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Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye
Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye
Walden Dissertations and Doctoral Studies
In this doctoral project, I developed and validated an evidence-based clinical practice guideline for implementing smartphone technology to monitor diabetic patients in primary care settings with an 80% threshold. The project addressed a critical gap in standardized guidance for diabetes technology integration, which has resulted in inconsistent adoption and suboptimal patient outcomes. A systematic literature review of four major databases yielded 12 high-quality studies representing all evidence levels (I–V) according to the Johns Hopkins evidence-based practice model. Evidence synthesis revealed strong and compelling evidence with consistent results supporting smartphone technology implementation, including HbA1c improvements of 0.4%–0.8%, sustained patient engagement rates …
Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner
Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner
Walden Dissertations and Doctoral Studies
Sepsis is a life-threatening medical emergency that requires rapid identification and treatment. Delays in administering antibiotics are directly associated with increased mortality, longer hospital stays, and higher complication rates. Without intervention, patients faced preventable harm, and the organization risked continued non-compliance with federal quality measures. This Doctor of Nursing Practice (DNP) project implemented a structured educational program for emergency department (ED) nurses to improve knowledge of evidence-based sepsis protocols. The practice-focused question asked: For nurses in the ED, will an educational intervention on sepsis recognition and antibiotic stewardship improve knowledge of timely antibiotic administration and blood culture acquisition? Twenty ED …
Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison
Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison
Walden Dissertations and Doctoral Studies
Children aged 12 and under who exhibit problematic sexual behavior (PSB) often face barriers to care due to clinicians’ limited willingness and effectiveness in treating this population. However, little is known about the factors that influence clinicians’ willingness to provide treatment. Grounded in Bowen’s family systems theory and Bandura’s self-efficacy theory, this study examined how differentiation of self (DoS), sexual intervention self-efficacy (SISE), sexual comfort, and sexual education/training affect clinicians’ willingness to treat child PSB. A quantitative, non-experimental survey design with a convenience sample of 63 clinicians with experience working with children used a multiple linear regression analysis that revealed …
Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink
Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink
Walden Dissertations and Doctoral Studies
The variability within interhospital transfers represents challenges for hospitals to maintain a standardized level of care for patients. This integrative review explored evidence-based healthcare interhospital transfer practices to improve outcomes and efficiency of care for patients. Under the framework of the Donabedian model of health quality, the study examined 28 empirical and nonempirical articles published from 2021–2025 for best practices to provide improvement measures towards care for transfer patients and increase support for healthcare personnel. These articles were analyzed for quality using the Johns Hopkins evidence-based practice model. Through analysis, seven themes were identified: improving interhospital communication, improving time-based care, …
Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri
Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri
Walden Dissertations and Doctoral Studies
Nurses have demonstrated positive attitudes toward complementary and alternative medicine (CAM); however, additional education is limited in nursing programs to prepare them to discuss and educate patients about these practices. Nursing faculty play a significant role in educating, mentoring, and influencing students’ knowledge levels and attitudes toward CAM. The purpose of this quantitative, non-experimental, cross-sectional study, guided by the CAM healthcare model, was to examine relationships among nursing faculty demographics, CAM knowledge, attitudes, and curriculum integration. The Knowledge, Attitudes, and Use of CAM survey was administered to 111 nursing faculty across multiple programs. Data were analyzed using multiple linear regression …
Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella
Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella
Walden Dissertations and Doctoral Studies
Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …
The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres
The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres
Walden Dissertations and Doctoral Studies
Despite progress in addressing racism in the United States, its effects remain deeply entrenched, particularly for Black families. Research on Black parenting shows that parents adapt their strategies to protect children from criminalization, discussing violence, providing safety within the home, and limiting exposure to unsafe environments while also managing their own stress. Yet limited attention has been given to how Black mothers prepare their sons for race-related risks within the modern sociopolitical climate shaped by the #BlackLivesMatter movement. The purpose of this basic qualitative research study was to explore how Black mothers prepare their Black sons for race-related risks. Carter’s …
Effective Corporate Social Responsibility Strategies For Catalyzing Employees’ Satisfaction In The Retail Industry To Reduce Turnover, Alberto Madureira Poxes Jr.
Effective Corporate Social Responsibility Strategies For Catalyzing Employees’ Satisfaction In The Retail Industry To Reduce Turnover, Alberto Madureira Poxes Jr.
Walden Dissertations and Doctoral Studies
Abstract A lack of effective corporate social responsibility (CSR) strategies among corporate leaders can contribute negatively to their efforts to catalyze employees' satisfaction to reduce turnover. Corporate leaders can help their organization by adopting CSR strategies to increase employees' satisfaction to reduce turnover. Based on the transformational leadership theory, the purpose of this qualitative case study was to explore effective CSR strategies retail leaders use to catalyze employees' satisfaction to reduce turnover.Based on the functional areas of leadership, the participants selected for this studywere eight first- and second-level managers in the sports retail industry in the Midwest United States who …
Staff Education On Understanding Nurse Burnout, Kathlyn Tracy Mcglynn
Staff Education On Understanding Nurse Burnout, Kathlyn Tracy Mcglynn
Walden Dissertations and Doctoral Studies
Summary This Doctor of Nursing Practice (DNP) project was a staff education program on nurse burnout, which remains a pressing issue in healthcare. Burnout is marked by emotional exhaustion, depersonalization, and a diminished sense of personal achievement. Addressing burnout within the nursing profession is important because burnout leads to job dissatisfaction, absenteeism, and turnover. The project was guided by two practice-focused questions: Will there be a change in knowledge from pre- to posttest after participating in an educational program on nurse burnout? Will the objectives of the educational program be met relative to the curriculum presented? Therefore, the purpose of …
Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo
Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo
Walden Dissertations and Doctoral Studies
The shortage of qualified nursing faculty in Canada threatens the ability to educate sufficient numbers of nurses to meet healthcare demands. Despite this, limited research explores how baccalaureate-prepared nurses experience the transition into nursing faculty roles. The purpose of this qualitative study, guided by Schoening’s nurse educator transition model, was to explore the experiences of baccalaureate prepared nurses on the transition to novice nurse faculty members teaching in 2-year diploma prepared nursing programs in Northwestern Ontario. Five semi-structured interviews were conducted with baccalaureate-prepared novice nursing faculty members, analyzed, and transcribed using Zoom. Data were coded and analyzed using Saldana’s first …
Improving Depression Remission Rates At 12 Months, Raysene R. Hall
Improving Depression Remission Rates At 12 Months, Raysene R. Hall
Walden Dissertations and Doctoral Studies
I developed this Doctor of Nursing Practice (DNP) project to create a clinical practice guideline (CPG) aimed at improving depression remission rates at an outpatient clinic where outcomes were below national benchmarks. National standards for managing major depressive disorder (MDD) prioritize remission as the primary treatment goal. I identified a practice gap involving inconsistent follow-up care, irregular use of PHQ-9 assessments, and non-standardized workflows. The guiding question for this project was: Will a CPG that is designed to improve depression remission rates at 12 months be approved by subject matter experts (SMEs) using the Appraisal of Guidelines for Research and …
Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller
Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller
Walden Dissertations and Doctoral Studies
This quantitative study was conducted to investigate the relationship between crisis call responding and job satisfaction among police officers and whether gender moderates this relationship. With crisis helpline calls rising over the past decade, officers face increasing emotional labor demands, particularly female officers in male-dominated environments. While past research has explored stress and gender differences in law enforcement, few studies have examined their interaction. Using the job demands-resources model and gender role congruity theory, this study employed a correlational design with simple linear regression and Hayes’ PROCESS macro to test moderation effects. Participants included 78 police officers from central Texas …
The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong
The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong
Walden Dissertations and Doctoral Studies
The correctional population in the United States remains high despite the implementation of various measures to reduce crime and recidivism. The primary goal of correctional establishments is to reduce recidivism and crime through effective rehabilitation programs. The role of the correctional officer is crucial in the rehabilitation process because they are the heartbeat of a prison. However, low staffing levels have a negative impact on the role of corrections officers. There is a gap in the relevant literature on the low staffing levels of African American correctional officers. This qualitative research, through the phenomenological approach, focused on the correctional culture …
Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach
Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach
Walden Dissertations and Doctoral Studies
Notwithstanding knowledge of the high stress levels experienced by firefighters, little is known about their coping strategies as compared with the general population. To address this gap, the differences in humor styles between firefighters and nonfirefighters in the prediction of life satisfaction and burnout were assessed. The study was grounded in the PERMA theory of well-being and the job demands-resources theory. A cross-sectional, correlational survey research design was used to assess if there are differences between firefighters and nonfirefighters in the types of humor (i.e., self-enhancing, affiliative, aggressive, and self-defeating) used and in the prediction of burnout and life satisfaction …
Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis
Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis
Walden Dissertations and Doctoral Studies
Parents in recovery from substance abuse rely on social support and programs to maintain their sobriety consistently. However, specific programs crucial for their social and mental well-being, such as most 12-step groups and recovery centers, were shut down during the COVID-19 pandemic. Despite some research on the impact of substance abuse during the pandemic, little attention has been given to sustained recovery. Therefore, the purpose of this descriptive qualitative study was to explore how parents maintained recovery from substance use amid the COVID-19 pandemic. Schlossberg’s transition process model served as the theoretical framework for this study. Semistructured interviews with nine …
Staff Education On The Timeliness Of Administration Of Insulin For The Hospitalized Diabetic Patient, Precious C. Abidoye
Staff Education On The Timeliness Of Administration Of Insulin For The Hospitalized Diabetic Patient, Precious C. Abidoye
Walden Dissertations and Doctoral Studies
The problem addressed in this DNP project was the necessity for a nursing staff education program (SEP) focused on the prompt administration of insulin and order management as well as the evaluation of the hospital policy regarding diabetes mellitus in nonpregnant adult patients concerning hypoglycemia/hyperglycemia. Timely administration of insulin in the hospital is essential to maintain blood glucose levels within a permissible range, which greatly reduces the chances of encountering complications related to diabetes. The project questions were: Will there be an alteration in the nursing team members’ understanding of the promptness of insulin administration and the associated policy from …
Burnout And Perceived Organizational Support Among Female Healthcare Social Workers, Shukundala Clark Champion
Burnout And Perceived Organizational Support Among Female Healthcare Social Workers, Shukundala Clark Champion
Walden Dissertations and Doctoral Studies
Healthcare social workers experience elevated levels of burnout, or psychological distress resulting from a prolonged mismatch between the individual and their work environment. The problem addressed in this generic qualitative study is that female healthcare social workers experience elevated rates of burnout but may not receive adequate perceived organizational support (POS) to help ameliorate burnout. This study concentrated on female healthcare social workers' descriptions and experiences of burnout and POS. The guiding theoretical framework for this study is the perceived organizational support theory (POST). The study was conducted with 14 female healthcare social workers working in various healthcare settings in …
Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson
Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson
Walden Dissertations and Doctoral Studies
Burnout is common among hospice clinical social workers due to the emotionally demanding nature of the profession and heavy caseloads. This study explored how hospice clinical social workers perceive the role of empowerment and self-care practices in reducing burnout. The qualitative design used semi-structured interviews with ten hospice clinical social workers. Thematic analysis identified five categories: indicators of burnout, team-based/relational support, systemic and workload pressures, organizational culture, and values and professional identity. The themes that emerged from the five categories were emotional, physical, and professional; interdisciplinary support and supervisory support; workload and organizational demands; organizational challenges and policy limitations; workplace …
The Impact Of Covid-19 Related Virtual Learning On Parents Raising Children With Learning Disabilities, Ty'sheka Ne'cole Lambert
The Impact Of Covid-19 Related Virtual Learning On Parents Raising Children With Learning Disabilities, Ty'sheka Ne'cole Lambert
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic caused major disruptions in education as schools abruptly closed and students transitioned to virtual learning. This shift placed significant strain on parents, especially those raising children with learning disabilities who required consistent accommodations and support. The purpose of this qualitative study was to explore parents’ perceptions of how COVID-19–related virtual learning affected their children’s academic performance, emotional well-being, and daily functioning. Guided by Bronfenbrenner’s Ecological Systems Theory, the study examined how family, school, and community systems shaped these experiences. Semi-structured interviews were conducted with 12 parents of children with learning disabilities. Using Braun and Clarke’s (2013) six-step …
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Walden Dissertations and Doctoral Studies
The challenges individual agencies face in addressing the complex issue of human trafficking and how interagency collaboration can strengthen survivor-centered support are largely unknown. Organizations often lack formal alliances that combine expertise and resources to deliver more comprehensive care. The absence of such partnerships represents a missed opportunity to provide the essential services necessary for survivors’ recovery, empowerment, and social reintegration. The purpose of the study was to use interagency collaboration to address the question: How can education, law enforcement, public health, and community-based organizations assess the barriers and benefits of interagency collaboration to create a more seamless support network …
Reducing Missed Appointments In Mental Health Outpatient Care Using Sms Reminders, James Avoseh
Reducing Missed Appointments In Mental Health Outpatient Care Using Sms Reminders, James Avoseh
Walden Dissertations and Doctoral Studies
Missed appointments remain a serious problem in mental health outpatient clinics. They break the flow of treatment, waste staff time, and worsen outcomes for patients. In this setting, the practice problem is the lack of an evidence-based system for reminding patients about their visits. This doctor of nursing practice (DNP) project focused on developing and evaluating a clinical practice guideline (CPG) for automated text message (SMS) appointment reminders. The guiding question asked: Can a CPG using SMS reminders help reduce missed appointments in a mental health outpatient setting? A thorough review of CINAHL and PubMed found strong support for this …
Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn
Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was the development and evaluation of a staff education initiative aimed at improving nurses’ knowledge and confidence in managing patients with co-occurring mental health and substance use disorders. The practice problem was the lack of structured training, which left nurses underprepared and contributed to inconsistent care and poorer outcomes. Addressing this gap is essential in nursing practice to ensure safe, equitable, and patient-centered care. The practice-focused question for this project was: Does staff education in a behavioral health setting improve nurses’ knowledge and confidence in managing cooccurring mental health and substance use disorders, …
Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Walden Dissertations and Doctoral Studies
Survivors of same-sex intimate partner violence (IPV) face negative mental health consequences. A lack of research exists on how social support, emotional and coping regulation, and counselors’ behaviors, knowledge, and skills affect the help-seeking behaviors and therapeutic outcomes of survivors of same-sex IPV. Addressing the gap is important because recent studies report an increase in same-sex IPV but low levels of help-seeking behaviors in response. If unaddressed, IPV can affect the well-being and safety of those partnered individuals. The purpose of this qualitative hermeneutic phenomenological study was to explore the experiences of same-sex IPV survivors who received therapeutic counseling. The …
Staff Education Workshop Focusing On Enhancing Nurse Knowledge And Adherence To The Time (Tissue, Infection/Inflammation, Moisture, Edge) Framework To Improve The Quality Of Wound Assessment And Care, Ijeoma G. Onyejiji
Walden Dissertations and Doctoral Studies
This staff educational project focused on implementing training on the tissue, infection/inflammation, moisture, edge (TIME) framework to address gaps in nurses’ knowledge and improve adherence to the TIME framework during wound assessment. Current evidence shows inconsistent use of standardized wound assessment among nurses, which can lead to inappropriate treatment, delayed wound healing, increased infection risk, and higher healthcare utilization. This project’s question sought to assess whether implementing a staff education workshop focusing on the TIME framework would enhance nurse knowledge and adherence to the TIME framework. Six nurses participated in the training. Pre/post questionnaires were used to evaluate knowledge before …
Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine
Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine
Walden Dissertations and Doctoral Studies
The problem for this study is that, despite longstanding efforts to promote diversity in higher education, faculty from racial and ethnic minorities remain underrepresented in nursing programs in the United States. Guided by critical race theory, the purpose of this basic qualitative study was to explore nursing faculty perceptions of the effectiveness and challenges of institutional efforts to address underrepresentation. Using purposive sampling, 12 nursing faculty members with knowledge of or experience with diversity initiatives were recruited as participants. Data were collected through semistructured interviews. Through a six-phase thematic analysis, nursing faculty identified five critical insights: (a) diversity messaging often …
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Walden Dissertations and Doctoral Studies
Abstract Rural African Americans experience a higher prevalence of Type 2 diabetes compared to their White counterparts, yet little research has explored the roles of food insecurity and educational attainment in this disparity. The purpose of this quantitative, correlational study was to examine whether food insecurity and educational attainment were associated with the prevalence of Type 2 diabetes among African Americans aged 18 to 65 years in rural Southern United States, using the World Health Organization’s social determinants of health framework. Data from the 2019-2022 IPUMS National Health Interview Survey (N=793) were analyzed both descriptively and using multiple logistic regression …
The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka
The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka
Walden Dissertations and Doctoral Studies
As global aging trends and longer life expectancy encourage many seniors to seek meaningful engagement through volunteering, this research examined how such activities influence their perceptions and experiences. While much of the existing literature on volunteering in later life has concentrated on individuals involved in local community service, little research has addressed what motivates seniors to volunteer abroad. The purpose of this qualitative study was to examine the perceptions and lived experiences of German volunteers aged 55 or older in development service in Tanzania and the influence of these experiences on their lives. The theoretical framework examined the guiding approaches …
Child Poverty: Understanding The Emotional Labor Of Social Work Professionals, Aamir Terry
Child Poverty: Understanding The Emotional Labor Of Social Work Professionals, Aamir Terry
Walden Dissertations and Doctoral Studies
Child Poverty: Understanding the Emotional Labor of Social Work Professionals by Aamir Terry MSW, Walden University 2019 BS, Central State University 2008 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Social Work Walden University November 2025
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the incidence of central line-associated bloodstream infections (CLABSI) in the Pediatric Intensive Care Unit (PICU) by educating clinical staff on the importance of hand hygiene and bundle compliance. Despite established guidelines, CLABSI remains a significant issue in healthcare, particularly in PICUs, where patients are at higher risk for infections. The practice-focused question guiding the project was: How does staff education on hand hygiene and CLABSI bundle compliance impact the prevention of CLABSI in the PICU? Twenty-five PICU nurses participated in the educational sessions. Analytical strategies included pretests and …
Reduce Readmission Among Patients Within 60 Days Of Discharge In A Behavioral Health Unit, Iretioluwa Emmanuella Adeniran-Adetoye
Reduce Readmission Among Patients Within 60 Days Of Discharge In A Behavioral Health Unit, Iretioluwa Emmanuella Adeniran-Adetoye
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on a staff education initiative to reduce 60-day readmission rates in a behavioral health unit within a hospital. The project was staff focused, emphasizing the provision of training to the nursing staff to effectively design the discharge planning of patients by actively involving them in the discharge plans. The purpose was to provide nurses with the necessary skills and knowledge to strengthen discharge planning and directly influence patient outcomes. Addressing the practice problem was an urgent need because patients in the behavioral health unit were at increased risk of readmission. The main factors …