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Articles 781 - 810 of 15576
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Staff Education On Early Sepsis Recognition For Medical-Surgical Nurses In The Acute Care Setting, Nadine Nzenga Udom
Staff Education On Early Sepsis Recognition For Medical-Surgical Nurses In The Acute Care Setting, Nadine Nzenga Udom
Walden Dissertations and Doctoral Studies
In this staff education project, I targeted early sepsis recognition and response among medical-surgical nurses. The practice gap at the site was nurses’ limited knowledge of sepsis indicators and screening tools, which contributed to delayed escalation of care. The practice-focused question guiding the project was “Does educating medical-surgical nurses on early sepsis recognition and response improve knowledge of early sepsis recognition and response?” I applied the analysis, design, development, implementation, and evaluation (ADDIE) and Johns Hopkins Evidence-Based Practice (JHEBP) models to design a structured sepsis education program for nursing staff. I searched for peer-reviewed literature via databases accessed through the …
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
Walden Dissertations and Doctoral Studies
Adult Protective Services (APS) workers play a crucial role in providing care, support, and services to older and adult clients with special needs. There was a lack of empirical data on the long-term retention of APS investigators and on how burnout affects their intentions to resign. Departments consistently rely on a cycle of using newer, less experienced investigators who may not know about community and state services or department policies and procedures to connect clients. The purpose of this quantitative correlational study was to examine the relationship between personal, work-related, and client-related burnout and APS investigators’ intention to resign. Data …
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Walden Dissertations and Doctoral Studies
Child support policy in the United States has been widely studied as a method to ensure financial responsibility; however, existing research has identified concerns regarding enforcement practices and their disproportionate impact on African American noncustodial fathers in Georgia. Limited qualitative research examined how Georgia fathers experience and interprets these policies, creating a gap in understanding how policy implementation influences paternal engagement. The purpose of this qualitative study was to examine how African American noncustodial fathers in Georgia perceived the child support process and to explore how modernization of enforcement policies might improve paternal engagement. Guided by policy feedback theory, this …
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Walden Dissertations and Doctoral Studies
The problem addressed through this study is the low graduation rate of students with attention deficit hyperactivity disorder (ADHD) across the United States. Guided by Mezirow’s transformative learning theory, the purpose of this qualitative study was to explore the perceptions of fourth-year undergraduate college students with ADHD on the academic support or methods that contributed to their perseverance in college. For this basic qualitative design, semistructured interviews were conducted with 10 undergraduate college students who self-reported a diagnosis of ADHD and had successfully completed the first 3 years of their education. Through thematic analysis and open, inductive coding, the following …
Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Walden Dissertations and Doctoral Studies
Undergraduate nursing education presents ongoing challenges related to student stress and persistence, and the COVID-19 pandemic further complicated these existing challenges for many students and programs. In this quantitative, correlational, cross-sectional study, the relationships among state mindfulness, trait mindfulness, and academic self-efficacy in undergraduate nursing students were examined and whether state and trait mindfulness predicted academic self-efficacy was tested. Participants were recruited through nursing student Facebook groups and completed an anonymous SurveyMonkey questionnaire that included the State Mindfulness Scale, the Mindful Attention Awareness Scale, the Academic Behavioral Confidence Scale, and demographic items. Data were collected over 6 weeks ending August …
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Walden Dissertations and Doctoral Studies
The lack of effective strategies for allocating organizational financial resources can lead to adverse business outcomes. Business managers are concerned about the ineffective allocation of financial resources, as it can impede financial performance and sustainability.Grounded in stakeholder theory, the purpose of this qualitative single-case study was to explore the performance-based budgeting strategies that business managers use to sustain financial profitability. The participants were 10 business managers who oversee subsidiaries that successfully implemented performance-based budgeting.Data were collected through semistructured interviews and the review of organization documents. Through thematic analysis, four themes were identified: (a) traditional versus contemporary budgeting; (b) importance of …
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …
The Lived Experiences Of The Strong Black Woman Cultural Convention On Black Women Counselors’ Emotional Intelligence, Pranati Walker
The Lived Experiences Of The Strong Black Woman Cultural Convention On Black Women Counselors’ Emotional Intelligence, Pranati Walker
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) is a critical competency for counselors due to the relational and emotionally demanding nature of counseling. Although existing literature explored EI among Black women broadly, limited research examined the experiences of Black women counselors (BWCs). This descriptive phenomenological study was guided by the philosophy of phenomenology and explored the lived experiences and impact of the SBW cultural convention on the EI of BWCs. The researcher explored the lived experiences of BWCs regarding the SBW cultural convention and its impact on emotional intelligence. Participant data from eight semi-structured interviews were collected. The participants identified as female gender identity, …
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Walden Dissertations and Doctoral Studies
Military sexual trauma (MST)—sexual harassment or assault during military service—is more common among women and is a leading cause of posttraumatic stress disorder (PTSD). Veterans Affairs (VA) disability for MST-related PTSD offers financial support, free healthcare, and validation, but women face barriers and uneven access to supports (veteran service organizations, trained advocates, trauma-informed clinicians), reducing their chances of favorable decisions. In this generic qualitative study, semi-structured interviews were conducted with 11 purposively sampled women veterans representing diverse service eras, branches, and adjudication outcomes. Analysis was guided by feminist theory to shift focus from individual blame to structural factors, including how …
Exploring Leadership Strategies And Personnel Integration Practices During The Post- Merger Phase Influence The Success Of Mergers And Acquisitions, Rebekah Dumas
Walden Dissertations and Doctoral Studies
Mergers and acquisitions (M&A) have been widely used as a growth strategy; however, many organizations fail to achieve their desired outcomes. This ongoing risk is a major concern for business leaders because ineffective post-merger personnel integration can disrupt workforce stability, reduce productivity, and hinder organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore the strategies business leaders used to integrate personnel during post-merger transitions. Data were collected through semistructured interviews with eight business leaders from global corporations who had successfully executed mergers and acquisitions, along with a review of publicly available …
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Walden Dissertations and Doctoral Studies
Patients with limited English proficiency (LEP) face ongoing communication barriers that heighten medical errors and health disparities because nurse leaders in acute care settings lack empirically informed guidance on leadership practices that effectively implement language services. Grounded in transformational leadership (TL) theory, the purpose of this qualitative pragmatic inquiry project was to explore how nurse leaders perceive, experience, and enact strategies to address the language access needs of LEP patients. The participants were six nurse leaders from across the Midwest region, who successfully led nursing teams to improve communication with LEP patients. Data were collected using semistructured interviews, government proactive …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
Walden Dissertations and Doctoral Studies
Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Walden Dissertations and Doctoral Studies
Idaho private and charter schools are experiencing increased enrollment, including students who are developmentally delayed. Such an increase in the population of developmentally delayed students presents challenges for school social workers in providing needed therapeutic services. This study addressed the limited therapeutic services for students with developmental disabilities in Idaho’s private and charter schools, as perceived by school social workers. The purpose was to examine school social workers’ perceptions of the barriers and challenges they encounter when supporting students with developmental disabilities in private or charter schools in Idaho. Participant eligibility criteria included holding a minimum of a bachelor’s degree …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of a structured staff education program aimed at improving nurses’ knowledge and confidence in early sepsis recognition and management using the quick Sequential Organ Failure Assessment (qSOFA) tool. Despite the availability of evidence-based screening methods, inconsistent application and limited nurse confidence were identified as key practice gaps. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional design framework, an educational intervention was developed and delivered to hospital-based nurses, focusing on qSOFA criteria, early identification of sepsis, and nurse-driven escalation pathways aligned with current clinical guidelines. A pre- …
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Walden Dissertations and Doctoral Studies
Individuals with mental health disorders are overrepresented in the criminal justice system, yet minimal evidence exists on how risk-based case management influences pretrial supervision. Existing literature focuses on post-conviction populations, with limited focus on pretrial defendants, particularly those with mental health disorders and gaps in how gender and mental health intersect to influence supervision outcomes. The study addressed the problem of whether risk-based case management improves pretrial outcomes for defendants with mental health needs and vary by gender or case management components. The purpose of this quantitative, non-experimental, retrospective design study was to examine the relationship between case management and …
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Walden Dissertations and Doctoral Studies
Employee retention remains a persistent challenge for rural small business leaders. The specific business problem addressed in this study was that some rural small business leaders lack effective leadership strategies to retain employees, which threatens organizational sustainability and workforce stability in rural communities. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective leadership strategies used by rural small business leaders in Northeast California to optimize employee retention. Data were collected from semistructured interviews with six rural small business leaders in Northeast California and were triangulated with publicly available documents, websites, and …
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Walden Dissertations and Doctoral Studies
Zero tolerance policies disproportionately affect African American female students and contribute to their accelerated entry into the school-to-prison pipeline. Existing literature indicated that these policies subject African American female students to harsher disciplinary practices and that their behaviors were often misunderstood by school administrators. However, there is limited research on how school administrators’ discretionary implementation of zero-tolerance policies contributes to these disparities. The purpose of this general qualitative study was to explore how school administrators interpret and exercise discretion when implementing zero tolerance policies affecting African American female students through the lens of Lipsky’s street-level bureaucracy theory. Four themes were …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs)in the geriatric population present unique diagnostic and management challenges. Improper classification and treatment plans contribute to increased morbidity, hospitalization, and mortality. This Doctor of Nursing staff education aimed to address a gap in Advanced Practice Provider knowledge regarding the differentiation of complicated versus uncomplicated UTIs in the geriatric population. Guided by the John Hopkins evidence-based practice model, a targeted educational intervention was developed and implemented. Evidence synthesis included 20 high-quality articles representing level 1-5 evidence. A pretest, educational PowerPoint presentation, and posttest were used to assess APP baseline knowledge and understanding of the education post-presentation. There …
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Walden Dissertations and Doctoral Studies
Burnout in supervisors/managers working in residential substance use disorder (SUD) treatment settings poses serious threats to the agency, staffing, and client care. Behavioral health leaders need to understand how organizational culture and leadership practices shape burnout and resilience in their teams. This qualitative case study drew on the Leadership and Workforce categories of the Baldrige Excellence Framework to examine the influence of leadership and organizational culture on staff emotional well-being and resilience at a Boston-area nonprofit residential SUD treatment center. The study sought to answer: (a) how organizational culture and leadership affect supervisor and manager well-being and resilience; and (b) …
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Walden Dissertations and Doctoral Studies
Black women have long contributed to leadership in academia, government, and the nonprofit sector, yet they remain significantly underrepresented in senior leadership roles in higher education. When Black women are missing from leadership, institutions lose out on talent, students lose out on representation, and society loses out on the full range of perspectives needed to solve complex problems. Grounded in Black Feminist Thought, this general qualitative study explored the experiences and perceptions of bias and barriers among Black women serving in leadership roles at the dean level and above in higher education. Data were collected through structured interviews with seven …
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how Florida police officers perceived changes in their spiritual and religious beliefs following prolonged exposure to critical incidents. The research question asked how officers interpreted, adapted, and transformed their spiritual or religious beliefs in response to repeated critical incident exposure. Nine sworn frontline officers participated and were interviewed using a semi structured protocol. Transcripts were analyzed inductively using thematic analysis. Three primary findings emerged: (1) Career and Impact captured cumulative occupational exposure that prompted moral appraisal and coping, and participants did not report uniform loss of faith; (2) Spiritual Belief followed three common trajectories—stability, strengthening/reaffirmation, …
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Walden Dissertations and Doctoral Studies
Resistance to patient experience initiatives remains a persistent challenge in acute care hospitals, often undermining organizational efforts to improve engagement, culture, and care delivery despite broad acknowledgment of their importance. Healthcare leaders need to understand this challenge as a primary indicator affecting patient experience outcomes. The purpose of this qualitative narrative inquiry was to explore the factors that cause resistance to change faced by patient experience leaders (PELs) in the acute care hospital setting. The theory of planned behavior grounded this study. The participants consisted of 15 PELs working in acute care hospitals across the United States. Data were collected …
Staff Education To Integrate Evidence-Based Practice Of Music Therapy As An Adjunct To Cognitive Behavioral Therapy For Anxiety And The Use Of Anxiety Screening Tool In An Outpatient Clinic, Virginia Bahena
Walden Dissertations and Doctoral Studies
Evidence-based practice (EBP) is essential for improving quality, safety, and outcomes in healthcare; however, gaps in staff knowledge and readiness continue to limit consistent implementation in outpatient settings. This Doctor of Nursing Practice project was a practice-focused quality improvement initiative designed to evaluate the impact of a targeted staff education intervention on EBP knowledge and readiness. The practice-focused question guiding the project was: Does a targeted staff education intervention improve knowledge and readiness to integrate brief music therapy as an adjunct to cognitive behavioral therapy (CBT) and appropriately utilize the Generalized Anxiety Disorder-7 (GAD-7) screening tool in an outpatient setting? …
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Walden Dissertations and Doctoral Studies
This phenomenological study explored counselors’ lived experiences of utilizing Eye Movement Desensitization and Reprocessing (EMDR) with children ages 8 to 12 years of age. Guided by a Husserlian approach, the research examined how clinicians make meaning of adapting EMDR—traditionally conceptualized as a structured, eight-phase protocol—for developmental and relational responsiveness within child psychotherapy. Through phenomenological reduction and epoché, counselors described a shift in consciousness from viewing EMDR as a rigid procedure to experiencing it as a flexible, relationally attuned process grounded in the child’s lived world. Counselors described the phenomenon of implementing EMDR with children with playful adaptations and co-regulation. The …
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Walden Dissertations and Doctoral Studies
The federal government faces the ongoing challenge of sustaining a workforce that represents the diversity of the American public while navigating through policy changes that eliminated diversity, equity, inclusion, and accessibility initiatives. The federal government is public serving and is one of the largest employers in the United States. The purpose of this generic qualitative study was to explore the perceptions and experiences of government employees navigating the termination of all diversity and inclusion programs through the lens of the antecedents and outcomes of inclusions model, which showed that inclusive leadership, climate and practices contribute to positive employee and organizational …
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Walden Dissertations and Doctoral Studies
Unlocking the potential of highly skilled first-generation immigrant women in the workplace is critical in an era of globalization and multiculturalism. The social problem is that organizations face challenges integrating highly skilled first-generation immigrant women into the U.S. workforce due to a limited understanding of effective workplace integration strategies. The purpose of this qualitative phenomenological study was to explore the lived experiences of highly skilled first-generation Kenyan women with workplace integration strategies in California. The study was grounded in Graen and Uhl-Bien’s leader-member exchange theory and Crenshaw’s intersectionality theory to understand how leadership relationships and intersecting identities shaped workplace experiences. …
Staff Education To Improve Knowledge On Discharge Planning And Transitions Of Care For Chronically Ill Patients, Cynthia Adebisi Kadiri
Staff Education To Improve Knowledge On Discharge Planning And Transitions Of Care For Chronically Ill Patients, Cynthia Adebisi Kadiri
Walden Dissertations and Doctoral Studies
Patients with chronic conditions have the tendency to return to the hospital. Staff education to address high-rate re-hospitalization among patients with chronic conditions is the focus of my Doctor of Nursing Practice project. This is a significant practice problem, since patient outcomes and increased healthcare costs is compromised. Regarding re-hospitalization prevention and ultimate aid in reducing readmissions among people with chronic conditions, the project was used to enhance the knowledge of the nursing staff and competence in transitions of care and discharge planning. The project included 10 nurses who are regularly involved in discharging patients in the medical outpatient clinic. …