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Articles 31 - 60 of 1894
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Leveraging Innovation And Resilience: A Qualitative Project Of Mid-Level Managers Driving Business Performance In Multinational Corporations, Karla Karey Diaz
Leveraging Innovation And Resilience: A Qualitative Project Of Mid-Level Managers Driving Business Performance In Multinational Corporations, Karla Karey Diaz
Walden Dissertations and Doctoral Studies
Employee underdevelopment in multinational corporations (MNCs) can weaken the organization’s agility and competitive advantage in the global market. Mid-level managers must be leveraged effectively, as this level of management holds primary adaptive responsibility for building, integrating, and reconfiguring resources during organizational change. Grounded in the dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies mid-level managers in MNCs use to improve dynamic capabilities. Participants were 10 U.S.-based MNC mid-level managers with experience using strategies to improve dynamic capabilities. Data were collected through semistructured interviews and publicly available documents, including strategic plans, …
Implementation Of A Standardized Columbia-Suicide Severity Rating Scale Screening Process In An Outpatient Psychiatric Practice, Dela Mensah Frimpong
Implementation Of A Standardized Columbia-Suicide Severity Rating Scale Screening Process In An Outpatient Psychiatric Practice, Dela Mensah Frimpong
Walden Dissertations and Doctoral Studies
This doctoral project was an organizational change initiative designed to implement a standardized suicide risk screening process in an outpatient psychiatric practice. The identified practice problem was inconsistent staff use and documentation of suicide risk screening, which could result in missed warning signs, delayed provider notification, incomplete documentation, and inconsistent follow-up care. Suicide risk identification is an essential nursing responsibility and a key component of patient safety (The Joint Commission, 2024; Zero Suicide, n.d.). The practice-focused question examined whether staff education and implementation of a standardized Columbia-Suicide Severity Rating Scale (C-SSRS) workflow would improve staff compliance, documentation completion, and knowledge …
Impact Of Emerging Technologies On Leadership Identity Of Behavioral Health Leaders, Jenah Habermehl
Impact Of Emerging Technologies On Leadership Identity Of Behavioral Health Leaders, Jenah Habermehl
Walden Dissertations and Doctoral Studies
Emerging technologies are reshaping behavioral health leadership by changing documentation, communication, ethical responsibilities, and role expectations. Qualitative case study research methodology was used in this study. The problem addressed in this case study was the limited understanding of how emerging technologies influence the leadership identity and professional values of behavioral health leaders. The Baldrige Performance Excellence Framework guided this study of behavioral health leaders at a privately operated behavioral health organization in the South Atlantic region of the United States. Data were collected by conducting semistructured interviews with four behavioral health leaders at the organization and gathering internal archival and …
Implementation Of An Electronic Gad-7 Screening Tool To Improve Anxiety Screening Completion And Documentation, Obiageli L. Ukatu
Implementation Of An Electronic Gad-7 Screening Tool To Improve Anxiety Screening Completion And Documentation, Obiageli L. Ukatu
Walden Dissertations and Doctoral Studies
Quality Improvement Initiative Implementation of an Electronic GAD-7 Screening Tool to Improve Anxiety Screening Completion and Documentation
Evaluating Mentorship, Professional Networking Participation, And Leadership Classifications For Women In Health Service Organizations, Marina Nagy Hanna
Evaluating Mentorship, Professional Networking Participation, And Leadership Classifications For Women In Health Service Organizations, Marina Nagy Hanna
Walden Dissertations and Doctoral Studies
Despite women comprising a substantial portion of the U.S. health care workforce, they continue to be underrepresented in leadership across health service organizations. Mentorship and professional networking opportunities are commonly used to support women’s professional growth; however, inequities in leadership attainment remain prevalent, particularly among women from racial and ethnic minority backgrounds. The purpose of this quantitative archival comparative study was to examine associations across mentorship participation indicators, professional networking participation indicators, leadership classifications, and racial and ethnic classifications. The study was underpinned by intersectionality theory and social capital theory, which supported examination of how demographic identities and access to …
Organization Change Process Initiative Suicide Risk Assessment Screening Implementation, Dawn Marie Zaccardo
Organization Change Process Initiative Suicide Risk Assessment Screening Implementation, Dawn Marie Zaccardo
Walden Dissertations and Doctoral Studies
Suicide remains a leading cause of preventable death among individuals receiving psychiatric care, emphasizing the need for consistent suicide risk assessment practices in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) quality improvement project addressed inconsistent suicide risk screening and documentation by implementing a standardized evidence-based suicide risk assessment protocol in an outpatient psychiatric clinic. Guided by the Johns Hopkins Evidence-Based Practice Model, the project incorporated staff education, workflow standardization, leadership support, and stakeholder engagement to improve provider adherence to organizational policy requiring suicide risk screening during every patient encounter. Deidentified retrospective chart audits conducted before and after …
Reducing Urinary Tract Infections In Long-Term Care Residents, Felicity Antwi
Reducing Urinary Tract Infections In Long-Term Care Residents, Felicity Antwi
Walden Dissertations and Doctoral Studies
This quality improvement (QI) project addressed delays in diagnosing urinary tract infections (UTIs) at a skilled nursing facility (SNF), where reliance on urine culture testing and patient monitoring resulted in an average diagnostic period of 72 hours. A high UTI incidence and UTI-involved hospitalization rate are both nurse-sensitive indicators that are important to address in the nursing practice context because they portend negatively for nursing quality and safety. This quality improvement (QI) project addressed the practice-focused question: among long term care (LTC) residents with suspected UTIs in a nursing home (NH), how does reducing the diagnostic period from 72 hours …
Staff Education To Improve Mindfulness Knowledge Among Rns, Nps, And Mas In A Behavioral Health Setting, Barbara Buxton
Staff Education To Improve Mindfulness Knowledge Among Rns, Nps, And Mas In A Behavioral Health Setting, Barbara Buxton
Walden Dissertations and Doctoral Studies
Burnout is a recurrent problem for healthcare workers and is associated with staff turnover, a decline in the quality of care, emotional fatigue, and risks to patient safety. This Doctor of Nursing Practice (DNP) staff education initiative created a mindfulness-based training program to expand the knowledge of registered nurses, nurse practitioners, and medical assistants on mindfulness practices in a behavioral health setting. Baseline assessment data identified a need for support to address emotional fatigue, absenteeism, and staff disengagement, with a mean pre‑education knowledge score of 66%. A structured, in‑person educational program addressing burnout awareness, stress reactivity, and helpful mindfulness methods …
Standardized Metabolic Monitoring Protocol For Adult Outpatients Who Are Prescribed Antipsychotic Medications, Abel Bueno Gonzalez
Standardized Metabolic Monitoring Protocol For Adult Outpatients Who Are Prescribed Antipsychotic Medications, Abel Bueno Gonzalez
Walden Dissertations and Doctoral Studies
This doctoral project was an organization change process evaluation of a quality improvement initiative in a masked outpatient mental health clinic. The practice challenge was poor metabolic monitoring and documentation among adult outpatients taking antipsychotics that were not in line with guidelines. This problem is relevant to nursing practice because use of antipsychotic medications raises risk for weight gain, dyslipidemia, hypertension, and glucose abnormalities, and not monitoring risks may delay referral or management. The practice-focused question was: According to evidence, among adult patients who are prescribed antipsychotic medications in an outpatient mental health clinic, what is the impact of implementing …
An Exploration Of Successful Cloud Database Migration Strategies Used By Small And Medium-Sized Enterprises Leaders In The United States, Ashli Jarrett
Walden Dissertations and Doctoral Studies
Cloud database migration can improve organizational performance in small and medium-sized enterprises (SMEs), but SME leaders are concerned about ineffective migration strategies, which can increase risks to data security, regulatory compliance, and operational continuity. Grounded in diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry project was to explore the effective strategies SME leaders use to manage secure cloud database migrations, mitigate risks, enhance data security, ensure regulatory compliance, and improve organizational effectiveness. The participants were 10 SME leaders in the United States who had successfully adopted cloud-based database systems. Data were collected through semistructured interviews and publicly …
Secondary Special Education Teachers’ Perspectives On Professional Socialization In A Maryland School District, Darice Mattie Holmes
Secondary Special Education Teachers’ Perspectives On Professional Socialization In A Maryland School District, Darice Mattie Holmes
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the insufficient professional socialization of novice secondary special education teachers (SSETs), undermining their ability to adapt to school culture in a Maryland school district (MSD, a pseudonym). Grounded in Mayo's theory of human relations, the purpose of this study was to explore novice SSETs' perceptions of professional socialization through peers, professional development, or mentoring to adapt to the school culture at MSD. For this basic qualitative design, semistructured interviews were conducted with seven novice SSETs. The data were analyzed using Braun and Clarke's thematic analysis with Saldaña's coding strategies, yielding four themes: (a) …
Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia
Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia
Walden Dissertations and Doctoral Studies
The underrepresentation of Latinx professionals in leadership roles remains a challenge for technology leaders. Leaders who lack effective leadership development strategies for Latinx employees may experience reduced innovation, lower productivity, and decreased organizational competitiveness. Grounded in the resource-based view, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by Silicon Valley technology leaders to advance Latinx employees into leadership roles to increase firm productivity. Participants were 10 technology leaders with experience implementing strategies to hire, develop, and promote Latinx talent. Data were collected through semistructured interviews, public organizational documents, and industry publications. …
Strategies Managers Used To Mitigate Constraints For Project Success, Teela Washington
Strategies Managers Used To Mitigate Constraints For Project Success, Teela Washington
Walden Dissertations and Doctoral Studies
Persistent project failures result in significant financial losses and reduced project management efficacy. Project managers who struggle to complete projects to scope, on time, and on budget risk reducing business performance and organizational value. Grounded in change management theory and theory of constraints, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies project managers employ to mitigate constraints and improve project success. Participants were 10 project managers who effectively mitigated constraints. Data were collected using semistructured interviews and publicly available documents. Thematic analysis yielded four key themes: leadership, resource management, stakeholder engagement, and …
Exploring Successful Change Strategies For Small Business Owners To Remain Competitive, Omari Akuamoah Boateng
Exploring Successful Change Strategies For Small Business Owners To Remain Competitive, Omari Akuamoah Boateng
Walden Dissertations and Doctoral Studies
Small businesses are vital to the U.S. economy but face significant challenges in implementing organizational change to remain competitive due to resource constraints. This problem is important to small business owners because ineffective change strategies limit growth, sustainability, and broader economic contribution. Grounded in the resource-based view of the firm and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry project is to explore the evidence-based organizational change strategies used by some small business owners in the United States to achieve and sustain a competitive advantage. The participants were 6 leaders from small businesses with fewer than 100 employees located …
Strategic Organizational Growth In Nonprofit Organizations: A Swot-Based Change Management Analysis, Sharika Williams
Strategic Organizational Growth In Nonprofit Organizations: A Swot-Based Change Management Analysis, Sharika Williams
Walden Dissertations and Doctoral Studies
Nonprofit organizations often face operational and sustainability challenges. This study examined a nonprofit serving individuals with intellectual and developmental disabilities that was experiencing increased service demands, communication challenges, and workforce shortages. The purpose of this generic qualitative study was to develop a sustainable strategic change management approach to strengthen workforce development, financial stability, stakeholder collaboration, and strategic planning. Guided by the research question, "How can the client nonprofit organization implement a sustainable change-management approach that addresses internal communication challenges and resource constraints while maintaining mission alignment?" the study used a SWOT analysis and Kotter’s eight-step change model. Data were collected …
Grit And Psychological Well-Being As Predictors Of Job Persistence Among K–12 Teachers In The United States, Tina Marie Sheppard
Grit And Psychological Well-Being As Predictors Of Job Persistence Among K–12 Teachers In The United States, Tina Marie Sheppard
Walden Dissertations and Doctoral Studies
Throughout the United States, K–12 public school teachers are leaving the profession, contributing to teacher shortages and instability in classrooms and schools. Teacher persistence is critical to student success, yet little was known about the nature of the predictive relationship between grit and psychological well-being on job persistence among K–12 public school teachers in the United States. Guided by the framework of positive psychology, the purpose of this quantitative nonexperimental correlational study was to investigate the nature of the predictive relationship between the independent variables grit, as measured by the 12-Item Grit Scale, and psychological well-being, as measured by the …
How Female Leaders Perceive The Influence Of Gender On Career Advancement In The Indonesian Construction Industry, Jadeviput Suwanarat
How Female Leaders Perceive The Influence Of Gender On Career Advancement In The Indonesian Construction Industry, Jadeviput Suwanarat
Walden Dissertations and Doctoral Studies
Women who work in leadership positions in the construction industry in Indonesia face gender related challenges. Grounded in Acker’s theory of gendered organizations, this qualitative hermeneutic phenomenological study examined how women leaders experience and interpret gender-related workplace challenges. I collected data through semistructured interviews with nine women leaders in the Greater Jakarta Metropolitan Area and analyzed the data using the modified van Kaam method. Manual coding produced seven emergent themes. Key findings showed that gender inequality is embedded in organizational culture, policies, and everyday practices rather than occurring as isolated incidents. Women leaders reported heightened scrutiny, the need to continually …
Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson
Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson
Walden Dissertations and Doctoral Studies
In this quantitative cross-sectional study, differences in perceived preparedness among state, local, and tribal law upon Kingdon’s multiple streams approach and Baumgartner and Jones’ punctuated equilibrium theory to explain administrative changes in law enforcement following the September 11, 2001, attacks. Data were collected from 53 full-time police officers across state, local and tribal agencies using a web-based survey instrument measuring enforcement officers in a northern border region were examined. Officers’ perceived preparedness to identify, prevent, and respond to future terrorist threats were evaluated. Whether perceived preparedness differed by agency type and whether officers with military experience or advanced homeland security …
Gender Disparities In The United States Federal Government Stem Leadership, Naomi Hirose-Gormally
Gender Disparities In The United States Federal Government Stem Leadership, Naomi Hirose-Gormally
Walden Dissertations and Doctoral Studies
Persistent gender disparities continue to limit women’s representation in senior science technology, engineering, and mathematics (STEM) leadership roles within the United States federal government, particularly at the GS‑13, GS‑14, GS‑15, and subject matter expert/senior executive service (SME/SES) levels. The purpose of this qualitative descriptive phenomenological study was to explore how women in senior STEM leadership experience and interpret gender disparities as they pursue and attain leadership positions. Data were collected through individual semi‑structured interviews with women serving in senior STEM leadership and analyzed inductively using phenomenological coding procedures to identify categories and themes that were grounded in participants’ lived experiences. …
Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti
Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti
Walden Dissertations and Doctoral Studies
Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …
Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella
Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella
Walden Dissertations and Doctoral Studies
Since the Supreme Court of the United States made the decision to overturn Roe v. Wade, providing access to reproductive health care in the state of North Carolina has been a challenge for medical professionals. Findings from existing literature indicate that a lack of access to reproductive health care can have a negative impact on society from socioeconomics, food and home inequality, and other health care complications. The purpose of this study was to focus on the impacts that health care providers faced when providing care for those who live in the state of North Carolina since the Supreme Court’s …
Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards
Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus (T2DM) poses significant health challenges globally, with individuals and health care systems in rural communities particularly affected. Adherence to antidiabetic medication is crucial for effective management of T2DM. Still, people with T2DM encounter barriers that lead to nonadherence, resulting in poor glycemic control, increased complications, and higher health care costs. The purpose of this study was to explore the perceptions and experiences of rural Jamaicans regarding the factors influencing nonadherence to antidiabetic medications. The basic qualitative study was underpinned by social cognitive theory. Semi-structured interviews were conducted with eight rural Jamaican participants with T2DM. Interview data …
U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward
U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward
Walden Dissertations and Doctoral Studies
Health care leaders in the United States increasingly adopt artificial intelligence (AI) to improve operational efficiency, yet many organizations struggle to achieve sustained operational value from AI initiatives. This problem is important to health care leaders, patients, clinicians, staff, and communities because AI-supported decisions may affect workflow, access, safety, staffing, and trust. The purpose of this qualitative pragmatic inquiry project was to explore strategies U.S. health care leaders used to improve operational efficiency through AI in hospital settings. Eight U.S. health care leaders in hospital settings across the United States participated. The technology-organization-environment framework grounded the project. Data were collected …
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Walden Dissertations and Doctoral Studies
Trauma-informed care is a critical component of supporting students' overall wellness, and school nurses are central to this work. They are often the first professionals to recognize when a student is exhibiting a trauma response or experiencing a mental health concern during the school day. Although evidence-based school health organizations have advanced efforts to ensure that academic environments are prepared to support students’ mental health needs, school nurses are too often left out of these strategic planning processes. Their exclusion not only overlooks their clinical expertise but also weakens the school’s ability to respond effectively and holistically to student needs. …
Examining Inmate Labor In Emergency Management: Contributions, Challenges, And Ethical Considerations, Boris Eugene Valiance
Examining Inmate Labor In Emergency Management: Contributions, Challenges, And Ethical Considerations, Boris Eugene Valiance
Walden Dissertations and Doctoral Studies
Incarcerated individuals remain inconsistently engaged in disaster preparedness, response, and recovery, creating both an operational gap and an ethical challenge regarding labor equity, safety, voluntariness, and human dignity. Guided by RBT and EMT, the purpose of this qualitative case study was to explore how incarcerated individuals are utilized in emergency management and to examine stakeholder perceptions of the operational, ethical, and policy implications of inmate labor programs. The research questions examined current utilization patterns, stakeholder-perceived benefits and drawbacks, and ethical concerns influencing participation decisions. Data were collected through semi structured interviews with purposefully sampled emergency management professionals, policymakers, and correctional …
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
Walden Dissertations and Doctoral Studies
No abstract provided.
Strategies To Improve Demand Planning And Operations Using Predictive Analytics Tools, Marcus D. Brown
Strategies To Improve Demand Planning And Operations Using Predictive Analytics Tools, Marcus D. Brown
Walden Dissertations and Doctoral Studies
No abstract provided.
Effective Strategies For Improving Communication In Organizations That Hr Leaders Use To Increase Employee Productivity, Susan Dean
Walden Dissertations and Doctoral Studies
No abstract provided.
Influence Of Transformational Leadership On Volunteer Retention, Kirk David Hillabrand
Influence Of Transformational Leadership On Volunteer Retention, Kirk David Hillabrand
Walden Dissertations and Doctoral Studies
No abstract provided.
Leadership Challenges With Multilingual Education Programs Implementation For English Language Learners In K–5 Public Schools, Suzanne Youveup
Leadership Challenges With Multilingual Education Programs Implementation For English Language Learners In K–5 Public Schools, Suzanne Youveup
Walden Dissertations and Doctoral Studies
No abstract provided.