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The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
Walden Dissertations and Doctoral Studies
Advanced medical technology use among individuals with physical disabilities remains understudied, creating a significant gap in understanding its impact on quality-of-life (QoL) outcomes across demographic and age groups. Guided by the social ecological model, the purpose of this quantitative study was to examine associations between advanced medical technology use, disability status, demographic factors (age, gender, and race/ethnicity), and QoL outcomes using 2017–2018 National Health and Nutrition Examination Survey data. The sample included 9,254 individuals age 6 years and older with physical functional limitations and complete technology-use and QoL data. Advanced medical technology use was significantly associated with improved QoL (p < .001). Disability status demonstrated a statistically significant but modest association with technology use, OR = 0.84, 95% CI [0.83, 0.85], p < .001. Age-stratified analyses indicated that advanced technology use significantly predicted improved QoL among adults aged 20 years and older, OR = 6.90, 95% CI [6.89, 6.91], p < .001, but not among youths aged 6–19 years (p = .929). Gender was a significant predictor of technology use, with females having higher odds than males, OR = 1.07, 95% CI [1.06, 1.08], p < .001. Race/ethnicity was also significantly associated with technology use; compared with non-Hispanic White adults, Mexican American (OR = 0.43, 95% CI [0.42, 0.44], p < .001), other Hispanic (OR = 0.58, 95% CI [0.57, 0.59], p < .001), and non-Hispanic Black adults (OR = 0.79, 95% CI [0.78, 0.80], p < .001) had lower odds of advanced medical technology use. The study may inform health care stakeholders about strategies to promote equitable access to advanced medical assistive technologies for social change
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Walden Dissertations and Doctoral Studies
Continuing shortages of allied health (AH) workers have become a critical business challenge for health care organizations, driven by an aging population, rising service demand, and the lasting effects of the COVID 19 pandemic. AH leaders remain concerned about meeting essential staffing requirements, as persistent recruitment and retention difficulties threaten the delivery of high-quality health care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies successful health care leaders used to recruit and retain skilled AH employees. The participants were seven Maryland health care leaders with experience successfully implementing recruitment and retention strategies …
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Walden Dissertations and Doctoral Studies
Childhood obesity and excessive fast-food intake represent a significant public health concern among African American children. Grounded in the social-ecological model, this quantitative, cross-sectional study examined whether frequency of fast-food or pizza meal consumption and reliance on low-cost food was associated with total cholesterol (mg/dL) and waist circumference among African American children and adolescents aged 6–15 years while controlling for key sociodemographic factors (age, gender, parental education status, and annual household income). Secondary data from the 2017–2018 National Health and Nutrition Examination Survey were analyzed (N=184). Descriptive statistics, nonparametric analyses, and a multiple linear regression model were used to analyze …
Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell
Walden Dissertations and Doctoral Studies
Hypovitaminosis D is a significant public health concern in the United States associated with inadequate sunlight exposure and insufficient dietary intake. Asthma is a chronic respiratory condition that progressively worsens over time. While asthma is typically managed through individual-level treatment approaches, population-level strategies such as vitamin D supplementation and food fortification policies have not been implemented. A five-tier Public Health Impact Pyramid theoretical foundation guided this nonexperimental quantitative cross-sectional study. Data from 2013-2014 and 2017-2018 NHANES (n = 1,456) was evaluated for relationships between vitamin D supplementation, duration of sunlight exposure, and food security index, with asthma, asthma exacerbation severity, …
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Walden Dissertations and Doctoral Studies
Surgical site infections (SSIs) remain one of the most frequent and preventable complications following abdominal hysterectomy. Existing literature has focused on clinical and procedural risk factors, while less is known about how social conditions shape surgical outcomes. This gap is especially concerning for women in New York State (NYS) where differences in income, marital status, primary payer, rurality, and county-level food insecurity may influence postoperative outcomes and subsequent care. The socioecological model provided the foundation for this retrospective cohort study by examining how social drivers of health (SDoH) are associated with SSI incidence following abdominal hysterectomy, and whether food insecurity …
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
Walden Dissertations and Doctoral Studies
No abstract provided.
Lived Experiences Of Black, Indigenous, And People Of Color (Bipoc) Counselors Collaborating With Multidisciplinary Teams To Treat Bipoc Clients Diagnosed With Eating Disorders, Melissa Sherfield
Walden Dissertations and Doctoral Studies
Eating disorder (ED) treatment has historically been grounded in Eurocentric models that inadequately account for the cultural contexts and lived experiences of Black, Indigenous, and people of color (BIPOC), contributing to persistent disparities in care. The purpose of this descriptive transcendental phenomenological study was to explore the lived experiences of BIPOC counselors who provide culturally responsive care to BIPOC clients diagnosed with EDs. Guided by Husserl’s phenomenological philosophy of intentionality and Giorgi’s descriptive phenomenological method, the central research question addressed the lived experiences of BIPOC counselors providing culturally responsive ED care, with a sub-question addressing how counselors describe their preparedness …
Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi
Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi
Walden Dissertations and Doctoral Studies
The contemporary U.S. welfare system, shaped by the 1996 Personal Responsibility and Work Opportunity Reconciliation Act and reinforced by the Illegal Immigration Reform and Immigrant Responsibility Act, established structural exclusions that bar lawful permanent residents (LPRs) from accessing core social welfare programs during their first five years of residency. Existing research provides support that exclusionary provisions caused economic instability, bureaucratic discrimination, and racialized stigma for immigrant participants, limiting access to basic needs, reinforcing poverty, and ultimately eroding trust in U.S. institutions. The purpose of this study was to bridge the gap in knowledge by examining the cumulative socio-economic and moral …
Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse
Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse
Walden Dissertations and Doctoral Studies
Food insecurity (FI) is a persistent public health challenge in the United States and disproportionately affects rural communities. Guided by syndemic theory, this quantitative cross-sectional study examined associations between FI and chronic disease outcomes among rural residents of Vermont and the Adirondack region of New York. Social determinants of health screenings and electronic medical records from 35 rural primary care sites were analyzed. Secondary data from n = 72,505 adults were used to evaluate these relationships. Binary logistic regression models assessed obesity, hypertension (HTN), and diabetes (DM), and a multinomial logistic regression model evaluated the combined presence of obesity and …
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Walden Dissertations and Doctoral Studies
This DNP project implemented a targeted staff education intervention designed to bridge the practice gap in obesity management among adolescents in underserved communities. A comprehensive chart review of 45 patients revealed that only 3% of encounters adequately addressed obesity using evidence-based practice (EBP) guidelines, establishing the urgent need for healthcare provider education and competency development. Adolescents in underserved communities face complex barriers to health and wellness, with obesity representing a critical public health concern. The literature demonstrated that childhood and adolescent obesity serves as a significant risk factor for multiple chronic conditions in adulthood, including Type 2 diabetes, hypertension, coronary …
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Walden Dissertations and Doctoral Studies
This project addressed the critical practice problem of formation of Stage III/IV pressure injuries in adult patients admitted to the long-term acute care (LTAC) intensive care unit (ICU) department, which has been linked to increased lengths of stay, mortality rates, and treatment costs for the facility. Thus, development of a clinical practice guideline (CPG) focused on a nurse-driven protocol to identify patients in the ICU department at high risk of developing a Stage III/IV pressure injury and initiating prevention measures formed the primary purpose of the Doctor of Nursing Practice (DNP) project. The practice focused question addressed whether an evidence-based …
Exploring Effective Retention Strategies Of Skilled And Productive Personnel In The Healthcare Industry, Joshua Emmanuel Banks
Exploring Effective Retention Strategies Of Skilled And Productive Personnel In The Healthcare Industry, Joshua Emmanuel Banks
Walden Dissertations and Doctoral Studies
Employee retention remains a significant challenge for healthcare organizations. Healthcare human resource (HR) managers are concerned about high turnover because it increases staffing costs, disrupts continuity of care, and threatens patient safety and workforce stability. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies that healthcare HR managers use to retain skilled and productive employees to ensure continuity of care, patient safety, and overall organizational success. The participants were seven HR managers from the healthcare industry in Virginia; West Virginia; Washington, DC; and Maryland who retained skilled and productive employees to ensure …
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Walden Dissertations and Doctoral Studies
This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Walden Dissertations and Doctoral Studies
Hospitals and healthcare facilities in the United States continue to face persistent shortages of ancillary imaging technologists, creating significant challenges for hospital administrators. The purpose of this integrative review was to identify effective strategies for recruiting and retaining imaging staff in hospitals. The review question concerned what best practices and strategies healthcare administrators can use to improve the recruitment and retention of ancillary imaging staff. The theoretical frameworks for this research, strategic human resource development and Maslow’s theory of human motivation, provided a lens for understanding organizational enhancement and employee engagement, respectively. Following the application of inclusion and exclusion criteria, …
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Walden Dissertations and Doctoral Studies
Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Walden Dissertations and Doctoral Studies
Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta
Walden Dissertations and Doctoral Studies
Neonatal readmissions remain a significant challenge in urban acute care hospitals serving indigent preterm infants. These readmissions impose substantial financial burdens, with high-cost conditions such as bronchopulmonary dysplasia, necrotizing enterocolitis, and retinopathy of prematurity driving recurring expenditures. This integrative review examined strategies that healthcare administrators can implement to reduce neonatal readmissions, improve care equity, and optimize healthcare spending in hospitals serving vulnerable populations in the Commonwealth of Virginia. A comprehensive literature search of empirical and non-empirical studies yielded 105 results for quality assessment using the Johns Hopkins appraisal tools. A total of 29 were included for thematic analysis. Five main …
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) quality improvement project addressed the ongoing issue of workplace violence (WPV) among medical-surgical nurses in an acute care setting. WPV poses significant risks to staff safety, psychological well-being, and the overall care environment. Guided by current evidence and professional guidelines, the project implemented a structured educational intervention focused on the Workplace Violence Reduction Bundle, incorporating the Broset Violence Checklist (BVC) and evidence-based de-escalation strategies. Medical-surgical nursing staff participated in tailored educational sessions; knowledge was assessed through pre- and post-intervention surveys, and program acceptability was evaluated through staff feedback. Data analysis revealed modest improvements in …
Depression, Education, And Quality Of Life In Women With Endometriosis, Ria N. Gajar
Depression, Education, And Quality Of Life In Women With Endometriosis, Ria N. Gajar
Walden Dissertations and Doctoral Studies
Endometriosis is a chronic gynecologic condition associated with substantial physical, psychological, and social burden, and depressive symptoms are consistently linked to poorer health-related quality of life (HRQoL) among affected women. However, limited population-based research has examined how depressive symptoms intersect with social factors. Guided by Engel’s biopsychosocial model, nationally representative data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES)—the most recent cycle to include an item on endometriosis diagnosis—were analyzed among U.S. women with self-reported endometriosis (N = 4,137). Complex samples logistic regression models were used to examine associations between depressive symptoms and HRQoL across general, physical, and …
Staff Education Project Staff Education To Integrate Nutrition Into Mental Health Care In An Acute Medical Setting, Yolene Auguste
Staff Education Project Staff Education To Integrate Nutrition Into Mental Health Care In An Acute Medical Setting, Yolene Auguste
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a staff education initiative designed to support the implementation of a protocol that integrates nutrition and mental health screening in an acute medical setting. The practice problem addressed inconsistent identification of nutrition-related needs and mental health concerns, along with variable follow-through on referral pathways, limiting holistic care and contributing to unmet needs during and after hospitalization. Nutrition and mental health are bidirectionally related, with dietary quality and lifestyle factors influencing mental health outcomes and overall well-being (Dubois & Giroux, 2025). The practice-focused question guiding this project was: In adult patients receiving care …
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Walden Dissertations and Doctoral Studies
Substance use disorder counselors face increasing challenges in responding to a growing and more severely affected population, often presenting with co-occurring mental health conditions and complex clinical needs. Clinical supervision plays a critical role in supporting counselor development, yet little is known about the factors that contribute to clinical supervisors’ self-efficacy in providing supervision for alcohol and drug counselors. The purpose of this quantitative correlational study was to examine whether years of counseling experience, years of substance use disorder (SUD) counseling experience, years as a clinical supervisor, professional counseling credentials, and supervisory credentials predicted self-efficacy among clinical supervisors. This study …
Association Between Environmental Exposures To Perfluoroalkyl And Polyfluoroalkyl Substances And Military Veterans Cancer Determination, Stephen A. Pereira Jr
Association Between Environmental Exposures To Perfluoroalkyl And Polyfluoroalkyl Substances And Military Veterans Cancer Determination, Stephen A. Pereira Jr
Walden Dissertations and Doctoral Studies
This study involved evaluating whether cumulative exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) was associated with kidney cancer, bladder cancer, and adult leukemia among U.S. veterans. Pooled National Health and Nutrition Examination Survey (NHANES) data from 2005–2015 were analyzed for sample of 2,500 veterans with available serum PFAS measurements and physician-diagnosed cancer histories. This study employed a cross-sectional, correlational design grounded in a post-positivist paradigm. Inclusion required complete data for (a) serum PFAS concentrations, (b) kidney cancer, bladder cancer, and adult leukemia, and (c) covariates age, sex, race/ethnicity, smoking status, and body mass index. Cumulative PFAS was modeled as a …
Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson
Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson
Walden Dissertations and Doctoral Studies
This staff education project addressed a practice gap in a psychiatric facility where nonclinical staff frequently submitted incomplete referral documentation for patients with co-occurring medical and psychiatric conditions. Due to the facility’s inability to provide acute medical stabilization, medical clearance is required before nurse practitioners can determine admission appropriateness. The project question was, Does educating intake staff on a standardized referral checklist improve knowledge of referral criteria, as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model informed evidence translation, and the analysis, design/development, implementation, and evaluation (ADDIE) instructional design model underpinned the development and evaluation …
Food Security Through Church-Sponsored Food Programs, Samantha Scott
Food Security Through Church-Sponsored Food Programs, Samantha Scott
Walden Dissertations and Doctoral Studies
A south-suburban Cook County, IL city lacks grocery stores with high-quality food options, which contributes to food insecurity. Residents often rely on highly processed, low-nutrient foods, contributing to nutritional vulnerability. Friendship Church’s food bank sporadically serves this food desert, but sustaining its operations is challenging. Using community-based participatory action research design and the food security theory, data were collected from 25 semistructured interviews with food bank beneficiaries and church staff/volunteers and analyzed using reflective thematic analysis. The four dimensions were examined: availability, access, utilization, and stability. Two questions guided the research: How do parishioners in one south-suburban Cook County community …
Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …
Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota
Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a practice-focused staff education initiative designed to improve clinical staff knowledge, confidence, and readiness to educate adult patients enrolled in a Tirzepatide weight-management program. Tirzepatide has demonstrated superior weight-loss outcomes compared to other glucagon-like peptide-1 (GLP-1) receptor agonists; however, inconsistent staff education practices related to medication administration, adverse-event management, and lifestyle counseling present a gap in practice. Variability in staff knowledge and teaching approaches may reduce confidence, contribute to inconsistent patient education, and limit the effectiveness of evidence-based care delivery. The purpose of this DNP project was to address this practice gap …
Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett
Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett
Walden Dissertations and Doctoral Studies
In a comprehensive mental health facility, patients diagnosed with major depression continue to experience depressive symptoms despite treatment. Despite using standard treatment with antidepressants and psychotherapy, facility data showed that 40% of these patients are still experiencing depression symptoms that negatively impact their overall functioning and quality of life. There is evidence supporting exercise as an effective strategy for depression treatment. Therefore, a staff education project was proposed to educate staff about exercise for depression management in adults. A thorough literature search in four databases yielded 12 articles with high quality evidence supporting educating staff to use exercise for depression …
Optimizing Patient Intake Efficiency: Integrating Data Accuracy And Workflow Improvement Strategies, Breanna Virginia Martin
Optimizing Patient Intake Efficiency: Integrating Data Accuracy And Workflow Improvement Strategies, Breanna Virginia Martin
Walden Dissertations and Doctoral Studies
For a professional therapist, social worker, psychologist, or psychiatrist, improving the quality and effectiveness of patient care is a central responsibility. This qualitative single-case study examined how WGGX, a nonprofit behavioral health organization in South Philadelphia, addressed challenges within its patient intake process to improve workflow efficiency, data accuracy, and the client onboarding experience. Guided by the Baldrige Health Care Criteria for Performance Excellence, the study explored how leadership practices, workforce engagement, and process management influenced organizational effectiveness related to intake operations. Data were collected through semistructured, in-person interviews with six organizational stakeholders and a review of organizational documents and …