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Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Walden Dissertations and Doctoral Studies
Summary This project was a clinical practice guideline (CPG) for practitioners who deliver healthcare services to patients living with mental health disorders. The practice problem addressed by this CPG was lack of mental health patient inclusion in terms of determining treatment plans of care. In back-to-back patient satisfaction surveys, patients indicated they would like to have more say in their treatment plans. The practice problem was important to increase patient input in clinical decision-making practices of practitioners. The project question was: Does evidence support development of a CPG for mental health patient-centered input regarding treatment plans of care that was …
Strategies Large Multinational Organizational Leaders Use To Retain And Motivate Employees To Increase Work Output, Dayten Adams
Strategies Large Multinational Organizational Leaders Use To Retain And Motivate Employees To Increase Work Output, Dayten Adams
Walden Dissertations and Doctoral Studies
Employee retention and motivation are critical to improving business outcomes. Business owners are concerned with retention because high turnover can negatively impact work output, productivity, and overall company performance, making it a key focus for improving long-term success. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that some large multinational organizational leaders in San Antonio, Texas use to retain and motivate employees to increase work output. Participants were four senior executives from large multinational corporations. Data were collected via semistructured interviews and a review of publicly available …
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Walden Dissertations and Doctoral Studies
Alzheimer’s disease-related dementia (ADRD) is a leading cause of death worldwide. There is a need to identify the link between modifiable risk factors and the association with ADRD mortality. This study addresses the disproportionately high burden of ADRD among African Americans, aiming to inform targeted prevention strategies and promote health equity. In this study, the longitudinal relationship between ADRD mortality and the presences of diabetes, smoking, and obesity among older African Americans residing in the United States was examined, while controlling for age, gender, education, and socioeconomic status. The biopsychosocial model served as the theoretical framework for this study. The …
Psychologists’ Diagnostic Decision Making In Adhd And Autism In Children, Donna Kelly
Psychologists’ Diagnostic Decision Making In Adhd And Autism In Children, Donna Kelly
Walden Dissertations and Doctoral Studies
The decision-making experiences of psychologists who diagnose children with attention deficit hyperactivity disorder (ADHD) and high-functioning autism referred to as autism spectrum disorder - level 1 (ASD-1) when symptoms of either one or both are present in children were explored in this hermeneutic phenomenological study. These two common neurodevelopmental disorders share characteristics and symptoms that could lead to diagnostic confusion. There has been an absence of research on psychologists’ experiences with diagnostic decision making since the publications of the Diagnostic and Statistical Manual of Mental Disorders-5. Exploration of psychologists’ diagnostic decision-making processes can aid in providing early intervention and accurate …
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Walden Dissertations and Doctoral Studies
This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Walden Dissertations and Doctoral Studies
The effects of substance abuse are a public health challenge, as evidenced by the prevalence of drug-related overdoses since the year 2000. Involuntary civil commitment (ICC) denotes a legal basis to mandate treatment for people at imminent risk of harm due to substance use disorders (SUD). Grounded on the transtheoretical model stages of change, this quantitative retrospective cohort study analyzed the relationship between mental disorder history, medication for addiction treatment (MAT), and voluntary retention in SUD treatment post-ICC, controlling for age, race/ethnicity, drugs used, housing status, and Department of Children and Families services. Secondary data from the Massachusetts Department of …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Walden Dissertations and Doctoral Studies
The goal of this initiative is to increase provider confidence, improve patient outcomes, and foster constructive societal change by teaching healthcare professionals how to prescribe benzodiazepines safely and effectively. Many doctors prescribe benzodiazepines to treat anxiety, sleeplessness, and seizures, but using them comes with serious hazards, such as dependence, withdrawal, and overdosing, particularly when taken with other drugs like opioids. Taking these concerns into consideration, my study intends to close gaps in prescribing practices by creating an evidence-based education program specifically designed for healthcare professionals. The course emphasizes effective prescribing techniques, methods for weaning chronic users, and benzodiazepine substitutes such …
Teachers’ Perceptions Of Secondary Teacher Turnover In The Western Caribbean, Sasha-Gaye Padara Belnavis
Teachers’ Perceptions Of Secondary Teacher Turnover In The Western Caribbean, Sasha-Gaye Padara Belnavis
Walden Dissertations and Doctoral Studies
In a Western Caribbean country, the problem was the high rate of teacher turnover in rural secondary schools in Grades 7-11. The gap in practice was that it is not known what factors contribute to high secondary teacher turnover and what supports may be needed to address the high teacher attrition rate in secondary schools in the study district. The purpose of this qualitative study was to explore secondary teachers’ perceptions of the factors contributing to teacher turnover and recommendations for reducing teacher turnover in a rural region of a country in the Caribbean. Using Maslow’s hierarchy of needs theory …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
How Sexual Assault Survivors Perceive Their Experiences With Victim Advocates, Stephanie Miller
How Sexual Assault Survivors Perceive Their Experiences With Victim Advocates, Stephanie Miller
Walden Dissertations and Doctoral Studies
Programs incorporating sexual assault victim advocates have become a prominent resource in assisting survivors gain access to necessary services to aid in their recovery. Although these efforts provide needed support to survivors, the programs are developed without the input of the survivors. This qualitative phenomenological study explored the relationship between victim advocates and survivors from the perspective of the survivor. Semistructured interviews were conducted with 13 sexual assault survivors regarding how they perceived their relationship with their advocates, what they experienced as helpful or not helpful in that relationship, and what they thought might improve that relationship. Thematic analysis was …
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Walden Dissertations and Doctoral Studies
Some physicians are not adequately prepared to develop the leadership skills necessary to drive effective transformation in the healthcare environment. The lack of strategies to develop these skills is a concern for both physicians and healthcare leaders, as physicians are critical stakeholders in leading healthcare transformation. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies physician leaders use to develop leadership skills to lead effective transformation in the healthcare environment. The participants included six physician leaders affiliated or employed with a leadership role in a healthcare organization in the United States. Data …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Walden Dissertations and Doctoral Studies
Medication nonadherence is a challenge among patients with severe mental health disorders, increasing the patients’ risk for exacerbations of psychosis and relapse, which may result in hospital emergency room visits and hospital admissions. In patients with schizophrenia, major depressive disorders, and bipolar disorders, the mean medication nonadherence is 49%. While no single strategy works, a combination of behavioral and educational strategies has been shown to improve patient adherence to their medication regimen. The purpose of the Doctor of Nursing Practice project was to increase healthcare professionals’ knowledge of behavioral and educational strategies to improve medication adherence among patients with severe …
Staff Education Program To Reduce Medication Noncompliance In Patients Diagnosed With Schizophrenia, Patience Madu
Staff Education Program To Reduce Medication Noncompliance In Patients Diagnosed With Schizophrenia, Patience Madu
Walden Dissertations and Doctoral Studies
Medication noncompliance is a significant challenge in managing schizophrenia, a chronic and severe mental health disorder characterized by symptoms such as delusions, hallucinations, disorganized thinking, and impaired functioning. Schizophrenia presents both positive symptoms, which involve exaggerated thoughts or behaviors, and negative symptoms, which reflect a lack of normal mental activity. Consistent medication management is important for stabilizing this condition. However, research shows that many patients with schizophrenia struggle with medication adherence. In this executive summary, I outline the staff education program I designed to equip mental health nurses with skills, knowledge, and strategies to address medication noncompliance. The practice-focused question …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Walden Dissertations and Doctoral Studies
Summary The persistent misdiagnosis of bipolar disorder in this psychiatric practice was thought to be due to the provider's lack of knowledge and confidence in using assessment tools. Rapid Mood Screener (RMS) is a validated brief screening tool that differentiates between bipolar disorder and unipolar depression. In this project, I educated outpatient psychiatric nurse practitioners and staff in using RMS. The project practice-focused question was: Will an educational intervention improve the knowledge and self-efficacy of the outpatient mental health providers and staff regarding using Rapid Mood Screener? I followed the ADDIE framework and incorporated Knowles' adult learning theory for the …
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Walden Dissertations and Doctoral Studies
The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Walden Dissertations and Doctoral Studies
Patients experiencing delirium are challenging for nurses, especially when aggressive behavior is also present. Nurses from all specialties have the potential to encounter patients who have or develop delirium during their hospitalization, particularly in the intensive care unit. Nurses may lack the experience needed to recognize impending aggression which often presents as subtle cognitive changes or do not know the proper way to manage these types of patients. This makes standardized guidelines crucial for the safety of both the nurse and the patient. This project addresses that practice gap through developing an evidence-based clinical practice guideline (CPG) that will help …
Strategies For Information Technology Managers To Mitigate Data Manipulation Challenges Within Healthcare Cloud, Oluwtosin Joseph Adeola
Strategies For Information Technology Managers To Mitigate Data Manipulation Challenges Within Healthcare Cloud, Oluwtosin Joseph Adeola
Walden Dissertations and Doctoral Studies
Healthcare information technology (IT) managers often lack effective protection strategies against cloud-based data manipulation, leaving their organizations vulnerable to significant financial, health, and privacy risks. Grounded in the technology threat avoidance theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare IT managers have to mitigate data manipulation that threatens data integrity related to the healthcare cloud. The participants were four IT managers of healthcare organizations in the Central Texas region of the United States who had strategies to mitigate data manipulation in the healthcare cloud. The data were collected using semistructured interviews and reviewing journals available …
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Walden Dissertations and Doctoral Studies
The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …
Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob
Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob
Walden Dissertations and Doctoral Studies
Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Walden Dissertations and Doctoral Studies
The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …
Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold
Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold
Walden Dissertations and Doctoral Studies
African American mothers have the highest infant mortality rate of any other racial group, in the United States. In Milwaukee, the rates for non-Hispanic African Americans were two to three times higher than those for non-Hispanic Whites and Hispanics between 2016 and 2018. According to the Wisconsin Department of Health Services in 2022, the infant mortality rate in 2021 was 12.9 for every 1,000 live births. This cross-sectional quantitative epidemiological study explores risk factors correlated with high infant mortality rates among Wisconsin African American mothers who gave birth to live infants between 2011 and 2021. To determine whether there is …
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Staff Education for Identifying and Screening of Depression Using an Appropriate Tool In the Crisis Stabilization Unit by Esther Chiedu MS, Walden University, 2023. BS, Madonna University, 2010. Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice. Walden University November 2024