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An Exploration Of Successful Cloud Database Migration Strategies Used By Small And Medium-Sized Enterprises Leaders In The United States, Ashli Jarrett
Walden Dissertations and Doctoral Studies
Cloud database migration can improve organizational performance in small and medium-sized enterprises (SMEs), but SME leaders are concerned about ineffective migration strategies, which can increase risks to data security, regulatory compliance, and operational continuity. Grounded in diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry project was to explore the effective strategies SME leaders use to manage secure cloud database migrations, mitigate risks, enhance data security, ensure regulatory compliance, and improve organizational effectiveness. The participants were 10 SME leaders in the United States who had successfully adopted cloud-based database systems. Data were collected through semistructured interviews and publicly …
Implementation Of Standardized Suicide Risk Screening With Staff Education In An Outpatient Psychiatric Clinic, Gwendoline Nfotiog
Implementation Of Standardized Suicide Risk Screening With Staff Education In An Outpatient Psychiatric Clinic, Gwendoline Nfotiog
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a quality improvement staff education initiative focused on improving suicide risk screening and documentation in an outpatient psychiatric clinic. Inconsistent use of validated screening tools and documentation practices created risks for missed identification of patients at risk for suicide. Addressing this gap was essential to improve patient safety and support evidence-based behavioral healthcare. In the project, I examined whether implementing standardized suicide risk screening with staff education would improve screening and documentation consistency over 12 weeks. The purpose was to increase staff knowledge, screening compliance, and documentation accuracy. Pre- and postimplementation chart audits, …
Measuring Health System Readiness In Saint Lucia Using International Health Regulations Capacity Indicators, Melissa Steele
Measuring Health System Readiness In Saint Lucia Using International Health Regulations Capacity Indicators, Melissa Steele
Walden Dissertations and Doctoral Studies
Emerging infectious diseases continue to challenge national health systems, particularly in small island developing states with limited preparedness resources. Limited evidence comparing the International Health Regulations (2005) State Party Self-Assessment Annual Reporting (IHR SPAR) capacities of small island developing states with those of high-income countries limits efforts to identify preparedness gaps and strengthen health systems. The purpose of this quantitative comparative study was to evaluate Saint Lucia's preparedness using IHR SPAR indicators, compare its preparedness with the United States, and assess changes between 2023 and 2024. Guided by the World Health Organization Health System Framework, a quantitative cross-sectional design using …
Phenomenological Exploration Of The Military Veterans' Experiences Transitioning Into Civilian Workplace In Central Florida, James Wesley Shelton
Phenomenological Exploration Of The Military Veterans' Experiences Transitioning Into Civilian Workplace In Central Florida, James Wesley Shelton
Walden Dissertations and Doctoral Studies
Military veterans transitioning from military service to civilian employment frequently encounter challenges related to workforce integration, translating military-acquired skills, adapting to civilian workplace cultures, and employer perceptions of their qualifications. Organizational leaders need to understand these challenges as a key indicator of the factors that influence successful workforce integration, organizational commitment, and employee retention. Grounded in person-environment fit theory, the purpose of this qualitative study using an interpretative phenomenological analysis (IPA) approach was to explore the lived experiences of military veterans and how they make meaning of their transition to the civilian workplace. The participants comprised seven U.S. military veterans …
Effective Strategies For Accessing Capital For Startup Agricultural Entrepreneurs In St. Vincent And The Grenadines, Tonya Pompey
Effective Strategies For Accessing Capital For Startup Agricultural Entrepreneurs In St. Vincent And The Grenadines, Tonya Pompey
Walden Dissertations and Doctoral Studies
Limited access to capital is a significant barrier to market entry and long term sustainability in the agricultural industry. Agricultural business owners consistently identify capital constraints as the leading predictor of startup failure. Grounded in institutional theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that agricultural startup business owners used to access capital for market entry and business sustainability. The participants were six agricultural startup entrepreneurs in St. Vincent and the Grenadines (SVG) who used effective strategies to access capital for market entry and sustained business operations for at least 2 years. Data …
Effective Strategies To Improve Ai Governance And Regulatory Compliance, Mursal Haroon
Effective Strategies To Improve Ai Governance And Regulatory Compliance, Mursal Haroon
Walden Dissertations and Doctoral Studies
Senior business leaders across sectors face increasing risks because many organizations lack effective strategies to ensure transparency and regulatory accountability in artificial intelligence (AI) governance. This problem is critical for industry leaders who rely on transparent and compliant AI systems to protect consumers and maintain operational stability. Grounded in the ethical usage of AI systems, the purpose of this qualitative pragmatic study was to explore effective strategies senior business leaders use to improve transparency and regulatory accountability in AI governance. The participants were six senior business leaders in the United States who successfully implemented such strategies. Data were collected through …
Staff Education On The Implementation Of An Evidence-Based, Suicide-Risk-Assessment Education Program For Psychiatric Staff, Yemurai Emily Dzikiti
Staff Education On The Implementation Of An Evidence-Based, Suicide-Risk-Assessment Education Program For Psychiatric Staff, Yemurai Emily Dzikiti
Walden Dissertations and Doctoral Studies
Suicide is a major public health concern, and consistent suicide risk assessment is essential for patient safety in psychiatric settings. This Doctor of Nursing Practice staff education project addressed a knowledge gap in evidence-based suicide risk assessment among psychiatric clinicians in an outpatient mental health setting. The practice-focused question examined whether an evidence-based suicide risk assessment education program would improve clinicians' knowledge from pre- to post-education. The educational intervention consisted of a 60-minute in-person training session on evidence-based suicide risk assessment using the Columbia-Suicide Severity Rating Scale (C-SSRS) and the Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) framework. Ten psychiatric …
Social Workers’ Lived Experiences Of Trauma-Informed Training, Ashley Ann Johnson
Social Workers’ Lived Experiences Of Trauma-Informed Training, Ashley Ann Johnson
Walden Dissertations and Doctoral Studies
Social workers report limited formal training in trauma-informed approaches, and implementation of trauma-informed care varies widely across settings, with inconsistent training uptake and organizational support for sustained practice change. The purpose of this qualitative phenomenological study was to explore the lived experiences of social workers in trauma-informed training. The study was guided by trauma-informed care principles and an experiential learning framework. The research question examined how social workers develop trauma-informed competence and how systemic factors influence practice. Data were collected through 11 semi structured interviews with social workers and analyzed using thematic analysis. Three key themes emerged: (a) trauma-informed competence …
Evaluation Of A Streamlined Insurance Advocacy And Pre-Authorization Process For Hormone Replacement Therapy, Ellison Edwards
Evaluation Of A Streamlined Insurance Advocacy And Pre-Authorization Process For Hormone Replacement Therapy, Ellison Edwards
Walden Dissertations and Doctoral Studies
This organizational process evaluation project addressed the high rate of insurance denials for hormone replacement therapy (HRT) for women with symptomatic menopause and "normal" laboratory values within a private primary care setting. The practice problem involved bureaucratic barriers in the front office and a lack of structured advocacy, which delayed patient access to evidence-based care. The purpose of this project was to evaluate the impact of a streamlined insurance advocacy and pre-authorization process on access to therapy. The project utilized a standardized "Insurance Advocacy Toolkit" and evidence-based templates aligned with the 2023 North American Menopause Society (NAMS) guidelines. Analytical strategies …
Improving Post-Rehabilitation Discharge Outcomes Through A Care Coordination Bundle, Cavene Facey
Improving Post-Rehabilitation Discharge Outcomes Through A Care Coordination Bundle, Cavene Facey
Walden Dissertations and Doctoral Studies
Hospital readmissions remain a significant quality and patient safety concern across the United States, particularly among patients transitioning from rehabilitation settings to home or community-based care. Ineffective care transitions, fragmented communication, inconsistent discharge planning, and inadequate follow-up contribute to preventable hospital readmissions, increased healthcare costs, and poorer patient outcomes. Evidence consistently demonstrates that structured transitional care interventions and standardized care coordination processes improve continuity of care while reducing readmissions and enhancing patient satisfaction The purpose of this Doctor of Nursing Practice (DNP) project was to develop an evidence-based Clinical Practice Guideline (CPG) designed to improve post-rehabilitation discharge outcomes through implementation …
A Proposal For A Nurse-Led Continuity Of Care Program, Belinda Siri Mesape
A Proposal For A Nurse-Led Continuity Of Care Program, Belinda Siri Mesape
Walden Dissertations and Doctoral Studies
At an outpatient primary care and behavioral health clinic, the practice problem is the high rate of patient no-shows and late appointment cancellations. Missed appointments are a problem, disrupting continuity of care and follow-up and potentially affecting patient outcomes. A comprehensive literature search was performed using PubMed/MEDLINE, CINAHL Complete, the Cochrane Library, PsycINFO, and Google Scholar. The search revealed 26 peer-reviewed studies. Literature consistently supports the use of multifaceted interventions to improve appointment adherence in outpatient settings. The project proposal consists of the development of an evidence-based practice (EBP) program proposal to address the gap in practice in improving appointment …
Alcohol Withdrawal Management Practices And Prevention Of Escalation Events In Hospitalized Adults, Danielle Logan
Alcohol Withdrawal Management Practices And Prevention Of Escalation Events In Hospitalized Adults, Danielle Logan
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was an organizational process evaluation examining alcohol withdrawal management among hospitalized adults. Alcohol withdrawal can cause severe agitation, seizures, delirium, behavioral emergencies, transfers, and prolonged hospitalization, making early recognition and evidence-based management essential to patient safety. The practice-focused question examined whether hospitalized adults experiencing alcohol withdrawal were assessed and treated proactively based on risk factors and clinical presentation or reactively after symptom escalation, and whether management practices contributed to Code Green activation and higher-level-of-care transfers. The purpose was to identify practice gaps and develop evidence-based recommendations to improve safety and consistency of care. A …
The Impact Of Risk Management Strategies On Financial Forecasting In Small Businesses, Lakisha Hatcher
The Impact Of Risk Management Strategies On Financial Forecasting In Small Businesses, Lakisha Hatcher
Walden Dissertations and Doctoral Studies
Many small businesses are prone to fail because of ineffective or non-existing financial risk management practices. This problem is important to small business owners because ineffective risk management can hinder financial forecasting, decision-making, and long-term operational sustainment. The purpose of this qualitative pragmatic inquiry is to explore effective financial risk management strategies used by small business owners to identify and mitigate risk to improve financial risk management activities. The conceptual framework was enterprise risk management. The participants consisted of seven service-based small business owners located in Central Maryland who successfully implemented financial risk management practices. Data were collected through semistructured …
Improving Intake Efficiency In Inpatient Behavioral Health Facilities To Reduce Delays In Care, Lakisha Brown
Improving Intake Efficiency In Inpatient Behavioral Health Facilities To Reduce Delays In Care, Lakisha Brown
Walden Dissertations and Doctoral Studies
Delays in inpatient psychiatric admissions represent a significant and persistent challenge within U.S. behavioral health systems, contributing to emergency department boarding, reduced quality of care, increasing risk, resource strain, and inefficiencies. The purpose of this integrative review was to examine evidence-based operational strategies that improve intake efficiency and reduce admission delays in inpatient behavioral health facilities. The Lean Healthcare Framework was used, which emphasizes eliminating waste, improving workflow efficiency, and enhancing value. The review question focused on what operational and systems-management evidence-based strategies are most effective in improving intake efficiency. The Johns Hopkins Evidence-Based Practice appraisal tool was used to …
School Counselor Preparedness With Mass School Shootings, Lidia Oviedo
School Counselor Preparedness With Mass School Shootings, Lidia Oviedo
Walden Dissertations and Doctoral Studies
Mass school shootings represent a significant threat facing K–12 schools, yet the lived experiences of school counselors as they engage in prevention efforts and prepare to respond to and recover from these incidents remain unexplored. This study addressed the discrepancy between the increasing prevalence of mass school shootings and the limited understanding of school counselors' preparedness. The purpose of this qualitative study was to explore the experiences of school counselors regarding their preparedness to prevent, respond to, and recover from mass school shootings. This study was grounded in Giorgi's descriptive phenomenological method and informed by the U.S. Department of Education's …
Secondary Special Education Teachers’ Perspectives On Professional Socialization In A Maryland School District, Darice Mattie Holmes
Secondary Special Education Teachers’ Perspectives On Professional Socialization In A Maryland School District, Darice Mattie Holmes
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the insufficient professional socialization of novice secondary special education teachers (SSETs), undermining their ability to adapt to school culture in a Maryland school district (MSD, a pseudonym). Grounded in Mayo's theory of human relations, the purpose of this study was to explore novice SSETs' perceptions of professional socialization through peers, professional development, or mentoring to adapt to the school culture at MSD. For this basic qualitative design, semistructured interviews were conducted with seven novice SSETs. The data were analyzed using Braun and Clarke's thematic analysis with Saldaña's coding strategies, yielding four themes: (a) …
Mental Health Professional Preparedness To Address Mental Health Stigma And Challenges In Military Populations, Scott Martin Katzka
Mental Health Professional Preparedness To Address Mental Health Stigma And Challenges In Military Populations, Scott Martin Katzka
Walden Dissertations and Doctoral Studies
Veterans and service members often delay or avoid engaging in mental health services because of stigma experienced during military service and after transitioning to civilian life, contributing to worsening mental health outcomes. Although mental health professionals (MHPs) with military cultural competence can reduce stigma and improve engagement in care, little is known about how newly trained MHPs perceive their preparedness to effectively serve this population. The purpose of this hermeneutic, phenomenological study was to answer the question of what the lived experiences of new MHPs regarding their preparedness were to support veterans and service members experiencing mental health stigma. Seven …
Staff Education About Prescribing Glucagon-Like Peptide-1s (Glp1s), Deenis Garcia
Staff Education About Prescribing Glucagon-Like Peptide-1s (Glp1s), Deenis Garcia
Walden Dissertations and Doctoral Studies
Obesity is a growing health concern that affects many people. In recent years, the use of glucagon-like peptide-1 (GLP1s) has become increasingly popular to combat obesity. The use of GLP1s has shown successful outcomes, yet there are inconsistencies when prescribing the medication for weight loss. The practice problem identified at the organization was the lack of consistent and evidence-based guidance for providers to utilize when prescribing GLP1s for weight loss. The practice-focused question was to determine whether education on structured guidance tools for clinical staff who prescribe GLP1 medications improves their knowledge and intent to use these tools when prescribing …
Development Of A Proposal For An Occupational Safety And Wellness Program, Lodie Rogers
Development Of A Proposal For An Occupational Safety And Wellness Program, Lodie Rogers
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) evidence-based practice project was a quality improvement initiative focused on developing and implementing an occupational safety and wellness program (OSWP) in an industrial organization. The practice problem was the absence of a formal, standardized program for injury prevention, near-miss reporting, hazard identification, employee wellness, safety education, and leadership accountability. Evidence from scholarly databases, Occupational Safety and Health Administration (OSHA) reports, organizational safety data, incident reports, near-miss documentation, and compliance measures supported the project. I examined how a 10-week OSWP can reduce employee incidents, improve safety culture, decrease injuries, increase engagement, and sustain wellness practices. …
Recognizing Appropriate General Inpatient Hospice Patients Time To Stop Normalizing Suffering, Oliver Charles Roth
Recognizing Appropriate General Inpatient Hospice Patients Time To Stop Normalizing Suffering, Oliver Charles Roth
Walden Dissertations and Doctoral Studies
Hospice patients experiencing uncontrolled pain, dyspnea, agitation, anxiety, delirium, or other severe symptoms may require General Inpatient (GIP) hospice care for intensive symptom management. However, inconsistent recognition of symptom crises can delay escalation to the appropriate level of care, contributing to unnecessary patient suffering, caregiver distress, and avoidable emergency department or hospital utilization. This Doctor of Nursing Practice executive leadership project evaluated the implementation of an educational framework designed to improve clinician recognition and timely escalation of patients who may be appropriate for GIP hospice care. Education emphasized early identification of uncontrolled symptoms, interdisciplinary communication, documentation, and escalation for clinical …
Demographic And Socioeconomic Factors Related To Visceral Leishmaniasis Infection In South Sudan, Duncan Ochieng Ochol
Demographic And Socioeconomic Factors Related To Visceral Leishmaniasis Infection In South Sudan, Duncan Ochieng Ochol
Walden Dissertations and Doctoral Studies
Visceral leishmaniasis, a severe parasitic disease that is invariably fatal, is characterized by frequent outbreaks, and is associated with poverty. South Sudan is among the countries with the highest burden of visceral leishmaniasis. However, few studies have investigated factors associated with visceral leishmaniasis in the country. This study investigated demographic (age, gender, marital status, education level and occupation) and socioeconomic factors (transport, access to health services and residence) that may be associated with visceral leishmaniasis infection in South Sudan. The study was anchored on the socioecological model conceptual framework, which describes the interaction between individual and their social environment and …
Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal
Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal
Walden Dissertations and Doctoral Studies
Equine assisted therapies have been shown to be an effective treatment approach for individuals experiencing mental health issues. However, there have been rising challenges in standardization and nomenclature throughout the field. Current research supporting the benefits of equine assisted therapies is often from the client perspective. There is a gap in understanding what occurred in session that made it beneficial to their mental health. The purpose of this phenomenological study was to describe the lived experiences of equine assisted therapy facilitators in terms of mechanisms that produce positive changes in their clients. The theories and concepts that ground this study …
Imposter Syndrome And Self Determination In Clinical Social Work Supervision, Alexis Tarr
Imposter Syndrome And Self Determination In Clinical Social Work Supervision, Alexis Tarr
Walden Dissertations and Doctoral Studies
This doctoral project is focused on the social work practice problem of limited understanding of how social workers experience clinical supervision in the context of imposter syndrome. Imposter syndrome can affect confidence, decision making, and overall wellbeing, making it an important issue in clinical social work practice. The purpose of this study was to explore how social workers describe and make meaning of their supervision experiences involving feelings of imposter syndrome. Guiding practice-focused research questions were used to examine how social workers experienced clinical supervision and described autonomy, competence, and relatedness. This study was informed by the self-determination theory, which …
Southeastern United States Community College Instructors’ Perceptions In Implementing Universal Design For Learning, Marshalle Lockhart
Southeastern United States Community College Instructors’ Perceptions In Implementing Universal Design For Learning, Marshalle Lockhart
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that community college instructors struggle to implement universal design for learning (UDL) in Southeastern districts in the United States. Grounded in UDL, which was developed by the Center for Applied Technology, the purpose of this qualitative study was to explore community college instructors’ perceptions on the challenges they face when implementing UDL in their classroom. For this basic qualitative study, semistructured interviews were conducted with eight community college instructors. Using deductive coding, the data were analyzed using a thematic approach with five themes emerging: (a) UDL improves access but does not …
Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia
Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia
Walden Dissertations and Doctoral Studies
The underrepresentation of Latinx professionals in leadership roles remains a challenge for technology leaders. Leaders who lack effective leadership development strategies for Latinx employees may experience reduced innovation, lower productivity, and decreased organizational competitiveness. Grounded in the resource-based view, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by Silicon Valley technology leaders to advance Latinx employees into leadership roles to increase firm productivity. Participants were 10 technology leaders with experience implementing strategies to hire, develop, and promote Latinx talent. Data were collected through semistructured interviews, public organizational documents, and industry publications. …
Marketing Strategies To Enhance Awareness And Attract International Patients In The Medical Tourism Industry Of Trinidad And Tobago, Natasha Rachel Rochford-Chance
Marketing Strategies To Enhance Awareness And Attract International Patients In The Medical Tourism Industry Of Trinidad And Tobago, Natasha Rachel Rochford-Chance
Walden Dissertations and Doctoral Studies
Disseminating inadequate service information can limit a business's market appeal and hinder its growth. Business leaders must include comprehensive service information in their marketing strategies, as inadequate service information can make a business seem unappealing to potential clients, undermine competitive position, reduce market share, and diminish profitability. The purpose of this qualitative pragmatic inquiry was to explore the marketing strategies used by medical tourism business leaders in Trinidad and Tobago to attract international patients and increase profitability. The participants were eight medical tourism business leaders with experience in implementing marketing strategies. McCarthy's marketing mix theory of product, price, place, and …
Strategies Managers Used To Mitigate Constraints For Project Success, Teela Washington
Strategies Managers Used To Mitigate Constraints For Project Success, Teela Washington
Walden Dissertations and Doctoral Studies
Persistent project failures result in significant financial losses and reduced project management efficacy. Project managers who struggle to complete projects to scope, on time, and on budget risk reducing business performance and organizational value. Grounded in change management theory and theory of constraints, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies project managers employ to mitigate constraints and improve project success. Participants were 10 project managers who effectively mitigated constraints. Data were collected using semistructured interviews and publicly available documents. Thematic analysis yielded four key themes: leadership, resource management, stakeholder engagement, and …
Enhancing Surgical Team Readiness: Simulation Training For Power Failure Response In Robotic Procedures, Heather Marie Sorton
Enhancing Surgical Team Readiness: Simulation Training For Power Failure Response In Robotic Procedures, Heather Marie Sorton
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) project, I used a quality improvement design to implement and evaluate a simulation-based education aimed at improving perioperative staff knowledge related to robotic power-loss events. A practice gap was identified in staff preparedness for robotic system failures due to limited education on emergency protocols, communication, team roles, and Association of PeriOperative Registered Nurses (AORN)-aligned response processes, impacting patient safety during robotic-assisted procedures. I examined whether implementation of a simulation-based educational intervention improved staff knowledge related to robotic power-loss management. The purpose of the project was to improve staff knowledge and standardize responses to …
Medical Recommendations And Bmi Among Black And Hispanic Adolescent Females, Dorothea Polk
Medical Recommendations And Bmi Among Black And Hispanic Adolescent Females, Dorothea Polk
Walden Dissertations and Doctoral Studies
Adolescent obesity persists as a critical public health challenge in the United States, with Black and Hispanic adolescent females experiencing elevated rates. Adolescent obesity contributes to serious long-term health risks, but provider counseling may support body mass index (BMI) management. Guided by the social-ecological model, this study examined whether receiving medical recommendations to control or lose weight was associated with BMI among Black and Hispanic adolescent females aged 16–19 years and whether meal preparation habits and food security status moderated this association, controlling for age, household income, and race/ethnicity. This quantitative, cross-sectional secondary analysis used multiple linear regression analyses to …
Strategies For Effectively Socializing Remote Workers, Emily Dahlen
Strategies For Effectively Socializing Remote Workers, Emily Dahlen
Walden Dissertations and Doctoral Studies
Improper socialization of remote workers into the organization can increase employee turnover and create an unstable remote workforce. Business leaders who fail to effectively socialize remote workers in ways that strengthen organizational identification and reduce turnover risk may create workforce instability that exposes the organization to additional business risks. Grounded in the theory of organizational socialization, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies some business leaders use to socialize remote workers and increase employee retention. The participants were eight business leaders who had implemented effective socialization strategies to remote employees. …