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The Influence Of Electronic Health Records Systems On Physicians' Efficiency And Effectiveness, William Everette Bond
The Influence Of Electronic Health Records Systems On Physicians' Efficiency And Effectiveness, William Everette Bond
Walden Dissertations and Doctoral Studies
AbstractElectronic Health Records (EHR) were introduced into the field of medicine to replace outdated paper files with searchable, and easily transferrable electronic files. The results of numerous research studies have shown that the use of EHR allowed for beneficial outcomes for the physician and the patient. Some of the benefits included a reduction in scheduling and medication prescription errors. Concurrently, some of the negative factors attributed to EHR use included interoperability issues, reductions in facetime with patients, increased physician workload, and an increase in physician burnout. Little research was found that examined the negative factors from the perspective of the …
Creative Strategies; Maintaining Loyalty In Corporate Downsizing, Sara Caroline Blum-Stapleton
Creative Strategies; Maintaining Loyalty In Corporate Downsizing, Sara Caroline Blum-Stapleton
Walden Dissertations and Doctoral Studies
To remain competitive, organization leaders look for methods of reducing organizational costs. Downsizing is one method leaders have implemented to lower costs; however, downsizing may affect employee loyalty and trust within the organization. The purpose of this study was to highlight managers’ experiences affecting practices and strategies, influencing loyalty and trust in corporate downsizing through the qualitative hermeneutic phenomenology approach. The conceptual framework provided structuralism revealing low morale and decreased loyalty and trust. The research question focused on lived experiences of managers and employees during downsizing, maintaining loyalty and trust by invoking creative strategies to retain jobs. Eight participants shared …
Strategies For Preventing And Mitigating Counterfeit Medication From Entering The U.S. Supply Chain, Denise Blais
Strategies For Preventing And Mitigating Counterfeit Medication From Entering The U.S. Supply Chain, Denise Blais
Walden Dissertations and Doctoral Studies
Some pharmaceutical brand protection managers lack strategies to mitigate financial losses from counterfeit prescription drugs. A multilayered approach involving guiding principles, supply chain security, investigations, enforcement, advocacy, and awareness can help mitigate potential financial losses and keep patients safe. Guided by the Six Sigma define, measure, analyze, improve, and control (DMAIC) model and the fraud triangle conceptual framework, the purpose of this multiple case study was to explore strategies brand protection managers use to mitigate financial losses from counterfeit prescription drugs. Data collection included three semi-structured interviews using Zoom. Analyzing data entailed transcribing and coding themes within data and relating …
The Experiences Of Male Veteran Victims Seeking Help For Military Sexual Trauma/Assault, Natasha Blue
The Experiences Of Male Veteran Victims Seeking Help For Military Sexual Trauma/Assault, Natasha Blue
Walden Dissertations and Doctoral Studies
AbstractMilitary sexual trauma/assault (MST/MSA) among male survivors is significantly underreported. Male survivors continue to deal with the societal and personal stigmas and barriers that impeded their ability or desire to seek help for their trauma. The most prevalent barrier is the societal stigma that men cannot be raped or experience sexual trauma or assault. The primary goal of the current research was to illuminate the current barriers male MST/MSA veteran victims experience seeking help while on active duty. Qualitative analyses were used to examine the collected data from the semi-structured interviews conducted with 12 male veterans who experienced MST/MSA while …
Leadership Experiences Of Organization Open Innovation In Caribbean Small And Medium Enterprises, Helen Merlyne Bhola-Paul
Leadership Experiences Of Organization Open Innovation In Caribbean Small And Medium Enterprises, Helen Merlyne Bhola-Paul
Walden Dissertations and Doctoral Studies
Caribbean Small and Medium Enterprises (SMEs) represent 95% of Caribbean businesses and contribute 40% to the region’s GDP; however, they rank lowest at 4% for organization innovation. The general problem addressed in this study was that leaders of SMEs of the Windward Islands in the Caribbean did not have a system in place to lead and promote strategic knowledge sharing to increase open innovation. The purpose of this qualitative multiple case study was to explore the lived experiences of leaders of innovative SMEs in the Windward Islands to manage and lead their organizations to drive organization open innovation in a …
Strategies For Eliminating Workplace Bullying In Long-Term Nursing Care Institutions, Marc A. Bell
Strategies For Eliminating Workplace Bullying In Long-Term Nursing Care Institutions, Marc A. Bell
Walden Dissertations and Doctoral Studies
Employee-to-employee workplace bullying continues to emerge in long-term nursing care institutions. Workplace bullying can lead to financial loss, high employee turnover, toxicity, and health problems which pose a disruptive challenge for some long-term nursing care leaders. Grounded in Weiss and Cropanzano’s affective events theory, the purpose of this qualitative multiple case study was to explore strategies long-term nursing care leaders use to eliminate employee-to-employee workplace bullying. The participants comprised six leaders from three long-term nursing care institutions in the United States Midwest region who successfully used strategies to eliminate employee-to-employee workplace bullying. The data were collected from semistructured interviews, company …
Effect Of Simulation Learning On Graduate Student Attitudes Toward Interprofessional Teams And The Team Approach To Care, Norman Cadiz Belleza
Effect Of Simulation Learning On Graduate Student Attitudes Toward Interprofessional Teams And The Team Approach To Care, Norman Cadiz Belleza
Walden Dissertations and Doctoral Studies
According to health care reports, more than 250,000 deaths annually are attributed to medical error, prompting interprofessional education (IPE) initiatives as one way to improve healthcare delivery. The problem is that little is known about the effect of simulation learning with standardized patients on occupational therapy (OT) and physical therapy (PT) students’ attitudes toward IPE. The purpose of this causal-comparative study using a pretest–posttest nonequivalent control group design was to investigate the difference in posttest scores on the Students’ Perceptions of Interprofessional Clinical Education—Version 2 (SPICE-R2) between first-term graduate OT and PT students who participated in a simulation and those …
Perceptions Of Experienced African American Male Principals Of Supports Needed To Improve Their Instructional Leadership Skills, Vance M. Benton
Perceptions Of Experienced African American Male Principals Of Supports Needed To Improve Their Instructional Leadership Skills, Vance M. Benton
Walden Dissertations and Doctoral Studies
African American male principals frequently are placed in low-achieving schools but provided limited support. The purpose of this basic qualitative study was to explore the perceptions of experienced African American principals regarding the support they receive to improve their instructional leadership skills as a way to improve student academic achievement. The social cognitive career theory and the transformative learning theory served as the conceptual framework for this basic qualitative study. The research questions for this study examined principals’ perceptions of how they were being supported, the challenges of getting support, and how their support could be improved. Nine experienced African …
Dystonia Patients' Use Of Mindfulness To Address Pain, Diana Boyd
Dystonia Patients' Use Of Mindfulness To Address Pain, Diana Boyd
Walden Dissertations and Doctoral Studies
This qualitative, phenomenological study was conducted to explore the lived experiences of 10 women who used mindfulness to alleviate their chronic pain associated with cervical dystonia (CD). Individuals who suffer from CD face challenges related to symptom management and the psychological effects from experiencing chronic pain. Since treatments for CD are limited and pharmacological options to treat chronic pain, like opioids, can lead to addictions, individuals with CD may seek non-pharmacological treatment options. Women, 18-60 years of age were interviewed using a semi-structured interview process. Bandura’s self-regulation theory provided a framework for this study. Results from this study found that …
Comparing The Assessment Knowledge And Self-Efficacy Of Science, Technology, Engineering, And Mathematics Faculty With Faculty From Other Disciplines, Karen Elizabeth Braley
Comparing The Assessment Knowledge And Self-Efficacy Of Science, Technology, Engineering, And Mathematics Faculty With Faculty From Other Disciplines, Karen Elizabeth Braley
Walden Dissertations and Doctoral Studies
Based on reported success and retention rates, there is a need to improve education in 2-year colleges for science, technology, engineering, and mathematics (STEM) majors. Instructors’ assessment knowledge and self-efficacy have not been studied in 2-year or STEM higher education. The problem addressed in this study was that scholars do not know the extent of differences in assessment knowledge and assessment self-efficacy of STEM and non-STEM faculty that could be a contributing factor in student success rates. The purpose of this quantitative study was to determine the extent of differences in STEM and non-STEM instructor assessment knowledge and self-efficacy as …
The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer
The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer
Walden Dissertations and Doctoral Studies
AbstractUndernutrition among young San children under the age of five remains prominent in Namibia, despite nutritional intervention programs. Guided by the model of community nutritional environment conceptual framework and social-ecological model, this case study involved exploring perceptions of San parents and local nutritional service providers regarding the nutritional environment of San children in Oshandi Village. Semi-structured interviews and observations were used to conduct this research with 12 participants, five local nutritional service providers and seven San parents who had children under five. Irregular and unreliable nutritional support was a factor leading to not explicitly addressing needs of the San people, …
Prodigy Game And Third-Grade Mathematics Achievement In An Urban Setting, Christina D. Brooks
Prodigy Game And Third-Grade Mathematics Achievement In An Urban Setting, Christina D. Brooks
Walden Dissertations and Doctoral Studies
Students in Urban District 1 were not meeting grade level learning outcomes in mathematics on state- and district-administered benchmark assessments. The purpose of this study was to determine if including a specific educational video game (EVG), Prodigy, in mathematics instruction with third-grade students would influence students’ math achievement as measured by the districts quarterly Star Math benchmark assessments. The research question looked at the difference in students’ benchmark assessment scores for mathematics between third-grade users and non-users of the video game learning software Prodigy during the 2017–2018 school year. The use of EVGs as an instructional strategy was examined through …
Climbing The Economic Ladder - Doing Business In Saint Vincent And The Grenadines Using Sdg-Related Policies, Romena Tamira L.V. Browne
Climbing The Economic Ladder - Doing Business In Saint Vincent And The Grenadines Using Sdg-Related Policies, Romena Tamira L.V. Browne
Walden Dissertations and Doctoral Studies
Through Invest SVG, a statutory body under the auspices of the Ministry of Finance, Economic Planning, and Information Technology, the government of Saint Vincent and the Grenadines was seeking to develop a policy environment that was conducive to optimal growth for private sector development, in keeping with the Sustainable Development Goals. The outcomes of such endeavors may include but are not limited to higher levels of employment, revenue generation, and economic growth. In this study, two primary areas were addressed: the regulatory weaknesses for doing business in Saint Vincent and the Grenadines, using the criteria outlined in The Ease of …
Frequency In Copd And Cad Emergency Department Visits In South Carolina: Medicare Versus Self-Pay, Alexandria Brown
Frequency In Copd And Cad Emergency Department Visits In South Carolina: Medicare Versus Self-Pay, Alexandria Brown
Walden Dissertations and Doctoral Studies
Coronary artery diseases (CAD) and chronic obstructive pulmonary diseases (COPD) represent the most common cause of emergency department (ED) visits and hospitalization for both Medicare and self-pay patients, which amount to nearly 2 to 4 million spent annually. The purpose of this quantitative stud ywas to identify the relationship between ED frequency among CAD and COPD Medicare and self-pay recipients 18 to 65 years within South Carolina between 2016 to 2018. The variables for this study were age and payer (independent) and ED frequency (dependent). Using a sample size of 7,689 an ANOVA Regression and t-test analyses were used to …
Remote Work And Organizational Commitment In The Food Manufacturing Industry, Terry Scott Byers
Remote Work And Organizational Commitment In The Food Manufacturing Industry, Terry Scott Byers
Walden Dissertations and Doctoral Studies
Limited research exists on the effects of remote work on the organizational commitment of managers working in the food manufacturing industry. This quantitative study was guided by the three-component model of organizational commitment coupled with relational cohesion theory to examine the organizational commitment of managers working remotely in the food manufacturing industry. The purpose of the study was to determine to what extent, if any, remote work has affected the organizational commitment of managers in an often overlooked and under-researched food manufacturing industry. Using the Three Component Model Employee Commitment Survey, data was collected from 143 anonymous respondents. Statistical analyses …
Patients’ Perspectives Of Quality Care With The Use Of Health Technology, Stacie Lois Campbell
Patients’ Perspectives Of Quality Care With The Use Of Health Technology, Stacie Lois Campbell
Walden Dissertations and Doctoral Studies
More and more patients are using health technology to monitor their care and collaborate with their health care team. However, few studies address the patient’s perspective on the benefits of these health technologies. This descriptive qualitative study aimed to explore how health information technology contributes to the quality of care received from the patient perspective. The Institute of Medicine’s (IOM's) conceptual framework of quality care informed this study. Five participants were interviewed by telephone and resulting transcripts were coded using Tesch’s eight steps of coding. Themes emerged that were aligned to the six concepts identified by the IOM. From the …
Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young
Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young
Walden Dissertations and Doctoral Studies
Parental involvement is pivotal for impoverished middle school students to achieve academic achievement. The purpose of this study was to evaluate the relationship of parental involvement activities and academic achievement for impoverished middle school students. Epstein’s six parental involvement types was the theoretical framework for the research study. The six independent variables of parental involvement were parenting, volunteering, learning at home, decision making, communicating, and collaborating with community The relationship for each parental involvement activated to academic achievement as measured by grade point average was evaluated. A quantitative research design was applied using archival data from the U.S. Department of …
Perceptions Of African American Girls Regarding Zero Tolerance Policies And Suspension Or Expulsion, Ernethia Carter-Abernathy
Perceptions Of African American Girls Regarding Zero Tolerance Policies And Suspension Or Expulsion, Ernethia Carter-Abernathy
Walden Dissertations and Doctoral Studies
The frequency and severity of discipline under zero tolerance policies are greater for African American female students than in other cohorts. Although zero tolerance policies in schools have been found to increase the likelihood of suspension, expulsion, and entry into the juvenile justice system, there is limited research on their impact from the perspective of African American female students. Using the theory of change and critical race theory to ground this research, the purpose of this qualitative, phenomenological study was to describe the impact that zero tolerance policies have on African American girls. Interviews were conducted with 14 purposively sampled …
Self-Efficacy And Caseload As Predictors Of School Counselor Burnout, Marcos G. Casares
Self-Efficacy And Caseload As Predictors Of School Counselor Burnout, Marcos G. Casares
Walden Dissertations and Doctoral Studies
School counselors are faced with many job duties, including supporting students’ academic, career, and emotional needs; maintaining these duties can increase stress and lead to burnout. The need to provide high-quality services to students, along with a high caseload, may be associated with the self-efficacy beliefs of school counselors and the possibility of burnout. However, there has been little to no interest in researching the subject of burnout, and its causes and outcomes concerning school counselors. The purpose of this quantitative study was to fill this gap in the literature by examining the relationship between school counselor burnout, specifically, the …
Leadership Styles And Rn Turnover Intentions In Long-Term Care Facilities, Kelli M. Casey
Leadership Styles And Rn Turnover Intentions In Long-Term Care Facilities, Kelli M. Casey
Walden Dissertations and Doctoral Studies
Employee turnover is a concern for leaders in the nursing home industry because employees with turnover intentions may negatively impact the continuity of operations and strategic plans, resulting in poor quality of care for residents. Grounded in House's path-goal theory, the purpose of this quantitative, correlational study was to examine the relationship among idealized attributes, idealized behaviors, inspirational motivation, intellectual stimulation, individualized consideration, contingent reward, management by exception-active management by exception-passive, and turnover intentions in RNs. The independent variables were the subcategories of transformational and transactional leadership. The dependent variable was turnover intentions. Participants included 110 nonmanagement RNs working in …
Correctional Officers’ Lived Experiences Of Stress When Working In Solitary Confinement Units In U.S. Prisons, Labianca Q. Champion
Correctional Officers’ Lived Experiences Of Stress When Working In Solitary Confinement Units In U.S. Prisons, Labianca Q. Champion
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study was conducted to shed light on the lived experiences related to the stressors that a sample of nine correctional officers (COs) encountered while working in solitary confinement (SC) units in U.S. prisons. Cognitive behavioral theory served as the theoretical framework to help to explain different ways that COs can manage their work stressors. These stressors, including lack of a sense of belonging, lack of reward, negative perceptions of policies and procedures while conducting daily duties, lack of independent decision making, and perceived danger, were addressed by the research question. Data were obtained from a semistructured online …
Strategies Used By Small And Medium Enterprises In Rome And Cairo To Access Finance For Growth, David Chatsama
Strategies Used By Small And Medium Enterprises In Rome And Cairo To Access Finance For Growth, David Chatsama
Walden Dissertations and Doctoral Studies
A lack of access to finance for small and medium-sized enterprises (SMEs) negatively impacts their business growth. SME leaders who lack strategies to access finance for growth may observe a stagnation in the growth of their organizations. Grounded in the resource-based view, the purpose of this qualitative multiple case study was to explore strategies SME leaders use to access finance for growth. Participants were six SME business leaders from Rome (Italy) and Cairo (Egypt). Data were collected through semistructured interviews and reviews of company documents. Using thematic data analysis, three themes were identified: creating a compelling investment story, leveraging on …
Women Superintendents’ Mentoring Experiences And Attainment Of The Superintendency, Araceli Chavarín
Women Superintendents’ Mentoring Experiences And Attainment Of The Superintendency, Araceli Chavarín
Walden Dissertations and Doctoral Studies
The underrepresentation of women in the school superintendency in the United States may be attributed to a lack of role models, mentoring, and educational networking. The problem that this study addressed is the lack of insight into how mentoring influences women’s attainment of the superintendency. The purpose of this qualitative case study was to understand the mentoring experiences women superintendents identified as important in their lives and work. The conceptual framework of this study was based on Higgins and Kram’s developmental network. The research questions in the study explored how women superintendents describe mentorship experiences in their careers and describe …
Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen
Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen
Walden Dissertations and Doctoral Studies
Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using …
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Walden Dissertations and Doctoral Studies
Newly licensed nurses may enter the profession without the tools to cope with morally distressing events in the workplace. Experiences of moral distress at work negatively affect physical, emotional, and psychological wellbeing, and effects of moral distress on new nurses may result in job dissatisfaction, burnout, and abandonment of the profession. The specific problem is that undergraduate nursing students are entering the professional field experiencing moral distress. In this study, nurse educators’ perspectives regarding how undergraduate nursing curriculum addresses the topic of moral distress and strategies and skills that can enhance moral courage were explored. The conceptual framework comprised Kidder’s …
Rural Older Adults’ Wellbeing During The Covid-19 Pandemic, Christina Clevenger
Rural Older Adults’ Wellbeing During The Covid-19 Pandemic, Christina Clevenger
Walden Dissertations and Doctoral Studies
Recent studies reveal adults 65 and over are living longer, healthier lives than ever before. However, this older generation is often vulnerable to exclusion, marginalization, and discrimination, made worse by the events and circumstances of the COVID-19 pandemic. The pandemic brought unprecedented challenges and disproportionate threats to the integrity and wellbeing of older adults, especially those living in rural communities. Nonetheless, little is known about the effects the pandemic had on rural older adults’ wellbeing. This generic qualitative study explored rural older adults’ wellbeing during the pandemic, using the theoretical frameworks of Erikson’s stage theory of psychosocial development and Seligman's …
An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman
An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman
Walden Dissertations and Doctoral Studies
Abstract Palliative care is specialized care for people living with a serious illness. This type of care is centered on providing relief from the symptoms and stress of the illness with a primary goal to improve the quality of life for both the patient and the family. A gap in nursing practice was identified in a hospice facility in the South Central United States.; the nurses did not use palliative care or end-of-life (EoL) protocols. This project focused, therefore, on the development of a nursing staff education program for hospice nurses to increase knowledge about the use of EoL protocols. …
Principals’ Leadership Role In Supporting Culturally Responsive English Language Learner Programs, Lawrence Cowger
Principals’ Leadership Role In Supporting Culturally Responsive English Language Learner Programs, Lawrence Cowger
Walden Dissertations and Doctoral Studies
English language learners face different challenges in accessing relevant curriculum content compared to native English speakers. There is limited research on effective strategies that teachers use to ensure learning outcomes among English language learners. The purpose of this case study was to explore the leadership strategies that principals implement to support teachers’ culturally responsive strategies when working with English language learning (ELL) students. Culturally responsive school leadership (CRSL) was the basis of the conceptual framework, using research from Walker and five CRSL concepts. The research questions focused on school leadership and how administrators support teachers of ELL programs using CRSL. …
Community College Faculty Perceptions Of Online Student Engagement, Teri R. Cruzan
Community College Faculty Perceptions Of Online Student Engagement, Teri R. Cruzan
Walden Dissertations and Doctoral Studies
Low student engagement and high attrition rates in online classes were observed at community colleges in a Western U.S. state. The purpose of this qualitative study was to explore online faculty members’ perceptions of student engagement and how they described their teaching practices and experiences. The study was grounded in the community of inquiry, a collaborative and constructivist model, which posits that social, cognitive, and teaching presences are critical to engagement and online learning. Data were collected from 10 online faculty members who provided responses to an online qualitative survey. Data analysis involved coding by hand in several stages to …
Refugee Women’S Post-Resettlement Experiences In The United States, Dr. Kristen M. Curry, Phd
Refugee Women’S Post-Resettlement Experiences In The United States, Dr. Kristen M. Curry, Phd
Walden Dissertations and Doctoral Studies
Local nongovernmental organizations (NGOs), the United Nations High Commissioner for Refugees (UNHCR), and community members of the host country make decisions regarding refugee lifestyles during and post-resettlement rather than the refugee women themselves. This research study informs the development of and provision of multiculturally appropriate counseling services to refugee women living in the United States from the perspective of the refugee women themselves. The purpose of this study was to describe the lived experiences and related meanings of a group of Hmong refugee women living in post-resettlement in the United States. This hermeneutic phenomenological study was developed with a feminist …