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Strategies For Managing Change In Home Health Care Businesses, Halbert Brown
Strategies For Managing Change In Home Health Care Businesses, Halbert Brown
Walden Dissertations and Doctoral Studies
Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …
Lived Experiences Of Clinical Psychologists: Personal Coping Strategies To Address Emotional Exhaustion, Ayushi Shrestha
Lived Experiences Of Clinical Psychologists: Personal Coping Strategies To Address Emotional Exhaustion, Ayushi Shrestha
Walden Dissertations and Doctoral Studies
Emotional exhaustion is a key element of burnout among clinical psychologists. However, there are limited qualitative studies that examine how psychologists experience and cope with it. This study explored how licensed clinical psychologists experience and cope with emotional exhaustion. The study used Orem’s Self-Care Deficit Theory to explore how clinicians perceive, interpret, and respond to emotional demands. Semi structured interviews with licensed clinical psychologists experiencing emotional exhaustion were used to collect data. Data were analyzed using an interpretative phenomenological analysis approach, including descriptive and pattern coding to identify themes. Five themes were identified: workplace and organizational stressors; emotional experience of …
Staff Education To Improve Behavioral Health Integration In Primary Care, Nelly Endah Atu
Staff Education To Improve Behavioral Health Integration In Primary Care, Nelly Endah Atu
Walden Dissertations and Doctoral Studies
This staff education project addressed a persistent gap in the delivery of integrated physical and mental healthcare for patients with co-occurring conditions. Fragmented care in primary care contributes to untreated mental health needs, increased patient distress, higher costs, and poor outcomes. The aim of this project was to develop, deliver, and evaluate a staff education program equipping nurses, nurse practitioners, and interdisciplinary team members with the knowledge, skills, and practical strategies needed to improve behavioral health integration in primary care. The practice question was, among interdisciplinary staff in a community health setting, did the implementation of an evidence-based, ADDIE-designed staff …
Sbirt Staff Education To Registered Nurses In The Emergency Department, Rosemary Thuet
Sbirt Staff Education To Registered Nurses In The Emergency Department, Rosemary Thuet
Walden Dissertations and Doctoral Studies
Summary The project hospitals have, on average, 2,400 emergency department (ED) visits a month. Although patients receive a social screening, there are no specific assessments to determine if the person is at risk for alcohol use disorder (AUD). The lack of screening is a missed opportunity to provide a Screening, Brief Intervention and Referral to Treatment (SBIRT) assessment of over 2,400 patients a month or 48,000 people annually. Although several screening tools could be used for an SBIRT assessment, the recommendation of ED nursing leadership is to implement the tool known as the CAGE Questionnaire (Cut down, Annoyed, Guilty, and …
Youth With Mental Illness Transitioning Into Adult Judicial Systems, Susan K. Beltran
Youth With Mental Illness Transitioning Into Adult Judicial Systems, Susan K. Beltran
Walden Dissertations and Doctoral Studies
Despite attempts to alleviate the issues of recidivism in juveniles, this issue continues to have a major impact on young adults suffering from mental health challenges. Criminal justice involvement continues to present significant challenges for individuals with behavioral health disorders, underscoring the need to identify factors associated with arrest to inform prevention and intervention efforts. The purpose of this quantitative study was to determine the relationship between recidivism and the age of first arrest, gender, and psychiatric diagnosis for youths in an adult facility. The current study used data from the Northwestern Juvenile Project, with a sample size of N=1829. …
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Walden Dissertations and Doctoral Studies
Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …
Burnout, Compassion Fatigue, Secondary Trauma, And Experiences With Death And Dying Among Organ And Tissue Recovery Professionals: A Hermeneutic Phenomenological Study, Shelby Andreasen
Walden Dissertations and Doctoral Studies
Professionals in organ and tissue recovery have complex job roles that affect the outcomes of patients who wait for a life-saving organ or a life-enhancing tissue graft. This profession had little research regarding burnout, compassion fatigue, and secondary trauma, as well as how consistent involvement with deceased patients affects these professionals and the outcomes of their cases. The purpose of this qualitative phenomenological study was to explore the lived experiences of 11 organ and tissue recovery professionals (OTRPs). Constructivist self-development theory was applied to understand OTRPs’ lived experiences of compassion fatigue, secondary trauma, and burnout, as well as the impact …
Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann
Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann
Walden Dissertations and Doctoral Studies
Orthopedic manual physical therapy (OMPT) fellowship programs focus on improving clinical skills and professional development in physical therapy. OMPT fellowship programs are 1–3-year postprofessional subspecialty training programs in manual physical therapy requiring prior orthopedic clinical experience. The problem that was addressed in this study is that professional competencies are not adequately assessed after program completion of an OMPT fellowship in the Southern United States. Grounded in Dreyfus’s skill acquisition model, the purpose of this basic qualitative study was to explore OMPT fellowship graduates’ perceptions of the professional competencies developed and recommendations for assessing these competencies in future graduates. Data were …
Staff Education To Improve Early Identification Of Behavioral Escalation And Timely Clinical Intervention In An Adult Group Home Setting, Gayduo Barr
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) staff education project addressed a gap in staff knowledge regarding the early identification of behavioral escalation and timely intervention in an adult group home setting. The practice-focused question was: Does staff education about early identification of behavioral escalation and timely clinical intervention improve the knowledge of staff working in an adult group home setting? The purpose was to improve staff knowledge of behavioral escalation, triggers, trauma-informed care, and intervention strategies. I delivered a structured educational intervention to 14 house managers. Educational content included behavioral escalation stages, triggers, de-escalation techniques, trauma-informed care, documentation, and …
Non-Veteran Civilian Manager Perceptions About Supporting Employee Military In Civilian Workplace Transitions, Sandra Gail Piggee
Non-Veteran Civilian Manager Perceptions About Supporting Employee Military In Civilian Workplace Transitions, Sandra Gail Piggee
Walden Dissertations and Doctoral Studies
One of the largest populations seeking employment in private sector industries is military veterans. The active-duty military careers end for over 200,000 individuals per year, and over two-thirds of veterans resign from private sector industry positions within 2 years of post-service transition due to difficulties with their transition. This can lead to a lack of career advancement, professional development, and employee benefits. The purpose of this generic qualitative study was to explore perceptions of non-veteran civilian managers in private sector industries about how to support employees who are veterans in making a successful transition from the military into civilian employment. …
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …
Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton
Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton
Walden Dissertations and Doctoral Studies
Coaching is recommended for prekindergarten (PK) teachers following professional development (PD) to increase implementation of instruction practices with fidelity in early childhood (EC) programs. The problem addressed in this study was PK teachers were challenged to engage in coaching experiences after PD to implement instructional practices with fidelity in a large EC program located in the Mideastern United States. Framed by Knowles’s adult learning theory, the purpose of this basic qualitative study was to explore PK teachers’ perspectives on coaching experiences after receiving PD to implement instructional practices with fidelity. Semistructured interview data were collected from eight PK teachers who …
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
Walden Dissertations and Doctoral Studies
Single mothers were largely absent from the COVID-19 literature, despite being head of household in approximately 80% of single-parent homes. The purpose of this phenomenological qualitative research study was to gain insight into the lived experiences of single mothers during the COVID-19 pandemic. This study addressed how this group connected with family, friends, and others in meaningful ways despite government-imposed lockdowns and restrictions. This phenomenon was explored through Erik Erikson’s psychosocial development theory, with a focus on the intimacy versus isolation stage. An Eriksonian perspective on relationship building and maintenance in adulthood can help better understand and address the social …
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Walden Dissertations and Doctoral Studies
Treatment retention, specifically as it pertains to offenders who are mandated to receive substance use treatment rather than serve standard incarceration sentences, is receiving more scholarly attention. Although prior research indicates an association between substance use treatment and reduced criminal behavior, many studies have methodological limitations. The purpose of this quantitative non-experimental, comparative study was to compare treatment completion outcomes for mandated and non-mandated offenders and to examine individual predictors of treatment completion, thereby addressing gaps in the current research. Secondary data from adult offenders receiving treatment at an inpatient substance use rehabilitation facility were analyzed. The risk-needs-responsivity model was …
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Walden Dissertations and Doctoral Studies
According to the American Counseling Association (ACA, 2014) Code of Ethics, professional counselors are responsible to monitor their own impairment. Specific interventions to prevent impairment and foster counselor professional well-being (PWB) and resiliency are imperative in a profession in which it is ethically required to continuously provide competent counseling. The purpose of this study was to explore the narratives of licensed counselors’ PWB during the onset of and successively during the coronavirus disease 2019 (COVID-19) pandemic. The theoretical orientation for this study was Dewey’s theory of experience. Nine counselor participants who were licensed by May 2018 shared detailed accounts of …
Staff Education On An Electronic Health Record-Based Tracking And Reminder System For Long-Acting Injectable Antipsychotics, Osereme Nora Agboifo
Staff Education On An Electronic Health Record-Based Tracking And Reminder System For Long-Acting Injectable Antipsychotics, Osereme Nora Agboifo
Walden Dissertations and Doctoral Studies
Missed or delayed administration of long-acting injectable (LAI) antipsychotic medications remains a practice concern in outpatient mental health care because treatment gaps can interrupt continuity, increase relapse risk, and contribute to avoidable hospitalization. The practice problem addressed in this staff education project was inconsistent use of a standardized electronic health record (EHR)-based LAI tracking and reminder workflow. The project purpose was to improve staff knowledge, documentation consistency, reminder use, and follow-up practices for adults receiving LAI antipsychotic medications. The practice-focused question asked whether staff education on an EHR-based LAI tracking and reminder system would improve adherence monitoring and follow-up processes …
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Walden Dissertations and Doctoral Studies
Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …
Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils
Walden Dissertations and Doctoral Studies
Cervical cancer remains a significant public health concern, with African American and Hispanic women experiencing disproportionately higher incidence and mortality rates in the United States. Socioeconomic factors, including income, education, employment status, and place of residence, may contribute to these disparities by affecting access to preventive services, timely diagnosis, and follow-up care. This quantitative cross-sectional study examined associations between these factors and cervical cancer incidence among African American and Hispanic women while controlling for age and health insurance status. Guided by the socio-ecological model, the study used 2022 Behavioral Risk Factor Surveillance System data from N = 33,886 African American …
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Walden Dissertations and Doctoral Studies
Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …
Staff Education To Reduce Burnout Among Psychiatric Nurses Caring For Patients With Schizophrenia, Gloria Laizer
Staff Education To Reduce Burnout Among Psychiatric Nurses Caring For Patients With Schizophrenia, Gloria Laizer
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project addressed occupational burnout among psychiatric registered nurses caring for patients with schizophrenia. Workplace violence, compassion fatigue, emotional exhaustion, and staffing shortages place psychiatric nurses at high risk for burnout, threatening nurse well-being, workforce retention, and patient safety. The practice site lacked a standardized resilience education program. The practice-focused question was, In psychiatric nurses caring for patients with schizophrenia, does implementation of an evidence-based resilience education program, compared with current practice, reduce occupational burnout? The purpose was to implement and evaluate such a program, informed by the Johns Hopkins evidence-based practice (JHEBP) Model …
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
Walden Dissertations and Doctoral Studies
Police use of excessive force is an enduring challenge for criminal justice institutions and the public, particularly, affecting minority communities. This has contributed to diminished public confidence in U.S. policing institutions. Prior empirical studies among law enforcement officers, indicate that Black minorities have been discriminated by police officers. Stress research links social stress to mental health and identifies police brutality as an anticipatory stressor for minority groups. The purpose of this qualitative case study was to identify factors, including job-related stressors, and racial bias, that contribute to officers using excessive force, so to fill the gap in research, and develop …
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Walden Dissertations and Doctoral Studies
Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …
Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike
Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike
Walden Dissertations and Doctoral Studies
A lack of effective leadership strategies for recruiting and retaining a multigenerational workforce poses a significant challenge for organizational leaders. Failure to address the diverse needs and expectations of employees across generations can reduce employee retention, hinder organizational effectiveness, and increase operational costs. Grounded in transformational leadership theory, the qualitative pragmatic inquiry identified and explored effective leadership strategies used by some organizational leaders to recruit and retain a multigenerational workforce. Participants were six organizational leaders from large organizations in the United States with experience leading multigenerational workforces. Data were collected through semistructured interviews and secondary data from publicly available sources …
Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil
Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil
Walden Dissertations and Doctoral Studies
Password workaround (PWWA) behaviors, such as password sharing, credential reuse, and other informal security practices, continue to expose organizations to significant cybersecurity risks. Small and medium-sized enterprise (SME) leaders are particularly vulnerable because they often operate with limited resources while balancing security requirements, regulatory obligations, and operational demands. Guided by Herzberg’s two-factor theory and activity theory. The purpose of this qualitative pragmatic inquiry was to explore [CS3.1]strategies SME leaders use to identify, manage, and mitigate the financial, reputational, and regulatory risks associated with PWWA behaviors. Data were collected through semistructured interviews with 10 cybersecurity professionals and organizational leaders who had …
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …
Public Defenders’ Challenges Representing Erroneous Prosecution Cases In The Black Community, Kayla Kristine Stephens
Public Defenders’ Challenges Representing Erroneous Prosecution Cases In The Black Community, Kayla Kristine Stephens
Walden Dissertations and Doctoral Studies
Public defenders in a southern state continue to face significant challenges when representing Black individuals in the criminal justice system, particularly in cases involving erroneous prosecution. These challenges are intensified by high caseloads, limited funding, and systemic inequities, which can be stressors affecting the prosecutors wellbeing and hinder the provision of adequate legal representation. Public defenders, appointed to represent indigent defendants, frequently navigate complex legal and social circumstances that intersect with racial disparities in the justice system. For this qualitative study the research question was, how do public defenders perceive and manage any stresses representing erroneous prosecution cases in the …
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Walden Dissertations and Doctoral Studies
A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …
Nursing Staff’S Perception Of The Implementation Of The Obstetric Emergency Code Pink, Mareena Johnson
Nursing Staff’S Perception Of The Implementation Of The Obstetric Emergency Code Pink, Mareena Johnson
Walden Dissertations and Doctoral Studies
The local nursing practice problem addressed by this DNP doctoral project was the inconsistent and uneven response to obstetric emergencies within the health care setting. The purpose of this project was to evaluate the current implementation of the Code Pink protocol, identify any gaps or barriers in its effectiveness, and gather insights from nursing staff to propose refinements that would enhance its reliability and impact., The perception of nursing staff regarding obstetric emergency codes represents a critical dimension in the domain of maternal and neonatal health care, significantly influencing the efficacy of emergency responses and patient outcomes. Obstetric emergencies, such …