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Small Business Leaders’ Strategies To Improve Employee Retention By Increasing Flexible Work Arrangements, Allen M. Looney
Small Business Leaders’ Strategies To Improve Employee Retention By Increasing Flexible Work Arrangements, Allen M. Looney
Walden Dissertations and Doctoral Studies
Employee retention is a critical challenge for small business leaders in the finance and insurance sector. These leaders are concerned with identifying effective strategies to retain employees to avoid turnover costs and maintain operational stability. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective flexible-work-arrangement (FWA) strategies that small business leaders in the finance and insurance sector used to retain employees. The participants included six small business leaders in the finance and insurance sector in the Southeast United States with successful experiences using such strategies. Data were collected from semistructured …
Nurses’ Role In Reducing Mental Health Stigma In Healthcare, Olufunmilayo Elizabeth Adeloye
Nurses’ Role In Reducing Mental Health Stigma In Healthcare, Olufunmilayo Elizabeth Adeloye
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project implemented a targeted educational intervention to reduce mental health stigma among healthcare providers. Mental health stigma, often resulting in misdiagnosis, delayed treatment, and decreased patient engagement, represents a significant barrier to effective nursing practice. The project’s practice-focused question examined whether an educational program could improve provider knowledge and attitudes toward mental illness. Using the ADDIE model (analysis, design, development, implementation, and evaluation), a needs assessment at a family practice and behavioral healthcare clinic identified gaps such as judgmental perceptions, avoidance behaviors, and lack of empathy among providers. An extensive literature review supported the …
Challenges K-12 School Administrators Encounter Supporting The Cultural And Academic Needs Of African American Male Students, Geneda L. Kearney
Challenges K-12 School Administrators Encounter Supporting The Cultural And Academic Needs Of African American Male Students, Geneda L. Kearney
Walden Dissertations and Doctoral Studies
Research shows that students with educational support aligned to their cultural and academic needs have better outcomes. K-12 school administrators were challenged to support African American male students’ cultural and academic needs. Guided by cultural mismatch theory and critical race theory, this basic qualitative study aimed to explore the perceptions of K-12 administrators concerning the cultural and academic needs to support African American male students. Data were collected via semi-structured interviews with eight K-12 school administrators having at least 2 years of experience in administration in a southeastern public school district in the United States. Thematic analysis of interview data …
Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones
Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones
Walden Dissertations and Doctoral Studies
Some school leaders lack strategies to impact educational funding performance in prekindergarten through 12th grade (PK-12) public schools and increase students’ academic achievement and performance. School leaders and policymakers are concerned with improving educational funding, student achievement, and student performance in PK-12 public schools. Grounded in the Baldrige excellence framework, the purpose of this qualitative pragmatic inquiry study was to identify effective strategies that school leaders use to improve educational funding performance in PK-12 public schools and increase students’ academic achievement and performance. Participants were six PK-12 public school leaders with at least 5 years of leadership experience who had …
Crisis Management Strategies For Sustaining Small Business Operations And Profitability During Unexpected Events, Dr. Brandy Marie Jones
Crisis Management Strategies For Sustaining Small Business Operations And Profitability During Unexpected Events, Dr. Brandy Marie Jones
Walden Dissertations and Doctoral Studies
Small business leaders face financial and logistical challenges during crises, such as economic downturns, natural disasters, and supply chain disruptions. This issue is critical for small business owners and policymakers, as effective crisis management ensures economic stability and community resilience. Grounded in situational crisis communications theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective crisis management strategies that small business leaders use to remain operational and profitable during unexpected events. The participants were seven small business leaders in Dallas, Texas who used effective crisis management strategies to remain profitable during unexpected events. Datum was collected …
Measuring Healthcare Quality For Sexual Minority Women, Francesca Antoine
Measuring Healthcare Quality For Sexual Minority Women, Francesca Antoine
Walden Dissertations and Doctoral Studies
Women who identify as lesbian, bisexual, or other sexual orientations (i.e., sexual minority women) experience poorer health outcomes compared to heterosexual women. Despite the increasing prevalence of sexual minority women in the United States, little research exists to identify their unique health needs. Healthcare administrators play a critical role in promoting a higher standard of patient care by identifying systemic issues and leveraging data-driven solutions. The purpose of this study was to examine various aspects of care delivery in clinical encounters involving sexual minority women and evaluate their perception of care quality. Donabedian’s model of healthcare quality served as the …
Nonprofit Marketing Strategies To Target A Specific Client Population, Daniel Curtis Grant
Nonprofit Marketing Strategies To Target A Specific Client Population, Daniel Curtis Grant
Walden Dissertations and Doctoral Studies
African American females are the fastest-growing demographic in the United States contracting HIV. Nonprofit executives are concerned that, without effective marketing campaigns, African American females are not seeking the education or testing proven to reduce the chance of contracting HIV. Grounded in the integrated marketing communications theory, the purpose of this qualitative single case study was to explore strategies that nonprofit executives use to design and execute effective marketing campaigns targeted to a specific client population. The participants were four senior leaders from a nonprofit healthcare clinic located in the south-central Region of the United States who have 10 or …
Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project is a staff education program aimed at improving nursing care for elderly patients with post-stroke depression (PSD) through education on the collaborative care model (CCM). The practice concern addressed is the underrecognition and undertreatment of PSD in elderly patients in a rehabilitation setting due to a lack of staff knowledge and confidence in screening for PSD in the elderly. The aim of this DNP project was to provide staff with the knowledge necessary to engage PSD screening as a part of the CCM, which has the potential to enhance PSD management and improve …
Staff Education On Uti Screening, Antimicrobial And Antibiotic Resistance, And Poor Regimen Adherence, Shereen Robinson
Staff Education On Uti Screening, Antimicrobial And Antibiotic Resistance, And Poor Regimen Adherence, Shereen Robinson
Walden Dissertations and Doctoral Studies
This staff education project focused on enhancing nurses’ knowledge of urinary tract infections (UTIs) and antibiotic and antimicrobial resistance intended to promote screening for UTIs. The practice problem addressed was lack nurses’ knowledge of UTI screening and antibiotic resistance. Inadequate screening contributed to increased UTI rates, re-occurrences, and complications such as delirium. It was essential to address the issue because nurses are at the frontline regarding educating, screening, and providing care to patients with UTIs. Knowledgeable nurses can implement standard practices to ensure adequate screening for UTIs. Effective screening would enhance early treatment and minimize misuse and unnecessary antibiotic prescriptions. …
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Walden Dissertations and Doctoral Studies
Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
Walden Dissertations and Doctoral Studies
Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Walden Dissertations and Doctoral Studies
Challenges in achieving optimal performance outcomes among employees with disabilities in U.S. business organizations can contribute to decreased organizational profitability and increased stress among managers and other employees. Business leaders have expressed concern about the lack of effective strategies to recruit, hire, and retain employees with disabilities, which may hinder overall organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies business leaders use for recruiting, hiring, and retaining employees with disabilities to increase organizational productivity. Data were collected using semistructured interviews with six purposively sampled U.S. business …
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Walden Dissertations and Doctoral Studies
Patient-centered care has become increasingly paramount in healthcare organizations (Thummak et al., 2023). A critical component of this model is patient adherence to scheduled appointments, as missed visits can negatively affect outcomes (Halladay et al., 2019), increase healthcare costs, waste resources, and disrupt workflow (Low et al., 2023). This qualitative case study investigated the factors contributing to patient nonadherence to scheduled visits in a multidisciplinary behavioral health organization (BHO) in the Southwestern United States. The study utilized data from the behavioral health leader (BHL), organizational records, and secondary sources and was guided by the Baldrige Framework of Excellence as its …
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
Walden Dissertations and Doctoral Studies
Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Walden Dissertations and Doctoral Studies
This DNP project aimed to enhance the quality of care by improving healthcare providers’ knowledge and fostering confidence in the utilization of screening, brief intervention, and referral to treatment (SBIRT). At the practice site, patients were not screened for substance use due to the lack of provider knowledge on evidence-based screening tools. The practice-focused question for this project was, Among healthcare providers in outpatient mental health clinics, does education on the use of the SBIRT screening tool increase their knowledge and skill after educational intervention? The project used a sample of 12 healthcare professionals, including four mental health practitioners and …
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
Walden Dissertations and Doctoral Studies
This qualitative review used a convergent-parallel design to explore the perspectives of prison administrators and nonprofit reentry program providers regarding inmate rehabilitation iii and reentry services. In 2021, 76,000 inmates were pardoned due to changes in California legislation (Fritz, 2024, p. 1 ). According to a 2024 report, 89,898 inmates are residing in California State prisons- 119% over capacity (Morris, 2024, p. 1 ). This study investigated two key aspects: (1) What rehabilitation and reintegration services are offered to inmates in the California State prison system, and are these services provided upon release? 2. Are inmates required to participate in …
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Walden Dissertations and Doctoral Studies
Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Walden Dissertations and Doctoral Studies
Some small and medium-sized enterprise (SME) owners in the hotel industry face survival challenges during economic downturns, such as the coronavirus disease (COVID-19) and the 2016 oil glut crisis. SME hotel owners are concerned about addressing these challenges to ensure profitability and sustainability amid economic crises. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME hotel owners used to maintain business success amid economic crises. The participants were six SME hotel owners in Nigeria who had implemented strategies to remain profitable and sustainable. Data were collected through semistructured interviews and a …
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
Walden Dissertations and Doctoral Studies
Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Walden Dissertations and Doctoral Studies
The incidence of hospital acquired conditions (HACs) has been a persistent problem in the United States that has negatively affected patient safety, care outcomes, and hospital costs and profitability. Effective strategies to reduce HACs and improve compliance with Hospital-Acquired Condition Reduction Program (HACRP) requirements are important for hospital leaders. Grounded in the total quality management conceptual framework, the purpose of this qualitative pragmatic inquiry was to explore how six hospital leaders in the Southeast United States successfully reduced HACs and improved HACRP compliance. Data were collected through personal interviews and publicly available documents. Yin’s 5-step process was used for data …
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Walden Dissertations and Doctoral Studies
Lived Experiences of Sex Offenders on Probation with Housing and Employment by Katheryn Winslow MA, South University, 2013 BS, University of Central Florida, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University May 2025
Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell
Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell
Walden Dissertations and Doctoral Studies
HIV prevention and treatment disparities persist among men in Virginia, particularly in racial and ethnic minority groups. This study examined how insurance type and demographic factors influence prescriptions for antiretroviral treatment (ART) and preexposure prophylaxis (PrEP). Addressing these disparities is critical to advancing public health equity and reducing HIV rates. The purpose was to assess whether age, race, ethnicity, region, and insurance type are associated with the type of oral HIV medication prescribed. Guided by the HIV prevention and care cascade frameworks, the study focused on access and adherence. Using a cross-sectional quantitative design, the study analyzed secondary data from …
Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe
Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe
Walden Dissertations and Doctoral Studies
This staff education project aimed to enhance nurses’ knowledge on medication administration error prevention through targeted education interventions. Medication administration errors are a significant concern in health care, leading to patient harm and reduced quality of care. This project addressed the gap in nursing knowledge regarding strategies to prevent these errors, with the goal of improving patient safety and outcomes. The practice-focused question explored in this project was the following: How does implementing an education program affect nurses’ knowledge and practices related to medication error prevention? The purpose of this doctoral project was to educate nurses on best practices for …
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Walden Dissertations and Doctoral Studies
Ineffective use of marketing metrics by social marketers poses a risk of inconsistent and subjective interpretations of campaign success. Social marketing managers and stakeholders are concerned because unreliable metrics hinder their ability to evaluate performance, justify funding, and replicate effective strategies. The purpose of this qualitative pragmatic inquiry, grounded in general systems theory and foundational social marketing literature, was to explore effective strategies that social marketing campaign managers use to implement metrics sufficient to measure successful campaigns. The participants were ten experienced members of the Social Marketing Association of North America, with effective strategies to implement marketing metrics to measure …
An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers
An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers
Walden Dissertations and Doctoral Studies
Culturally responsive teaching in a global society is critical to students' success. Inclusion is an important part of the culturally responsive learning experience for all types of people. Because identity development takes place during the adolescent years, portrayals of various kinds of individuals throughout the environment and curriculum may support the confidence of students’ identity development. All students can experience improvements through inclusive teaching practices, but particularly students who identify as gender sexual minorities (GSM) can experience improved identity development with inclusive curricula in all areas of schooling. Grounded in identity process theory and sociocultural theory, the purpose of this …
Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro
Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro
Walden Dissertations and Doctoral Studies
This project addresses the often-overlooked epidemic of intimate partner violence (IPV) in primary care settings through a novel staff education and quality improvement initiative focused on transforming screening practices. A significant challenge in detecting IPV is the inadequate training of healthcare providers and the absence of rigorous screening measures, which leads to unmet patient needs and exacerbated trauma. By enhancing the knowledge of primary care staff regarding IPV and training them to effectively use validated screening tools, the initiative aims to improve detection rates. Analytical strategies, including pre-and post-training questionnaires and role play, were employed to evaluate the effectiveness of …
Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay
Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay
Walden Dissertations and Doctoral Studies
According to the American Nurses Association (ANA), healthcare workers are five times more likely to suffer a workplace violence (WPV) injury compared to workers in other industries. Given that nurses are the foundation of healthcare delivery, WPV is a cause for concern for most healthcare organizations. In the local organization, leadership has identified an increase in reported WPV occurrences among nurses. Given this, leadership agreed that an educational intervention focused on strategies to address WPV was warranted. Thus, the purpose of this doctor of nursing practice (DNP) project was to determine whether an educational intervention focused on healthy coping mechanisms …
Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal
Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal
Walden Dissertations and Doctoral Studies
When medical staff lack sufficient training in hypertension literacy, it significantly impacts patient outcomes, expenses, and quality of life. Uncontrolled hypertension increases health care costs by causing frequent emergency room visits and hospital stays. After a thorough needs assessment, it was identified at the project site that nurse practitioners were not knowledgeable about the most recent recommendations for managing hypertension and patient education techniques. This practice gap was also contributed to by a lack of structured training and time for learning. The practice-focused question for this project was: Among health care staff, how does implementing a staff education initiative on …
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Walden Dissertations and Doctoral Studies
While many healthcare organizations have established wound documentation protocols, maintaining consistent, high-quality documentation remains a widespread challenge in clinical practice. In this staff education project, I addressed the implementation of a staff education program to increase nurses' knowledge about evidence-based practices regarding wound documentation. The staff education initiative was conducted in a medical telemetry unit, with 17 nurses participating. A pretest-posttest design was employed to evaluate the impact of the education. The aggregate pretest and posttest scores were analyzed using the Normalized Learning Gain (NLG) formula. The NLG gain of 0.37, equated to a 37% improvement in knowledge a moderate …
Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith
Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith
Walden Dissertations and Doctoral Studies
The existing literature on female offender prison-based dog program (PBDP) experiences and their effect and influence on female offender reentry, rehabilitation, and transition into society following incarceration is limited at best. Despite mixed evidence on prison-based animal programs, human–animal interaction research suggests positive psychological effects. With a 56% chance of reoffending a year after release, understanding the effects of PBDPs may aid reentry/transition support that lowers recidivism rates. Grounded by Broidy and Agnew’s gendered general strain theory, through basic qualitative inquiry, this research study aimed to understand female offender PBDP participants' reentry and transition experiences. Twenty-seven semistructured interviews were conducted …