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A Narrative Policy Review Of Asthma Education Programs In North Carolina Schools, Rosemary Moody
A Narrative Policy Review Of Asthma Education Programs In North Carolina Schools, Rosemary Moody
Walden Dissertations and Doctoral Studies
Asthma remains one of the most common chronic conditions affecting school-aged children, posing significant challenges to their academic performance and overall well-being. However, the literature indicates that there continues to be barriers to successful implementation of asthma education policies in the public schools, particularly in the elementary levels. Using Maxwell’s interactive design for qualitative research, this study investigated how educators and stakeholders perceived the impact of state legislation on asthma education criteria and outcomes for student in grades K-5, as well as their recommendations for policy. Guided by Jones and McBeth’s narrative policy framework, semi structured interview data were collected …
Principal Perceptions Of Advising For The Adoption Of Social Media As An Instructional Application, Ben Hudson
Principal Perceptions Of Advising For The Adoption Of Social Media As An Instructional Application, Ben Hudson
Walden Dissertations and Doctoral Studies
Secondary school principals are seeking to meet students where they are by integrating social media into school curricula to enhance student learning. However, little has been published about principals’ perceptions of the value of social media as an instructional tool or the advising processes they employ to facilitate the adoption of social media as an instructional application. The problem this study addressed was principals’ perceptions of social media as an instructional application and how those perceptions influence decisions to advise for the adoption of social media for instructional purposes. Guided by Rogers’s diffusion of innovations theory and Davis’s technology acceptance …
Development Of An Evidence-Based Program To Increase Burnout Knowledge Among Psychiatric Mental Health Nurse Practitioners In An Inpatient Psychiatric Hospital, Christianah Agunanne
Development Of An Evidence-Based Program To Increase Burnout Knowledge Among Psychiatric Mental Health Nurse Practitioners In An Inpatient Psychiatric Hospital, Christianah Agunanne
Walden Dissertations and Doctoral Studies
In this staff education project, I addressed burnout prevention among psychiatric mental health nurse practitioners (PMHNPs) in an inpatient psychiatric hospital. Burnout can cause strain on mental health nurses and reduce patient satisfaction, impair quality of care, and increase medical errors. In this project, I developed and applied an evidence-based program (EBP) on burnout for PMHNPs, educating them about the problem and helping identify, avoid, or at least prevent burnout symptoms. I addressed how an EBP staff education program could affect knowledge and recognition of burnout for PMHNPs working in an inpatient psychiatric hospital. The purpose of the project was …
Residence, Education, Wealth, And Hiv/Aids Prevention Knowledge Among Nigerian Adults, Chinedu Nwaobia Nwaru
Residence, Education, Wealth, And Hiv/Aids Prevention Knowledge Among Nigerian Adults, Chinedu Nwaobia Nwaru
Walden Dissertations and Doctoral Studies
HIV has remained the most prevalent and deadliest epidemic affecting humanity. It is pertinent to note that, despite the number of years since the first case was reported in the early 1980s in the United States, and concerted efforts by local, national, and international governmental and nongovernmental agencies at curbing it, the level of knowledge of HIV transmission and the disease prevention, especially among Nigerians, is still not encouraging. Nigeria, the most populous country in Sub-Saharan Africa ranks second globally as the country with the highest number of people living with HIV/AIDS, which is currently estimated at 3 million. In …
The Roles And Motivation Of Volunteers In State Correctional Facilities, Sherlyn Kimberly Harris
The Roles And Motivation Of Volunteers In State Correctional Facilities, Sherlyn Kimberly Harris
Walden Dissertations and Doctoral Studies
Researchers have demonstrated that volunteers play a vital role in supporting the needs of those incarcerated in state correctional facilities, but the researchers fell short of elaborating on what stimulates the volunteers’ motivation, chosen roles, and selected areas for their contributions. Understanding the motivation of this group is valuable to ensure ongoing commitment for this important community role. The purpose of this study was to explore lived experiences of community state prison volunteers to better understand what motivates them. Dutta-Bergman’s theory of unified responsibility formed the framework for this generic qualitative study. Narrative data from interviews with six participants were …
Increasing Knowledge And Awareness Of Colorectal Cancer Among Nursing Staff, Joelle Woodruff
Increasing Knowledge And Awareness Of Colorectal Cancer Among Nursing Staff, Joelle Woodruff
Walden Dissertations and Doctoral Studies
In the United States, colon cancer rates have dropped since the 1980s as more people are being screened for colorectal cancer. However, despite an increase in screening, rates are expected to increase through 2035. Patients who have a good relationship with their providers are more likely to complete colorectal cancer screening. However, providers rely on support staff to educate patients on the screenings. The local organization has struggled to improve cancer screening rates among its patients. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an education intervention focused on colorectal cancer and screening …
Relationship Between Self-Silencing And Self-Neglect Behaviors And Disordered Eating And Stigma Toward Seeking Behavioral Health Support Among Black Women Who Adopt The Superwoman Schema, Veanda Hemphill
Walden Dissertations and Doctoral Studies
Self-silencing and self-neglect behaviors, key dimensions of the superwoman schema (SWS), function as protective coping mechanisms in response to psychosocial stressors. However, these behaviors often perpetuate self-sacrifice, leading to an increased risk of physical and mental health decline. The purpose of this quantitative correlational study was to examine the relationship between self-silencing and self-neglect behaviors (independent variables) and disordered eating and stigma toward seeking support from behavioral health services (dependent variables) among Black women who adopt the SWS. The theoretical and conceptual frameworks of silencing the self and intersectionality guided this study. The 78 participants who self-identified as Black and …
A Document Analysis Of School Shooting On College Campuses, Kevin Lavelle Childs
A Document Analysis Of School Shooting On College Campuses, Kevin Lavelle Childs
Walden Dissertations and Doctoral Studies
Despite media outcry and societal outcry, gun violence on college campuses in the United States continues to be an unresolved problem. Prior to on-campus shootings, college campuses were safe locations that were conducive to learning. Sadly, this is no longer the case. The purpose of this qualitative study was to identify the key characteristics of mass shootings on college campuses so that officials would be provided with information that would enable them to create safer campuses. Using a rational choice theory as the conceptual framework, which focused on the perpetrator’s behavior, a document analysis was conducted to identify and understand …
Lived Experiences Of Police Use Of Force In Western Utah, Kenny Augustin
Lived Experiences Of Police Use Of Force In Western Utah, Kenny Augustin
Walden Dissertations and Doctoral Studies
The use of force by police officers toward African Americans has been a tense subject in the United States Although statutory law grants the police officers the right to use force, the level and the type of force used by police officers can be seen as problematic. In this study, the lived experiences of African Americans and police officers’ use of force were explored. The purpose of this phenomenological study was to explore whether the lived experiences of African Americans differ from police officers concerning the use of force in Utah and how fear, trust, and confidence influenced behaviors. A …
Staff Education Program To Reduce Burnout Using Mindfulness Techniques In A Psychiatric Outpatient Clinic, Miriam Ambe
Staff Education Program To Reduce Burnout Using Mindfulness Techniques In A Psychiatric Outpatient Clinic, Miriam Ambe
Walden Dissertations and Doctoral Studies
Burnout is becoming more common among nurses, which has a negative impact on the well-being of nurses, patients, and organizations. The practice problem for this DNP project was the need for more awareness about burnout and associated strategies to address nurse burnout among outpatient nurses in a psychiatric clinic. This DNP project was a staff education program to teach nurses how to identify burnout in themselves while offering them mindfulness techniques to prevent or mitigate burnout. This project’s guiding practice-focused question and framework was, “Will a staff education program on mindfulness techniques to prevent burnout lead to nurses’ identification of …
Increasing Colorectal Cancer Screening Completion Rate Among African American Patients By Staff Education, Sloan Mccoy
Increasing Colorectal Cancer Screening Completion Rate Among African American Patients By Staff Education, Sloan Mccoy
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) is the second leading cause of cancer-related death in the United States and disproportionately affects the African American population with a higher incidence and mortality rate. This DNP project was implemented in a suburban primary care practice which is part of a large metropolitan health care organization. I implemented staff education about the CRC completion disparity with the African American population and communication strategies found to help improve this. My goal was for the primary care practice staff to increase their knowledge and change their practice behavior with recommending CRC screening to improve CRC screening rates amongst …
Individual And Community-Level Factors Influencing Hiv Testing Among Malawian Women, Miniratu Coker Lawal
Individual And Community-Level Factors Influencing Hiv Testing Among Malawian Women, Miniratu Coker Lawal
Walden Dissertations and Doctoral Studies
The HIV/AIDS epidemic poses a significant public health challenge in Malawi, where women aged 15-49 years experience a higher HIV prevalence (10.8%) compared to men (7.0%). Despite free testing services, 17% of Malawian women have never been tested for HIV, hindering early diagnosis and treatment that could reduce transmission rates. Using Anderson's framework for health service utilization, this study examined how demographic factors (age, marital status, ethnicity, residence) and socioeconomic factors (education, wealth, employment) influence HIV testing among Malawian women aged 15-49 years. Two research questions guided this investigation: 1) the association between demographic factors and HIV testing after controlling …
Staff Education To Increase Substance Use Screening And Treatment For Adolescents In An Outpatient Primary Care Mental Health Facility, Surekha Gorantla
Staff Education To Increase Substance Use Screening And Treatment For Adolescents In An Outpatient Primary Care Mental Health Facility, Surekha Gorantla
Walden Dissertations and Doctoral Studies
This quality improvement staff education DNP project addressed the practice issue relating to adolescent substance abuse in the project mental health facility. The facility does not have a uniform process for addressing this problem. Follow-up care for adolescents treated in the clinic is a challenge because each provider uses a screening tool of their preference, creating inconsistencies in care and missed care opportunities. Therefore, identifying, reducing, and preventing the negative consequences related to adolescent substance abuse in this clinical setting is vital and needs to be prioritized. I developed and implemented a staff education program using screening, brief intervention, and …
Comparison Of Levels Of Usage Of Summit K-12 And Language Acquisition Of Emergent Bilingual Students, Paula Cushanick
Comparison Of Levels Of Usage Of Summit K-12 And Language Acquisition Of Emergent Bilingual Students, Paula Cushanick
Walden Dissertations and Doctoral Studies
School districts are required to identify emergent bilingual (EB) students, provide appropriate bilingual education programs, and assess language acquisition progress to ensure equal educational opportunity. The problem investigated in this study was that, in 2022, only 38% of the EB student population in Southwestern School District (SSD, a pseudonym) demonstrated progress in achieving English language proficiency in the composite scores of the TELPAS assessment that included listening, speaking, reading, and writing language domains. The Summit K-12 computerized intervention program was instituted by SSD to address EB student language development. Guided by Sparrow’s holistic biliteracy framework, the purpose of this quasi-experimental, …
Executive Summary: Educating Staff On The Use Of The Columbia Suicide Severity Rating Scale, Muktar Trawalley
Executive Summary: Educating Staff On The Use Of The Columbia Suicide Severity Rating Scale, Muktar Trawalley
Walden Dissertations and Doctoral Studies
Suicidal ideation is a serious public health concern among individuals, especially in the United States. The Columbia-Suicide severity rating scale (C-SSRS) is the tool used to assess the severity and frequency of suicidal ideations. The gap in practice at this site is that mental health providers lack knowledge of using the C-SSRS. This evidence-based educational project aimed to improve nursing knowledge on using the C-SSRS in a psychiatric mental health facility. A practice-focused question was developed: Among psychiatric nurses in an outpatient mental health facility, does staff education on C-SSRS improve their knowledge of its application over 8 weeks, as …
Staff Education On Accurate Blood Pressure Monitoring, Amy Wink
Staff Education On Accurate Blood Pressure Monitoring, Amy Wink
Walden Dissertations and Doctoral Studies
Hypertension is a prevalent diagnosis in the United States and a significant contributor to adult mortality. The annual burden of high blood pressure in the United States is approximately 131 million dollars, accounting for health care services and medication expenses. This educational project was initiated because the metric for the patient population at the veterans’ outpatient clinic exceeded the national hypertension indicator of 140/90. The facility’s data metric results were above the national average, necessitating addressing an identified gap in practice, performing blood pressure screenings accurately. The purpose of this educational project was to develop a module for nurses to …
Skill Development Approach For Poverty Alleviation In India, Sameer Chandra
Skill Development Approach For Poverty Alleviation In India, Sameer Chandra
Walden Dissertations and Doctoral Studies
India’s Poverty Profile revealed that over 65% of the poor reside in rural areas. This study examined the effectiveness of the Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDU-GKY) skill development program in alleviating poverty in Uttar Pradesh, India. Guided by Sen’s capability approach, a quantitative cross-sectional design employing logistic regression analyzed the relationships of candidate qualifications and trade categories, predicting the likelihood of successful job placement. The study analyzed 4,789 randomly selected cases from 14 high-poverty districts in DDU-GKY’s database. The job placement rate within cases was 28.2%, with 71.8% not placed. Candidate qualification significantly predicted the likelihood of job …
Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor
Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor
Walden Dissertations and Doctoral Studies
Employees with nonnative accents sometimes avoid leadership roles, engage less in the workplace, and perform poorly. Organizational leaders need to understand how the challenges of individuals with nonnative accents specifically affect millennials. Grounded in attribution theory and social identity theory, the purpose of this qualitative study was to explore how millennial employees with nonnative accents experience leadership opportunities in the corporate workplace. The participants were 10 millennial corporate employees in the United States with nonnative accents working toward or already holding leadership positions. Data were collected using in-depth interviews for thematic and interpretive phenomenological analysis. Seven themes emerged: (a) challenges …
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Walden Dissertations and Doctoral Studies
The staff education project aimed to address the gap in practice regarding the use of the PHQ-9 depression screening tool in a primary care setting. The providers at the setting demonstrated variations in screening practices leading to potential missed opportunities for early depression identification and treatment. This Doctor of Nursing Practice project explored the question: “What is the effect of implementing a staff education program to improve staff knowledge to effectively implement changes that affect the use of the PHQ-9 screening tool to improve depression identification and treatment of adult patients in a primary care clinic?” This project aimed to …
Software Developer, Analyst, And Consultant Communication Strategies In Enterprise Resource Planning Projects, Martin Gene Culberson
Software Developer, Analyst, And Consultant Communication Strategies In Enterprise Resource Planning Projects, Martin Gene Culberson
Walden Dissertations and Doctoral Studies
Enterprise resource planning (ERP) software projects have an alarmingly high failure rate, with communication challenges cited as a major contributing factor. Poor communication during ERP development and implementation can ultimately reduce return on investment (ROI) for organizations. IT technical and functional specialists have a vested interest in improving communication strategies to enhance ERP success, ensuring business continuity, operational efficiency, and professional growth for project participants. Grounded in actor-network theory, the purpose of this pragmatic inquiry was to examine communication strategies used in ERP software projects among software developers, analysts, and consultants. The participants were eight ERP developers, analysts, and consultants …
Adhd Awareness And Management In Adults And Children Among Healthcare Providers, Germaine Mbuh
Adhd Awareness And Management In Adults And Children Among Healthcare Providers, Germaine Mbuh
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to enhance healthcare providers' awareness and knowledge of Attention Deficit Hyperactivity Disorder (ADHD) in both children and adults through a targeted staff education program. The project addressed the gap in ADHD understanding and management at a healthcare facility, aiming to improve diagnostic accuracy, treatment outcomes, and reduce stigma associated with the disorder. The project implemented an ADHD training program covering the disorder's pathophysiology, diagnostic criteria, and evidence-based management strategies. Pre- and post-training assessments indicated a significant increase in staff knowledge, confidence in diagnosing ADHD, and willingness to incorporate learned strategies into practice. …
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the critical issue of medication nonadherence among mental health patients by implementing a staff education program at an outpatient clinic in the Mid-Atlantic region USA. The program focused on enhancing staff knowledge and confidence through training in psychoeducation, motivational interviewing, and multidisciplinary collaboration. Nonadherence often leads to relapse, hospitalization, and poor outcomes, compounded by a lack of structured interventions at the project site. Sixteen clinic staff members participated in biweekly training sessions over a one-month period. Pre- and post-training assessments revealed a 44.79% increase in staff knowledge and a 50% improvement in confidence …
Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke
Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke
Walden Dissertations and Doctoral Studies
Rising costs in healthcare is a social problem in the United States with medical errors contributing to the rising costs; communication has been identified as a key contributor to medical errors. The purpose of this quantitative study was to further examine if there was a correlation between the independent variable of doctor communication scores and the dependent variable of readmission rates of coronary artery bypass graft surgery patients. This research could contribute to the social problem of rising healthcare costs specifically by identifying variables that may be contributors to costs due to errors. The theoretical framework was Donabedian’s theory of …
Scientific Evidence: Impact On A Jury, Thomas B. Scavone
Scientific Evidence: Impact On A Jury, Thomas B. Scavone
Walden Dissertations and Doctoral Studies
The goal of this qualitative study was to better understand the impact of scientific evidence ‘s influence on a jury’s verdict. The presence of scientific evidence has the potential to convict the defendant or overturn a guilty verdict as seen in cases involving the innocence project. The theoretical framework for this qualitative study was Gerbner’s Cultivation Theory which postulates heavy exposure to television has the potential to influence the individual’s perception of the world. The researcher implemented an exploratory research design using purposive sampling. A total of 68 participants (prior jurors) applied for the study, 66 from an advertisement placed …
The Impact Of Age, Gender, Race, And Socioeconomic Background On Montana Students’ Reading Achievement, Robin Cormier
The Impact Of Age, Gender, Race, And Socioeconomic Background On Montana Students’ Reading Achievement, Robin Cormier
Walden Dissertations and Doctoral Studies
The problem in this study was that 88% of local Montana elementary school students were not proficient in reading by the end of the 2023–2024 school year. The study’s purpose was to determine whether a relationship existed between students' performance on standardized reading tests in the local school setting and the key variables: age, gender, race, and socioeconomic background. Grounded in Piaget’s constructivist theory of cognitive development, the analysis explored whether the demographic factors contributed to differences in reading performance. Using a quasi-experimental, ex post facto design, (N = 64) students were categorized by age, gender, race, and socioeconomic status. …
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Walden Dissertations and Doctoral Studies
Depression is one of the most common psychiatric illnesses and one of the main causes of disability globally. Currently, at behavioral care facility patients are not consistently screened during the initial and follow-up visits due to limited staff knowledge in using the Patient Health Questionnaire-9 (PHQ-9) screening tool. Evidence-based literature recommends depression screening be done at every initial and follow-up visit. The PHQ-9 tool is valid and reliable for identifying, diagnosing, and monitoring depression treatment outcomes. Inadequate use of the PHQ-9 tool can lead to several negative patient outcomes. The project practice-focused question was: Does comprehensive education increase the knowledge …
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Walden Dissertations and Doctoral Studies
This project aimed to improve the consistency of PHQ-9 depression screenings for young adults in an outpatient mental health clinic. Through the implementation of standardized protocols and staff training, the goal was to reduce variability in screening outcomes. The evaluation method of the project involved staff interviews, surveys, and comparing pretest and post-test results to measure staff knowledge and confidence improvements. The results showed that there were significant improvements in staff knowledge and confidence. This project highlights the importance of standardized procedures in improving mental health care for young adults.
The Relationship Between Remote Followers’ Perceptions Of Leader’S Emotional Intelligence And Followers’ Psychological Safety, Gender, And Tenure, Jeanine P. Stroud
The Relationship Between Remote Followers’ Perceptions Of Leader’S Emotional Intelligence And Followers’ Psychological Safety, Gender, And Tenure, Jeanine P. Stroud
Walden Dissertations and Doctoral Studies
This quantitative study explored the relationship between remote workers’ perceptions of their leaders’ emotional intelligence and their self-reported psychological safety, with gender and tenure as moderating variables. Data from 172 remote employees using a cross-sectional online survey revealed that perceived leader emotional intelligence was a significant predictor of psychological safety, both as a composite measure and across its four dimensions of emotional intelligence: self-emotional appraisal, others’ emotional appraisal, regulation of emotion, and use of emotion. Gender moderated the relationship with the combined interaction of worker and leader gender in female leader–female follower dyads. Tenure with the leader did not moderate …
Agile Culture As Experienced By Scrum Masters In The Financial Sector, Andrew John Haigh
Agile Culture As Experienced By Scrum Masters In The Financial Sector, Andrew John Haigh
Walden Dissertations and Doctoral Studies
There is a high failure rate for software development projects, even those that have adopted an Agile approach, despite the United States spending more than $250 billion yearly on developing 175,000 software projects costing $2,322,000 on average. Scrum masters on software development projects with an Agile approach need to adopt more than just the process and procedures; they need to adopt the Agile culture. The purpose of this general qualitative study was to explore the implementation of the Agile culture experienced by scrum masters in the financial sector. The Scrum software development framework is the most popular variant of the …
The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton
The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton
Walden Dissertations and Doctoral Studies
Hospitals with high readmission rates face financial penalties due to the Medicare Hospital Readmissions Reduction Program (HRRP). The purpose of this quantitative, retrospective, quasi-experimental study was to determine the relationship between pre- and post-implementation of an Acute Care for Elders (ACE) Unit in a critical access hospital (CAH) and length of stay (LOS) and readmission rates within 30 days. The theoretical framework used for this study was Donabedian’s theory of evaluating the quality of medical care delivered. Donabedian’s theory of quality care delivery is composed of three elements, structure, process, and outcome. For the purpose of this study, structure consists …