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Walden Dissertations and Doctoral Studies

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Staff Education On Antihypertensive Medication Compliance Post-Stroke, Ernestina Serwaa Bonsu Nov 2024

Staff Education On Antihypertensive Medication Compliance Post-Stroke, Ernestina Serwaa Bonsu

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was staff education to address the practice problem of staff knowledge deficit related to hypertensive medications compliance for post-stroke patients. The practice question was: Will staff education on antihypertensive medication compliance enhance nursing staff knowledge? It is essential to address the practice problem and question within the context of nursing practice because studies have shown that targeted nursing education promotes patient adherence. Participants were 42 nurses from neurology units who were evaluated before and after face-to-face education sessions. Nurses completed a pre-education survey questionnaire first, followed by education sessions and a post-education survey …


Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob Nov 2024

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 To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur Nov 2024

Staff Education To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs) are a significant concern in healthcare, contributing to increased morbidity, mortality, and healthcare costs. Despite the effectiveness of hand hygiene in preventing HAIs, compliance among healthcare providers remains suboptimal. This Doctor of Nursing Practice (DNP) project aimed to evaluate whether an educational intervention could improve healthcare professionals’ knowledge and awareness of hand hygiene practices in a clinical setting. A convenience sample of 11 participants attended a 10-day educational intervention. Participants completed pretests and posttests to measure knowledge and awareness. The mean pretest score for knowledge was 8.73 (SD = 1.19), while the mean posttest score was 10.00 …


Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob Nov 2024

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 …


Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan Nov 2024

Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan

Walden Dissertations and Doctoral Studies

Summary Walden University College of Nursing This is to certify that the doctoral study by Lovester Duncan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Kristina Bohm, Committee Chairperson, Nursing Faculty Dr. Mary Martin, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The DNP project aimed to increase healthcare providers’ knowledge, awareness, and comfort with prescribing medication-Assisted Treatments (MATs). Inadequate treatment and higher overdose and death risks result from providers lacking experience with …


Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming Nov 2024

Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming

Walden Dissertations and Doctoral Studies

A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. …


Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas Nov 2024

Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas

Walden Dissertations and Doctoral Studies

Some Human Resource Managers (HRMs) and team leaders in customer service settings struggle to effectively implement conflict resolution strategies. HRMs are particularly concerned about the impact of unresolved conflicts, as they can lead to higher employee turnover. Grounded in emotional intelligence (EI), the purpose of this qualitative pragmatic inquiry study was to explore strategies that six HRMs in the United States use to retain customer service employees. Data were collected using semistructured interviews, public documents, websites, and professional artifacts that included direct involvement in managing teams within customer service settings. Through thematic analysis, four key themes were identified: conflict management …


Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block Nov 2024

Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block

Walden Dissertations and Doctoral Studies

Media attention on the fatal use of force by law enforcement personnel has worsened the divide amongst the police and minority communities, intensifying the lack of confidence between groups. Further research is called for to understand how the fatal use of force by law enforcement is influenced by officer race, suspect race, and characteristics of the alleged crime. Implicit bias theory and procedural justice theory were used as theoretical and conceptual frameworks. The three research questions examined the extent to which characteristics of the officer, characteristics of the alleged perpetrator, and circumstances of the homicide predicted (a) perpetrator mental illness, …


The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall Nov 2024

The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall

Walden Dissertations and Doctoral Studies

Call center organizations have become important contact centers for various fields to conduct customer service. Within the automotive industry, call centers are used for emergency roadside assistance. The customer service representatives who are responsible for handling roadside assistance may be managing various issues, including burnout, which may carry over into their performance and ability to properly service customers. The relationships between burnout and employee engagement for inbound emergency roadside assistance agents were not well understood. The purpose of this study was to examine the relationship between customer service representatives’ level of burnout and employee engagement. A quantitative, cross-sectional research design …


Manufacturing Organizations’ Effective Resilience Strategies For Mitigating The Effects Of Supply Chain Disruptions, Ernesto Barquet-Gonzalez Nov 2024

Manufacturing Organizations’ Effective Resilience Strategies For Mitigating The Effects Of Supply Chain Disruptions, Ernesto Barquet-Gonzalez

Walden Dissertations and Doctoral Studies

Supply chain disruptions have the potential to have a negative impact on organizations of all sizes and disciplines. Leaders in manufacturing organizations must learn how to adapt to mitigate the impact of supply chain disruptions on their firm’s performance. Grounded in the dynamic capabilities theory, the purpose of this qualitative multiple-case research project was to explore the strategies that leaders in manufacturing organizations use to mitigate the impact of supply chain disruptions on their organization’s profitability and market share. The participants were 15 leaders of manufacturing organizations from the United States with at least five years of experience in supply …


Acute Care Hospitalizations: Intentional Rounding And The Relationship To Patient Satisfaction, Ernestine Lucrecia Quick Nov 2024

Acute Care Hospitalizations: Intentional Rounding And The Relationship To Patient Satisfaction, Ernestine Lucrecia Quick

Walden Dissertations and Doctoral Studies

Patients evaluate their experiences to determine if they will allow hospitals to provide their needed health services. Patient experience scores are used by hospitals to assess patients’ feelings about their interactions with the health care team and providers, the hospital facilities, and their likelihood to recommend the hospital to others. The purpose of this quantitative study was to determine whether a significant difference existed in patient satisfaction between those receiving care in a North Carolina inpatient health system before and after implementing intentional rounding (IR). The three research questions addressed the independent variable by comparing Press Ganey survey data for …


Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett Nov 2024

Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett

Walden Dissertations and Doctoral Studies

Adults who identify as Christian often seek help within their religious communities for mental health issues. Research suggested that religious counseling services may discourage members from reporting mental health issues to traditional biomedical and psychological providers. The purpose of this quantitative study was to examine the extent to which people who identify as Christian in Southern California seek help outside of the Church and whether their help seeking is influenced by their religious attitudes and perceived fear of traditional psychological services. Southern California was chosen as it is where the Christian Counseling movement was started and has a large population …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos Nov 2024

Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos

Walden Dissertations and Doctoral Studies

The DNP project is a Clinical Practice Guideline (CPG) to guide nurses in performing end-of-shift reports at a Medical Center in the West Indies. The gap in practice identified is that nurses perform end-of-shift reporting without using a standardized document. This affects patient safety because the absence of a structured handover process disrupts the continuity of patient care and the transmission of vital patient data. The nurse administrator and general manager reported that many adverse events at the facility were related to miscommunication of information among nurses. The purpose of the project was to develop a CPG that nurses will …


Strategies To Enhance Financial Efficiency Of Small Businesses During Protracted Periods Of Economic Disruptions, Paul Juren Cunningham Nov 2024

Strategies To Enhance Financial Efficiency Of Small Businesses During Protracted Periods Of Economic Disruptions, Paul Juren Cunningham

Walden Dissertations and Doctoral Studies

Small business leaders without effective business strategies are at a higher risk of business failure. In fact, the majority of minority-operated businesses will fail within the first five years of operation because they lack sustainable business strategies. Grounded in the competitive advantage theory, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective strategies small minority-operated trucking business leaders could use to financially sustain their businesses during protracted periods of economic disruption. Participants were six business leaders of minority-operated trucking businesses who successfully sustained their businesses during protracted periods of economic disruption. Data were collected using …


Social Support, Employee Engagement, And Turnover Intention Of Hybrid Working Leaders In The Pharmaceutical Industry, Victoria Terrell Nov 2024

Social Support, Employee Engagement, And Turnover Intention Of Hybrid Working Leaders In The Pharmaceutical Industry, Victoria Terrell

Walden Dissertations and Doctoral Studies

Retaining leaders in the U.S. pharmaceutical industry is a challenge, and leadership attrition can negatively impact a company. Following the COVID-19 pandemic, hybrid work arrangements are used to retain leaders in the U.S. pharmaceutical industry, yet challenges exist with social support and employee engagement within hybrid work. The purpose of this quantitative, correlational study was to examine the relationships, if any, between social support, employee engagement, and turnover intentions among hybrid working leaders in the U.S. pharmaceutical industry. The job demands-resources model and the social exchange theory provided the study’s foundation. The study sample consisted of 245 leaders in middle-management …


Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo Nov 2024

Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo

Walden Dissertations and Doctoral Studies

The transition into nursing practice can be described as a phase that significantly impacts nurses’ professional development, quality of care, and attrition rates. Newly graduated registered nurses’ experiences during the transition into practice may be challenging and stressful, affect job satisfaction, attrition rates, and burnout. The purpose of this interpretive descriptive qualitative study, guided by Duchscher’s transition theory, was to describe the experiences of newly graduated registered nurses who report a successful transition into clinical practice in their first year postgraduation to identify what factors contribute to their success and retention. Nine newly graduated registered nurses, with 9-12 months of …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Perceptions Of Pre-Exposure Prophylaxis Among American Indians, William Joshua Johnson Nov 2024

Perceptions Of Pre-Exposure Prophylaxis Among American Indians, William Joshua Johnson

Walden Dissertations and Doctoral Studies

American Indians have seen a rise in the transmission of HIV infections compared to other racial and ethnic groups. Pre-exposure prophylaxis (PrEP), which is the use of antiviral medications to prevent HIV, there is insufficient literature to describe the acceptability, attitudes, or willingness to utilize PrEP by American Indians. The purpose of this descriptive qualitative study, guided by the health belief model, was to explore perceptions of PrEP among American Indians. Open-ended semi structured questions were used to interview eight participants to ascertain perceptions of PrEP to prevent HIV infections. Using coding and thematic analysis, four themes were identified: (a) …


Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips Nov 2024

Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips

Walden Dissertations and Doctoral Studies

Human resource (HR) business leaders who prioritize diversity, equity, and inclusion (DEI) champion a more dynamic and innovative workforce and alleviate labor turnover, a costly hindrance to growth. HR business leaders orchestrate these strategies, promoting an environment where diverse talents are valued and equitable opportunities abound, reducing labor turnover. Rooted in the social identity theory (SIT) and the Equity, Diversity, and Inclusion (EDI) framework, this qualitative pragmatic inquiry aimed to identify and explore effective strategies HR business leaders use to implement DEI initiatives that reduce employee turnover in the Southeast United States. The participants were seven HR business leaders in …


Successful Asian Immigrant Businesses’ Strategies, Claretta Taylor Stokes Nov 2024

Successful Asian Immigrant Businesses’ Strategies, Claretta Taylor Stokes

Walden Dissertations and Doctoral Studies

Asian immigrant entrepreneurs face significant challenges, including difficulties accessing capital and overcoming language barriers, which can lead to higher failure rates in some cases. To succeed, they must develop effective strategies and identify key resources to grow their businesses and mitigate the risk of failure. Grounded in stakeholder theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore the strategies used by Asian immigrant entrepreneurs in the Commonwealth of Massachusetts to expand and sustain their businesses beyond the five-year mark. The participants were nine immigrant entrepreneurs from the Commonwealth who successfully applied strategies that enabled their …


Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode Nov 2024

Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode

Walden Dissertations and Doctoral Studies

Although male breast cancer (MBC) is rare, affecting 2,000 men in the United States each year and comprising approximately 1% of all breast cancer diagnoses, mortality for those diagnosed with MBC is significantly higher than for women diagnosed with breast cancer. Recent research on the disparities in mortality rates between men and women revealed that there may be unexplained factors for the diagnostic disparities between men and women. Bandura’s (1986) SCT was used as the theoretical framework for this quantitative study.The purpose of this quantitative cross-sectional study was to determine whether there was an association between socioeconomic status, obesity, stage …


Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington Nov 2024

Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington

Walden Dissertations and Doctoral Studies

Simulation-based training is a key component of nursing education, providing immersive, hands-on experiences that enhance clinical skills in a controlled environment. In the local organization, leadership determined there was an underutilization of advanced simulation equipment stemming from a lack of standardized training among staff. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused on simulation improved competency among nurses at a local health care organization. To measure competency, 15 items from the Nurse Professional Competence Scale were used. Fifty-eight individuals were invited to participate in the educational intervention, and a …


Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal Nov 2024

Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal

Walden Dissertations and Doctoral Studies

This DNP project entails staff education regarding menopause hormonal use in a women's clinic. The practice problem was the lack of staff confidence regarding hormone use in menopausal women. It is essential to address the practice problem within the context of nursing practice because it can potentially enhance positive social change by addressing the healthcare needs of an underserved demographic. The project aimed to develop and deliver an education program regarding the care of menopausal women for staff members in the women's clinic. The project question was whether staff education regarding menopause hormonal use could increase confidence among staff in …


Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli Nov 2024

Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli

Walden Dissertations and Doctoral Studies

Eye movement desensitization and reprocessing (EMDR) is a short-term psychotherapy approach first introduced in 1987 by Francine Shapiro. Currently, EMDR is only a first-line treatment to relieve symptoms of post-traumatic stress disorder (PTSD). However, this treatment modality could be expanded to generalized anxiety disorder if additional research was available. Further, research has demonstrated the effectiveness of EMDR from a quantitative perspective; however, there has been scarce research supporting the use of EMDR as a first-line treatment approach from a qualitative perspective. This hermeneutic qualitative study aimed to explore the psychological and physiological effects of EMDR on the brain from a …


Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic Nov 2024

Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic

Walden Dissertations and Doctoral Studies

Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …


Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic Nov 2024

Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic

Walden Dissertations and Doctoral Studies

Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …


Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika Nov 2024

Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika

Walden Dissertations and Doctoral Studies

This quality improvement staff education Doctor of Nursing practice (DNP) project was implemented to address the quality issue related to medication nonadherence in patients with schizophrenia. Medication nonadherence is a major health issue facing psychiatric patients, with studies showing high rates of nonadherence among patients with schizophrenia. Nonadherence to treatment heightens the risk of relapse, rehospitalization, suicide, and early death. This staff education project focused on increasing the knowledge and attitudes of healthcare professionals about evidence-based strategies to improve medication adherence in patients with schizophrenia. Five nurses participated in the education program. The participants completed the pretest prior to participating …


Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic Nov 2024

Effective Strategies To Decrease Employee Turnover In The Aviation Industry, Jasmina Tabakovic

Walden Dissertations and Doctoral Studies

Employee turnover in the airline industry has been a timely and pressing problem. Some airline managers had not developed effective strategies to reduce employee turnover and mitigate turnover-related costs and organizational instability. Grounded in Herzberg et al.’s two-factor theory, the purpose of this qualitative pragmatic study was to explore effective strategies used by airline managers to reduce employee turnover and mitigate turnover-related costs and organizational instability. The participants were six airline managers in the United States who had developed effective strategies to minimize employee turnover and enhance organizational stability and profits. Data were collected using semi-structured interviews and publicly available …