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Enhancing Registered Nurse Retention And Job Satisfaction Through Comprehensive Career Development Initiatives In Non-Profit Urban Hospitals, Iwalola Iluyomade
Enhancing Registered Nurse Retention And Job Satisfaction Through Comprehensive Career Development Initiatives In Non-Profit Urban Hospitals, Iwalola Iluyomade
Walden Dissertations and Doctoral Studies
This integrative review was conducted to examine how comprehensive career development initiatives influence registered nurse retention and job satisfaction in non-profit urban hospitals, which are affected by limited advancement opportunities, inadequate mentorship, and unsupportive work environments. Guided by the Johns Hopkins Evidence-Based Practice model and the Authentic Nurse Leadership framework, this review synthesizes peer-reviewed literature from 2019 to 2024 to identify evidence-based, leadership-driven strategies for improving nurse retention. Four key themes emerged: (a) career development and advancement through structured learning pathways, mentorship, and leadership training; (b) empowerment and decision-making via participative management and clinical autonomy; (c) supportive work environments that …
Criminal Adult Perceptions Of Transition Services Following Histories Of Physical Abuse As Children, Kimberlyn Sherie Crook
Criminal Adult Perceptions Of Transition Services Following Histories Of Physical Abuse As Children, Kimberlyn Sherie Crook
Walden Dissertations and Doctoral Studies
It is possible that childhood abuse and neglect could be linked to adult crime and delinquency. Intervention services' apparent ineffectiveness worries social workers, law enforcement, and policymakers. The literature found that abused children are more likely to commit crimes as adults without intervention and prevention, which harms society and abused children. Research suggests child abuse and adult crime may have early roots. The purpose of this qualitative study was to address adult victims firsthand accounts to identify intervention service gaps and suggest improvements. The qualitative design was used to address adult criminals who were abused as children and their unique …
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 …
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
Walden Dissertations and Doctoral Studies
Cancer is a major public health problem in the United States and around the world. The condition is reported to be among the leading causes of death and has a significant impact on quality of life. The purpose of this study was to explore the association of smoking, education, and income level with cancer in the Mexican migrant population at U.S./Mexico border while controlling for age and gender. This quantitative, retrospective, cross-sectional study with a sample size of 988 used secondary data from the Mexican Migrant Project to explore the potential association between smoking, education and income level with cancer …
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 …
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker
Walden Dissertations and Doctoral Studies
Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …
Implementation Of Culturally Relevant Pedagogy In Elementary Reading Instruction, Chelsea Renae Little
Implementation Of Culturally Relevant Pedagogy In Elementary Reading Instruction, Chelsea Renae Little
Walden Dissertations and Doctoral Studies
Culturally relevant pedagogy (CRP) has been shown to help educators address the unique educational needs of African American students. While research has supported the belief that CRP promotes a sense of belonging and positively influences academic achievement, there remains a lack of research regarding elementary teachers’ perceptions of their implementation of CRP specifically when teaching reading to African American students. Framed by Ladson-Billings’s CRP framework, the purpose of this basic qualitative study was to explore elementary teachers' perceptions of their implementation of CRP when teaching reading to African American students. Using a basic qualitative design, data were collected through semistructured …
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 …
Strategies To Recruit And Retain Physicians In Rural Hospital Health Systems, Montoya Major
Strategies To Recruit And Retain Physicians In Rural Hospital Health Systems, Montoya Major
Walden Dissertations and Doctoral Studies
Physician shortages in rural areas represent a serious and escalating challenge in the United States, with approximately 20% of the population residing in these regions while only about 9% of physicians practice there. The purpose of this integrative review was to identify key underlying factors contributing to physician shortages in rural hospital health settings and identify potential strategies to recruit and retain physicians. The review question concerned strategies and practices administrators use to attract and retain physicians in underserved rural areas. Herzberg’s two-factor theory serves as the framework and offers a perspective on employee motivation and job satisfaction. A review …
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 …
Strategies To Improve Psychiatrist Understaffing In Psychiatric Hospitals In Rural And Underserved Communities: Addressing Administrative Challenges, Carla Aramouni
Walden Dissertations and Doctoral Studies
Psychiatric hospitals across the United States face a worsening shortage of psychiatrists, particularly in rural and underserved communities, which limits timely mental health care, increases wait times, and places unsustainable strain on the psychiatric workforce. The purpose of this integrative review was to identify administrative strategies that can mitigate psychiatrist understaffing and support sustainable care delivery in psychiatric hospitals. An integrative review methodology was used to explore both empirical and nonempirical literature, resulting in 92 articles, including 32 peer-reviewed sources and several supporting studies selected through a systematic search, screening, and critical appraisal. Thematic analysis of the evidence revealed five …
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Walden Dissertations and Doctoral Studies
Newborn screening (NBS) is a vital U.S. public health initiative that identifies medical conditions shortly after birth. Patients with positive screenings are referred for medical follow-up or evaluation. However, many patients do not receive the recommended long-term follow-up, posing concerns for healthcare providers and public health professionals working to ensure timely treatment and care continuity. Based on the Social Determinants of Health framework, this quantitative, retrospective cohort study aimed to examine demographic and clinical factors associated with follow-up adherence among 691 infants identified through NBS in Colorado and Wyoming. The purpose of the study was to determine whether race, ethnicity, …
Adolescent Social Media Use During Covid-19 Isolation And Subsequent Loneliness, Anxiety, And Depression, Nadine Dalheim
Adolescent Social Media Use During Covid-19 Isolation And Subsequent Loneliness, Anxiety, And Depression, Nadine Dalheim
Walden Dissertations and Doctoral Studies
Throughout the COVID-19 pandemic, adolescents spent time in social isolation from their peers due to periods of mandated lockdown. It was unclear how social media use during lockdown could have influenced adolescents’ mental health after the pandemic. Psychosocial development theory and self-socialization theory formed the theoretical framework for this study. This study examined 158 adolescents aged 13-17 who experienced lockdowns and movement restrictions during the COVID-19 pandemic. The independent variables were a) the social media sites most frequented during lockdowns, and b) the purposes of their use. The RCADS and the UCLA Loneliness Scale provided participants’ levels of anxiety, depression, …
Establishing Policies And Standards To Implement Socially Sustainable Practices, Josephine Joe Wiles-Warner
Establishing Policies And Standards To Implement Socially Sustainable Practices, Josephine Joe Wiles-Warner
Walden Dissertations and Doctoral Studies
Liberia and sub-Saharan African (SSA) countries lag behind the rest of the world due to substandard social and physical infrastructure development. Poverty is persistently increasing, and fewer than half of the countries in SSA did not meet the development goal for reducing extreme poverty. SSA countries could progress much faster by developing their core infrastructure and reforming their institutions. The purpose of the qualitative, policy Delphi study was to determine how a panel of 16 purposively selected global experts on the United Nations Sustainable Development Goals (UNSDGs) in multinational organizations in the United States and Africa view the desirability, feasibility, …
Student Perceptions About How Supplemental Instruction And Instructor Engagement Support Academic Achievement In A College-Level Statistics Course, Tasha Y. Rhodes
Student Perceptions About How Supplemental Instruction And Instructor Engagement Support Academic Achievement In A College-Level Statistics Course, Tasha Y. Rhodes
Walden Dissertations and Doctoral Studies
Many college students enter postsecondary education underprepared for college-level mathematics, posing challenges for course completion and degree attainment. In response, a local community college system implemented a mainstreaming initiative that places underprepared students directly into college-level statistics courses with supplemental instruction (SI). This basic qualitative study explored students’ perceptions of the role of SI and instructor engagement in supporting their success in a college-level statistics course. The research was guided by Vygotsky’s sociocultural theory. Semistructured interviews were conducted with 10 students enrolled at a comprehensive college who had completed the course. Through thematic analysis employing open coding yielded five distinct …
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 …
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 …
Evidence-Based Intervention Proposal For Reducing Intimate Partner Violence Against Jamaican Women, Kimisha K. Campbell
Evidence-Based Intervention Proposal For Reducing Intimate Partner Violence Against Jamaican Women, Kimisha K. Campbell
Walden Dissertations and Doctoral Studies
Domestic violence (DV) is a significant public health concern that negatively impacts women’s health, yet gaps in trauma-informed screening and referral processes persist within nursing practice. In Jamaica, DV remains underreported, highlighting the need for enhanced provider competency in identifying and supporting survivors. The doctoral project was used to examine how implementing the trauma-informed care (TIC) model and the Identification and Referral to Improve Safety (IRIS) program could improve healthcare staff’s ability to recognize, assess, and support DV survivors. Guided by the TIC framework and the IRIS program, a mixed-methods approach was used, incorporating pre- and posttraining assessments, staff surveys, …
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 …
Causes, Consequences, And Countermeasures Of Military Coups In The Gambia, Alhagie A. Mbye
Causes, Consequences, And Countermeasures Of Military Coups In The Gambia, Alhagie A. Mbye
Walden Dissertations and Doctoral Studies
Military coups d’état remain a persistent threat to postcolonial African states, undermining democratic consolidation and institutional legitimacy. The Gambia, although historically regarded as a relatively stable West African nation, has experienced approximately 14 coup attempts since gaining independence from Great Britain in 1965. While military coups in Africa are well documented, much of the existing literature relies on broad regional frameworks that emphasize externalities such as foreign influence and geopolitical pressures rather than internalities such as national policy direction, and domestic governance challenges. The purpose of this qualitative case study is to address that gap by providing context-specific empirical research …
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Walden Dissertations and Doctoral Studies
Despite increasing participation, women have remained significantly underrepresented in elected political office. Existing literature on women elected to political positions highlights persistent gender disparities in representation, access, and political influence. Scholars have examined the structural, cultural, and institutional barriers that women face when seeking and holding public office. While recent research has increasingly focused on intersectionality and the diverse experiences of women in politics, gaps remain in capturing their personal narratives and day-to-day realities. The purpose of this generic qualitative study was to examine the experiences of women currently serving in political positions to understand how prior career opportunities influenced …
Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu
Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu
Walden Dissertations and Doctoral Studies
Non-profit healthcare administrators in United States hospitals face the challenge of hospital readmissions, especially due to the CMS Hospital Readmission Reduction Program (HRRP), which affects reimbursement. The purpose and review question for this integrative review was to research evidence-based strategies that could be implemented to improve the discharge planning process in non-profit hospitals and reduce readmissions for patients with HRRP diagnoses. A review of literature identified 126 articles for analysis, with 25 studies selected for quality assessment using the Johns Hopkins Nursing Evidence-Based Practice Model and the Research Evidence Appraisal form. The Donabedian framework provided a structured approach for evaluating …
Teacher Challenges In Ela Instruction For Low-Achieving Elementary Students In Urban Title I Schools, Keshiea Tamika Chandler
Teacher Challenges In Ela Instruction For Low-Achieving Elementary Students In Urban Title I Schools, Keshiea Tamika Chandler
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that approximately 80% of upper elementary students do not reach proficiency in English Language Arts (ELA) at an urban Title I school district in Georgia, despite implementing intervention and literacy programs. Guided by Senge’s organizational learning theory and Vygotsky’s sociocultural theory, the purpose of this qualitative study was to investigate the challenges that elementary teachers face when providing ELA instruction to low-achieving students in a local Title I school district in Georgia. For this basic qualitative design, semistructured interviews were conducted with 12 ELA teachers across Grades 3-5. Data were analyzed …
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that low-level writing skills among postsecondary, non-traditional students contributed to poor essay grades, a lack of persistence, and low test scores, resulting in increased drop-out rates. A college writing center in a large city in the Northeastern United States developed an innovative, asynchronous tutorial to improve students' writing skills. The purpose of this basic qualitative study was to explore the experiences of non-traditional students at a four-year college regarding an on-demand asynchronous writing tutorial offered by the college writing center. The technology acceptance model was used to frame the study because it has …
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Walden Dissertations and Doctoral Studies
Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease-related liver fibrosis) is a growing public health problem in the United States. The purpose of this study was to assess the prevalence of MASLD-related advanced fibrosis in the United States and assess whether type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) were independent risk factors for MASLD-related advanced fibrosis. This study was a quantitative cross-sectional analysis of the National Health and Nutrition Examination Survey data from 2011 to 2020, grounded in the social ecological theory. Participants (N = 21,829) were included if they were ≥18 years, excluded if …
Motivational Factors Affecting Female Students' Choice Of Stem And Non-Stem Majors At Us Universities, Buthaina Ruyyashi
Motivational Factors Affecting Female Students' Choice Of Stem And Non-Stem Majors At Us Universities, Buthaina Ruyyashi
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the persistently low enrollment of female undergraduate students in science, technology, engineering, and mathematics (STEM) majors within U.S. universities. The purpose of this quantitative study was to examine the relationship between female undergraduate students' choice of STEM versus non-STEM majors and their motivational factors, as measured by the Motivations Influencing Course Choice (MICC) survey. The study was grounded in social cognitive career theory, which emphasizes the role of self-efficacy, outcome expectations, and personal goals in academic decision-making. The analysis assessed the predictive power of career aspiration, interest, helping, and loafing in determining major …
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …
Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin
Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin
Walden Dissertations and Doctoral Studies
This quantitative study explored the experiences of LGBTQ veterans residing in Ohio, examining the relationship between the coming out process, social acceptance, and minority stress. Lesbian, gay, bisexual, trans, and queer (LGBTQ) military veterans face higher rates of minority stressors, resulting in higher rates of suicidal ideation and mental health issues, which impact healthcare practices that affirm their identity. Discrimination, microaggressions, coming out, identity disclosure, and social belonging were identified as key contributing factors. Guided by Meyer’s minority stress theory, the study aimed to assess whether levels of outness, and identification with the LGBTQ community correlated with experiences of minority …
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 …