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Walden Dissertations and Doctoral Studies

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Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …

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The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen Jan 2023

The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen

Walden Dissertations and Doctoral Studies

Women have severe health risks associated with drinking alcohol long-term and excessively. The purpose of this qualitative study was to explore the lived experience of women in healthcare positions regarding alcohol use during the COVID-19 pandemic. The study was informed by the theory of planned behavior. Semistructured interviews were used to gather information from participants based on their firsthand experiences with alcohol usage. Understanding women’s attitudes toward alcohol use during the COVID-19 pandemic can improve intervention. Data were analyzed using an inductive, thematic procedure. Participants associated their own use of alcohol with socialization, and all participants reported that they regarded …

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Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi Jan 2023

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

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Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry Jan 2023

Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry

Walden Dissertations and Doctoral Studies

Experiences of Black women with gendered racism remain a challenge in corporate America. Limited studies explore how Black women experience gendered racism due to the intersectionality of their dual identities. Black women experience chronic stress, burnout, and racial trauma. Disparities among Black women in management positions have gained traction and increased awareness; however, they remain underrepresented in corporate America. This qualitative study involved understanding Black women managers’ experiences with gendered racism in corporate finance. The generic qualitative study used intersectionality theory to illuminate the challenges of the intersecting identities of being a Black woman in corporate finance. Thirteen participants were …

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Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck Jan 2023

Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck

Walden Dissertations and Doctoral Studies

The turnover rate for secondary school educators has increased to the highest in almost 30 years. Public teachers who leave teaching reported that general working conditions, increased job demands, and the inability to manage their workloads (organizational climate) contributed to their decision. The problem addressed in this study is that teacher turnover has negative impacts, including poor student performance and decreased teacher effectiveness of remaining teachers. The purpose of this quantitative correlational study was to determine the extent to which organizational climate and teacher stress predict teacher turnover intention. The theoretical framework applied to the interpretation of the statistical results …

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Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose Jan 2023

Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose

Walden Dissertations and Doctoral Studies

Nurses are an essential part of patient care, and improving retention is important to quality outcomes and the cost of care. An integral aspect of nurse retention is job satisfaction, which may relate to communication provided by organizational leadership. The purpose of this quantitative study was to determine if there was a relationship between perceived effective leadership, nurse job satisfaction, and nurse turnover intent. This potential relationship between leadership communication and nurse turnover was studied with the competing values framework as the theoretical structure. The two research questions addressed the independent variables of perceived effective leadership in a hospital setting …

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Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

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Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …

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Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods Jan 2023

Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods

Walden Dissertations and Doctoral Studies

Bullying was a pervasive issue affecting high schools in the United States despite anti-bullying programs. The purpose of this qualitative study was to explore the perceptions of former high school bullying victims about why anti-bullying programs have not reduced incidents of bullying. The conceptual framework that supported this study was Bronfenbrenner’s ecology of human development, a theory that assumes an individual’s development is affected by the changing environment and the larger social context in which the environment resides. The research questions were designed to find out why anti-bullying efforts have been ineffective in preventing bullying incidents and what participants believe …

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Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir Jan 2023

Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir

Walden Dissertations and Doctoral Studies

AbstractJuvenile recidivism is a concern for human service professionals who are dedicated to developing policies aimed at addressing and reducing such recidivism. The purpose of this generic qualitative study was to explore the perceptions of former juvenile delinquents as to how community institutions and resources prevented them from recidivating. Social learning theory was used to frame this study. Data were collected through semistructured interviews with nine former juvenile delinquents who had experience with community institutions and resource use. Saldana’s inductive coding process was used for data analysis. Nine themes were identified: (a) behavior modification contributed to prevention of recidivism, (b) …

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Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite Jan 2023

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …

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Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes Jan 2023

Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes

Walden Dissertations and Doctoral Studies

Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …

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Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz Jan 2023

Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz

Walden Dissertations and Doctoral Studies

Employee engagement is essential for an organization to meet its mission and vision. When employees are not engaged, there are higher levels of turnover, secondary traumatic stress, and burnout. Furthermore, when employees are not engaged, there is a decrease in the quality of patient care. Behavioral health leaders can positively impact employee engagement by engaging in trauma-informed behavioral health leadership. This qualitative case study reviews the impact of trauma-informed behavioral health leadership on employee engagement at a large Child Advocacy Center in the northeastern United States who was struggling with low levels of employee engagement and high levels of turnover …

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Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland Jan 2023

Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland

Walden Dissertations and Doctoral Studies

This study aimed to explore the perceptions of university behavioral health counselors and other healthcare professionals relevant to the funding strategies and initiatives they used to help college students access the high-quality behavioral health services they need. On-campus counseling centers are valuable resources that benefit student well-being, including academic performance and retention. Understanding what factors create barriers for students who desire to seek counseling can help higher education professionals work to improve access to counseling. This qualitative case study focused on a university counseling center at a Southern Historically Black College and University serving a population of majority African American …

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The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields Jan 2023

The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a public health crisis in the United States. The number of obese middle-aged women has risen dramatically over the past few decades. Despite multiple levels of support available, not all women are receiving the support they need to reduce overweight/obesity, as evidenced by the continuing rise in obesity. Using a qualitative phenomenological approach, this study examined middle-aged women's views on exercising, eating healthily, and social support in online weight-loss communities. For this study, the health belief model (HBM) and social learning theory (SLT) were used as conceptual frameworks to understand a person's behavioral intentions …

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The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham Jan 2023

The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham

Walden Dissertations and Doctoral Studies

The focus of this study was the perceived impact of effective leadership on employee engagement and compliance. The Baldridge Excellence Framework was used as a guide for this qualitative case study of a behavioral health organization (BHO) located in the southeastern region of the United States. Research questions were used to examine the definition of effective leadership, the impact effective leadership has on employee engagement and compliance, and training needed to implement effective leadership practices. Data sources were semi-structured interviews with the organization’s Vice President of Operations and Clinical Director, the organization’s website, government websites, archival data provided by the …

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Teachers’ Perceptions Of High Teacher Turnover In Special Education, Anikko Gorham Jan 2023

Teachers’ Perceptions Of High Teacher Turnover In Special Education, Anikko Gorham

Walden Dissertations and Doctoral Studies

Nationally, special education teacher turnover is a significant issue for school districts. The problem addressed in this study was the high special education teacher turnover rate in one local school district in North Carolina. Guided by Maslow’s hierarchy of needs, this basic qualitative study explored previous special education teachers’ perceived motives for leaving their workplace in the local school district. Fifteen special education teachers who had separated from the local school district over the prior five years participated in semistructured interviews. Interview data were analyzed using open inductive coding following Yin’s five-phase approach. Themes derived from the analysis included (a) …

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Small And Medium-Sized Enterprise Beauty Salon Employer Strategies Used To Improve Employee Retention, Angela Lynette Loyd Jan 2023

Small And Medium-Sized Enterprise Beauty Salon Employer Strategies Used To Improve Employee Retention, Angela Lynette Loyd

Walden Dissertations and Doctoral Studies

Retention strategies are important to beauty salon leaders as they directly affect retaining a reliable workforce. Grounded in self-determination theory, the purpose of this generic qualitative case study was to explore retention strategies used by some SME beauty salon leaders in the United States to improve employee retention. The participants were five SME beauty salon leaders who retained at least two employees for 2 consecutive years. Data were collected using semistructured interviews and company documents. The four themes from the thematic analysis were leadership, psychological needs satisfaction, motivation, and engagement. A key recommendation is to have SME beauty salon leaders …

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Instructional Strategies Teachers Use To Assist Students With Convergence Insufficiency In Notetaking, Jennifer Wiggins-Lambert Jan 2023

Instructional Strategies Teachers Use To Assist Students With Convergence Insufficiency In Notetaking, Jennifer Wiggins-Lambert

Walden Dissertations and Doctoral Studies

Two to three students per class suffer from visual-motor deficits such as convergence insufficiency. Though there are treatment plans to assist with the disability over time outside of the school, there are no general inventions set in place in the public school system to assist visual-motor deficit students from systemically falling behind academically each year. The purpose of this study was to explore instructional strategies secondary special education teachers of an inclusive setting use to assist students who struggle with notetaking due to visual or visual-motor deficits known or unknown as convergence insufficiency. Using the universal design for learning theoretical …

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Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle Jan 2023

Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle

Walden Dissertations and Doctoral Studies

Community action agencies serve low-income individuals, families, and communities. Community action agencies may be at risk of fraud if they do not have board members with the knowledge to implement effective governance strategies to protect the organization's assets from fraud. Grounded in agency theory, the purpose of this qualitative multiple case study was to explore effective governance strategies that some community action board members use to protect their organization's assets from fraud. The participants were three board members of two community action agencies in New Jersey who implemented effective governance strategies to protect the organization's assets from fraud. Data were …

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Single-Term Soldiers’ Job Satisfaction And Job Meaningfulness In Second Careers, Bethanie Hiramoto Jan 2023

Single-Term Soldiers’ Job Satisfaction And Job Meaningfulness In Second Careers, Bethanie Hiramoto

Walden Dissertations and Doctoral Studies

Past researchers have informed future researchers of the challenges soldiers experience when transitioning to civilian life and the civilian workplace. This qualitative study aimed to understand the lived experiences of six single-term soldiers and their levels of job satisfaction through job meaningfulness in their second careers. Data for this study was collected using semi-structured interviews and interview protocols. The theoretical framework combined Herzberg’s two-factor theory, McClelland’s needs theory, and Organizational Socialization. The entire study was framed through this framework, and collected data were analyzed. The findings of this study indicated that job meaningfulness occurred while in their single term in …

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The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes Jan 2023

The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes

Walden Dissertations and Doctoral Studies

AbstractPhysical activity (PA) is recognized as a treatment protocol for lung cancer patients that improves physical impairments and reduces symptoms of psychological stress. This qualitative interpretive phenomenological analysis (IPA) study was conducted to explore the lived experience of lung cancer patients and how PA is influenced by anxiety, depression, and fatigue. This study was guided by Bandura’s self-efficacy theory and Engel’s biopsychosocial model. In-depth semi structured interviews were conducted with seven lung cancer participants over Zoom and in person. The data were analyzed using manual hand coding. The analysis revealed themes in patients’ experiences about how PA participation is influenced …

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Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian Jan 2023

Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian

Walden Dissertations and Doctoral Studies

Health care worker shortage is a global problem and is challenging for human resources managers. Human resource managers need more strategies to recruit and retain healthcare workers in rural areas to decrease healthcare worker shortages, unemployment rates, patient morbidity, and mortality rates. Grounded by Maslow’s hierarchy of needs theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers use to recruit and retain healthcare workers in rural areas. The participants were three managers from Southern Louisiana rural area medical facilities with at least 5 years of experience developing and implementing successful recruitment and retention …

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I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis Jan 2023

I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis

Walden Dissertations and Doctoral Studies

Within the social work profession, there has been limited understanding of tailoring treatment and coping strategies specific to Black women. The parallelism of Black women and strength has created a generational, internal conflict with maintaining the cultural label known as the strong Black woman (SBW) and stigma related to seeking help to improve mental health. The stigma associated with seeking help has hindered Black women from communicating thoughts or behaviors that categorize vulnerability. Grounded in the SBW collective theory and Black womanist theory, this study explored how the SBW stereotype impacts the communication on vulnerability and coping strategies Black women …

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Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie Jan 2023

Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie

Walden Dissertations and Doctoral Studies

Globally, over 250,000 women die every year from cervical cancer and human papillomavirus (HPV). The purpose of this quantitative study was to discover the relation between sociodemographic factors of age, educational attainment, socioeconomic status, personal belief, and knowledge about HPV and related cancers. A cross-sectional design was used to determine statistical relationships. Secondary de-identified data from the Health Information National Trends Survey 2018 was accessed from the National Center Institute and was employed in the study. The study used a simple random technique to select a sample of 3,504 women. Logistic regression was used to estimate the odds of knowing …

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Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …

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Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski Jan 2023

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

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A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye Jan 2023

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

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Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds Jan 2023

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds

Walden Dissertations and Doctoral Studies

Assessing volume status in patients with congestive heart failure (CHF) remains a difficult task. Newer technology, such as CardioMEMS, allows providers to download pulmonary artery pressure measurements from an implanted sensor. In a large rural emergency department (ED), lack of staff education on CardioMEMS made the device useless when a patient presented to the ED. The purpose of this project was to develop a staff education in-service to address the gap in practice. The theory used to guide development of an effective curricular program and instruction method was Knowles’ theory of andragogy. Application of the analysis, design, development, implementation, and …

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Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson Jan 2023

Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson

Walden Dissertations and Doctoral Studies

AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …

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