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An Educational Intervention To Increase Nurse Practitioners’ Knowledge And Awareness Of Polypharmacy, Kiana Piedrahita
An Educational Intervention To Increase Nurse Practitioners’ Knowledge And Awareness Of Polypharmacy, Kiana Piedrahita
Walden Dissertations and Doctoral Studies
The presence of multiple health problems can contribute to the simultaneous use of multiple medications by an individual, also known as polypharmacy. While polypharmacy can be necessary, it has the potential risk of adverse drug reactions and possible hospitalization. In the local organization, leadership noted that 47% of patients seen are elderly individuals who have multiple comorbidities, indicating the probable use of multiple medications. Thus, purpose of this Doctor of Nursing Practice project was to determine if an educational intervention focused on polypharmacy and the use of the electronic medical record to manage polypharmacy increased knowledge and awareness among nurse …
Strategies For Successful Cybersecurity Implementation In New Jersey Public Schools, Michael Christopher Waranowicz
Strategies For Successful Cybersecurity Implementation In New Jersey Public Schools, Michael Christopher Waranowicz
Walden Dissertations and Doctoral Studies
Public school districts are frequently targeted by cybercriminals to gain access to a wealth of under-protected sensitive data. As a result, information technology (IT) leaders in public school districts must implement measures to maintain the security and confidentiality of sensitive data collected and stored by their schools. This qualitative multiple case study, grounded in the technology threat avoidance theory, explored the strategies used by K-12 IT leaders to implement secure IT infrastructure in New Jersey public school districts. The research population includes K-12 public school IT leaders in New Jersey who have experience implementing security controls to protect the data …
Neuroprotective Care And Painful Procedures, Jelda Frank
Neuroprotective Care And Painful Procedures, Jelda Frank
Walden Dissertations and Doctoral Studies
An inconsistent application of neuroprotective care provided by clinical staff, based on my observations, to minimize the negative effects of painful procedures that can negatively impact the neurodevelopment of neonates in the neonatal intensive care unit (NICU), was the identified practice problem for my Doctor of Nursing Practice (DNP) staff education project. Implementation of evidence-based neuroprotective and neuropromotive strategies aim to optimize outcomes for premature infants and minimize risk of potential negative effects to the neonate’s short and long term neurodevelopment. The DNP project practice-focused question addressed whether a presentation of an evidence-based educational program for NICU clinical staff would …
Attracting And Retaining Employees For A Mid-Atlantic Nonprofit Organization, Owolabi Kehinde
Attracting And Retaining Employees For A Mid-Atlantic Nonprofit Organization, Owolabi Kehinde
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the perspectives of employees at a Mid-Atlantic nonprofit regarding their satisfaction and to develop a strategic plan to address the organization's challenges. This study utilized a qualitative case study design with data collected through semistructured interviews. The research questions focused on understanding employee satisfaction, perceptions of improving quality of life, and strategies for attracting new talent. Data for this study was from 12 participants who provided in-depth insights through one-on-one interviews which were analyzed using thematic analysis. Resulting key themes were (a) employee satisfaction was high, (b) quality of life for …
Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Walden Dissertations and Doctoral Studies
Summary This project was a clinical practice guideline (CPG) for practitioners who deliver healthcare services to patients living with mental health disorders. The practice problem addressed by this CPG was lack of mental health patient inclusion in terms of determining treatment plans of care. In back-to-back patient satisfaction surveys, patients indicated they would like to have more say in their treatment plans. The practice problem was important to increase patient input in clinical decision-making practices of practitioners. The project question was: Does evidence support development of a CPG for mental health patient-centered input regarding treatment plans of care that was …
Strategies To Improve Gender Pay Equity And Reduce Voluntary Employee Turnover In The Information Technology Industry, Glynis Lee
Walden Dissertations and Doctoral Studies
Achieving gender pay equity remains a significant global challenge for organizations, and its lack can contribute to increased voluntary turnover and higher talent replacement costs. Organizational leaders are particularly concerned with pay equity, as inequities can drive accelerated turnover among female employees. Grounded in equity theory and the social role theory of sex differences, the purpose of this qualitative pragmatic inquiry was to explore strategies that human resource (HR) managers use to improve gender pay equity. The participants were six HR managers in the southeastern United States supporting information technology organizations. Data were collected using semistructured interviews. Through thematic analysis, …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Strategies Large Multinational Organizational Leaders Use To Retain And Motivate Employees To Increase Work Output, Dayten Adams
Strategies Large Multinational Organizational Leaders Use To Retain And Motivate Employees To Increase Work Output, Dayten Adams
Walden Dissertations and Doctoral Studies
Employee retention and motivation are critical to improving business outcomes. Business owners are concerned with retention because high turnover can negatively impact work output, productivity, and overall company performance, making it a key focus for improving long-term success. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that some large multinational organizational leaders in San Antonio, Texas use to retain and motivate employees to increase work output. Participants were four senior executives from large multinational corporations. Data were collected via semistructured interviews and a review of publicly available …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Walden Dissertations and Doctoral Studies
Alzheimer’s disease-related dementia (ADRD) is a leading cause of death worldwide. There is a need to identify the link between modifiable risk factors and the association with ADRD mortality. This study addresses the disproportionately high burden of ADRD among African Americans, aiming to inform targeted prevention strategies and promote health equity. In this study, the longitudinal relationship between ADRD mortality and the presences of diabetes, smoking, and obesity among older African Americans residing in the United States was examined, while controlling for age, gender, education, and socioeconomic status. The biopsychosocial model served as the theoretical framework for this study. The …
Psychologists’ Diagnostic Decision Making In Adhd And Autism In Children, Donna Kelly
Psychologists’ Diagnostic Decision Making In Adhd And Autism In Children, Donna Kelly
Walden Dissertations and Doctoral Studies
The decision-making experiences of psychologists who diagnose children with attention deficit hyperactivity disorder (ADHD) and high-functioning autism referred to as autism spectrum disorder - level 1 (ASD-1) when symptoms of either one or both are present in children were explored in this hermeneutic phenomenological study. These two common neurodevelopmental disorders share characteristics and symptoms that could lead to diagnostic confusion. There has been an absence of research on psychologists’ experiences with diagnostic decision making since the publications of the Diagnostic and Statistical Manual of Mental Disorders-5. Exploration of psychologists’ diagnostic decision-making processes can aid in providing early intervention and accurate …
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Walden Dissertations and Doctoral Studies
This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …
Staff Education Program To Reduce Medication Noncompliance In Patients Diagnosed With Schizophrenia, Patience Madu
Staff Education Program To Reduce Medication Noncompliance In Patients Diagnosed With Schizophrenia, Patience Madu
Walden Dissertations and Doctoral Studies
Medication noncompliance is a significant challenge in managing schizophrenia, a chronic and severe mental health disorder characterized by symptoms such as delusions, hallucinations, disorganized thinking, and impaired functioning. Schizophrenia presents both positive symptoms, which involve exaggerated thoughts or behaviors, and negative symptoms, which reflect a lack of normal mental activity. Consistent medication management is important for stabilizing this condition. However, research shows that many patients with schizophrenia struggle with medication adherence. In this executive summary, I outline the staff education program I designed to equip mental health nurses with skills, knowledge, and strategies to address medication noncompliance. The practice-focused question …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Substance Use Disorder Civil Commitment And Association With Post-Commitment Treatment Retention Among Adult Women, Lydie Ultimo
Walden Dissertations and Doctoral Studies
The effects of substance abuse are a public health challenge, as evidenced by the prevalence of drug-related overdoses since the year 2000. Involuntary civil commitment (ICC) denotes a legal basis to mandate treatment for people at imminent risk of harm due to substance use disorders (SUD). Grounded on the transtheoretical model stages of change, this quantitative retrospective cohort study analyzed the relationship between mental disorder history, medication for addiction treatment (MAT), and voluntary retention in SUD treatment post-ICC, controlling for age, race/ethnicity, drugs used, housing status, and Department of Children and Families services. Secondary data from the Massachusetts Department of …
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Employees Working From Home During Covid-19 And Potential Mental Health Challenges, Jena Graham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has led to a rise in employees working from home (WFH), raising concerns regarding the mental health experiences of remote workers. The purpose of this phenomenological study was to explore the impact of WFH on employee’s mental health, focusing on how the WFH model has affected the emotional health of remote workers. The lived experiences of 9 WFH employees 22 years and older who worked from home during the pandemic were explored via Zoom semistructured interviews. The framework of the study was Cognitive Evaluation Theory. Content analysis of the data was conducted to code and identify categories …
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Walden Dissertations and Doctoral Studies
The goal of this initiative is to increase provider confidence, improve patient outcomes, and foster constructive societal change by teaching healthcare professionals how to prescribe benzodiazepines safely and effectively. Many doctors prescribe benzodiazepines to treat anxiety, sleeplessness, and seizures, but using them comes with serious hazards, such as dependence, withdrawal, and overdosing, particularly when taken with other drugs like opioids. Taking these concerns into consideration, my study intends to close gaps in prescribing practices by creating an evidence-based education program specifically designed for healthcare professionals. The course emphasizes effective prescribing techniques, methods for weaning chronic users, and benzodiazepine substitutes such …
Teachers’ Perceptions Of Secondary Teacher Turnover In The Western Caribbean, Sasha-Gaye Padara Belnavis
Teachers’ Perceptions Of Secondary Teacher Turnover In The Western Caribbean, Sasha-Gaye Padara Belnavis
Walden Dissertations and Doctoral Studies
In a Western Caribbean country, the problem was the high rate of teacher turnover in rural secondary schools in Grades 7-11. The gap in practice was that it is not known what factors contribute to high secondary teacher turnover and what supports may be needed to address the high teacher attrition rate in secondary schools in the study district. The purpose of this qualitative study was to explore secondary teachers’ perceptions of the factors contributing to teacher turnover and recommendations for reducing teacher turnover in a rural region of a country in the Caribbean. Using Maslow’s hierarchy of needs theory …
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Exploring Successful Employee Retention Strategies In The Distribution Warehouse Industry, Meriam Sunday
Walden Dissertations and Doctoral Studies
Low employee engagement often leads to employee dissatisfaction, reduced morale, and employee turnover. Frontline distribution warehouse managers who struggle to engage employees risk retention challenges. Grounded in Herzberg’s two-factor theory and Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to explore employee engagement strategies frontline distribution warehouse managers use to increase retention. The participants were six frontline distribution warehouse managers who had successfully implemented employee engagement strategies and increased employee retention. Data were collected using semistructured interviews, public websites, public documents, current and archival. Using thematic analysis, four themes were identified: (a) effective leadership and …
Project Manager Leadership Behaviors For Successful Digital Transformation Implementation: Contingency Theory Approach, Anpalaki J. Ragavan
Project Manager Leadership Behaviors For Successful Digital Transformation Implementation: Contingency Theory Approach, Anpalaki J. Ragavan
Walden Dissertations and Doctoral Studies
Leaders of large industrial companies (LICs) are concerned about the leadership behaviors (LB) of digital transformation (DT) project managers (PMs), as over 75% of DT projects in LICs fail to be completed successfully. Grounded in contingency theory of leadership (CTL), the purpose of this quantitative correlational study was to examine the relationship between LB (task-oriented [TO] vs. relationship-oriented [RO]) of DT PMs and the successful completion of DT projects in three contingency situations: favorable, moderately favorable, and unfavorable. These situations were defined based on three independent variables: (a) PM's leader-member relationship, (b) PM's task structure, and (c) PM's position power. …
How Sexual Assault Survivors Perceive Their Experiences With Victim Advocates, Stephanie Miller
How Sexual Assault Survivors Perceive Their Experiences With Victim Advocates, Stephanie Miller
Walden Dissertations and Doctoral Studies
Programs incorporating sexual assault victim advocates have become a prominent resource in assisting survivors gain access to necessary services to aid in their recovery. Although these efforts provide needed support to survivors, the programs are developed without the input of the survivors. This qualitative phenomenological study explored the relationship between victim advocates and survivors from the perspective of the survivor. Semistructured interviews were conducted with 13 sexual assault survivors regarding how they perceived their relationship with their advocates, what they experienced as helpful or not helpful in that relationship, and what they thought might improve that relationship. Thematic analysis was …
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Walden Dissertations and Doctoral Studies
Some physicians are not adequately prepared to develop the leadership skills necessary to drive effective transformation in the healthcare environment. The lack of strategies to develop these skills is a concern for both physicians and healthcare leaders, as physicians are critical stakeholders in leading healthcare transformation. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies physician leaders use to develop leadership skills to lead effective transformation in the healthcare environment. The participants included six physician leaders affiliated or employed with a leadership role in a healthcare organization in the United States. Data …
Perceptions Of Teachers Regarding The Low Biliteracy Scores Of Fifth Grade Emergent Bilinguals In A Dual Language Program, Maria Ines Trevino
Perceptions Of Teachers Regarding The Low Biliteracy Scores Of Fifth Grade Emergent Bilinguals In A Dual Language Program, Maria Ines Trevino
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that at Nepantla Independent School District (pseudonym) bilingual fifth grade students have not attained biliteracy goals in their dual language program. The purpose of this qualitative study was to analyze the dual language teachers’ perceptions regarding fifth grade emergent bilingual students’ low levels of biliteracy proficiency and the challenges seen as hindering students’ opportunities to master the dual language program's biliteracy goals. The framework encompassed Krashen, Cummins, Thomas and Collier’s theories which explore language acquisition, learning and bilingual education. The research questions explored the extent to which dual language instructors perceived the inadequate …
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Perceptions Of Parents And Guardians Regarding Home-To-School Involvement, Brie Merritt
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the decline in home-to-school partnerships within a local, public, and ethnically diverse middle school (DMS) in the Southeastern United States. The purpose of this qualitative study was to explore parents’ perspectives on the decline in home-to-school partnerships at a DMS. Using Epstein’s six types of family involvement as a guide, a qualitative, exploratory design was used, with data collected through semi structured interviews with 12 Black mothers of eighth-grade students from DMS in the 2022–2023 school year. Braun and Clarke’s thematic analysis revealed the following four themes: communication satisfaction, parent-school engagement, …
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Walden Dissertations and Doctoral Studies
Medication nonadherence is a challenge among patients with severe mental health disorders, increasing the patients’ risk for exacerbations of psychosis and relapse, which may result in hospital emergency room visits and hospital admissions. In patients with schizophrenia, major depressive disorders, and bipolar disorders, the mean medication nonadherence is 49%. While no single strategy works, a combination of behavioral and educational strategies has been shown to improve patient adherence to their medication regimen. The purpose of the Doctor of Nursing Practice project was to increase healthcare professionals’ knowledge of behavioral and educational strategies to improve medication adherence among patients with severe …
Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob
Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob
Walden Dissertations and Doctoral Studies
Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Walden Dissertations and Doctoral Studies
Summary The persistent misdiagnosis of bipolar disorder in this psychiatric practice was thought to be due to the provider's lack of knowledge and confidence in using assessment tools. Rapid Mood Screener (RMS) is a validated brief screening tool that differentiates between bipolar disorder and unipolar depression. In this project, I educated outpatient psychiatric nurse practitioners and staff in using RMS. The project practice-focused question was: Will an educational intervention improve the knowledge and self-efficacy of the outpatient mental health providers and staff regarding using Rapid Mood Screener? I followed the ADDIE framework and incorporated Knowles' adult learning theory for the …