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Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Walden Dissertations and Doctoral Studies
The effects of substance abuse are a public health challenge, as evidenced by the prevalence of drug-related overdoses since the year 2000. Involuntary civil commitment (ICC) denotes a legal basis to mandate treatment for people at imminent risk of harm due to substance use disorders (SUD). Grounded on the transtheoretical model stages of change, this quantitative retrospective cohort study analyzed the relationship between mental disorder history, medication for addiction treatment (MAT), and voluntary retention in SUD treatment post-ICC, controlling for age, race/ethnicity, drugs used, housing status, and Department of Children and Families services. Secondary data from the Massachusetts Department of …
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Walden Dissertations and Doctoral Studies
This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …
Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block
Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block
Walden Dissertations and Doctoral Studies
Media attention on the fatal use of force by law enforcement personnel has worsened the divide amongst the police and minority communities, intensifying the lack of confidence between groups. Further research is called for to understand how the fatal use of force by law enforcement is influenced by officer race, suspect race, and characteristics of the alleged crime. Implicit bias theory and procedural justice theory were used as theoretical and conceptual frameworks. The three research questions examined the extent to which characteristics of the officer, characteristics of the alleged perpetrator, and circumstances of the homicide predicted (a) perpetrator mental illness, …
Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming
Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming
Walden Dissertations and Doctoral Studies
A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. …
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Walden Dissertations and Doctoral Studies
Summary The persistent misdiagnosis of bipolar disorder in this psychiatric practice was thought to be due to the provider's lack of knowledge and confidence in using assessment tools. Rapid Mood Screener (RMS) is a validated brief screening tool that differentiates between bipolar disorder and unipolar depression. In this project, I educated outpatient psychiatric nurse practitioners and staff in using RMS. The project practice-focused question was: Will an educational intervention improve the knowledge and self-efficacy of the outpatient mental health providers and staff regarding using Rapid Mood Screener? I followed the ADDIE framework and incorporated Knowles' adult learning theory for the …
Staff Education To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur
Staff Education To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur
Walden Dissertations and Doctoral Studies
Hospital-acquired infections (HAIs) are a significant concern in healthcare, contributing to increased morbidity, mortality, and healthcare costs. Despite the effectiveness of hand hygiene in preventing HAIs, compliance among healthcare providers remains suboptimal. This Doctor of Nursing Practice (DNP) project aimed to evaluate whether an educational intervention could improve healthcare professionals’ knowledge and awareness of hand hygiene practices in a clinical setting. A convenience sample of 11 participants attended a 10-day educational intervention. Participants completed pretests and posttests to measure knowledge and awareness. The mean pretest score for knowledge was 8.73 (SD = 1.19), while the mean posttest score was 10.00 …
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Walden Dissertations and Doctoral Studies
Patients experiencing delirium are challenging for nurses, especially when aggressive behavior is also present. Nurses from all specialties have the potential to encounter patients who have or develop delirium during their hospitalization, particularly in the intensive care unit. Nurses may lack the experience needed to recognize impending aggression which often presents as subtle cognitive changes or do not know the proper way to manage these types of patients. This makes standardized guidelines crucial for the safety of both the nurse and the patient. This project addresses that practice gap through developing an evidence-based clinical practice guideline (CPG) that will help …
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Staff Education for Identifying and Screening of Depression Using an Appropriate Tool In the Crisis Stabilization Unit by Esther Chiedu MS, Walden University, 2023. BS, Madonna University, 2010. Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice. Walden University November 2024
The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall
The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall
Walden Dissertations and Doctoral Studies
Call center organizations have become important contact centers for various fields to conduct customer service. Within the automotive industry, call centers are used for emergency roadside assistance. The customer service representatives who are responsible for handling roadside assistance may be managing various issues, including burnout, which may carry over into their performance and ability to properly service customers. The relationships between burnout and employee engagement for inbound emergency roadside assistance agents were not well understood. The purpose of this study was to examine the relationship between customer service representatives’ level of burnout and employee engagement. A quantitative, cross-sectional research design …
Acute Care Hospitalizations: Intentional Rounding And The Relationship To Patient Satisfaction, Ernestine Lucrecia Quick
Acute Care Hospitalizations: Intentional Rounding And The Relationship To Patient Satisfaction, Ernestine Lucrecia Quick
Walden Dissertations and Doctoral Studies
Patients evaluate their experiences to determine if they will allow hospitals to provide their needed health services. Patient experience scores are used by hospitals to assess patients’ feelings about their interactions with the health care team and providers, the hospital facilities, and their likelihood to recommend the hospital to others. The purpose of this quantitative study was to determine whether a significant difference existed in patient satisfaction between those receiving care in a North Carolina inpatient health system before and after implementing intentional rounding (IR). The three research questions addressed the independent variable by comparing Press Ganey survey data for …
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Walden Dissertations and Doctoral Studies
This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Walden Dissertations and Doctoral Studies
This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …
Strategies To Enhance Financial Efficiency Of Small Businesses During Protracted Periods Of Economic Disruptions, Paul Juren Cunningham
Strategies To Enhance Financial Efficiency Of Small Businesses During Protracted Periods Of Economic Disruptions, Paul Juren Cunningham
Walden Dissertations and Doctoral Studies
Small business leaders without effective business strategies are at a higher risk of business failure. In fact, the majority of minority-operated businesses will fail within the first five years of operation because they lack sustainable business strategies. Grounded in the competitive advantage theory, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective strategies small minority-operated trucking business leaders could use to financially sustain their businesses during protracted periods of economic disruption. Participants were six business leaders of minority-operated trucking businesses who successfully sustained their businesses during protracted periods of economic disruption. Data were collected using …
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger
Walden Dissertations and Doctoral Studies
This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …
Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett
Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett
Walden Dissertations and Doctoral Studies
Adults who identify as Christian often seek help within their religious communities for mental health issues. Research suggested that religious counseling services may discourage members from reporting mental health issues to traditional biomedical and psychological providers. The purpose of this quantitative study was to examine the extent to which people who identify as Christian in Southern California seek help outside of the Church and whether their help seeking is influenced by their religious attitudes and perceived fear of traditional psychological services. Southern California was chosen as it is where the Christian Counseling movement was started and has a large population …
Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal
Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal
Walden Dissertations and Doctoral Studies
This DNP project entails staff education regarding menopause hormonal use in a women's clinic. The practice problem was the lack of staff confidence regarding hormone use in menopausal women. It is essential to address the practice problem within the context of nursing practice because it can potentially enhance positive social change by addressing the healthcare needs of an underserved demographic. The project aimed to develop and deliver an education program regarding the care of menopausal women for staff members in the women's clinic. The project question was whether staff education regarding menopause hormonal use could increase confidence among staff in …
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Walden Dissertations and Doctoral Studies
Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …
Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika
Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika
Walden Dissertations and Doctoral Studies
This quality improvement staff education Doctor of Nursing practice (DNP) project was implemented to address the quality issue related to medication nonadherence in patients with schizophrenia. Medication nonadherence is a major health issue facing psychiatric patients, with studies showing high rates of nonadherence among patients with schizophrenia. Nonadherence to treatment heightens the risk of relapse, rehospitalization, suicide, and early death. This staff education project focused on increasing the knowledge and attitudes of healthcare professionals about evidence-based strategies to improve medication adherence in patients with schizophrenia. Five nurses participated in the education program. The participants completed the pretest prior to participating …
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Walden Dissertations and Doctoral Studies
Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic
Walden Dissertations and Doctoral Studies
Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …
American Sign Language Educators’ Perceptions Of Incorporating Multicultural Content In U.S. Higher Education Classrooms, Noe Alexander Turcios
American Sign Language Educators’ Perceptions Of Incorporating Multicultural Content In U.S. Higher Education Classrooms, Noe Alexander Turcios
Walden Dissertations and Doctoral Studies
American Sign Language (ASL) courses in U.S. higher education often inadequately incorporate multicultural content, with many educators lacking knowledge of multiculturalism and relevant cultural resources. The purpose of this study was the exploration of ASL educators' perspectives on the incorporation of multicultural content in ASL classrooms and the identified barriers to doing so. The multilevel inclusion framework and the integrated framework for a culture of diversity offered a conceptual lens for the study. For this basic qualitative design, semistructured interviews were conducted with 11 ASL educators with at least 3 years of experience. In the reflexive thematic analysis of the …
Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli
Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli
Walden Dissertations and Doctoral Studies
Eye movement desensitization and reprocessing (EMDR) is a short-term psychotherapy approach first introduced in 1987 by Francine Shapiro. Currently, EMDR is only a first-line treatment to relieve symptoms of post-traumatic stress disorder (PTSD). However, this treatment modality could be expanded to generalized anxiety disorder if additional research was available. Further, research has demonstrated the effectiveness of EMDR from a quantitative perspective; however, there has been scarce research supporting the use of EMDR as a first-line treatment approach from a qualitative perspective. This hermeneutic qualitative study aimed to explore the psychological and physiological effects of EMDR on the brain from a …
The Law Of One Price And Its Impact On Arbitrage Opportunities For Cryptocurrencies, Francis Edmond Taylor
The Law Of One Price And Its Impact On Arbitrage Opportunities For Cryptocurrencies, Francis Edmond Taylor
Walden Dissertations and Doctoral Studies
Understanding the unprecedented growth of cryptocurrency has challenged professionals and scholars. This study involved addressing the existence of arbitrage opportunities in the Canadian cryptocurrency market. The purpose of this study was to test the theory of the law of one price (LOP) on cryptocurrency in Canada. The LOP demonstrates the value of a financial asset should be the same across different markets. The research questions for this study examined if different exchanges cause arbitrage opportunities in the Canadian cryptocurrency market and if volatility and liquidity were influencers of the arbitrage opportunities between Canadian cryptocurrency exchanges. A quantitative nonexperimental cross-sectional research …
Developing An Educational Program To Educate Nurses About Sickle Cell Disease And Vaso-Occlusive Episodic Pain, Margaret Sih Buo-Frundi
Developing An Educational Program To Educate Nurses About Sickle Cell Disease And Vaso-Occlusive Episodic Pain, Margaret Sih Buo-Frundi
Walden Dissertations and Doctoral Studies
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Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …
Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …
Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …
Professional Development Strategies For Nonprofit Organizations To Retain Key Talent, Anderline Celestin
Professional Development Strategies For Nonprofit Organizations To Retain Key Talent, Anderline Celestin
Walden Dissertations and Doctoral Studies
Some leaders of nonprofit organizations lack effective strategies for implementing professional development programs that could improve the retention of key talent. Retaining experienced, high-performing employees is a top concern for nonprofit leaders, as these individuals are vital to the organization's success and overall performance. Grounded in the human capital theory and Herzberg’s two-factor theory, this qualitative pragmatic inquiry was conducted to explore the strategies employed by nonprofit organization leaders to implement successful professional development programs aimed at increasing the retention of key talent. The participants were eight business leaders from nonprofit organizations in the United States who have professional development …
Mitigating Compassion Fatigue, Sylvia Lee Christian-James
Mitigating Compassion Fatigue, Sylvia Lee Christian-James
Walden Dissertations and Doctoral Studies
Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …
Mitigating Compassion Fatigue, Sylvia Lee Christian-James
Mitigating Compassion Fatigue, Sylvia Lee Christian-James
Walden Dissertations and Doctoral Studies
Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …