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Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy
Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy
Walden Dissertations and Doctoral Studies
AbstractNeurogenic bladder (NB) is common in patients with traumatic brain injury, spinal cord injury, spinal bifida, and stroke. Many patients who have these diseases struggle to control their bladder. NB can be defined as the inability to completely empty the bladder. For managing the bladder, clinicians usually opt for using an indwelling urinary catheter for those patients. Indwelling urinary catheters are a source of infection and do not help the patient regain continence. Research findings showed that frequent toileting and monitoring with bladder scanning benefited patients with NB and helped patients restore continence. To address a knowledge gap, this new …
Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi
Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi
Walden Dissertations and Doctoral Studies
Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Walden Dissertations and Doctoral Studies
AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …
Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar
Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar
Walden Dissertations and Doctoral Studies
This case study examined the U.S. Army’s implementation of knowledge management (KM) as an integrating process within its command and control system. The research problem explored was the U.S. Army’s attempts to measure knowledge transfer using the KM Maturity Model (KM3) and KM Assessment Tool (KMAT). The purpose was to determine levels of KM maturity and knowledge barriers that affected decision-making. The conceptual approach used Nonaka and Takeuchi’s process theory for the knowledge-based firm, combined with Argote and Hora’s framework of knowledge transfer as it applied to Moore’s concept of public value. The central research questions explored the levels of …
Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton
Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Walden Dissertations and Doctoral Studies
Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …
Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry
Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry
Walden Dissertations and Doctoral Studies
Local law enforcement agencies are charged with the responsibility to prevent terrorist events in the United States, including the emerging threat of homegrown violent extremism. Without the use of the terrorism prevention tool of information sharing, with other applicable state and federal law enforcement agencies, there continues to be a breakdown in the ability to prevent terrorist events, especially those associated with homegrown violent extremists, in the United States. This qualitative case study explores the information sharing process in law enforcement agencies by examining the recent Boston Marathon Bombing in Boston, Massachusetts that occurred in 2013. Five themes emerged from …
Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah
Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah
Walden Dissertations and Doctoral Studies
A lack of diversity and inclusion policies can lead to the perception of exclusion in the workplace and cause some employee groups to underperform. Some hospital leaders lack strategies for developing and implementing effective diversity and inclusion policies to improve business performance. Grounded in transformation leadership theory, the purpose of this multiple case qualitative study was to explore strategies for improving performance through diversity and inclusion in the healthcare field. The participants included four leaders from hospitals located in the southeastern region of the United States. Data were collected using semistructured interviews and review of company documents. Data were analyzed …
Technology Manufacturing Leaders’ Innovation Strategies To Improve Users’ Choice Capabilities In A Fast-Changing Markets, Magnus Ekwunife
Technology Manufacturing Leaders’ Innovation Strategies To Improve Users’ Choice Capabilities In A Fast-Changing Markets, Magnus Ekwunife
Walden Dissertations and Doctoral Studies
Some leaders of technology manufacturing organizations lack strategies to educate their users on how to make the optimal cloud technology selection decisions for their organizations during rapidly evolving innovation, resulting in significant risk of wrong choices and loss of customer loyalty. Grounded in resource-based view theory, the purpose of this qualitative single case study was to explore strategies technology manufacturing leaders use to educate users on how to make optimal cloud technology selection decisions for their organizations. The participants were six executive-level leaders of the strategic sales division of a multinational technology organization based in the western United States who …
Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer
Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer
Walden Dissertations and Doctoral Studies
AbstractProviders at a community-based pediatric hospital in the southern region of the United States have traditionally transferred otherwise healthy neonates with hyperbilirubinemia requiring inpatient treatment to a tertiary care facility. The question addressed was whether the implementation of an evidence-based, organizational protocol increases the quality and decreases the cost of caring for neonates with hyperbilirubinemia in the community-based, pediatric acute care hospital. The main goal of the organization’s quality improvement (QI) project was to facilitate the provision of high-quality, cost-effective care to neonates with hyperbilirubinemia using an evidence-based approach as evidenced by a reduction in the number of neonates with …
Exploring Strategies For Measuring Team Innovation In Small Financial Business, Kimberly Nicole Whitt
Exploring Strategies For Measuring Team Innovation In Small Financial Business, Kimberly Nicole Whitt
Walden Dissertations and Doctoral Studies
Small financial business leaders cannot maintain a competitive advantage without effectively measuring work team innovation. The purpose of this qualitative exploratory multiple case study was to explore the strategies that small financial business leaders use to measure work team innovation to maintain a competitive advantage. The conceptual framework undergirding this study was Schumpeter’s innovation management theory. The research question asked what strategies small financial business leaders use to effectively measure work team innovation to maintain a competitive advantage. Interview data were collected from 15 small financial business leaders who employ less than 100 employees in Madison, Chester, Gibson, Henderson, and …
Current Practices For Forensic Assessments Of Offenders, Garet Bradford
Current Practices For Forensic Assessments Of Offenders, Garet Bradford
Walden Dissertations and Doctoral Studies
AbstractCurrent Practices for Forensic Assessments of Offenders by Garet Bradford MA, University of Cincinnati, 2017 BA, University of Nevada, 2014 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Forensic Psychology Walden University August 2023
Job Satisfaction, Employee Empowerment, And Intent To Leave In Human Health Service Employees, Ouida Butler
Job Satisfaction, Employee Empowerment, And Intent To Leave In Human Health Service Employees, Ouida Butler
Walden Dissertations and Doctoral Studies
Researchers predicted that the United States would undergo a severe shortage of direct support professionals. This quantitative study used the Job Satisfaction Survey, Employee Empowerment Questionnaire, and Turnover Intention Scale to explore the relationship between employee empowerment and its effect on the intent to leave within the human health service industry nationwide. Herzberg's motivation theory provided the lens for the study. The study included 150 direct care staff who completed a self-administered online questionnaire. Linear regression analyses indicated that supervisor, contingent rewards, operating conditions, nature of work, and communication had the strongest negative correlation with turnover intention. A moderated regression …
Public Participation In Georgia’S Environmental Permitting Process, Joyce A. Stanley
Public Participation In Georgia’S Environmental Permitting Process, Joyce A. Stanley
Walden Dissertations and Doctoral Studies
There is no meaningful way for Georgia residents to participate in the environmental decision-making process before environmental permits are approved. As a result, hazardous waste facilities are disproportionately placed in African American communities, exposing them to poor air quality and a higher prevalence of heart and respiratory diseases than Whites. The purpose of this qualitative case study was to explore and better understand how African American residents living in Stonecrest, Georgia felt about the hazardous waste site being placed in their community without an opportunity to provide input into the Georgia Environmental Protection Division’s (GEPD) decision-making process before a decision …
Community College Management Strategies For Balancing The Budgets, Rachel Ann Sullivan Dodson
Community College Management Strategies For Balancing The Budgets, Rachel Ann Sullivan Dodson
Walden Dissertations and Doctoral Studies
During declining revenue, community college leaders may be unable to balance their budgets effectively. Community college managers who fail to balance budgets negatively impact a college’s financial sustainability. Grounded in Burn’s transactional leadership theory, the purpose of this qualitative single case study was to explore strategies community college managers use to balance their budgets in an environment of declining revenue. Data were collected from eight semistructured community college manager interviews and company documents: enrollment data, budget data, performance-based funding model data, and the strategic plan. Thematic analysis was used to analyze the data. Four themes emerged: (a) budget alignment with …
Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins
Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins
Walden Dissertations and Doctoral Studies
Nurse leaders are a health care group that has been provided limited support to managestress and burnout symptoms, yet the impact of leader stress burden on staff satisfaction, patient outcomes, and their own health is vital to the provision of safe, high-quality health care. The problem of leader fatigue and burnout is the ability to retain current leaders and recruit the next generation. The purpose of this staff education project was to address leadership burnout due to stress and the lack of knowledge of how to manage stress in the moment. A combination of Watson’s theory of caring and Ray’s …
Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou
Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou
Walden Dissertations and Doctoral Studies
AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …
Leadership's Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong
Leadership's Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong
Walden Dissertations and Doctoral Studies
AbstractLeadership is a major factor in terms of motivating employees, leading to enhanced performance. A study was conducted to examine the influence of supervisory leadership style on employee work motivation and job performance in organizations, specifically in a K-12 school setting. The main goal was to determine if there is a relationship between type of leadership demonstrated by school administrators and its impact on the teaching staff’s motivation and performance. Data for this quantitative study were gathered and analyzed from various public and private schools and included a sample of 100 participants. The predictor variable leadership was assessed using the …
Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange
Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange
Walden Dissertations and Doctoral Studies
Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …
Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen
Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen
Walden Dissertations and Doctoral Studies
One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …
Strategies Community Bank Managers Use To Address Rising Financial Regulations Compliance Costs, Therese Hortense Ngini
Strategies Community Bank Managers Use To Address Rising Financial Regulations Compliance Costs, Therese Hortense Ngini
Walden Dissertations and Doctoral Studies
Increasing financial regulations compliance costs have the potential for adverse business outcomes for community banks. Community bank managers are concerned about increasing financial regulations compliance costs because it is the number one predictor of community banks’ failures. Grounded in the resources-based view theory, the purpose of this qualitative single case study was to explore strategies that community bank managers use to mitigate increasing financial regulations compliance costs. The participants were 10 community bank managers and senior staff of a community bank in Maryland who successfully mitigated increasing financial regulations compliance costs. Data were collected using semistructured interviews and reviewing the …
Logistics Leader Strategies For Retaining Employees, Sandra Northern
Logistics Leader Strategies For Retaining Employees, Sandra Northern
Walden Dissertations and Doctoral Studies
Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …
Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch
Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch
Walden Dissertations and Doctoral Studies
Uganda’s small and medium enterprises (SMEs) face high business failure rates. Fifty percent of SMEs in Uganda fail during the first year of operations due to poor business performance stemming from the lack of innovative strategies and consistent policies for SMEs to guide their growth and development. Grounded in disruptive innovation theory, the purpose of this qualitative multiple-case study was to explore the innovation strategies leaders of SMEs in Uganda use to improve business performance. The participants included five leaders of five SMEs in Uganda with successful experience implementing innovation strategies to improve business performance. Data were collected from semistructured …
Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson
Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson
Walden Dissertations and Doctoral Studies
At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Walden Dissertations and Doctoral Studies
AbstractSmall businesses in the United States experience a higher failure rate than medium-sized and large corporations. Small business owners without successful strategies to sustain their businesses may fail. Grounded in the McKinsey 7S model, the purpose of this multiple case study was to explore strategies small general construction contractor business owners use to sustain their businesses beyond 5 years. The participants were three small general construction contractor business owners within Miami, Florida, who sustained businesses for 5 years. Data were collected using semistructured and audio-recorded face-to-face interviews. Through thematic analysis, four themes emerged: (a) creating strategies for a solid customer …
Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson
Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson
Walden Dissertations and Doctoral Studies
Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the …
The American Founding Documents And Democratic Social Change: A Constructivist Grounded Theory, A I. Forde
The American Founding Documents And Democratic Social Change: A Constructivist Grounded Theory, A I. Forde
Walden Dissertations and Doctoral Studies
Existing social disparities in the United States are inconsistent with the promise of democracy; therefore, there was a need for critical conceptualization of the first principles that undergird American democracy and the genesis of democratic social change in America. This constructivist grounded theory study aimed to construct a grounded theory that provides an understanding of the process of American democratic social change as it emerged from the nation’s founding documents. A post hoc polytheoretical framework including Foucault’s, Bourdieu’s, and Marx and Engels’s theories of power was used to understand power dynamics. The research question focused on understanding the process of …
Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith
Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith
Walden Dissertations and Doctoral Studies
English languages learners (ELLs) are the fastest-growing student population in the United States. Federal mandates, including the Every Student Succeeds Act (ESSA) of 2015, provide guidance and resources to states and local school districts to remove barriers for ELL students. Despite guidelines from one northeastern state to increase professional development, improve metrics to assess proficiency growth, and provide family outreach to support ELLs, school leaders have not achieved this goal of raising graduation rates for ELLs so they are comparable with their non-ELL peers. This project study uses a transformational leadership framework to explore perceptions of principals, assistant principals, and …
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Walden Dissertations and Doctoral Studies
This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …
Principals’ Role In The Development Of Middle School Teacher Leaders, Ruben Lubala Chiza
Principals’ Role In The Development Of Middle School Teacher Leaders, Ruben Lubala Chiza
Walden Dissertations and Doctoral Studies
School personnel across the United States are developing additional teacher leadership roles to improve professional learning and retain effective teachers. More information is needed concerning how middle school principals are guiding the development of teacher leaders in their schools. The purpose of this qualitative case study was to explore the leadership strategies used by middle school principals to develop and support teacher leaders in their schools. Bass's conceptual framework of transformational leadership guided this research. Research questions were designed to explore how middle school principals in urban schools understood their roles in teacher leader development and the leadership strategies employed …