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Walden Dissertations and Doctoral Studies

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Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos Nov 2025

Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos

Walden Dissertations and Doctoral Studies

Business leaders of homeschool consulting and testing services are experiencing a critical challenge in attracting new clients, which threatens their ability to sustain operations. Grounded in the Baldrige excellence framework and the diffusion of innovation theory, the purpose of this qualitative single case study was to explore effective strategies used by one business leader of a homeschool consulting and testing services organization in North Carolina to attract clients and sustain operations. Data sources included (a) semistructured interviews, (b) organizational archival records and documents, (c) public data such as reports and websites, and (d) literature including peer-reviewed articles and books. Findings …


Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu Nov 2025

Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu

Walden Dissertations and Doctoral Studies

Acute care nurses face persistent occupational stress that contributes to burnout, anxiety, depression, and high turnover rates within healthcare systems. The Stress First Aid (SFA) framework offers a proactive, evidence-based approach to identifying and managing psychological distress among healthcare workers. The purpose of this Doctor of Nursing Practice project was to implement and evaluate the SFA program as a structured, early-intervention model to improve nurse well-being, retention, and patient care outcomes in an acute care setting. Guided by the Stress Continuum Model and organizational change theory, this project emphasized early recognition of stress, peer support mechanisms, and continuous outcome monitoring. …


Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans Nov 2025

Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans

Walden Dissertations and Doctoral Studies

Leaders in urgent care centers across the United States continue to face challenges with patient flow, long wait times, and inconsistent staffing. The purpose of this integrative review was to explore strategies that help improve workflow efficiency and reduce wait times in urgent care settings. The review question pertained to strategies and best practices that could be implemented to improve patient flow management in urgent care centers. This study was guided by general systems theory, which views urgent care as a connected system where people, processes, and technology work together to influence outcomes. A review of literature published within the …


Employee Perception Of Administrator Leadership Behaviors In Southeastern U.S. Hospitals That May Contribute To Employee Turnover, Kim Steele Nov 2025

Employee Perception Of Administrator Leadership Behaviors In Southeastern U.S. Hospitals That May Contribute To Employee Turnover, Kim Steele

Walden Dissertations and Doctoral Studies

Given the increasing significance of employee turnover, administrative leadership in U.S. Southeastern hospitals stands at a critical turning point. The specific research problem is that leadership behaviors may create an intolerable environment for employees, leading to an intent to leave and turnover. The purpose of this descriptive phenomenological study was to explore administrative leadership behaviors that contribute to employee turnover, with a specific focus on leadership behaviors in U.S. Southeastern hospitals. The conceptual framework included grounded theory, which examines underlying social processes, and behavioral theory, focusing on leadership practices and behavior change. Fifteen administrative employees, four men and 11 women, …


Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross Nov 2025

Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross

Walden Dissertations and Doctoral Studies

Summary This doctoral, practice-focused quality improvement project used a mixed-methods design to evaluate the usability, acceptability, and clinical integration of a nutrition screening tool in a mental health outpatient clinic. The project addresses a key practice gap, the lack of evaluation of the implementation of a systematic nutrition screening for individuals with severe mental illness (SMI), which contributes to worsening psychiatric symptoms and delayed recovery. Aligning with nursing’s holistic and patient-centered framework, the initiative aimed to strengthen interprofessional collaboration and preventive care. The guiding practice-focused questions addressed: How usable and acceptable is the clinical practice guideline (CPG) tool among clinic …


Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison Nov 2025

Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison

Walden Dissertations and Doctoral Studies

Teachers serving U.S. military-connected students (MCS) overseas regularly address student trauma in the classroom that stems from relocation and separation events due to parents’ or guardians’ military service. The problem addressed in this study was that Grade K–5 teachers struggle to support overseas who experience trauma. The purpose of this basic qualitative study was to explore Grade K–5 teachers’ perceptions of the challenges to support MCS overseas who have experienced trauma. The study was guided by three principles from Soma and Allen’s trauma informed model, which emphasizes understanding trauma as an experience, prioritizing social and emotional skill development, and supporting …


Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey Nov 2025

Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey

Walden Dissertations and Doctoral Studies

Employee resistance to organizational change reflects significant challenges for healthcare organizations. Healthcare leaders are concerned with employee resistance as it negatively influences patient care outcomes. Grounded in Lewin’s three-stage change model, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies healthcare leaders used to manage employee resistance during organizational change. Six healthcare leaders participated, each of whom had successfully implemented change initiatives while minimizing resistance. Data were collected through semistructured interviews and publicly available documents. Through thematic analysis, three themes emerged: (a) transparent communication and employee involvement, (b) supportive leadership behavior and emotional intelligence, …


Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis Oct 2025

Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis

Walden Dissertations and Doctoral Studies

The inability to sustain employee retention amid expanded remote work practices highlights the urgent responsibility of leaders to confront the growing disparity between high job demands and insufficient resources that jeopardize employee engagement and organizational stability. Human resource (HR) leaders have a critical responsibility to address the effects of ineffective remote work strategies, which can lower morale, reduce performance, and increase turnover, weakening workforce cohesion and stability. Grounded in the job demands-resources (JD-R) model, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective HR strategies and processes for supporting remote workers. Data sources included semistructured …


Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John Oct 2025

Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project implemented a standardized program to strengthen knowledge, confidence, and adherence to venous stasis ulcer (VSU) prevention among staff in an outpatient vascular clinic. The practice problem was the lack of standardized staff education, leading to inconsistent patient teaching and recurrent ulceration. VSUs are a significant public health challenge, increasing morbidity, healthcare utilization, and reducing quality of life (He et al., 2024). The practice-focused question for this project was: In frontline medical staff at a vascular outpatient clinic, does a staff education program on a standardized approach to patient education for VSU …


Strategies Hospitality Business Leaders Use To Retain Employees During Organizational Change, Jennifer Harris Nyanfor Oct 2025

Strategies Hospitality Business Leaders Use To Retain Employees During Organizational Change, Jennifer Harris Nyanfor

Walden Dissertations and Doctoral Studies

High employee turnover during organizational change can weaken the hospitality sector’s operational efficiency, leading to inconsistencies in service delivery and reduced productivity. To mitigate these effects, hospitality business leaders are encouraged to adopt evidence-based retention practices that strengthen employee commitment and sustain organizational success. Grounded in job embeddedness theory, the purpose of this qualitative pragmatic inquiry was to explore strategies hospitality business leaders used to retain employees during organizational change. Six hospitality business leaders from the Southeastern United States region were participants in semistructured interviews. The four themes that emerged through thematic analysis were clear communication, competitive compensation, rapport building, …


Staff Education On Antibiotic Stewardship For Urgent Care, Darla Michelle Taylor Oct 2025

Staff Education On Antibiotic Stewardship For Urgent Care, Darla Michelle Taylor

Walden Dissertations and Doctoral Studies

This doctoral project focused on a staff education initiative designed to improve antibiotic stewardship among urgent care providers. It evaluated changes in provider knowledge and prescribing intent following an evidence-based educational intervention by asking, “Does staff education on antibiotic stewardship in an urgent care setting enhance knowledge when compared to pre- and post-education assessments?” The purpose was to increase provider knowledge, confidence, and adherence to stewardship principles while influencing prescribing intent. The project consisted of an educational presentation with pre- and post-education surveys. Data was collected using pre- and post-education surveys featuring Likert-scale items that measured provider confidence, knowledge, and …


Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin Oct 2025

Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin

Walden Dissertations and Doctoral Studies

Nursing education is evolving, requiring educators to adapt teaching methods due to advances in technology, pedagogy, and accreditation standards. In Northern Ontario, geographic and resource limitations make this adaptability critical for ensuring equitable, high-quality education. Guided by Lewin’s change theory, this qualitative phenomenological study examined how Bachelor of Science in Nursing (BScN) nursing educators in Northern Ontario adapted their teaching practices to these evolving demands. Six full-time educators teaching in BScN programs with at least 3 years of recent nursing education experience using synchronous instructional methods participated in semistructured qualitative interviews. Data were analyzed using Saldaña’s coding framework. Four themes …


Relationship Of Job Demands And Perceived Usefulness Of Virtual Nursing Technology Among Bedside Nurses In Acute Care Settings, Oluponle Olubajo Oct 2025

Relationship Of Job Demands And Perceived Usefulness Of Virtual Nursing Technology Among Bedside Nurses In Acute Care Settings, Oluponle Olubajo

Walden Dissertations and Doctoral Studies

Bedside nurses in acute care settings face intensified job demands amid persistent low nursing staff census and rising patient acuity. The purpose of the study, guided by the job demands–resources (JD-R) model, was to examine the relationship between job demands, years of nursing experience, and perceived usefulness of virtual nursing technology among bedside nurses in acute care settings. A cross-sectional online survey was administered to bedside registered nurses (N = 102) currently using virtual nursing technology. Measures included the Intensification of Job Demands Scale and the Perceived Usefulness Scale. Data analyses indicated that the multiple regression was not statistically significant, …


Leadership Behaviors And Practices That Enhance Middle Managers’ Leadership Skills To Be Highly Engaged, Mr. Meredith Rudolph Payne Oct 2025

Leadership Behaviors And Practices That Enhance Middle Managers’ Leadership Skills To Be Highly Engaged, Mr. Meredith Rudolph Payne

Walden Dissertations and Doctoral Studies

Middle managers, who serve as conduits between the senior leadership and frontline employees, may lack the leadership behaviors and practices necessary to maintain high engagement levels. Financial services company leaders need to understand what causes middle managers to be highly engaged and motivated to provide them with the leadership skills necessary for better organizational alignment. Grounded in transformational leadership theory, the purpose of this qualitative hermeneutic phenomenological study was to explore and describe the lived experience and leadership behaviors and practices that middle managers use to enable them to be highly engaged in financial services companies in the United States. …


Strategies For Recruitment And Retention Of Mental Health Providers In The Military Health System, Christopher J. Chase Oct 2025

Strategies For Recruitment And Retention Of Mental Health Providers In The Military Health System, Christopher J. Chase

Walden Dissertations and Doctoral Studies

Recruitment and retention of mental health professionals are critical challenges for the Military Health System (MHS), affecting timely access to behavioral health care, workforce stability, and mission readiness. Persistent shortages threaten the well-being of service members and increase reliance on the resilience of overburdened staff, particularly in rural and underserved areas. This integrative review aimed to identify and synthesize best practices to improve recruitment and retention of mental health providers within the MHS. Using the Johns Hopkins Nursing Evidence-Based Practice Model, a systematic literature search and thematic analysis were conducted on 27 high-quality research and non-research articles. The Affective, Continuance, …


The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr Oct 2025

The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr

Walden Dissertations and Doctoral Studies

Low project success rates are a significant issue for telecommunications organizations and project managers, as they can negatively impact operational efficiency and profitability. Grounded in transformational leadership theory, this quantitative project aimed to investigate the relationship between transformational leadership and project success within the telecommunications industry. A priori power analysis was conducted using G*Power, yielding a noncentrality parameter of 2.54, a critical t value of 1.68, degrees of freedom (df) equal to 49, a total sample size of 51, and an actual power of 0.80. The 51 participants were project managers in leadership positions, with two or more years of …


Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston Oct 2025

Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston

Walden Dissertations and Doctoral Studies

High turnover rates among clinical research staff present a business problem that reduces continuity, quality, and cost-effectiveness of clinical trials. This problem is important to clinical research managers because employee stability is essential for participant retention, regulatory compliance, and operational success. Grounded in the job embeddedness and transformational leadership theories, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that some clinical research site managers use to reduce employee turnover in the southeastern United States. Data were collected through semistructured interviews with six clinical research leaders and triangulated with publicly available documents. Using Yin’s …


Effective Marketing Strategies Business Leaders Use To Remain Profitable And Sustainable Beyond 5 Years In The Digital Age, Lauren Taylor Sawyer Oct 2025

Effective Marketing Strategies Business Leaders Use To Remain Profitable And Sustainable Beyond 5 Years In The Digital Age, Lauren Taylor Sawyer

Walden Dissertations and Doctoral Studies

A lack of effective marketing strategies to stay profitable in the digital age is a concern for small and medium-sized business leaders because it can lead to early business failure, lost revenue, and reduced long-term sustainability. Grounded in relationship management theory and Kotter’s (1996) 8-step change model, this qualitative pragmatic inquiry was conducted to explore effective marketing strategies business leaders use to remain profitable and sustainable beyond 5 years in the digital age. Participants were six business leaders located in the Southeastern United States who had successfully sustained their companies for over 5 years and were directly responsible for marketing …


Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney Oct 2025

Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney

Walden Dissertations and Doctoral Studies

Sepsis remains a life-threatening health challenge, contributing to significant morbidity and mortality within healthcare systems. This Doctor of Nursing Practice (DNP) project aimed to address knowledge deficits among emergency room nurses regarding the early identification and management of sepsis, mainly through the implementation of the 3-hour sepsis bundle. The practice-focused question guiding this project was whether educating nurses on the 3-hour sepsis bundle would increase their knowledge. This project aimed to educate nurses on how to identify sepsis early and implement the sepsis 3-hour bundle in a timely manner, with the overall goal of improving nursing knowledge. The sources of …


Determinant Factors Of Iot Adoption For Smart Cities In The United States, Nathaniel Pleasant Crews Oct 2025

Determinant Factors Of Iot Adoption For Smart Cities In The United States, Nathaniel Pleasant Crews

Walden Dissertations and Doctoral Studies

Even with the promise of efficiency, sustainability, and better services that IoT technologies bring, the adoption in U.S. smart cities remains uneven and hasn’t met expectations. This gap creates challenges for leaders and IT managers who depend on IoT for infrastructure, safety, and service delivery. To address this issue, it’s important to investigate the factors that impact adoption. Grounded in the unified theory of acceptance and use of technology (UTAUT) model, the purpose of this quantitative correlational study is to examine the relationship between stakeholders’ perceptions of ease of use, usefulness, user trust, security concerns, social influence, and adoption of …


Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady Sep 2025

Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady

Walden Dissertations and Doctoral Studies

According to recent studies, women were underrepresented in senior leadership in the global Christian church, and leadership pathways for the development of women were often lacking. The local problem within the International Christian Church (ICC) was a lack of understanding of holistic mentoring strategies that support the development of women clergy members, which could help fill the current leadership gap. Guided by Dahlvig and Longman’s model of women’s leadership development, the purpose of this basic qualitative study was to explore the perceptions of women clergy regarding holistic mentoring strategies that might increase the number of women in leadership within the …


Cyberloafing And The Effects On Information Technology Infrastructure, Robert Ceneskie Sep 2025

Cyberloafing And The Effects On Information Technology Infrastructure, Robert Ceneskie

Walden Dissertations and Doctoral Studies

Cyberloafing, or the use of business resources for nonwork-related internet activity, can negatively affect technology infrastructure and organizational productivity. In K–12 public school districts, IT administrators and school leaders are directly affected, as network degradation and ransomware attacks can disrupt instruction, compromise sensitive data, and reduce access to critical resources. This quantitative correlational, ex post facto study, grounded in activity theory and the theory of human-technology interaction, was to determine whether there was a statistically significant relationship between employee cyberloafing, network degradation, and ransomware security attacks in the education sector. Data were collected through public records requests for bandwidth usage, …


Strategies Managers Use To Improve Employee Retention, Jeanette L. Moncure Sep 2025

Strategies Managers Use To Improve Employee Retention, Jeanette L. Moncure

Walden Dissertations and Doctoral Studies

Addressing employee turnover and boosting retention are major challenges for companies looking to achieve long-term success. Project managers are crucial in tackling this issue, as high turnover can undermine team performance and increase operational costs. Grounded in Herzberg’s two factor theory, the purpose of this qualitative case study was to explore strategies that some project managers use to reduce high employee turnover. The participants included six project managers in Mississippi who had an active role in using strategies to increase employee retention. Data were collected using semistructured interviews, organizational documentation, and research statistics. Thematic analysis identified six key strategies: (a) …


Exploring Organizational Success: Strategies That Optimize Employee Performance In Small Businesses, Latoya Anthony Sep 2025

Exploring Organizational Success: Strategies That Optimize Employee Performance In Small Businesses, Latoya Anthony

Walden Dissertations and Doctoral Studies

Employee retention challenges in small businesses can undermine organizational effectiveness and profitability. Small business leaders in the Midwestern United States service industry are particularly concerned with ineffective human resource (HR) strategies, as these shortcomings often contribute to reduced workforce engagement and higher turnover. Grounded in the resource-based view (RBV) theory, the purpose of this qualitative pragmatic inquiry study was to explore successful HR strategies that small business leaders in the Midwestern United States service industry use to sustain organizational effectiveness and overall profitability. The participants were six HR leaders from small service firms who had successfully implemented HR practices that …


Behavioral Health Leadership Strategies Used To Promote Cultural Change Within A Behavioral Health Organization, Jessica Wishom Sep 2025

Behavioral Health Leadership Strategies Used To Promote Cultural Change Within A Behavioral Health Organization, Jessica Wishom

Walden Dissertations and Doctoral Studies

The deficiency of patient-centered care and active treatment within behavioral health hospitals continues to contribute to decreased patient satisfaction, increased rapid readmissions, and low employee engagement and morale. This qualitative case study explored how behavioral health leadership in a for-profit behavioral health hospital in the southwestern United States addressed challenges related to patient-centered care and active treatment to foster cultural change. The study was grounded in the Baldrige framework of excellence. Data collection included semi structured interviews with behavioral health leaders and analysis of the hospital’s internal archival data, including patient satisfaction surveys and rapid readmission rates. Thematic analysis identified …


Strategies Of It Managers To Promote Technology Adoption In Jamaican Government Institutions, Jodie-Ann Dione Brown Sep 2025

Strategies Of It Managers To Promote Technology Adoption In Jamaican Government Institutions, Jodie-Ann Dione Brown

Walden Dissertations and Doctoral Studies

The success of digital transformation depends on effective adoption of technology. Information technology (IT) managers and policymakers must develop robust tactics to achieve long-term acceptance and use of new technologies, as a lack of effective technology adoption strategies can hamper carefully designed digital transformation initiatives. Grounded in the extended unified theory of acceptance and use of technology, the purpose of this qualitative multiple case study was to explore the strategies used by IT managers to effectively promote technology adoption in Jamaican government institutions. The participants were four IT managers and practitioners in Jamaican government institutions. Data were collected from semistructured …


Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins Sep 2025

Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins

Walden Dissertations and Doctoral Studies

Ineffective strategies to increase the number of Black, Indigenous, and people of color (BIPOC) employees in senior-level positions can negatively impact financial performance. Some business leaders lack strategies to increase the number of BIPOC employees in senior-level positions and positively impact financial performance, which could increase risk of business instability. Grounded in multidimensional cultural competency framework; equity, diversity, and inclusion theory; and change management theory, this qualitative pragmatic inquiry was conducted to identify and explore effective strategies business leaders use to increase the number of BIPOC employees in senior-level positions and positively impact financial performance. The participants were eight business …


Relationship Between Leadership Styles And Teacher Job Satisfaction After Covid-19, Willona E. Johnson Sep 2025

Relationship Between Leadership Styles And Teacher Job Satisfaction After Covid-19, Willona E. Johnson

Walden Dissertations and Doctoral Studies

The educational sector in the United States experienced substantial workforce changes during the Great Resignation, a period following the COVID-19 pandemic when many employees left their jobs. In response, school leaders were encouraged to understand the relationship between their leadership styles and teacher job satisfaction. This quantitative correlational study used Job Satisfaction Theory as its theoretical framework to examine the relationship between three leadership styles—transactional, transformational, and laissez-faire (passive-avoidant)—and teacher job satisfaction in the post-pandemic context. Eighty-two teachers participated by completing the Job Satisfaction Survey and the Multifactor Leadership Questionnaire (MLQ). Results from the multiple linear regression analysis were statistically …


Effective Business Strategies To Reduce Rural Hospital Closures, Teika Denise Albury Aug 2025

Effective Business Strategies To Reduce Rural Hospital Closures, Teika Denise Albury

Walden Dissertations and Doctoral Studies

Rural hospital closures disproportionately impact the lives of rural residents across the United States, directly affecting health outcomes for rural communities and the overall financial viability of rural health institutions. Policymakers, healthcare leaders, and community stakeholders are concerned about these closures because they threaten access to care and contribute to health disparities. Grounded in Fiedler’s contingency theory, the purpose of this qualitative pragmatic inquiry was to explore business strategies rural hospital administrators use to prevent rural hospital closures. The participants were five rural hospital administrators who successfully prevented the closure of their rural hospitals. Data were collected through semistructured interviews …


Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández Aug 2025

Leadership In Action: Enhancing Staff Development For Organizational Success, Reinaldo Rivera Hernández

Walden Dissertations and Doctoral Studies

Nonprofit organizations face distinctive challenges that require specialized leadership and effective staff development strategies, particularly in community-focused organizations in Lancaster, Pennsylvania. Leadership deficiencies can diminish employee commitment, restrict professional growth, and weaken organizational capacity, ultimately limiting mission fulfillment. The purpose of this qualitative study was to explore leadership and staff development deficiencies within a nonprofit organization in Lancaster County and identify strategies for improvement. Guided by Kurt Lewin’s change management model, the study examined barriers and supports for professional growth, the influence of leadership on organizational culture and retention, and practices promoting equity and succession planning. Semi-structured interviews were conducted …