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Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Walden Dissertations and Doctoral Studies
Prediabetes is a significant public health concern in the United States, as many individuals remain undiagnosed or inadequately managed, which increases the risk of progression to type 2 diabetes and associated complications. Primary care settings are essential for early identification and prevention. However, gaps in staff knowledge and inconsistent application of evidence-based guidelines frequently hinder effective management. This Doctor of Nursing Practice (DNP) staff education project aimed to enhance healthcare staff knowledge and confidence in screening for and managing prediabetes within a primary care clinic. The central question guiding this project was whether evidence-based staff education could improve healthcare staff …
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Walden Dissertations and Doctoral Studies
The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Walden Dissertations and Doctoral Studies
The COVID-19 virus was a new virus that caused a worldwide pandemic. There was not much information about what the virus was, what caused it, or how to stop its spread. Vulnerable populations such as those in foster care were especially affected because the foster children had no place to go. The purpose of this qualitative study was to explore the lived experiences of foster parents who had older foster children in their care during the COVID-19 pandemic. There was a lack of research specifically on foster parents and their personal lived experiences with the foster care system and foster …
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Walden Dissertations and Doctoral Studies
Ineffective business strategies can lead to premature closure. Small business owners who struggle to develop long-term strategies may experience failure as a result. Grounded in the resource-based view and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore practical strategies used by massage therapy small business owners to sustain their businesses for more than 5 years. The participants were 10 massage therapy small business owners who had sustained their businesses for more than 5 years. Data were collected through semistructured interviews, business documents, and public records. Through thematic analysis, six themes were …
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice quality improvement project, I used a staff education intervention to address nursing knowledge gaps related to catheter-associated urinary tract infection (CAUTI) prevention in a large outpatient urology clinic in the southeastern United States. Registered nurses (N = 28) participated in a single, 45-minute, in-person education session comprising PowerPoint slides, facilitated discussion, and printed job aids based on national guidelines. I used a single-group pre-/posttest design to evaluate the effect of the intervention. The primary outcome was staff knowledge measured using a paper-based, 17-item knowledge test administered immediately before and after the session. The secondary …
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure including pressure associated from shear. Surgical patients are estimated to represent 42% of hospital acquired PIs. PIs result in poor patient outcomes, increase length of stay, add billions to heath care costs are no longer reimbursed by Centers for Medicare/Medicaid Services. Prevention of PI is different in the perioperative setting due to the complexities of surgery. This project focused on developing, delivering, and evaluating a robust education program for perioperative staff on PI prevention in the perioperative setting. The …
Family-Owned Small And Medium Enterprises And The Influence Of Social Capital Dimensions On Innovative Performance, Dawn Renee Proctor
Family-Owned Small And Medium Enterprises And The Influence Of Social Capital Dimensions On Innovative Performance, Dawn Renee Proctor
Walden Dissertations and Doctoral Studies
Family-owned businesses in the United States encounter innovation and performance challenges that may contribute to unsustainable business practices. Owners and managers of family-owned small and medium-sized enterprises (SMEs) must understand these challenges, as failure to do so may indicate missed opportunities to leverage innovation through dimensions of social capital. The purpose of this quantitative, non-experimental, correlational study was to measure investment levels within social capital dimensions (structural, relational, and cognitive) that impact family-owned SMEs’ innovative efforts and performance capabilities in the West and Midwest regions of the United States. The theoretical foundation was social capital theory. There were four research …
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Walden Dissertations and Doctoral Studies
The problem explored in this study was that during the COVID-19 pandemic, teachers began using new or existing technology for which they were unprepared. Framed by Davis’ technology acceptance model (TAM), the purpose of this basic qualitative study was to examine the experiences of middle school teachers’ technology use during and after the pandemic, including their perceived usefulness of the technology in their classrooms, their intended use of the technology moving forward, and what support they may need from administration to continue using technology consistently. Data was collected through interviews with 10 teachers who taught during and after the COVID-19 …
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Walden Dissertations and Doctoral Studies
This quality improvement project aimed to enhance the assessment of dyspnea in patients presenting with shortness of breath, particularly those with asthma, through a staff education program. At the practice site, staff primarily relied on SpO₂ readings to evaluate dyspnea, which often led to misassessment and delays in care. The project addressed this gap by providing urgent care staff with training on comprehensive assessment techniques, including evaluation of respiratory rate, work of breathing, ability to speak, patient history, and use of validated tools such as Borg’s scale and peak flow meters. Twenty triage staff members participated, including licensed practical nurses, …
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Walden Dissertations and Doctoral Studies
Primary caregivers of teenage violent offenders play a vital role in identifying and addressing safety concerns, providing emotional and financial support, and meeting individual developmental and psychosocial needs. As more grandparents assume the role of primary caregiver, the need for targeted interventions to support their emotional and psychosocial health continues to grow, emphasizing the increasing importance of population-specific support for grandparents caring for their grandchildren. Problems arise when grandparents take on this role without access to interventions or resources that are designed for caring for adjudicated teen violent offenders. This qualitative generic study involved exploring emotional challenges faced by custodial …
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Walden Dissertations and Doctoral Studies
Shingles (herpes zoster) causes substantial morbidity, especially among adults over age 50 in the United States. There is a need to better understand the reasons behind low vaccination rates among adults over age 50 given the associated risks for infection and adverse health outcomes that can reduce their quality of life. This qualitative interpretative phenomenological study explored how individuals’ perceptions of the benefits, barriers, susceptibility, and severity of shingles influence vaccine intentions and identified what factors influence vaccine uptake. The health belief model was used to guide the study. Data were collected from one-on-one semistructured virtual interviews with eight adults …
Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell
Walden Dissertations and Doctoral Studies
Hypovitaminosis D is a significant public health concern in the United States associated with inadequate sunlight exposure and insufficient dietary intake. Asthma is a chronic respiratory condition that progressively worsens over time. While asthma is typically managed through individual-level treatment approaches, population-level strategies such as vitamin D supplementation and food fortification policies have not been implemented. A five-tier Public Health Impact Pyramid theoretical foundation guided this nonexperimental quantitative cross-sectional study. Data from 2013-2014 and 2017-2018 NHANES (n = 1,456) was evaluated for relationships between vitamin D supplementation, duration of sunlight exposure, and food security index, with asthma, asthma exacerbation severity, …
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Walden Dissertations and Doctoral Studies
This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Walden Dissertations and Doctoral Studies
Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Walden Dissertations and Doctoral Studies
Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Walden Dissertations and Doctoral Studies
Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Walden Dissertations and Doctoral Studies
Some organizations lack strategies to ensure that project outcomes are aligned with organizational objectives. Business leaders are concerned when project outcomes are misaligned with organizational objectives, as this can lead to decreased profitability and a loss of competitive advantage. Grounded in Porter’s Five Forces model, the purpose of this qualitative, pragmatic inquiry was to explore the strategies business leaders use to ensure project outcomes are profitable and aligned with organizational objectives. The participants were six executive leaders of real estate and development companies in the Caribbean, purposefully selected because their organizations had successfully fulfilled organizational objectives through project outcomes. Data …
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Walden Dissertations and Doctoral Studies
This doctoral project was conducted at a family practice clinic to assess the impact of staff education on the clinic staff knowledge of the use of situation, background, assessment, recommendation (SBAR) as a communication tool. Miscommunication among healthcare staff is a practice problem at the clinic caused by unstructured sharing of information, which often results in delay in patient care, occurrence of medical errors, and decrease in patient safety, thus the need to address this problem. The purpose of the project was to use staff education on SBAR to increase the clinic staff knowledge on the use of SBAR as …
Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards
Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards
Walden Dissertations and Doctoral Studies
Custody decisions are often informed by attachment-based arguments, yet little research has examined long-term effects of custody type on adult outcomes. This study involved examining whether joint versus sole physical custody predicted relationship satisfaction, testing both parental attachment and socioeconomic status as mediators. Data were collected from 226 adult participants (mean age = 33.42), whose parents separated before age 13. Validated measures were used to assesse relationship satisfaction, parental attachment, and socioeconomic status. Participants who grew up in joint physical custody arrangements reported significantly higher relationship satisfaction compared to those who experienced sole physical custody (b = 0.54, p = …
Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah
Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah
Walden Dissertations and Doctoral Studies
Reading skills in elementary school students continue to decline despite the efforts of teachers and lawmakers. The problem addressed through this study was that although teachers at ABC Elementary School (pseudonym) had access to 30 different software/apps for technology literacy programs that could help improve student achievement on state assessments, district data showed that very few teachers were using the technology with students. The purpose of this qualitative project study was to explore the perspectives of elementary teachers on the challenges of implementing reading technology and ways to better support its use in classroom instruction at ABC Elementary School. The …
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Walden Dissertations and Doctoral Studies
African American women may experience body dysmorphia differently due to cultural, racial, and societal influences that shape their body perceptions and counseling experiences. Guided by a Heideggerian theoretical foundation, this hermeneutic phenomenological study aimed to explore how African American women experience receiving counseling for body dysmorphia in the United States. The guiding research question was: How do African American women with body dysmorphia experience receiving help in counseling? Eight African American women participated in in-depth, semi-structured interviews, and data analytic procedures were analyzed using the hermeneutic circle. Key findings revealed body dysmorphia as a persistent, embodied experience shaped by racialized …
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Walden Dissertations and Doctoral Studies
Anxiety is the most rapidly growing mental health problem globally, particularly among adolescents and young adults. Mental health clinicians need effective integrative health treatment strategies to address the anxiety epidemic. The purpose of this qualitative generic study was to explore the perspectives of clinicians on the process of using equine-assisted psychotherapy (EAP) to treat adolescents and young adults with anxiety through the lens of a somatic theory, bioenergetics. Data were collected using semi-structured interviews with 12 EAP clinicians and analyzed using Braun and Clarke’s thematic analysis. Three themes were identified: 1. The process of EAP is highly effective because energetic …
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Walden Dissertations and Doctoral Studies
This is an educational intervention project targeted was developed to fill a knowledge gap in the treatment of hypertension in a rural primary care clinic. The project focused on enhancing staff education for Remote Blood Pressure Monitoring (RBPM) to enhance the desired patient outcomes regarding continuous monitoring and early interventional actions. The practice problem focuses on the lack of effective methods in managing hypertension that can facilitate the identification of hypertensive crisis and in rural areas. This project's primary research question is: "How can staff education on RBPM enhance knowledge and skills about hypertension management in rural clinics?" The project …
Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii
Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii
Walden Dissertations and Doctoral Studies
Ineffective marketing strategies contribute to lower retention outcomes by failing to communicate the value of training programs and build sustained community engagement. Training managers must implement intentional marketing strategies that strengthen community engagement and improve participant retention. Grounded in organization theory, the purpose of this qualitative pragmatic inquiry was to explore the successful marketing strategies used by training managers of private organizations in the United States to increase military numbers. The participants were six training managers from the Southwest United States. Data were collected from semistructured interviews. Through thematic analysis, four themes emerged: (a) marketing strategies, (b) training managers, (c) …
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Walden Dissertations and Doctoral Studies
Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …
Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee
Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that elementary administrators struggle to implement the positive behavioral interventions and supports (PBIS) framework as a school reform model for discipline at a Southern school district (SSD). Grounded in Bandura’s theory on social learning, the purpose of this qualitative study was to explore elementary administrators’ perceptions of their successes, challenges, and recommendations for using the PBIS framework as a school reform model for discipline in the SSD. For this basic qualitative design, semistructured interviews were conducted with 12 administrators that implemented the PBIS framework in their schools. Through thematic analysis using …
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Walden Dissertations and Doctoral Studies
Nursing leadership in Belize is lacking but crucial to the well-being of patients, families, and the healthcare team. The purpose of this non-experimental, descriptive, comparative study was to a) determine the difference in leadership self-efficacy for current nurse leaders with three years or less of leadership experience compared to current nurse leaders with more than three years of leadership experience in Belize, and b) examine the differences in leadership self-efficacy between nurses in a leadership position and nurses not in a leadership position in Belize. The theories supporting the study were Burns’ transformational leadership theory and leadership self-efficacy, based on …
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Walden Dissertations and Doctoral Studies
Improving Depression Screening for African American Adolescents Through Staff Education on the PHQ-A
Effects Of Technology-Integrated Science Of Reading And Kindergarten Readiness On Reading Fluency, Jeffrey Maxey
Effects Of Technology-Integrated Science Of Reading And Kindergarten Readiness On Reading Fluency, Jeffrey Maxey
Walden Dissertations and Doctoral Studies
The Science of Reading (SoR) model has influenced curriculum reform through state mandates and classroom practices emphasizing explicit, systematic phonics instruction in response to national trends indicating significant deficits in students’ reading abilities. The problem addressed through this study was the gap in knowledge on the effect of technology-integrated SoR on early elementary students’ reading skills at a large southeastern U.S. public school district. Grounded in Gough and Tunmer’s simple view of reading theory, the purpose of this quantitative study was to explore the main and interaction effects of students’ Kindergarten Readiness Assessment (KRA) levels and 2 years of technology-integrated …
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Walden Dissertations and Doctoral Studies
This staff education project focuses on improving depression detection in a primary care settings using Patient Health Questionnaire (PHQ-9) screening tool. Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The diagnosis of depression is one of the most common mental health disorders in primary care but is poorly identified and frequently missed. The lack of consistent screening for depression among patients often results in delayed identification of symptoms, which postpones early treatment, increasing the risk of complications associated with untreated depression. The practice site identified that depression screening was frequently missed during patient intake, …