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Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez
Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez
Walden Dissertations and Doctoral Studies
Silo culture in nonprofit healthcare organizations hinders knowledge sharing and communication, which can negatively affect financial performance. This issue is particularly important for healthcare leaders and policymakers seeking to enhance organizational efficiency and improve patient care quality. Grounded in the competing values framework, the purpose of this qualitative, pragmatic research project was to explore the effective strategies used by nonprofit healthcare human resources (HR) leaders to reduce silo culture and enhance financial performance. The participants included six HR executives at the vice president level or higher from nonprofit healthcare systems with more than 5,000 employees in the Southeastern United States. …
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
Walden Dissertations and Doctoral Studies
The COVID-19 lockdown impacted chronic diseases care globally, but there is limited research on how individuals in rural Nigerian communities managed diabetes during this period. This qualitative phenomenological study explored the lived experiences of self-management with diabetes during the COVID-19 lockdown among adults in Esan Northeast. The socioecological model (SEM) served as the guiding conceptual framework, allowing for the exploration of the impact of individual, interpersonal, community, and institutional factors on self-care behaviors. The research explored how cultural, social and economic factors impacted how adults with diabetes in Esan Northeast managed their condition during the COVID-19 lockdown. Semi-structured interviews via …
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Walden Dissertations and Doctoral Studies
Maternal health disparities among homeless non-Hispanic Black women in Georgia represent a critical public health concern, driven by inequitable access to care and elevated risks of adverse pregnancy outcomes. This study examined how homelessness influences perinatal care utilization (timing and frequency of prenatal visits and postpartum checkups) and pregnancy complications (gestational diabetes, hypertension, and depression), and whether these associations differ by geographic context (urban versus rural). Grounded in the Social Determinants of Health framework, the study used a quantitative cross-sectional design, analyzing secondary data (n = 1,540; weighted ≈ 203,571) from Phase 8 (2017–2021) of the Pregnancy Risk Assessment Monitoring …
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith
Walden Dissertations and Doctoral Studies
Since the late 1990s, the United States has been in the midst of an opioid epidemic that continues to present significant public health challenges. Opioid-related mortality, particularly involving fentanyl, has disproportionately affected vulnerable populations. The purpose of this quantitative study was to examine the associations between educational level, homelessness, and alcohol use with opioid-related overdose deaths involving fentanyl, while controlling for age, gender, and marital status, among Black and White populations in the U.S. state of Georgia. The theoretical framework was Bronfenbrenner’s socioecological model, which recognizes that individual behavior is influenced by multiple levels of factors, including interpersonal, community, and …
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi
Walden Dissertations and Doctoral Studies
The aim of this staff educational project was to improve staff knowledge by educating healthcare staff on how to minimize patients’ aggressiveness and provide a safer, more therapeutic environment for patients and healthcare providers. Patients with mental health problems can exhibit violent behavior, posing threats to patient safety and the safety of healthcare workers. To address this practice gap, I conducted a literature review; 509 articles were identified and then narrowed to 23 articles specific to this topic. The project question for my study was: Does implementing an educational program for nurses and mental health specialists on strategies to reduce …
Enhancing Onboarding And Role Transition For Advanced Practice Clinicians Through The Development Of A Structured Mentorship Program, Christina Sternesky
Enhancing Onboarding And Role Transition For Advanced Practice Clinicians Through The Development Of A Structured Mentorship Program, Christina Sternesky
Walden Dissertations and Doctoral Studies
The assimilation of advanced practice clinicians (APCs), nurse practitioners, and physician assistants into healthcare systems is significantly dependent on the quality of their onboarding experience and the availability of a structured mentorship program. Without mentorship programs, APCs often experience job dissatisfaction, reduced confidence, undefined role clarity, and increased burnout. In this quality improvement Doctor of Nursing Practice project, I conducted a comprehensive assessment of the needs of APCs and subsequently developed a structured, evidence-based mentorship program. The program, approved by an expert panel, was designed to support the onboarding of APCS, their role transition, and ongoing professional development within a …
Teachers' Perspectives On Teacher Retention In Early Childhood Programs, Christopher Lavon Curry
Teachers' Perspectives On Teacher Retention In Early Childhood Programs, Christopher Lavon Curry
Walden Dissertations and Doctoral Studies
In a Midwestern state, teacher shortages have intensified the retention challenges of prekindergarten and kindergarten (PreK–K) teachers in early childhood (EC) programs. The problem addressed in this study was the retention of PreK–K teachers in EC programs and schools at the local level. Grounded in dual-factor and coping-competence- context theories, the purpose of this basic qualitative study was to explore teachers’ perspectives of the factors affecting the retention of PreK–K teachers in EC programs at the local level. Data were collected through semistructured interviews with 12 PreK–K teachers in a Midwestern state, who had a minimum of 3 years of …
Parole/Probation Officers’ Perspective On Understanding Crime Among Liberian Immigrant Youths In Southwest Philadelphia, Jamil J. Morris
Parole/Probation Officers’ Perspective On Understanding Crime Among Liberian Immigrant Youths In Southwest Philadelphia, Jamil J. Morris
Walden Dissertations and Doctoral Studies
This research explored challenges of crime and delinquency among Liberian immigrant youth in Southwest Philadelphia, focusing on the social and structural factors that influence their lived experiences. Utilizing qualitative in-depth interviews with 17 juvenile parole/probation officers of Liberian immigrant youths, the purpose of this study was to uncover the underlying reasons that lead Liberian immigrant youth to engage in crime and delinquency, and how they cope with the obstacles they encounter. Employing social disorganization theory, differential association theory, and subcultural theory, the study underscored the impact of neighborhood instability, peer influences, and differing value systems on understanding the youths’ criminal …
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier
Walden Dissertations and Doctoral Studies
This study explored the experiences and perceptions of social workers, human services professionals, and mental health counselors, psychologists, or psychiatrists who treat youth with mental health issues within the criminal justice system in Florida. Using a qualitative research method, this study was framed by relational theory. Ten participants were interviewed regarding the perspectives, challenges, successes of clinicians and how they incorporate the needs and perceptions of youth into their treatment approaches. After coding and thematic analysis, five key themes emerged from the data. First, systemic challenges and inefficiencies in service delivery were evident, highlighting gaps in execution, resource shortages, and …
Staff Education On Early Diagnosis And Management Of Hypertensive Crisis, Sharon Fairweather
Staff Education On Early Diagnosis And Management Of Hypertensive Crisis, Sharon Fairweather
Walden Dissertations and Doctoral Studies
Summary This project is a Doctor of Nursing Practice initiative to educate healthcare professionals at a primary healthcare clinic. The focus was on improving staff knowledge of hypertensive crises in African American patients aged 20 to 40. The project included face-to-face training sessions and educational resources to empower providers and enhance patient outcomes. Hypertensive crises are a significant health risk, especially in African Americans. This group has higher rates of hypertension, leading to serious health complications. Addressing this issue is crucial in nursing practice. Early diagnosis and timely interventions can significantly improve care. Equipping nurses with the necessary skills is …
Perspectives On Ethnic Federalism In Ethiopia, Girum Grbremariam Alemayehu
Perspectives On Ethnic Federalism In Ethiopia, Girum Grbremariam Alemayehu
Walden Dissertations and Doctoral Studies
Ethnic federalism in Ethiopia has garnered significant scholarly attention for its role in shaping ethnic identity, governance, and national cohesion. However, limited research has explored how this political structure affects Ethiopian diaspora communities. This study addressed the problem of increasing ethnic divisions among Ethiopian immigrants in the Denver metropolitan area, which challenges community integration and shared national identity. Despite the growing presence of Ethiopian Americans, the literature lacks an in-depth understanding of their perspectives on ethnic federalism. The purpose of this ethnographic qualitative study was to explore how Ethiopian immigrants in Denver perceive its impact on their social, political, and …
Oncology Nurse Self-Assessment Of Caring Behaviors Following Telehealth And In-Person Visits, Maryann Connor
Oncology Nurse Self-Assessment Of Caring Behaviors Following Telehealth And In-Person Visits, Maryann Connor
Walden Dissertations and Doctoral Studies
Oncology nurses coordinate care, ensure the safe administration of treatments, manage symptoms, and support those newly diagnosed with cancer. Traditionally, oncology care included in-person visits, but the COVID-19 pandemic accelerated the adoption of telehealth, transforming how oncology care is delivered. The purposes of this study, guided by Watson’ theory of human caring, were to determine (a) if there is a difference in oncology RNs’ self-assessments of applying caring behaviors during in-person visits compared to oncology RNs’ self-assessments of applying caring behaviors of telehealth visits with newly diagnosed cancer patients, and (b) if there is a difference in self-assessment of caring …
Reasons For Former Teachers To Change Employment Or To Depart The Profession, Vicki Renfroe
Reasons For Former Teachers To Change Employment Or To Depart The Profession, Vicki Renfroe
Walden Dissertations and Doctoral Studies
Teacher turnover adversely affects students’ academic performance and the educational community. The problem that was addressed through study is the approximately 18% teacher turnover at a local Title I school district in southeast Texas. This purpose of this study was to explore why teachers within a local souteast Texas Title I school district left their positions. The conceptual framework was Maslow’s hierarchy of needs. The study was guided by a research question centered on recurring reasons for teachers considering retiring, leaving the profession, or changing locations. A basic qualitative study employing semistructured interviews with 14 former teachers who had left …
Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller
Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller
Walden Dissertations and Doctoral Studies
Predicting Dietary Behavior in Obese Adult Diabetics Using Social Cognitive Theory by Precious Mueller MA, University of Phoenix, 2009 BS, University of Iowa, 2006 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University November 2024 “ Diabetes mellitus Type II is a prevalent and serious condition affecting millions globally, particularly among obese adults. The association between dietary behaviors and diabetes management is critical, as it directly impacts health outcomes and quality of life for affected individuals. This study aims to identify the determinants of dietary behaviors that influence Type II …
Unintentional Drowning In Florida: An Analysis Of Demographic And Water Type Associations Among Youth And Young Adults, Michelle Sterling
Unintentional Drowning In Florida: An Analysis Of Demographic And Water Type Associations Among Youth And Young Adults, Michelle Sterling
Walden Dissertations and Doctoral Studies
Unintentional drowning is a leading cause of preventable injury fatalities among youth and young adults in the United States. Despite the preventability, drowning continues to affect specific populations disproportionately. Limited research has examined demographic and environmental factors that contribute to drowning fatalities among individuals aged 5 to 25 years old in Florida. Understanding these patterns is key to informing targeted prevention strategies. This quantitative, retrospective study explored the relationship between demographic characteristics (i.e., gender, race, and ethnicity), environmental context (i.e., water type), and drowning fatalities of 5- to 25-year-olds in Florida from 2018 to 2022. Data for this study, which …
Type Of Intimate Partner Violence And Association With Perpetrator Demographics, Katrisha Williams
Type Of Intimate Partner Violence And Association With Perpetrator Demographics, Katrisha Williams
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a public health concern because of its long-term impact on health and well-being with 1 in 4 American women experiencing some form of IPV. To help understand how age, gender, and race of both, the perpetrator and victim, impact the type of IPV, multiple regression analysis was performed with secondary data from the National Intimate Partner and Sexual Violence survey (N=541). This study used Raewyn Connell’s Theory of Masculinity as a conceptual framework. This theory states that males have a need to show dominance, strength, and suppress emotion, which can inform patterns of violence in …
Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown
Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown
Walden Dissertations and Doctoral Studies
Cardiovascular disease plays a significant role in the number of death and disabilities around the world. While there have been marginal gains in positive health outcomes for women who suffer from cardiovascular disease, African American women continue to fall behind compared to their White counterparts. There is a comorbidity of cardiovascular disease and depression in older African American women. The purpose of this qualitative study was to gain an in-depth understanding of how the comorbidity of cardiovascular disease and depression uniquely present in young African American women, how these two diseases influence cardiovascular health protective factors, and how components of …
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Walden Dissertations and Doctoral Studies
Low parental engagement—especially among fathers and ethnic minority groups like Latinx parents—in child psychotherapy increases the risk of treatment dropout, behavioral issues, and poorer outcomes, contributing to persistent disparities. More research was needed on perceptual barriers and facilitators to parental engagement such as attitudes, beliefs, and expectations. The purpose of this study was to gain an in-depth understanding of parents’ experiences with their child’s psychotherapy and mental illness to facilitate parental engagement in services that support the child. An interpretative phenomenological approach and multiperspectival focus group design were used to illuminate each participant’s voice and explore overarching themes. Hill’s theory …
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Walden Dissertations and Doctoral Studies
Effective leadership is crucial for educational success, yet its definition varies across cultures, which may cause communication issues, especially in culturally diverse environments like international schools. The purpose of this quantitative study was to explore differing perceptions of transformational leadership (TL) between 68 expatriate teachers and 27 administrators, representing response rates of 22% and 47%, respectively, in three Kuwait international schools. Grounded in Bass's TL theory, the Global Transformational Leadership survey, an anonymous online survey with each of seven leadership domains represented by one item, was used in the study. Data collected on a 5-point frequency scale were analyzed using …
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Walden Dissertations and Doctoral Studies
This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
Walden Dissertations and Doctoral Studies
The increasing prevalence of mental health concerns among students in the United States has amplified the demand for comprehensive school-based mental health services. School counselors are often positioned as frontline providers of this support, yet research suggests they face numerous systemic and role-related challenges. This qualitative phenomenological study was conducted to explore school counselors’ perceptions of their roles in providing mental health services, the barriers they encounter, and the ways in which self-efficacy is shaped by these experiences. Ten school counselors from diverse school settings participated in semistructured interviews. Thematic analysis revealed five central themes: (a) roles and responsibilities, (b) …
The Physical Characteristics Linked To The Perception Of Criminality Of Female Offenders, Jennifer Anne Chapman
The Physical Characteristics Linked To The Perception Of Criminality Of Female Offenders, Jennifer Anne Chapman
Walden Dissertations and Doctoral Studies
Gender disparities can be seen throughout the criminal justice system, where females are seen as weak and incapable of causing harm. This quantitative study sought to add to the existing research regarding physical characteristics linked to criminality. The labeling theory explains how physical characteristics labeled as deviant can alter a person’s perception when deciding whether an individual is violent. The research questions explored the physical characteristics linked to the perception of violent female offenders as well as the relationship between the gender of the participant and their ability to successfully identify a violent female offender. A mixture of statistical designs …
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
Walden Dissertations and Doctoral Studies
This DNP project implemented an educational module on the use of continuous glucose monitoring devices (CGM) to increase staff knowledge of diabetic care and glycemic control for the diabetic population in a community healthcare clinic. Diabetes mellitus is a significant health concern that poses a substantial challenge to the community and the American healthcare system with a higher burden of diabetes complications found among the low income, uninsured, and minority populations. Poor glycemic control is a major health issue that significantly increases the risk of developing diabetes-related complications such as heart and kidney diseases, and obesity. The adoption of CGM …
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Walden Dissertations and Doctoral Studies
NAEYC accreditation is a hallmark of quality in early learning and lack of accreditation suggested a gap in practice. The problem that was the focus of this research is that only 12% of early childhood center-based programs in the United States are accredited by the National Association for the Education of Young Children (NAEYC). The purpose of the study was to explore perspectives of childcare center directors regarding NAEYC accreditation. Knowles’s adult learning provided the conceptual framework for this study and guided 3 research questions about directors’ perspectives of barriers, benefits, and the necessary support they associated with NAEYC accreditation. …
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Walden Dissertations and Doctoral Studies
The scholarly community understands little about the experiences of lesbian, gay, bisexual, and transgender (LGBT) young adults as they transition out of the foster care system. This study explored the lived experiences and difficulties encountered by LGBT young adults after exiting foster care. Grounded in Erikson’s theory of psychosocial development, this qualitative dissertation employed a phenomenological design to interpret how participants made sense of their transitions. Recruitment was conducted through a flyer posted on Facebook and the Department of Children and Family Services; 10 LGBT young adults participated in 60-minute interviews. Using interpretative phenomenological analysis, the study revealed six overarching …
Blockchain Strategies To Enhance Transparency, Efficiency, And Governance For Public-Private Partnership Leaders, Mohamed Huubse
Blockchain Strategies To Enhance Transparency, Efficiency, And Governance For Public-Private Partnership Leaders, Mohamed Huubse
Walden Dissertations and Doctoral Studies
The lack of effective strategies for integrating blockchain technology into governance poses a significant challenge for public-private partnership (PPP) leaders in developing regions. This issue is particularly concerning in public procurement systems, where transparency, efficiency, and accountability are crucial for effective governance. Grounded in the theory of games and economic behavior, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that PPP leaders use to modernize governance practices within public procurement by adopting blockchain technology. The participants were six PPP leaders in East Africa who implemented blockchain technology strategies to modernize governance practices within …
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Walden Dissertations and Doctoral Studies
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Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Walden Dissertations and Doctoral Studies
Although negative experiences and unfair factors in the K–12 educational experiences of Black males are well-researched, very little research is found on the positive contributions toward their educational success. As some Black males successfully complete K–12 schooling and advance to the college level, it is imperative to understand the factors that positively contributed to their educational advancement. Guided by Yosso’s theory of community cultural wealth, this basic qualitative study explored six aspects of cultural capital—the aspirational, familial, linguistic, resistant, navigational, and social capital—that contributed to the educational success and advancement of Black males during their journeys through the U.S. K–12 …
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
Walden Dissertations and Doctoral Studies
Despite new and emerging communications technologies to improve access to 911 emergency services for people with speech, hearing, and cognitive disabilities, there continue to be access barriers for those who may require silent communications due to the nature of the emergency. Chat rooms in 911 communications present a promising solution to this challenge. However, the current literature has inadequately examined the use of chat rooms in 911 communications, mainly due to the nascent nature of this technology. This study aimed to fill that gap by providing valuable insights to enhance access to 911 emergency services for individuals who may require …
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Walden Dissertations and Doctoral Studies
There is insufficient understanding regarding the educational leadership practices that have enabled one elementary school, out of 23, to achieve continuous school improvement in ELA and mathematics in Grades 3–5 over 3 consecutive academic years. Although all schools in the district implemented a uniform curriculum, the study site consistently increased the percentage of students scoring proficient or above in both subjects during 2022, 2023, and 2024, as measured by the state end-of-grade assessment. This qualitative single-case study explored how an elementary principal in a suburban Georgia district achieved continuous improvement through distinctive leadership practices. Grounded in Kouzes and Posner’s framework …