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Effects Of Foreign Aid On Developing Countries: Case Of Turkana County, Kenya, Baraka M. Akeyo
Effects Of Foreign Aid On Developing Countries: Case Of Turkana County, Kenya, Baraka M. Akeyo
Walden Dissertations and Doctoral Studies
Despite substantial foreign aid investments in road construction projects in Turkana County, Kenya, anticipated benefits of improved access to social facilities, economic development, and rural and urban growth have not been fully realized. This study involved assessing the impact of foreign aid for road construction in Turkana County. Grounded in the social constructivism perspective, the research acknowledges subjective realities shaped by individual and societal experiences. The agency theory served as the theoretical foundation, framing the donor-recipient relationship as one where donors act as principals imposing conditions on recipient communities as agents. The study addressed the central research question: What is …
Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams
Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams
Walden Dissertations and Doctoral Studies
Poor physician retention negatively impacts the quality of community healthcare, leading to financial losses and increased operational costs for hospitals. Hospital administrators and the governing boards are particularly concerned with addressing this issue to ensure sustainable healthcare delivery. Grounded in the Hertzberg’s two factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies that hospital administrators can utilize to improve physician retention. The participants included eight high-ranking hospital administrators within the geographic region of North Carolina who had an active role in provider retention. Data was collected using semistructured interviews, identify five critical themes: (a) implement mentorship, …
Influence Of A Remedial Course On First-Year Medical Students’ Learning And Study Strategies At A Medical School In The Caribbean, Aruna Gautam Ullal
Influence Of A Remedial Course On First-Year Medical Students’ Learning And Study Strategies At A Medical School In The Caribbean, Aruna Gautam Ullal
Walden Dissertations and Doctoral Studies
Medical schools aim to provide quality education and rigorous training to create competent future healthcare providers. Due to the demanding curriculum, first-year medical students often struggle, leading to course repetition or withdrawal from the program. The problem addressed in this study was the underperformance of first-year medical students, who required participation in a remediation course at a medical school in the Caribbean. Guided by Bandura’s social learning theory, the purpose of this quasi-experimental, quantitative study was to determine the extent of change in medical students’ learning and study skills as measured by the Learning and Study Strategies Inventory (LASSI) after …
Strategies Head Start Program Managers Use To Acquire External Funding During Economic Downturns, Judith Angella Maxwell
Strategies Head Start Program Managers Use To Acquire External Funding During Economic Downturns, Judith Angella Maxwell
Walden Dissertations and Doctoral Studies
Head Start programs risk limited external funding due to economic downturns, leading to difficulty managing programs effectively and competitively. Head Start program managers will continue to struggle if they do not develop strategies to acquire external financial support in response to economic downturns, like the COVID-19 pandemic, while enhancing staff and student experiences. Grounded in the resource-based view theory, the purpose of this qualitative single case study research project was to explore the strategies employed by Head Start program managers to effectively acquire external financial support in response to the economic downturn caused by the COVID-19 pandemic. The participants were …
Capital Structure Strategies For Catalyzing The Growth Of Mining Companies In Developing Countries, Pepe Kalombo Kapompa
Capital Structure Strategies For Catalyzing The Growth Of Mining Companies In Developing Countries, Pepe Kalombo Kapompa
Walden Dissertations and Doctoral Studies
A lack of effective strategies to develop capital structures affects operational profit and growth. Consequently, leaders of mining companies in the Democratic Republic of Congo are concerned about the significant financial losses resulting from these deficiencies. Grounded in trade-off theory of capital structure, the purpose of this qualitative multiple case study was to explore strategies that leaders of mining companies in the Democratic Republic of Congo used to develop capital structures that enhance operational profit and growth. The participants included three business leaders from three mining companies who successfully implemented such strategies. Data were collected from semistructured interviews and company …
Strategies For Independent Restaurant Business Leaders In The United States To Retain Employees, Ayman Hussein
Strategies For Independent Restaurant Business Leaders In The United States To Retain Employees, Ayman Hussein
Walden Dissertations and Doctoral Studies
Employee turnover poses a significant threat to the stability and growth of businesses, particularly in the restaurant industry. Independent restaurant owners and managers are especially concerned about the consequences of high turnover rates, which can negatively impact their operations. This includes disruptions in productivity, declines in profitability, and diminished competitiveness, all of which undermine the long-term viability of their establishments. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by leaders of independent U.S. restaurants to retain employees. The participants included 10 leaders from independent Florida-based restaurants, each with at least …
Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon
Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon
Walden Dissertations and Doctoral Studies
When skilled nursing facilities fail to implement, enforce, and follow up with the discharge planning process before and after the resident transitions home, it can lead to a hospital admission. The purpose of this integrative review was to synthesize the literature to identify how the chronic care model (CCM) can support skilled nursing facilities with the pre- and postdischarge planning process and make recommendations for strategy or policy revisions. The review question was focused on determining how the CCM can be effectively implemented within SNFs to optimize pre- and postdischarge planning for residents with chronic conditions and what strategy revisions …
Exploring The Adaptation And Implementation Of Social–Emotional Learning Programs, Jennifer Poteet
Exploring The Adaptation And Implementation Of Social–Emotional Learning Programs, Jennifer Poteet
Walden Dissertations and Doctoral Studies
Teacher led social–emotional learning programs are implemented in a variety of ways to mitigate the effects of school bullying, however little attention has been paid to their academic impact on middle school students. The theories and/or concepts that grounded this study include Bronfenbrenner’s (1977) ecological theory and social cognitive theory. The purpose of this quantitative study was to assess the impact of Second Step, a social–emotional learning program with 16,166 middle school students. Multiple linear regression was used to examine the relationship between student gender, ethnicity, Second Step program participation, and program fidelity on the students’ mathematics and reading assessment …
Successful Strategies Used By Perfusion Managers To Increase Retention Of Perfusionists, Michelle Jaskula-Dybka
Successful Strategies Used By Perfusion Managers To Increase Retention Of Perfusionists, Michelle Jaskula-Dybka
Walden Dissertations and Doctoral Studies
Perfusion managers face challenges in retaining skilled perfusionists which can impact the continuity of care and overall hospital efficiency. Effective perfusionist retention strategies are important to perfusion managers who aim to mitigate employee turnover. Grounded in the job demands-resources model, the purpose of this qualitative pragmatic inquiry study was to explore the successful retention strategies that some perfusion managers used in the United States. The participants were five perfusion managers who had successfully retained a team of perfusionists for at least 1 year. Data were collected through digital semistructured interviews and publicly available documents. Data were analyzed using thematic analysis. …
Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones
Improving Care For Psychiatric Patients In Rural Emergency Departments, Tonya Jones
Walden Dissertations and Doctoral Studies
Due to an increase in the presentation of adults with mental health crises and substance use disorders in rural emergency departments (EDs), solutions should focus on the enhancement of patient outcomes, improving the quality of care, health conditions, and overall patient experience. The purpose of this integrative review was to synthesize international evidence associated with initiatives to improve ED care identified through the concepts of the Donabedian framework model that can support ED managers in implementing evidence-based interventions to improve behavioral healthcare in rural EDs. An integrative review of literature published between 2019 and 2024 was conducted. The findings of …
Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington
Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington
Walden Dissertations and Doctoral Studies
Unskilled front-line leaders in the production industry can contribute to operational inefficiencies and delays in crisis response. Effective crisis management requires front-line leaders to employ evidence-based leadership strategies that enhance organizational resilience. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore successful leadership strategies front-line leaders use for crisis management. The participants were seven front-line leaders in the central Mississippi production industry who successfully implemented leadership strategies for crisis management. Data were collected using semistructured virtual interviews and a review of public documents related to crisis management, public safety policies, and code of …
Enhancing Multidisciplinary Team Knowledge On The Effectiveness Of Heat Therapy For Lower Back Pain In Adults In An Outpatient Clinic, Glenys Hunter
Enhancing Multidisciplinary Team Knowledge On The Effectiveness Of Heat Therapy For Lower Back Pain In Adults In An Outpatient Clinic, Glenys Hunter
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the underutilization of heat therapy for lower back pain management at an outpatient clinic through an educational intervention aimed at enhancing multidisciplinary team knowledge. My project implemented a comprehensive educational program for 12 healthcare providers. The intervention included structured learning sessions with didactic presentations, case discussions, and hands-on demonstrations. Pre- and post-intervention assessments evaluated provider understanding of heat therapy's physiological mechanisms, clinical applications, safety considerations, and treatment protocols. Analysis revealed significant improvements in provider knowledge, with mean scores increasing from 33.33% pre-intervention to 92.25% post-intervention (p<0.001). Recommendations included integrating regular educational sessions into organizational development programs, developing standardized protocols, and creating patient education materials. The project demonstrated the effectiveness of structured educational interventions in improving provider knowledge while supporting broader implementation of non-pharmacological pain management strategies. These findings have implications for enhancing patient care through increased utilization of evidence-based heat therapy interventions
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Walden Dissertations and Doctoral Studies
Since 2015, the number of retirees relocating after retirement has increased significantly, leading grandparents to be distant from their grandchildren. Isolation and distance from families has increased due in part to the COVID-19 pandemic which has led to high rates of loneliness and isolation for older adults. The purpose of this qualitative narrative inquiry was to explore experiences during COVID-19 for grandparents geographically distanced from their grandchildren. This research was grounded using Erikson’s psychosocial developmental theory, with a focus on the maturity stage, and thematic analysis was used to guide interviews and analysis. Purposive sampling was employed to recruit five …
School Counselor Wellness And Organizational Support, Pamela Spence Robinson
School Counselor Wellness And Organizational Support, Pamela Spence Robinson
Walden Dissertations and Doctoral Studies
Wellness is at the core of the counselor profession, yet school counselors face daily wellness challenges in the environments in which they work. Organizational support in the form of supervision and school support has been shown to mediate burnout, yet research had not investigated its mediating role in school counselor wellness. The purpose of this quantitative study was to examine the relationship between school counselor organizational support, as measured by the Survey of Perceived Organizational Support-Short Form, and school counselor wellness, as measured by the Helping Professional Wellness Discrepancy Scale, in a sample of 78 practicing school counselors. Results of …
Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi
Educating Staff To Use World Health Organization Hand Hygiene Guidelines To Decrease Health Care-Associated Infection, Edith Kplivi
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice project was a practice-focused initiative to address increased hospital-associated infections (HAIs) in an outpatient mental health facility. Improper hand hygiene significantly contributes to the spread of HAIs, negatively affecting patient outcomes, increasing healthcare costs, and decreasing patient satisfaction. The practice-focused question was: For nursing staff in an outpatient clinic, will education focused on the World Health Organization (WHO) guidelines on hand hygiene increase knowledge toward the goal of decreasing HAIs? In collaboration with project site leadership, I identified the following gap in practice: Though fundamental hand hygiene practices may be known to healthcare workers, …
Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur
Quality Improvement Initiative Addressing Job Satisfaction Among Nursing Staff Through Mindfulness-Based Stress Reduction, Jagjeet Kaur
Walden Dissertations and Doctoral Studies
The global shortage of nurses has become a pressing issue affecting both developed and developing nations. This widespread scarcity poses significant challenges for the entire nursing profession. The 2023 National Nursing Workforce Survey revealed that an overwhelming 91% of nurses believe the shortage is worsening. As a result, many countries are becoming increasingly worried about their capacity to recruit and retain nursing professionals. The practice-focused question for this project was: Will a mindfulness-based stress reduction education assist nurses in incorporating mindfulness in their daily routine? The primary aim of this project was to enhance job satisfaction among nurses, with the …
Strategies To Obtain Working Capital For Small Businesses, Solomon Ambili Atamaya
Strategies To Obtain Working Capital For Small Businesses, Solomon Ambili Atamaya
Walden Dissertations and Doctoral Studies
The inability to obtain working capital can affect small business continuity, especially in the long term. Small business owners must be able to access working capital or else risk business survival through liquidity shortages, lost customers, and falling profitability. Grounded in the pecking order theory, the purpose of this qualitative multiple-case study was to explore the strategies employed by small business owners to obtain working capital for business continuity beyond five years. The participants were eight small business owners in Maryland who had successful strategies to obtain working capital for business continuity beyond five years. Data were collected through semistructured …
Staff Education On The Use Of Gad-7 To Screen For Anxiety, Abena Ofori Atta
Staff Education On The Use Of Gad-7 To Screen For Anxiety, Abena Ofori Atta
Walden Dissertations and Doctoral Studies
Summary This staff education project aimed to implement the Generalized Anxiety Disorder 7-item (GAD-7) scale for anxiety screening during routine patient visits. Integrating such tools into nursing practice is essential for early identification and timely intervention of anxiety disorders. The project investigated the effectiveness of staff education on the use of GAD-7 in enhancing the identification and management of anxiety in patients during routine visits. Its purpose was to equip providers with the skills to use the tool effectively, improving their ability to manage anxiety disorders. The practice focus question “Will an interactive educational program improve the knowledge of the …
Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson
Clinical Specialists’ Perceptions Of Their Ability To Diagnose Autism In Toddlers, Donna Morgan Johnson
Walden Dissertations and Doctoral Studies
Autism is diagnosable by a clinical specialist, and toddlers who receive an early diagnosis by a clinical specialist are more likely to receive the appropriate early intervention services and supports that meet their needs. However, researchers have found that clinical specialists have doubts regarding the accuracy of their diagnoses in toddlers. The purpose of this generic qualitative study was to provide an understanding of clinical specialists’ perceptions of their abilities to make an early diagnosis of autism in toddlers. Self-efficacy theory served as the theoretical framework. Semi-structured interview data were collected from 12 clinical psychologists with experience diagnosing autism in …
Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke
Diagnostic Stewardship And The Mitigation Of Treatment Of Asymptomatic Bacteriuria, Raimonda Kathryn Clarke
Walden Dissertations and Doctoral Studies
Urinalyses and urine cultures are being ordered at the facility of concern without regard to patient history/symptomatology, leading to inappropriate treatment of asymptomatic bacteriuria (ASB) and unnecessary antibiotic prescriptions. The following practice-focused question was developed to address this practice concern: Can an educational program focused on diagnostic stewardship and the mitigation of treatment of asymptomatic bacteriuria improve clinician awareness, knowledge, and confidence in identifying and diagnosing asymptomatic bacteriuria in patients over age 65 in the outpatient setting? Thus, the purpose of this doctor of nursing practice (DNP) project was to close the identified knowledge and attitude gap in a moderate-size …
Staff Education To Increase Knowledge For Supervisory Level Leadership, Athena G. Minor
Staff Education To Increase Knowledge For Supervisory Level Leadership, Athena G. Minor
Walden Dissertations and Doctoral Studies
A staff education program was developed and implemented in response to an identified gap in education during the orientation process of leadership. The leadership tier targeted for this education project was at the supervisory level. This doctoral project evaluated if a title-specific educational course would increase leadership knowledge. An education program was developed with six online learning modules and two in-person workshops. Participants were given a pretest of the subject matter material before beginning the course work and a posttest upon completion. Participant scores were only identified by a unique alphabetic letter randomly assigned to each participant at the beginning …
The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks
The Healing Potential Of The Use Of Racial Socialization By School Counselors For African American Students, Vameker Banks
Walden Dissertations and Doctoral Studies
African American adolescents experience racial discrimination incidents more frequently than their peers from other racial backgrounds. Racial socialization (RS) has been proven to be effective in assisting African American youth in coping with racial stressors. School counselors play a crucial role in supporting African American youth dealing with race-related stress (RRS). Research has focused on the use of RS among African American parents and children, yet there is a research gap regarding the use of RS among school counselors. Further research is necessary to explore how school counselors implement RS to help students cope with and respond to stressful discriminatory …
Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston
Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston
Walden Dissertations and Doctoral Studies
There is a lack of understanding in terms of how to support effective parent-teacher communications in infant and toddler education programs. Early childhood educators are necessary to communicate with parents about what occurs in classrooms as parents are vital sources about what occurs in homes. The purpose of this study was to explore parent and teacher perspectives on parent-teacher communication to determine ways to improve and support home-school communication and support early learners. Bronfenbrenner's theory of ecological systems, particularly the mesosystem, which involves interactions between two or more settings such as homes and schools, guided the research. For this basic …
Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu
Staff Education Program On Medication Reconciliation, Chika Nweze-Muoghalu
Walden Dissertations and Doctoral Studies
A minimum of one medication error occurs daily in the life of a hospitalized patient, which confirms the research that medication errors constitute the most significant patient safety issue and that about 20% of these errors result in patient harm. Many errors could have been averted if an accurate medication reconciliation process had been practiced. Medication reconciliation is a formal process whereby the patient’s current medication list is compared to the patient’s record or medication orders whenever the patient’s level of care changes. Framed within the analysis, design, development, implementation, and evaluation (ADDIE) model of instructional design, the purpose of …
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Walden Dissertations and Doctoral Studies
Hospital administrators and financial decision-makers face ongoing challenges in maintaining positive operating margins, which are critical for sustaining healthcare services and delivering high-quality patient care. Errors in clinical laboratory testing—preanalytical, analytical, and postanalytical—can lead to inefficiencies, increased costs, and reduced financial performance. Grounded in total quality management, the purpose of this quantitative correlation study was to examine the relationship between preanalytical errors, analytical errors, and postanalytical errors and hospital operating margin. The participants were clinical laboratory leaders who completed an anonymous survey using Survey Monkey as a data collection tool. The sample size for this study included 77 participants. The …
Predictors Of Mental Health Seeking Behaviors Among Nigerian Immigrants, Francisca Iroh-Donawa
Predictors Of Mental Health Seeking Behaviors Among Nigerian Immigrants, Francisca Iroh-Donawa
Walden Dissertations and Doctoral Studies
Understanding the mental health seeking attitudes (MHSA) of Nigerian immigrants is a social concern for psychologists as it provides valuable information for developing outreach and clinical interventions. Unfortunately, there is scant and inconclusive research addressing potential predictors of MHSA among Nigerian immigrants, thus leaving clinicians with an unclear picture in understanding and the promoting the wellbeing of this vulnerable population. To address this gap, this study utilized the theory of planned behavior and Berry’s model of acculturation to explore if acculturation (positively), length of stay in host country (positively), religious and spiritual beliefs (negatively), and gender (women higher than men) …
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
Walden Dissertations and Doctoral Studies
Transcendental meditation (TM) is a unique meditation practice that uses a personal mantra to help the practitioner create a quiet state of mind, greater mental clarity, better concentration, and emotional control. TM has not been examined for its value to help students academically and socially. In this generic qualitative study, high school students and their guardians were asked to describe the meaning of TM practice in their academic and social life. The competencies of social emotional learning (SEL) theory were utilized as the conceptual framework to guide the study’s methodology. Data from semistructured interviews with six students and five guardians …
Challenges Faced By Women Released From Prison Leading To Criminal Recidivism, Bawana O Gayle
Challenges Faced By Women Released From Prison Leading To Criminal Recidivism, Bawana O Gayle
Walden Dissertations and Doctoral Studies
Women are more likely than men to leave prison and return to environments that are not stable, which increases the likelihood that they will engage in further criminal activities either because of being around others engaging in criminal activities or because of unstable living conditions and a lack of positive support from family and friends. This qualitative study used descriptive content analysis to analyze 30 peer-reviewed academic articles, with the purpose of understanding the challenges faced by African American and Caucasian women who were released from prison and understanding their difficulties in re-entering society. The theoretical framework for this research …
Experiences Of Teachers Who Left The Profession In Their First 5 Years, Rashemia Bennett
Experiences Of Teachers Who Left The Profession In Their First 5 Years, Rashemia Bennett
Walden Dissertations and Doctoral Studies
Recent studies show that teachers are leaving the profession at a rapid rate, which is leading to a shortage in the classroom that is impacting school districts across the United States. Teachers are leaving the profession within their first 5 years of teaching as opposed to finishing their careers and retiring. Studies show that teachers leave the profession for various reasons, such as emotional exhaustion, depersonalization, lack of resources, student behaviors, and personal accomplishment. The purpose of this generic qualitative study was to learn about the experiences of teachers who left the profession within the first 5 years of teaching …
Marketing Strategies To Engage Multicultural Consumers, Nazanin Weck
Marketing Strategies To Engage Multicultural Consumers, Nazanin Weck
Walden Dissertations and Doctoral Studies
The lack of marketing strategies that engages multicultural consumers is a concern for marketing managers because it can adversely impact their business profitability and sustained market competitiveness. Grounded in identity management theory (IMT), this qualitative pragmatic inquiry was conducted to explore the marketing strategies that successful marketing managers use to engage multicultural consumers. The participants were six marketing managers from distinct companies in the southeastern United States who specialize in acquiring and engaging multicultural customers. Data were collected through semistructured interviews, analysis of public company documents, and a systematic review of secondary sources, including social media content and corporate websites. …