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Full-Text Articles in Entire DC Network
Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones
Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones
Walden Dissertations and Doctoral Studies
AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …
Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd
Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd
Walden Dissertations and Doctoral Studies
AbstractHealthcare systems incur significant uncompensated costs due to uninsured chronic disease patients’ overutilization of urgent and emergent emergency care. This study was important because there was very little literature addressing the impact of the chronic care model (CCM) on reducing uncompensated healthcare system costs regarding patients with chronic disease. The purpose of the study was to investigate whether the Healthy Education Lifestyles Program (HELP) was of any significance to healthcare system’s cost of uninsured chronic disease patients. The theoretical foundation for the study was the CCM espoused by Wagner and colleagues. The research questions were to determine significant differences in …
Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma
Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma
Walden Dissertations and Doctoral Studies
Forensic nurses are essential in helping forensic mental health patients at an inpatient/outpatient forensic psychiatric health care facility. The practice gap that the forensic psychiatric health care facility experienced was a deficit in knowledge among forensic nurses on the importance of workplace violence and prevention. The practice-focused question guiding the project was to determine if education on the American Nurses Association’s workplace violence and prevention measures would increase forensic nurses’ and staff’s education scores. The purpose of the project was to close the gap by educating nurses and staff on measures to increase a safer environment. The instructional design was …
Exploring The Perspectives Of Infant/Toddler-Pk4 Teachers On Attaining An Associate Degree In Early Childhood Education, Isabel Lainez Furutan
Exploring The Perspectives Of Infant/Toddler-Pk4 Teachers On Attaining An Associate Degree In Early Childhood Education, Isabel Lainez Furutan
Walden Dissertations and Doctoral Studies
AbstractResearchers have found young children’s academic skills and life outcomes are correlated to teachers’ postsecondary education. Despite this, 60% of infant/toddler-PK4 teachers who work in center-based settings in the District of Columbia do not have postsecondary education beyond the high school level. The purpose of this basic qualitative study was to explore the perspectives of infant/toddler-PK4 teachers from the District of Columbia working in center-based settings on the challenges of attaining an associate degree in early childhood education and the support needed throughout the process. Guided by Lewin’s three-step model of change theory, the perspectives of 12 participants with a …
Influence Of Citizen Police Academies On Attendees’ Knowledge And Perceptions Of Their Police Department, James Louis Lee Jr.
Influence Of Citizen Police Academies On Attendees’ Knowledge And Perceptions Of Their Police Department, James Louis Lee Jr.
Walden Dissertations and Doctoral Studies
Law enforcement officers are often forced to make split-second decisions that alter the lives of those affected. Some of these decisions are criticized by the public, which negatively affects the perceptions of law enforcement. Law enforcement agencies have sought ways to improve their community standing by implementing community policing initiatives including citizen police academies (CPAs). The purpose of this interpretative phenomenological qualitative study was to explore the influence of CPAs on attendees’ knowledge and perceptions of their police department. Institutional theory provided the theoretical framework for the study. Surveys with open-ended questions were sent to 11 participants who had completed …
Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa
Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa
Walden Dissertations and Doctoral Studies
Adolescents now have greater access to digital resources and spaces and are more likely to engage in risky online behaviors for which they are unprepared. The study's purpose was to examine the little-understood online behaviors of adolescents to better educate and prepare them for safe online interactions. The study was framed by two theories: digital citizenship— the ability to engage in digital environments competently and responsibly, and problem behavior theory—an understanding of what encourages problem behavior. This research asked if there was a relationship between adolescents’ digital citizenship and online risk behaviors using a quantitative correlational design. Teachers from three …
Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams
Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams
Walden Dissertations and Doctoral Studies
To be effective, behavioral health organization leaders must recruit and retain behavioral health technicians (BHTs) to provide nonclinical services. The focus of this case study was on identifying strategies to promote the recruitment and retention of BHTs and to help these workers develop the knowledge and skills they need for effective job performance. The Baldrige Framework for Excellence was used to guide this case study of a behavioral health organization located in the southeastern United States. The organization had one residential substance use facility serving men and five serving women and experienced a constant shortage of BHTs. Data were collected …
Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto
Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto
Walden Dissertations and Doctoral Studies
There is a need to examine novel approaches that explain the association between the initiation and sustenance of HIV screening behavior. This quantitative, cross-sectional study was used to examine if the components of the multi-theory model (MTM) of health behavior change can explain the initiation and sustenance of HIV screening behavior among college-aged people. A convenience sample of 151 consenting college-aged people between the ages of 18 and 34 in a western US state completed a self-administered 44-item instrument. Multiple regression analysis was used to assess the correlation between the constructs of the multi-theory model of health behavior change (independent …
Integrating The Pedagogy Of United States’ Fourth-Grade Math Teachers With International Approaches, Dennis Francis Tierney
Integrating The Pedagogy Of United States’ Fourth-Grade Math Teachers With International Approaches, Dennis Francis Tierney
Walden Dissertations and Doctoral Studies
Standardized testing results in fourth-grade math have shown that students in the United States continually score below students in many other nations, despite funding education at levels well above the global average. The problem addressed in this study was that fourth-grade math students in the United States were not performing as well on standardized tests as students of other nations and international cities. Guided by Vygotsky’s social learning theory, the purpose of this qualitative, exploratory case study was to investigate the perceptions of teachers from U.S. and international settings about different approaches to effective fourth-grade math instruction, inherent obstacles to …
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Walden Dissertations and Doctoral Studies
AbstractApproximately one third of surgical patients have undiagnosed obstructive sleep apnea (OSA), the most common form of sleep disordered breathing, which presents a risk in the perioperative setting. OSA is underdiagnosed and undertreated in the adult population and has an economic impact on limited healthcare resources. The need existed for nurses in the perioperative setting to be educated on OSA, including the introduction of the STOP-BANG screening questionnaire. The analysis, design, development, implementation, and evaluation model of instructional design informed this project. The purpose of this Doctor of Nursing Practice project was to plan, implement, and evaluate a perioperative nurse …
Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc
Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc
Walden Dissertations and Doctoral Studies
AbstractHypertension (HTN) is a frequent diagnosis in primary care settings and is disproportionately higher among African Americans. Observed in the clinic were frequent office visits by patients with uncontrolled blood pressure and nonadherence to medication in an outpatient cardiology clinic in Northeast New Jersey. Also, a knowledge gap was noticed among clinical staff on current HTN guidelines. An awareness of evidence-based guidelines was necessary to combat poorly controlled BP in the clinic. The purpose of this Doctor of Nursing Practice project was to create an education program on current HTN guidelines to bridge the knowledge gap among clinic staff. The …
Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade
Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade
Walden Dissertations and Doctoral Studies
Work-life balance (WLB) is employees’ ability to effectively manage between job obligations and everyday life activities involving family, health, and social life. Successful WLB has become increasingly important to healthcare administrators due to staff shortages and essentials of job performance, attendance, and satisfaction. The purpose of this quantitative study was to determine if there was a correlation between WLB, workplace stress, and employee workplace attendance. The two research questions were correlational; the dependent variable was workplace attendance, and the independent variables were workplace stress and WLB. The compensation theory served as the foundation for the study, in which both family …
Understanding U.S. Customers' Intention To Adopt Robo-Advisor Technology, Deborah Wall
Understanding U.S. Customers' Intention To Adopt Robo-Advisor Technology, Deborah Wall
Walden Dissertations and Doctoral Studies
Finance and information technology scholars wrote that there is a literature gap on what factors drive investors in Western financial markets to use a Robo-advisor to manage their investments. The purpose of this qualitative, single case study with embedded units is to understand the adoption intentions of retail investors in U.S. markets to use a Robo-advisor instead of a human advisor. A single case study design addressed the literature gap, and qualitative data from seven semi=structured interviews, reflective field notes, and archival data were triangulated to answer the research question. This study was grounded in a theoretical framework that includes …
A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington
A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington
Walden Dissertations and Doctoral Studies
Abstract The spread of Coronavirus (COVID-19) created a pandemic and had a world-shattering effect on healthcare organizations. As a result, many healthcare professionals were exposed to health situations that stretched them beyond their professional ethics, mental health, and emotional capacity. Throughout the last 30 years, moral distress has been understood as the type of stress that medical professionals experience. Research has substantially grown regarding COVID-19 and moral distress, exposing gaps in the ability of experts to care as they should. Moral distress was a term created to define the emotional disruption that occurs when a professional cannot work within their …
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Walden Dissertations and Doctoral Studies
AbstractSmall businesses in the United States experience a higher failure rate than medium-sized and large corporations. Small business owners without successful strategies to sustain their businesses may fail. Grounded in the McKinsey 7S model, the purpose of this multiple case study was to explore strategies small general construction contractor business owners use to sustain their businesses beyond 5 years. The participants were three small general construction contractor business owners within Miami, Florida, who sustained businesses for 5 years. Data were collected using semistructured and audio-recorded face-to-face interviews. Through thematic analysis, four themes emerged: (a) creating strategies for a solid customer …
Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West
Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West
Walden Dissertations and Doctoral Studies
The problem in a local school district in the Southwest region of the United States was the lack of improvement in reading achievement scores in Grades 3 through 5 despite the implementation of a literacy coaching program during the previous 3 years. This lack of improvement in reading achievement has an impact on students’ subsequent academic performance and outcomes. The purpose of this basic qualitative study was to explore the perspectives of teachers and literacy coaches in the local setting regarding the challenges in implementing the literacy coaching program. The conceptual framework of the study was Vygotsky's third space theory. …
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Walden Dissertations and Doctoral Studies
The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …
Patient-Rated Physician Compassion And Patient Compliance With Colorectal Cancer Screening, Christine Caputo Winn
Patient-Rated Physician Compassion And Patient Compliance With Colorectal Cancer Screening, Christine Caputo Winn
Walden Dissertations and Doctoral Studies
In 2021, colorectal cancer was the second leading cause of cancer deaths in the United States, where screening prevented 46%–63% of colorectal cancer deaths. Compassionate care has been an area of study among scholars since Hippocrates. The purpose of this quantitative research study was to examine whether there was a relationship between the independent variables of provider compassion, patient gender, and length of provider patient relationship with the dependent variable of patient adherence behavior for prescribed colorectal cancer screening tests among primary care patients between 2019 and 2020 in a northeastern U.S. state. Guided by the theory of planned behavior …
Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley
Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley
Walden Dissertations and Doctoral Studies
AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …
High School Special Educators’ Perceptions Of The Transition Planning Process To Prepare Students With Disabilities For Postsecondary Life, Anne M. Bell
Walden Dissertations and Doctoral Studies
AbstractStudents with disabilities in the United States continue to encounter less than favorable success in employment and education after high school. Only 35% of students with disabilities graduating from high school have workforce skills. The purpose of this basic qualitative study was to investigate high school special educators’ perceptions of the transition planning process for students with disabilities in preparation for postsecondary life. The conceptual framework was Schlossberg’s transition theory and Kohler’s taxonomy for transition programming 2.0 model. The research questions focused on the types of transition planning practices that are currently being used by high school special education teachers …
American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla
American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla
Walden Dissertations and Doctoral Studies
An increasing number of American women are actively engaging in overseas terrorist organizations and networks. Their motives, though, are little understood by researchers, although familial relationships and other associations, gender roles, and social media propaganda may play a role. The purpose of this qualitative narrative case study was to better understand the motives, decision-making, and behaviors of radicalized American women. The theoretical framework was social behavior theory and the research design, narrative case study based on Maslow’s Hierarchy of Needs and Motivation. The research question addressed American women’s immersion into terrorism through social media outlets and familial partnerships that emphasize …
Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin
Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin
Walden Dissertations and Doctoral Studies
Individuals on dialysis often face challenges with the management of their health, resulting in low health-related quality of life (HRQOL), but the extent of this impact has not been fully examined. The purpose of this quantitative cross-sectional study was, having accounted for relevant demographic variables such as age, gender, family history, employment status, to examine the effects of length of time for treatment and type of dialysis on HRQOL in African American end-stage renal disease (ESRD) patients. This study was guided by the socioecological model. Secondary data from 2016 to 2021 was obtained from the Chronic Renal Insufficiency Cohort (CRIC) …
Exploring The Reasons People Abuse Animals, Barbara Bittinger
Exploring The Reasons People Abuse Animals, Barbara Bittinger
Walden Dissertations and Doctoral Studies
The research on animal abuse has grown over the years which has led to studies that determine the psychological implications of animal cruelty in relation to various societal and environmental agents. From these studies, researchers have addressed animal abuse and cruelty in general but have not established the cause of the behavior or reasons why people abuse animals. The purpose of this qualitative study was to explore the reasons motivating human beings to abuse animals. Using the qualitative method, this study used snowball sampling to interview a total of 10 professionals who work in the fields of veterinary medicine (veterinarians …
The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown
The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown
Walden Dissertations and Doctoral Studies
Little research has been done to identify the study strategies used by nursing students during their first nursing classes despite studies indicating they have poor study skills, making the nursing program challenging and causing many of the students to decide to leave after their first semester. The purpose of this qualitative study was to improve the understanding of registered nursing students’ study strategies during their first semester of nursing classes. Winne and Hadwin’s self-regulated learning model was used as the conceptual framework to answer the research questions about students’ study strategies during their first semester of nursing classes, how they …
Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera
Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera
Walden Dissertations and Doctoral Studies
In Hazelwood v. Kuhlmeier (1988), the U.S. Supreme Court established that school administrators have the right to review, change, or remove student-created media if the school sponsors it and if the school administrator has a “legitimate pedagogical interest,” which has been inconsistent across high school student-created media in a metro area of a southern region in a southwestern state. Because of the vagueness, the administration can review, change, or remove student-created media based on personal social, cultural, ethical, or political beliefs. The purpose of this basic qualitative research was to examine how campus administrators determined “legitimate pedagogical interest.” Gatekeeping theory …
Staff Education Project: The Emergency Severity Index, Jo Crabtree
Staff Education Project: The Emergency Severity Index, Jo Crabtree
Walden Dissertations and Doctoral Studies
AbstractThe triage process is an important precursor to ensuring expeditious and appropriate medical care in the Emergency Department (ED). There is a positive correlation between proper triage technique and improved patient outcomes, making triage an essential issue for nursing practice. The purpose of this project addressed the results of a staff education program directed at teaching the Emergency Severity Index (ESI) Triage System to 42 triage nurses working in an ED in a critical access facility in the rural Midwest. The practice-focused problem for this project was as follows: Will a staff educational program improve understanding of the ESI triage …
Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis
Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis
Walden Dissertations and Doctoral Studies
Homelessness among veterans has been a widespread concern for over three decades. Individuals employed in transitional housing settings play a pivotal role in helping veterans overcome homelessness. There is a lack of qualitative studies that explores the experiences of these employees, which limits understanding of what is needed to help homeless veterans regain their place back in society and the ability to develop and implement better programs for the population. In this phenomenological study, semi-structured interviews were used to help understand and describe the lived experiences of employees who work directly with the homeless veteran population in transitional housing settings …
Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis
Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis
Walden Dissertations and Doctoral Studies
Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas …
Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix
Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix
Walden Dissertations and Doctoral Studies
Local anesthetic systemic toxicity (LAST) is a potentially life-threatening event following a local anesthetic bolus into the circulatory system. Because LAST is a low-volume, high-risk event, clinical exposure is lacking, creating a knowledge gap among perianesthesia nurses. A knowledge gap regarding LAST among perianesthesia nurses was identified at the project site, an ambulatory surgery center in south Mississippi. The practice-focused question was: Whether a web-based education intervention would increase perianesthesia nurses’ knowledge about LAST. The doctoral project aimed to provide perianesthesia nurses with the clinical knowledge essential for early detection of LAST symptoms. A LAST education module was developed using …
Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza
Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza
Walden Dissertations and Doctoral Studies
The mental health of college students continues to decline, leading to increased suicide rates among young adults. College campuses provide mental health resources; however, many college students do not effectively utilize the resources. This quantitative research study allowed for a deeper understanding of why college students are not using mental health resources on their campus. A non-probability convenience sample was used. This sample of convenience was comprised of students who volunteered to complete the study survey sent via a university email. The survey was created for the purposes of this study using social cognitive theory constructs. The instrument contained four …