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Articles 781 - 810 of 7906
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Travel Professionals’ Successful Strategies For Implementing New Products, Mary Ashley Switzer
Travel Professionals’ Successful Strategies For Implementing New Products, Mary Ashley Switzer
Walden Dissertations and Doctoral Studies
The rapid introduction of new and innovative travel products presents challenges for travel industry professionals striving to stay competitive in a dynamic marketplace. This is a significant concern for travel professionals and industry leaders, as effectively implementing strategies can improve client satisfaction and support sustained business growth. The purpose of this qualitative pragmatic inquiry study was to explore the strategies used by travel industry professionals to successfully implement new, innovative tourism products to gain a competitive advantage. Grounded by the Red Queen effect competitive advantage model, six U.S.-based travel professionals with 5 years of experience and at least $1 million …
The Impact Of Digital Sexual Health Education Using Social Media On African American Undergraduate Students, Valora Reid Bishop
The Impact Of Digital Sexual Health Education Using Social Media On African American Undergraduate Students, Valora Reid Bishop
Walden Dissertations and Doctoral Studies
Despite making up approximately 12% of the United States’ population in 2020, African Americans ages 15 to 24 years old comprised 32% of the reported sexually transmitted diseases. The purpose of this quantitative research was to examine the impact of digital sexual health education (SHE) information on sexual health behaviors among African American undergraduate college students aged 18 to 24 years. The two research questions explored if the use of digital SHE information reduced the risk of adverse sexual health behaviors among African American undergraduate college student ages 18 to 24 years old; and if there was a relationship between …
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Reorganization: An Exploration Of Public Workplace Outsourcing, A Strategic Plan, Joshua Bicchinella
Walden Dissertations and Doctoral Studies
An education agency experienced a decline in loan originations from 2013 to 2023, creating fiscal challenges that threatened service sustainability. This created a need for operational strategies to stabilize funding and preserve resources. The problem was significant to the organization and the community’s ability to obtain equitable educational opportunities. The practice-focused question asked: What are the perspectives of staff and management concerning the agency's strategies to downsize and realign for sustainability? The purpose of this qualitative case study was to explore staff and management perspectives on downsizing and outsourcing as strategies to maintain operations. The study was informed by concepts …
An Educational Intervention Focused On Identifying Adverse Childhood Experiences, Laconia Bacon
An Educational Intervention Focused On Identifying Adverse Childhood Experiences, Laconia Bacon
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) refer to traumatic childhood experiences that individuals may have been exposed to during their youth, such as child maltreatment, domestic violence, or interparental violence. Research has demonstrated that experiencing ACEs in childhood may result in physical and mental illnesses that led to dangerous lifestyle patterns in adulthood. In the local organization, several patients with ACEs presented in the emergency department (ED). The nurses, unaware of ACEs, were unable to detect and respond to the consequences of ACEs. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused …
Strategies For Volunteer Firefighter Recruitment And Retention, Teddy Gene Abbey
Strategies For Volunteer Firefighter Recruitment And Retention, Teddy Gene Abbey
Walden Dissertations and Doctoral Studies
Volunteer fire departments (VFDs) provide essential services in rural areas that cannot afford full-time staff, and they are negatively impacted by declining recruitment and retention. VFD administrators who lack strategies to recruit and retain volunteer firefighters risk reduced emergency services and increased costs for hiring paid firefighters. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore strategies some VFD administrators use to recruit and retain members and maintain necessary emergency services. Participants were six administrators from VFDs in Oklahoma and Arkansas with community populations of 1,500 citizens or fewer residents who …
Strategies To Recommend Compliance For Cna Staffing Ratios In New Jersey Nursing Homes, Mira Gaba
Strategies To Recommend Compliance For Cna Staffing Ratios In New Jersey Nursing Homes, Mira Gaba
Walden Dissertations and Doctoral Studies
Skilled nursing facilities (SNFs) in New Jersey, which provide both short-term rehabilitation and long-term residential care, are faced with mounting pressure due to mandated staffing ratios for certified nursing assistants (CNAs). The purpose and review question for this integrative review centered on best practices and strategies for nursing home leaders to meet the new Centers for Medicare & Medicaid Services and New Jersey standards for CNA staffing ratios in nursing homes. This review used the systems theory to look at SNFs as connected networks where staffing, leadership, finances, and care delivery all work together. An examination of the literature published …
The Perceived Impact Of Officer-Involved Domestic Violence On Law Enforcement Administrators, Victoria Smith
The Perceived Impact Of Officer-Involved Domestic Violence On Law Enforcement Administrators, Victoria Smith
Walden Dissertations and Doctoral Studies
The frequency of officer-involved domestic violence (OIDV) is a serious problem in the law enforcement profession. This qualitative phenomenological study aimed to determine what measures and specific domestic violence policies are working well and what is working poorly in Florida. This study is critical because it can aid upcoming law enforcement administrators (LEAs) and current LEAs in improving the policies and measures they use in their agency to combat OIDV among their officers and recruits. Jacques’s organizational culture theory (OCT) provided a framework for this study. I used purposeful snowball sampling methods to recruit participants for this study. Six law …
Difference In High School Geometry End-Of-Year State Exam Scores Between Three Different Retake Time Frames, Christina Noel Walton
Difference In High School Geometry End-Of-Year State Exam Scores Between Three Different Retake Time Frames, Christina Noel Walton
Walden Dissertations and Doctoral Studies
A grading policy was implemented in a Northeastern suburban public school district that left it to curriculum teams to define the amount of time between the original test and its retake resulting in a slight decrease in high school students’ geometry end-of-year state exam scores. Guided by Bloom’s theory of mastery learning, the purpose of this quantitative causal-comparative study was to investigate if there were statistically significant differences between high school students’ geometry end-of-year state exam scores or between high school students’ geometry math growth scores when controlling for the preassessment score differentiated by three schemes of retake timing: short-term, …
Strategies To Use Diversity, Equity, And Inclusion Programs To Increase Employee Performance And Profitability, Kecia Bailey Alexander
Strategies To Use Diversity, Equity, And Inclusion Programs To Increase Employee Performance And Profitability, Kecia Bailey Alexander
Walden Dissertations and Doctoral Studies
A lack of effective strategies for implementing diversity, equity, and inclusion (DEI) programs to increase employee performance and profitability is a concern for leaders in the education industry. This problem is significant to educational leaders because, without effective strategies for implementing DEI programs, they cannot address the gap in practice that hinders improvements in employee performance and organizational profitability. Grounded in Ajzen’s theory of planned behavior, this qualitative pragmatic inquiry identified and explored the effective strategies educational leaders used to successfully implement DEI programs to increase employee performance and profitability. Participants were six leaders from both for-profit and non-profit educational …
Insights Regarding The Role Of Administrative Support And Teacher Retention In A Suburban Arizona School District, Kristen Louise Tiffany
Insights Regarding The Role Of Administrative Support And Teacher Retention In A Suburban Arizona School District, Kristen Louise Tiffany
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that teachers are leaving the profession in an Arizona high school district (AHSD, a pseudonym), which might be due to a lack of administrator support. The purpose of this basic qualitative study was to explore teachers’ perceptions of reasons they chose to remain in their positions as well as administrators’ perceptions on the support they provide to encourage teacher retention at AHSD. Grounded in Bandura’s social cognitive theory, semistructured interviews were conducted with six administrators and 10 teachers from AHSD. Saldana’s pattern coding was used with the following themes emerging: Teachers …
Using Exercise To Treat Anxiety In Adult Patients With Addiction, Emmanuella N. Nnadozie
Using Exercise To Treat Anxiety In Adult Patients With Addiction, Emmanuella N. Nnadozie
Walden Dissertations and Doctoral Studies
Summary In this Doctor of Nursing Practice (DNP) project, I selected a staff education as the best intervention to improve staff knowledge in using exercise to treat anxiety disorders in adult patients at a recovery clinic for addiction. Anxiety disorders are highly prevalent among individuals undergoing substance abuse treatment, often exacerbating withdrawal symptoms and increasing relapse risks; thus, integrating the use of exercise in addition to existing standard care for anxiety treatment in individuals with substance use disorder (SUD) will lead to decreased anxiety, decreased alcohol use and drug cravings, improved quality of life and affect, increased abstinence, and improve …
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Walden Dissertations and Doctoral Studies
Historically, substance use disorder (SUD) treatment in the United States has been firmly grounded in abstinence-only treatment approaches. Harm reduction as a treatment model has gained additional traction. With increased rates of opioid use, overdoses, and advancements in medications for SUDs, harm reduction treatment approaches are becoming more important to improve lives of people who use drugs. Little is known about how counselors who have been educated, trained, and deliver abstinence-based SUD treatment reconcile use of harm reduction into their practice. To address this gap in literature, a generic qualitative study was conducted using the social constructivism theory. A purposive …
Enhancing Social Determinants Of Health Education In Home Health Care Including Social Determinants Of Health In Assessments And Care Plans For Home Health Clinicians, Emilia Mbanwite
Walden Dissertations and Doctoral Studies
This staff education-focused doctor of nursing practice (DNP) project addressed the critical practice problem of one southern health care facility staff’s knowledge on the integration of social determinants of health (SDOH) into home health care plans. Despite SDOH screening, clinicians lacked standardized training to effectively assess and intervene on factors such as housing, transportation, and food insecurity, contributing to preventable hospitalizations, particularly in vulnerable populations. The practice-focused question addressed whether an evidence-based education module could improve home health nurses’ knowledge and application of SDOH in assessments and care plans. The project’s purpose was to develop, implement, and evaluate this training …
Staff Education On The Columbia-Suicide Severity Rating Scale, Nathlie Ndokame
Staff Education On The Columbia-Suicide Severity Rating Scale, Nathlie Ndokame
Walden Dissertations and Doctoral Studies
Summary This was a staff education project aimed at improving nurse knowledge on the Columbia-Suicide Severity Rating Scale (C-SSRS) tool. The identified gap in practice was a lack of knowledge and confidence among psychiatric nursing staff in utilizing this evidence-based suicide risk assessment tool. This project question was as follows: Does the implementation of an education program for psychiatric nursing staff on the use of the Columbia-Suicide Severity Rating Scale improve knowledge of patients at risk for suicide? The project employed the ADDIE framework and the Johns Hopkins evidence-based practice model. A comprehensive literature search was conducted, yielding 67 relevant …
Self-Distraction As A Positive Coping Mechanism For Adolescents Of Incarcerated Parents, Tysha Deve' Ushry
Self-Distraction As A Positive Coping Mechanism For Adolescents Of Incarcerated Parents, Tysha Deve' Ushry
Walden Dissertations and Doctoral Studies
Children of incarcerated parents have been an increasing area of scholarly focus, especially considering that the United States holds one of the highest rates of incarceration in the world. The purpose of this qualitative basic study was to explore the perceptions of adolescents, ages 18-21, whose parents are incarcerated in prison, and their use of self-distraction from parental incarceration as a positive coping mechanism. The study was grounded in Hill’s family stress theory. Purposive and snowball sample strategies were employed in this study to obtain participants from a private Facebook group. Data were collected through semistructured interviews with 12 participants …
Staff Education To Reduce Compassion Fatigue Among Emergency Department Nurses, Ruth Anne Dirschuweit
Staff Education To Reduce Compassion Fatigue Among Emergency Department Nurses, Ruth Anne Dirschuweit
Walden Dissertations and Doctoral Studies
I created this Doctor of Nursing Practice (DNP) project as a staff education initiative to inform emergency department (ED) nurses about the emotional toll of caring for patients in distress. This condition, known as compassion fatigue (CF), is characterized by emotional exhaustion from ongoing exposure to trauma and can lead to increased stress, reduced job satisfaction, and a decline in care quality. A gap in staff support and coping strategies was identified among frontline nurses in a large, urban healthcare environment. I developed the project to increase nurses’ knowledge and self-awareness of CF through an evidence-based educational session. The guiding …
A Qualitative Study Exploring The Prenatal Care Experiences Of Pregnant And Postpartum Women In Arochukwu, Nigeria, Esther Ejim
A Qualitative Study Exploring The Prenatal Care Experiences Of Pregnant And Postpartum Women In Arochukwu, Nigeria, Esther Ejim
Walden Dissertations and Doctoral Studies
This basic qualitative research study explored the perceptions and lived experiences of pregnant and postpartum women in Arochukwu, Abia State, Nigeria, where access to quality prenatal and maternal healthcare is limited. Nigeria records the highest maternal and infant mortality rates in sub-Saharan Africa, largely due to weak healthcare systems, poverty, and entrenched sociocultural norms. Grounded in the Health Belief Model (HBM) and guided by the lens of social constructivism, the study explored how health beliefs, perceived risks, benefits, barriers, and cues to action shaped women’s healthcare decisions. Using semistructured, open-ended interviews with 13 purposefully selected women, the study captured how …
Leadership Strategies To Enhance The Sustainability Of Virginia United Methodist Churches, Randolph Raymond Shelton
Leadership Strategies To Enhance The Sustainability Of Virginia United Methodist Churches, Randolph Raymond Shelton
Walden Dissertations and Doctoral Studies
Walden University August 2025 United Methodist church attendance has declined for numerous years in the United States and other areas worldwide. Many United Methodist church leaders face challenges in achieving church sustainability. The purpose of this descriptive phenomenological study was to explore the lived experiences of Virginia United Methodist church leaders concerning leadership strategies to enhance church sustainability. The study’s conceptual framework consisted of Bass and Avolio’s full range leadership model and Lewin’s three-stage change model. The participants comprised United Methodist church leaders who held positions as Virginia Conference district superintendents, pastors, and the bishop. The data collection method was …
High School Teachers’ Experiences Using Data-Driven Decision Making To Implement Supplemental Accelerated Instruction, Stephen Courtney Smith, Sr.
High School Teachers’ Experiences Using Data-Driven Decision Making To Implement Supplemental Accelerated Instruction, Stephen Courtney Smith, Sr.
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study was that high school teachers in a Texas school district struggle to use data-driven decision making (DDDM) to meet the requirements of Texas HB 1416, which mandates specific interventions to address instructional loss. Grounded in the theory of DDDM, by Mandinach et al., the purpose of this basic qualitative study was to explore high school teachers’ experiences using DDDM to implement supplemental accelerated instruction (SAI) for students who failed to demonstrate proficiency on state exams. Data were collected using semistructured interviews with 12 high school teachers from a Texas school district. Using …
Exploring The Perceptions Of Organizational Justice Issues On Job Satisfaction And Organizational Commitment Of State Prison Staff, Stefani Trajceski
Exploring The Perceptions Of Organizational Justice Issues On Job Satisfaction And Organizational Commitment Of State Prison Staff, Stefani Trajceski
Walden Dissertations and Doctoral Studies
High turnover among correctional staff is a persistent challenge faced by institutions across the United States. Previous research has identified various factors influencing staff turnover intentions, with perceptions of fairness in the workplace playing a key role. Organizational justice theory offers a valuable framework for understanding how these perceptions influence job satisfaction and organizational commitment—factors linked to lower absenteeism and turnover intentions, as well as improved job performance and work-life balance. However, limited qualitative research has explored how these dynamics shape correctional staff experiences within state correctional facilities. The purpose of this study was to examine how correctional staff in …
Educators’ Perceptions Of Multitiered Systems Of Support For Improving Reading And Math Achievement In An Urban School District, Denice Yvonne Garrett
Educators’ Perceptions Of Multitiered Systems Of Support For Improving Reading And Math Achievement In An Urban School District, Denice Yvonne Garrett
Walden Dissertations and Doctoral Studies
Multitiered systems of support (MTSS) has been shown to benefit students’ academic and behavioral performance in schools. However, despite 4 years of MTSS implementation in one local urban school district, English language arts (ELA) and math underachievement among students remained evident. Guided by Hall and Hord’s concerns-based adoption model, the purpose of this basic qualitative study was to explore educators’ perceptions of MTSS for improving ELA and math achievement in the local urban school district. Ten educators purposively sampled from the local district participated in semistructured interviews. Thematic analysis using inductive, open coding of the interview data was conducted. Themes …
Role Of Perceived Social Support And Knowledge Of Postpartum Depression Among Women In Anambra State, Eastern Nigeria, Raphael Oluwasina Babatola Folorunsho
Role Of Perceived Social Support And Knowledge Of Postpartum Depression Among Women In Anambra State, Eastern Nigeria, Raphael Oluwasina Babatola Folorunsho
Walden Dissertations and Doctoral Studies
Postpartum depression (PPD) is an increasingly pressing public health issue, particularly in low-resource settings like Nigeria, where maternal mental health tends to receive limited attention. This study explored the relationship between maternal awareness of PPD, perceived social support, and prevalence of depressive symptoms among postpartum women in the Nnewi North Local Government Area (LGA) of Anambra State. Grounded in the social support theory, health belief model, and socioecological model, the study used a descriptive cross-sectional research design. A total of 406 postpartum women attending primary healthcare centers were surveyed using validated instruments, including the PHQ-9 and MSPSS. Statistical analyses included …
Cardiometabolic Outcomes In The Obese African American Population With Rheumatoid Arthritis, Cecilia Jillo Walan
Cardiometabolic Outcomes In The Obese African American Population With Rheumatoid Arthritis, Cecilia Jillo Walan
Walden Dissertations and Doctoral Studies
Rheumatoid arthritis (RA) disproportionately impacts African American adults, particularly those with obesity, due to overlapping cardiometabolic risks and health care disparities. The intersection of RA, obesity, and chronic conditions such as cardiovascular disease (CVD) and hypertension underscores the need for targeted public health interventions. This study investigated the association between RA and cardiometabolic outcomes among African American adults with obesity, aiming to identify significant predictors within this high-risk population. This quantitative study employed a cross-sectional design to analyze data from the 1999–2018 National Health and Nutrition Examination Survey undergirded by the social ecological change framework with N=23644 African American adults …
Perspectives Of Black Male Administrators On Gaining Administrative Roles At Community And Technical Colleges, Marcusantonio Gunn
Perspectives Of Black Male Administrators On Gaining Administrative Roles At Community And Technical Colleges, Marcusantonio Gunn
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study is that there is a low number of Black male administrators at community and technical colleges (CTCs) throughout the United States, despite widespread organizational practices of adopting diversity and equity policies, implementing mentoring programs, and providing professional development. The purpose of this basic qualitative study was to explore Black male administrators’ perceptions of hiring barriers and their recommendations to improve the professional pathway to employment at CTCs. Guided by critical race theory in education, data were collected through semistructured interviews with eight Black male administrators who are serving or have served in …
Lived Experiences Of Newly Graduated Social Workers Transitioning Into The Field Of Child Protective Services, Chantrese Oliver
Lived Experiences Of Newly Graduated Social Workers Transitioning Into The Field Of Child Protective Services, Chantrese Oliver
Walden Dissertations and Doctoral Studies
Lived Experiences of Newly Graduated Social Workers Transitioning Into the Field of Child Protective Services by Chantrese Oliver MPhil, Walden University, 2024 MS, Walden University, 2014 AA, National Paralegal College, 2012 BS, Fayetteville State University, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University August 2025
Staff Education Program On Medication Reconciliation In Primary Care, Virginia Ann Bloomer
Staff Education Program On Medication Reconciliation In Primary Care, Virginia Ann Bloomer
Walden Dissertations and Doctoral Studies
Medication errors represent a persistent threat to patient safety, particularly during transitions of care in outpatient settings. Despite recognition of the problem, standardized medication reconciliation practices among primary care physicians and nurse practitioners (NPs) remain inconsistent, hindered by varied workflows, unclear responsibilities, and knowledge gaps. To address these issues, a staff education program focusing on medication reconciliation was introduced to seven NPs and three physicians in a primary care clinic. Pre- and post-intervention surveys measured participants’ knowledge and confidence in conducting medication reconciliation and documenting medications in electronic medical records. The average test score improved from 68% to 92%, demonstrating …
Recidivism Reduction Through Collaboration For Those With Serious And Persistent Mental Illness, Marion Joseph Fowler
Recidivism Reduction Through Collaboration For Those With Serious And Persistent Mental Illness, Marion Joseph Fowler
Walden Dissertations and Doctoral Studies
The purpose of this quantitative descriptive study was to investigate the levels of collaboration between mental health agencies in Hamilton County, Tennessee, which provide services to individuals who were arrested at least five times between 2018 and 2021, released from jail, and who were diagnosed with serious and persistent mental illness (SPMI). The primary research question revolves around the problem: in Hamilton County, Tennessee, despite available resources for those with SPMI, the current system for continuity of care does not include collaboration, which assists with holistic services to reduce recidivism. Respective services focus on single risk/need areas, leaving other issues …
Staff Education To Reduce Medication Errors In An Outpatient Mental Health Clinic, Oluwatoyin Rotimi
Staff Education To Reduce Medication Errors In An Outpatient Mental Health Clinic, Oluwatoyin Rotimi
Walden Dissertations and Doctoral Studies
Summary Medication errors are a common concern within the healthcare industry, increasing healthcare costs and harming patients. The Doctor of Nursing Practice (DNP) project focuses on a staff education initiative to improve knowledge regarding using the Bar Code Management System (BCMS) to reduce medication errors in an outpatient mental health clinic. The identified gap in practice was the lack of knowledge on using the BCMS in outpatient mental health. The guiding practice-focused question was “Does educating the intake nurses on the barcode management systems improve knowledge, as evidenced by pre- and post-surveys?” The Analysis, Design, Development, Implementation, and Evaluation (ADDIE) …
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
Walden Dissertations and Doctoral Studies
The novel Coronavirus Disease 2019 (COVID-19), first detected in Wuhan, China, is caused by a new virus strain: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11, 2020, COVID-19 was classified as “the second pandemic of the 21st century” by the World Health Organization. To better control the spread of the virus, governments and communities adopted several established public health protocols to quell the spread of the disease and decrease the resulting morbidity and mortality. Specific measures included masking, hand hygiene, social distancing and disinfection. Though these are proven measures, not much was known about adherence in the home …
Best Practices In Healthcare Leadership Succession Planning To Improve Vamc Executive Leadership Stability, Randi Marie Farris
Best Practices In Healthcare Leadership Succession Planning To Improve Vamc Executive Leadership Stability, Randi Marie Farris
Walden Dissertations and Doctoral Studies
The Veterans Health Administration’s (VHA) current succession planning and management practice has been identified as a significant opportunity for alignment with evidence-based practice. This integrative review aimed to synthesize evidence-based healthcare succession management to improve executive leadership stability in Veterans Affairs Medical Centers (VAMC). This integrative review provided an analysis of empirical and non-empirical literature from 2002 to 2025 for best practices to increase the stability of VAMC executive leadership. The strategic human resource management (SHRM) framework was selected as the conceptual framework to inform a comprehensive process, as succession management is one element of a much larger human capital …