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2021

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Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith Jan 2021

Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith

Walden Dissertations and Doctoral Studies

Healthcare workers are at an increased risk of being affected by burnout, which leads to decreased productivity, decreased job engagement, and increased organizational turnover. Employee burnout is a problem for healthcare leaders as burnout leads to decreased productivity and increased organizational turnover. The purpose of this qualitative multiple case study, guided by the job-demand resource theory, was to explore strategies healthcare leaders use to reduce employee burnout. Interviews were conducted with four healthcare leaders in the United States with at least 3 years of management experience who implemented strategies to reduce employee burnout at their organizations; a review of organizational …

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Emotion Regulation, Affective, Continuous, And Normative Commitment For Turnover Intentions Among Degree-Seeking Employees, Danette Colleen Sutter Jan 2021

Emotion Regulation, Affective, Continuous, And Normative Commitment For Turnover Intentions Among Degree-Seeking Employees, Danette Colleen Sutter

Walden Dissertations and Doctoral Studies

Multiple researchers have investigated employee turnover related to affective, continuous, and normative commitment, and none reported the predictive power of emotion regulation reappraisal on these components of commitment with turnover intentions among degree-seeking employees. The purpose of this quantitative survey research study was to explore emotion regulation reappraisal and its predictive power for organizational commitment associated with degree-seeking employees' intentions to quit jobs. In this study, a small sample of N = 18 degree-seeking employees took part in survey methodology. Multiple regressions were performed to calculate the variance of independent variables, emotion regulation and affective, continuous, and normative commitment associated …

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A Retrospective Analysis Of Integrative Group Medical Visits For Low-Income Patients With Anxiety Disorders In Primary Care, Annamma Udaya Thomas Jan 2021

A Retrospective Analysis Of Integrative Group Medical Visits For Low-Income Patients With Anxiety Disorders In Primary Care, Annamma Udaya Thomas

Walden Dissertations and Doctoral Studies

High utilization of the emergency department (ED) by patients with anxiety symptoms has brought attention to mental health access disparities among low-income racially/ethnically diverse populations. The health system in this study attempted to increase access to mental health care with integrative group medical visits (IGMVs), a nonpharmacological intervention with biomedical care consultation, health education, and peer support. The purpose of this retrospective comparative analysis, guided by integrative health equity in primary care framework, was to determine whether patients with diagnoses of anxiety who attended four or more IGMVs had reduced nonemergent ED utilization, reduced prescribed doses of benzodiazepine (BZD), and …

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Online Nontraditional Students’ Attitudes About Software Used By Academic Advisors, Monica Triplett Jan 2021

Online Nontraditional Students’ Attitudes About Software Used By Academic Advisors, Monica Triplett

Walden Dissertations and Doctoral Studies

AbstractWhile many universities rely on student success software to facilitate the academic advising process, little is known about how nontraditional students view technology-mediated advising and its usefulness for preventing attrition with this population. The purpose of this study was to explore how nontraditional undergraduates who may lack facility with technology view software as a tool to engage with their advisors and provide support for their academic decisions. Moore’s theory of transactional distance and Astin’s theory of engagement served as frameworks. Using a basic qualitative method, 14 students over the age of 40 years who were enrolled in various online undergraduate …

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Effect Of Clinical Trial Participation On Patient Experience And Overall Hospital Scores, Bridget Tyrka Jan 2021

Effect Of Clinical Trial Participation On Patient Experience And Overall Hospital Scores, Bridget Tyrka

Walden Dissertations and Doctoral Studies

AbstractDespite groundbreaking advances in technology and medicine in the United States and intensive examination of health services quality initiatives, issues of quality and patient-reported experience measures in the hospital sector remain unimproved. Although evidence-based medicine has improved through innovation in clinical research, healthcare systems have reportedly struggled to implement advances in medicine and lack the skill sets to become learning health systems. As clinical practice and clinical trials (CTs) have rarely intersected in the past, a significant lack of quantitative research has been dedicated to correlate improved patient outcomes with participation in CTs. The analysis sought a correlation, if any, …

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Succession Planning Strategies In Family Businesses, Vivian Akosua Dwumor Amanquah Jan 2021

Succession Planning Strategies In Family Businesses, Vivian Akosua Dwumor Amanquah

Walden Dissertations and Doctoral Studies

Only one-third of family businesses remain operational into the second generation and approximately one-eighth into the third generation. Succession planning is critical to family-owned businesses, as most businesses will collapse moving to the fourth generation and beyond. Grounded in the family systems theory, the purpose of this qualitative multiple case study was to explore strategies family business leaders use to implement a succession plan. The participants included six senior executives from three family businesses in Ghana who implemented successful strategies for succession planning. The data sources were semistructured interviews and a review of organizational documents, including statutes; articles of incorporation, …

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Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila Jan 2021

Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila

Walden Dissertations and Doctoral Studies

AbstractAfter the cochlear implant (CI) activation period and therapy, adult CI users who travel overseas encounter culture shock factors that paralyze their coping capability, which need normalization through management strategies during the post-cochlear-implantation process (PCIP). In the structure of the conceptual framework, a plan is presented for addressing the management strategy. An integrated system of product-process-service-care portrays the product as an active implant within an individual bearer fostering a CI user’s physical, physiological, and psychological traits. The problematic aspects alter the end users’ coping capability in an unfamiliar host environment abroad. The qualitative research approach used was a single case …

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K-12 Principals, Instructional Leadership, And Equitable Gifted Program Placements For Students, Rochelle Marie Archelus Jan 2021

K-12 Principals, Instructional Leadership, And Equitable Gifted Program Placements For Students, Rochelle Marie Archelus

Walden Dissertations and Doctoral Studies

School leaders struggle to implement best instructional leadership practices to enhance student diversity in gifted programs. The purpose of this qualitative case study was to understand how K-12 school principals implement instructional leadership practices regarding equitable placements of students in gifted programs. Three elements of Hallinger and Murphy’s instructional leadership model, (a) developing and promoting expectations, (b) assessing and monitoring student performance, and (c) supervising and evaluating instruction, informed this study. The research questions addressed instructional leadership practices and behaviors of K-12 school principals regarding placements of students in gifted programs. Ten K-12 school principals who worked in a large …

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Exploring The Millennial’S Work Meaning And Job Engagement Experience: A Transcendental Phenomenological Study, Monique Simone Anderson Jan 2021

Exploring The Millennial’S Work Meaning And Job Engagement Experience: A Transcendental Phenomenological Study, Monique Simone Anderson

Walden Dissertations and Doctoral Studies

The millennial generation is now most of the workforce population. This generation’s engagement behaviors, expectations, and mindsets differ from those of other generations, and directly impact organizational performance. Despite existing generalizations about Millennials, there is a gap in the literature relative to how this generation experiences meaning and engagement in the workplace. The overarching research question was developed to broaden the understanding of the work experiences across this cohort, and further inform solutions that affect Millennials’ meaning and engagement with their jobs. To address this transcendental phenomenological study’s research problem and purpose, qualitative data were collected from multiple sources of …

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The Experience Of Childhood Sibling Violence And Partner Violence In Adult Relationships, Chelsey Almond Barger Jan 2021

The Experience Of Childhood Sibling Violence And Partner Violence In Adult Relationships, Chelsey Almond Barger

Walden Dissertations and Doctoral Studies

Victims of sibling violence may be at increased risk for revictimization in peer and dating relationships, and sibling violence may influence how the young adult reacts to conflict in their interpersonal relationships. The purpose of this study was to explore the effects of childhood sibling violence with adults who later experienced intimate partner violence. Bandura’s social cognitive theory was the conceptual framework of this study. The research question was how individuals perceive and describe the effect of sibling violence in childhood as this relates to the experience of intimate partner violence as adults. Five individuals who experienced childhood sibling violence …

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Clinical Practice Guidelines For Nursing Orientation At A Small Clinic, Elizabeth Bemah Jan 2021

Clinical Practice Guidelines For Nursing Orientation At A Small Clinic, Elizabeth Bemah

Walden Dissertations and Doctoral Studies

In the United States, the registered nurse turnover rate was 17.2% in 2018, a 0.4% increase from 2017. The nursing turnover rate at a small out-patient clinic in the northeast United States was 19.1% in 2019 and has not improved to date. The administrator at the out-patient clinic further indicated that the turnover rate has been approximately two nurses per month for the last 6 months and that the facility did not have a formalized nurse orientation program. Nursing orientation is one of the strategies for increasing the confidence levels and retention of newly hired nurses. The purpose of this …

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Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua Jan 2021

Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …

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Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead Jan 2021

Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead

Walden Dissertations and Doctoral Studies

In 2019, hospital profitability margins were at their lowest levels since the great recession due to a declining volume of patients. Hospital executives who fail to improve profitability are at risk of sustainability. Grounded in the service-profit chain theory, the purpose of this quantitative correlational study was to examine whether nurse-to-patient ratios and patient satisfaction scores significantly predict hospital profitability. Data were collected from 74 hospitals in Southern California from the Centers for Medicare & Medicaid Services government database and publicly available financial statements. Results from multiple regression analysis were not statistically significant. A key recommendation is for hospital executives …

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Preschool Teachers’ Perspectives On Engaging Fathers In Their Child’S Education, Jawan Marquis Burwell Jan 2021

Preschool Teachers’ Perspectives On Engaging Fathers In Their Child’S Education, Jawan Marquis Burwell

Walden Dissertations and Doctoral Studies

Preschool environments set the educational foundation for children in the early years. Despite the positive effects that preschool environments have on children and families, previous studies have shown that preschool teachers are challenged to engage fathers in their child’s education. The purpose of this basic qualitative study was to investigate preschool teachers’ perspectives on engaging fathers in their child’s education. The conceptual framework was based upon Bronfenbrenner’s ecological systems theory. The research question focused on the challenges that teachers encounter in engaging fathers in their child’s education. This qualitative study included individual one-on-one interviews with 12 teachers using an open-ended …

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Relationship Between Criminal Behavior And High School Equivalency Program Completion, Lashawnda Cabey - Washington Jan 2021

Relationship Between Criminal Behavior And High School Equivalency Program Completion, Lashawnda Cabey - Washington

Walden Dissertations and Doctoral Studies

High School Equivalency (HSE) Programs operate in response to the national increase in high school dropout rates. These alternative learning methods are attractive to nontraditional high school students because they are designed to accommodate students who are unable to complete their high school diploma via the traditional classroom setting. However, even though these programs continue to thrive in many communities, many students are still unsuccessful at completing these programs. Therefore, there is a need to research the possible factors that prevent students from earning the equivalent of a high school diploma or general education diploma (GED) via these programs. Grounded …

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Lived Experiences Of Nurses Caring For Limited English Proficient Patients During A Pandemic, Thomas Cain Jan 2021

Lived Experiences Of Nurses Caring For Limited English Proficient Patients During A Pandemic, Thomas Cain

Walden Dissertations and Doctoral Studies

This study addressed the need to better understand how a patient’s healthcare is influenced by lack of health literacy for limited English proficient patients during the COVID-19 pandemic. While registered nurses are a key component in the patient care continuum, there is a lack of evidence to understand the experiences caring for this vulnerable population during a pandemic. Framed by Roy’s adaptation model and Orem’s self-care deficit nursing theory, the purpose of this interpretative phenomenological study was to explore the lived experiences of registered nurses who cared for limited English patients diagnosed with COVID-19 in 2020. Seven registered nurses participated …

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Obesity-Related Health Behaviors And Stress Among Sexual Minority Women, Kristen Andrea Smith Jan 2021

Obesity-Related Health Behaviors And Stress Among Sexual Minority Women, Kristen Andrea Smith

Walden Dissertations and Doctoral Studies

Adult obesity rates have continued to rise with 40% of the adult population in the United States currently being categorized as obese. Sexual minority women are more prone to obesity than heterosexual women. Obesity has been linked to several causes of premature and preventable death and has often been attributed to changeable health behaviors such as physical activity, diet, and sleep. Additionally, stress has been shown to impact health behaviors as well as rates of obesity. Sexual minority women are known to experience more stress due to their minority status, a concept described in minority stress theory which states that …

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Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams Jan 2021

Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams

Walden Dissertations and Doctoral Studies

Stroke is a significant public health issue that impacts the health of Hispanic adults. Understanding the multiple risk factors of stroke is an essential strategy to control the disease among this population. The purpose of this study was to examine the association between modifiable risk factors and stroke among Hispanics. The public health prevention framework guided this study. The research questions were designed to determine whether an association exists between modifiable risk factors for stroke among Hispanics. A quantitative, cross-sectional research design was used to conduct secondary analysis of the pooled 2017–2019 Behavioral Risk Factor Surveillance System annual surveys. The …

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Formative Needs Assessment Evaluation Of Nontraditional Student-Parents At A Private 4-Year University, Athea Vanzant Jan 2021

Formative Needs Assessment Evaluation Of Nontraditional Student-Parents At A Private 4-Year University, Athea Vanzant

Walden Dissertations and Doctoral Studies

Nontraditional student-parents compose approximately one-quarter of the student body on college and university campuses. Student-parents face unique challenges, have unique needs, and graduate at lower rates than other nontraditional students. Yet many campuses, like the local study site, focus support on traditional students. The purpose of this formative evaluation was to assess the needs of student-parents in their persistence to graduation at a private 4-year university in the Southeastern United States. Astin’s I-E-O model was the conceptual framework used to identify student-parents’ characteristics (input), services needed (environment), and intended outcomes. A basic qualitative design and interviews yielded narrative data from …

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Effects Of School Wide Positive Behavior Interventions And Supports In An African American All-Boys Urban School, Theresa Thomas Jan 2021

Effects Of School Wide Positive Behavior Interventions And Supports In An African American All-Boys Urban School, Theresa Thomas

Walden Dissertations and Doctoral Studies

Abstract Teachers and administrators spend a great deal of time addressing minor to moderate school discipline behaviors with punitive actions such as suspensions and expulsions from school. Past research has revealed that such punitive actions do not correct the unwanted behavior, and extensive use of punitive disciplinary actions have been linked to negative outcomes such as repeated suspensions, repeating grades due to time missed from school, increased likelihood of dropping out of school, or potential involvement in the juvenile justice system. This single case study design addressed the following research question: How school-wide positive behavioral interventions and supports (PBIS) affected …

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Electronic Health Record Adoption, Interoperability, And Consumer Access, Edet Udofia Jan 2021

Electronic Health Record Adoption, Interoperability, And Consumer Access, Edet Udofia

Walden Dissertations and Doctoral Studies

AbstractElectronic health record (EHR) adoption is necessary across many healthcare settings. The problem identified in the current study is that EHR systems and consumer access to their health records tend to be inconsistently applied across various health care settings which could have adverse effects on health outcomes in the policies, and procedure of healthcare delivery. EHR systems can improve the perceptions of patients on healthcare systems and the operation of health care facilities. More specifically, the issue of interoperability in the context of EHR system implementation was reviewed in the current project. The purpose of this study was to understand …

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Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit Jan 2021

Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit

Walden Dissertations and Doctoral Studies

Researchers have identified emotional disturbance (ED) as the fastest growingdiagnosed disability among school-age children. The National Institute of Mental Health estimated that of the 473,000 school-aged students who would qualify as having an ED, the school systems formally identify only 1%. Disruptive mood dysregulation disorder (DMDD) is the most recent depressive disorder added to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the newest subcategory of ED. There have been few studies on student populations with DMDD, and a significant gap exists in the literature supporting this population in the classroom. The purpose of the study was …

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Barriers To Effective Personal Protective Equipment Use In Public Health Workers, Sheila Storr-Mathis Jan 2021

Barriers To Effective Personal Protective Equipment Use In Public Health Workers, Sheila Storr-Mathis

Walden Dissertations and Doctoral Studies

Exposure to infections continues to be a significant concern for nursing practice and for other health care professionals. Personal protective equipment (PPE) minimizes occupational exposure; however, their use is subject to variability. This quality improvement project addressed the impact of an educational intervention on attitudes and barriers to proper use of PPE for public health workers at the study site. The health belief model and the literature review provided theoretical support for the project and evidence of current trends in PPE use. There were 44 employees who completed the preintervention survey and 22 who completed the postintervention survey to gauge …

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Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey Jan 2021

Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey

Walden Dissertations and Doctoral Studies

Over the last decade, opioid misuse has emerged as a major problem in the United States. The extreme increase in overdose deaths affects both public health and social welfare in north central Florida. Social workers play a major role in the delivery of treatment for opioid misuse. Medication-assisted treatment for opioid use disorder has become widely used yet faces debate among social workers. The practice-focused research question for this project addressed the attitudes of social workers toward the use of medication-assisted treatment for opioid use disorder. Social learning theory was the theoretical framework used in this action research study. Data …

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Educators’ Roles In Promoting Foster Care Children’S Sense Of Well-Being In Early Childhood Settings, Francoise Erlich Snyder Jan 2021

Educators’ Roles In Promoting Foster Care Children’S Sense Of Well-Being In Early Childhood Settings, Francoise Erlich Snyder

Walden Dissertations and Doctoral Studies

This qualitative study addressed educators’ roles in promoting a sense of well-being in prekindergarten and kindergarten students in the foster care system in the southwestern United States. Bronfenbrenner’s bioecological systems theory framed this exploration of educators’ roles in supporting foster children’s sense of well-being. Purposeful sampling was used to recruit nine educators from three different school settings with a minimum of 3 years of experience working with students in foster care. Data were collected during digitally audio-recorded interviews that explored how two administrators, two curriculum specialists, and five teachers with 3 to 25 years of experience working with students in …

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Emotional Intelligence And Compassion Fatigue In Emergency Nurses, Kylie Yearwood Jan 2021

Emotional Intelligence And Compassion Fatigue In Emergency Nurses, Kylie Yearwood

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) is mental and emotional exhaustion that occurs over time in nurses who provide care to traumatized individuals and includes both secondary traumatic stress syndrome (STS) as well as burnout (BO), which results from being overwhelmed in the workplace. Emotional intelligence (EI) has shown to be helpful in nurses who work in a fast-paced, high-stakes environment, such as the emergency department. The purpose of this quantitative, cross-sectional, descriptive study, guided by Orem’s self-care deficit nursing theory, was to determine whether there were relationships (a) between EI and CF in emergency nurses, (b) between EI and STS in emergency …

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Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint Jan 2021

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Walden Dissertations and Doctoral Studies

AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …

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Stressors Of Special Education Teachers Working With Autistic Students With Behavioral Challenges, Malisa Anderson Jan 2021

Stressors Of Special Education Teachers Working With Autistic Students With Behavioral Challenges, Malisa Anderson

Walden Dissertations and Doctoral Studies

In special education there are disabilities and health concerns teachers have to keep at the forefront when working with autistic students. The purpose of this hermeneutic phenomenological study was to gain knowledge and understanding regarding special education teachers’ perceptions of the stressors they experience when interacting with students diagnosed with autism spectrum disorder (ASD) and who also have behavioral challenges. This study was grounded in transactional theory. Six participants were included, and semi-structured interviews were conducted via social media calls and phone calls. The following themes emerged: Participants believed that autistic students, while having behavior challenges, were capable of calming …

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Educational Attainment And Growth Among Individuals With Absent Fathers, Angelica Yolanda Barrera Jan 2021

Educational Attainment And Growth Among Individuals With Absent Fathers, Angelica Yolanda Barrera

Walden Dissertations and Doctoral Studies

There are more than 20 million children who are growing up in a fatherless home. It is understood that this population is more likely to experience a variety of intrapersonal and interpersonal issues when compared to children who grow up in a home with both parents. These issues include being twice as likely to drop out of school. Although few of these individuals pursue a higher education, very little understanding of the underlying variables that contribute to such education-seeking behaviors is available for this population. Guided by the theory of positive disintegration and the posttraumatic growth conceptual model, the purpose …

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Strategies To Reduce Costs Caused By Medication Errors In Us Hospitals, Janice Leah Chobanuk Jan 2021

Strategies To Reduce Costs Caused By Medication Errors In Us Hospitals, Janice Leah Chobanuk

Walden Dissertations and Doctoral Studies

Medication errors result in patient harm, including deaths, costing American hospitals over $20 billion annually. The financial impact and reduced public confidence in safe patient care create a business problem for hospital leaders trying to contain costs, maintain a competitive edge, and sustain patient satisfaction. Grounded in the sociotechnical conceptual framework, the purpose of this generic qualitative study was to identify strategies hospital leaders use to reduce costs caused by medication errors in hospitals. Data collection involved semistructured interviews with 10 hospital leaders from various high-reliability hospitals across the United States and a review of documents related to medication management …

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