Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden Dissertations and Doctoral Studies

Discipline
Keyword
Publication Year

Articles 2191 - 2220 of 19539

Full-Text Articles in Entire DC Network

Nursing Turnover Based On Age, Race, And Gender In Community Hospitals In Michigan, Laura Lawhorn Jul 2025

Nursing Turnover Based On Age, Race, And Gender In Community Hospitals In Michigan, Laura Lawhorn

Walden Dissertations and Doctoral Studies

Hospitals struggle to maintain nursing staff to meet patient needs for a population that requires continuous care and experiences multiple illnesses. The purpose of this quantitative study was to investigate the variations in reasons for leaving the nursing profession (dependent variable) based on age, race, and gender (independent variables) within community hospitals in Michigan. The theoretical framework for this study was the Nursing Neuman Systems Model, which posits that nursing comprises four key components: environment, individual, nursing practice, and health. A correlational research design was utilized to address the research question and analyze the relationships between the variables. The secondary …


Experiences Of Women In K–12 Educational Technology Leadership Positions, Natalie M. Johnson Jul 2025

Experiences Of Women In K–12 Educational Technology Leadership Positions, Natalie M. Johnson

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the lack of women in K–12 educational technology leadership positions in the United States. The purpose of this basic qualitative study was to explore the experiences of women in K–12 educational technology leadership regarding the challenges and successes they encountered in achieving and maintaining their positions. Feminist standpoint theory formed the framework for this study. Semistructured interviews were conducted with 10 women who were active or former K–12 educational technology leaders in public schools across the country. Open and pattern coding were used to support thematic analysis. An overarching theme of gender bias …


Implementation Of A Diabetic Complication Educational Intervention For Staff At A Community-Based Clinic, Virginia K. Dennis Jul 2025

Implementation Of A Diabetic Complication Educational Intervention For Staff At A Community-Based Clinic, Virginia K. Dennis

Walden Dissertations and Doctoral Studies

Even though there are many modalities put in place to manage diabetes and its complications, there have been many barriers to reducing the complications associated with diabetes in health care institutions. In this educational intervention to reduce diabetes and its complications, a staff education program was implemented to enhance staff knowledge about diabetes and the complications associated with it. The staff education program was implemented at a community-based clinic for a DNP-prepared nurse, three RNs, and five medical assistants (MAs) working at the clinic. A pretest and a posttest were administered to assess the impact of the educational session. The …


Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco Jul 2025

Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco

Walden Dissertations and Doctoral Studies

The increasing prevalence of obesity and mental health disparities among Hispanic/Latino populations in the United States underscores the need to understand how sociocultural factors shape physical and psychological health. The purpose of this study was to examine how acculturation, diet quality, and fiber intake affect BMI and depressive symptoms over time. The study was guided by acculturation theory and the biopsychosocial model. The study used longitudinal secondary data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with a sample of N=8,816, including adults who completed examination visits, 1 (2008–2011) and 2 (2014–2017). Path analysis was conducted to assess direct …


Perceived Impact Of Participating As A Former Immigrant High School Athlete In A Program That Prioritized Social-Emotional Needs And Self-Determination Of Young Adult Males, Filip Cejovic Jul 2025

Perceived Impact Of Participating As A Former Immigrant High School Athlete In A Program That Prioritized Social-Emotional Needs And Self-Determination Of Young Adult Males, Filip Cejovic

Walden Dissertations and Doctoral Studies

Many studies have confirmed the positive impacts of extracurricular activities on students' academic achievement and social success, but also revealed that few educational policies go beyond addressing the most basic needs of language and lunch for immigrant students. As the process of assimilation can impact numerous factors and long-term outcomes for these students, this study explored extracurricular program structures that prioritize participants’ psychological needs and whether these structures have a positive impact on immigrant students’ self-determination, intrinsic motivation, and future success. This qualitative, practice-focused case study examined a purposeful sample of one boys’ high school soccer program at a public …


Effective Strategies For Deterring Unethical Behavior In U.S. Financial Institutions, Samuel Akinlade Sanni Jul 2025

Effective Strategies For Deterring Unethical Behavior In U.S. Financial Institutions, Samuel Akinlade Sanni

Walden Dissertations and Doctoral Studies

Unethical employee behavior in U.S. financial institutions continues to erode organizational trust and firms’ brand reputation. Leaders of financial institutions are concerned that unethical employee behavior can negatively impact firms’ profitability, competitiveness, and sustainability. Grounded in Kaptein’s corporate ethics virtue (CEV) model, the purpose of this qualitative pragmatic inquiry study was to explore how organizational ethical cultures influence employees’ behaviors. Data were collected through semistructured interviews with a sample of eight leaders in New York financial institutions, with a minimum of 5 years of successful experience in building a positive ethical environment, and by analyzing publicly available documents to support …


Intrinsic Motivation Teaching Experiences Of Middle School Educators 4 Years After The Pandemic, Carmy Aristor Jul 2025

Intrinsic Motivation Teaching Experiences Of Middle School Educators 4 Years After The Pandemic, Carmy Aristor

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has altered the educational landscape, significantly impacting middle school educators’ intrinsic motivation to teach. While research has extensively addressed the immediate impacts of the pandemic on education, there remains a gap in understanding how middle school educators make sense of their intrinsic motivation teaching experiences 4 years after the pandemic. Grounded in intrinsic motivation as the conceptual framework supported by the self-determination theory (SDT), the purpose of this qualitative study was to gain an understanding of the intrinsic motivation teaching experiences of middle school educators 4 years after the pandemic. The central research question examined the lived …


Staff Education On Evidence-Based Transitional Care Interventions Toward The Goal Of Reducing Readmission Rates, Adebowale A. Oyebamiji Jul 2025

Staff Education On Evidence-Based Transitional Care Interventions Toward The Goal Of Reducing Readmission Rates, Adebowale A. Oyebamiji

Walden Dissertations and Doctoral Studies

The staff education project was implemented in a behavioral health hospital in the Midwestern region of the United States. The behavioral healthcare setting experiences poor transitional care, resulting in high readmission rates of psychiatric patients. Poor transitional care is associated with inadequate knowledge of evidence-based transitional care strategies among psychiatric nurses. The practice-focused question was: For staff in an inpatient mental health unit, will education on evidence-based transitional care interventions improve knowledge toward reducing readmission rates? The project aimed to enhance psychiatric staff knowledge on evidence-based transitional care interventions to reduce readmission rates. The analysis, design, development, implementation, and evaluation …


African American Women’S Lived Experiences Of Adultification Bias And Emotional Well-Being, Carolyn Lovette Lanier Jul 2025

African American Women’S Lived Experiences Of Adultification Bias And Emotional Well-Being, Carolyn Lovette Lanier

Walden Dissertations and Doctoral Studies

While existing studies have explored the manifestations of adultification bias in various contexts, there is a significant gap in the literature regarding research on the emotional well-being of African American women who have navigated this bias. The purpose of this study was to understand how adultification bias manifests in the lives of African American women, to illuminate the nuances of how adultification bias unfolds in the lives of African American women, and to examine its presence within their emotional realms. The theoretical frameworks of adultification bias and emotional well-being ground the study. The key research questions centered on the specific …


Relationship Between Participation In Employee Wellness Programs And Health-Related Quality Of Life Among Health Care Workers, Ana Williams Jul 2025

Relationship Between Participation In Employee Wellness Programs And Health-Related Quality Of Life Among Health Care Workers, Ana Williams

Walden Dissertations and Doctoral Studies

Employee wellness programs are available in many health care organizations but remain underutilized by health care workers. Low employee participation in these wellness programs can negatively impact employees’ health-related quality of life (HRQoL), which, in turn, may adversely influence patient care and overall health outcomes. Despite this, little is known about which factors, such as perceived barriers and benefits, job category, or work shift, are associated with participation. This study addressed that gap by exploring how these variables relate to employee engagement in wellness programs and their potential impact on HRQoL. Guided by the health belief model, this study examined …


Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage Jul 2025

Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage

Walden Dissertations and Doctoral Studies

Little evidence links the use of business simulations to advances in the higher order thinking skills that high school students need to prepare for careers in finance. The problem for this study was that students in three southern high schools had limited success on the ACT Applied Math Assessment, and there was a need to explore the relationship of a newly implemented stock market trading simulation course to student success on the assessment. Kolb’s experiential learning theory, which was aligned to the simulation activities, guided the study. The purpose of this quantitative predictive study was to determine whether participation in …


Attitudes Toward Seeking Mental Health Services Among Young African American Same-Sex-Oriented Men, Anthony Earl Fox Jul 2025

Attitudes Toward Seeking Mental Health Services Among Young African American Same-Sex-Oriented Men, Anthony Earl Fox

Walden Dissertations and Doctoral Studies

In 2018 suicide was the second leading cause of death for young people between the ages of 15 and 24 (CDC, 2018). Suicide and other factors like HIV, depression, and oppression may serve as barriers to seeking counseling among African American same-sex-oriented men ages 18-26. Due to a previous gap in the literature regarding barriers to seeking counseling, this study may support counselors in finding ways to address the disparity in counseling utilization among this population. Grounded in queer and social identity theories, the purpose of this quantitative study was to examine if adverse childhood experiences, current civic unrest, HIV, …


Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck Jul 2025

Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck

Walden Dissertations and Doctoral Studies

Manufacturing organizational cultures steeped in tradition, corporate loyalty, and paternalistic values have experienced a decrease in union employee engagement and organizational satisfaction. Manufacturing leaders are concerned with this decrease as a primary indicator of employee walkouts or union strikes, impeding the manufacturing process, and affecting market share, profitability, and local economies. The purpose of this qualitative hermeneutic phenomenology study was to explore the union employees’ perceptions and lived experiences of organizational culture and job satisfaction in Michigan manufacturing organizations. Shaped by Schein’s organizational culture theory, the research question queried the perceptions of the union-represented employees as a subculture in the …


Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley Jul 2025

Quantifying The Economic Burden Of Cancer In California Using Advanced Analytics, Terence Casey Kelley

Walden Dissertations and Doctoral Studies

Cancer imposes a significant and multifaceted economic burden on California’s health care system and communities. Despite extensive national data, California-specific cost analyses have been outdated and limited. This study quantified California’s cancer-care burden through a quantitative, cross-sectional design grounded in the cost-of-illness framework and human-capital theory. A retrospective modeling approach used 2015–2023 data from the California Cancer Registry, National Cancer Institute, National Program of Cancer Registries, and California’s all-payer claims database. California’s economic burden from cancer was estimated using a meta-analysis of national cost data, which was then applied to state-specific cancer incidence, prevalence, and mortality through a multicriteria decision …


Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker Jul 2025

Staff Education To Use The Teach-Back Method To Decrease Congestive Heart Failure Readmissions, Carlita Tucker

Walden Dissertations and Doctoral Studies

This staff education project focused on educating staff to use the teach-back method to decrease congestive heart failure (CHF) readmissions. It is essential to address this issue within the context of nursing practice because CHF patients have left the hospital without adequate knowledge of their care plans, which compromised their self-care and increased their chances of returning to the hospital. This project employed the teach-back method, which is an effective communication process involving the patient reiterating what the staff has told them. The practice-focused question which guided the project was: For staff in an acute care hospital, will evidence-based training …


Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez Jul 2025

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. …


Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye Jul 2025

Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye

Walden Dissertations and Doctoral Studies

Falls among adults aged 65 and older represent a significant public health concern, as they are the leading cause of injury and hospitalization within this demographic. According to the Centers for Disease Control and Prevention (CDC), nearly one in four older adults experiences a fall annually, leading to over 3 million emergency department visits. In home health settings, the risk of falls is heightened due to uncontrolled environments and insufficient staff training. This quality improvement project assessed the effectiveness of an educational intervention aimed at fall prevention strategies for home health staff, including registered nurses (RNs) and certified nursing assistants …


Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen Jul 2025

Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen

Walden Dissertations and Doctoral Studies

For-profit social enterprises (FPSEs) represent a growing response to urgent social and environmental challenges. Yet little is known about how their leaders develop internal capacities to navigate the tensions of hybrid business models. This interpretive phenomenological analysis (IPA) explored the lived experiences of FPSE leaders, focusing on meaning-making, developmental action inquiry, and leader evolution within profit- and mission-driven contexts. Rooted in ego development theory, developmental action inquiry, and the action logic framework, the study examined intrapersonal and systemic aspects of growth. Eleven U.S.-based FPSE leaders with at least 3 years leading a mission-driven enterprise and 5 years of total leadership …


Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah Jul 2025

Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah

Walden Dissertations and Doctoral Studies

Extant literature reports increased uptake of maternal health care utilization in Liberia in the era following the 14-year civil war that ended in 2004. The purpose of this secondary quantitative data analysis study was to examine the relationship between women’s place of residence, women’s earnings spending autonomy, and maternal health care utilization of women ages 15–49 in Liberia. Maternal health care utilization in this study is measured by women’s visits to government hospitals for antenatal care. Maternal health care utilization indicates whether women who were pregnant within the 3 years before the 2019–20 Demographic Health Survey in Liberia attended any …


Staff Education To Outpatient Healthcare Staff On Managing Patients With Aggressive Behaviors, Adeline Fonkem Asonganyi Jul 2025

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 …


The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith Jul 2025

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 …


Enhancing Onboarding And Role Transition For Advanced Practice Clinicians Through The Development Of A Structured Mentorship Program, Christina Sternesky Jul 2025

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 …


Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver Jul 2025

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 Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu Jul 2025

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 …


Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier Jul 2025

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 Jul 2025

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 …


Teachers' Perspectives On Teacher Retention In Early Childhood Programs, Christopher Lavon Curry Jul 2025

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 …


Perspectives On Ethnic Federalism In Ethiopia, Girum Grbremariam Alemayehu Jul 2025

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 Jul 2025

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 Jul 2025

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 …