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Walden Dissertations and Doctoral Studies

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Examining Security Measures And Best Practices In Large Hospital Systems For Implementing A Secure Telehealth Infrastructure, Justina Nwosu Ogbeifun Oct 2024

Examining Security Measures And Best Practices In Large Hospital Systems For Implementing A Secure Telehealth Infrastructure, Justina Nwosu Ogbeifun

Walden Dissertations and Doctoral Studies

Background: The rapid evolution of telehealth, especially during the COVID-19 pandemic, has brought significant challenges and opportunities to healthcare administration. This integrative review addresses the implementation of telehealth in large hospital systems, focusing on efficacy, security, and integration into healthcare. Purpose: To synthesize literature on telehealth implementation challenges, barriers, and best practices in large hospital systems, informing healthcare professionals and policymakers on optimizing telehealth services with a focus on security, privacy, and regulatory compliance. Method: A thorough literature search from 2018 to 2023 was conducted in databases such as PubMed, ScienceDirect, and CINAHL. The Johns Hopkins Nursing Evidence-Based Practice Model …


Improving Volunteers' Safety During The Covid-19 Pandemic, Dr. Laquetta Postell Oct 2024

Improving Volunteers' Safety During The Covid-19 Pandemic, Dr. Laquetta Postell

Walden Dissertations and Doctoral Studies

The onset of COVID-19 presented multiple challenges to both governmental and nongovernmental organizations. The selected study site is a nonprofit organization located in a major Southern US City. This organization shelters homeless men. The organization depended on volunteers' assistance in offering short-term and long-term solutions to provide clothing, cleaning, and shelter for homeless men. The organization was facing new challenges due to the onset of the COVID-19 pandemic. In this study, the complexities of the social, political, and economic challenges for volunteers during the pandemic were well explored. The nonprofit organization’s challenges were examined and recommendations to help the organization …


Empowering Change Through Raizal Perspectives On Prison Education In San Andrés Island, Sigifredo Castell Britton Oct 2024

Empowering Change Through Raizal Perspectives On Prison Education In San Andrés Island, Sigifredo Castell Britton

Walden Dissertations and Doctoral Studies

Raizal ex-offenders on San Andrés Island, Colombia, encounter significant challenges when reintegrating into their community, often compounded by ineffective prison education programs and the unique sociocultural dynamics of the Raizal community. While previous researchers have identified barriers to successful reintegration, a deeper understanding of the lived experiences of Raizal ex-offenders and the perspectives of community leaders is needed. This phenomenological study, guided by culturally responsive pedagogy and social disorganization theory, was conducted to explore these experiences and perspectives. Through semistructured interviews with 10 Raizal ex-offenders and 10 community leaders, data were collected to examine the effectiveness of current prison education …


Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais Oct 2024

Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais

Walden Dissertations and Doctoral Studies

Medication dispensing errors, which are the inconsistency between the dispensing of medication to the patient against the prescribed medication, continue to be a public health challenge. Many studies have been conducted to examine their causes, including burnout, illegible handwriting, workload, and interruptions. There have also been studies on the types of medication dispensing errors. This study focused on the reporting of errors. The purpose of this quantitative study involving secondary data analysis was to examine the factors affecting the quality of reporting dispensing errors among pharmacists and the seriousness of the adverse events. The social-ecological model served as the theoretical …


South Sudanese Females Refugees' Access And Enrolment Into U. S. Post-Secondary Education., Kual Ayai Oct 2024

South Sudanese Females Refugees' Access And Enrolment Into U. S. Post-Secondary Education., Kual Ayai

Walden Dissertations and Doctoral Studies

South Sudanese Females Refugees’ Access and Enrolment into U.S. Post-Secondary Education There are considerable challenges experienced by female South Sudanese refugees to access post-secondary education in the United States. Although these challenges are many, but little was known about their experiences to access and enrol into US post-secondary education. There has been a significant lack of research on how South Sudanese female refugees overcome these challenges to access and enrol in US secondary education. The purpose of this phenomenological qualitative study was to gain a deeper understanding of the challenges experienced by South Sudanese female refugees to access and enrol …


Effective Financing Strategies For Small And Medium Enterprises In Sub-Saharan Africa, Samsideen Niyi Adegboyega Oct 2024

Effective Financing Strategies For Small And Medium Enterprises In Sub-Saharan Africa, Samsideen Niyi Adegboyega

Walden Dissertations and Doctoral Studies

Limited access to finance is a significant cause of failure of small and medium enterprises (SMEs), impeding their ability to reach their full potential and contributing to a high business failure rate, a significant concern of SME leaders. Grounded in resource-based theory, the purpose of this qualitative case study was to identify and explore effective financial strategies some sub-Saharan African SME leaders use to access capital to grow and sustain their business beyond 5 years. The participants were eight SME owners in Lagos, Nigeria, who effectively used financial strategies to grow and sustain their businesses over 5 years. Data were …


Effective Corporate Social Responsibility And Environmental, Social, And Governance Incorporation Strategies, Dorathy Okeke-Okiche Oct 2024

Effective Corporate Social Responsibility And Environmental, Social, And Governance Incorporation Strategies, Dorathy Okeke-Okiche

Walden Dissertations and Doctoral Studies

Failure to develop and implement effective strategies for integrating corporate social responsibility (CSR) and environmental, social, and governance (ESG) initiatives to manage economic risks can lead to reputational damage and hinder the ability to attract investors, customers, and talent. Organizational leaders of small and medium-sized enterprises (SMEs) need to adopt effective strategies to incorporate CSR and ESG initiatives to mitigate economic risks. Grounded in stakeholder theory and triple bottom line framework, the purpose of this qualitative pragmatic inquiry study was to explore the effective strategies employed by business leaders of SMEs to incorporate CSR and ESG initiatives for managing economic …


Strategies Healthcare Leaders Use To Improve Patient Experience To Enhance Hospital Performance, Cenethea Lofbom Oct 2024

Strategies Healthcare Leaders Use To Improve Patient Experience To Enhance Hospital Performance, Cenethea Lofbom

Walden Dissertations and Doctoral Studies

Healthcare leaders in the United States are confronted with challenges related to patient experience and overall hospital performance. Concerns about poor patient experiences are linked to suboptimal clinical outcomes and diminished business performance within the healthcare environment. Grounded in the appreciative inquiry theory, the purpose of this qualitative pragmatic inquiry was to explore the effective strategies that healthcare leaders in U.S. hospitals providing acute inpatient care used to improve patient experience and enhance hospital performance. The participants were five healthcare leaders from the Midwest, Southeast, Southwest, and Western regions of the United States, each with a record of successfully implementing …


A Qualitative Examination Of Factors Potentially Impacting Displacement Of Historically Black Communities, Daffney Moore Oct 2024

A Qualitative Examination Of Factors Potentially Impacting Displacement Of Historically Black Communities, Daffney Moore

Walden Dissertations and Doctoral Studies

Historically, Black communities have often been discussed in the context of crime and poverty; however, most Black communities were flourishing neighborhoods with businesses, churches, and schools. Most of the literature related to gentrification and displacement does not address the root causes of the disappearance of Black communities, which generally centers on policies, legislation, force-outs, economic development, and racial disparities. This case study aimed to explore the displacement of a suburban historically Black community in St. Louis County, Missouri. Scholars have scarcely examined or written about the history of Black communities. The research question sought to explore the impact of displacement …


The Mediating Role Of Happiness On Marital Satisfaction In Couples Experiencing Mental Health Challenges, Stacey Stafford Oct 2024

The Mediating Role Of Happiness On Marital Satisfaction In Couples Experiencing Mental Health Challenges, Stacey Stafford

Walden Dissertations and Doctoral Studies

While extensive research has examined the impact of mental health challenges on academic and occupational functioning, the effect on marital satisfaction remains underexplored in the literature. Previous studies indicate robust correlations between happiness and mental health, but the specific mediating role of happiness in couples with mental health issues is unaddressed. This archival quantitative study, grounded in Bowen family systems theory, addressed happiness's mediating role on marital satisfaction in couples facing mental health challenges. Using data from the 2018 General Social Survey, this study analyzed a sample of married adults (N = 938) to explore whether happiness mediated the relationship …


Ceo Compensation, Financial Performance, And Donor Contributions In Nonprofit Hospitals, Caprina Poindexter Beal Oct 2024

Ceo Compensation, Financial Performance, And Donor Contributions In Nonprofit Hospitals, Caprina Poindexter Beal

Walden Dissertations and Doctoral Studies

Excessive chief executive offer (CEO) benefits in nonprofit health care organizations can raise ethical concerns when donor funds are diverted from mission-driven programs, potentially diminishing trust among donors and the community. Business leaders need to understand that CEO compensation is a leading indicator of donor investment. Grounded in agency theory, the purpose of this quantitative correlational study was to examine the relationship between CEO compensation, firm performance, and donor contributions. Participants in the study consisted of 110 nonprofit acute care hospitals located in the Southeastern United States. Data were collected from the American Hospital Association’s Annual Survey, National Center for …


Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi Oct 2024

Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi

Walden Dissertations and Doctoral Studies

Exposure to high levels of fine particulate matter (PM2.5) is emerging as a crucial risk factor for chronic obstructive pulmonary disease (COPD), a deadly lung disease with a significant public health burden. The Fairbanks North Star Borough (FNSB) in Alaska has one of the worst PM2.5 issues in the United States. The PM2.5 issues in the area are associated with increased wood-burning and temperature inversions in the winter and wildfires in the summer. Given these prevailing PM2.5 issues, this quantitative study was conducted using Alaska BRFSS datasets and a chi-square test to compare the COPD prevalence in the FNSB with …


The Relationship Between The Online English Ii Credit Recovery Score And The Florida Standards Assessment English Language Arts Score, Kerris A. Satchell Oct 2024

The Relationship Between The Online English Ii Credit Recovery Score And The Florida Standards Assessment English Language Arts Score, Kerris A. Satchell

Walden Dissertations and Doctoral Studies

Online credit recovery (OCR) allows US students at risk of dropping out of school to retake courses to meet graduation requirements and eventually graduate from high school. The problem addressed in this study is that despite participating in online English II credit recovery (ELA II OCR), students in a rural school district in North Florida still had a high failure rate on the Florida Standards Assessment English Language Arts (FSA-ELA) exam. This quantitative project study aimed to determine whether there was a relationship between ELA II OCR and FSA-ELA scores using deidentified archival data provided by the local school district’s …


Latino Young Adults’ Experiences As Children And Adolescents With Incarcerated Parents, Anna Garcia Oct 2024

Latino Young Adults’ Experiences As Children And Adolescents With Incarcerated Parents, Anna Garcia

Walden Dissertations and Doctoral Studies

Parental incarceration has a significant impact on children’s and adolescents’ lives, including emotional and mental well-being, which can carry to their adulthood. Although parental incarceration has been researched, the lived experiences and mental health needs of Latino children and adolescents of incarcerated parents have not been explored. The purpose of this qualitative phenomenological study was to understand the recollections of young Latino adults about their lived experiences and mental health needs as children and adolescents with incarcerated parents. Data were collected through semistructured participant interviews with open-ended questions. Participants were 10 Latino young adults who had experienced having at least …


Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi Oct 2024

Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi

Walden Dissertations and Doctoral Studies

Since its global outbreak in 2022, the monkeypox (Mpox) virus has infected over 32,000 individuals in the United States, resulting in approximately 58 deaths. Although the JYNNEOS vaccine is effective at disease prevention, it has also been found to cause side effects, such as a disruption in daily activities and/or attendance at work or school. This quantitative, cross-sectional study was conducted to investigate whether differences existed in reactions to the Mpox vaccine, using secondary data from the Centers for Disease Control and Prevention’s V-safe Mpox survey. The two dependent variables were work/school absenteeism and disruption of daily activities, and the …


Inconsistent Implementation And Continuous Improvement Of Elementary School-Based Multi-Tiered System Of Supports, Cheryl Holbrook Barnett Oct 2024

Inconsistent Implementation And Continuous Improvement Of Elementary School-Based Multi-Tiered System Of Supports, Cheryl Holbrook Barnett

Walden Dissertations and Doctoral Studies

In a rural Georgia school district, the multi-tiered system of supports (MTSS) framework has been formally implemented and facilitated by system-level coordinators for a 4-year period. As the 2021–2022 school year started, the district began the process of transitioning the leadership of the MTSS process to individual school-level teams and administrators. The problem that was addressed through this study is the inconsistent implementation and continuous improvement of the MTSS framework along with the supports that are needed as the transition is made from system facilitation to school-based teams. The purpose of this qualitative study was to explore teacher and administrator …


College Readiness In Career And Technical Education Instruction During The Pandemic, Kenyetta A. Kendrick Oct 2024

College Readiness In Career And Technical Education Instruction During The Pandemic, Kenyetta A. Kendrick

Walden Dissertations and Doctoral Studies

College and career readiness (CCR) has become a priority in national education policy, leading to changes to CCR standards, practices, and measurements. In response to the COVID pandemic, school closings altered student engagement in career and technical education (CTE) courses. CTE teachers played a crucial role in providing CCR support to students by looking for ways to better align curriculum and engagement for successful transitions from high school to college. The purpose of this basic qualitative study was to examine how teachers’ implementation of college and career instruction in CTE courses was influenced by the pandemic. Conley’s college readiness framework …


Vaping Dangers In Colorado Adolescence, James Clay Willis Oct 2024

Vaping Dangers In Colorado Adolescence, James Clay Willis

Walden Dissertations and Doctoral Studies

In the last five years, the marketing of vaping and electronic cigarettes (‘e-cigarettes) has sky-rocketed among adolescents enrolled at middle school and high school campuses in the United States. In Colorado, the number of adolescents using vaping and e-cigarettes is at a high level. Colorado is seeing such high usage include because of appealing flavors, low cost, wide availability and discreet designs. For this study a quantitative secondary data analysis of the 2019 Healthy Kids Colorado Survey was conducted to investigate the effect of vaping and e-cigarette advertising on adolescents. The type of advertising (i.e., television, radio, and social media) …


Lived Experiences Of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry, Michael Leo Nosbisch Oct 2024

Lived Experiences Of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry, Michael Leo Nosbisch

Walden Dissertations and Doctoral Studies

Anesthesia provision combines dynamic medical decision-making with specialized clinical skill performance. The purpose of this study was to explore lived experiences of Certified Registered Nurse Anesthetists (CRNAs) regarding anesthesia provision. The lived experience of anesthesia provision (LEAP) involves what CRNAs experience while providing anesthesia as well as what they believe is most important in that phenomenon. Attitudes, understandings, and opinions (AUOs) held by CRNAs about anesthesia provision guide their intentional clinical behaviors. The Integrated Behavior Model (IBM) was the conceptual framework for this study. This behavioral model involves theoretical constructs that serve as determinants of behavioral intentions. The AUOs and …


The Impact Of Covid-19 Response Measures On The Mental Health And Well-Being Of Teachers At Predominately Black Schools, Llewellyn Cooper Oct 2024

The Impact Of Covid-19 Response Measures On The Mental Health And Well-Being Of Teachers At Predominately Black Schools, Llewellyn Cooper

Walden Dissertations and Doctoral Studies

Teachers in predominately Black schools had limited access to mental health resources during the COVID-19 pandemic. The purpose of this generic qualitative study was to explore how the response to COVID-19 affected the mental health and well-being (MHWB) of teachers at predominately Black schools during the pandemic to gain an in-depth understanding of their experiences regarding MHWB. The study participants were eight teachers at various schools in the state of Alabama. The goal was to understand how teachers experienced MHWB support during the COVID-19 pandemic, how teachers’ MHWB were affected when there were rapid adjustments to curricula changes, and how …


The Perspective Of Formerly Incarcerated African American Men During The Covid-19 Pandemic, Iyesha Shauntae' Franklin Oct 2024

The Perspective Of Formerly Incarcerated African American Men During The Covid-19 Pandemic, Iyesha Shauntae' Franklin

Walden Dissertations and Doctoral Studies

The confluence of two devastating circumstances—the COVID-19 pandemic and the crowded, insalubrious living conditions in American jails as a result of mass incarceration, brought about an epidemic of an unprecedented magnitude. The large jail population, highly susceptible to infections due to overcrowded conditions, experienced exponential spread of the virus. While earlier research examined unhealthy situations related to the prison environment and their effects on inmates, the focus of such studies was not typically major crises or disease outbreaks in prisons. This qualitative phenomenological study used 10 participants located in the southeastern United States as a case study to better understand …


Head Start Teachers’ And Administrators’ Perceptions Of Reasons For Elevated Teacher Turnover Rates, Amanda Renea Lankford Oct 2024

Head Start Teachers’ And Administrators’ Perceptions Of Reasons For Elevated Teacher Turnover Rates, Amanda Renea Lankford

Walden Dissertations and Doctoral Studies

Many Head Start programs have closed classrooms due to staff shortages, with up to 30% of teacher positions unfilled. Reducing the elevated teacher turnover rate in Head Start centers is critical to maintaining program effectiveness and controlling costs; however, a limiting factor may be differences in administrators’ and teachers’ perceptions of reasons Head Start teachers leave their positions. Guided by Herzberg’s two-factor theory, this qualitative study was conducted to explore perceptions of Head Start administrators, current teachers, and exiting teachers regarding reasons for the elevated teacher turnover rates in Head Start programs. Semistructured interviews with open-ended questions were conducted with …


The Relationship Between Parental Political Intensity And Gay Individuals' Mental Health, And The Moderation Of Parental Age, Aaron Whipple Oct 2024

The Relationship Between Parental Political Intensity And Gay Individuals' Mental Health, And The Moderation Of Parental Age, Aaron Whipple

Walden Dissertations and Doctoral Studies

During periods of heightened political intensity, gay individuals experience increases in discrimination and prejudice, impacting their mental health, making the need for advocacy and support, particularly from parents and guardians, vital. Recent research shows that parent–child relationships can be heavily influenced by politics and the intensity of their political beliefs. Historically, conservative views have been associated with anti-gay sentiment, which can exacerbate gay individuals’ mental health, leading to familial discord, depression, self-harm, and suicide, whereas liberal views have been associated with supporting gay rights and decreasing mental health disparities. However, prior research has not explored the specific role of parental …


Evaluation Of An Educational Intervention Focused On Intake And Output Documentation, Ingrid Lea Bloomfield Oct 2024

Evaluation Of An Educational Intervention Focused On Intake And Output Documentation, Ingrid Lea Bloomfield

Walden Dissertations and Doctoral Studies

Heart failure (HF) is the primary reason for hospital admissions in the United States, accounting for almost 6.5 million hospital days per year and for 8.5% of cardiovascular deaths. As part of care delivery and supported by the evidence, providers use intake and output (I&O) to guide a HF patient’s overall treatment plan. Following several reviews in the local organization, it was determined that I&O documentation sheets were incomplete or not completed at all. Thus, organizational leadership determined that an educational intervention focused on I&O monitoring and documentation as part of the HF patient treatment plan would address this gap-in-practice. …


Categorical Differences: Social Identity Heuristics Predict Differences In Cognitive Empathy, Corey Ronald Sims Oct 2024

Categorical Differences: Social Identity Heuristics Predict Differences In Cognitive Empathy, Corey Ronald Sims

Walden Dissertations and Doctoral Studies

The current study aimed to identify if there was a relationship between cross-ethnic racial identity and cognitive empathy for others and whether social and personal identities mediated this effect. Self-categorization theory was used as the theoretical framework. In this study, it was hypothesized that cross-ethnic racial identity significantly predicts empathic accuracy, and that social and personal identities mediate this relationship. A non-experimental, researcher-designed survey was used to collect participant data and demographic characteristics. Participant inclusion criteria were an age between 18 and 55, U.S. citizenship, and a self-identification as Asian American, Black American, Hispanic American, or White American. The Cross-Ethnic …


Replacing Traditional Labs With Virtual Labs For First-Year Biology Nonmajors, Tyjuanna R. Strickland Labennett Oct 2024

Replacing Traditional Labs With Virtual Labs For First-Year Biology Nonmajors, Tyjuanna R. Strickland Labennett

Walden Dissertations and Doctoral Studies

The problem addressed through this study was the absence of a critical examination of laboratory exercises used with first-year nonbiology majors and the deployment of virtual laboratories in the biology department at the project site university without critical analyses associated with the efficacy of virtual labs. Grounded in Mayer’s cognitive theory of multimedia learning, this quantitative, correlational study was conducted to investigate the comparative effectiveness of virtual versus traditional face-to-face (F2F) laboratories for first-year nonbiology majors as measured by final course grade. A cohort of 184 students in an introductory biology course for non-majors formed the dataset, procured from the …


Executive Summary: Clinical Practice Guideline, Bona Eze Oct 2024

Executive Summary: Clinical Practice Guideline, Bona Eze

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient clinic in the Northeastern United States. The gap in practice was a lack of standardized patient education on self-care management strategies for adult patients with diabetes, leading to increased rates of noncompliance, readmission, and poor health outcomes. The guiding question asked whether an expert panel could evaluate and validate a clinical practice (CPG) developed from current, evidence-based literature and recommendations from the American Association of Clinical Endocrinologists and the American Diabetes Association on self-care management strategies for the adult patient with diabetes. The project followed …


Effective Strategies Healthcare Leaders Use To Retain Nursing Staff, Palupcia V. Alcindor Oct 2024

Effective Strategies Healthcare Leaders Use To Retain Nursing Staff, Palupcia V. Alcindor

Walden Dissertations and Doctoral Studies

Nursing turnover in healthcare negatively impacts patient care and organizational performance. Healthcare leaders are concerned with retaining nursing staff to maintain a competitive advantage and continue providing high-quality patient care. Grounded in the job embeddedness theory, the purpose of this qualitative single case study was to identify and explore effective strategies that seven healthcare leaders in southern Florida used to retain nursing staff. Data were collected using semistructured interviews and a review of documents. Using Yin’s five-step data and thematic analysis process, four themes were identified: (a) foster a positive work environment, (b) employ effective and open communication, (c) demonstrate …


Using Pay-For-Performance Payment Methodology Framework For Medicaid Reimbursement Rate In State Government, Motunrayo S. Dindi Oct 2024

Using Pay-For-Performance Payment Methodology Framework For Medicaid Reimbursement Rate In State Government, Motunrayo S. Dindi

Walden Dissertations and Doctoral Studies

Medicaid Home Community Based Services (HCBS) program reimbursement rate policy plays a critical role in the rate determination and influences the type of care services received by program recipients. This qualitative case study evaluated the impact of the reimbursement rate policy on the quality of care received by Medicaid HCBS program beneficiaries. The practice-focused question for this study was from the Office of Rates and Reimbursements management perspective on how the state can implement an effective alternative reimbursement rate policy to achieve value-based care services that would result in better healthcare outcomes. To achieve the desired result, thematic and narrative …


Financial Management Knowledge For Small And Medium Enterprise Sustainability In Ethiopia, Hon Gew Oct 2024

Financial Management Knowledge For Small And Medium Enterprise Sustainability In Ethiopia, Hon Gew

Walden Dissertations and Doctoral Studies

Though small and medium enterprises (SMEs) impact Ethiopia’s socioeconomic and political progress, most of these SMEs terminate their operations ahead of reaching their fifth anniversary. A significant number of owners require the enhancement of their comprehension of financial management knowledge, which is essential for the continuous functioning and growth of their company. An in-depth analysis of the financial strategies that SME owners in Ethiopia may use to enhance the long-term sustainability of their business operations was the objective of this qualitative multiple-case study. The present study was grounded in financial literacy theory and the leadership skill model. Data were collected …