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Walden Dissertations and Doctoral Studies

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Staff Education To Increase Medication Adherence, Omowunmi Oluwatosin Ojo Jan 2025

Staff Education To Increase Medication Adherence, Omowunmi Oluwatosin Ojo

Walden Dissertations and Doctoral Studies

This quality improvement staff education DNP project was developed to address psychiatric patients' nonadherence to medications in this project setting. Poor adherence to medication has been regarded as a primary cause of psychiatric deterioration in outpatient settings. The project was developed to mitigate the negative impact of non-adherence in psychiatric patients in the clinic. In this quality improvement project, an education program to increase nurses' knowledge of evidence-based strategies to improve patients with mental health illnesses adherence to their treatment regimen was developed and implemented. Seven individuals completed the education program. Participants completed a pretest before engaging in the program …


Prevalent Themes Of Messages Related To Sexual Risk Behaviors Targeting Young Black Women In Social Media, Dominique Lache' Gadson Jan 2025

Prevalent Themes Of Messages Related To Sexual Risk Behaviors Targeting Young Black Women In Social Media, Dominique Lache' Gadson

Walden Dissertations and Doctoral Studies

Black women have been shown in mainstream media and social media in ways that reinforce negative stereotypes and reduce them to objects, which leads to the sexualization and stigmatization of their bodies and sexuality. There was a gap in understanding how exposure to social media content may influence sexual behavior and identity among young Black women, and how hypersexualized narratives sparked by stories in social media reflect sexual risk-taking. The purpose of this qualitative study was to explore and track popular social media sites to determine the themes of the messages most frequently viewed targeting Black women. The research question …


Perceptions Of Encouragement For Native American Women To Persist In Doctoral Programs, Venicia Mayo Burton Jan 2025

Perceptions Of Encouragement For Native American Women To Persist In Doctoral Programs, Venicia Mayo Burton

Walden Dissertations and Doctoral Studies

The problem addressed in this study is the underrepresentation of Native American women in doctoral programs in the United States. The purpose of this basic qualitative study was to explore how encouragement in terms of support, confidence, hope, and advice received from family and tribe, friends and social circles, and faculty and college administrators influence the persistence of Native American women in their doctoral journeys. The conceptual framework for this study is the psychosociolcultural theory (PSC) to help examine the psychological, social, and cultural influences on the educational experiences of minority students in an educational setting. Data from eight interviews …


Impact Of Leadership Characteristics Of Empowerment And Support Of Employee Growth On Job Commitment And Turnover Intent Of Nurses In Ghana, Ernest Addai Duah Jan 2025

Impact Of Leadership Characteristics Of Empowerment And Support Of Employee Growth On Job Commitment And Turnover Intent Of Nurses In Ghana, Ernest Addai Duah

Walden Dissertations and Doctoral Studies

Prior studies have examined leadership style and its relation to healthcare employees’ performance; however, few Ghanaian studies have focused on using characteristics of leaders and their relationship to job commitment and turnover intention among nurses and midwives in the 10 regions of Ghana. The objective for this quantitative correlation study was to examine whether leadership characteristics have a relationship with job commitment and turnover intent among hospital nurses in Ghana, where Upper East was the region of focus. Servant leadership theory was used as the theoretical framework for this study. The study addressed the relationship between leadership characteristics of empowerment, …


Impact Of Leadership Characteristics Of Empowerment And Support Of Employee Growth On Job Commitment And Turnover Intent Of Nurses In Ghana, Ernest Addai Duah Jan 2025

Impact Of Leadership Characteristics Of Empowerment And Support Of Employee Growth On Job Commitment And Turnover Intent Of Nurses In Ghana, Ernest Addai Duah

Walden Dissertations and Doctoral Studies

Prior studies have examined leadership style and its relation to healthcare employees’ performance; however, few Ghanaian studies have focused on using characteristics of leaders and their relationship to job commitment and turnover intention among nurses and midwives in the 10 regions of Ghana. The objective for this quantitative correlation study was to examine whether leadership characteristics have a relationship with job commitment and turnover intent among hospital nurses in Ghana, where Upper East was the region of focus. Servant leadership theory was used as the theoretical framework for this study. The study addressed the relationship between leadership characteristics of empowerment, …


Improving Staff Knowledge And Compliance With Productivity Standards, John Voight Jan 2025

Improving Staff Knowledge And Compliance With Productivity Standards, John Voight

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project addressed gaps in financial literacy and productivity compliance among assistant nurse managers in an acute care setting. The intervention involved a targeted educational program to enhance knowledge, confidence, and accountability regarding financial productivity standards. Using a pre-and post-test survey methodology, the project assessed the effectiveness of the training in improving familiarity with productivity principles, resource management skills, and adherence to organizational goals. Results demonstrated significant improvements across all metrics. The proportion of participants reporting high familiarity with financial productivity standards increased from 35% to 80%, while confidence in resource management rose from 25% to …


Improving Staff Knowledge And Compliance With Productivity Standards, John Voight Jan 2025

Improving Staff Knowledge And Compliance With Productivity Standards, John Voight

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project addressed gaps in financial literacy and productivity compliance among assistant nurse managers in an acute care setting. The intervention involved a targeted educational program to enhance knowledge, confidence, and accountability regarding financial productivity standards. Using a pre-and post-test survey methodology, the project assessed the effectiveness of the training in improving familiarity with productivity principles, resource management skills, and adherence to organizational goals. Results demonstrated significant improvements across all metrics. The proportion of participants reporting high familiarity with financial productivity standards increased from 35% to 80%, while confidence in resource management rose from 25% to …


Perceived Anxiety Symptoms Of Board-Certified Behavior Analysts Who Work With The Autism Population, Elyra Gonzalez Jan 2025

Perceived Anxiety Symptoms Of Board-Certified Behavior Analysts Who Work With The Autism Population, Elyra Gonzalez

Walden Dissertations and Doctoral Studies

The increase in autism spectrum disorder (ASD) diagnoses has led to a rise in mental health issues among board-certified behavior analysts (BCBAs). Burnout has been identified as the primary cause of emotional exhaustion, poor work-life balance, and stress. Despite this, direct interviews with BCBAs are limited. Previous research has indicated that BCBAs face high demands in their work; however, their mental health has not been thoroughly evaluated. Cognitive appraisal theory was used to demonstrate that the perceived symptoms are associated with anxiety, not just burnout. Semi-structured interviews with 10 BCBAs were conducted to gain direct feedback on their view of …


Perceived Anxiety Symptoms Of Board-Certified Behavior Analysts Who Work With The Autism Population, Elyra Gonzalez Jan 2025

Perceived Anxiety Symptoms Of Board-Certified Behavior Analysts Who Work With The Autism Population, Elyra Gonzalez

Walden Dissertations and Doctoral Studies

The increase in autism spectrum disorder (ASD) diagnoses has led to a rise in mental health issues among board-certified behavior analysts (BCBAs). Burnout has been identified as the primary cause of emotional exhaustion, poor work-life balance, and stress. Despite this, direct interviews with BCBAs are limited. Previous research has indicated that BCBAs face high demands in their work; however, their mental health has not been thoroughly evaluated. Cognitive appraisal theory was used to demonstrate that the perceived symptoms are associated with anxiety, not just burnout. Semi-structured interviews with 10 BCBAs were conducted to gain direct feedback on their view of …


An Educational Intervention Focused On The Importance Of Follow-Up Appointments For Telehealth Patients, Stella Chizoma Emerenini Jan 2025

An Educational Intervention Focused On The Importance Of Follow-Up Appointments For Telehealth Patients, Stella Chizoma Emerenini

Walden Dissertations and Doctoral Studies

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An Educational Intervention Focused On The Importance Of Follow-Up Appointments For Telehealth Patients, Stella Chizoma Emerenini Jan 2025

An Educational Intervention Focused On The Importance Of Follow-Up Appointments For Telehealth Patients, Stella Chizoma Emerenini

Walden Dissertations and Doctoral Studies

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Timely Follow-Up Care After Discharge To Lower The Readmission Rate Among, Kenneth Bernard Reddix Jan 2025

Timely Follow-Up Care After Discharge To Lower The Readmission Rate Among, Kenneth Bernard Reddix

Walden Dissertations and Doctoral Studies

Timely follow-up care can avert patient readmission for older adults at risk of increased morbidities and mortalities. The target primary care clinic in the southwestern United States served a majority Hispanic population, whose readmission rates were higher than those of White or Black patients nationally. This quality-improvement (QI) project involved the evaluation of whether a new clinical practice guideline to require timely follow-up care was conducive to lowering patient readmission rates among Hispanic older adults 65 years of age and older. The practice-focused question concerned whether primary care providers’ use of a follow-up protocol within 7 days of discharge improved …


Timely Follow-Up Care After Discharge To Lower The Readmission Rate Among, Kenneth Bernard Reddix Jan 2025

Timely Follow-Up Care After Discharge To Lower The Readmission Rate Among, Kenneth Bernard Reddix

Walden Dissertations and Doctoral Studies

Timely follow-up care can avert patient readmission for older adults at risk of increased morbidities and mortalities. The target primary care clinic in the southwestern United States served a majority Hispanic population, whose readmission rates were higher than those of White or Black patients nationally. This quality-improvement (QI) project involved the evaluation of whether a new clinical practice guideline to require timely follow-up care was conducive to lowering patient readmission rates among Hispanic older adults 65 years of age and older. The practice-focused question concerned whether primary care providers’ use of a follow-up protocol within 7 days of discharge improved …


High School Teachers’ Perspectives On Implementing Self-Regulated Instruction In Elearning Environments, Rachael Stewart Jan 2025

High School Teachers’ Perspectives On Implementing Self-Regulated Instruction In Elearning Environments, Rachael Stewart

Walden Dissertations and Doctoral Studies

Research shows that successful high school students must self-regulate their learning, yet teachers face barriers in using technology to support self-regulated learning (SRL) in eLearning environments. The purpose and research questions for this basic qualitative study were focused on exploring teachers’ perceptions of the barriers to implementing SRL and the technology and training needs required for overcoming barriers to incorporating SRL within the high school eLearning environment. Grounded in Bandura’s social learning theory and Zimmerman’s SRL model, the research included semistructured interviews with 10 public high school teachers from the southeastern United States with at least one year of experience …


Exploring Interpersonal, Sexual, And Moral Development Of Offending Clergy, Aaron Andrew Ghering Jan 2025

Exploring Interpersonal, Sexual, And Moral Development Of Offending Clergy, Aaron Andrew Ghering

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of offender clergy through their childhood development. It specifically looked at the social, moral, and sexual development of these individuals. This phenomenological qualitative study provided insight into what, if anything, in their early moral, social, and sexual development could help shed light on their future behaviors and actions. Bandura’s Social Learning Theory guided this study by providing an understanding of how social learning throughout development can influence the formation of social, moral, and sexual behaviors later in life. The data were collected from reviewing existing material from existing diaries, interviews, and previously published studies. …


Strategies For Sustaining Small Business Beyond 10 Years, Sandra Elizabeth Rivera Jan 2025

Strategies For Sustaining Small Business Beyond 10 Years, Sandra Elizabeth Rivera

Walden Dissertations and Doctoral Studies

Small business owners in the restaurant industry face financial, operational, and competitive challenges that often lead to failure. Identifying practical solutions to these setbacks is critical to empowering entrepreneurs and fostering sustainable strategies for long-term success. Grounded in Lazear's jack-of-all-trades theory, the purpose of this qualitative multiple case study was to explore effective business planning strategies used by small restaurant owners to stay competitive and sustainable beyond the first 10 years of operation. The participants were five small restaurant owners in Western Canada, each with over 10 years of experience. Data were collected through semistructured interviews, public records, and organizational …


Successful Strategies Used By Black Female Entrepreneurs To Establish Wellness And Alternative Medicine Businesses, Ruth Corfah Jan 2025

Successful Strategies Used By Black Female Entrepreneurs To Establish Wellness And Alternative Medicine Businesses, Ruth Corfah

Walden Dissertations and Doctoral Studies

Black female entrepreneurs in the Gulf Coast region face systemic barriers and require successful strategies to establish a successful wellness and alternative medicine business post-COVID. Without addressing these challenges, many businesses may fail, resulting in lost economic opportunities and reduced access to culturally responsive wellness services for underserved Black communities. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful strategies used by Black female entrepreneurs to establish a successful wellness and alternative medicine business post-COVID within the Gulf Coast region. The participants were six Black female entrepreneurs who used successful …


Exploring School Leaders’ Experiences Allocating Financial Resources To Support Technology Integration Learning, Joshua Armstrong Jan 2025

Exploring School Leaders’ Experiences Allocating Financial Resources To Support Technology Integration Learning, Joshua Armstrong

Walden Dissertations and Doctoral Studies

America's local education agencies (LEAs) often struggle with technology integration learning (TIL). There is a lack of understanding about how leadership is planning and financially managing the allocation of budgeted dollars to support TIL. The purpose of this phenomenological study was to explore the lived experiences of public school leaders involved with financial management and the planning of resources to support TIL. Mishra’s and Koehler’s technological, pedagogical, and content knowledge framework grounded this study on how leadership planning and financial management affect teachers’ technological skills and professional development when incorporating TIL in public schools. Data were collected through 11 semistructured …


Exploring School Leaders’ Experiences Allocating Financial Resources To Support Technology Integration Learning, Joshua Armstrong Jan 2025

Exploring School Leaders’ Experiences Allocating Financial Resources To Support Technology Integration Learning, Joshua Armstrong

Walden Dissertations and Doctoral Studies

America's local education agencies (LEAs) often struggle with technology integration learning (TIL). There is a lack of understanding about how leadership is planning and financially managing the allocation of budgeted dollars to support TIL. The purpose of this phenomenological study was to explore the lived experiences of public school leaders involved with financial management and the planning of resources to support TIL. Mishra’s and Koehler’s technological, pedagogical, and content knowledge framework grounded this study on how leadership planning and financial management affect teachers’ technological skills and professional development when incorporating TIL in public schools. Data were collected through 11 semistructured …


High School Teachers’ Perspectives On Implementing Self-Regulated Instruction In Elearning Environments, Rachael Stewart Jan 2025

High School Teachers’ Perspectives On Implementing Self-Regulated Instruction In Elearning Environments, Rachael Stewart

Walden Dissertations and Doctoral Studies

Research shows that successful high school students must self-regulate their learning, yet teachers face barriers in using technology to support self-regulated learning (SRL) in eLearning environments. The purpose and research questions for this basic qualitative study were focused on exploring teachers’ perceptions of the barriers to implementing SRL and the technology and training needs required for overcoming barriers to incorporating SRL within the high school eLearning environment. Grounded in Bandura’s social learning theory and Zimmerman’s SRL model, the research included semistructured interviews with 10 public high school teachers from the southeastern United States with at least one year of experience …


Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand Jan 2025

Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand

Walden Dissertations and Doctoral Studies

This study is an examination of the perceptions of educated Jordanian women regarding the gap between their high educational attainment and limited access to the labor market, focusing on systemic sociocultural, institutional, and economic barriers. Targeting women in science, technology, engineering, and mathematics (STEM) fields, the study was conducted using a feminist theoretical framework emphasizing societal norms, power imbalances, and institutional inequities as critical factors shaping women’s professional experiences. A generic qualitative design was employed, collecting data through semistructured interviews and SenseMaker narratives from four faculty members at a Jordanian university. Thematic coding, discourse analysis, and sentiment analysis were used …


Successful Strategies Used By Black Female Entrepreneurs To Establish Wellness And Alternative Medicine Businesses, Ruth Corfah Jan 2025

Successful Strategies Used By Black Female Entrepreneurs To Establish Wellness And Alternative Medicine Businesses, Ruth Corfah

Walden Dissertations and Doctoral Studies

Black female entrepreneurs in the Gulf Coast region face systemic barriers and require successful strategies to establish a successful wellness and alternative medicine business post-COVID. Without addressing these challenges, many businesses may fail, resulting in lost economic opportunities and reduced access to culturally responsive wellness services for underserved Black communities. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful strategies used by Black female entrepreneurs to establish a successful wellness and alternative medicine business post-COVID within the Gulf Coast region. The participants were six Black female entrepreneurs who used successful …


Strategies For Sustaining Small Business Beyond 10 Years, Sandra Elizabeth Rivera Jan 2025

Strategies For Sustaining Small Business Beyond 10 Years, Sandra Elizabeth Rivera

Walden Dissertations and Doctoral Studies

Small business owners in the restaurant industry face financial, operational, and competitive challenges that often lead to failure. Identifying practical solutions to these setbacks is critical to empowering entrepreneurs and fostering sustainable strategies for long-term success. Grounded in Lazear's jack-of-all-trades theory, the purpose of this qualitative multiple case study was to explore effective business planning strategies used by small restaurant owners to stay competitive and sustainable beyond the first 10 years of operation. The participants were five small restaurant owners in Western Canada, each with over 10 years of experience. Data were collected through semistructured interviews, public records, and organizational …


Exploring Interpersonal, Sexual, And Moral Development Of Offending Clergy, Aaron Andrew Ghering Jan 2025

Exploring Interpersonal, Sexual, And Moral Development Of Offending Clergy, Aaron Andrew Ghering

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of offender clergy through their childhood development. It specifically looked at the social, moral, and sexual development of these individuals. This phenomenological qualitative study provided insight into what, if anything, in their early moral, social, and sexual development could help shed light on their future behaviors and actions. Bandura’s Social Learning Theory guided this study by providing an understanding of how social learning throughout development can influence the formation of social, moral, and sexual behaviors later in life. The data were collected from reviewing existing material from existing diaries, interviews, and previously published studies. …


Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand Jan 2025

Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand

Walden Dissertations and Doctoral Studies

This study is an examination of the perceptions of educated Jordanian women regarding the gap between their high educational attainment and limited access to the labor market, focusing on systemic sociocultural, institutional, and economic barriers. Targeting women in science, technology, engineering, and mathematics (STEM) fields, the study was conducted using a feminist theoretical framework emphasizing societal norms, power imbalances, and institutional inequities as critical factors shaping women’s professional experiences. A generic qualitative design was employed, collecting data through semistructured interviews and SenseMaker narratives from four faculty members at a Jordanian university. Thematic coding, discourse analysis, and sentiment analysis were used …


Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose Jan 2025

Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose

Walden Dissertations and Doctoral Studies

Policing is a stressful and dangerous occupation that is imperative to a functioning society, and stress should be limited to ensure a healthy mind and body. The purpose of this study was to examine the perceptions of law enforcement spouses regarding officer safety and danger, which was lacking in the research. Law enforcement spouses have a significant impact over the stress levels of their loved ones. The work–life balance and work–family conflict theories were the theoretical framework used to relate to the study and support the research. The generic qualitative design was used with semistructured interviews to gather research data …


Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose Jan 2025

Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose

Walden Dissertations and Doctoral Studies

Policing is a stressful and dangerous occupation that is imperative to a functioning society, and stress should be limited to ensure a healthy mind and body. The purpose of this study was to examine the perceptions of law enforcement spouses regarding officer safety and danger, which was lacking in the research. Law enforcement spouses have a significant impact over the stress levels of their loved ones. The work–life balance and work–family conflict theories were the theoretical framework used to relate to the study and support the research. The generic qualitative design was used with semistructured interviews to gather research data …


Implications Of The Aca On Critical Access Hospitals And Patients’ Responsibility Of Account Balances, Rebecca Yant Kimmelmann Jan 2025

Implications Of The Aca On Critical Access Hospitals And Patients’ Responsibility Of Account Balances, Rebecca Yant Kimmelmann

Walden Dissertations and Doctoral Studies

Critical access hospitals (CAHs) have a history of closing due to a lack of financial viability, causing U.S. communities to lose support provided from jobs and taxes paid by the hospital, and patients to lose health care access. With the implementation of the Affordable Care Act and Patient Protection Act of 2010 (ACA), the expectation was that more people would become insured, but plan copays and deductibles owed by patients increased. The purpose of this study, which was undergirded by von Bertalanffy’s general systems theory, was to explore (a) whether there was a significant correlation between the implementation of the …


Strategies To Implement Performance Management Systems In Jamaica Sufficient To Increase Employee Engagement, Nardiah Natesha Wellington Jan 2025

Strategies To Implement Performance Management Systems In Jamaica Sufficient To Increase Employee Engagement, Nardiah Natesha Wellington

Walden Dissertations and Doctoral Studies

Performance management system (PMS) implementation presents significant challenges for small business owners in Jamaica, often due to resource constraints and limited expertise. Effective PMS practices, however, are critical for fostering employee engagement, which enhances productivity, retention, and organizational sustainability. Grounded in the job demands-resources (JD-R) model, the purpose of this qualitative pragmatic inquiry was to explore strategies Jamaican small business owners use to implement PMS successfully. The participants included eight small business owners operating for at least 3 years. Data collection included semistructured interviews and reviews of publicly available organizational documents. Through thematic analysis, I identified four key themes: (a) …


Documentation Challenges And Service Outcomes In Behavioral Health Organizations Serving The Homeless With Mental Illness, Shawlawn L. Freeman-Hicks Jan 2025

Documentation Challenges And Service Outcomes In Behavioral Health Organizations Serving The Homeless With Mental Illness, Shawlawn L. Freeman-Hicks

Walden Dissertations and Doctoral Studies

Observed inconsistencies in clinical documentation are a problem for a behavioral health organization (BHO) serving homeless individuals with mental illness in the southern United States. The purpose of this study was to examine the impact of inconsistent clinical documentation on patient outcomes within the BHO. The Baldrige Excellence Framework was used to examine organizational leadership, strategy, operations, and compliance practices. The chief executive officer, chief operating officer, and lead psychiatric coordinator were interviewed to assess challenges related to clinical documentation. Archival records were also reviewed to gain a comprehensive understanding of the BHO's documentation processes. Three major themes emerged: (a) …