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Resilience, Elapsed Time Since Exposure To Workplace Violence, And Job Satisfaction Among Emergency Nurses In The United States, Ginny Glisson Ennis
Resilience, Elapsed Time Since Exposure To Workplace Violence, And Job Satisfaction Among Emergency Nurses In The United States, Ginny Glisson Ennis
Walden Dissertations and Doctoral Studies
The emergency nursing profession faces a critical challenge with a declining workforce and a high prevalence of workplace violence (WPV), which negatively impacts nurse job satisfaction. This quantitative study examined the relationships among nursing resilience, time elapsed since WPV exposure, and job satisfaction among emergency nurses (ENs) in the United States. Grounded in resilience and Herzberg’s two-factor theories, this study used a cross-sectional, correlational design. A national, anonymous online survey was distributed via social media, using a sharable QR code to recruit participants. The survey consisted of a total of 52 items, and collected demographic data, and time elapsed since …
Relationship Between Leadership Styles And Teacher Job Satisfaction After Covid-19, Willona E. Johnson
Relationship Between Leadership Styles And Teacher Job Satisfaction After Covid-19, Willona E. Johnson
Walden Dissertations and Doctoral Studies
The educational sector in the United States experienced substantial workforce changes during the Great Resignation, a period following the COVID-19 pandemic when many employees left their jobs. In response, school leaders were encouraged to understand the relationship between their leadership styles and teacher job satisfaction. This quantitative correlational study used Job Satisfaction Theory as its theoretical framework to examine the relationship between three leadership styles—transactional, transformational, and laissez-faire (passive-avoidant)—and teacher job satisfaction in the post-pandemic context. Eighty-two teachers participated by completing the Job Satisfaction Survey and the Multifactor Leadership Questionnaire (MLQ). Results from the multiple linear regression analysis were statistically …
Development Of A Clinical Practice Guideline To Improve Appointment Adherence Among Adults With Depression In An Outpatient Setting Using The Agree Ii Framework, Udenma Okafor-Bryden
Development Of A Clinical Practice Guideline To Improve Appointment Adherence Among Adults With Depression In An Outpatient Setting Using The Agree Ii Framework, Udenma Okafor-Bryden
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was designed to develop a clinical practice guideline (CPG) to enhance appointment adherence among adults with depression in an outpatient mental health clinic, thereby improving outcomes. The practice-focused question was Will a CPG utilizing a multimodal reminder system improve appointment adherence? Missed appointments in outpatient mental health care contribute to delayed treatment, increased symptom severity, and higher rates of emergency care utilization. These disruptions not only compromise clinical outcomes but also financially burden healthcare systems and disrupt continuity of care. The CPG was developed using the Johns Hopkins evidence-based practice model and a …
Exploring The Lived Experiences Of Former Lagos State Male Public High School Teachers About Their Onboarding Process., Agboola Clement Ikuyinminu
Exploring The Lived Experiences Of Former Lagos State Male Public High School Teachers About Their Onboarding Process., Agboola Clement Ikuyinminu
Walden Dissertations and Doctoral Studies
Lagos State, Nigeria, faces male teacher retention challenges in public high schools, including destabilizing the educational environment, reducing the availability of experienced mentors, and negatively impacting student performance and outcomes. School leaders need to understand the challenges leading to male teacher turnover. The purpose of this qualitative phenomenological study was to explore the lived experiences of Lagos State male public high school teachers who left the profession, focusing particularly on their perceptions of onboarding and reasons for leaving the profession. This study was grounded in Herzberg’s two-factor theory, Bauer and Erdogan’s onboarding theory, Maslow’s hierarchy of needs, and Bandura’s social …
Staff Education To Reduce Alarm Fatigue And Enhance Patient Safety Through Nurse Education On Telemetry Optimization, Casey Alan Metcalf
Staff Education To Reduce Alarm Fatigue And Enhance Patient Safety Through Nurse Education On Telemetry Optimization, Casey Alan Metcalf
Walden Dissertations and Doctoral Studies
Summary This project was an evidence-based staff education initiative to reduce alarm fatigue and enhance patient safety through telemetry optimization in an acute care setting. The core issue involved the overuse of continuous cardiac monitoring, which contributed to nonactionable alarms, alarm fatigue, workflow inefficiencies, delayed throughput, and increased costs. The project was a structured intervention delivered to 171 telemetry nurses across three inpatient units. Pretests and posttests measured changes in knowledge, intent, and practice. Results showed a 22.9% increase in knowledge, a 92% agreement regarding intention to follow discontinuation protocols, and a 10% overall reduction in practice of telemetry use …
Staff Education On The Abbreviated Teachers’ Rating Scale (Atrs) Tool As A Screening Tool For Attention Deficit Hyperactivity Disorder (Adhd)., Tena E. Currie
Staff Education On The Abbreviated Teachers’ Rating Scale (Atrs) Tool As A Screening Tool For Attention Deficit Hyperactivity Disorder (Adhd)., Tena E. Currie
Walden Dissertations and Doctoral Studies
This doctoral project is a staff education program to enhance the treatment and diagnosis of attention-deficit hyperactivity disorder (ADHD) at a mental healthcare facility. The identified practice problem was the lack of knowledge about the Abbreviated Teacher Rating Scale (ATRS) used in ADHD testing, which may result in inaccuracies and underutilization of the tool. To bridge this gap is essential in nursing practice as clinicians should be competent in performing standard assessment, which is indispensable for patient with ADHD. Staff education with the ATRS was the practice-directed question for the project: Does staff education with the ATRS increase knowledge for …
Examining Home Confinement Of Offenders In The Mississippi Delta, Malcolm Davis
Examining Home Confinement Of Offenders In The Mississippi Delta, Malcolm Davis
Walden Dissertations and Doctoral Studies
Recidivism was identified as a persistent problem in the criminal justice system. Accordingly, prison overcrowding was also an identified problem in the prison system. The purpose of this study was to examine the experiences of home confinement for offenders in the Mississippi Delta. This research used rehabilitation theory to conduct a qualitative analysis of home confinement in the Mississippi Delta, as well as identify any unique challenges to the program presented by rural conditions. A purposive sampling technique was used to solicit participation, and a total of 12 participants were included in the study. The participants were interviewed using a …
Mandatory Minimum State Compensation Statutes For Exonerees Of Wrongful Incarceration, Ellen Rochelle Mabry
Mandatory Minimum State Compensation Statutes For Exonerees Of Wrongful Incarceration, Ellen Rochelle Mabry
Walden Dissertations and Doctoral Studies
Receiving fair and equitable compensation for victims of wrongful incarceration post-release continues to be problematic, inconsistent, and inadequate. This qualitative study addresses the gap in knowledge by exploring the unsatisfactory and varying compensation statutes across states that adversely affect and compound the experiences of exonerees through systemic injustices. The conceptual frameworks for this study are Weible & Sabatier’s guide to the advocacy coalition framework and Jenkins-Smith, et.al, using cultural theory to specify belief systems, coalitions, and sources of change. Research questions focus on how exonerees describe their experiences with unfair and unequal state compensation laws for victims of wrongful imprisonment, …
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Walden Dissertations and Doctoral Studies
Perinatal Opioid Use Disorder (POUD) constitutes a significant public health issue with important ramifications for both mothers and their newborns. The gap in practice identified for this Doctor of Nursing Practice staff education project was the perinatal nurses’ lack of knowledge regarding POUD. The problem was the need for POUD education for the nurses. The practice focus questions were: Will there be a change in knowledge by perinatal nurses following the delivery of the education as shown by a pretest/posttest? Will the participants evaluate the education as having met the program objectives related to the curriculum presented? Guided by the …
Instructional Leadership Practices To Advance Secondary Student Mathematics Achievement In A British Commonwealth Country, Dawn Agdomar-Jean
Instructional Leadership Practices To Advance Secondary Student Mathematics Achievement In A British Commonwealth Country, Dawn Agdomar-Jean
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that school leaders are challenged in providing instructional leadership to teachers to advance secondary students' mathematics achievement in a British Commonwealth Country (BCC). The purpose of this basic qualitative study was to investigate secondary school leaders’ perceptions of the challenges to providing instructional leadership practices found to be effective to support teachers to advance secondary students' mathematics achievement in a BCC. The conceptual framework for this study was Hallinger and Murphy's model of instructional leadership. A self-designed semistructured interview protocol with open-ended questions was used to interview participants. Purposive sampling was used to …
Staff Education To Use The Patient Health Questionnaire-9 To Improve Identification Of Depression Among Mental Health Clients, Lukresia Bhwanshe Kawira
Staff Education To Use The Patient Health Questionnaire-9 To Improve Identification Of Depression Among Mental Health Clients, Lukresia Bhwanshe Kawira
Walden Dissertations and Doctoral Studies
This doctoral project was an educational intervention to improve depression screening in a health clinic through standardized training using the Patient Health Questionnaire-9 (PHQ-9). The targeted practice issue was the variable use of the PHQ-9 which led to possible misdiagnosis or underdiagnosis of depression, a critically vital issue in nursing practice owing to the necessity of frontline mental status evaluation by nursing staff. The practice focused question was, for staff in a mental health clinic, will training on the use of the PHQ-9 tool increase knowledge toward the goal of improving the identification of depression among clients? Hence, the overall …
Relationship Between Peer Support Services And Offender Reentry Organizations, Julie Megan Dixon
Relationship Between Peer Support Services And Offender Reentry Organizations, Julie Megan Dixon
Walden Dissertations and Doctoral Studies
This study addressed the gap in understanding the acceptability, appropriateness, and feasibility of peer support services (PSS) among two groups of reentry staff in North Carolina (NC): those in the community and those within the Department of Adult Correction (DAC). Both groups of reentry staff completed a web-based survey encompassing the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). The sampling strategy, response rate, and survey administration details are provided. Guided by ecological systems theory, this study examined how PSS can improve reentry outcomes and address insufficient public safety, social relationship deterioration, and …
Staff Education Project For Enhancing Medication Adherence In Mental Health: An Evidence-Based Education Program For Healthcare Practitioners In Outpatient Clinics, Rita Erina Pyuzza
Staff Education Project For Enhancing Medication Adherence In Mental Health: An Evidence-Based Education Program For Healthcare Practitioners In Outpatient Clinics, Rita Erina Pyuzza
Walden Dissertations and Doctoral Studies
The staff education project was designed to address medication non-adherence among mental health patients in an outpatient psychiatric clinic by enhancing the knowledge and skills of mental health nurses and nurse practitioners. The lack of structured, evidence-based training on medication adherence strategies has contributed to poor patient outcomes, increased hospitalizations, and higher healthcare costs. Clinic patient reports indicated 50% medication non-adherence, highlighting the need to address non-adherence through effective nursing-led education, medication management, and adherence monitoring. The project assessed whether enhancing the outpatient healthcare providers’ skills and knowledge through a structured, evidence-based program would improve the providers’ medication adherence strategies. …
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Walden Dissertations and Doctoral Studies
Caring for elderly parents with Alzheimer’s disease (AD) poses two major challenges for adult-child caregivers: the tasks involved in taking care of ailing parents and also potentially living in fear of developing the same disease. This research examined how caregivers with such fear regard their vulnerability to AD and how they manage the stress that comes with caregiving for someone with a disease they dread developing themselves. This grounded theory study employed the appraisal theory of emotions and the theory of moods as frameworks and aimed to establish awareness regarding coping strategies that adult-child caregivers have about caretaking and their …
Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández
Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández
Walden Dissertations and Doctoral Studies
Nonprofit organizations face distinctive challenges that require specialized leadership and effective staff development strategies, particularly in community-focused organizations in Lancaster, Pennsylvania. Leadership deficiencies can diminish employee commitment, restrict professional growth, and weaken organizational capacity, ultimately limiting mission fulfillment. The purpose of this qualitative study was to explore leadership and staff development deficiencies within a nonprofit organization in Lancaster County and identify strategies for improvement. Guided by Kurt Lewin’s change management model, the study examined barriers and supports for professional growth, the influence of leadership on organizational culture and retention, and practices promoting equity and succession planning. Semi-structured interviews were conducted …
Staff Education To Enhance Nursing Knowledge And Confidence In Withdrawal Management Using The Clinical Institute Withdrawal Assessment And Clinical Opiate Withdrawal Scale, Margaret Sarana Hector
Staff Education To Enhance Nursing Knowledge And Confidence In Withdrawal Management Using The Clinical Institute Withdrawal Assessment And Clinical Opiate Withdrawal Scale, Margaret Sarana Hector
Walden Dissertations and Doctoral Studies
This quality improvement staff education project addressed the inconsistent use of the Clinical Institute Withdrawal Assessment (CIWA) and Clinical Opiate Withdrawal Scale (COWS) assessment tools among nursing staff in an adult psychiatric and addictions unit located in the Mid-Atlantic region of the United States. Inconsistent use of the CIWA and COWS tools may lead to unfavorable patient outcomes. The goal of this project was to enhance nursing familiarity, confidence, and sense of importance in using CIWA and COWS tools for assessing and managing withdrawal symptoms in patients with co-occurring depression and substance use disorders. A pre- and posteducation survey design …
Decision Making In Child Protection Services: Aftermath Of A Child Fatality, Kevin Marino
Decision Making In Child Protection Services: Aftermath Of A Child Fatality, Kevin Marino
Walden Dissertations and Doctoral Studies
Child fatalities resulting from abuse and neglect have a residual effect on families, communities, and child protective services (CPS) professionals tasked with ensuring child safety. The purpose of the mixed-methods study was to examine how CPS professionals made decisions in high-risk and fatality cases by evaluating decision-making processes, identifying contextual and interpersonal influences, and addressing practice questions related to administrative data, case records, caseworker and supervisor perspectives, cost implications, and organizational supports. The theoretical framework of Simon’s theory of bounded rationality and near decomposability along with Fluke et al.’s ecology of decision-making model formed the study’s analysis. The study included …
Exploring Cybersecurity Strategies Used To Protect Personal Health Information From Cyberattacks When Using Telemedicine, Samara Torres
Exploring Cybersecurity Strategies Used To Protect Personal Health Information From Cyberattacks When Using Telemedicine, Samara Torres
Walden Dissertations and Doctoral Studies
The healthcare industry has been impacted by an increase in cybersecurity breaches because of cyberattacks when using telemedicine. It is crucial that information technology (IT) managers in the private healthcare industry protect personal health information (PHI) to uphold patients’ right to privacy, maintain their trust, prevent legal ramifications, and to comply with government regulations. This qualitative pragmatic research used the integrated system theory (IST) as a road map to explore effective cybersecurity strategies used to protect PHI in telemedicine. The participants were seven IT managers in the private healthcare industry within the United States who had experience with cybersecurity strategies …
Effective Employee Retention Strategies To Maintain Generation Y Employees, Patricia Joanna Straughn
Effective Employee Retention Strategies To Maintain Generation Y Employees, Patricia Joanna Straughn
Walden Dissertations and Doctoral Studies
Employee retention for Generation Y workers is still an ongoing challenge for human resource managers. To foster a stable and productive workforce, it is crucial for HR managers to understand and apply effective retention strategies. Grounded in Herzberg’s two-factor motivation theory, this qualitative pragmatic inquiry study aims to identify effective employee retention strategies that human resources managers employ to retain their Generation Y employees. The targeted participants consisted of six human resource managers in the United States who had effectively utilized retention strategies to retain their Generation Y employees. Data were collected using semi structured interviews. Using thematic analysis, five …
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
An Education Project For Training Nurses On Self-Care Strategies To Prevent Work-Related Burnout, Nsemboowo Effiong Enyong
Walden Dissertations and Doctoral Studies
There is no in this project
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Opioid Overdose Bystander Assistance And Harm Reduction In Pennsylvania, Walkirya Peralta
Walden Dissertations and Doctoral Studies
Bystanders play a vital role in reducing opioid overdose deaths by administering naloxone, a medication that can reverse the effects of opioids when used promptly. With opioid-related fatalities considered a public health emergency in the United States, increasing public access to naloxone and education on overdose prevention has become a key strategy in harm reduction. Research shows that these efforts effectively lower overdose deaths in affected communities. As part of this public health approach, many states allow individuals to obtain naloxone without a prescription through standing orders at pharmacies and community programs. Additionally, legal protections such as Good Samaritan laws …
An Analysis Of Ex-Offender’S Perspectives On The Impact Of The Time Frame Of Reentry Programs On The Likelihood Of Recidivating, Angel Yates
Walden Dissertations and Doctoral Studies
The problem this study explored is how the timing of when reentry services are provided to incarcerated individuals and the impact it will have on their reintegration process and recidivism rates. This qualitative study analyzed the timing of when reentry programs are provided to incarcerated individuals and the impact it has on reducing recidivism rates. This study’s flyer was posted on social media platforms and shared with reentry programs. A total of 20 interviews were conducted. All participants answered the requirement questions via email; for those who met the criteria, consent forms were then sent, and interviews were scheduled. Transcripts …
Strategies Used In The Biotechnology Industry To Develop And Continuously Improve Compliant Regulatory Processes To Meet The Food And Drug Administration Quality Federal Regulations, Vicki Mckee
Walden Dissertations and Doctoral Studies
Failure to comply with the U.S. Food and Drug Administration (FDA) quality regulations can lead to enforcement actions for the biotechnology (biotech) industry. Noncompliant regulatory strategies have the potential for adverse medical outcomes for patients. As a result, managers in the biotech industry are concerned about ensuring compliance to avoid adverse medical outcomes for patients and sustain business operations. Grounded in Deming’s total quality management concept, the purpose of this qualitative pragmatic inquiry project was to explore effective quality management strategies that managers in the biotech industry use to develop and continuously improve compliant regulatoryQuality Federal Regulations processes to meet …
Successful Hiring Strategies Of Unmanned Aerial System Leaders In The United States, Gerald Evans
Successful Hiring Strategies Of Unmanned Aerial System Leaders In The United States, Gerald Evans
Walden Dissertations and Doctoral Studies
Ineffective hiring strategies in the unmanned aerial systems (UAS) industry can result in performance deficiencies, increasing operational costs and reducing profitability, which hinders industry growth. UAS leaders are concerned about these impacts on organizational and economic outcomes. Grounded in Kristof-Brown’s person–organization fit theory, the purpose of this qualitative pragmatic inquiry project was to explore the strategies used by UAS industry leaders who successfully hired personnel capable of minimizing performance inefficiencies. The participants were six UAS industry leaders in the United States who had effective hiring practices. Data were collected using semistructured interviews. Through thematic analysis, three themes were identified: importance …
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
Walden Dissertations and Doctoral Studies
Malnutrition and gingivitis are common diagnoses in primary medical and dental care. The purpose of this quantitative study was to understand the association between malnutrition and gingivitis among residents in St. Louis, Missouri. The study was based on the social ecological model (SEM). The cross-sectional design involved secondary data (N = 2,553) from a Federally Qualified Health Center in St. Louis, Missouri that included de-identified patient demographic and diagnosis information of St. Louis City residents with a medical and dental visit in 2024. This study examined the relationship between malnutrition and gingivitis while controlling for ethnicity, preferred language, race, and …
Staff Education To Nursing Leadership On Implementation Requirements Of A Nurse Residency Program, Sherri Ulfig
Staff Education To Nursing Leadership On Implementation Requirements Of A Nurse Residency Program, Sherri Ulfig
Walden Dissertations and Doctoral Studies
Nurse residency programs provide new graduate nurses with a solid foundation to support their transition into practice. The DNP students completed a staff education project to educate nurse leaders on the implementation requirements of a nurse residency program at a not-for-profit hospital in the Midwest. The identified practice problem was that the organization paused its nurse residency program during the COVID-19 pandemic due to critical staffing needs, and the leaders wanted to redesign the program to meet current practice standards. The educational project question addressed whether education for site leaders would increase their knowledge of the implementation requirements of a …
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood
Walden Dissertations and Doctoral Studies
The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …
State Government Policies And Opioid Overdoses And Deaths, William Jerome Howard
State Government Policies And Opioid Overdoses And Deaths, William Jerome Howard
Walden Dissertations and Doctoral Studies
In the United States, opioid deaths posed a significant public health crisis with profound social and economic implications. The opioid crisis continued despite the implementation of state-level prescription drug monitoring programs (PDMP), naloxone access laws (NALs), and Medicaid expansion programs. Existing research demonstrated opioid deaths and nonfatal overdose patterns highlight the need for targeted harm reduction strategies, but there remained a lack of quantitative studies that addressed the effectiveness of opioid harm reduction policies. The purpose of this quasi-experimental quantitative research was to evaluate the relationship between state-level PDMPs, NALs, Medicaid expansion programs, and the COVID-19 global pandemic period (2020-2023), …
Effective Strategies K–12 School Leaders Can Use To Improve Technology Integration In Classrooms, Shamila Ahmed Hashim
Effective Strategies K–12 School Leaders Can Use To Improve Technology Integration In Classrooms, Shamila Ahmed Hashim
Walden Dissertations and Doctoral Studies
With the rapid rise in demand for effective technology integration in K-12 classrooms, particularly in nonpublic schools, strong leadership is crucial. The absence of effective strategies can hinder student learning outcomes, posing a significant challenge for educators who are striving to improve academic success. This qualitative research project included a pragmatic inquiry design was to explore the strategies that some K–12 school leaders apply to improve classroom technology integration and enhance student learning outcomes. Grounded in the technology integration matrix framework, the study involved a purposive sample of five school leaders from nonpublic K-12 institutions in Maryland. Data were collected …
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Walden Dissertations and Doctoral Studies
Evidence shows students who are not reading proficiently by the end of third grade are more likely to eventually drop out of high school or be considered illiterate as adults, making it challenging to function adequately in society. The problem addressed through this study was that as many as 60% of U.S. third-grade students scored below proficiency on annual standardized reading assessments. Guided by faucet theory by Alexander et al., the purpose of this causal-comparative quantitative study was to compare reading standardized test scores of third-grade students who participated in a summer school program (SSP) in the summer following second …