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Walden Dissertations and Doctoral Studies

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Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde Oct 2024

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …


Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde Oct 2024

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …


Assessing Female Breast Cancer Patients’ Intention To Attend Mindfulness-Based Stress Reduction Program Via Telehealth/In-Person, Maxine Rose Duncan Oct 2024

Assessing Female Breast Cancer Patients’ Intention To Attend Mindfulness-Based Stress Reduction Program Via Telehealth/In-Person, Maxine Rose Duncan

Walden Dissertations and Doctoral Studies

Factors influencing female breast cancer patients' intentions to attend mindfulness-based stress reduction (MBSR) programs, crucial for developing targeted interventions to enhance participation and improve outcomes, were examined in this study. Grounded in the theory of planned behavior (TPB), the influence of attitudes, subjective norms, and perceived behavioral control on intentions was examined. The key research question focused on the relationship between these constructs and patients' intentions to attend MBSR sessions, either via telehealth or in-person sessions. Using a quantitative cross-sectional survey design, data were collected via SurveyMonkey from a convenience sample of female breast cancer patients from the Gulf Coast …


Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly Oct 2024

Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly

Walden Dissertations and Doctoral Studies

Ineffective leadership styles among healthcare administrators can negatively impact employee and patient satisfaction, ultimately reducing organizational revenue. Grounded in transactional, transformational, and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by healthcare administrators to enhance employee and patient satisfaction. The study involved six healthcare administrators from three rural hospitals in Arkansas, with data gathered through semi-structured interviews and public records. Thematic analysis revealed four key themes: (a) communication, (b) employee engagement, (c) ethics, and (d) monitoring key performance indicators (KPIs). A key recommendation is for healthcare administrators to invest in leadership development …


Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo Oct 2024

Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo

Walden Dissertations and Doctoral Studies

Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …


Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin Oct 2024

Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin

Walden Dissertations and Doctoral Studies

Native Americans are disproportionately affected by suicide, with mortality rates that are 2.5 higher than White and non-Hispanic Americans. Nursing staff in an Indian Health Service (IHS) outpatient and specialty care clinic inconsistently assess for suicide risk before outpatient and specialty clinic appointments due to sporadic use of screening tools and lack of confidence to ask patients suicide risk screening questions. The purpose of this staff education project was to determine if interactive education of outpatient nursing providers regarding universal screening for suicide risk using the Ask Suicide Screening Questions (ASQ) for patients who are 8 to 11. Patient Safety …


Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano Oct 2024

Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano

Walden Dissertations and Doctoral Studies

This study addresses the critical need to understand how mental health challenges and external stressors affect long-term recovery from an Opioid Use Disorder (OUD). Grounded in the Recovery Capital Framework, this study analyzed the relationship between depression, stressful life events, and recovery capital (RC) among individuals in recovery from severe OUD. Utilizing a quantitative nonexperimental survey design, data were collected from a purposive sample of 107 adults aged 18 and older who had been in recovery for at least 2 years. Participants completed surveys assessing depression, life stressors, and their RC through established instruments including the Zung Self-Rating Depression Scale, …


The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez Oct 2024

The Lived Experience Of Psychological Suffering In Animal/Environmental Activists, Pamela Jimenez

Walden Dissertations and Doctoral Studies

Animal agriculture, the second-largest contributor to climate change, poses serious risks to human and global health. Animal/environmental activists work to reduce these risks but often face verbal ridicule and physical violence; however, little is known about the psychological suffering experienced by this group. This interpretative phenomenological analysis (IPA) aimed to explore the experience of psychological suffering in animal/environmental activists committed to ending exploitative animal agriculture and environmental activities. Ecopsychological theory and psychological constructs, such as eco-anxiety, eco-grief, and vicarious trauma, comprised the conceptual framework for this study. Data were collected through semistructured interviews with 18 animal/environmental activists, incorporating participant-selected photographs …


Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks Oct 2024

Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks

Walden Dissertations and Doctoral Studies

There has been a decline in tuition revenue for some private historically Black colleges and universities (HBCUs); an above-average tuition discount rate may impede the financial performance of private HBCUs. The purpose of this qualitative phenomenological study was to explore the lived experiences of business officers and other employees of private HBCUs managing the tuition discount rate. The transcendental phenomenological framework guided the study. Individual semistructured interviews were conducted with seven participants who self-identified as managing the tuition discount rate of private HBCUs. Data were analyzed using Moustakas’s modified van Kaam method. Six themes emerged from the data analysis: (a) …


Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie Oct 2024

Successful Online Adult Learners’ Motivation For Persistence To Graduation, Yolanda Louie

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that online undergraduate adult students, 25 years of age or older, do not persist to graduation at Caring University, a pseudonym for an online university. The purpose of this qualitative study was to investigate the perceptions of online adult undergraduate alumni about what motivated them to persist in their educational pursuits and what recommendations they have for instructors to motivate current students. The conceptual framework that guided this research is Ryan and Deci’s self-determination theory, which explores why humans are motivated to change. For this basic qualitative design, 10 adult undergraduate …


Principals’ Perspectives Of Their Role In The Success Of Positive Behavior Interventions Program In Secondary Schools, Andrea Felicia Bishop-Knight Oct 2024

Principals’ Perspectives Of Their Role In The Success Of Positive Behavior Interventions Program In Secondary Schools, Andrea Felicia Bishop-Knight

Walden Dissertations and Doctoral Studies

In Barbados, there has been an increase in violence and disruptive behavior among students at urban secondary schools. The problem is that some Barbadian urban secondary principals struggle to implement the Schools’ Positive Behavior Management Program (SPBMP), while other principals successfully reduce disruptive behaviors. This basic qualitative study explored the perspectives of principals who have successfully implemented and sustained SPBMP at secondary schools in Barbados. The conceptual framework for this study was Bandura’s social cognitive theory. The research questions focused on Barbadian urban secondary principals’ perspectives on the strategies to implement SPBMP successfully and the challenges to effectively sustaining SPBMP …


Prompting Effective Learning Pathways: Applied Behavior Analysis In Practice, Brandie Ann Kretzschmar Oct 2024

Prompting Effective Learning Pathways: Applied Behavior Analysis In Practice, Brandie Ann Kretzschmar

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to contribute to the literature for prompting interventions in the field of applied behavior analysis (ABA). This study examined the clinical utilization of prompting strategies with verbal operant programming across currently credentialed practitioners. Evidence-based practices are well known, but clinical guidance regarding prompting strategies is still emerging. This gap is potentially related to the lack of a prompting assessment to assist practitioners in creating clients' programming. To collect data a 52-question survey was used in this ethnographic study. Data was collected from 62 respondents, with 55 overall completed surveys. Errorless learning was reported …


New Local Government It Employees’ Onboarding Perception Of Barriers, Solutions, And Expected Outcomes For Service Delivery Engagement, Ursula White-Oliver Oct 2024

New Local Government It Employees’ Onboarding Perception Of Barriers, Solutions, And Expected Outcomes For Service Delivery Engagement, Ursula White-Oliver

Walden Dissertations and Doctoral Studies

Employee onboarding and socialization experienced by local government information technology (IT) employees is an industry issue among those without prior public sector employment. This study entailed an evaluation of the onboarding process by gathering perspectives from a local government IT department to help an organization understand onboarding and socialization needs and desires of new employees. The purpose was to address public IT employees’ experiences and what they thought needed to change about their experiences. Surveys of employees and personal individual interviews with thirty-one managers and subject matter experts from across the organization were used to provide data about transitioning to …


Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White Oct 2024

Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White

Walden Dissertations and Doctoral Studies

Burn injuries are wounds that affect the skin and other organic tissue, categorized according to the mechanism of injury and brought on by heat, electricity, chemicals, fire, or flames. In the United States, researchers have shown that race and other healthcare inequalities lead to increased burn injuries among African Americans but have yet to explore their lived experiences after sustaining these injuries. This phenomenological study explored perceptions and understanding of the manifestation of burn injuries of seven African American burn survivors. Participants were recruited in health services public waiting areas, community storefronts, mailers, and on Facebook. Data were collected via …


Strategies To Enhance Employee Knowledge Retention In Public And Private Universities, Funmilola Adebunmi Iyiola Oct 2024

Strategies To Enhance Employee Knowledge Retention In Public And Private Universities, Funmilola Adebunmi Iyiola

Walden Dissertations and Doctoral Studies

Retaining an employee's knowledge becomes a significant challenge when skilled and experienced employees leave an organization. Human resources (HR) professionals/leaders at public and private universities are particularly concerned about the detrimental impact of knowledge loss in such cases. Grounded in the knowledge management cycle (KMC) model, the purpose of this qualitative multiple case study was to explore strategies that HR professionals/leaders of public and private universities use to enhance employee knowledge retention. The participants were nine HR professionals/leaders in public and private universities who successfully enhanced employee knowledge retention. Data were collected using semistructured interviews and a review of publicly …


Relationship Between Enrollment, Retention, Alumni Giving, And Financial Health At Historically Black Colleges And Universities, Kenneth Mercury Oct 2024

Relationship Between Enrollment, Retention, Alumni Giving, And Financial Health At Historically Black Colleges And Universities, Kenneth Mercury

Walden Dissertations and Doctoral Studies

Decreasing financial health damages an organization’s reputation and economic viability to survive. Historically Black Colleges and Universities (HBCUs) leaders must strive to improve their financial health to protect their institution’s reputation and risk of closure. Grounded in strategic enrollment management theory, the purpose of this quantitative ex-post facto study was to examine the relationship between student enrollment, student retention, alumni giving, and financial health of HBCUs. The participants were 101 HBCUs collected from the National Center for Education Statistics and the Voluntary Support of Education databases, from 2020 to 2022. The results of the multiple linear regression analysis showed that …


Strategies To Overcome Burnout In Women In Behavioral Health Leadership, Pamela Atueyi Oct 2024

Strategies To Overcome Burnout In Women In Behavioral Health Leadership, Pamela Atueyi

Walden Dissertations and Doctoral Studies

The global mental health landscape is currently facing a significant crisis, characterized by an unprecedented surge in patient demand and a concurrent shortage of therapists. This imbalance has led to overwhelmed mental health facilities, prolonged access and wait times for patients, and diminished quality of care. Several factors contribute to this crisis, including the increased prevalence of mental health issues exacerbated by the COVID-19 pandemic, the ongoing stigma surrounding mental health treatment, and systemic problems, such as the lack of training programs, leaders not feeling supported, and low retention rates. This study explored significant burnout levels among women behavioral health …


Supporting Gender Identity In Early Childhood: Understanding The Lived Experiences Of Parenting A Gender Variant Child Under Age 6 Years, Deborah Lyn Hahn Oct 2024

Supporting Gender Identity In Early Childhood: Understanding The Lived Experiences Of Parenting A Gender Variant Child Under Age 6 Years, Deborah Lyn Hahn

Walden Dissertations and Doctoral Studies

The specific problem addressed through this qualitative research study was the lack of understanding of the lived experiences of parents of gender variant preschool children and the resources those parents need to help create affirming environments for their young children. Butler’s queer theory/feminist poststructuralism was the theoretical foundation of this research study. The purpose of this study was to explore the lived experiences of parents of gender variant children under the age 6 years and to determine the supports and services these parents need to help them create and maintain safe and affirming environments for their children. Transcendental phenomenology was …


Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis Oct 2024

Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis

Walden Dissertations and Doctoral Studies

Gender-based violence threatens the social and economic security of countries. Gender equality policies, which address the ideological and material relations of gender equality that support gender-based violence, are being stymied by antigender coalitions. Little is known of the concept called gender ideology used by this coalition to facilitate policy intractability of gender equality policies. This mixed-method study was intended to fill the theoretical and methodological gaps in the literature using the narrative policy framework to explore the concept of gender ideology and policy intractability during the National Gender Policy debate in Trinidad and Tobago between 2010-2018. The research questions focused …


Military To Civilian Life: Transition And Reintegration Experiences Of Army Wives, Marquita Crudup Oct 2024

Military To Civilian Life: Transition And Reintegration Experiences Of Army Wives, Marquita Crudup

Walden Dissertations and Doctoral Studies

Researchers have identified that military-to-civilian transition (MCT) and civilian reintegration is a difficult time for military spouses; as veterans receive transitional assistance and benefits to assist with adjustment, the nonveteran family leaves behind a community of supportive peers and resources. Military spouses feel disconnected and isolated and lack access to service in their civilian community. In this generic qualitative study, the transactional model of stress and coping was used to explore the participants’ appraisal of events during MCT and civilian reintegration, and the coping resources used to address them. Purposeful selection was used in recruiting 18 female participants with no …


Mitigating The Impact Of Remote Work Challenges On Employee Productivity, Michael Gamble Oct 2024

Mitigating The Impact Of Remote Work Challenges On Employee Productivity, Michael Gamble

Walden Dissertations and Doctoral Studies

Challenges encountered in remote working during and after the COVID-19 pandemic negatively affect the performance and productivity of employees as they are not familiar with remote working strategies. The rapid shift brought about difficulties for business leaders to manage a remote workforce and need for solutions or effective strategies. Grounded in the self-determination theory, the purpose of this qualitative case study was to explore and identify strategies business leaders use to mitigate the negative effects of remote working environments. Participants were 11 business leaders from software companies who adopted remote working models in their business strategies. Data were collected through …


Optimizing Training For Master's-Level Clinicians In Behavioral Health Private Practice, Candace Starks Oct 2024

Optimizing Training For Master's-Level Clinicians In Behavioral Health Private Practice, Candace Starks

Walden Dissertations and Doctoral Studies

This case study involved investigating the clinical proficiency of master’s-level clinicians (MLCs) and its impact on client therapeutic outcomes within a behavioral health organization (BHO) in the Southeastern U.S. Using the Baldrige Framework of Excellence, data were collected through semi-structured interviews, organizational data analysis, and a literature review. Key findings highlighted continuity of service, client dissatisfaction, and excess training requirements as themes. Inconsistent clinician performance disrupted client progress, leading to dissatisfaction and frequent therapist changes. Participants expressed hesitation and dissatisfaction with inexperienced therapists, emphasizing the need for improved training and support. New clinicians required substantial additional training to meet practice …


Psychosocial Influences On African American Men Who Viewed Videos Of Police Killing Unarmed African American Men, Shaterrica Denae Maloney Oct 2024

Psychosocial Influences On African American Men Who Viewed Videos Of Police Killing Unarmed African American Men, Shaterrica Denae Maloney

Walden Dissertations and Doctoral Studies

The strained relationship between the African American community and law enforcement is not a new phenomenon. However, these interactions have become a focal point in research given the current use of smartphones and other technologies that capture video footage of these interactions, including those that result in the fatality of an African American male. The purpose and research questions of this phenomenological study explored the lived experiences of African American men and how their psychosocial development is influenced by watching videos of unarmed African American men being killed by police. The research questions were: What is the experience of African …


Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin Oct 2024

Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …


Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown Oct 2024

Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown

Walden Dissertations and Doctoral Studies

Intergenerational programs bring together two or more generations and engage them in shared activities that inspire, educate, and advance their mutual well-being. Current literature on intergenerational programs involving elementary school children and older individuals describes benefits for both groups. However, most studies concentrate on the benefits for the older adult participants. The purpose of this generic qualitative research study was to explore elementary school teachers’ perceptions of the academic performance of students who participated in an intergenerational program with older adults. The theoretical framework consists of four processes of modeling a social learning theory component. A purposeful sampling of eight …


Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds Oct 2024

Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds

Walden Dissertations and Doctoral Studies

For many NPOs, obtaining funding can be a challenge. The purpose of this generic qualitative study was to explore CEO/CFO rural area nonprofits’ experiences with obtaining grant funding for their programs. The conceptual framework that guided this study was the critical rural theory. Participants were obtained using purposeful sampling and snowball sampling via flyers placed on social media outlets. Data were collected from open-ended, semi-structured interviews with nine CEO/CFOs of rural area nonprofits. The data were analyzed using Braun and Clarke’s six phases for thematic analysis. Seven themes were developed from the data analysis and placed in separate sections. The …


Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell Oct 2024

Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell

Walden Dissertations and Doctoral Studies

High employee turnover is a critical issue in the fine casual dining industry, leading to increased operational costs and reduced service quality. Fine casual dining managers are concerned with high turnover rates because high turnover affects profitability and the ability to maintain a skilled workforce. This qualitative pragmatic inquiry, grounded in Herzberg’s two-factor theory, was conducted to explore strategies that restaurant managers use to enhance employee retention and job satisfaction. The participants were seven restaurant managers from fine casual dining establishments in the southeastern United States who had successfully implemented strategies to reduce turnover and improve employee engagement. Data were …


Positive Behavior Interventions And Supports Strategies To Improve Employee Motivation, Tijuana Debose Oct 2024

Positive Behavior Interventions And Supports Strategies To Improve Employee Motivation, Tijuana Debose

Walden Dissertations and Doctoral Studies

A behavior health organization in the U.S. state of Florida that provided residential care for children affected by abuse and neglect lacked a standardized positive behavior interventions and supports (PBIS) system to improve staff motivation. This gap, compounded by challenging youth behaviors, had led to increased staff callouts and decreased motivation, affecting daily operations. The aim of this study was to provide practical recommendations for implementing effective PBIS strategies to foster a positive workplace and improve staff motivation among residential program employees in a southern U.S. organization. The Baldrige Excellence Framework was used to explore the interplay between leadership support, …


The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell Oct 2024

The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell

Walden Dissertations and Doctoral Studies

Work-related violence (WRV) against public health professionals is increasingly prevalent worldwide but received much greater attention during the COVID-19 pandemic. This qualitative study addressed a gap in the literature by exploring public health professionals' experiences with WRV threats, what factors contributed to their vulnerability, and the severity of these threats during the COVID-19 pandemic from 2020 to 2023. Rogers' (1975) Protection Motivation Theory was the conceptual framework for phenomenological study. Twelve public health professionals, both male and female, including epidemiologists, nurses, physicians, researchers/scientists, and community health workers, who actively worked during the COVID-19 pandemic and were residents of New York …


At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith Oct 2024

At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith

Walden Dissertations and Doctoral Studies

Student athletes often enter college unprepared for academic rigor, making them particularly vulnerable in terms of academic success. At a faith-based university in the southeast United States, low retention of student athletes results from poor class attendance, course failures, and low grade point averages. The purpose of this basic qualitative study was to explore how at-risk college student athletes perceived the value of support efforts to enhance retention at this faith-based university. Guided by Tinto’s theory of student departure, this basic qualitative study involved a sample of 12 to 15 at-risk college student athletes from the university who participated in …