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Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Walden Dissertations and Doctoral Studies
Primary general education teachers are critical stakeholders in the special education identification process (SEIP) when using the multilevel system of support (MLSS) and response to intervention (RTI) frameworks. Previous research has included primary general education teachers and other stakeholder perspectives on using the MLSS/RTI framework during SEIP; however, primary general education teachers’ perspectives on the topic have not been the sole focus of previous research. Guided by Goodson’s educational change theory, the purpose of this basic qualitative study was to explore primary general education teachers’ perspectives on the usefulness of the MLSS/RTI framework during the SEIP. Qualitative data were collected …
The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike
The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike
Walden Dissertations and Doctoral Studies
Immigrants from Cameroon residing in the United States are at risk of mental and psychological distress; however, very few of these immigrants seek appropriate treatment for their existing mental health conditions. Limited research exists on this population’s experiences of mental health care access in the United States. This qualitative study aimed to improve understanding of the mental health care access experience of immigrants from Cameroon residing in the United States. The theoretical and conceptual frameworks underpinning this research were Douglas’ cultural theory and Andersen’s health services model. The research question for this qualitative descriptive inquiry asked how Cameroon immigrants describe …
Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu
Walden Dissertations and Doctoral Studies
Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …
Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Walden Dissertations and Doctoral Studies
Counterfeiting and drug diversion in the U.S. supply chain is a business problem that results in medication shortages for many ill patients. Successful strategies to augment the distribution of pedigree pharmaceuticals and reduce supply chain medication shortages are important to community pharmacists. Grounded in the theory of constraints as the conceptual framework, the purpose of this qualitative pragmatic inquiry study was to explore the strategies that pharmacists use to detect and reduce the dispensing of counterfeit medicines. The participants were 6 pharmacists in the Northeastern United States. Data were collected using semistructured interviews and publicly available documents. Through thematic analysis, …
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Walden Dissertations and Doctoral Studies
No abstract provided.
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Walden Dissertations and Doctoral Studies
Clinical research institutions have dealt with the high turnover of their clinical research personnel, and academic medical centers have struggled to retain clinical research coordinators (CRCs). The purpose and review question for this integrative review was to search for programs, solutions, and techniques that will improve the retention of CRCs. This review used the Situational Leadership Theory Model II (SLT II), which focused on the developmental levels of the CRCs and how much support is needed from leadership. In a search of empirical and nonempirical literature for publication years of 2020–2025, 28 articles were determined to be most relevant to …
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Walden Dissertations and Doctoral Studies
In this staff education initiative, I focused on fall prevention in long-term care facilities (LTCFs) by reinforcing the Morse Fall Scale fall risk assessment tool. Falls in LTCFs are a significant concern, leading to injuries, hospitalization, and declining residents' quality of life. The practice problem stems from insufficient staff training, contributing to inadequate patient care and an increased risk of falls. The practice-focused question was used to explore whether education about fall prevention measures and guidelines improves long-term care nurses’ knowledge and intent to follow these guidelines; a total of 23 participants were involved in this project. Pre- and post-education …
Staff Education To Increase Knowledge And Education Of Urinary Tract Infection To Reduce Rehospitalization, Yia Lor
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs) are considered the most common infections in healthcare, particularly in nursing homes. If appropriate preventive measures are taken, infection rates will be reduced. The DNP project aimed to enhance clinicians' knowledge to reduce and prevent UTIs in nursing homes. This knowledge expansion also significantly has potential to reduce the risk of unnecessary hospitalizations. A knowledge gap was identified that focused on the necessary preventive measures to impact patient outcomes positively. Addressing this in nursing is essential because it can help reduce mortality risks. The participants consisted of six registered nurses and six certified nurse assistants who …
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Walden Dissertations and Doctoral Studies
Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Walden Dissertations and Doctoral Studies
Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework …
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Walden Dissertations and Doctoral Studies
Students with mild to moderate exceptionalities often do not receive adequate instruction in self-advocacy skills during their elementary or middle school years. The specific problem addressed in this study was that many teachers at the research setting are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Grounded by the theory of self-advocacy, the purpose of this basic qualitative study was to explore the strategies used and the barriers faced by teachers who are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Four elementary and five middle …
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Walden Dissertations and Doctoral Studies
Since the onset of the COVID-19 pandemic, social workers in patient care have faced significant emotional and psychological challenges, including compassion fatigue, vicarious trauma, and burnout. This study explores the perceptions of social workers working in patient care during the pandemic, specifically examining how compassion fatigue and vicarious trauma contribute to burnout. By focusing on their experiences, the research emphasizes the vulnerabilities social workers encounter as they support populations during these challenging times. The study is grounded in job demands-resources theory to help explain how the demands of social work roles impact mental health and well-being. To gather in-depth data, …
Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy
Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy
Walden Dissertations and Doctoral Studies
According to recent studies, Asian American history has been misrepresented or omitted from the overall narrative of American history in standards, textbooks, and curricula. The problem was that Asian American Pacific Islander (AAPI) perspectives were missing and underrepresented in the middle school social studies curriculum in Wisconsin. Framed by Ladson-Billings’ culturally responsive pedagogy (CRP), the purpose of this basic qualitative study was to explore how middle school social studies teachers integrated the voices of AAPI identities into the curriculum. The research questions probed how middle school teachers met state statutes on including multicultural voices and how they included AAPI perspectives …
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Walden Dissertations and Doctoral Studies
High nurse turnover rates in acute care hospitals negatively impact operations, increase turnover-related costs, and worsen organizational performance. Developing solutions for healthcare administrators to create environments supportive of evidence-based practice (EBP) can yield positive nurse outcomes, including reducing nurse turnover and increasing retention. This integrative review includes strategies to execute a system-wide environment supportive of EBP as an efficient strategy to reduce nurse turnover and increase retention in acute care hospitals. Using the advancing research and clinical practice through close collaboration (ARCC) model as a guiding framework and the Johns Hopkins evidence-based model as a tool to evaluate evidence, empirical …
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
Walden Dissertations and Doctoral Studies
The practice problem this DNP project addressed was the lack of a of consensus for a brief cognitive screening (BCS) tool that can be most predictive of mild cognitive disorder (MCI) and dementia in a Veteran Affairs (VA) outpatient clinic. Addressing this gap in practice is important because the veteran population may be at increased risk of MCI and dementia due to age, a history of traumatic brain injury, and posttraumatic stress disorder. This DNP project was a systematic review of the literature. A population, exposure, outcome (PEO) framework and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) theory guided …
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Walden Dissertations and Doctoral Studies
The underutilization of AI in Texas state courtrooms challenges judicial efficiency, fairness, and transparency. Despite AI’s potential to enhance evidence management and decision-making, its adoption remains limited. Legal professionals and information technology (IT) managers stress the need for strategies to address these barriers and promote equitable justice. The purpose of this qualitative multiple-case study, which was grounded in the technology acceptance model, diffusion of innovation theory, and unified theory of acceptance and use of technology, was to explore strategies IT managers use to implement AI in criminal justice information systems. Semi-structured interviews and organizational documents provided data for thematic analysis, …
Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Walden Dissertations and Doctoral Studies
Dementia is a chronic neurodegenerative disease that is incurable and unpredictable. Patients with dementia experience a decline in functional abilities, communication, and social skills. Fifty-five million people worldwide live with dementia with over 6.9 million people over 65 years of age diagnosed in the United States. The practice problem identified by a 25-bed assisted living facility in the north-central United States was staff’s lack of knowledge of dementia diagnosis, person-centered care approaches, and optimal care strategies supporting a positive quality of life for patients with dementia. The practice-focused question addressed whether an education program consisting of evidence-based practices using the …
Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique
Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique
Walden Dissertations and Doctoral Studies
Teacher retention has long been an area of study, as schools struggle with high teacher turnover, adversely affecting students’ quality of education. Researchers have demonstrated that low scores on evaluations and low salary adversely affect general education teacher retention, but there is little literature on how these variables influence teachers in online alternative learning environments (ALEs). The problem addressed in this study was low teacher retention, leading to a shortage of teachers. Guided by Ryan and Deci’s self-determination theory, the purpose of this quantitative, correlational, nonexperimental study was to examine the relationship between teacher performance evaluation outcomes, salary, and retention …
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a practice gap in pain management among nursing staff in the rehabilitation unit. Frequent pain-related patient calls contributed to inconsistent clinical practices. This project aimed to evaluate whether a brief, evidence-based educational intervention could enhance nurses’ knowledge of pain management. 47 registered nurses participated in an educational module delivered during both day and night shifts. Pre- and post-test scores were collected and analyzed to assess knowledge acquisition. T-test results indicated a statistically significant improvement in nurses’ pain management knowledge. The findings support the effectiveness of brief, targeted education in promoting clinical outcomes …
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Walden Dissertations and Doctoral Studies
Suicide represents a major public health and educational concern and presents profound emotional and professional challenges for school counselors. This transcendental phenomenological study explored the lived experiences of nine certified school counselors of color who had experienced the death of a student by suicide while employed in K–12 educational settings. With this research, I sought to answer the question: What are the lived experiences of school counselors of color who have had a student die by suicide? Guided by Moustakas’ transcendental phenomenological framework, this study employed bracketing to set aside researcher bias and uncover the essence of participants lived experiences …
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Walden Dissertations and Doctoral Studies
While there is no single solution to responding to active threats and targeted acts of violence, strategies such as awareness, preparedness through threat assessment practices, and education are the keys to prevention. Threat assessment practices and mandates are widely used in university and K-12 educational environments and have successfully prevented these acts. However, research up until this point seemed to indicate that local municipal police departments were slow to adopt these practices. As a result, communities suffer through targeted acts of violence, senseless tragedies, and untimely deaths of innocent victims. The purpose of this qualitative study was to explore how …
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Walden Dissertations and Doctoral Studies
Adolescent completion of pertussis-containing vaccines is a public health concern, especially with rising online anti-vaccine misinformation. Incomplete vaccination increases risk for preventable diseases and impacts community health. A gap in the literature on the relationship between online anti-vaccine search trends during the COVID-19 pandemic and adolescent pertussis vaccine completion was addressed in this quantitative, repeated cross-sectional study. Andersen’s behavioral model of health services use guided the study. Secondary data from the 2019 and 2022 National Immunization Survey-Teen (NIS-Teen) compared adolescents aged 13–17 in the five U.S. states with the highest (n=5,464) versus the five with the lowest (n=3.031) population-adjusted anti-vaccine …
Prearrival Phone Call Initiative To Decrease Procedural Cancellations And Delays, Fazali Nkoloma
Prearrival Phone Call Initiative To Decrease Procedural Cancellations And Delays, Fazali Nkoloma
Walden Dissertations and Doctoral Studies
This doctor of nursing practice project evaluation of an organizational quality improvement initiative focused on evaluating the effectiveness of implementing a prearrival phone call process for interventional radiology patients scheduled for procedures requiring moderate sedation or anesthesia. Adherence to NPO guidelines is crucial for patient safety before moderate sedation and anesthesia. The practice problem identified was the number of procedures that were canceled or delayed because of patient nonadherence with NPO guidelines. The practice-focused question that guided this project was, Can the implementation of prearrival phone calls in the preprocedural radiology surgical services help improve patient adherence with NPO protocol …
Staff Education To Improve Patient Outcomes And Treatment Compliance Through Use Of Motivational Interviewing In The Mental Health Setting, Rachel Nardi
Walden Dissertations and Doctoral Studies
Summary: Treatment noncompliance is a significant problem within the realm of mental health care. Recurrent noncompliance increases symptom severity, the likelihood of a crisis, and the burden placed on mental health care resources. Motivational interviewing (MI) is an evidence-based practice (EBP) demonstrated through extensive research to positively affect patient outcomes. Teaching MI to mental health care providers is one option organizational leaders can choose to address treatment noncompliance. In order for MI to become standard nursing practice, a method of education must be developed and implemented. This necessitates the identification of effective education delivery methods. A staff education project was …
Leadership Perspectives On Clinical Staff Turnover In A Behavioral Health Organization, Carla Evans
Leadership Perspectives On Clinical Staff Turnover In A Behavioral Health Organization, Carla Evans
Walden Dissertations and Doctoral Studies
Clinical staff turnover is a persistent challenge within behavioral health organizations (BHOs), impacting service continuity, staff morale, and client outcomes. The purpose of the case study was to understand the perspectives of behavioral health leaders (BHLs) regarding clinical staff turnover and their adaptive strategies and approaches to sustaining organizational continuity. The study was grounded in the Baldrige Excellence Framework criteria to examine leadership practices, core values of visionary leadership, workforce engagement, agility, and operational sustainability. Data were collected from semi-structured interviews with BHLs and administrative data from a BHO located on the U.S. East Coast. Thematic analysis involved identifying patterns …
Strategic Practices Of Muslim-Led Nonprofits Operating Successfully Beyond 4 Years, Tayyab Yunus
Strategic Practices Of Muslim-Led Nonprofits Operating Successfully Beyond 4 Years, Tayyab Yunus
Walden Dissertations and Doctoral Studies
Muslim-led nonprofit organizations experience high levels of organizational failure during the startup phase, often failing to operate beyond 4 years of existence. Muslim nonprofit founders, funders, and community leaders are concerned with this lack of sustainability, often attributed to strategic planning and talent management missteps. Grounded in the entrepreneurial value creation theory, this qualitative pragmatic inquiry explored strategies successful Muslim-led nonprofit organizations used to sustain operations beyond 4 years. Data collection occurred through semistructured interviews with six expert consultants who have supported Muslim-led nonprofits operating across the United States. Data were triangulated with publicly accessible U.S. Muslim-led nonprofit website data …
Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson
Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson
Walden Dissertations and Doctoral Studies
Student homelessness is an issue affecting Polk County Public Schools in Central Florida. It is important to address this problem to equip teachers with the skills necessary to recognize its signs. The practice-focused questions included: How familiar are teachers with student homelessness, and what should be done to help those students? The purpose of this administrative study was to explore teachers’ awareness of student homelessness and identify strategies to support affected students. The conceptual design for this study was based on environmental scanning, needs assessment, and strategic planning. A survey was sent out through email to over 100 teachers at …
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Walden Dissertations and Doctoral Studies
The exponential growth of big data—characterized by high volume, velocity, and variety—has overwhelmed the capacity of traditional data warehouses, making it difficult to deliver timely and actionable insights. This problem is critical for IT professionals in large organizations, who face the absence of robust, evidence-based migration strategies and rely on efficient data infrastructure to maintain competitive performance and support strategic decision-making. Anchored in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic study was to explore strategies employed by large organizations to migrate data warehouses to data lakehouses. The study involved semistructured interviews with six IT professionals from California-based …
Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King
Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King
Walden Dissertations and Doctoral Studies
Nursing facilities experienced heightened unfavorable outcomes related to quality of care and staffing patterns during the COVID-19 pandemic. The purpose of this quantitative, quasi-experimental, retrospective study was to determine if there was a relationship between nursing home administrator turnover, total nurse staffing (i.e., LPN, RN, and nurse aides) hours per resident per day, and the quality of care as measured by the Long Stay Quality Measure (LSQM) rating in Texas after the COVID-19 pandemic in 2023. The Donabedian model, using the elements of structure, process, and outcomes, served as the theoretical framework for this study. Structure was represented by the …
Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales
Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales
Walden Dissertations and Doctoral Studies
The research problem for this study was that teachers are inconsistent in using inquiry-based instruction in secondary science classrooms. Guided by Vygotsky’s theory of constructivism, the purpose of this basic qualitative study was to explore teachers’ perspectives of the obstacles to implementing inquiry-based instruction in secondary science classrooms and what they believe will be needed to allow them to overcome these obstacles. Semistructured interviews were conducted with 10 certified, current Grade 8 to 12 teachers within the United States who had experience and familiarity with inquiry-based instruction. The data were analyzed through thematic analysis with open coding. The five themes …