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Articles 931 - 960 of 15019
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Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Walden Dissertations and Doctoral Studies
Home care workers play a vital role in supporting older adults, yet retaining staff in these positions can often be challenging. The purpose and review question for this integrative review concerned the strategies and best practices for home health agencies to retain formal caregivers and implement in-home/informal caregiving as an integral component of the caregiving team. Penchansky and Thomas’s theory of access supported this study by highlighting how the qualities and expectations of home care workers align with their patients. A comprehensive review of the literature resulted in 53 articles, which were screened for quality and relevance. Of these, 24 …
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Walden Dissertations and Doctoral Studies
This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Walden Dissertations and Doctoral Studies
Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
Walden Dissertations and Doctoral Studies
The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Walden Dissertations and Doctoral Studies
This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Walden Dissertations and Doctoral Studies
There is a need for high-quality practice-based field experiences as a component of early childhood teacher preparation programs. This need had been deemed critical and was prioritized by both national and local organizations in a Midwest state. Little research had focused on the quality of field experiences. Guided by Dewey’s progressive education and Vygotsky’s social cultural theory, the purpose of this basic qualitative study was to explore the perspectives of students, mentor teachers, and faculty on what constitutes high-quality field experiences and what components of the field experience are most important. Semistructured interviews were conducted with 16 early childhood degree …
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Walden Dissertations and Doctoral Studies
Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Walden Dissertations and Doctoral Studies
Early childhood education (ECE) educators leave their profession at a rate 14% higher than K-12 educators, resulting in multisystemic issues that affect children, families, staff, and the ECE industry. Research has shown a connection between leadership practices and ECE educator turnover intentions; however, there is limited research on the relationship between the servant-leadership (SL) practices of ECE directors and ECE educators’ turnover intentions. Grounded in Greenleaf’s theory of servant-leadership, the purpose of this quantitative study was to explore the relationship between ECE director SL practices and its seven dimensions, measured using the SL scale, and ECE educator turnover intentions, measured …
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Walden Dissertations and Doctoral Studies
Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Walden Dissertations and Doctoral Studies
Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …
Social, Political, And Economic Determinants For Hiv Prep Care Delivery Innovations, Joanne Senoga Brown
Social, Political, And Economic Determinants For Hiv Prep Care Delivery Innovations, Joanne Senoga Brown
Walden Dissertations and Doctoral Studies
Pre-exposure prophylactic care delivery innovations (PCDI) are critical to the Ending the HIV Epidemic (EHE) initiative. While individual studies have examined isolated factors such as patient awareness, provider willingness to prescribe, and cost-effectiveness, few have synthesized these findings into a unified framework explaining how structural social, political, and economic determinants jointly influence PCDI. Prior literature remains fragmented, emphasizing behavioral or programmatic variables rather than systemic structures. This meta-analysis was done to examine how structural determinants independently and collectively influence PCDI across the 47 U.S. EHE jurisdictions. Guided by the consolidated framework for implementation research and Rogers’s diffusion of innovations theory, …
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Walden Dissertations and Doctoral Studies
This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …
The Relative Strength Of Paternal Absence, Strong Black Woman Schema, And Self-Esteem In Predicting Resilience Among Black Women, Aqueelah Wheatley
The Relative Strength Of Paternal Absence, Strong Black Woman Schema, And Self-Esteem In Predicting Resilience Among Black Women, Aqueelah Wheatley
Walden Dissertations and Doctoral Studies
The continued rise in single-mother households within Black communities has led to an increase in hyper-independence among Black women, a phenomenon referred to as the strong Black woman schema. Studies have found an association between hyper-independence (i.e., excessive self-reliance and emotional invulnerability) and absent fathers (i.e., due to incarceration or abandonment), forcing Black women to assume the roles of financial provider, caregiver, and community agent. Though studies have found a link between the strong Black woman and negative health outcomes (e.g., emotional distress), other studies have found that strong Black women characterize themselves as independent, empowered, and content individuals, feelings …
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Walden Dissertations and Doctoral Studies
Unmet social determinants of health (SDOH) contribute significantly to poor health outcomes, increased healthcare utilization, and persistent inequities in access to care. In a primary care organization, the inconsistent identification and management of patients’ social needs resulted in variable documentation, limited referrals to social work services, and avoidable emergency department (ED) utilization. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an executive leadership systems implementation proposal to standardize the identification and referral of at-risk patients through the integration of a validated social needs screening tool into the electronic health record (EHR). The guiding practice-focused question …
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Walden Dissertations and Doctoral Studies
Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
Walden Dissertations and Doctoral Studies
Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …
Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris
Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris
Walden Dissertations and Doctoral Studies
Many outpatient substance use treatment centers struggle with retention and recruitment of counseling staff. Without sufficient staff, substance use outpatient treatment centers are unable to provide services to patients who need such support, and patients often seek care in places like the emergency department, which creates problems for the healthcare system, such as overcrowding. The purpose of this research was to identify strategies to increase retention and improve recruiting effectiveness for counseling staff at outpatient substance use treatment centers. The conceptual framework of plan, recruit, retain underpinned this integrative review. The review question centered on the best strategies to reduce …
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Walden Dissertations and Doctoral Studies
Police officers across the United States frequently respond to individuals experiencing mental health crises, yet many lack specialized training to manage these encounters effectively. The Crisis Intervention Team (CIT) model was developed to improve law enforcement responses through collaboration with mental health professionals and an emphasis on de-escalation. Although prior research has examined measurable outcomes associated with CIT programs, limited qualitative research has explored CIT-trained officers’ lived experiences and perceptions of effectiveness. The purpose of this qualitative exploratory case study was to examine how CIT-trained officers use their skills to reduce arrest, officer and citizen injury, and use of force …
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Walden Dissertations and Doctoral Studies
Hospitals and healthcare facilities in the United States continue to face persistent shortages of ancillary imaging technologists, creating significant challenges for hospital administrators. The purpose of this integrative review was to identify effective strategies for recruiting and retaining imaging staff in hospitals. The review question concerned what best practices and strategies healthcare administrators can use to improve the recruitment and retention of ancillary imaging staff. The theoretical frameworks for this research, strategic human resource development and Maslow’s theory of human motivation, provided a lens for understanding organizational enhancement and employee engagement, respectively. Following the application of inclusion and exclusion criteria, …
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
Walden Dissertations and Doctoral Studies
As a result of the growing diversity among citizens requiring medical care, there has been a substantial increase in immigrants globally and in the United States. In the U.S. healthcare system, nurse practitioners (NPs) have been facing increased cultural challenges. The purpose of this quantitative study was to determine the relative importance of cultural competence and compassion fatigue in predicting nursing prescribing self-efficacy. Cultural competence served as the theoretical framework, as it focuses on how NPs can effectively communicate with patients from diverse backgrounds by understanding and respecting cultural differences, thereby building trust, improving patient outcomes, and providing quality healthcare. …
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study is that third through fifth grade students continue to score below district expectations on the Georgia Milestones Assessment System in narrative writing. Guided by the Ofsted inspection framework, the purpose of this basic qualitative study was to understand the experiences of upper elementary teachers teaching writing in Title I classrooms. Data were collected through semistructured interviews with 10 participants who taught upper elementary grades. Through thematic coding, four themes emerged outlining (a) the instructional success teachers experienced teaching narrative writing, (b) the instructional challenges of teaching narrative writing, (c) teachers’ beliefs about …
A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore
A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project is a practice-focused executive leadership proposal addressing inconsistent discharge planning for unhoused surgical patients in an acute care hospital. Unhoused patients experience disproportionately poor outcomes, including prolonged length of stay, elevated 30-day readmission rates, and fragmented transitions of care. The practice-focused question guiding this project asks whether development of a standardized, housing-informed discharge planning program could improve transitions of care and reduce length of stay and readmissions when compared with current nonstandardized practices. Analytical strategies included synthesis of peer-reviewed literature, review of internal quality and utilization data, assessment of community-level housing instability trends, and …
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Walden Dissertations and Doctoral Studies
Ineffective regulatory strategies can lead to reduced financial stability. Nursing home leaders who wrestle to improve regulatory practices may find their business facing reduced financial sustainability. Grounded in management by objectives theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies nursing home leaders used to implement regulatory compliance practices that increase financial sustainability. The participants were nine nursing home leaders who had successfully implemented regulatory compliance strategies within their organizations. Data was collected through semistructured interviews, public websites, and current and archival public documents. Through thematic analysis, three themes were identified: …
Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka
Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was developed as a staff education, evidence-based quality improvement project to enhance psychiatric nursing staff’s knowledge of long-acting injectable (LAI) antipsychotics. The project addressed variability in medication adherence among individuals with schizophrenia, despite evidence that use of LAIs reduces relapses and hospitalization. Nurses play a critical role in medication administration, patient education, and adherence monitoring, underscoring the importance of addressing knowledge gaps. The project question was: Does staff education on LAIs for outpatient psychiatric nursing staff improve nursing knowledge compared to pre- to post-education? The purpose of the project was to assess the …
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Walden Dissertations and Doctoral Studies
Neonatal readmissions remain a significant challenge in urban acute care hospitals serving indigent preterm infants. These readmissions impose substantial financial burdens, with high-cost conditions such as bronchopulmonary dysplasia, necrotizing enterocolitis, and retinopathy of prematurity driving recurring expenditures. This integrative review examined strategies that healthcare administrators can implement to reduce neonatal readmissions, improve care equity, and optimize healthcare spending in hospitals serving vulnerable populations in the Commonwealth of Virginia. A comprehensive literature search of empirical and non-empirical studies yielded 105 results for quality assessment using the Johns Hopkins appraisal tools. A total of 29 were included for thematic analysis. Five main …
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Walden Dissertations and Doctoral Studies
No abstract provided.
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Walden Dissertations and Doctoral Studies
Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Walden Dissertations and Doctoral Studies
School social workers practice in a post-COVID-19 educational context where anxiety, depression, and emotional dysregulation are closely associated with chronic absenteeism among middle school students. This practice problem is central to clinical social work because distress-based avoidance is often misinterpreted as defiance, resulting in punitive responses that intensify disengagement. The purpose of this doctoral project was to explore how school social workers perceive and respond to the interconnected dynamics of student mental health and chronic absenteeism following COVID-19. Bronfenbrenner’s ecological systems theory guided the inquiry. A qualitative descriptive design was employed using semi-structured interviews with 10 middle school social workers …