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Walden Dissertations and Doctoral Studies

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Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup Mar 2025

Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup

Walden Dissertations and Doctoral Studies

Human services professionals play a vital role in managing the continuity of reentry services for post-incarcerated Black and Latinx women with mental health disorders, a significant concern in the United States. Human services professionals' perceptions of providing continuity of care in community-based reentry settings for Black and Latinx women with mental health disorders were explored. The conceptual framework of continuity of care was used to understand the professionals’ roles in supporting reentry services and how they align with or diverge from continuity of care, particularly the perceptions of human services professionals in a community-based treatment facility regarding the provision of …


Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …


Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole Mar 2025

Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole

Walden Dissertations and Doctoral Studies

In this qualitative case study, the employee retention problem of a rural nonprofit organization in North Carolina was explored. Specifically, the employees’ feelings regarding the issues affecting the organization’s employee retention problem were collected to provide administrators at the organization with recommendations to increase employee retention. Through interviews, participants shared their perspectives on employee retention and why they believe there is a retention problem at the organization. In addition, 10 exit interview records of previous employees were reviewed. Applying the conceptual framework of Maslow’s hierarchy of needs, the data collected from the interviewed participants and from exit interviews of previous …


Nurse Managers’ Effective Strategies For Retaining Nurses, Sharina Johnson-King Mar 2025

Nurse Managers’ Effective Strategies For Retaining Nurses, Sharina Johnson-King

Walden Dissertations and Doctoral Studies

Ineffective strategies for retaining registered nurses (RNs) can lead to negative business and patient care outcomes. High RN turnover rates pose a challenge for nurse managers, as they can reduce the quality of patient care and strain healthcare resources. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies nurse managers use to successfully retain RNs. The participants were 11 nurse managers in the Southeastern United States who had retained their full-time RNs for 2 years. Data were collected using semistructured interviews and a review of Health Resources and Services Administration data. Through thematic …


Exploring Juvenile Probation Officers' Perception Of Strategies To Reduce Juvenile Recidivism In Southeastern Michigan, Nikaya Cecelia Robin Banks Mar 2025

Exploring Juvenile Probation Officers' Perception Of Strategies To Reduce Juvenile Recidivism In Southeastern Michigan, Nikaya Cecelia Robin Banks

Walden Dissertations and Doctoral Studies

The high rate of juvenile recidivism in southeastern Michigan poses a threat to the safety of the community as well as a challenge to the juvenile probation officers (JPOs) who supervise them. The literature is abundant with data on juvenile recidivism; however, little is known about JPO’s perceptions on the efficacy of strategies and practices that aid in the rehabilitation of juvenile probationers. Grounded in both social learning and social bond theoretical frameworks, the purpose of this study was to explain how behavior is learned through processes of observation and the significance of positive bonds in minimizing delinquent behavior. The …


Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson Mar 2025

Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a pervasive social issue that affects individuals and communities, often rooted in early life experiences such as adverse childhood experiences (ACEs). Understanding the link between ACEs and IPV is crucial for developing effective prevention and intervention strategies. This quantitative research explored the potential link between ACEs encountered during early adolescence and the subsequent occurrence of IPV in adult domestic relationships, building upon the foundational work of Felitti et al. Using a quantitative survey design, 30 participants aged 18 and older who had experienced at least one ACE were recruited via social media and surveyed. Bandura's …


Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart Mar 2025

Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a significant public health crisis that disproportionately affects African American and Latina women due to systemic barriers, cultural stigmas, and inadequate culturally competent support services. This qualitative study explored the experiences of English-speaking African American and Latina women aged 23 to 60 in seeking culturally competent assistance for IPV in the United States. Using a generic qualitative research design and relational-cultural theory as a theoretical framework, this study examined how cultural beliefs and values influence help-seeking behaviors and the perceived adequacy of IPV support services. Semistructured interviews were conducted with 10 participants who had previously …


Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe Mar 2025

Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe

Walden Dissertations and Doctoral Studies

Nigerian government organizations face significant challenges in complying with cybersecurity policies, threatening the security and efficiency of their e-government systems. IT leadership groups are concerned that compliance issues could lead to data breaches, service disruptions, and diminished public trust, ultimately hindering economic growth and digital transformation efforts. This qualitative multiple-case study, framed through the lens of neo-institutional theory, aimed to explore the cybersecurity policies and effective compliance strategies employed by information security officers to secure e-government systems against cyberattacks. The participants consisted of nine information security officers from three information security-certified government institutions in central Nigeria. Data collection included semi-structured …


The Impact Of On-The-Job Traumatic Events From The Perspective Of African American Law Enforcement Officers, Stefanie Marie Hadley Mar 2025

The Impact Of On-The-Job Traumatic Events From The Perspective Of African American Law Enforcement Officers, Stefanie Marie Hadley

Walden Dissertations and Doctoral Studies

Most law enforcement officers (LEOs) enter their profession with the intent to positively impact their communities. However, the emotional and psychological toll of their work often goes unaddressed, leaving officers to navigate repeated exposure to trauma with limited support or preparation. While research has examined the effects of trauma on LEOs, there remains a gap in understanding the impact on African American LEOs. This study explored the effects of frequent on-the-job traumatic events from the perspective of African American LEOs and the barriers to seeking mental health treatment. Guided by social cognitive theory and rational choice theory, this qualitative study …


Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr Mar 2025

Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr

Walden Dissertations and Doctoral Studies

Mental health literacy (MHL) improves the recognition and treatment of mental disorders. The completion of a bachelor’s degree has been correlated with higher levels of MHL, and higher levels of MHL are reported to improve mental health status (MHS). While educational attainment has a significant positive relationship with MHL, the strength and significance of education in predicting MHL level remains unclear. A health literacy conceptualization and self-efficacy theory underpinned further examination of these variables in this study. A survey was administered to a sample of 105 university graduates in Georgia enrolled in one of five bachelor’s degree disciplines: education, humanities, …


General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin Mar 2025

General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin

Walden Dissertations and Doctoral Studies

Students with disabilities have many diverse needs that must be met for them to thrive academically and socially. The problem that was addressed in this study was that general education teachers experience challenges to meet the needs of students with disabilities in an inclusive classroom. The purpose of this qualitative study was to explore general education teachers’ perceptions on the challenges of meeting the needs of students with disabilities in an inclusive classroom setting as well as their suggestions for improved training and resources. The conceptual framework that grounded this study was Rose and Meyer’s universal design for learning. For …


Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo Mar 2025

Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo

Walden Dissertations and Doctoral Studies

The administration at a Mid-Atlantic regional community college in the United States created a strategic plan to increase students’ critical thinking and metacognition skills by focusing on improving students’ problem-solving skills with problem-based learning. However, the problem in this study was that the faculty’s fidelity of implementation (FOI) a strategic plan to implement metacognition instruction at a community college in the Mid-Atlantic U. S. region had not been effectively monitored. The purpose of this basic qualitative study was to investigate the FOI of metacognitive instruction to a strategic plan as perceived by the community college’s science faculty. Century et al.’s …


Effective Business Strategies To Mitigate Outsourcing Failures, Joseph Ragsdale Jr. Mar 2025

Effective Business Strategies To Mitigate Outsourcing Failures, Joseph Ragsdale Jr.

Walden Dissertations and Doctoral Studies

Business leaders’ lack of effective outsourcing strategies often results in operational inefficiencies, such as increased costs, reduced profitability, and decreased organizational performance. Addressing this issue is critical to improving business outcomes and ensuring competitive advantage in a globalized market. Grounded in the analytic balanced scorecard theory, the purpose of this qualitative single case study was to explore the effective strategies business leaders in the IT department at a large educational institution in Los Angeles, California use to address outsourcing failures. The participants were three business leaders who successfully employed effective strategies to mitigate outsourcing failures. Data were collected from semistructured …


Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams Mar 2025

Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams

Walden Dissertations and Doctoral Studies

Poor physician retention negatively impacts the quality of community healthcare, leading to financial losses and increased operational costs for hospitals. Hospital administrators and the governing boards are particularly concerned with addressing this issue to ensure sustainable healthcare delivery. Grounded in the Hertzberg’s two factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies that hospital administrators can utilize to improve physician retention. The participants included eight high-ranking hospital administrators within the geographic region of North Carolina who had an active role in provider retention. Data was collected using semistructured interviews, identify five critical themes: (a) implement mentorship, …


Capital Structure Strategies For Catalyzing The Growth Of Mining Companies In Developing Countries, Pepe Kalombo Kapompa Mar 2025

Capital Structure Strategies For Catalyzing The Growth Of Mining Companies In Developing Countries, Pepe Kalombo Kapompa

Walden Dissertations and Doctoral Studies

A lack of effective strategies to develop capital structures affects operational profit and growth. Consequently, leaders of mining companies in the Democratic Republic of Congo are concerned about the significant financial losses resulting from these deficiencies. Grounded in trade-off theory of capital structure, the purpose of this qualitative multiple case study was to explore strategies that leaders of mining companies in the Democratic Republic of Congo used to develop capital structures that enhance operational profit and growth. The participants included three business leaders from three mining companies who successfully implemented such strategies. Data were collected from semistructured interviews and company …


School Counselor Wellness And Organizational Support, Pamela Spence Robinson Mar 2025

School Counselor Wellness And Organizational Support, Pamela Spence Robinson

Walden Dissertations and Doctoral Studies

Wellness is at the core of the counselor profession, yet school counselors face daily wellness challenges in the environments in which they work. Organizational support in the form of supervision and school support has been shown to mediate burnout, yet research had not investigated its mediating role in school counselor wellness. The purpose of this quantitative study was to examine the relationship between school counselor organizational support, as measured by the Survey of Perceived Organizational Support-Short Form, and school counselor wellness, as measured by the Helping Professional Wellness Discrepancy Scale, in a sample of 78 practicing school counselors. Results of …


Exploring The Adaptation And Implementation Of Social–Emotional Learning Programs, Jennifer Poteet Mar 2025

Exploring The Adaptation And Implementation Of Social–Emotional Learning Programs, Jennifer Poteet

Walden Dissertations and Doctoral Studies

Teacher led social–emotional learning programs are implemented in a variety of ways to mitigate the effects of school bullying, however little attention has been paid to their academic impact on middle school students. The theories and/or concepts that grounded this study include Bronfenbrenner’s (1977) ecological theory and social cognitive theory. The purpose of this quantitative study was to assess the impact of Second Step, a social–emotional learning program with 16,166 middle school students. Multiple linear regression was used to examine the relationship between student gender, ethnicity, Second Step program participation, and program fidelity on the students’ mathematics and reading assessment …


Successful Strategies Used By Perfusion Managers To Increase Retention Of Perfusionists, Michelle Jaskula-Dybka Mar 2025

Successful Strategies Used By Perfusion Managers To Increase Retention Of Perfusionists, Michelle Jaskula-Dybka

Walden Dissertations and Doctoral Studies

Perfusion managers face challenges in retaining skilled perfusionists which can impact the continuity of care and overall hospital efficiency. Effective perfusionist retention strategies are important to perfusion managers who aim to mitigate employee turnover. Grounded in the job demands-resources model, the purpose of this qualitative pragmatic inquiry study was to explore the successful retention strategies that some perfusion managers used in the United States. The participants were five perfusion managers who had successfully retained a team of perfusionists for at least 1 year. Data were collected through digital semistructured interviews and publicly available documents. Data were analyzed using thematic analysis. …


Enhancing Multidisciplinary Team Knowledge On The Effectiveness Of Heat Therapy For Lower Back Pain In Adults In An Outpatient Clinic, Glenys Hunter Mar 2025

Enhancing Multidisciplinary Team Knowledge On The Effectiveness Of Heat Therapy For Lower Back Pain In Adults In An Outpatient Clinic, Glenys Hunter

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project addressed the underutilization of heat therapy for lower back pain management at an outpatient clinic through an educational intervention aimed at enhancing multidisciplinary team knowledge. My project implemented a comprehensive educational program for 12 healthcare providers. The intervention included structured learning sessions with didactic presentations, case discussions, and hands-on demonstrations. Pre- and post-intervention assessments evaluated provider understanding of heat therapy's physiological mechanisms, clinical applications, safety considerations, and treatment protocols. Analysis revealed significant improvements in provider knowledge, with mean scores increasing from 33.33% pre-intervention to 92.25% post-intervention (p<0.001). Recommendations included integrating regular educational sessions into organizational development programs, developing standardized protocols, and creating patient education materials. The project demonstrated the effectiveness of structured educational interventions in improving provider knowledge while supporting broader implementation of non-pharmacological pain management strategies. These findings have implications for enhancing patient care through increased utilization of evidence-based heat therapy interventions


Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon Mar 2025

Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon

Walden Dissertations and Doctoral Studies

When skilled nursing facilities fail to implement, enforce, and follow up with the discharge planning process before and after the resident transitions home, it can lead to a hospital admission. The purpose of this integrative review was to synthesize the literature to identify how the chronic care model (CCM) can support skilled nursing facilities with the pre- and postdischarge planning process and make recommendations for strategy or policy revisions. The review question was focused on determining how the CCM can be effectively implemented within SNFs to optimize pre- and postdischarge planning for residents with chronic conditions and what strategy revisions …


Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones Mar 2025

Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones

Walden Dissertations and Doctoral Studies

Due to an increase in the presentation of adults with mental health crises and substance use disorders in rural emergency departments (EDs), solutions should focus on the enhancement of patient outcomes, improving the quality of care, health conditions, and overall patient experience. The purpose of this integrative review was to synthesize international evidence associated with initiatives to improve ED care identified through the concepts of the Donabedian framework model that can support ED managers in implementing evidence-based interventions to improve behavioral healthcare in rural EDs. An integrative review of literature published between 2019 and 2024 was conducted. The findings of …


Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington Mar 2025

Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington

Walden Dissertations and Doctoral Studies

Unskilled front-line leaders in the production industry can contribute to operational inefficiencies and delays in crisis response. Effective crisis management requires front-line leaders to employ evidence-based leadership strategies that enhance organizational resilience. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore successful leadership strategies front-line leaders use for crisis management. The participants were seven front-line leaders in the central Mississippi production industry who successfully implemented leadership strategies for crisis management. Data were collected using semistructured virtual interviews and a review of public documents related to crisis management, public safety policies, and code of …


Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke Mar 2025

Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke

Walden Dissertations and Doctoral Studies

Urinalyses and urine cultures are being ordered at the facility of concern without regard to patient history/symptomatology, leading to inappropriate treatment of asymptomatic bacteriuria (ASB) and unnecessary antibiotic prescriptions. The following practice-focused question was developed to address this practice concern: Can an educational program focused on diagnostic stewardship and the mitigation of treatment of asymptomatic bacteriuria improve clinician awareness, knowledge, and confidence in identifying and diagnosing asymptomatic bacteriuria in patients over age 65 in the outpatient setting? Thus, the purpose of this doctor of nursing practice (DNP) project was to close the identified knowledge and attitude gap in a moderate-size …


Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur Mar 2025

Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur

Walden Dissertations and Doctoral Studies

The global shortage of nurses has become a pressing issue affecting both developed and developing nations. This widespread scarcity poses significant challenges for the entire nursing profession. The 2023 National Nursing Workforce Survey revealed that an overwhelming 91% of nurses believe the shortage is worsening. As a result, many countries are becoming increasingly worried about their capacity to recruit and retain nursing professionals. The practice-focused question for this project was: Will a mindfulness-based stress reduction education assist nurses in incorporating mindfulness in their daily routine? The primary aim of this project was to enhance job satisfaction among nurses, with the …


Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi Mar 2025

Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi

Walden Dissertations and Doctoral Studies

Summary The Doctor of Nursing Practice project was a practice-focused initiative to address increased hospital-associated infections (HAIs) in an outpatient mental health facility. Improper hand hygiene significantly contributes to the spread of HAIs, negatively affecting patient outcomes, increasing healthcare costs, and decreasing patient satisfaction. The practice-focused question was: For nursing staff in an outpatient clinic, will education focused on the World Health Organization (WHO) guidelines on hand hygiene increase knowledge toward the goal of decreasing HAIs? In collaboration with project site leadership, I identified the following gap in practice: Though fundamental hand hygiene practices may be known to healthcare workers, …


Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson Mar 2025

Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson

Walden Dissertations and Doctoral Studies

Autism is diagnosable by a clinical specialist, and toddlers who receive an early diagnosis by a clinical specialist are more likely to receive the appropriate early intervention services and supports that meet their needs. However, researchers have found that clinical specialists have doubts regarding the accuracy of their diagnoses in toddlers. The purpose of this generic qualitative study was to provide an understanding of clinical specialists’ perceptions of their abilities to make an early diagnosis of autism in toddlers. Self-efficacy theory served as the theoretical framework. Semi-structured interview data were collected from 12 clinical psychologists with experience diagnosing autism in …


Staff Education To Increase Knowledge For Supervisory Level Leadership, Athena G. Minor Mar 2025

Staff Education To Increase Knowledge For Supervisory Level Leadership, Athena G. Minor

Walden Dissertations and Doctoral Studies

A staff education program was developed and implemented in response to an identified gap in education during the orientation process of leadership. The leadership tier targeted for this education project was at the supervisory level. This doctoral project evaluated if a title-specific educational course would increase leadership knowledge. An education program was developed with six online learning modules and two in-person workshops. Participants were given a pretest of the subject matter material before beginning the course work and a posttest upon completion. Participant scores were only identified by a unique alphabetic letter randomly assigned to each participant at the beginning …


The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks Mar 2025

The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks

Walden Dissertations and Doctoral Studies

African American adolescents experience racial discrimination incidents more frequently than their peers from other racial backgrounds. Racial socialization (RS) has been proven to be effective in assisting African American youth in coping with racial stressors. School counselors play a crucial role in supporting African American youth dealing with race-related stress (RRS). Research has focused on the use of RS among African American parents and children, yet there is a research gap regarding the use of RS among school counselors. Further research is necessary to explore how school counselors implement RS to help students cope with and respond to stressful discriminatory …


Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore Mar 2025

Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore

Walden Dissertations and Doctoral Studies

Hospital administrators and financial decision-makers face ongoing challenges in maintaining positive operating margins, which are critical for sustaining healthcare services and delivering high-quality patient care. Errors in clinical laboratory testing—preanalytical, analytical, and postanalytical—can lead to inefficiencies, increased costs, and reduced financial performance. Grounded in total quality management, the purpose of this quantitative correlation study was to examine the relationship between preanalytical errors, analytical errors, and postanalytical errors and hospital operating margin. The participants were clinical laboratory leaders who completed an anonymous survey using Survey Monkey as a data collection tool. The sample size for this study included 77 participants. The …


Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu Mar 2025

Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu

Walden Dissertations and Doctoral Studies

A minimum of one medication error occurs daily in the life of a hospitalized patient, which confirms the research that medication errors constitute the most significant patient safety issue and that about 20% of these errors result in patient harm. Many errors could have been averted if an accurate medication reconciliation process had been practiced. Medication reconciliation is a formal process whereby the patient’s current medication list is compared to the patient’s record or medication orders whenever the patient’s level of care changes. Framed within the analysis, design, development, implementation, and evaluation (ADDIE) model of instructional design, the purpose of …