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Articles 181 - 210 of 5177
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Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Walden Dissertations and Doctoral Studies
Undergraduate nursing education presents ongoing challenges related to student stress and persistence, and the COVID-19 pandemic further complicated these existing challenges for many students and programs. In this quantitative, correlational, cross-sectional study, the relationships among state mindfulness, trait mindfulness, and academic self-efficacy in undergraduate nursing students were examined and whether state and trait mindfulness predicted academic self-efficacy was tested. Participants were recruited through nursing student Facebook groups and completed an anonymous SurveyMonkey questionnaire that included the State Mindfulness Scale, the Mindful Attention Awareness Scale, the Academic Behavioral Confidence Scale, and demographic items. Data were collected over 6 weeks ending August …
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Walden Dissertations and Doctoral Studies
Military sexual trauma (MST)—sexual harassment or assault during military service—is more common among women and is a leading cause of posttraumatic stress disorder (PTSD). Veterans Affairs (VA) disability for MST-related PTSD offers financial support, free healthcare, and validation, but women face barriers and uneven access to supports (veteran service organizations, trained advocates, trauma-informed clinicians), reducing their chances of favorable decisions. In this generic qualitative study, semi-structured interviews were conducted with 11 purposively sampled women veterans representing diverse service eras, branches, and adjudication outcomes. Analysis was guided by feminist theory to shift focus from individual blame to structural factors, including how …
Elected Sheriffs’ Election Process And How It Affects Their Behavior, Brian James Ardoin
Elected Sheriffs’ Election Process And How It Affects Their Behavior, Brian James Ardoin
Walden Dissertations and Doctoral Studies
Scholars have widely examined how electoral pressures influence the behavior of judges and prosecutors; however, less attention has been given to how elections affect law enforcement leaders. This quantitative study examined whether sheriff election cycles in Louisiana were associated with changes in law enforcement behavior. Louisiana parish sheriffs occupy a unique role as both elected officials and chief law enforcement executives, which may create incentives that influence enforcement priorities. Using secondary arrest data from the Federal Bureau of Investigation Uniform Crime Reporting program, this study analyzed parish-level arrest patterns from 2009 through 2019 to determine whether deputies’ arrest behavior differed …
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Walden Dissertations and Doctoral Studies
The lack of effective strategies for allocating organizational financial resources can lead to adverse business outcomes. Business managers are concerned about the ineffective allocation of financial resources, as it can impede financial performance and sustainability.Grounded in stakeholder theory, the purpose of this qualitative single-case study was to explore the performance-based budgeting strategies that business managers use to sustain financial profitability. The participants were 10 business managers who oversee subsidiaries that successfully implemented performance-based budgeting.Data were collected through semistructured interviews and the review of organization documents. Through thematic analysis, four themes were identified: (a) traditional versus contemporary budgeting; (b) importance of …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Walden Dissertations and Doctoral Studies
Employee retention remains a persistent challenge for rural small business leaders. The specific business problem addressed in this study was that some rural small business leaders lack effective leadership strategies to retain employees, which threatens organizational sustainability and workforce stability in rural communities. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective leadership strategies used by rural small business leaders in Northeast California to optimize employee retention. Data were collected from semistructured interviews with six rural small business leaders in Northeast California and were triangulated with publicly available documents, websites, and …
It Strategies Used To Implement Enterprise Resource Planning Systems, Michele Doverspike
It Strategies Used To Implement Enterprise Resource Planning Systems, Michele Doverspike
Walden Dissertations and Doctoral Studies
Enterprise resource planning (ERP) system implementation represents a significant challenge for small businesses, with failure rates that can lead to substantial financial losses and operational disruption. Information Technology (IT) managers in small businesses face a gap in evidence-based strategies tailored to their organizational context, increasing the risk of implementation failure and its associated financial and operational consequences. Grounded in general systems theory, the purpose of this qualitative multicase study was to explore the strategies IT managers use to implement ERP systems in small businesses in central Pennsylvania. The participants were six IT managers from small businesses in Pennsylvania who had …
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Walden Dissertations and Doctoral Studies
Zero tolerance policies disproportionately affect African American female students and contribute to their accelerated entry into the school-to-prison pipeline. Existing literature indicated that these policies subject African American female students to harsher disciplinary practices and that their behaviors were often misunderstood by school administrators. However, there is limited research on how school administrators’ discretionary implementation of zero-tolerance policies contributes to these disparities. The purpose of this general qualitative study was to explore how school administrators interpret and exercise discretion when implementing zero tolerance policies affecting African American female students through the lens of Lipsky’s street-level bureaucracy theory. Four themes were …
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Walden Dissertations and Doctoral Studies
Unlocking the potential of highly skilled first-generation immigrant women in the workplace is critical in an era of globalization and multiculturalism. The social problem is that organizations face challenges integrating highly skilled first-generation immigrant women into the U.S. workforce due to a limited understanding of effective workplace integration strategies. The purpose of this qualitative phenomenological study was to explore the lived experiences of highly skilled first-generation Kenyan women with workplace integration strategies in California. The study was grounded in Graen and Uhl-Bien’s leader-member exchange theory and Crenshaw’s intersectionality theory to understand how leadership relationships and intersecting identities shaped workplace experiences. …
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
Walden Dissertations and Doctoral Studies
Business leaders are concerned that change leaders’ communication strategy impacts organizational productivity and performance. These challenges can be attributed to business leaders and human resources managers not understanding the relationship between employee motivation, engagement, productivity, and leaders’ communication strategy. Grounded in the composite conceptual framework of Kotter’s eight-step model for change and the Burke-Litwin causal model of organizational performance, the purpose of this quantitative correlational project was to examine the relationship between employee’s motivation, engagement, productivity, and leaders’ communication strategy. The participants were 77 human resources professionals in the United States with at least 5 years of experience in their …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Walden Dissertations and Doctoral Studies
African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …
Beyond Social Media: Effective Innovative Strategies For Small Cleaning Services To Engage Decision-Makers And Secure Contracts, Danielle Edwesa Gaskins
Beyond Social Media: Effective Innovative Strategies For Small Cleaning Services To Engage Decision-Makers And Secure Contracts, Danielle Edwesa Gaskins
Walden Dissertations and Doctoral Studies
Small cleaning service businesses often encounter challenges when attempting to reach decision-makers and obtain commercial contracts. Small cleaning service business leaders are concerned with securing contracts because the continual acquisition of agreements underpins both business stability and growth. Grounded in the service-dominant logic, the purpose of this qualitative pragmatic inquiry was to explore strategies small cleaning business leaders use to engage decision-makers and win contracts without relying on the use of social media marketing. The participants were five leaders from small cleaning businesses in the United States who had successfully secured contracts through alternative engagement strategies. Data were gathered using …
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Walden Dissertations and Doctoral Studies
Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …
Exploring The Perceptions Of Black Nurse Educators Regarding Antiracist Pedagogy In Nursing Education, Deborah Ann Stallworth
Exploring The Perceptions Of Black Nurse Educators Regarding Antiracist Pedagogy In Nursing Education, Deborah Ann Stallworth
Walden Dissertations and Doctoral Studies
Racism remains a persistent issue in nursing, prompting calls to create more inclusive educational environments and confront racial disparities. Guided by an intersectionality and critical realism framework, this generic qualitative study examined how Black nursing educators perceive antiracist pedagogy, how they implement it, and what they believe is needed to strengthen its adoption in nursing education. Twelve Black undergraduate nursing educators participated in in‑depth, one‑on‑one interviews. Thematic analysis generated four themes: (a) implementing antiracist pedagogy in the classroom; (b) challenges and resistance within school environments; (c) racial marginalization norms in nursing education, and (d) advocacy and vision for institutional reform …
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Walden Dissertations and Doctoral Studies
Ineffective business strategies can lead to premature closure. Small business owners who struggle to develop long-term strategies may experience failure as a result. Grounded in the resource-based view and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore practical strategies used by massage therapy small business owners to sustain their businesses for more than 5 years. The participants were 10 massage therapy small business owners who had sustained their businesses for more than 5 years. Data were collected through semistructured interviews, business documents, and public records. Through thematic analysis, six themes were …
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Walden Dissertations and Doctoral Studies
Hepatitis B virus (HBV) presents a significant public health burden in Sierra Leone. Although the estimated prevalence was 8.7% in 2021, comprehensive statistical data has been limited in general. Programmatic interventions for HBV control such as systematic screening and vaccination have remained limited as well. The purpose of this quantitative cross-sectional study was to examine the relationship between screening and vaccination practices and HBV prevalence in Sierra Leone while controlling for age, sex, education and health care access. The theoretical framework incorporated the Integrated Screening Action model, which highlights screening as a critical disease prevention strategy, and the Social Ecological …
Succession Strategies For Family Business Owners, Sara Ann Neel
Succession Strategies For Family Business Owners, Sara Ann Neel
Walden Dissertations and Doctoral Studies
Family business succession remains a persistent challenge, as many family-owned enterprises fail to survive transitions in leadership and ownership. Family business owners and stakeholders are concerned with ineffective succession because failed transitions can threaten business longevity, family relationships, and the preservation of multigenerational wealth and legacy. Grounded in the family business three-circle model and stewardship theory, the purpose of this qualitative pragmatic inquiry was to explore effective succession strategies used by some family business owners to improve succession outcomes. The participants were eight senior family business owners in Texas whose business revenues were between $3 million and $250 million. Data …
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Walden Dissertations and Doctoral Studies
Puerto Ricans account for over 20% of Hispanics in New Jersey. It is estimated that 27.8% live below the poverty line. The poverty rate amongst this community is higher than the state average. Prior to this study, no known study examined what advocates for improving socioeconomic conditions amongst Puerto Ricans in New Jersey believed were the barriers to and/or facilitators of reducing poverty. The purpose of the generic qualitative study was to identify and analyze the perceptions of expert advocates regarding the current barriers to and/or facilitators of reducing poverty amongst Puerto Ricans in New Jersey using interpretivism through the …
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 …
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 …
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 …
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 …
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 …
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Walden Dissertations and Doctoral Studies
Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …
Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr.
Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr.
Walden Dissertations and Doctoral Studies
Arkansas’s COVID-19 vaccine rates were among the lowest for African Americans in Arkansas, who were hesitant to accept the vaccine. The purpose of this qualitative phenomenological study was to explore the lived experiences of African American adults in Pulaski County, Arkansas, and to explore factors influencing COVID-19 vaccine hesitancy and access to health care services. Guided by Andersen’s health care utilization model, the study focused on predisposing, enabling, and need-based factors shaping health care decision making. Data were collected through semi-structured interviews with 8 African American adults and analyzed using directed content analysis. Findings from the analysis revealed 365 codes, …
Perceptions Of Black And Hispanic Superintendents In Texas Regarding Their Superintendency Pathways, Maria Faqier
Perceptions Of Black And Hispanic Superintendents In Texas Regarding Their Superintendency Pathways, Maria Faqier
Walden Dissertations and Doctoral Studies
The lack of diversity in the superintendent workforce in Texas is a significant concern that affects the educational experiences and opportunities of Texas students, teachers, families, and their communities. The problem addressed through this study was the underrepresentation of Black and Hispanic superintendents in Texas school districts. Guided by critical race theory and intersectionality theory, the purpose of this basic qualitative study was to explore Black and Hispanic superintendents’ perceptions of their successes, challenges, and recommendations to secure a superintendent position in Texas. Semistructured interviews were conducted with nine Black and Hispanic superintendents (two Black women, two Black men, two …
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Walden Dissertations and Doctoral Studies
This staff education project focuses on improving depression detection in a primary care settings using Patient Health Questionnaire (PHQ-9) screening tool. Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The diagnosis of depression is one of the most common mental health disorders in primary care but is poorly identified and frequently missed. The lack of consistent screening for depression among patients often results in delayed identification of symptoms, which postpones early treatment, increasing the risk of complications associated with untreated depression. The practice site identified that depression screening was frequently missed during patient intake, …