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Full-Text Articles in Entire DC Network
Staff Education Project Staff Education To Encourage The Accurate Use The Dynamic Appraisal Of Situational Aggression In A U.S. State Psychiatric Facility, Tracy Ann Reid-Saunders
Staff Education Project Staff Education To Encourage The Accurate Use The Dynamic Appraisal Of Situational Aggression In A U.S. State Psychiatric Facility, Tracy Ann Reid-Saunders
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project involved the development and implementation of a staff education program to enhance the use of the Dynamic Appraisal of Situational Aggression (DASA) tool. The aim of the project was to address the inconsistent and inaccurate applications of the DASA tool by health staff, leading to missed opportunities for early intervention to address patient aggression and increased risk of violence to both staff and patients. The importance of addressing this issue within the context of nursing practice rests on the DASA tool’s importance as a means for nurses to assess patients with aggressive behavior, …
Barriers To The Implementation Of Learner-Centered Instruction In The Northeastern United States, Kenneth Davion Ellerbee
Barriers To The Implementation Of Learner-Centered Instruction In The Northeastern United States, Kenneth Davion Ellerbee
Walden Dissertations and Doctoral Studies
Despite ongoing attempts to consistently incorporate learner-centered practices in the elementary classroom, teachers face barriers that impede consistent implementation. The problem to be explored in this basic qualitative study was the inconsistent implementation of learner-centered instruction in elementary school classrooms. Guided by learner-centered design theory, the purpose of this basic qualitative study was to explore the experiences of elementary school teachers who face barriers to delivering learner-centered instruction. The participants were 15 elementary school teachers in the northeastern United States with at least 5 years of teaching experience. Data were collected using semistructured interviews. Through thematic analysis, five themes were …
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the lived experiences of single African American mothers raising males and their association with criminal behavior. The nature of this research was phenomenological. This cross-sectional study, informed by the general strain theory, explored the effects of stress and strain from adversity and systematic racism on the criminality of African American male adolescents. The key research question was: In what ways do African American single mothers view their part and the part of their socio-economic context as contributing to the criminalization of their sons? A phenomenological research approach was used, and the …
Employee Perspectives On Reporting Sexual Harassment In The Workplace: A Study Of Lived Experiences And Outcomes, Ivy James Roberson
Employee Perspectives On Reporting Sexual Harassment In The Workplace: A Study Of Lived Experiences And Outcomes, Ivy James Roberson
Walden Dissertations and Doctoral Studies
Despite numerous laws and policies, sexual harassment remains a significant public concern that has failed to be resolved through contemporary measures. This research study presents a comprehensive review and analysis of sexual harassment focusing on why employees who were victims of sexual harassment may not report such an incident and how reporting of these incidences subsequently impacted the workplace experiences of those who report the issue. The foundation of this qualitative study was feminist theory and twelve participants were recruited through a LinkedIn ad and semistructured interviews were conducted via Zoom or phone with audio-recording. Thematic analysis of the data …
Education Module To Improve Staff Medication Administration Practice, Linda Ikegwuoha
Education Module To Improve Staff Medication Administration Practice, Linda Ikegwuoha
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Education Module to Improve Staff Medication Administration Practice by Linda C. Ikegwuoha BSN, Austin Community College, 2021 ADN, Austin Community College, 2019 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2025
The Nurseonetap Project: Staff Education To Rio Vista Behavioral Health, Justin Benedict
The Nurseonetap Project: Staff Education To Rio Vista Behavioral Health, Justin Benedict
Walden Dissertations and Doctoral Studies
The NurseOneTap Project is a staff education initiative designed to improve nursing documentation accuracy and efficiency through the implementation of a culturally sensitive electronic health record (EHR) system. This project addressed a critical gap in nursing practice—transitioning from paper-based documentation to EHR systems—by providing structured educational interventions to enhance staff proficiency, confidence, and documentation accuracy. A pre- and post-evaluation methodology was employed to assess improvements in system navigation, real-time data access, workflow optimization, and documentation accuracy. Results demonstrated a 54.5% increase in staff proficiency, a 50% improvement in documentation accuracy, and a 76% rise in staff confidence in using the …
Transformational Strategies That Some Small Organizational Leaders Use To Lead Their Business Beyond The 5-Year Start-Up Mark, Al Richard Powell
Transformational Strategies That Some Small Organizational Leaders Use To Lead Their Business Beyond The 5-Year Start-Up Mark, Al Richard Powell
Walden Dissertations and Doctoral Studies
Small businesses are critical contributors to economic stability and job creation but often struggle to survive beyond their first five years. Business leaders face challenges such as declining employee morale and high turnover, which can contribute to organizational failure, financial loss, loss of credibility, and bankruptcy. Grounded in transformational leadership theory, this qualitative pragmatic inquiry study aimed to discover and explore strategies small business leaders have used to achieve sustained growth and longevity beyond the initial five-year startup period. The participants included eight small business leaders from South Florida and the Caribbean who had successfully operated their businesses for at …
Perceptions Of Mathematics Coaching Experience By Jamaica Secondary School Teachers, Verlaine Angela Henry-Reid
Perceptions Of Mathematics Coaching Experience By Jamaica Secondary School Teachers, Verlaine Angela Henry-Reid
Walden Dissertations and Doctoral Studies
The local problem that was addressed through this study is the continued underperformance of Jamaican students taking the upper level of the Caribbean Secondary Education Certificate (CSEC), despite the assignment of coaches to support in-service mathematics teachers. The purpose of this qualitative research was to explore in-service teachers’ perceptions on the CSEC mathematics coaching received and the challenges they countered.The cognitive apprenticeship theory (CAT) was the conceptual framework. For this qualitative design, semistructured interviews with 10 in-service mathematics teachers at two Jamaican secondary schools were conducted, resulting in four themes: (a) usefulness of establishing a coaching mathematics community of practice …
Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu
Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu
Walden Dissertations and Doctoral Studies
Nigerian immigrants in the United States face significant challenges in accessing mental health care due to various cultural and systemic barriers. This generic qualitative study, guided by Vygotsky’s sociocultural theory, was conducted to explore the barriers encountered by Nigerian community members in seeking mental health treatment in the United States. Data were obtained through semistructured interviews where nine Nigerian immigrants presented their perceptions and experiences concerning barriers to Nigerian community members seeking mental health treatment in the United States. Thematic analysis followed the six-step data analysis method, leading to three themes. The themes identified are: (a) mental health is a …
Process Standardization And Workflow Customization Within Specialty Pharmacy Systems, Lovette Nkontan
Process Standardization And Workflow Customization Within Specialty Pharmacy Systems, Lovette Nkontan
Walden Dissertations and Doctoral Studies
Process standardization and workflow customization are necessary in the operation of specialty pharmacy systems. Specialty pharmacies provide medications that are often high cost, require special handling, and are used to treat complex medical conditions. The need for both standardization and customization arises from the unique challenges these specialty pharmacies face, including regulatory compliance, patient safety, and the necessity for personalized patient care. The purpose of this study was to identify strategies to minimize workflow disruptions and delays in the transitions between initiating and continuing therapies across the specialty pharmacy continuum of care, leading to recommended evidence-based best practices to achieve …
Dialectical Behavior Therapy Implementation Experiences Among Mental Health Professionals In Correctional Settings, Angdi Karim Impelee
Dialectical Behavior Therapy Implementation Experiences Among Mental Health Professionals In Correctional Settings, Angdi Karim Impelee
Walden Dissertations and Doctoral Studies
This study investigated the challenges and experiences of mental health professionals implementing Dialectical Behavior Therapy (DBT) within forensic populations in the United States, filling a significant gap in research that primarily focused on DBT in non-forensic contexts. Utilizing qualitative methods, data were collected through semi-structured interviews with practitioners from various correctional settings, emphasizing their perceptions of DBT's efficacy, adaptation strategies to meet the cultural and institutional demands of their unique environments, and resultant behavioral outcomes for incarcerated individuals. Thematic analysis revealed key challenges, including resource limitations, institutional resistance, and the necessity for extensive cultural adaptations of therapeutic techniques. Participants highlighted …
Standarized Educational Nursing Intervention In The Prevention Of Implanted Port Infection, Maribel Melendez Ocasio
Standarized Educational Nursing Intervention In The Prevention Of Implanted Port Infection, Maribel Melendez Ocasio
Walden Dissertations and Doctoral Studies
This project addressed the high infection rate of implanted ports at a cancer treatment hospital in Puerto Rico due to the lack of a standardized training program for nurses. The project occurred in the hospital’s oncology unit with 24 beds. The infection rate for newly implanted ports was an alarming 100% in 1 month. Addressing this issue was crucial because port infections can significantly impact patient outcomes, especially for oncology patients. The goal of this project was to develop and implement an educational program based on the analyze, design, develop, implement, and evaluate model to enhance nurses’ knowledge and adherence …
Effective Strategies Nursing Leaders Use To Increase Registered Nurse Retention, Hannah L. Campa
Effective Strategies Nursing Leaders Use To Increase Registered Nurse Retention, Hannah L. Campa
Walden Dissertations and Doctoral Studies
The declining number of registered nurses (RNs) across all specialties in the United States presents significant challenges to the healthcare system, requiring nursing leaders to implement effective retention strategies. A critical issue for hospital stakeholders is that many nursing leaders lack evidence-based strategies to improve RN retention. Grounded in the stakeholder theory as the conceptual framework, the purpose of this pragmatic inquiry research project was to explore the nurse retention strategies successfully used by six nursing leaders in the Midwest United States. Data were collected through personal interviews and publicly available documents, then analyzed following Yin’s 5-step process ,ensuring data …
Effective Health Care Management Strategies For Increasing Employee Engagement And Productivity, Erica L. Hurd
Effective Health Care Management Strategies For Increasing Employee Engagement And Productivity, Erica L. Hurd
Walden Dissertations and Doctoral Studies
Ineffective strategies to increase employee engagement and productivity can negatively impact business operations. Human resources (HR) and business leaders in the health care industry who lack effective strategies to increase employee engagement and productivity risk business stability. Grounded in self-determination theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies HR and business leaders in health care use to increase employee engagement and productivity. The participants were six health care HR and business leaders who had effectively implemented strategies to increase employee engagement and productivity. Data were collected by conducting semistructured interviews. Thematic analysis …
Educating Nurses To Use Age-Appropriate Communication Strategies In A Pediatric Hospital, Diane Arce
Educating Nurses To Use Age-Appropriate Communication Strategies In A Pediatric Hospital, Diane Arce
Walden Dissertations and Doctoral Studies
This quality improvement staff education project was developed to address a gap in practice related to family-centered communication in the project facility. New nurses are often unaware of the impact of family-centered communication when caring for pediatric patients. The lack of preparation for basic nursing tasks after graduation may be attributed to the COVID-19 pandemic and loss of clinical time related to hospitals ceasing school rotations for clinical training. This impacts new nurses’ preparation for the duties and responsibilities of a licensed registered nurse in a pediatric hospital. This education program aimed to increase nurses’ knowledge about evidence-based family-centered communication …
Asean's Scs Divergence: An Analysis Of Historical, Economic, And Strategic Factors, Carl E. Dick
Asean's Scs Divergence: An Analysis Of Historical, Economic, And Strategic Factors, Carl E. Dick
Walden Dissertations and Doctoral Studies
There is a significant gap in the scholarly literature on the Association of Southeast Asia Nations’s (ASEAN's) internal divisions and policy inconsistencies in responding to China's expansion in the South China Sea that considers national interests, economic dependencies, and security concerns. There is no cohesive regional strategy. This study examined the ASEAN’s responses to Chinese expansionism in the South China Sea, focusing on the Second Thomas Shoal. It addressed the research question: how have historical, economic, and strategic factors influenced ASEAN's collective and individual member state responses to China's actions. Territorial peace theory and constructivist perspectives were used to analyze …
Training Staff To Improve Medication Adherence Among Outpatient Mental Health Patients, Josephine Nada Bondje
Training Staff To Improve Medication Adherence Among Outpatient Mental Health Patients, Josephine Nada Bondje
Walden Dissertations and Doctoral Studies
Medication adherence is a practice issue in the treatment of patients suffering severe mental illness. A suburban outpatient clinic in the Eastern United States did not have standardized staff education regarding medication adherence strategies for treating psychiatric patients diagnosed with major depression, anxiety, bipolar disorder, or schizophrenia. The purpose of this project was to enhance the staff’s knowledge regarding methods for helping patients achieve medication adherence. The clinical question that guided the project was: Will staff education regarding medication adherence strategies related to mental health conditions in an outpatient clinic increase the knowledge of the staff? Data were collected from …
Staff Education On Advantages Of Administering Phq-9 Screening To Adolescents And Young Adults Receiving Transcranial Magnetic Stimulation (Tms) Therapy In An Outpatient Mental Health Clinic, Florence O. Gbadehan
Staff Education On Advantages Of Administering Phq-9 Screening To Adolescents And Young Adults Receiving Transcranial Magnetic Stimulation (Tms) Therapy In An Outpatient Mental Health Clinic, Florence O. Gbadehan
Walden Dissertations and Doctoral Studies
page This Doctor of Nursing Practice (DNP) study filled a practice gap in an outpatient mental health clinic by increasing staff understanding of the PHQ-9 screening tool for teenagers and young adults undergoing Transcranial Magnetic Stimulation (TMS) therapy. The project sought to answer the following practice-focused question: will teaching staff about the PHQ-9 increase knowledge? A staff education program was developed and implemented to address this gap, with professional persons examining and approving the content before it was distributed. Twelve voluntary clinical staff members attended a sixty-minute in-person educational session, which was followed by a ten-question multiple-choice pre/post-test to assess …
Leadership Strategies To Address Employee Turnover In Therapeutic Foster Care Within The Southeastern United States, Angelique Allen
Leadership Strategies To Address Employee Turnover In Therapeutic Foster Care Within The Southeastern United States, Angelique Allen
Walden Dissertations and Doctoral Studies
This study addresses the problem of low staff recruitment and retention rates in therapeutic foster care, resulting in staff burnout and reduced program performance and affecting the program’s targeted population and their communities. A case study allowed for a holistic view of the problem through the unique perspectives of behavioral health leaders within the program selected, which is based in the southeast United States and serves children within the foster care system. The study is grounded using the Baldrige excellence framework. Data were obtained through semi-structured interview with three of the program’s behavioral health leaders. The data were analyzed using …
Solutions To Retaining Leaders In Behavioral Health Organizations, Kelly Murphy
Solutions To Retaining Leaders In Behavioral Health Organizations, Kelly Murphy
Walden Dissertations and Doctoral Studies
Retaining qualified behavioral health leaders is critical to the success of the behavioral health organization. Continually exploring solutions and strategies helps the organization to assess and improve its effectiveness in meeting its mission, vision, and values. This study focused on the development and execution of the strategic plan as a tool for the organization to successfully meet its goals. The problem addressed in this study is the leadership turnover rate and how this change impacts progress toward achieving the mission, vision, and values of the organization. The Baldrige Excellence Framework was used in this study to evaluate processes of hiring, …
Teachers' Perceptions Of Response To Intervention Implemented In Grades 3 – 5 For Minority Males, Wanda Jordan Stidom
Teachers' Perceptions Of Response To Intervention Implemented In Grades 3 – 5 For Minority Males, Wanda Jordan Stidom
Walden Dissertations and Doctoral Studies
The Individuals with Disabilities Education Improvement Act (IDEIA) added Response to Intervention (RTI) to its policy to close the social and economic disadvantages that suppress the academic achievement of minority students. The problem that was addressed through this study is that teachers struggle to implement RTI to support minority male students in Grades 3 – 5 at four local elementary schools in the Central United States. The purpose of the study was to explore the perceptions of Grades 3 – 5 teachers for implementing RTI to support minority males and the training and resources available and needed at four elementary …
Cauti Bundle Education In A Long-Term Care Facility, Pius Awandem Tanyifor
Cauti Bundle Education In A Long-Term Care Facility, Pius Awandem Tanyifor
Walden Dissertations and Doctoral Studies
Catheter-associated urinary tract infections (CAUTIs) are the most frequent but preventable infections that patients may acquire in healthcare, also known as HAI or nosocomial. A CAUTI bundle is a set of evidence-based practices (EBPs) that, when implemented together, can significantly reduce the occurrence of CAUTIs in any healthcare setting. The practice problem in a long-term care facility was the staff knowledge deficit on the CAUTI bundle. This is a staff education project. The pre- and post-survey results showed an increase in knowledge of the CAUTI bundle, from 56% in the pretest to 97 % in the posttest.
Gad-7 Screening Tool Implementation, Charity Allwell
Gad-7 Screening Tool Implementation, Charity Allwell
Walden Dissertations and Doctoral Studies
The purpose of this doctor of nursing practice (DNP) project was to provide a staff education program to improve staff knowledge about the use of the GAD-7 screening tool. Generalized anxiety disorder (GAD) remains an underdiagnosed condition, often due to inadequate use of standardized tools in clinical settings, leading to delayed treatments and suboptimal outcomes for patients experiencing anxiety disorders. The identified gap in practice necessitated an educational intervention to equip healthcare providers with the skills to effectively use the GAD-7 screening tool. To address this gap, a 2-hour staff education program was delivered via in-person sessions and online modules. …
Educating The Crisis Unit Staff On Implementing The Brief Trauma Questionnaire, Ambrose Oyemhen Ukpebor
Educating The Crisis Unit Staff On Implementing The Brief Trauma Questionnaire, Ambrose Oyemhen Ukpebor
Walden Dissertations and Doctoral Studies
The Facility-Based Crisis Unit (FBCS) nursing staff demonstrated an inadequate understanding of how to apply evidence-based trauma screening tools, such as the Brief Trauma Questionnaire (BTQ), to patients with substance use disorders. Studies indicate that over 60% of individuals recovering from or actively using illicit drugs report experiencing childhood and lifetime trauma. Integrating trauma screening into nursing practice can significantly improve patient care outcomes. This educational project aimed to enhance providers’ knowledge of BTQ administration using the ADDIE (Analyze, Design, Develop, Implement, and Evaluate) model to ensure effective learning. The project utilized expertise from content specialists, the Walden University manual, …
Teachers’ Instructional Strategies In Teaching English Language Learners English Writing In A Dual Language School, Courtney Mae Henson
Teachers’ Instructional Strategies In Teaching English Language Learners English Writing In A Dual Language School, Courtney Mae Henson
Walden Dissertations and Doctoral Studies
It is the responsibility of educators to provide quality instruction for all students, including English language learners,. The problem that was addressed through this study is that teachers at Missionary Elementary School were struggling to implement appropriate instructional practices when teaching English writing to English language learners (ELLs) enrolled in a dual language program. The purpose of this study was to examine the instructional methods and to understand the support and/or resources needed for teachers to be successful. The writing observation framework provided the conceptual framework that guided this research. Data for this qualitative case study were collected through observations …
The Generalized Anxiety Disorder 7-Item (Gad-7) Tool For Anxiety Screening, Nicholas Tindong
The Generalized Anxiety Disorder 7-Item (Gad-7) Tool For Anxiety Screening, Nicholas Tindong
Walden Dissertations and Doctoral Studies
The staff education project aimed to address the gap in practice regarding the use of the Generalized Anxiety Disorder 7-item (GAD-7) screening tool at a psychiatric clinic. Approximately 40% of the clinic’s patients exhibited symptoms of generalized anxiety disorder (GAD), yet the nurses did not consistently use validated tools to assess anxiety severity, relying instead on unstructured clinical interviews. This inconsistency has resulted in delayed diagnoses and suboptimal patient care. The project sought to improve nursing staff's knowledge and confidence in using the GAD-7 tool through a structured education program guided by the following practice-focused question: Among nurses at a …
Reducing Disparities In Breastfeeding Among African American Women Through Professional Support, Latonia Feagin
Reducing Disparities In Breastfeeding Among African American Women Through Professional Support, Latonia Feagin
Walden Dissertations and Doctoral Studies
This project involved developing a toolkit and implementing a staff education program to increase provider self-efficacy and knowledge concerning breastfeeding, increase provider understanding of the importance of a toolkit for addressing the gap in breastfeeding among African American women, and increase the intention of providers to use the toolkit by a minimum of 20%. The clinic reported breastfeeding in only 21% of African American patients, attributing this mainly to provider lack of breastfeeding self-efficacy and knowledge. It is essential for providers to deliver evidence-based, culturally sensitive breastfeeding information. This project involved evaluating provider self-efficacy, knowledge, understanding the importance of a …
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Walden Dissertations and Doctoral Studies
Allostatic load (AL), the cumulative physiological burden of chronic stress, is a significant health problem, and it has been associated with adverse health outcomes, including cognitive functioning. There is a paucity of literature examining associations between AL and incident dementia in the United States. This quantitative study used data from the United States Health and Retirement Study cohort (2016-2020) to examine the association between AL quartile and incident dementia among participants who were aged 56 and older at baseline. Dementia status was determined measuring immediate and delayed recall, serial seven subtraction, and backward count, as well as self-report conditions for …
Staff Education On The Importance Of Using Sequential Compression Devices To Prevent Venous Thromboembolism In A Hospital Medical Surgical Unit, Roxanne Rose Beckman
Staff Education On The Importance Of Using Sequential Compression Devices To Prevent Venous Thromboembolism In A Hospital Medical Surgical Unit, Roxanne Rose Beckman
Walden Dissertations and Doctoral Studies
Venous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary emboli, can lead to disability, loss of limbs, or even death. VTEs are preventable and can affect anyone at any age, race, or gender. In the United States, it is estimated each year that as many as 900,000 people are affected by VTEs. Risk factors for developing blood clots are immobilization, surgeries, pregnancy, obesity, history of blood clots, and trauma. Hospital-acquired VTE is a patient safety indicator, and mechanical prophylaxis should always be used to lessen the risk unless contraindicated. Sequential compression devices (SCDs), a preferred method of VTE prophylaxis, …
The Effectiveness Of Naloxone Staff Education In Reducing Opioid Overdose Mortality Among Young Adults In An Outpatient Behavioral Clinic, Taiwo Oguntade
The Effectiveness Of Naloxone Staff Education In Reducing Opioid Overdose Mortality Among Young Adults In An Outpatient Behavioral Clinic, Taiwo Oguntade
Walden Dissertations and Doctoral Studies
The Naloxone Staff Education Project was implemented within an outpatient behavioral health practice to address the critical issue of insufficient staff education regarding Naloxone use in opioid overdose responses. Opioid overdoses, particularly among young adults, have become a leading cause of preventable death, with nearly 108,000 deaths recorded in 2022, 76% of which involved opioids. The project aimed to assess the impact of Naloxone education on staff knowledge, competency, and confidence in responding to opioid overdoses among patients aged 18 to 35. Utilizing pre- and post-education assessments, including surveys and interviews, the project evaluated staff readiness to administer Naloxone. Results …