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Staff Education To Improve Knowledge Of The Patient Health Questionnaire-9 Assessment, Josie Weber
Staff Education To Improve Knowledge Of The Patient Health Questionnaire-9 Assessment, Josie Weber
Walden Dissertations and Doctoral Studies
This doctoral project was focused on a staff education initiative to enhance the proper use of the Patient Health Questionnaire-9 (PHQ-9), a validated depression screening tool, in an outpatient behavioral health (OBH) clinic. Despite its clinical utility, the PHQ-9 is often underused or inconsistently applied due to knowledge gaps among nursing staff. Inconsistent screening can delay diagnosis and treatment, negatively affecting patient outcomes. I conducted this project to address these gaps by implementing structured training to promote high-quality, patient-centered care. The practice-focused question was: Does a structured PHQ-9 training session improve staff knowledge in an outpatient behavioral health clinic, as …
Socioeconomic Determinants Of Depression And Anxiety Disorders In Puerto Ricans Living On The Island And The Mainland, Herman Alvarado
Socioeconomic Determinants Of Depression And Anxiety Disorders In Puerto Ricans Living On The Island And The Mainland, Herman Alvarado
Walden Dissertations and Doctoral Studies
Research shows that, among Hispanics, depression and anxiety disorders are the two most prevalent mental disorders, particularly for Puerto Ricans. The socioecological model approaches mental health conditions from a perspective where multiple levels in society influence health-related behaviors. Based on this approach, this quantitative study looked at how socioeconomic factors - marital status, education, employment, and residential status were related to a diagnosis of depression or anxiety in Puerto Ricans. This study also explored whether there were differences between two groups of Puerto Ricans: those living on the island compared to those living in the 50 states. Analysis was conducted …
Non-Pharmacological Interventions For Attention Deficit Hyperactive Disorders And Anxiety, Alichia Lashawn Pecks
Non-Pharmacological Interventions For Attention Deficit Hyperactive Disorders And Anxiety, Alichia Lashawn Pecks
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project used a quality improvement approach to address the co-prescription of stimulants and benzodiazepines in patients with attention deficit hyperactivity disorder (ADHD) and anxiety in outpatient mental health settings. The project explored whether implementing a structured non-pharmacological staff education program for mental health staff could improve knowledge of safe, evidence-based treatment alternatives. The purpose of this staff education project was to improve provider knowledge of evidence-based, non-pharmacological treatment alternatives. To address this issue, a structured non-pharmacological staff education program was implemented to improve provider knowledge of safer, evidence-based treatment alternatives. Four participants completed pre- …
Staff Education For Improved Diabetes Management: Enhancing Knowledge And Patient Outcomes, Carissa Martine Bolden
Staff Education For Improved Diabetes Management: Enhancing Knowledge And Patient Outcomes, Carissa Martine Bolden
Walden Dissertations and Doctoral Studies
An increase in patients’ hemoglobin A1c levels in a South Mississippi organization suggests that inadequate type 2 diabetes (T2DM) knowledge among the staff hindered them from delivering competent care. The gap in practice at the site revealed a deficiency in knowledge in nutrition education for healthcare providers and staff, which led to the practice question: Does educating providers and staff on nutrition for adults with type 2 diabetes improve knowledge, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the John Hopkins evidence-based practice (JHEBP) model, the Walden University Doctor …
Staff Education To Enhance Nonmedical Staff Competency In Withdrawal Management, Katherine Hedrick
Staff Education To Enhance Nonmedical Staff Competency In Withdrawal Management, Katherine Hedrick
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a significant gap in staff training at a behavioral health residential treatment facility. Nonmedical staff, including substance abuse counselors, lacked formal education in recognizing, assessing, and escalating symptoms of substance withdrawal. This lack of competency posed a risk to patient safety, regulatory compliance, and quality of care. The goal of the project was to evaluate the impact of a structured, simulation-based training program on nonmedical staff’s knowledge and confidence in using validated withdrawal assessment tools and monitoring vital signs. Six nonmedical staff participated in the training, which incorporated lecture, hands-on simulation, and …
Effective Strategies For Mitigating Skills Gaps Postpandemic In The Automotive Industry, Neil Shah
Effective Strategies For Mitigating Skills Gaps Postpandemic In The Automotive Industry, Neil Shah
Walden Dissertations and Doctoral Studies
Inadequate approaches to filling employee skill gaps can seriously weaken workforce stability and organizational performance. Canadian automotive sector leaders are concerned about the risk of persistent employment shortages, high employee turnover, and decreased productivity. Grounded in Alderfer's existence, relatedness, and growth theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies employed by Canadian auto manufacturers to address skill shortages in their workforce in the wake of the pandemic and subsequent digitalization. Six senior executives from Canadian auto manufacturers who led successful skill-development and retention initiatives participated in semistructured interviews, complemented by a review of …
Patient Engagement Strategies In Weight-Loss Programs, Olufunmilayo M. Bishop
Patient Engagement Strategies In Weight-Loss Programs, Olufunmilayo M. Bishop
Walden Dissertations and Doctoral Studies
Weight regain after pharmacological weight-loss interventions remains a pervasive challenge in primary care, with over 70% of patients reverting to baseline weight within six months. This quality improvement project aimed to enhance healthcare providers’ patient engagement skills to improve retention and long-term outcomes in weight-loss programs. A structured staff training program focusing on motivational interviewing, goal-setting, and barrier recognition was implemented among a multidisciplinary team. The program’s effectiveness was evaluated through a mixed-methods approach, incorporating quantitative pre- and post-assessment scores and qualitative staff satisfaction surveys. Results demonstrated a significant increase in staff knowledge, with average scores rising from 68% to …
The Lived Experience Of The Orgasm Gap In U.S. Cisgender Women In Heterosexual Relationships, Alina Beverly Vergara-Hegi
The Lived Experience Of The Orgasm Gap In U.S. Cisgender Women In Heterosexual Relationships, Alina Beverly Vergara-Hegi
Walden Dissertations and Doctoral Studies
Women are not orgasming as often as men in heterosexual sexual encounters. Research has confirmed that sociocultural influences, gender differences, sexual perceptions, sexual miseducation, and relationship dynamics contribute to women’s negative sexual experiences. What has been missing is a better understanding of the experience of the orgasm gap and the role of gender ideology in women’s sexual experiences. This study explored the lived experience of the orgasm gap and gender ideology in nine cisgender women in long-term heterosexual relationships. Critical feminist theory was used as the lens to explore the meaning of sexual inequities in intimate long-term relationships. Using interpretative …
The Challenges Faced By Postrelease Offenders In Rural Mississippi, Whitney Starks
The Challenges Faced By Postrelease Offenders In Rural Mississippi, Whitney Starks
Walden Dissertations and Doctoral Studies
Reintegration after incarceration has long been a subject of scholarly inquiry, particularly regarding barriers to employment, housing, and mental health services. However, limited research addresses the reintegration experiences of postrelease offenders in rural regions, where access to essential resources is often restricted. This qualitative single case study is an exploration of the challenges and service needs of formerly incarcerated individuals living in rural Mississippi. Using purposive and snowball sampling, six participants were selected based on residency in rural counties, a nonviolent criminal history, and at least one year of successful community reentry. The conceptual framework was guided by the assess, …
Staff Education To Same Day Surgery Nurses, Katherine Lutman
Staff Education To Same Day Surgery Nurses, Katherine Lutman
Walden Dissertations and Doctoral Studies
The aim of this doctor of nursing practice staff education project was to provide a staff education program to the same day surgery staff at the practicum site on the Enhanced Recovery After Surgery (ERAS) evidence-based approach to surgical care to improve patient outcomes. ERAS includes multiple modalities designed to optimize a patient’s condition before, during, and after surgery. When implemented correctly, ERAS can reduce the need for narcotics, shorten recovery time, and improve surgical outcomes. The practice gap identified was that the only ERAS modality being actively implemented and tracked was nutrition in colorectal surgical patients and that the …
The Treatment Experiences Of Female Domestic Violence Offenders Who Have Completed Court-Mandated Counseling Programs, Chelsea S. King
The Treatment Experiences Of Female Domestic Violence Offenders Who Have Completed Court-Mandated Counseling Programs, Chelsea S. King
Walden Dissertations and Doctoral Studies
Domestic violence is a significant societal problem. However, aspects of domestic violence (DV) perpetrated by women are often overlooked or inadequately addressed in existing counseling and intervention programs, leaving counselor educators ill-equipped to effectively train counselors to treat this specific population. The research question addressed the treatment experiences of female DV offenders who completed court-mandated counseling programs. Given the limited current research on female domestic violence offender treatment, Heidegger’s hermeneutic phenomenological methodology was employed to further understand the perspectives of participants, potentially identifying areas of improvement and addressing the needs of female program participants. Semistructured interviews were completed with six …
Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell
Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell
Walden Dissertations and Doctoral Studies
Leaders of the emergency departments (EDs) globally, especially in the United States face persistent challenges addressing staffing issues in the ED and increased wait times. The purpose and review question for this integrative review was to investigate strategies and best practices to decrease waiting times in a hospital ED. The Theory of Constraints framework served as the theoretical foundation for this review. An examination of the literature published within the past five years identified 101 relevant articles. From these articles, 30 empirical and non-empirical articles were selected for further analysis using the Johns Hopkins evidence-based practice model and six major …
Enhancing Communication Among New Nurses Using Scenario-Based Education, Anita Clark Chambers
Enhancing Communication Among New Nurses Using Scenario-Based Education, Anita Clark Chambers
Walden Dissertations and Doctoral Studies
This staff education project was designed to enhance communication among new nurses with 2 years or less of experience in a Level One trauma center emergency department (ED). The aim of this project initiative was to enhance learners’ communication strategy knowledge and confidence by using scenario-based education via a web-based format. When ineffective communication exchanges occur with healthcare personnel, such as with new nurses, negative patient care outcomes can occur such as sentinel events. Transitional challenges such as lack of prioritization, clinical decision-making skills and low confidence can affect the new nurse’s ability to appropriate effective communication strategies into their …
Staff Education To Enhance The Use Of Alternatives To Restrictive Interventions When Managing Aggressive Behaviors, Anthony Obinna Madu
Staff Education To Enhance The Use Of Alternatives To Restrictive Interventions When Managing Aggressive Behaviors, Anthony Obinna Madu
Walden Dissertations and Doctoral Studies
This is a DNP staff education project executive summary aimed at increasing staff knowledge on the use of alternatives to restrictive interventions when managing aggressive behaviors in an inpatient psychiatric unit.
Associations Between School-Based Arrests And High School Graduation Status Of African American Female Students In Florida, Rannisha Missick
Associations Between School-Based Arrests And High School Graduation Status Of African American Female Students In Florida, Rannisha Missick
Walden Dissertations and Doctoral Studies
Zero tolerance school discipline policies, originally intended to address serious threats such as weapon and drug possession, have increasingly been applied to minor behavioral infractions, disproportionately affecting African American students, particularly females. These exclusionary practices, including school-based arrests, have been linked to adverse educational outcomes. The purpose of this quantitative correlational study was to examine associations between school-based arrests due to zero tolerance policy violations and high school graduation status of African American female students in Florida. The study was guided by the intersectionality theory, which posits individuals who belong to multiple marginalized groups experience compounded forms of discrimination. Archival …
Staff Education On Culturally Tailored Hispanic Diabetes Management In A Primary Care Community Clinic, Robyn Elizabeth Reeves
Staff Education On Culturally Tailored Hispanic Diabetes Management In A Primary Care Community Clinic, Robyn Elizabeth Reeves
Walden Dissertations and Doctoral Studies
The Hispanic population is the fastest-growing ethnic minority in the United States, and they have a 66% chance of developing Type 2 diabetes mellitus (T2DM). Less than half of Hispanic patients with diabetes achieve optimal glycemic control due to cultural barriers and dietary issues. At the project site, a primary care practice in the southeastern United States regarding cultural competency training in diabetes management for Hispanics was identified. The practice-focused question was: Does providing education to primary care staff improve their knowledge of diabetes management among Hispanic patients with diabetes, as evidenced by pre- and post-surveys? In the project, I …
Equal Access To Justice: A Case Study Of Eviction Victims Without Legal Aid And Post Criminality In Houston, Texas., Okanlawon Jamiu Akinwonmi
Equal Access To Justice: A Case Study Of Eviction Victims Without Legal Aid And Post Criminality In Houston, Texas., Okanlawon Jamiu Akinwonmi
Walden Dissertations and Doctoral Studies
The unending increase in eviction rates and existing housing problems in the United States of America is not an exaggeration. Heterogeneity of requirements or eviction laws is a pervasive phenomenon across the states nationwide. These fundamental issues require immediate attention and must be addressed. The purpose of this study is to explore the dynamic gap in our criminal justice system, the lack of legal aid, and potential criminality resulting from eviction and housing problems. Moreover, the psychological, physical, and emotional effects of these problems on the victims in relation to the roles of social workers, community advocates, and housing policy …
A Qualitative Case Study Exploring The Decision-Making Criteria Of Policymakers In The State Of Michigan To Reinstate A Universal Helmet Law, Eberley Nicole Adams
A Qualitative Case Study Exploring The Decision-Making Criteria Of Policymakers In The State Of Michigan To Reinstate A Universal Helmet Law, Eberley Nicole Adams
Walden Dissertations and Doctoral Studies
Policymakers are elected to create, amend, or repeal legislation that impacts public welfare; however, little is known about the specific criteria used when making public health and safety decisions, particularly regarding motorcycle helmet laws. In 2012, Michigan repealed its universal helmet law (UHL) after 35 years, replacing it with a partial helmet law specifying requirements for helmetless riding. Despite an increase in unhelmeted fatalities, the UHL has not been reinstated, raising questions about the legislative decision-making process. Prior research has found that factors such as budgeting, statistical data, interest groups, education, income, political stability, and public opinion may guide these …
Effective Strategies That Marketing Leaders Use To Increase Fan Base, Denise Leslie Rosa
Effective Strategies That Marketing Leaders Use To Increase Fan Base, Denise Leslie Rosa
Walden Dissertations and Doctoral Studies
Despite its growth and potential, the Women’s National Basketball Association (WNBA) consistently struggles to generate profit, remaining unprofitable in its 28th (2024) season and heading into its 29th (2025) season. The inability of women’s professional basketball marketing leaders to generate increased revenue and fan engagement has limited the sport’s growth and visibility. Grounded in McCarthy’s four Ps of marketing concept that includes product, price, place, and promotion, the purpose of the qualitative pragmatic inquiry project was to identify and explore effective and innovative marketing strategies that marketing leaders use to increase the revenue of women’s professional basketball teams and their …
Nursing Turnover Based On Age, Race, And Gender In Community Hospitals In Michigan, Laura Lawhorn
Nursing Turnover Based On Age, Race, And Gender In Community Hospitals In Michigan, Laura Lawhorn
Walden Dissertations and Doctoral Studies
Hospitals struggle to maintain nursing staff to meet patient needs for a population that requires continuous care and experiences multiple illnesses. The purpose of this quantitative study was to investigate the variations in reasons for leaving the nursing profession (dependent variable) based on age, race, and gender (independent variables) within community hospitals in Michigan. The theoretical framework for this study was the Nursing Neuman Systems Model, which posits that nursing comprises four key components: environment, individual, nursing practice, and health. A correlational research design was utilized to address the research question and analyze the relationships between the variables. The secondary …
Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco
Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco
Walden Dissertations and Doctoral Studies
The increasing prevalence of obesity and mental health disparities among Hispanic/Latino populations in the United States underscores the need to understand how sociocultural factors shape physical and psychological health. The purpose of this study was to examine how acculturation, diet quality, and fiber intake affect BMI and depressive symptoms over time. The study was guided by acculturation theory and the biopsychosocial model. The study used longitudinal secondary data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with a sample of N=8,816, including adults who completed examination visits, 1 (2008–2011) and 2 (2014–2017). Path analysis was conducted to assess direct …
Staff Education On Evidence-Based Transitional Care Interventions Toward The Goal Of Reducing Readmission Rates, Adebowale A. Oyebamiji
Staff Education On Evidence-Based Transitional Care Interventions Toward The Goal Of Reducing Readmission Rates, Adebowale A. Oyebamiji
Walden Dissertations and Doctoral Studies
The staff education project was implemented in a behavioral health hospital in the Midwestern region of the United States. The behavioral healthcare setting experiences poor transitional care, resulting in high readmission rates of psychiatric patients. Poor transitional care is associated with inadequate knowledge of evidence-based transitional care strategies among psychiatric nurses. The practice-focused question was: For staff in an inpatient mental health unit, will education on evidence-based transitional care interventions improve knowledge toward reducing readmission rates? The project aimed to enhance psychiatric staff knowledge on evidence-based transitional care interventions to reduce readmission rates. The analysis, design, development, implementation, and evaluation …
Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage
Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage
Walden Dissertations and Doctoral Studies
Little evidence links the use of business simulations to advances in the higher order thinking skills that high school students need to prepare for careers in finance. The problem for this study was that students in three southern high schools had limited success on the ACT Applied Math Assessment, and there was a need to explore the relationship of a newly implemented stock market trading simulation course to student success on the assessment. Kolb’s experiential learning theory, which was aligned to the simulation activities, guided the study. The purpose of this quantitative predictive study was to determine whether participation in …
Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker
Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker
Walden Dissertations and Doctoral Studies
This staff education project focused on educating staff to use the teach-back method to decrease congestive heart failure (CHF) readmissions. It is essential to address this issue within the context of nursing practice because CHF patients have left the hospital without adequate knowledge of their care plans, which compromised their self-care and increased their chances of returning to the hospital. This project employed the teach-back method, which is an effective communication process involving the patient reiterating what the staff has told them. The practice-focused question which guided the project was: For staff in an acute care hospital, will evidence-based training …
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Walden Dissertations and Doctoral Studies
Falls among adults aged 65 and older represent a significant public health concern, as they are the leading cause of injury and hospitalization within this demographic. According to the Centers for Disease Control and Prevention (CDC), nearly one in four older adults experiences a fall annually, leading to over 3 million emergency department visits. In home health settings, the risk of falls is heightened due to uncontrolled environments and insufficient staff training. This quality improvement project assessed the effectiveness of an educational intervention aimed at fall prevention strategies for home health staff, including registered nurses (RNs) and certified nursing assistants …
Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck
Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck
Walden Dissertations and Doctoral Studies
Manufacturing organizational cultures steeped in tradition, corporate loyalty, and paternalistic values have experienced a decrease in union employee engagement and organizational satisfaction. Manufacturing leaders are concerned with this decrease as a primary indicator of employee walkouts or union strikes, impeding the manufacturing process, and affecting market share, profitability, and local economies. The purpose of this qualitative hermeneutic phenomenology study was to explore the union employees’ perceptions and lived experiences of organizational culture and job satisfaction in Michigan manufacturing organizations. Shaped by Schein’s organizational culture theory, the research question queried the perceptions of the union-represented employees as a subculture in the …
Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley
Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley
Walden Dissertations and Doctoral Studies
Cancer imposes a significant and multifaceted economic burden on California’s health care system and communities. Despite extensive national data, California-specific cost analyses have been outdated and limited. This study quantified California’s cancer-care burden through a quantitative, cross-sectional design grounded in the cost-of-illness framework and human-capital theory. A retrospective modeling approach used 2015–2023 data from the California Cancer Registry, National Cancer Institute, National Program of Cancer Registries, and California’s all-payer claims database. California’s economic burden from cancer was estimated using a meta-analysis of national cost data, which was then applied to state-specific cancer incidence, prevalence, and mortality through a multicriteria decision …
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
Walden Dissertations and Doctoral Studies
Since the late 1990s, the United States has been in the midst of an opioid epidemic that continues to present significant public health challenges. Opioid-related mortality, particularly involving fentanyl, has disproportionately affected vulnerable populations. The purpose of this quantitative study was to examine the associations between educational level, homelessness, and alcohol use with opioid-related overdose deaths involving fentanyl, while controlling for age, gender, and marital status, among Black and White populations in the U.S. state of Georgia. The theoretical framework was Bronfenbrenner’s socioecological model, which recognizes that individual behavior is influenced by multiple levels of factors, including interpersonal, community, and …
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Walden Dissertations and Doctoral Studies
The aim of this staff educational project was to improve staff knowledge by educating healthcare staff on how to minimize patients’ aggressiveness and provide a safer, more therapeutic environment for patients and healthcare providers. Patients with mental health problems can exhibit violent behavior, posing threats to patient safety and the safety of healthcare workers. To address this practice gap, I conducted a literature review; 509 articles were identified and then narrowed to 23 articles specific to this topic. The project question for my study was: Does implementing an educational program for nurses and mental health specialists on strategies to reduce …
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Walden Dissertations and Doctoral Studies
This study explored the experiences and perceptions of social workers, human services professionals, and mental health counselors, psychologists, or psychiatrists who treat youth with mental health issues within the criminal justice system in Florida. Using a qualitative research method, this study was framed by relational theory. Ten participants were interviewed regarding the perspectives, challenges, successes of clinicians and how they incorporate the needs and perceptions of youth into their treatment approaches. After coding and thematic analysis, five key themes emerged from the data. First, systemic challenges and inefficiencies in service delivery were evident, highlighting gaps in execution, resource shortages, and …