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Effective Community Awareness Strategies For Nonprofit Sustainability And Performance, Lina Gabrielle Rugova
Effective Community Awareness Strategies For Nonprofit Sustainability And Performance, Lina Gabrielle Rugova
Walden Dissertations and Doctoral Studies
The absence of formalized governance, measurement systems, and standardized processes in nonprofit organizations can limit performance, accountability, and long-term sustainability. Nonprofit executive leaders and board members are concerned about fulfilling their responsibilities for organizational effectiveness and community social effectiveness. Grounded in the Baldrige Excellence Framework and the resource-based view theory, the purpose of this qualitative single case study was to explore strategies nonprofit leaders use to improve organizational performance and governance effectiveness. The participants were six organizational leaders and board members from a Canadian nonprofit training organization. Data were collected through semistructured interviews and analysis of organizational documents, and were …
Mean Length Of Stay Based On Original, Financial, And Vision Workflows, Richard Wyatt
Mean Length Of Stay Based On Original, Financial, And Vision Workflows, Richard Wyatt
Walden Dissertations and Doctoral Studies
The healthcare industry faces a persistent challenge to balance financial, vision-based, and regulatory goals while maintaining the capacity to serve the public. Healthcare leaders need to understand the impact of using a particular type of workflow redesign to improve their ability to manage patient satisfaction, costs, and length of stay (LOS). Grounded in the Baldrige Excellence Framework, the purpose of this quantitative, quasi-experimental, comparative study was to compare runtime LOS across encounters for three workflows: original (WF-O), time/cost-based (WF-F), and vision-based (WF-V). The data set included 1 year of intensive care unit admissions from the Physio.Net database. ANOVA was conducted …
The Impact Of Police Corruption On National Security In Liberia, Yontonson Deddeh Kollie Kesselly
The Impact Of Police Corruption On National Security In Liberia, Yontonson Deddeh Kollie Kesselly
Walden Dissertations and Doctoral Studies
African countries are grappling with policies and laws to mitigate widespread police corruption. However, for decades, corruption within the police force has drawn intense criticism from citizens. Prior research has indicated that state officials are likely to benefit from police corruption, including bribery, thereby undermining Liberia's economic and social stability and prosperity. The issue that prompted this research is that despite extensive police reforms in Liberia’s national police, corruption cases remain prevalent, raising national security concerns. The purpose of this generic qualitative study was to investigate Liberians' perceptions of the impact of police corruption on national security in Liberia through …
Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell
Walden Dissertations and Doctoral Studies
Hypovitaminosis D is a significant public health concern in the United States associated with inadequate sunlight exposure and insufficient dietary intake. Asthma is a chronic respiratory condition that progressively worsens over time. While asthma is typically managed through individual-level treatment approaches, population-level strategies such as vitamin D supplementation and food fortification policies have not been implemented. A five-tier Public Health Impact Pyramid theoretical foundation guided this nonexperimental quantitative cross-sectional study. Data from 2013-2014 and 2017-2018 NHANES (n = 1,456) was evaluated for relationships between vitamin D supplementation, duration of sunlight exposure, and food security index, with asthma, asthma exacerbation severity, …
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Walden Dissertations and Doctoral Studies
Primary caregivers of teenage violent offenders play a vital role in identifying and addressing safety concerns, providing emotional and financial support, and meeting individual developmental and psychosocial needs. As more grandparents assume the role of primary caregiver, the need for targeted interventions to support their emotional and psychosocial health continues to grow, emphasizing the increasing importance of population-specific support for grandparents caring for their grandchildren. Problems arise when grandparents take on this role without access to interventions or resources that are designed for caring for adjudicated teen violent offenders. This qualitative generic study involved exploring emotional challenges faced by custodial …
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Walden Dissertations and Doctoral Studies
Shingles (herpes zoster) causes substantial morbidity, especially among adults over age 50 in the United States. There is a need to better understand the reasons behind low vaccination rates among adults over age 50 given the associated risks for infection and adverse health outcomes that can reduce their quality of life. This qualitative interpretative phenomenological study explored how individuals’ perceptions of the benefits, barriers, susceptibility, and severity of shingles influence vaccine intentions and identified what factors influence vaccine uptake. The health belief model was used to guide the study. Data were collected from one-on-one semistructured virtual interviews with eight adults …
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Walden Dissertations and Doctoral Studies
Medication and lifestyle nonadherence remains a persistent and costly problem within healthcare systems and represents a critical gap in nursing practice. Approximately half of adults prescribed long-term medications do not adhere to recommended regimens, contributing to poor disease control, preventable hospitalizations, increased mortality risk, and substantial healthcare expenditures. These challenges are particularly pronounced in outpatient mental health settings, where symptom burden, cognitive impairment, treatment complexity, and social determinants of health further compromise adherence. Addressing medication and lifestyle nonadherence aligns with nursing priorities related to patient safety, quality improvement, and health equity. This Doctor of Nursing Practice (DNP) project focused on …
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Walden Dissertations and Doctoral Studies
Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …
Effective Digital Presence Strategies For Certified Public Accountant Organization Leaders To Attract And Retain Clients, Ian Claude Pounall
Effective Digital Presence Strategies For Certified Public Accountant Organization Leaders To Attract And Retain Clients, Ian Claude Pounall
Walden Dissertations and Doctoral Studies
Nonprofit professional associations often face challenges in sustaining organizational excellence and member engagement within resource-limited environments. Certified public accountant (CPA) organizational leaders are concerned with identifying effective strategies to enhance performance and ensure long-term organizational service relevance. Grounded in the Baldrige Excellence Framework and resource-based view theory, the purpose of this qualitative single case study research project was to identify and explore strategies that online CPA organizational leaders can use to develop a comprehensive digital presence framework to attract and retain organizational clients. The participant was a single Canadian CPA organizational leader. Data were collected through semistructured interviews and analysis …
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Walden Dissertations and Doctoral Studies
Some organizations lack strategies to ensure that project outcomes are aligned with organizational objectives. Business leaders are concerned when project outcomes are misaligned with organizational objectives, as this can lead to decreased profitability and a loss of competitive advantage. Grounded in Porter’s Five Forces model, the purpose of this qualitative, pragmatic inquiry was to explore the strategies business leaders use to ensure project outcomes are profitable and aligned with organizational objectives. The participants were six executive leaders of real estate and development companies in the Caribbean, purposefully selected because their organizations had successfully fulfilled organizational objectives through project outcomes. Data …
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Walden Dissertations and Doctoral Studies
Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Walden Dissertations and Doctoral Studies
Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Walden Dissertations and Doctoral Studies
This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.
Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher
Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher
Walden Dissertations and Doctoral Studies
The issue of driving under the influence (DUI) is a continuous problem in rural communities, especial those in Indian Country. Alcohol use and abuse has long been a health concern for these communities contributing to higher mortality rates and increased incarceration rates for American Indian / Alaskan Native (AIAN) populations. Wellness courts, using the problem-solving court model, have been successful in helping DUI offenders achieve sobriety and wellness. While the model has been successful, there remains a lack of qualitative research into why participants find success in these programs; especially marginalized populations such as AIAN. This phenomenological qualitative study was …
Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high percentage of novice teachers leaving the profession during the first 5 years of teaching in a Southwestern state. Grounded in Mitchell et al.'s job embeddedness theory, the purpose of this qualitative study was to explore K-12 teachers’ perspectives on factors influencing their decision to remain in the education profession, as well as K-12 administrators’ perspectives on influencing novice teachers’ decisions to persist in the education profession in a Southwestern state. For this basic qualitative design, data were collected from 10 teachers and three administrators and analyzed using Braun and …
Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel
Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel
Walden Dissertations and Doctoral Studies
No abstract provided.
Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer
Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer
Walden Dissertations and Doctoral Studies
Breast cancer patients with major depressive disorder (MDD) are at a high risk of experiencing pain and fatigue, anxiety and substance use, poor quality of life, marital spouses with elevated depression, impaired sexual functioning, sleep disorders, poor immune system functioning, rapid progression of cancer, and higher mortality rates. Grounded in Fritz Heider’s attribution theory, the purpose of this quantitative quasi-experimental study was to examine the relationship between physical exercise and a decrease in MDD. The participants comprised of 15 female breast cancer patients, 18 years of age and older, who may have experienced depression. The participants completed the Beck Depression …
Contributing Factors To The Rise In Juvenile Gun-Related Homicides: Investigating Criminal Behavior In Southern Georgia, Tracey Hudson
Contributing Factors To The Rise In Juvenile Gun-Related Homicides: Investigating Criminal Behavior In Southern Georgia, Tracey Hudson
Walden Dissertations and Doctoral Studies
Gun-related juvenile homicides continue to be a critical public health and social issue, disproportionally affecting African American males aged 17. Prior research identified poverty, neighborhood violence, individual and familial risks, gang affiliation, and inadequate education as contributors to the increase in juvenile gun-related homicides. In this study, the relationship between gun-related juvenile homicides and poverty, violent crimes, and gang affiliation were examined from 2019 to 2023 in 66 counties within South Georgia. Guided by sociological positivism, a quantitative non-experimental design was used using secondary data sources that included juvenile homicide totals, demographic characteristics, poverty levels, violent crime rates, and gang …
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Walden Dissertations and Doctoral Studies
African American women may experience body dysmorphia differently due to cultural, racial, and societal influences that shape their body perceptions and counseling experiences. Guided by a Heideggerian theoretical foundation, this hermeneutic phenomenological study aimed to explore how African American women experience receiving counseling for body dysmorphia in the United States. The guiding research question was: How do African American women with body dysmorphia experience receiving help in counseling? Eight African American women participated in in-depth, semi-structured interviews, and data analytic procedures were analyzed using the hermeneutic circle. Key findings revealed body dysmorphia as a persistent, embodied experience shaped by racialized …
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Walden Dissertations and Doctoral Studies
This doctoral project was conducted at a family practice clinic to assess the impact of staff education on the clinic staff knowledge of the use of situation, background, assessment, recommendation (SBAR) as a communication tool. Miscommunication among healthcare staff is a practice problem at the clinic caused by unstructured sharing of information, which often results in delay in patient care, occurrence of medical errors, and decrease in patient safety, thus the need to address this problem. The purpose of the project was to use staff education on SBAR to increase the clinic staff knowledge on the use of SBAR as …
Falls In Inpatient Hospital Settings, Merlina Constantine
Falls In Inpatient Hospital Settings, Merlina Constantine
Walden Dissertations and Doctoral Studies
Inpatient falls are a common and preventable problem that affects health care costs, patient safety, and clinical quality. Inpatient falls occur within hospitals, cause harm, extend hospitalization, and require additional healthcare funding. Falls harm a patient’s physical health and cause emotional trauma, decrease patient satisfaction, and undermine confidence in the hospital care systems. Falls are therefore a significant concern in the nursing practice environment because nurses form the first component of prevention, monitoring, and intervention. This doctoral project aimed to re-educate and reinforce staff understanding of clinical guidelines to prevent inpatient falls through evidence-based interventions targeting environmental, behavioral, and organizational …
Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton
Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton
Walden Dissertations and Doctoral Studies
Ineffective employee well-being strategies can contribute to elevated levels of voluntary turnover, resulting in increased employee replacement costs, lost organizational knowledge, and operational disruption. Human resource (HR) leaders who do not successfully develop employee well-being strategies may find their organization facing operational disruptions as a result. Grounded in social sustainability and the European corporate sustainability frameworks, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective employee well-being strategies used by HR leaders to reduce employee turnover and employee replacement costs. The participants were 10 HR leaders who had implemented effective employee well-being strategies. Data …
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Walden Dissertations and Doctoral Studies
Anxiety is the most rapidly growing mental health problem globally, particularly among adolescents and young adults. Mental health clinicians need effective integrative health treatment strategies to address the anxiety epidemic. The purpose of this qualitative generic study was to explore the perspectives of clinicians on the process of using equine-assisted psychotherapy (EAP) to treat adolescents and young adults with anxiety through the lens of a somatic theory, bioenergetics. Data were collected using semi-structured interviews with 12 EAP clinicians and analyzed using Braun and Clarke’s thematic analysis. Three themes were identified: 1. The process of EAP is highly effective because energetic …
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
Walden Dissertations and Doctoral Studies
No abstract provided.
Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips
Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips
Walden Dissertations and Doctoral Studies
The United States Department of Defense and Bureau of Labor Statistics estimated that female veterans and nurses experience work-related trauma at rates of 51% or higher. While many studies have examined their mental health outcomes, posttraumatic worsening of physical health has been less studied in this population. This generic qualitative inquiry was conducted to gain a deeper understanding of the subjective lived experiences of female nurses and veterans' work-related traumatic exacerbation of an existing respiratory disorder. The coping strategies developed, the potential barriers they overcame, and the support systems used were examined. The theoretical framework that grounded this study was …
Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell
Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell
Walden Dissertations and Doctoral Studies
Acute care hospitals continue to experience financial strain as the healthcare system transitions from fee for service to value-based reimbursement (VBR) models. The purpose of this integrative review was to identify evidence-based financial, clinical, and operational strategies that support hospital adaptation to value-based models while maintaining financial stability and high-quality care. The guiding question focused on determining which strategies reduce financial pressures and improve value-based performance in acute care hospitals. Guided by resource-based theory, this integrative review included 25 empirical and nonempirical studies published between 2019 and 2025 that examined U.S. acute care hospitals. Data were synthesized through a thematic …
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Walden Dissertations and Doctoral Studies
Surgical site infections (SSIs) remain one of the most frequent and preventable complications following abdominal hysterectomy. Existing literature has focused on clinical and procedural risk factors, while less is known about how social conditions shape surgical outcomes. This gap is especially concerning for women in New York State (NYS) where differences in income, marital status, primary payer, rurality, and county-level food insecurity may influence postoperative outcomes and subsequent care. The socioecological model provided the foundation for this retrospective cohort study by examining how social drivers of health (SDoH) are associated with SSI incidence following abdominal hysterectomy, and whether food insecurity …
Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah
Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah
Walden Dissertations and Doctoral Studies
Reading skills in elementary school students continue to decline despite the efforts of teachers and lawmakers. The problem addressed through this study was that although teachers at ABC Elementary School (pseudonym) had access to 30 different software/apps for technology literacy programs that could help improve student achievement on state assessments, district data showed that very few teachers were using the technology with students. The purpose of this qualitative project study was to explore the perspectives of elementary teachers on the challenges of implementing reading technology and ways to better support its use in classroom instruction at ABC Elementary School. The …
Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar
Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar
Walden Dissertations and Doctoral Studies
A lack of effective strategies for adopting generative artificial intelligence (GenAI) limits business leaders in the Caribbean’s ability to enhance business performance and decision-making. Business executives, shareholders, employees, and policymakers are vested in the success of Caribbean businesses to remain competitive and become more efficient. Grounded in the technology acceptance model (TAM), the purpose of this qualitative, pragmatic inquiry project was to identify and explore the strategies Caribbean business leaders use to successfully adopt GenAI, thereby enhancing business performance and decision-making. The participants were seven business leaders from for-profit organizations in the English-speaking Caribbean. Data were collected using semistructured interview-based …
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
Walden Dissertations and Doctoral Studies
Homelessness is a worldwide, complex social problem that has impacted groups like women and children. In recent studies, researchers have demonstrated that homeless mothers can face mental health challenges and stressors related to parenting, while homeless children can experience emotional and physical difficulties. Parental resources have been cited as a tool to help homeless families address stress and development in distinct settings in current research; however, there was limited research on how faith-based non-profits utilize parental resources to help homeless mothers. The purpose of the generic qualitative study was to learn the perceptions and experiences of faith-based non-profit human services …