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Pharmacy Manager System Implementation Strategies To Mitigate The Cost Of Prescription Errors, Tunde Abiodun Cardozo

Walden Dissertations and Doctoral Studies

AbstractOne of the most frequent medical errors in contemporary medicine is incorrect prescriptions, and the profits from retail pharmacy operations are adversely impacted by the costs associated with prescription errors. Independent pharmacy managers are interested in finding workable strategies to mitigate the cost of prescription errors and increase profit. Using the resource-based theory of competitive advantage (RBTCA), the purpose of this qualitative multiple-case study was to explore strategies some independent pharmacy managers in Texas use to mitigate the cost of pharmacy employee prescription errors and increase profitability. The participants were five independent pharmacy managers who implemented strategies to mitigate the …

The Effect Of Employee Appreciation Methods On Job Satisfaction Of Higher Education Support Staff, Joanna Carter

Walden Dissertations and Doctoral Studies

Almost 80% of U.S. companies have an employee recognition program. Although there is a great deal of research on the factors that affect employees' job satisfaction in general, little is known about the effect of employee appreciation methods on support staff's job satisfaction within higher education institutions. The purpose of this quantitative study was to determine the effect of seven employee appreciation methods on the job satisfaction of support staff within higher education institutions. The study's theoretical framework consisted of Abraham Maslow’s theory of motivation, Victor Vroom’s expectancy theory, Frederick Herzberg’s motivation-hygiene theory, and Arne Kallenberg’s theory of job satisfaction. …

Effect Of Detention Facilities Toward Juvenile Delinquency And Exposure To Criminalization, Calvin Clark

Walden Dissertations and Doctoral Studies

AbstractDetention facility settings present opportunities and risks in relation to violent extremism. Criminalization as the main concern would increase the crime rates in the United States while allowing the formation of terrorist groups on U.S. soil. The purpose of this quantitative cross-sectional study was to investigate the relationship between juveniles’ experiences in detention centers and their exposure to criminalization. The study was guided by social control theory, narrative theory, and differential opportunity theory. Data were collected using a survey of 15 juvenile detention officers. Results of correlation analyses indicated a significant relationship between detention experience and increased exposure to criminalization …

Teach-Back As An Evidence-Based Tool In Patient Education, Andrea Clyne

Walden Dissertations and Doctoral Studies

AbstractDischarge instructions are a valuable component of patient education as they can influence outcomes post-discharge, leading to positive social change through improved morbidity and mortality. The use of teach-back education by registered nurses is a best practice that assures understanding of discharge instructions. However, consistent use of this method relies on the staff’s conviction and confidence in this manner of education. The purpose of this project was to develop, deliver, and evaluate a program to educate staff on the best practice of teach-back to effectively deliver patient education. The logic model helped guide and develop the stages of the project …

Leadership And Spirituality: The Relationship Of Incorporating Spirituality In Ethical Workplace Decision Making, Tiffany D. Cooper

Walden Dissertations and Doctoral Studies

Unethical actions such as fraud, corruption, and corporate scandals have led to a global loss of more than $7.1 trillion. The unethical actions concern business leaders because unethical decision-making can lead to business closure. Grounded in Fry's spiritual leadership theory, the purpose of this quantitative correlation study was to examine the relationship between spiritual leadership, spiritual well-being, and ethical decision-making. The participants were 102 mid-level managers in the United States who completed the Spiritual Leadership Survey. The results of the multiple linear regression were significant, F(4, 97) = 7.808, p < .001, R2 = .244. In the final model, hope/faith was the only significant predictor (t = 2.079, p = .040, ß = .314). A key recommendation is for organizations' leaders to incorporate hope/faith in their overall decision-making. The implications for positive social change include the potential of leaders enlightening an individual's thinking toward ethical decisions for themselves, their organizations, and personnel within the workplace.

Identifying And Examining Key Themes Emanating From The U.S. Legislative Tobacco Policy Subsystem, Arnon Dayak

Walden Dissertations and Doctoral Studies

Americans’ continuously increasing tobacco use in the form of smoking presents an ongoing and rising negative health impact on this leading cause of preventable death. Despite existing U.S. federal level tobacco regulation through the Family Smoking Prevention and Tobacco Control Act (FSPTCA), U.S. tobacco use remains ubiquitous demonstrating existent ineffectiveness of tobacco control legislation. Unknown underlying attributing factors present critical information gaps which, when exposed, could improve tobacco regulation. Using a case study approach, the question, “What key themes are aligned with legislative subsystem actors when voting on the FSPTCA” was examined. Multi-source data streams using existing secondary datasets including …

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

Promotion To Fire Officer: Ems Is An Essential Component Of Promotional Testing, Brenda Kay Farlow

Walden Dissertations and Doctoral Studies

For the past 25 years, the number of fire department responses to structure fires nationally has gone down. Structure fires now reflect less than ten percent of the responses of the fire service. In the same period, emergency medical services (EMS) have become the overwhelming activity of most fire departments. The problem is the promotional process focuses on firefighting knowledge and skills while ignoring the absolute need for EMS competencies, in some capacity, for a supervisory position. The lack of change in the promotional process is related to the organizational culture of the individual fire departments and the collective difficulty …

Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley

Walden Dissertations and Doctoral Studies

Women were officially allowed to serve in combat positions when the 1993 Combat Exclusion Policy was lifted in 2013. There was little research to date on how these changes may have influenced the recruitment, retention, and promotion of female naval officers. The purpose of this study was to explore female naval officers' perceptions on how lifting the combat exclusion policy impacted the factors of recruitment, retention, and promotion within the military. A generic qualitative study supported exploring perceptions of female naval officers who experienced combat duty regarding these issues. Using feminist security studies as the conceptual framework, this study focused …

Lived Experiences Of Stress And Burnout Among Pediatric Home Care Nurses, Johane Garcon-Paul

Walden Dissertations and Doctoral Studies

Abstract

Research shows that healthcare providers encounter stress in their workplaces whether in a home or a healthcare facility that results in reduced job satisfaction, burnout, and inadequate care of patients. There is a gap in the literature regarding the lived experiences of nurses caring for children in all work settings, including the home care setting, regarding stress and burnout. The lived experiences of pediatric nurses working in home care settings were explored to discover conditions that contribute to their occupational stress and burnout. The occupational stress model with a major focus on the job demands-resources occupational stress model was …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins

Walden Dissertations and Doctoral Studies

Patient satisfaction has been utilized to measure healthcare quality and outcomes, which affects reimbursement. Some claim such measures could be biased as they do not consider the patient’s socioeconomic status. Measuring the quality of care, Area Deprivation Index (ADI), and patient experience has been captured and publicly reported; and the measuring indicator Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), however, hospitals serving patients in low ADI areas generally score poorly. Grounded in the theory of Donabedian, the purpose of this quantitative correlational study was to examine the relationship between patient experience associated with socioeconomic disparities and how patients …

A Phenomenological Exploration Of Academic Mediation And Modifiability: The Progression From Ged® To Phd, Heather E. Hoyt

Walden Dissertations and Doctoral Studies

Researchers have identified the importance of academic mediation and modification within a student’s thought process as it encourages academic achievement in early education, college, and advanced degrees. However, there is a gap in the research regarding the academic mediation and modification in individuals who have progressed from GED to PhD. The purpose of this study was to (a) explore the personal experiences of doctoral alumni on their achievement during the progression from GED to PhD; (b) to understand what experiences, if any, related to receiving academic mediation and modification which led to doctoral success; and (c) to contribute to the …

Transitioning Elementary-Aged Students With Emotional And Behavioral Disorders Into An Inclusive Educational Setting, Stevanie Jackson

Walden Dissertations and Doctoral Studies

In an urban school district in the southwestern United States, students with emotional and behavioral disabilities (EBD) who were in third- through fifth-grade self-contained classes were not consistently transitioning successfully into inclusive classrooms; therefore, the students were remaining in a restrictive environment for an extended time. The purpose of this basic qualitative study was to explore the reasons for such inconsistencies. The concept of inclusion as outlined in the Salamanca Statement framed the study. Semi structured interviews were conducted with six special education teachers and six general education teachers, all of whom had experience educating students with EBD. Research questions …

A Case Study Of Joint Accountability Mechanism And Interorganizational Collaboration In Post-Earthquake Haiti, Jude J. Jean-Gilles

Walden Dissertations and Doctoral Studies

Abstract: The earthquake that hit Haiti on January 12, 2010, caused massive destruction of its capital city Port-au-Prince and its suburbs and killed over a quarter of million people. The recovery period that followed required effectiveness to plan and mobilize resources. The magnitude of the destruction, lack of local recovery plans or previous disaster experience, and scarcity of local resources inspired the creation of the Interim Haiti Recovery Commission (IHRC), a compilation of local and international stakeholders who agreed to collaboratively address the recovery challenges. Several studies have examined post-earthquake recovery initiatives under the leadership of local governments, but having …

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy

Walden Dissertations and Doctoral Studies

AbstractHome health care services (HHCS) are a cost-effective service option often underutilized by individuals living in low-income communities. For this population, barriers to care may result in higher health care costs and poor health outcomes. Gaps in literature indicated a need to explore experiences of accessing and maintaining home health care among individuals living in low-income communities. The purpose of this qualitative research study was to gain insight into how individuals living in low-income communities perceive their access to HHCS. The conceptual framework used for this phenomenological study was Penchansky and Thomas’s model of access, which addresses access from seven …

Cross-Sectional Collaboration In Florida's Emergency Management System, Christopher Stephen Kirkland

Walden Dissertations and Doctoral Studies

Florida faces a unique set of emergency management hazards prompted by the state’s geography, high volume of tourism, and position as a hub of international trade. The state has developed a highly adaptive emergency management system to deliver humanitarian assistance to Floridians affected by natural and other disasters. Despite the importance of collaboration in delivering humanitarian goods and services to Floridians in times of crisis, little is known as to how collaboration occurs, what impediments exist, and how organizations adapt to the dynamics of natural and other disasters. In this qualitative case study, the integrative framework for collaborative governance was …

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 …

Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange

Walden Dissertations and Doctoral Studies

Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …

Factors For Lgbt College Students That Predict Academic Success, Jonathan Mccormick

Walden Dissertations and Doctoral Studies

Much research has been done on LGBT students in relation to campus climate and academic achievement, which suggested that a positive campus climate may positively influence students’ academic success. However, no research has yet been done to understand the value of campus climate, student levels of depression anxiety and stress, and student level of outness for predicting academic success. This quantitative study examined campus climate, depression, anxiety, and stress levels, and student level of outness together in their ability to predict self-reported grade point average of LGBT college students. Basic Psychological Needs Theory, a sub theory of Self-Determination Theory, was …

Administrator, Faculty, And Veteran Student Perspectives On Barriers Faced By Veterans In Higher Education, Christie Marie Mcdonald

Walden Dissertations and Doctoral Studies

AbstractMilitary veterans’ prior experiences can impact their study experiences and result in barriers to entering higher education. Prior research on veteran student barriers in higher education has not included the perspectives of faculty and administrators in addition to veterans. The purpose of this basic qualitative study was to explore the barriers that veteran students face in higher education and how those barriers could be addressed. The research questions focused specifically on the perspectives of administrators, faculty, and veterans on the barriers veteran students face and how those barriers could be addressed. The conceptual framework included Tinto’s student integration model and …

Manufacturing Business Managers' Strategies To Increase Employee Engagement, Jennifer Morgan-Petgrave

Walden Dissertations and Doctoral Studies

AbstractEmployee engagement is critical for manufacturing businesses to achieve higher productivity, competitive advantage, and sustainability. Manufacturing business managers who implement effective strategies can potentially enhance employee job satisfaction to increase employee engagement. Grounded in Kahn’s personal engagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing business managers use to increase employee engagement. The participants were four manufacturing business managers from two manufacturing businesses in the southeastern region of Jamaica who successfully implemented strategies to increase employee engagement. Data were collected from semistructured interviews and company documents. Yin’s five-phase process was used to analyze data. Three …

Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza

Walden Dissertations and Doctoral Studies

Reporting mortality information is the primary data source from which evidence can be drawn to monitor disease trends and inform public health policy to improve population health. Still, only two-thirds of expected annual deaths are reported globally. Health education and promotion play a significant role in empowering communities to uptake public health services such as mortality surveillance. This qualitative descriptive study aimed to understand health workers’ (HWs’) perspectives regarding the need for health education to support mortality surveillance in Machakos County, Kenya. The capabilities, opportunities, and motivation for the behavior change model guided the study. Semi-structured interviews were used to …

Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen

Walden Dissertations and Doctoral Studies

One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …

Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin

Walden Dissertations and Doctoral Studies

Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …

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 …

Money Laundering And Terrorist Financing Typologies That Reduce Financial Crime Risks, Sina Vinod Patel

Walden Dissertations and Doctoral Studies

The Covid-19 pandemic has increased concerns over money laundering and terrorist financing and their impacts on societies and the world’s finance and economic systems. Some financial institutions are failing to detect and track new emerging financial crime threats. The purpose of this qualitative descriptive case study was to identify predicate offense typologies that U.S. banking and financial services company compliance managers use to reduce the risks of money laundering and terrorist financing. To understand the concepts of predicate offense and financial crime risks, Gary Becker’s economic theory of criminal behavior was the conceptual framework that grounded this study. The population …

Examining Help-Seeking Intentions Among Female Veterans With Military Sexual Trauma, Elizabeth Pirone

Walden Dissertations and Doctoral Studies

An estimated 38.4% of military women have experienced military sexual trauma (MST) at some point in their careers. Because MST experiences can be confounding, navigating beliefs toward treatment resources and seeking help can be challenging. The problem under study was that no literature examined multiple constructs of the health belief model (HBM) together as a foundational tool to identify perceptions of help-seeking intentions among female veterans with MST experiences. Guided by the HBM, the purpose of this study was to examine the relationship between health motives, perceived severity of emotional or nervous problems, perceived benefits of getting help for emotional …

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …