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Articles 661 - 690 of 6363
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Leadership In Quality Improvement In Academic Children’S Hospitals, Tiffany Enriquez
Leadership In Quality Improvement In Academic Children’S Hospitals, Tiffany Enriquez
Walden Dissertations and Doctoral Studies
To orient children’s academic leaders to basic competency in quality improvement (QI) practices, academic children’s hospitals must overcome leadership diversity deficits and prepare for QI practice readiness. Leadership is a key factor in enhancing patients’ care outcomes, though practice models do not allow for organizational advancements. The distributed leadership (DL) theory on leadership applies in contexts where the leadership role in QI is not solely centralized to a single individual but is decentralized and spread to include all parties involved. This paper sought to determine the effects of leadership on QI in children’s hospitals and further establish the best leadership …
Impact Of Safety Practices On Laboratory-Acquired Infections In Clinical Laboratories From 2018 To 2023, Lori Bane
Walden Dissertations and Doctoral Studies
Laboratorians identifying unknown pandemic pathogens face elevated risks of laboratory-acquired infections yet limited research examines how regulated safety practices influence these risks. This quantitative, correlational study used the Centers for Disease Control and Prevention’s secondary data (2018–2023) to examine two research questions. The first one questioned whether there were differences in safety incidents between registered and exempt clinical laboratories. The second research question investigated whether there was an association of laboratory incidents between BSL-2 and BSL-3 laboratories. The research was limited to incident reports from registered and exempted clinical laboratories working in BSL-2 and BSL-3 conditions. Guided by the Health …
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Walden Dissertations and Doctoral Studies
Extensive research suggests that effective and meaningful teacher preparation programs can help reduce novice teacher attrition. The problem addressed in this study was the high middle school teacher turnover in an urban school district (USD, a pseudonym) in Georgia, despite the implementation of coaching programs for novice teachers. Guided by Yerkes and Dodson’s challenge-hindrance model, the purpose of this basic qualitative study was to explore novice middle school teachers’ perceptions on the support received, the challenges encountered in their first year, and the usefulness of mentoring, professional development, and instructional coaching received at USD. Semistructured interviews were conducted with 12 …
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Walden Dissertations and Doctoral Studies
Sustainability planning in small suburban cities, particularly as it relates to waste management programs, remains an underexplored area in scholarly research. Without long-term planning, these cities often react to issues in a fragmented manner rather than implementing proactive policies, negatively affecting public health and well-being. The purpose of this study was to examine sustainable waste management policy processes that enable sustainability planning in Midwestern small suburban cities. Using Jones et al.’s local adaptive capacity framework and Q-methodology, viewpoint patterns were analyzed to understand what motivates decision-makers to foster an environment conducive to sustainability planning. Thirty-one participants representing three local government …
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
Walden Dissertations and Doctoral Studies
Despite several social investment programmes (SIPs) to reduce poverty, Nigeria had a high poverty rate, particularly in remote rural areas. The SIPs included conditional cash transfers (CCTs) to eligible households under certain conditions, such as extreme poverty in remote rural areas without access to water, electricity, shelter, basic health care, and education. While a few studies conducted on the effectiveness of CCTs have shown that Nigeria invested significant resources in poverty alleviation without the desired results due to factors like poor implementation and corruption, none reflects the perspective of CCT beneficiaries. The purpose of this study was to fill this …
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Walden Dissertations and Doctoral Studies
Perceptions of higher education leaders (HELs) regarding faculty attrition and effective strategies to help manage challenges associated with voluntary and involuntary resignations were unknown. Guided by Bush’s educational management theory, the purpose of this basic qualitative study was to explore HELs’ perceptions regarding faculty attrition. Research questions investigated perceptions of HELs regarding faculty attrition and how they perceived faculty attrition in their institutions. Semistructured interviews were conducted with 12 HELs, including academic deans, vice provosts, department chairpersons, program directors, and board of regents members. Thematic analysis was conducted using open and axial coding of the interview data. Themes included provision …
The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower
The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic created a mental health crisis within the United States. Previous research examining locus of control and mental health issues during the pandemic revealed that individuals with an external locus of control exhibited increased mental health symptoms. Research also found that political attitudes played a role regarding COVID-19 with liberal-leaning individuals and Democrats reporting higher levels of emotional distress during the pandemic. The purpose of this quantitative, nonexperimental, correlational study was to determine the extent to which political ideology moderates the relationship between locus of control and COVID-19-related anxiety and stress. Locus of control was the theoretical foundation …
Effects Of Healthcare Administrators And Icu Nurses’ Perspectives Of Leader Bullying On Work And Physical Six Sigma/Lean Training, Agha Raza
Walden Dissertations and Doctoral Studies
Despite the U.S. government-funded initiatives, public responsiveness, and antibullying legislation to improve healthcare, leadership bullying behavior remains a serious concern in hospital intensive care units (ICUs). The ICU nursing involves high stress levels and hospital work conditions, which lead to bullying behaviors. When ICU nurse leaders do not participate in work and physical Six Sigma/Lean training, they may develop different perceptions of leaders’ bullying behavior compared to those whose leaders participate in this training. The purpose of this nonexperimental quantitative cross-sectional survey study was to discover any significant relationships between the type of Six Sigma/Lean training (descendant, ascendant, and horizontal) …
The Need For Training That Supports Students With Emotional And Behavioral Disorders For General Educators, Stacey Warren
The Need For Training That Supports Students With Emotional And Behavioral Disorders For General Educators, Stacey Warren
Walden Dissertations and Doctoral Studies
Research shows that general education teachers experience the most success serving special education students in the general education setting when they are well prepared to support these students’ unique needs. The problem addressed in this study was that middle school general education teachers were unprepared to include students with emotional and behavioral disorders (EBD) in the general education classroom in one local Southeastern U. S. school district. Guided by Knowles’s adult learning theory, the purpose of this qualitative case study was to explore the training middle school general education teachers received to support students with EBD in the classroom and …
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Walden Dissertations and Doctoral Studies
Cyberterrorists use cyberspace to communicate their threats and conduct their actions to intimidate their political, religious, or ideological control. The literature reviewed on cyberterrorism and international law has been limited and continues to develop as cyberterrorists develop their skills and capabilities to conduct cyberattacks. A gap exists in the literature on how nation-states respond to a cyberattack, cyber warfare, or cyberterrorism under international laws and policies. The problem is that international laws are being outpaced by the development of new technology, which cybercriminals and cyberterrorists can circumvent in order to escape punishment for a cyberattack. The purpose of this basic …
Avoiding Recidivism Of Recently Released Offenders In North Carolina, Josue Genaro Galvez
Avoiding Recidivism Of Recently Released Offenders In North Carolina, Josue Genaro Galvez
Walden Dissertations and Doctoral Studies
There is a problem with recidivism in the North Carolina prison system and the United States. This study fills the gap in the literature by focusing on what life experiences contribute to behaviors in recently released offenders not to reoffend in North Carolina. Edmund Husserl's (1913) Transcendental Phenomenology used several angles of perception and a thematic analysis of the participant’s lived experiences. This study employed a purposive sampling method by targeting 17 participants who may have represented characteristics of the intended population. Researchers do not know what kept these released offenders from avoiding prison. This phenomenological design focused on the …
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that the application and enrollment rates for African Americans pursuing a medical education/degree are lower than those of other ethnicities in the United States. The purpose of this basic qualitative study was to investigate the perspectives of admissions committee members regarding the low application and enrollment of African American students in medical school and to investigate their recommendations for improvement. Using critical race theory as the conceptual framework, semistructured interviews were conducted with seven experienced medical school admissions professionals. Qualitative content analysis was used, employing deductive and inductive coding. Seven themes emerged: (a) …
Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano
Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano
Walden Dissertations and Doctoral Studies
Problematic sexuality among college students is a complex and understudied issue, particularly regarding gender-based differences in affective instability and sexual compulsivity. While prior research has focused mainly on male populations, limited evidence exists about how these factors manifest among female students or whether gender moderates these relationships. The purpose of this quantitative correlational study is to examine whether gender moderates the relationship between factors affecting sexual compulsivity as measured by the Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). The MIDSA, originally developed for male sexual offenders, has since been administered to both male and female populations. Findings from hierarchical …
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Walden Dissertations and Doctoral Studies
COVID-19 highlighted the longstanding systemic and structural racism that produced poor health outcomes in Black communities. Black minorities in the United States were disproportionately affected by the COVID-19 pandemic, with less access to health resources, low vaccine rates, and mistrust of healthcare providers and organizations. This interpretative phenomenological analysis (IPA) explored trust-related health beliefs with medical systems among Black Americans since COVID-19. The study explored the trust-related health beliefs through the six constructs of the health belief model—perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy. Data was collected through semi-structured interviews of six participants who …
Self-Efficacy In Women Using Bioidentical Hormone Replacement: A Factor Analysis, Shanna Persin
Self-Efficacy In Women Using Bioidentical Hormone Replacement: A Factor Analysis, Shanna Persin
Walden Dissertations and Doctoral Studies
Bioidentical hormone replacement therapy has gained increasing attention as an alternative to traditional hormone replacement therapy (BHRT), yet research on self-efficacy related to BHRT adherence remains limited. Guided by Bandura’s social cognitive theory, this quantitative study examined the applicability of the hormone replacement self-efficacy (HRT-SE) scale in a population of BHRT users. Using factor analysis, this study assessed the reliability and validity of the HRT-SE scale in measuring self-efficacy among women using BHRT. The study recruited a convenience sample of 628 participants through online peri/menopause and hormone therapy support groups, collecting self-reported data on confidence in managing BHRT regimens. Findings …
A Qualitative Analysis Of Teachers' Perceptions Of School Security Measures, Rozetta Michelle Isaac
A Qualitative Analysis Of Teachers' Perceptions Of School Security Measures, Rozetta Michelle Isaac
Walden Dissertations and Doctoral Studies
This study explored the lived experiences of six middle school teachers who provided their perceptions of school safety measures at their work locations. This phenomenological qualitative study aimed to examine whether the participants feel safe while at work. The theoretical framework that guided this study was PET (Punctuated Equilibrium Theory) which focuses on policy change over time. Participants were given a survey questionnaire to answer. The survey questionnaire contained open-ended survey questions. The survey was utilized in lieu of in-person interviews (due to COVID -19 restrictions). Participants were asked open-ended questions about their experiences and perceptions regarding school safety measures. …
Health Equity And Social Determinants Of Health Nurse Education, Jacqueline Arana Clements
Health Equity And Social Determinants Of Health Nurse Education, Jacqueline Arana Clements
Walden Dissertations and Doctoral Studies
The primary care setting provides integrated healthcare services where nurses address many healthcare needs, develop patient relationships, and practice in the context of family and community. To provide comprehensive care, nurses must complete a social determinants of health screening that addresses the social factors that impact clinical outcomes. In 2021, the National Academies of Sciences, Engineering, and Medicine published a nursing education strategy on educating nurses on social determinants of health. This project aimed to develop a staff education program to prepare primary care nurses on the concepts and terminology encompassing social determinants of health, identifying the severity of health …
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Examining Hospital Mergers And Acquisitions From A Supply Chain Perspective: Applications For Public Hospitals In Louisiana, Jamar O'Neal Powell
Walden Dissertations and Doctoral Studies
Public hospitals undergoing mergers and acquisitions (M&As) often encounter complex supply chain challenges that disrupt operations, decrease efficiency, and jeopardize financial sustainability. Ineffective post-merger integration may result in increased costs, lower employee performance, and diminished patient satisfaction. The purpose of this quantitative study was to examine whether key post-merger supply chain strategies: supply chain integration, vendor consolidation, inventory rationalization, and healthcare landscape evolution (independent variables) were significantly associated with hospital performance outcomes: supply chain efficiency, employee performance, employee satisfaction, patient care experiences, and financial efficiency (dependent variables). Grounded in organizational change theory, this study utilized a secondary data analysis design …
Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris
Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris
Walden Dissertations and Doctoral Studies
Early childhood teachers’ understanding of developmentally appropriate practice (DAP) is necessary to support children’s development and learning in early childhood settings. The problem was many early childhood teachers experience challenges using DAP to make informed decisions in the classroom to support birth to 3-year-old children’s development and learning. The purpose of this qualitative study was to explore early childhood teachers’ perspectives on challenges using DAP to make informed decisions to support birth to 3-year-old children’s development and learning in the classroom and what was needed to improve their use of DAP. The conceptual framework for this study was the National …
Successful Strategies Utilized By Business Leaders To Balance Tax Planning With Profitability, Quarnelia Patterson
Successful Strategies Utilized By Business Leaders To Balance Tax Planning With Profitability, Quarnelia Patterson
Walden Dissertations and Doctoral Studies
The absence of business tax planning strategies can lead to a higher tax burden. Business owners are concerned because a higher tax burden may result in lower after-tax earnings and reduced cash flow. Grounded in the PESTLE analysis framework, the purpose of this qualitative pragmatic inquiry study was to explore successful strategies that business leaders use to balance tax planning with profitability. The participants were eight small business owners located in the southwest United States who actively engaged in tax planning. Data were collected using semistructured interviews and a review of publicly available documents. Through thematic analysis, nine themes were …
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Probation Officers Perceptions Of Probationers Economic Barriers To Successfully Complete Probation In Eastern North Carolina, Dwayne Ponton
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored probation officers’ perceptions of the economic barriers that prevent probationers in Eastern North Carolina from successfully completing probation. Challenges such as unemployment, financial sanctions, housing instability, and debt were identified as key obstacles contributing to noncompliance and recidivism. Grounded in Merton’s Strain Theory, the study addressed a gap in research by focusing on the experiences of officers who directly supervise probationers facing economic hardship. Data was collected through semi-structured interviews with twelve officers and analyzed using thematic analysis. The study was guided by two research questions: (1) What economic barriers prevent probationers from successfully completing …
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Walden Dissertations and Doctoral Studies
African American ex-offenders in Michigan have faced numerous challenges when trying to secure employment after incarceration. Despite the well-documented difficulties of reintegration, their personal experiences and perceptions of these obstacles remain largely unexplored. Successful reintegration has required individuals to break free from the behaviors and social patterns reinforced during their time in prisons. This generic qualitative study examined the role of reentry programs in addressing these challenges and emphasizes the need to reassess current criminal justice practices to better support formerly incarcerated individuals. This generic qualitative study focused on the employment struggles faced by African American ex-offenders and the broader …
Mitigating Supply Chain Disruptions In The Retail Warehousing Industry, Terricka Nichole Townsend
Mitigating Supply Chain Disruptions In The Retail Warehousing Industry, Terricka Nichole Townsend
Walden Dissertations and Doctoral Studies
Retail warehousing stability is increasingly threatened by global uncertainties and supply chain disruptions, requiring urgent and innovative strategies. This issue is critical for retail warehousing managers and supply chain leaders, as their ability to respond impacts organizational resilience, business continuity, and customer satisfaction. The purpose of this qualitative pragmatic inquiry was to explore strategies used by retail warehousing managers to mitigate the negative impacts of supply chain disruptions on business stability. The situational crisis communication theory and attribution theory provided the conceptual framework for understanding how retail warehousing managers communicate and respond to supply chain disruptions while maintaining stakeholder trust …
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Implementation Of Classroom Technology For Elementary Students With Adhd, Melanie Flemming
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the teacher-reported increase in behavioral problems among students with attention-deficit hyperactivity disorder (ADHD) since a mandated introduction of educational technology in the classroom aimed at improving student performance. Using the PICRAT (passive, interactive, creative, replacement, amplification, transformation) describes the impact of technology on a teacher's previous practice model as the conceptual scaffold, this study was conducted to explore teachers’ experiences integrating educational technology and any corresponding student behavioral changes in classrooms that include students with ADHD. Following a basic qualitative design, data were collected through semistructured interviews, using a self-designed interview protocol, with …
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
The Effectiveness Of Postincarceration Reentry Programming In Fostering Community Reintegration For Women, La Shawn B. Kelley
Walden Dissertations and Doctoral Studies
Identifying gaps in reentry programs for formerly incarcerated women is challenging due to the lack of evaluations that include the perspectives of the transitioning women on which components most effectively support their reintegration. The purpose of this generic qualitative study was to explore the experiences and perceptions of transitioning women who received reentry services, in order to assess program effectiveness in community reintegration and inform future interventions. The research question for this study was, how do women served by Organization A’s reentry program describe the program’s effectiveness in preparing them for community reintegration after incarceration? To answer the practice-focused research …
Mentoring Teacher Identity Development Among Early Childhood Preservice Teachers, Marla Ruth Pankratz
Mentoring Teacher Identity Development Among Early Childhood Preservice Teachers, Marla Ruth Pankratz
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that many mentor teachers struggle to support early childhood preservice teachers in developing teacher identity. The purpose of this basic qualitative study was to understand mentor teachers’ challenges and what professional development or support fosters development of teacher identity in early childhood preservice teachers. Guided by Wenger’s communities of practice conceptual framework, data were collected via semistructured interviews with seven participants who had at least 3 years of early childhood teaching experience and had mentored an early childhood preservice teacher from a midwestern regional university in the last 5 years. Data analysis involved …
How The Code Of The Street Contributes To Incarceration Among Black Women, Jennifer Smith
How The Code Of The Street Contributes To Incarceration Among Black Women, Jennifer Smith
Walden Dissertations and Doctoral Studies
Rising incarceration rates of Black women in the United States highlight the urgent need to examine factors contributing to this trend. This study investigates how Elijah Anderson’s Code of the Street influences behaviors that lead to incarceration among Black women in low-resource neighborhoods. Via the social disorganization theory, the research explored how economic instability, weakened social institutions, and community disorder contribute to adopting the street code and how adherence to the code contributes to participants’ incarceration. This qualitative study employed thematic analysis of interviews with 11 formerly incarcerated Black women, focusing on their perceptions regarding how the street code shaped …
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Strategies To Reduce Medicaid Fraud And Abuse In Health Care Billing, Tram-Anh Leeza Nguyen
Walden Dissertations and Doctoral Studies
Medicaid fraud and abuse in health care billing is committed by licensed practitioners, patients, or criminal organizations and can pose a serious business problem. Health care managers are particularly concerned because fraudulent claims can result in lost revenue, legal consequences, and diminished resources for legitimate patient care. Grounded in the Complex Adaptive Systems Model, the purpose of this qualitative pragmatic inquiry was to explore the strategies some health care managers use to reduce fraud and abuse in health care billing. The participants included four health care managers in California who have successfully implemented strategies to mitigate fraud and financial abuse. …
Strategies For Identifying Entrepreneurial Opportunities In Small Business It Consulting, Oluwatosin Ogun
Strategies For Identifying Entrepreneurial Opportunities In Small Business It Consulting, Oluwatosin Ogun
Walden Dissertations and Doctoral Studies
The lack of effective strategies for identifying opportunities threatens the survival and growth of small IT consulting businesses. Without these strategies, owners risk struggling to sustain their businesses in a highly competitive market. Grounded in the theory of planned behavior, the purpose of this qualitative pragmatic inquiry was to explore strategies that IT consulting small business owners use to identify business opportunities for growing their business. The project participants were six IT consulting small business owners in the Mid-Atlantic region of the United States who led or significantly contributed to successfully recognizing business opportunities in firms at least 5 years …
Challenges Individuals With Mental Illness Encountered With Reasonable Accommodation After The Implementation Of Title I Of The Americans With Disabilities Act, Kristie Demarco
Walden Dissertations and Doctoral Studies
Policy makers often lack information associated with the perspective of those living with mental illness as to whether Title I of the Americans with Disabilities Act is working as intended. When considering requests for workplace accommodations, the research literature has focused on the perspective of employers, and the impact on those with physical disabilities, yet few studies considered the impact on individuals with mental illness. The purpose of this generic qualitative study was to obtain the perspective of individuals with mental illness who have requested reasonable accommodations. Using a conceptual framework comprised of narrative policy framework and critical disability theory, …