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Staff Education To Use The Teach-Back Method Toward Increasing Adherence To Medications In A Mental Health Clinic, Yanysel Gonzalez Torres
Staff Education To Use The Teach-Back Method Toward Increasing Adherence To Medications In A Mental Health Clinic, Yanysel Gonzalez Torres
Walden Dissertations and Doctoral Studies
A staff development project was conducted at a mental health clinic to improve medication adherence among patients. The intervention was an evidence-based presentation on the teach-back method for staff members to educate them about the importance of using the teach-back method for patient teaching to increase medication adherence among mental health patients. The gap identified by leadership was that staff members are often unaware of strategies for patient education designed to ensure that patients take their medications as prescribed by the provider. The project was conducted over a period of 4 weeks, with sessions held 3 days per week, taking …
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Walden Dissertations and Doctoral Studies
Some patients in Lusaka, Zambia experience adverse health outcomes when pharmacists are not able to fill life-saving, prescription-only medications (POMs) because of supply-chain shortages. Important to pharmacists are strategies to improve POMs supply and mitigate out-of-stock occurrences. Grounded in the SERVQUAL theory as the conceptual framework, the purpose of this qualitative multiple case study was to explore the service quality strategies pharmacists employ to mitigate shortages and enhance patient care. The participants were eight pharmacists who successfully mitigated POMs shortages for improved customer service. Data were collected using semistructured interviews and publicly available documents. Data were analyzed thematically and six …
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Walden Dissertations and Doctoral Studies
A lack of team cohesion among hybrid and remote teams can negatively affect customer satisfaction. Customer service leaders require effective strategies to improve team cohesion in increasingly flexible work environments; however, limited understanding exists regarding the strategies these leaders use to foster cohesion in hybrid and remote work settings. Grounded in the composite conceptual framework of theories of group development and customer focus, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that some leaders in the South Central region of the U.S. customer service organizations use to improve team cohesion among hybrid and remote …
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Walden Dissertations and Doctoral Studies
Medication non-adherence affects 49% of psychiatric patients and contributes to poor outcomes and increased hospitalizations. At the project site, 40% of patients demonstrated suboptimal adherence and 12 medication-related incidents occurred. Nursing staff lacked specialized training in motivational interviewing and comprehensive adherence assessment. This project developed and implemented an evidence-based educational program to enhance nursing competencies in psychiatric medication adherence counseling. Seven nursing staff members (5 registered nurses, 2 licensed practical nurses) participated in a 90-minute session incorporating the four-domain assessment framework, motivational interviewing techniques, and psychoeducational strategies. The ADDIE framework guided program development with interactive discussions, case-based learning, and role-play …
Staff Education To Emergency Nurses On Improving Handoff Communication Using The I-Pass Tool, Lekeyna Gleason
Staff Education To Emergency Nurses On Improving Handoff Communication Using The I-Pass Tool, Lekeyna Gleason
Walden Dissertations and Doctoral Studies
Effective communication during nurse-to-nurse handoff remains a critical determinant of patient safety in high-acuity emergency settings, where rapid decisions and fluctuating clinical demands can lead to inconsistent structure, omission of critical information, and inefficient transitions of care. The practice gap identified was a lack of standardized knowledge and consistent use of a structured bedside handoff tool among emergency department (ED) nurses. The practice-focused question guiding this project was, Does educating ED nurses on using the I-PASS bedside handoff tool improve knowledge of structured bedside reporting as measured by pre- and post-implementation surveys? The ADDIE framework and the Johns Hopkins evidence-based …
Strategies Some Business Leaders Use To Implement Technological Innovation For Increasing Performance, Judy Muiruri
Strategies Some Business Leaders Use To Implement Technological Innovation For Increasing Performance, Judy Muiruri
Walden Dissertations and Doctoral Studies
Abstract Incorporating technological innovation is essential for maintaining organizational performance. Company executives in software-as-a-service (SaaS) enterprises who do not incorporate technological innovation risk reduced organizational performance and profitability. Grounded in Rogers' Diffusion of Innovations (DOI), the purpose of this qualitative pragmatic inquiry project was to explore strategies employed by business leaders to effectively implement technological innovation and, in turn, increase organizational performance. . The participants consisted of fifteen business leaders who successfully incorporated technological innovation designed to improve organizational performance and profitability. The data collection process incorporated both semi structured interviews combined with a review of publicly available documents about …
Staff Education To Increase Knowledge And Awareness Of Cultural Sensitivity Among Providers, Stephanie Chiamaka Anyanwu
Staff Education To Increase Knowledge And Awareness Of Cultural Sensitivity Among Providers, Stephanie Chiamaka Anyanwu
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to enhance cultural sensitivity among healthcare providers through an educational intervention in a local organization. With the U.S. foreign-born population exceeding 47 million, the need for culturally competent care has become paramount. The study involved nine participants who underwent a pretest and posttest assessment to evaluate their knowledge and awareness of cultural sensitivity. Results indicated a significant increase in knowledge, with pretest and posttest scores improving from a mean of 4.33 to 8.56 (p < 0.01). Awareness in key areas such as patient-provider relationships, cultural beliefs, and language barriers also showed marked improvement. These findings further support the necessity of ongoing cultural sensitivity training to enhance patient care and outcomes, highlighting the potential for broader application across healthcare institutions.
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice staff education project was to strengthen nurses’ knowledge and confidence in suicide risk assessments. Suicide remains a crucial patient safety issue, and nurses report uncertainty in early recognition and intervention; therefore, brief, practice-proximal training is essential. The practice-focused question that informed this project’s purpose was whether a short education module with pre- and post testing improves nurses’ knowledge and confidence in suicide risk assessment. Three nurses participated in a structured session covering risk factors, warning signs, standardized screening, and safety planning. I then used descriptive analysis to compare their pre- and posttest …
Strategies Leaders In Structured Alternative Academic Environments Use To Improve Resource Management, Operational Efficiency, And Program Sustainability, Sean D. Clark
Walden Dissertations and Doctoral Studies
Leaders of structured alternative academic environments often struggle to sustain operations because of limited resources, fragmented leadership, and high staff turnover. This business problem is important to leaders of structured alternative academic environments because ineffective resource management and operational inefficiencies threaten program sustainability and continuity of services for at-risk student populations. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies leaders in structured alternative academic environments use to improve resource management, operational efficiency, and program sustainability. The participants were six leaders from structured alternative academic programs in southeastern New Mexico. Data were …
Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla
Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla
Walden Dissertations and Doctoral Studies
Primary care physicians face high rates of burnout, with electronic health record (EHR) documentation identified ass a significant contributing factor. EHR systems consume substantial physician time, diverting attention from meaningful patient interactions toward administrative tasks and increasing documentation burden. The purpose of this study is to identify and evaluate best practices for minimizing the documentation burden on primary care providers. The review question centered on how best practices can be implemented by healthcare administrators to reduce the physician documentation burden in primary care. This integrative review used the sociotechnical systems theory framework to identify and evaluate effective strategies to alleviate …
Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Walden Dissertations and Doctoral Studies
There are unsuccessful treatment outcomes with Tuberculosis (TB) disease, although effective therapies exist. This study aimed to identify predictors of unsuccessful treatment using the socioecological model. A quantitative cross-sectional study and multinomial logistic regression analysis were used to measure the associations between long-term care (LTC), homelessness, correctional facility, Human Immunodeficiency Virus (HIV), diabetes, excess alcohol, illicit drug use, and TB treatment outcomes of death, lost to follow-up, and treatment refusal. The sample consisted of 7,589 individuals aged 15 and older with pulmonary TB between 2017 and 2021, residing in California, Ohio, and Maryland. Findings indicated a correlation between community factors …
Implementing Emotional Intelligence To Enhance Leadership Abilities In A Skilled Nursing Home, Nkechi Amaechina
Implementing Emotional Intelligence To Enhance Leadership Abilities In A Skilled Nursing Home, Nkechi Amaechina
Walden Dissertations and Doctoral Studies
To meet dynamic changes in healthcare, effective leadership is necessary. A major problem with effective leadership is the lack of emotional intelligence (EI). The purpose of this integrative review is to identify strategies that enhance skilled nursing home leadership abilities using EI. The Leader-Member Exchange (LMX) theory was used, supported by Complex Adaptive Systems (CAS)Theory. LMX theory explains that leaders-members relationships affect an organization while CAS theory describes healthcare industry as ever-changing. The review question (RQ) that guided this integrative review is: what best EI strategies can be implemented to enhance leadership abilities in a skilled nursing home? Twenty-six articles …
K-8 School Administrators' Implementation Of Positive Behavior Intervention And Support Systems To Reduce Out-Of-School Suspensions In A Southeastern U.S. School District, Chantell H. Walker
K-8 School Administrators' Implementation Of Positive Behavior Intervention And Support Systems To Reduce Out-Of-School Suspensions In A Southeastern U.S. School District, Chantell H. Walker
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that the implementation of positive behavior interventions and supports (PBIS) has not resulted in a consistent reduction in the use of out-of-school suspensions as a disciplinary consequence in K–8 schools in a Southeastern U.S. school district. Grounded in Horner and Sugai’s PBIS, the purpose of this qualitative study was to explore K–8 school administrators’ perceptions of their implementation of PBIS in a Southeastern U.S. school district. For this basic qualitative design, semistructured interviews were conducted with three principals and three assistant principals in the local school district. Thematic analysis using inductive …
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Walden Dissertations and Doctoral Studies
Mobile fraud attack rates are increasing rapidly. Financial institutions, cybersecurity managers, and regulators need effective strategies to reduce consumer financial harm and operational risk. Grounded in the cybernetics model, this qualitative, pragmatic inquiry identified the cybersecurity strategies that cybersecurity professionals use at financial institutions to mitigate data breaches for mobile customers accessing financial data. Data were collected from five cybersecurity professionals through semistructured interviews and from publicly available documents and guidance issued by financial institutions and standards bodies. Six significant themes emerged from thematic analysis: implementing multifactor authentication, deploying virtual private networks (VPNs), delivering user education, promoting regular account monitoring, …
Hiv Pre-Exposure Prophylaxis Uptake And Continuation Among 15-24-Year-Old Women In Mulago, Uganda, Dithan Kiragga
Hiv Pre-Exposure Prophylaxis Uptake And Continuation Among 15-24-Year-Old Women In Mulago, Uganda, Dithan Kiragga
Walden Dissertations and Doctoral Studies
Young women in Uganda face disproportionately high HIV risk compared to the general population. While pre-exposure prophylaxis (PrEP) demonstrates proven effectiveness, poor uptake and nonadherence limit its potential impact. This study examined the relationship between perceived HIV susceptibility, PrEP benefits, behavioral risk factors, service delivery models, and PrEP uptake and continuity among young women aged 15–24 in Uganda, guided by the health belief model. Data were ed from surveillance records at Mulago National Referral Hospital’s STI clinic from January 2024 to September 2025. Of N=23,765 young women screened (median age 21 years; 98.9% single or separated; 48.7% with primary education), …
Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland
Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland
Walden Dissertations and Doctoral Studies
Burnout rates for mental health workers are impacted due to budget restrictions in treatment programs. Fiscal challenges and their impact on the experiences of mental health providers have yet to be explored within correctional settings. There is a lack of research concerning mental health professional’s self-efficacy beliefs when providing treatment services to inmates. The purpose of this qualitative, phenomenological study was to explore mental health professional’s self-efficacy beliefs in correctional systems with context towards diminishing fiscal resources. Self-efficacy theory and prison rehabilitation management theory are the theoretical frameworks used as the foundation for this study. The research question was designed …
Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers
Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) project, the primary focus was on addressing knowledge of workplace bullying within the hospital setting. The project involved developing and implementing an educational program to raise awareness, prevent workplace bullying, and effectively respond to it among healthcare staff. Workplace bullying harms physical and emotional well-being, reduces productivity, increases absenteeism, and increases turnover. The practice-focused question was as follows: In a hospital setting, does implementing a workplace violence (WPV) prevention education program for healthcare workers lead to increased knowledge of WPV incidents, awareness, and management among staff? Using evidence-based strategies and resources, the DNP …
Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano
Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano
Walden Dissertations and Doctoral Studies
Despite the growing demand for mental health services in Spanish, bilingual counselors are often ill-equipped to provide services in Spanish and frequently enter state-required supervised licensure without adequate training or opportunities for clinical supervision to support their growth as bilingual counseling professionals. The purpose of this qualitative narrative inquiry was to answer the research question: What are the narratives of first-generation Mexican American bilingual counselors during supervised licensure? Guided by Anzaldua’s Borderlands Theory as a conceptual framework, data were collected from eight participants through semi-structured virtual interviews and analyzed using thematic analysis. Findings revealed four themes mirroring the stages of …
Effective Leadership Strategies That Enhance Banking Employees’ Productivity, Biljana Matevska
Effective Leadership Strategies That Enhance Banking Employees’ Productivity, Biljana Matevska
Walden Dissertations and Doctoral Studies
Ineffective leader-follower relationships in banks can negatively affect productivity. Branch bank leaders in New Jersey are concerned that low productivity reduces the quality of service provided to clients. Based on leader-member exchange theory, the purpose of this qualitative pragmatic inquiry project is to identify and explore effective strategies that some leaders in the banking industry in New Jersey use to build leader-follower relationships for increasing and sustaining worker productivity. Participants were six bank managers in New Jersey who had implemented strategies. Data were collected through semistructured interviews and a review of publicly available industrial documents, and three themes were identified …
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Walden Dissertations and Doctoral Studies
Adjustment from military life to the corporate or civilian world can be challenging for some individuals who have served in the armed forces. The purpose of this qualitative phenomenological study was to explore the lived experiences of U.S. military veterans transitioning from overseas service to civilian employment and to identify the factors contributing to long-term job retention. The military transition theory and turnover contagion theory grounded this study. The participants consisted of 20 male veterans representing the U.S. Army, Navy, Air Force, and Army National Guard in Dayton, Ohio. Data were collected using semistructured interviews and public documents. Two themes …
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Walden Dissertations and Doctoral Studies
Chemical-industry accidents remain a persistent threat capable of injuring workers, damaging communities, and destabilizing organizations, despite decades of safety regulations and technological advancements. Chemical facility managers, workers’ families, emergency responders, local communities, and entire supply chains bear the burden of every preventable failure. Grounded in human capital theory, the purpose of this qualitative pragmatic research project was to identify and explore effective strategies that managers use to reduce safety accidents in chemical facilities. The participants were six managers from chemical facilities in the eastern United States. Data were collected using semistructured and publicly available documents. Through reflexive thematic analysis, five …
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Walden Dissertations and Doctoral Studies
Abstract Air pollution has been cited as a factor in the development of respiratory illness in children. Socioeconomic differences can intensify the effects of air pollution exposure on low-income children compared to higher-income children. This correlational study examined the relationship between air pollution exposure and respiratory health outcomes among California children, as well as the moderating role of socioeconomic status. The study was guided by the environmental health disparities framework and used secondary data from the California Environmental Health Tracking Program, analyzing data from 49 California counties (n = 49). Independent variables were PM2.5 concentrations and the number of ozone …
Clinical Practice Guideline: Self-Care Management For Patients With Chronic Obstructive Pulmonary Disease (Copd), Scholastica Nnedimma Ihejirika
Clinical Practice Guideline: Self-Care Management For Patients With Chronic Obstructive Pulmonary Disease (Copd), Scholastica Nnedimma Ihejirika
Walden Dissertations and Doctoral Studies
Summary The DNP project is a clinical practice guideline (CPG) quality improvement project to guide nurses in caring for patients admitted with chronic obstructive disease (COPD). The quality issue identified was an increased readmission rate for patients with COPD in the facility, of which knowledge and awareness remain extremely low. An annual target of 19.36% was set by the facility to track the readmission rate of patients with COPD, and according to statistics from the facility, from July 2021 to June 2022, the rate was 25.7%; from July 2022 to June 2023, the readmission rate increased to 26%, thus necessitating …
Development Of An Educational Intervention To Enhance Nurses’ Knowledge And Intent To Implement Evidence-Based Diabetes Self-Management In Clinical Practice, Anne Marie Sieyou Ngouane
Development Of An Educational Intervention To Enhance Nurses’ Knowledge And Intent To Implement Evidence-Based Diabetes Self-Management In Clinical Practice, Anne Marie Sieyou Ngouane
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was purposed with closing critical gaps in staff knowledge and adherence to diabetes self-management protocols in a busy primary care clinic. Rising readmission rates and uneven use of American Diabetes Association (ADA) standards signaled an urgent need for a structured approach to staff education. To address this, a one-hour interactive training session was created that blended teaching, evidence-based handouts, and a practical diabetes care checklist. Staff learning was measured through pretest and posttest, confidence and adherence used a 5-point Likert-scale survey, and 21day readmission data tracked patient outcomes. The project question asked if …
Enhancing Anxiety Identification In Adult Patients, Wonda Crump
Enhancing Anxiety Identification In Adult Patients, Wonda Crump
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing (DNP) project, I focused on implementing a staff education program for anxiety screening at a health and wellness clinic. Mental health conditions, particularly anxiety disorders, are common in primary care settings. Research shows that anxiety affects millions of adults, yet many cases remain undiagnosed. The practice problem that I identified was that many patients with anxiety disorders were going undiagnosed during regular clinic visits. The clinic had no standard process for screening anxiety, and staff members had a knowledge deficit on the proper use of anxiety assessment tools. This gap in practice led to missed …
Exploring Juvenile Justice System Social Workers’ Dual Role Conflicts, Tayler Janet Deggendorfer
Exploring Juvenile Justice System Social Workers’ Dual Role Conflicts, Tayler Janet Deggendorfer
Walden Dissertations and Doctoral Studies
Social workers working within the juvenile justice system face challenges in managing dual roles of providing social support for clients in a punitive environment of incarceration. The problem that was explored in this study is the ethical and practical dilemmas of dual roles for social workers—specifically the potential for burnout and mental health injury for social workers who work within the parameters of both roles. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of a selected criterion sample of social workers. The study was framed by Goffman’s role theory. Oral narrative data were collected …
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
Walden Dissertations and Doctoral Studies
There is no systematic process of orienting non-Hawaiian educators to Hawaiian culture, as evidenced by name mispronunciation. The purpose of this phenomenological study was to explore the experiences of individuals with traditional Hawaiian first names in a classroom environment. Critical race theory (CRT), especially the concept of microaggressions, was used as the framework for the study. Two research questions guided the study: What are the adult lived experiences with traditional Hawaiian first names encountered in academic settings during childhood? How do adults with traditional Hawaiian first names describe their experiences of race in the classroom? Semistructured interviews were conducted with …
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Walden Dissertations and Doctoral Studies
Workplace diversity continues to face criticism due to the limited representation of minority groups, with little progress made in the corporate sector. Despite corporations’ efforts to increase diversity and inclusion in the workplace, a notable lack of minority leadership persists in upper management roles. The purpose of this explanatory sequential mixed-method study was to explore the factors that affect the selection of minority leaders and how corporate executives utilize diversity, equity, and inclusion (DEI) initiatives to foster significant organizational change, even in the face of ongoing underrepresentation in upper management. Social dominance theory, anti-egalitarianism, and social construction theory grounded this …
Coworkers' Lived Experiences Of Being Exposed To Healthcare Professionals Misusing Substances, Juratu Garuba-Agbebaku
Coworkers' Lived Experiences Of Being Exposed To Healthcare Professionals Misusing Substances, Juratu Garuba-Agbebaku
Walden Dissertations and Doctoral Studies
Despite the harm of substances, coworkers in hospitals, healthcare facilities, and urgent care centers found themselves among healthcare professionals who misused substances such as alcohol and prescription medication. Grounded in social cognitive theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of coworkers who have been exposed to healthcare professionals’ substance misuse. The participants consisted of 12 healthcare professionals working in various hospitals, healthcare facilities, and urgent care centers in the United States. Data were collected using semistructured interviews. Through Colaizzi’s seven-step analysis, five themes emerged: (a) emotional experiences, (b) ethical reflections, (c) cognitive …
Staff Education To Strengthen Nurses’ Knowledge Of Evidence-Based Strategies For Medication Adherence In Psychiatric Care, Constantine Lewko
Staff Education To Strengthen Nurses’ Knowledge Of Evidence-Based Strategies For Medication Adherence In Psychiatric Care, Constantine Lewko
Walden Dissertations and Doctoral Studies
This DNP staff education project involved addressing the absence of a structured and standardized approach to guide nurses in promoting medication adherence among psychiatric patients. The practice problem at the local project site was inconsistent use of adherence counseling strategies, which contributed to early treatment discontinuation, poor patient engagement, and frequent readmissions. The practice-focused question for this project was: Does implementing a structured staff education program improve nursing staff knowledge on medication adherence compared to usual care? The purpose of this doctoral project was to implement and evaluate an evidence-based education session to improve nurse knowledge and standardize adherence counseling …