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Leadership Practices And Their Influence On Employee Retention And Productivity In Group Homes, Tolif Bekele Gemechu
Leadership Practices And Their Influence On Employee Retention And Productivity In Group Homes, Tolif Bekele Gemechu
Walden Dissertations and Doctoral Studies
Employee retention and workforce productivity have consistently challenged residential group homes serving adults with intellectual and developmental disabilities, reducing continuity of care, increasing costs, and limiting organizational effectiveness. This qualitative case study explored how leadership practices influenced employee retention, workforce productivity, and alignment with the Baldrige Excellence Framework. The study was guided by three research questions addressing leadership practices, employee engagement and retention, workforce productivity, and organizational alignment. Data were collected through semi-structured interviews with 12 DSPs and leaders and analysis of organizational documents, workforce records, policies, and procedures. Thematic analysis using NVivo software was conducted, with trustworthiness established through …
Registered Nurses’ Perceptions Of Relational Service Behaviors In Nursing Practice, Dadakpoye Tina Johnson
Registered Nurses’ Perceptions Of Relational Service Behaviors In Nursing Practice, Dadakpoye Tina Johnson
Walden Dissertations and Doctoral Studies
Nurses play a central role in shaping patient experiences through clinical care and relational service behaviors. However, little is known about registered nurses’ perceptions and experiences of relational service behaviors in contemporary health care settings. The purpose of this interpretive description qualitative study was to explore registered nurses’ perceptions and experiences of relational service behaviors and their role in promoting patient-centered care. Herzberg’s two-factor theory provided the conceptual framework for examining how intrinsic motivators and extrinsic workplace factors influence relational engagement. Semistructured interviews were conducted with 11 registered nurses from diverse clinical practice settings. Interview data were analyzed using Braun …
Staff Education To Improve Healthcare Staff Knowledge Of An Electronic Scheduling System In An Intensive Outpatient Program (Iop), Catherine Kinyili
Staff Education To Improve Healthcare Staff Knowledge Of An Electronic Scheduling System In An Intensive Outpatient Program (Iop), Catherine Kinyili
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project aimed to improve staff knowledge of the newly implemented electronic scheduling and booking kiosk system. A transition from a paper-based to an electronic scheduling system led to reduced staff efficiency, communication challenges, scheduling errors, and delays in patient care. An evaluation identified inconsistent staff knowledge of the newly implemented electronic scheduling system. The practice-focused question for the project was: Among healthcare staff in an intensive outpatient program, how does a one-time structured education and training session affect staff knowledge of a new electronic scheduling system? The purpose of this project was to …
Implementation Of A Discharge Planning Protocol, Sylvia Ngwikooh Forku
Implementation Of A Discharge Planning Protocol, Sylvia Ngwikooh Forku
Walden Dissertations and Doctoral Studies
This doctoral project was a nursing led quality improvement initiative focused on standardizing discharge planning on an adult inpatient psychiatric unit. The goal of the project was to strengthen evidence-based, person-centered transitions of care to reduce readmissions and promote safer community reintegration for adults with serious mental illness. The practice focused question guiding this project was whether implementing an evidence based, standardized discharge planning protocol on an adult inpatient psychiatric unit would improve staff knowledge and adherence to best practice discharge elements and contribute to a favorable decrease in 30-day readmission rates. Analytical strategies included descriptive analysis of pre and …
Experiences Of African American Male Foster Care Alumni And How Mentoring Links To Academic Achievement, Tenaya Wade
Experiences Of African American Male Foster Care Alumni And How Mentoring Links To Academic Achievement, Tenaya Wade
Walden Dissertations and Doctoral Studies
This study explored how mentoring was perceived in the educational experiences of African American male foster care alumni who completed college. African American males with foster care histories often face significant adversity, including placement instability, disrupted educational experiences, and limited access to consistent support systems. Although these challenges are well documented, less is known about how supportive mentoring relationships may contribute to academic persistence and success. A generic qualitative framework was used to gather participant perspectives through semi-structured interviews. Four African American male foster care alumni aged 22 to 41 who had earned a college degree participated in the study. …
The Association Of Age, Race, And Gender And Novel Interventions In The Prevention Of Catheter-Associated Urinary Tract Infection, In Washington State, Lamin Darboe
Walden Dissertations and Doctoral Studies
Delayed removal of indwelling urinary catheters (IUCs) contributes to catheter-associated urinary tract infections, a leading healthcare-associated infection. A dot/smart-phrase communication tool, guided by the Health Belief Model construct of cues to action, to promote timely IUC removal interventions was evaluated in this quantitative, cross-sectional study. Secondary data from N = 372 adult patients with acute urinary retention in acute and critical care settings in Washington State were analyzed using SPSS Version 30. Binary logistic regression examined relationships among demographic variables, intervention-related factors (adherence within 48 hours, cosignature within 24 hours, and secure chat communication), and clinical outcomes (IUC removal and/or …
Exploring The Perspectives Of Individuals Who Were Formerly Incarcerated To Determine The Barriers And Facilitators To Successful Reentry Programs In Maryland, Ansu Sawi Momoh
Walden Dissertations and Doctoral Studies
Due to persistently high rates of incarceration and recidivism, the Maryland Department of Public Safety and Correctional Services developed policies and programs geared towards reducing recidivism. Existing literature indicated that successful reentry depends on access to coordinated support services, there was a lack of qualitative studies that explored the perspectives of individuals who were formerly incarcerated, specifically in the state of Maryland. The purpose of this generic qualitative research was to understand the reentry process from the perspective of 12 individuals who were formerly incarcerated. Semi structured interviews were used to explore the barriers and facilitators within the re-entry programs …
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Walden Dissertations and Doctoral Studies
Employee retention challenges continue to affect the operational sustainability of hair salons. Hair salon owners and leaders are concerned about employee retention because it directly affects their ability to sustain business operations. Grounded in Wayne McPhee’s sustainable activity model, the purpose of this qualitative pragmatic inquiry was to explore the strategies hair salon owners and leaders used to retain employees and sustain business operations. Participants included eight hair salon owners or leaders who had successfully retained employees and sustained business operations for at least 5 years. Data from semistructured interviews with the participants were analyzed using Braun and Clarke’s six-step …
The Experience Of Sleep And Academic Performance Among African American College Students: A Case Study, Jamean Alma Alexander
The Experience Of Sleep And Academic Performance Among African American College Students: A Case Study, Jamean Alma Alexander
Walden Dissertations and Doctoral Studies
The transition to college presents significant challenges for African American college students, particularly in developing effective study habits and maintaining healthy sleep behaviors that support academic success. Despite growing evidence linking sleep and academic performance, limited research has explored how African American students attending historically Black colleges and universities (HBCUs) perceive these experiences. The purpose of this qualitative case study was to explore the perceptions and experiences of African American college students regarding sleep habits, study habits, and academic performance. Guided by three research questions, data were collected through semi structured interviews with 12 African American students attending HBCUs in …
Effective Strategies Human Resource Business Leaders Use To Decrease Employee Turnover, Dorothy Norton
Effective Strategies Human Resource Business Leaders Use To Decrease Employee Turnover, Dorothy Norton
Walden Dissertations and Doctoral Studies
Employee turnover continues to be a widespread organizational challenge because it increases recruitment and training costs, disrupts productivity, and negatively affects organizational performance and sustainability. The research problem was that some business leaders lack effective strategies to reduce employee turnover. The purpose of this qualitative pragmatic inquiry project was to explore strategies business leaders use to reduce employee turnover. Herzberg’s two-factor theory served as the conceptual framework for the study. The participants were six business leaders with responsibility for employee retention who successfully implemented employee retention strategies. Data were gathered through semistructured interviews and analyzed using Braun and Clarke’s reflexive …
Staff Education To Nurses On Trauma-Informed Care, Lorna Sackey
Staff Education To Nurses On Trauma-Informed Care, Lorna Sackey
Walden Dissertations and Doctoral Studies
Many nurses receive little formal instruction about trauma-informed principles and their practical application in behavioral health settings. To address this practice gap, the project implemented a staff education program for staff at an intensive outpatient program (IOP) and a partial hospitalization program (PHP) located in a northeastern state. The aim was to increase staff knowledge and confidence in trauma-informed principles within clinical practice. The education program emphasized the relevance of trauma-informed care (TIC) in outpatient behavioral health settings, its principles, and its application in nursing assessments, therapeutic communication, and patient interactions. A pretest and posttest questionnaire consisted of 12 multiple-choice …
Understanding Relapse And The Correlation With Group Counseling Accountability, Attendance, And Attitudes, Willie Sanders
Understanding Relapse And The Correlation With Group Counseling Accountability, Attendance, And Attitudes, Willie Sanders
Walden Dissertations and Doctoral Studies
Substance abuse continues to create significant personal, family, and legal challenges, yet limited research exists on mandated clients receiving counseling within rural municipal court systems. Studying factors associated with relapse allows counselors and counselor educators to develop interventions to prevent relapse and improve treatment outcomes. The purpose of this quantitative study was to investigate the relationship between group counseling attributes of attendance, accountability, attitudes and the level of relapse rates among rural municipal court clients in Columbus, Mississippi, as measured by the DEF, Subtle, Face Valid Alcohol, Face Valid Other Drugs, and the OAT Scales of the SASSI-4 Assessment. Theoretical …
Treatment Alternatives To Incarceration Program (Taip) Counselor’S Perceptions Of The Effectiveness Of Taip Within West Texas, Patricia Arenas
Treatment Alternatives To Incarceration Program (Taip) Counselor’S Perceptions Of The Effectiveness Of Taip Within West Texas, Patricia Arenas
Walden Dissertations and Doctoral Studies
Substance abuse remains a major challenge in the U.S. probation system, as recidivism persists despite specialized treatment programs such as the Treatment Alternatives to Incarceration Program (TAIP) available in Texas. This issue matters to policymakers, judges, community supervision officers, TAIP administrators, treatment providers, and local communities because decisions about funding, supervision, sanctions, coordination, and service delivery affect rehabilitation outcomes, public safety, and reoffending. This transcendental phenomenological study explored TAIP counselors’ perceptions of the program’s effectiveness in treating substance abuse offenders and reducing recidivism in West Texas. Guided by Husserl’s phenomenology, data were collected through semi structured interviews with four TAIP …
Impact Of Ownership Change, Administrator Turnover, And Registered Nurse Turnover On Operational Outcomes In Nursing Homes, Tanveer Dhaliwal
Impact Of Ownership Change, Administrator Turnover, And Registered Nurse Turnover On Operational Outcomes In Nursing Homes, Tanveer Dhaliwal
Walden Dissertations and Doctoral Studies
Nursing homes frequently experience leadership and structural disruptions that affect facility performance. The purpose of this quantitative correlational study using archival data was to examine the extent to which ownership change, administrator turnover, and registered nurse turnover predict operational outcomes in U.S. nursing homes. Four Centers for Medicare & Medicaid Services (CMS) measures represented indicators of operational outcomes: (a) staffing rating, (b) rating cycle 1 total health deficiencies, (c) number of fines, and (d) total weighted health survey score. Resource dependence theory and transaction cost economics served as the theoretical foundation. Data from July 2025 CMS public files (N = …
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Walden Dissertations and Doctoral Studies
The utilization of substance use disorder (SUD) screening tools at the practice site was inconsistent, contributing to limited identification and diagnosis of SUDs. The project was conducted at a psychiatric outpatient clinic in an urban region of Maryland that serves many patients with co-occurring mental health and substance use disorders. The purpose of the project was to develop, implement, and evaluate a staff education program focused on the Drug Abuse Screening Test (DAST-10). The primary goal was to improve staff knowledge and understanding of the DAST-10 screening tool. A 14-item multiple-choice questionnaire was administered before and after the educational intervention …
Staff Education To Improve Confidence Of Triage Decision-Making In Hospice After-Hours Care, Kelly Hurst
Staff Education To Improve Confidence Of Triage Decision-Making In Hospice After-Hours Care, Kelly Hurst
Walden Dissertations and Doctoral Studies
A quality improvement project addressed variability in after-hours hospice telephone triage through implementation of structured communication and symptom-based decision-support tools. The practice-focused question examined hospice triage nurses’ perceived confidence following implementation of these tools. A descriptive quality improvement design was used. Five hospice triage nurses received education on the CALMER communication technique and symptom-specific decision-support guides for anxiety and dyspnea. Outcomes were evaluated through a postimplementation survey assessing confidence, tool utilization, intervention perceptions, and practice recommendations. Quantitative responses were summarized using descriptive statistics, and qualitative responses were reviewed for themes. All participants reported high baseline confidence in hospice telephone triage. …
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Walden Dissertations and Doctoral Studies
Pulmonary hypertension (PH) is a progressive, life-limiting disease that significantly affects quality-of-life (QoL). Limited research has explored lived experiences of individuals with PH. Guided by Parse’s human becoming theory, this qualitative descriptive phenomenological study explored the lived experiences of individuals affected by PH and examined how activity-induced respiratory distress affected QoL. The research Question was: How do individuals with PH describe the impact of activity-induced respiratory distress on their QoL. I conducted interviews with nine participants, including eight adults diagnosed with PH and one caregiver of an individual with PH. Data were analyzed using Saldaña's comparative coding framework to identify …
Licensed Counselors’ Meaning-Making Of Debriefing Experiences Following Client Crises In Community Mental Health Centers, Donna Howard
Licensed Counselors’ Meaning-Making Of Debriefing Experiences Following Client Crises In Community Mental Health Centers, Donna Howard
Walden Dissertations and Doctoral Studies
Licensed professional counselors working in community mental health centers (CMHCs) frequently respond to client crises; however, little was known about how they understand and make meaning of debriefing following those events. The purpose of this qualitative interpretative phenomenological analysis (IPA) study was to explore counselors’ meaning-making of debriefing following client crises in CMHCs. Guided by IPA and grounded in phenomenology and hermeneutics, data were collected through semistructured interviews with five licensed professional counselors who had at least 5 years of CMHC experience, participated in postcrisis debriefing, and graduated from programs accredited by the Council for the Accreditation of Counseling and …
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Walden Dissertations and Doctoral Studies
Early childhood teachers are often the first to observe behaviors that could be a result of trauma. The problem that was addressed in this study is that preschool teachers are not adequately trained to effectively address the social, emotional, and academic needs of children who have experienced trauma. Framed by Bandura’s theory of self-efficacy, the purpose of this basic qualitative study was to explore preschool teachers’ preparedness and training needs to effectively respond to children who have experienced trauma. Data were collected through semistructured interviews with 10 general education preschool teachers, who have at least 2 years of teaching experience. …
Clinical Practice Guideline For Sepsis In Skilled Nursing Facility, Chinyere Okoroh
Clinical Practice Guideline For Sepsis In Skilled Nursing Facility, Chinyere Okoroh
Walden Dissertations and Doctoral Studies
Sepsis is a life-threatening condition that can rapidly lead to organ dysfunction, septic shock, and death if not recognized and treated early. Older adults in skilled nursing facilities (SNFs) are especially vulnerable because of age-related physiological changes, chronic conditions, weakened immunity, and increased exposure to infections. Consequently, sepsis remains a major cause of hospital readmissions, mortality, and healthcare utilization among SNF residents. The SNF serving as the site for this Doctor of Nursing Practice (DNP) project experienced increased hospital readmissions associated with recurrent sepsis, highlighting the need for a standardized, evidence-based approach to sepsis recognition and management. The practice-focused question …
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Walden Dissertations and Doctoral Studies
Polycystic ovary syndrome (PCOS) is an endocrine disorder leading to varied health complications, such as high blood pressure, Type 2 diabetes, infertility, and depression among women in the United States. Most studies have focused on managing the physical aspects of PCOS. Limited research to date has been conducted to determine the intrinsic and extrinsic motivation women living with PCOS harness to navigate the physical, psychosocial, and access to care in New Jersey, which are contributors to positive social change. This basic qualitative study utilized semistructured open-ended questions to determine the experiences and perspectives of women between the ages of 18 …
Antiterrorism Policies And Curbing Youth Involvement In Violent Extremism In Nigeria, Timothy Melaye
Antiterrorism Policies And Curbing Youth Involvement In Violent Extremism In Nigeria, Timothy Melaye
Walden Dissertations and Doctoral Studies
Nigeria continues to face significant challenges from extremist groups such as Boko Haram, unidentified militia groups, and bandits. The radicalization of youths has played a central role in the country's ongoing violent extremism and general insecurity. Efforts to curb youth radicalization remain largely unsuccessful and pose a major challenge in the country. The existing literature on curbing youth violent extremism focuses on the use of force, while other scholars argue for a complex interplay among economic, social, political, and environmental factors. They also considered that high illiteracy, lack of religious understanding, poverty, unemployment, psychological factors, and unstable family environments contribute …
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Walden Dissertations and Doctoral Studies
Staff Education to Primary Care Staff About the Standardized Asthma Control Test by Paulina Asiedu Walden University, 2026. Background Inconsistent primary care asthma tracking leads to reactive management and avoidable emergency utilization. At a Minnesota community clinic, baseline electronic health record (EHR) audits revealed validated Asthma Control Test (ACT) scores were documented in only 5% of eligible encounters, driving a 12% emergency department utilization rate. Purpose & Methods This Doctor of Nursing Practice quality improvement project evaluated whether educating primary care staff on a standardized ACT protocol improved clinical knowledge, behavioral intent, and documentation compliance. Using ADDIE and ADKAR change …
Strategies Health Care Leaders Use To Employ Ai-Supported Data-Driven Decision-Making To Increase Profitability, Lacurisia Harrison
Strategies Health Care Leaders Use To Employ Ai-Supported Data-Driven Decision-Making To Increase Profitability, Lacurisia Harrison
Walden Dissertations and Doctoral Studies
Strategies Health Care Leaders Use to Employ AI-Supported Data-Driven Decision-Making to Increase Profitability by LaCurisia Harrison MS, Alabama A&M University, 2023 BS, Alabama A&M University, 2021 Qualitative Pragmatic Inquiry Business Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2026
Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber
Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber
Walden Dissertations and Doctoral Studies
Social and economic disparities in the Midwestern Reservation Community have persisted for more than five decades despite the enactment of federal Indian policy designed to address them. Based on the existing research, the Bureau of Indian Affairs’ (BIA’s) failure to effectively administer programs addressing health care, housing, and economic opportunity has perpetuated systemic inequities that disproportionately affect tribal nation members. The purpose of this generic qualitative study was to explore how members of the Midwestern Reservation Community viewed the implementation of BIA public policies intended to support tribal nations through the lens of the resource dependence theory, the narrative policy …
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Walden Dissertations and Doctoral Studies
Food insecurity is an emerging public health issue impacting collegiate student-athletes enrolled at Historically Black Universities (HBUs). Recent research revealed that 63% of football players have reported some form of food insecurity which disproportionately impacts Black athletes at higher rates. The purpose of this qualitative study was to explore the lived experiences and dietary behaviors of freshman male collegiate student-athletes who lacked access to food despite receiving athletic scholarships in a publicly funded HBU in Maryland. The research questions for this qualitative study focused on exploring the lived experiencing of Black male athletes who were experiencing food insecurity at an …
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on developing and validating a clinical practice guideline (CPG) to improve the early identification of chronic kidney disease (CKD) among at-risk adults in a primary care practice. The project addressed a site-specific practice gap involving the inconsistent use of evidence-based CKD screening, particularly estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR) testing, which may delay diagnosis and treatment (Kidney Disease: Improving Global Outcomes [KDIGO] CKD Work Group, 2024). The purpose of this project was to develop an evidence-based CPG and evaluate its quality using the Appraisal of Guidelines for Research and …
The Association Between The 24-Hour Activity Cycle And Academic Performance Of Online Graduate Students In The United States, Alia Ouali
Walden Dissertations and Doctoral Studies
Online graduate students are a growing population in higher education. Nevertheless, only a few studies have investigated the associations between their academic performance (AP) and movement behaviors—physical activity (PA), sedentary behavior (SB), and sleep quality (SQ). Guided by the 24‑hour activity cycle framework and social cognitive theory, the purpose of this quantitative cross‑sectional study was to explore these relationships among online graduate students in the United States and examine how self-efficacy (SE) and social determinants of health (SDOH) influence them. The online survey, which included validated scales for all constructs, yielded 403 complete responses. AP showed a significant positive association …
A Soft-Skilled Leadership Development Course For New Nurse Managers, Kiadrick Roshelle Hood
A Soft-Skilled Leadership Development Course For New Nurse Managers, Kiadrick Roshelle Hood
Walden Dissertations and Doctoral Studies
New nurse managers are stepping into leadership roles without structured training. While organizations offer various onboarding courses for managers transitioning into new management roles, few have implemented a structured, evidence-based program focused on leadership development, particularly in the soft leadership skills needed to lead a diverse workforce. I designed this staff education project to determine whether implementation of a leadership development course focused on time management, prioritization, and delegation would improve new nurse managers’ self-perception of these leadership skills. To address this gap, I developed a 1-day leadership development course to introduce tools to improve new nurse managers’ time management, …
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
Walden Dissertations and Doctoral Studies
Fetal alcohol spectrum disorder (FASD) has been extensively studied in childhood and, more recently, in adulthood. However, little is known about how adults with FASD experience faith formation and spirituality. Spirituality has been recognized as a coping resource that promotes resilience and psychological well-being, yet these experiences remain largely unexplored among adults with FASD. The purpose of this study was to explore how adults with FASD describe their faith formation and spiritual experiences. Two research questions guided the study: How do adults with FASD describe their faith formation? and How do adults with FASD describe their spiritual experiences? James Fowler's …