collect data. Data were analyzed using axial coding procedures and thematic analysis. Results produced the …
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Walden Dissertations and Doctoral Studies
Ineffective retention strategies for nursing home staff can negatively affect the continuity of patient care, employee morale, and patient outcomes. Nursing home leaders who struggle to implement changes and increase staff retention and quality of patient care are at high risk of business instability. Grounded in Greenleaf’s servant leadership conceptualization and Kotter’s eight-step change model, the purpose of this qualitative pragmatic inquiry was to explore strategies nursing home leaders use to implement change, retain staff, and enhance the quality of patient care. Data sources consisted of semistructured interviews, public websites, and current and archival public documents. Thematic analysis yielded five …
Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg
Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg
Walden Dissertations and Doctoral Studies
The problem addressed through this study was many preschool students in the United States lack the social skills needed to be successful in kindergarten. The study’s purpose was to explore preschool teachers’ perspective regarding some children’s lack of social skills needed for success in kindergarten and the efforts teachers made to promote development of these skills. Using Flavell’s theoretical framework of metacognition and cognitive monitoring, 2 research questions were developed to address teachers’ perspectives and efforts to improve children’s social skills. Twelve preschool teachers from Louisiana with one to twenty years of experience in early childhood were interviewed via Zoom, …
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the influence of leadership on low treatment completion rates in a nonprofit outpatient substance use disorder program in the Pacific Northwest region of the United States. The purpose of this case study was to examine how leadership styles, decision-making processes, and supervisory alignment affected client engagement and treatment outcomes at the program. The study was grounded in the Baldrige Excellence Framework, which provided a systems-thinking lens to assess leadership behavior and organizational performance. Data were collected through semistructured interviews with two senior leaders and a review of limited internal documents, including the organization’s …
Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah
Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Euphemia Mah has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Corinne Wheeler, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Summary Poor adherence to medication regimens among patients who have a mental illness leads to multiple adverse outcomes, which include symptom exacerbation, decreased quality of life, and repeated hospitalizations. To address this …
Strategies Senior Human Resource Leaders Use To Implement Flexible Work Arrangements, Valena R. Bewry
Strategies Senior Human Resource Leaders Use To Implement Flexible Work Arrangements, Valena R. Bewry
Walden Dissertations and Doctoral Studies
Flexible work arrangements (FWAs) have become increasingly significant in contemporary workplace settings, particularly for their role in enhancing employee morale and promoting work-life balance. Education stakeholders and employees are concerned with the failure to implement FWAs, as it may hinder employee productivity and retention. Grounded in the conceptual framework of Theory Z, the purpose of this qualitative pragmatic inquiry was to explore senior HR leaders’ strategies to implement successful flexible work arrangements for employees. The study involved six educational leaders from the northeastern United States who successfully implemented flexible work arrangements. Data were collected through semi structured interviews and publicly …
The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez
The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez
Walden Dissertations and Doctoral Studies
This study examined the impact of the 2017 New Jersey regulation requiring vendors to have 1,000 square feet of retail space in order to participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) food program. Specifically, it examined vendors' role in developing the policy and their perspectives on its implementation. Previous research indicated improved policy outcomes by including policy targets in policy dialogue, but there was a lack of research exploring the experiences of vendors. Not known was how the policy affected WIC vendors, the essential frontline suppliers of nutritional foods to WIC participants. The purpose of …
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Walden Dissertations and Doctoral Studies
Disengaged employees present significant challenges to firm profitability and competitiveness in the U.S. medical device industry. Leaders of U.S. medical device firms are concerned disengaged employees could negatively impact organizational sustainability. The purpose of this qualitative pragmatic inquiry study was to explore strategies used by leaders in the U.S. medical device industry to enhance employee engagement. Purposeful sampling of six medical device leaders in Massachusetts was used; participants held leadership roles, had at least five years of leadership experience, and were directly involved in employee engagement. The study was grounded in Kahn’s engagement theory, focusing on psychological meaningfulness, safety, and …