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Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of a structured staff education program aimed at improving nurses’ knowledge and confidence in early sepsis recognition and management using the quick Sequential Organ Failure Assessment (qSOFA) tool. Despite the availability of evidence-based screening methods, inconsistent application and limited nurse confidence were identified as key practice gaps. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional design framework, an educational intervention was developed and delivered to hospital-based nurses, focusing on qSOFA criteria, early identification of sepsis, and nurse-driven escalation pathways aligned with current clinical guidelines. A pre- …
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Walden Dissertations and Doctoral Studies
Employee retention remains a persistent challenge for rural small business leaders. The specific business problem addressed in this study was that some rural small business leaders lack effective leadership strategies to retain employees, which threatens organizational sustainability and workforce stability in rural communities. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective leadership strategies used by rural small business leaders in Northeast California to optimize employee retention. Data were collected from semistructured interviews with six rural small business leaders in Northeast California and were triangulated with publicly available documents, websites, and …
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
Walden Dissertations and Doctoral Studies
Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Walden Dissertations and Doctoral Studies
Individuals with mental health disorders are overrepresented in the criminal justice system, yet minimal evidence exists on how risk-based case management influences pretrial supervision. Existing literature focuses on post-conviction populations, with limited focus on pretrial defendants, particularly those with mental health disorders and gaps in how gender and mental health intersect to influence supervision outcomes. The study addressed the problem of whether risk-based case management improves pretrial outcomes for defendants with mental health needs and vary by gender or case management components. The purpose of this quantitative, non-experimental, retrospective design study was to examine the relationship between case management and …
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs)in the geriatric population present unique diagnostic and management challenges. Improper classification and treatment plans contribute to increased morbidity, hospitalization, and mortality. This Doctor of Nursing staff education aimed to address a gap in Advanced Practice Provider knowledge regarding the differentiation of complicated versus uncomplicated UTIs in the geriatric population. Guided by the John Hopkins evidence-based practice model, a targeted educational intervention was developed and implemented. Evidence synthesis included 20 high-quality articles representing level 1-5 evidence. A pretest, educational PowerPoint presentation, and posttest were used to assess APP baseline knowledge and understanding of the education post-presentation. There …
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Walden Dissertations and Doctoral Studies
Burnout in supervisors/managers working in residential substance use disorder (SUD) treatment settings poses serious threats to the agency, staffing, and client care. Behavioral health leaders need to understand how organizational culture and leadership practices shape burnout and resilience in their teams. This qualitative case study drew on the Leadership and Workforce categories of the Baldrige Excellence Framework to examine the influence of leadership and organizational culture on staff emotional well-being and resilience at a Boston-area nonprofit residential SUD treatment center. The study sought to answer: (a) how organizational culture and leadership affect supervisor and manager well-being and resilience; and (b) …
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Walden Dissertations and Doctoral Studies
The federal government faces the ongoing challenge of sustaining a workforce that represents the diversity of the American public while navigating through policy changes that eliminated diversity, equity, inclusion, and accessibility initiatives. The federal government is public serving and is one of the largest employers in the United States. The purpose of this generic qualitative study was to explore the perceptions and experiences of government employees navigating the termination of all diversity and inclusion programs through the lens of the antecedents and outcomes of inclusions model, which showed that inclusive leadership, climate and practices contribute to positive employee and organizational …
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Walden Dissertations and Doctoral Studies
Unlocking the potential of highly skilled first-generation immigrant women in the workplace is critical in an era of globalization and multiculturalism. The social problem is that organizations face challenges integrating highly skilled first-generation immigrant women into the U.S. workforce due to a limited understanding of effective workplace integration strategies. The purpose of this qualitative phenomenological study was to explore the lived experiences of highly skilled first-generation Kenyan women with workplace integration strategies in California. The study was grounded in Graen and Uhl-Bien’s leader-member exchange theory and Crenshaw’s intersectionality theory to understand how leadership relationships and intersecting identities shaped workplace experiences. …
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Walden Dissertations and Doctoral Studies
Diabetes remains disproportionately prevalent in Appalachia, and macroenvironmental contributors remain poorly understood. Guided by spatial epidemiology, this quantitative, cross-sectional ecological study examined whether county-level environmental factors including distance to mine, distance to landfill, distance to water, mean annual precipitation, mean annual temperature, forest classification, distance to impervious surface, and median income were independently and collectively associated with diabetes cases per capita in West Virginia, used as a surrogate for Appalachia. Research questions addressed environmental predictors of diabetes cases per capita with and without controlling for median income. Publicly available county-level data from 53 West Virginia counties representing adults aged 20 …
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that early childhood educators struggle to help students with literacy acquisition skills in a Title 1 elementary school. The purpose of this qualitative study was to investigate early childhood educators’ experiences with the challenges of teaching literacy acquisition skills and their suggestions for improving resources and training for teaching literacy acquisition skills. The study was grounded in Clay’s emergent literacy theory and Bronfenbrenner’s ecological systems theory. For this basic qualitative design, semistructured interviews with 14 participants were conducted with the following themes emerging: Early childhood educators were challenged due to (a) students’ background …
Teachers’ Perceptions Of Preventing Teacher-Directed Violence In Urban Title I Schools, Allison Mashburn
Teachers’ Perceptions Of Preventing Teacher-Directed Violence In Urban Title I Schools, Allison Mashburn
Walden Dissertations and Doctoral Studies
The problem that was investigated through this study was the increase in suspensions for teacher-directed violence at two urban mid-Atlantic Title I elementary schools. The purpose of this qualitative study was to explore elementary teachers’ perceptions of preventing and managing teacher-directed violence in two Title I mid-Atlantic schools. Bronfenbrenner’s ecological framework was used as the foundation for environmental explanations. For this basic qualitative design, semistructured interviews with 10 teacher participants were conducted. The thematic analysis resulted in three themes based on the teacher request for (a) classroom management resources and supports, (b) clarifying the code of conduct, and (c) improving …
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Walden Dissertations and Doctoral Studies
The behavioral health leaders at Organization X do not have a clear and practical way to engage family members in youth behavioral health programs. When caregivers are not actively involved in youth behavioral health treatment, youth may disengage from missed appointments and discontinue treatment prematurely. The present case study focused on Organization X, a small behavioral health organization located in the Southeastern United States. The Baldrige Framework of Excellence was the conceptual framework for this study, with a focus on consumer engagement and workforce operations. Semi structured and structured interviews were conducted with three behavioral health leaders. Data were collected …
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Walden Dissertations and Doctoral Studies
This phenomenological study explored counselors’ lived experiences of utilizing Eye Movement Desensitization and Reprocessing (EMDR) with children ages 8 to 12 years of age. Guided by a Husserlian approach, the research examined how clinicians make meaning of adapting EMDR—traditionally conceptualized as a structured, eight-phase protocol—for developmental and relational responsiveness within child psychotherapy. Through phenomenological reduction and epoché, counselors described a shift in consciousness from viewing EMDR as a rigid procedure to experiencing it as a flexible, relationally attuned process grounded in the child’s lived world. Counselors described the phenomenon of implementing EMDR with children with playful adaptations and co-regulation. The …
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
Walden Dissertations and Doctoral Studies
Business leaders are concerned that change leaders’ communication strategy impacts organizational productivity and performance. These challenges can be attributed to business leaders and human resources managers not understanding the relationship between employee motivation, engagement, productivity, and leaders’ communication strategy. Grounded in the composite conceptual framework of Kotter’s eight-step model for change and the Burke-Litwin causal model of organizational performance, the purpose of this quantitative correlational project was to examine the relationship between employee’s motivation, engagement, productivity, and leaders’ communication strategy. The participants were 77 human resources professionals in the United States with at least 5 years of experience in their …
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Walden Dissertations and Doctoral Studies
Many adults suffer from mental health issues, often caused by retained primary reflexes. There are current gaps in the literature surrounding primary reflex assessment methods. The purpose of this quantitative psychometric study was to evaluate the psychometric properties of a new behavioral self-assessment scale used to identify retained primary reflexes from behavioral indicators, while also determining if statistically significant relationships exist among study variables. The theoretical foundation for this cross-sectional study was based on the neurodevelopmental and neurobehavioral work of Melillo, while conceptually benefiting from several neuroplasticity related frameworks, such as those developed by Ayres, Bach-y-Rita, and Masgutova. The self-report …
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Walden Dissertations and Doctoral Studies
Resistance to patient experience initiatives remains a persistent challenge in acute care hospitals, often undermining organizational efforts to improve engagement, culture, and care delivery despite broad acknowledgment of their importance. Healthcare leaders need to understand this challenge as a primary indicator affecting patient experience outcomes. The purpose of this qualitative narrative inquiry was to explore the factors that cause resistance to change faced by patient experience leaders (PELs) in the acute care hospital setting. The theory of planned behavior grounded this study. The participants consisted of 15 PELs working in acute care hospitals across the United States. Data were collected …
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …
A Phenomenological Study Of Digital Divide In Rural Philippines, Dennis Dizon
A Phenomenological Study Of Digital Divide In Rural Philippines, Dennis Dizon
Walden Dissertations and Doctoral Studies
The digital divide reflects policy relevant disparities in access to and effective use of internet based information resources, as experienced and interpreted by individuals navigating regulatory environments and governance conditions in the rural Philippines. Policymakers need to understand how the digital divide affects business owners and working-class people, with the impact of high costs and poor internet infrastructure in remote areas of the Philippines. Many of these business owners and working-class people lack access to the privileges and benefits of high-speed internet access. The purpose of this qualitative phenomenological study was to explore the lived experiences of these business owners …
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Walden Dissertations and Doctoral Studies
Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
Walden Dissertations and Doctoral Studies
Immobility is a significant concern given that nearly half of all hospitalized adults are immobile during their hospitalization, placing them at increased risk for adverse outcomes. As a result, it is critical for nurses to implement strategies that promote safe, structured patient mobility. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on patient mobility and standardized mobility tool utilization increased knowledge and confidence among nursing staff in an acute care setting. Ten participants volunteered to attend the educational intervention. The average age of the participants was 44.30 years (SD …
Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes
Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes
Walden Dissertations and Doctoral Studies
High employee turnover in small U.S. technology firms undermines productivity and disrupts workforce stability. Small U.S. technology business leaders are concerned with employee turnover because persistent workforce attrition weakens operational continuity, increases organizational strain, and limits the ability to sustain a stable and effective workforce. Grounded in psychological capital (PsyCap) theory, this qualitative pragmatic inquiry was to explore leadership strategies used by small U.S. technology business leaders in North Carolina to mitigate negative employee experiences that contribute to turnover and reduced productivity. Data were collected using semistructured interviews and publicly available organizational documents. Using thematic analysis, three themes emerged: (a) …
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Walden Dissertations and Doctoral Studies
African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Walden Dissertations and Doctoral Studies
The problem addressed in this basic qualitative study was that K–8 students in the western United States continue to experience spelling underachievement despite structured literacy interventions. Grounded in Bowers and Kirby’s structured word inquiry (SWI) framework, the purpose of this study was to explore educators’ experiences implementing SWI for spelling instruction with K–8 students in the western United States. Data were collected through semistructured interviews with 16 K–8 educators with SWI experience who were selected through purposive and snowball sampling. Thematic analysis using open and axial coding resulted in six themes. Findings indicated that educators perceived SWI as an effective, …
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high teacher turnover, including traditionally certified, second-career teachers (TCSCTs), in United States classrooms, despite support and additional resources provided. The purpose of this qualitative study was to examine TCSCTs’ perceptions on the reasons and their recommendations to remain in the classroom. Ingersoll's teacher turnover and retention framework was used to conceptually frame this study. Using a basic qualitative design, semistructured interviews were conducted with 12 TCSCTs. Data were analyzed through thematic analysis. The following themes emerged: TCSCTs remain in the profession primarily due to a sense of purpose in their …
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Walden Dissertations and Doctoral Studies
Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …
Assistant Principals’ Perceptions Of Their University Training, District Provided Orientations, And Professional Development, Claudette Nicole Agbonkhese Parker
Assistant Principals’ Perceptions Of Their University Training, District Provided Orientations, And Professional Development, Claudette Nicole Agbonkhese Parker
Walden Dissertations and Doctoral Studies
Existing evidence shows that instructional leadership activities are an increasingly demanding aspect of school leaders’ roles, and assistant principals (APs) often enter the position without the preparation or support needed to navigate these complex expectations. The problem addressed was the struggle encountered by some APs in their capacity as instructional leaders within a Florida Public School District (FPSD). Guided by the balanced leadership framework, the purpose of this generic qualitative study was to explore the perceptions of current and former FPSD APs regarding their university training, district provided orientations, and professional development (PD). Semistructured interviews were conducted with 10 current …
Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass
Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass
Walden Dissertations and Doctoral Studies
Organizational change initiatives in higher education often lead to decreased job satisfaction among administrative staff. Higher education leaders are concerned with maintaining employee job satisfaction during such periods because disengagement among administrative staff can reduce performance and increase turnover. The purpose of this qualitative pragmatic inquiry was to explore strategies higher education leaders use to improve administrative staff job satisfaction during organizational change. Lewin’s change management theory served as the foundation for the capstone research project. Data were collected through semistructured interviews with a purposive sample of six higher education leaders in the United States who had implemented change initiatives …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …