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2021

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The Relationship Between Organizational Culture And Hospital Performance In The Veterans Health Administration, Darline Jasmin Nabbie Jan 2021

The Relationship Between Organizational Culture And Hospital Performance In The Veterans Health Administration, Darline Jasmin Nabbie

Walden Dissertations and Doctoral Studies

High quality care consists of a culture that involves staff who are engaged and keepthemselves accountable when providing care. In 2014, employees described their organizational culture at the Veteran Affairs (VA) as entrenched and intimidating. An audit also revealed that in 2014, patients were receiving substandard care. The present study was an analysis of the relationship between organizational culture and hospital performance in the Veterans Health Administration (VHA). This study provided key stakeholders such as the VA administration an understanding of work climate as an indicator of organizational culture and how it affected hospital performance with the VHA. The VHA …

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Transition From Fragility To Sustainable Development: Case Study Of Darfur In Sudan, Anthony Chukwudi Nweke Jan 2021

Transition From Fragility To Sustainable Development: Case Study Of Darfur In Sudan, Anthony Chukwudi Nweke

Walden Dissertations and Doctoral Studies

AbstractDespite adopting the United Nations Sustainable Development Goals (SDGs), especially SDG-16, to transition the Sudan’s Darfur Region out of fragility, limited progress has been made in achieving peace and long term development. Prior studies investigated the reasons for the slow pace focusing on the factors driving fragility. None have examined the different visions of development organizations as a barrier to multi-stakeholder collaboration to achieve the SDGs. The purpose of this qualitative exploratory case study was to explore how development organizations’ perceptions of SDG-16 affect their collaboration as multi-stakeholders to implement the SDGs. The research question examined how the development organizations’ …

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The Role Of Leadership Communication Patterns On Organizational Effectiveness, Nidal Pascoe Jan 2021

The Role Of Leadership Communication Patterns On Organizational Effectiveness, Nidal Pascoe

Walden Dissertations and Doctoral Studies

Abstract The communication patterns of leaders in the workplace are vital to ensuring productivity and meeting organizational mission and goals. The quality of workplace communication from the leaders impacts the perceptions of employees about the workplace and their ability to fulfill organizational missions and goals. Communication can be delivered through multiple technological means, in person, and in writing. Message delivery also can convey the tone of the sender. The purpose of this case study was to identify the communication patterns between the executive leaders and six of eight site leaders of a nonprofit counseling center focused on serving children and …

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Strategies For Applying Electronic Health Records To Improve Patient Care And Increase Profitability, Fritzgerald Paul Jan 2021

Strategies For Applying Electronic Health Records To Improve Patient Care And Increase Profitability, Fritzgerald Paul

Walden Dissertations and Doctoral Studies

AbstractIneffective strategies to implement electronic health record keeping systems can negatively impact patient care and increase expenses. Hospital administrators and primary care physicians care about this problem because they would be penalized for not meeting meaningful use guidelines. Grounded in the information systems success model, the purpose of this qualitative multiple case study was to explore electronic health record (EHR) implementation strategies primary care physicians use to improve patient care and increase profitability. The participants comprised five primary care physicians involved in the effective implementation of an EHR application in the central coast region of California. Data were collected from …

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Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink Jan 2021

Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink

Walden Dissertations and Doctoral Studies

AbstractThe influenza virus is one of the most commonly occurring respiratory viral infections in the world. The outer capsule of the virus contains 18H proteins and 11N proteins, which allows the virus to reform in over 100 different strands and outperform the vaccine. Despite efforts to improve access to care and reduce vaccine inequities; the Center for Disease Control and Prevention estimates 9-45 million documented influenza-related illnesses, 140,000 to 810,000 hospitalization, and 64,000 deaths yearly. The purpose of this study is to investigate whether food insecurity, access to care and other social determinants of health such as age, race, and …

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Social Media Marketing Strategies For Increasing Small Businesses’ Revenues, Damaris Ramos Jan 2021

Social Media Marketing Strategies For Increasing Small Businesses’ Revenues, Damaris Ramos

Walden Dissertations and Doctoral Studies

Many small business leaders lack social media marketing strategies, which can negatively affect sales revenue. Small business leaders who fail to increase revenues are at a higher risk of failure. Grounded in the resource-based view, the purpose of this qualitative multiple case study was to explore social media marketing strategies small business leaders use to increase revenue. The participants were 13 small business leaders in central Florida who successfully managed social media marketing strategies to increase revenues. Data were collected from semistructured interviews, reviewing businesses’ social media, financial reports, and interview notes. Thematic analysis was used to analyze the data. …

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Differentiated Instruction And Flexible Grouping In Elementary Grades, Nancy Nicole Rochester Jan 2021

Differentiated Instruction And Flexible Grouping In Elementary Grades, Nancy Nicole Rochester

Walden Dissertations and Doctoral Studies

At the local site, many students were not achieving necessary learning gains on state assessments. Administrators and teachers were concerned as to why students on the local level were falling short. Current trends emphasized differentiation of instruction in classrooms to meet individual student needs; however, classrooms generally adhere to a more whole group structure. Using flexible grouping to differentiate instruction allows students to be reinforced or challenged at their own skill level. The purpose of this qualitative study was to better understand if and how research-based data analysis practices are being used by third and fourth grade teachers to form …

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Are Black Girls Okay: Microaggressions And Academic Strategy Development For Black Women In Doctoral Programs, Marcella Rolle Jan 2021

Are Black Girls Okay: Microaggressions And Academic Strategy Development For Black Women In Doctoral Programs, Marcella Rolle

Walden Dissertations and Doctoral Studies

Over the past years, researchers have explored the lived experiences of people of color, namely Black women, in academia. Examiners have learned that Black women often learn how to succeed in academia but at the expense of their mental well-being and even in the midst of oppressive situations. Most of the work previously presented was largely qualitative and has not considered predictive factors or unpacked the strategies Black women used to reach academic success. Therefore, this study used the doubled-edged sword conceptual framework and the Black feminist thought theoretical lens to investigate the relationship between microaggressions, academic strategy development, and …

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Health Insurance Coverage, Sociodemographic Factors, And Treatment Completion For Opioid Abusers In Indiana, Ibrahim Samna Jan 2021

Health Insurance Coverage, Sociodemographic Factors, And Treatment Completion For Opioid Abusers In Indiana, Ibrahim Samna

Walden Dissertations and Doctoral Studies

Many accidental deaths have recently occurred in Indiana due to opioid overdose. The current study sought to assess the association between sociodemographic factors, health insurance, and successful treatment completion for opioids abusers in Indiana based on the existing literature gap. In this study, the dependent variables considered were treatment completion status and opioid abuse. The independent variables included health insurance coverage and sociodemographic factors of education, marital status, employment status, race, gender, and age. I measured both dependent and independent variables as categorical. A cross-sectional and quantitative research approach was used by analyzing data from the 2017-Treatment Episode Data Set …

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Impact Of Emotional Disturbance On Crime Among Latinos In Texas, Patricia Kendra Sellers Jan 2021

Impact Of Emotional Disturbance On Crime Among Latinos In Texas, Patricia Kendra Sellers

Walden Dissertations and Doctoral Studies

Latinos are a minority population who are largely stereotyped as violent and vulnerable to committing crimes in America. While Latinos’ vulnerability to committing crimes is attributed to multiple factors, little attention has been drawn towards the relationship between Latinos’ emotional disturbance and probability toward perpetrating or preventing crime. The rational choice theory, trait theory, and biological theory were used to show relationships between emotional disturbance and cognitive processes underlying recidivism that are common among Latinos in Texas. This study investigated the impact of emotional disturbance on decision-making processes among Latinos in Texas as a motivator or deterrent to engage in …

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Impact Of Intersectionality Of School Discipline And Race On Boys Of Color, Melvin Lewis Shepard Jan 2021

Impact Of Intersectionality Of School Discipline And Race On Boys Of Color, Melvin Lewis Shepard

Walden Dissertations and Doctoral Studies

Disciplinary practices in California result in minority boys receiving a high rate of disproportionate discipline in the public-school system requiring those students to decide whether to return to school to achieve their high school diploma. The purpose of this case study was to explore what impacts the expelled student’s education decisions from the perspective of individuals who have experience with the California disciplinary system and counseling students who were expelled. The theoretical foundation used was critical race theory by Derick Bell and a conceptual framework of intersectionality and race context developed by the Combahee Initiative and Crenshaw. The study used …

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Exploring How Organizations Ensure The Hiring Process Is Conducted Appropriately To Avoid Legal Issues, Natashia Stafford - Cotton Jan 2021

Exploring How Organizations Ensure The Hiring Process Is Conducted Appropriately To Avoid Legal Issues, Natashia Stafford - Cotton

Walden Dissertations and Doctoral Studies

The overall research problem of interest in this study was the need for human resource (HR) leaders and hiring managers (HMs) to conform to a wide array of complex state and federal legal requirements concerning hiring practices. Therefore, the purpose of this qualitative study was two-fold: (a) to understand how HR leaders can ensure that ethically and legally acceptable hiring practices are used in their organizations and (b) to identify the perceptions of the employee selection procedures and legal defensibility of HR personnel and HMs in Northern California in order to develop timely and informed answers to the study’s research …

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Underrepresentation Of African American Male Nurses In Leadership Development, Moses Tucker Jan 2021

Underrepresentation Of African American Male Nurses In Leadership Development, Moses Tucker

Walden Dissertations and Doctoral Studies

AbstractUnderrepresentation in nursing is a major concern for the African American community. Presently, racial, and ethnic minorities are underrepresented in the nursing workforce and other healthcare occupations. Having a more diverse workforce may help meet both current and future healthcare needs of the population being served. This quantitative study explored how African American male nurses are underrepresented in leadership in the Delaware Valley in Pennsylvania. Secondary data from the National Nursing Workforce Survey was used to obtain relevant data. The study highlighted how the movement into leadership for African American nurses is impeded by (a) a lack of mentors, (b) …

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Understanding The Influence Of Social Integration On The Formerly Homeless, Donna L. Wickes Jan 2021

Understanding The Influence Of Social Integration On The Formerly Homeless, Donna L. Wickes

Walden Dissertations and Doctoral Studies

As the number of homeless people in the United States continues to grow, it is apparent that the current strategies are not meeting expectations and need to be reevaluated. Studies by industry experts highlighted the need to address the impact of social integration on long-term housing sustainability. The purpose of the qualitative study was to understand from the perspective of housed, formerly, homeless individuals, how socially focused interventions could influence their sense of community and increase their social integration. Durkheim’s social theory and McMillan and Chavis’ psychological sense of community (PSOC) framework were used to guide the qualitative, phenomenological approach …

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Five Years Of The Ferguson Effect: An Officer Perspective, Darrin Neil Wilcox Jan 2021

Five Years Of The Ferguson Effect: An Officer Perspective, Darrin Neil Wilcox

Walden Dissertations and Doctoral Studies

De-policing or pulling back from proactive policing existed before the shooting death of Michael Brown by Officer Darren Wilson in Ferguson, Missouri, on August 9, 2014. Shortly after this incident, de-policing was blamed for alleged increasing national crime rates and this connection came to be called the “Ferguson Effect.” Since then, most Ferguson Effect research has focused mainly on this connection, with little research into officer perceptions. This nonexperimental quantitative study examined officer perceptions of the Ferguson Effect 5 years after the incident and compared it with their views of government oversight of local law enforcement, legal liability, and officer …

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Noncompliance With Regulations On The Use Of Safety Helmets By Motorcyclists In Tamale, Ghana, Mohammed Wumbei Jan 2021

Noncompliance With Regulations On The Use Of Safety Helmets By Motorcyclists In Tamale, Ghana, Mohammed Wumbei

Walden Dissertations and Doctoral Studies

AbstractMotorcyclists’ nonadherence to safety helmet regulations results in an increased risk of accidents, often leading to traumatic injuries or death. This noncompliance is prevalent in the rural and peri-urban areas of the developing world, particularly in Tamale, Ghana. The purpose of this qualitative case study research was to apply the theoretical framework of rational choice theory in the examination of motorcyclists’ considerations in deciding whether to comply with government safety helmet regulations. Motorcyclists in Tamale were convenience sampled for observation and a subset recruited for interview. The study followed the qualitative case study approach by conducting observations and in-depth face-to-face …

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Contraceptives Use Among Reproductive-Age Women In New Juaben Municipality, Ghana, Phyllis Abrah Jan 2021

Contraceptives Use Among Reproductive-Age Women In New Juaben Municipality, Ghana, Phyllis Abrah

Walden Dissertations and Doctoral Studies

This research study was an investigation into the factors associated with the use of modern contraceptives among reproductive-age women in the New Juaben Municipality of the Eastern Region of Ghana. Reproductive-age women in the Municipality have been found to have a high rate of unplanned pregnancies despite the availability of modern contraceptives. Telephone interviews were conducted with 15 reproductive-age women (20 to 39 years) from the New Juaben Municipality who were recruited voluntarily using purposive sampling technique. The research was based on the health belief model to explore the knowledge, perceived threats, perceived barriers, perceived benefits, self-efficacy, and cues to …

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Relationship Between Working Capital Management, Strategies, And Performance Of Nigerian Manufacturing Firms, Ayebainasuoton Francis Alagoa Jan 2021

Relationship Between Working Capital Management, Strategies, And Performance Of Nigerian Manufacturing Firms, Ayebainasuoton Francis Alagoa

Walden Dissertations and Doctoral Studies

Many Nigerian manufacturing firms have faced working capital management anomalies due to concerns of balancing profitability and liquidity that led to most business failures. To remain competitive corporate managers and business leaders of manufacturing firms need to operate optimally in working capital by understanding the association between working capital management (WCM), working capital strategy (WCS), and performance. Using the cash conversion cycle theory as the linchpin, the purpose of this quantitative correlational study was to examine the relationship between WCM, WCS, and performance. The study utilized secondary financial data spanning 2014 to 2018 from a random sample of 54 publicly …

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Effects Of Differing Education Levels On Respiratory Therapy Hiring Decisions In Pennsylvania, Ronald Curtis Aumiller Jan 2021

Effects Of Differing Education Levels On Respiratory Therapy Hiring Decisions In Pennsylvania, Ronald Curtis Aumiller

Walden Dissertations and Doctoral Studies

Many healthcare professions struggle with knowing what the entry-level educational requirement should be for their profession. This study looked at the educational level of hiring managers for respiratory therapy and whether that affected their decisions on hiring associate or baccalaureate degree graduates in the state of Pennsylvania. The quantitative internet-based questionnaire surveyed respiratory therapy hiring managers in hospitals in Pennsylvania. The power theory, with the use of expert power, organizational culture and change, and ethnographic principle, was used to examine how hiring managers choose their employees. An invitation was sent to 70 respiratory hiring managers in Pennsylvania to participate on …

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Managerial Support Strategies To Minimize Job Insecurity Among Nigerian Private Firms, Dakoru Jethro Atukpa Jan 2021

Managerial Support Strategies To Minimize Job Insecurity Among Nigerian Private Firms, Dakoru Jethro Atukpa

Walden Dissertations and Doctoral Studies

Studies have shown that job insecurity is one of the factors affecting the performance, productivity, and high turnover of employees in the banking and construction industries in Nigeria. However, there is a gap in knowledge on managerial support strategies implemented by banks and construction firms in Nigeria to minimize job insecurity. The purpose of this qualitative comparative multiple case study was to explore these managerial support strategies as perceived by managers and employees of banking and construction firms in Nigeria. The participatory organization-level intervention concept and perceived-organizational support concept provided the conceptual frameworks for the study. Fifteen participants including operations …

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The Lived Experiences Of Gatekeepers In Counselor Education Training Programs, Jessica Motroni Banik Jan 2021

The Lived Experiences Of Gatekeepers In Counselor Education Training Programs, Jessica Motroni Banik

Walden Dissertations and Doctoral Studies

Gatekeeping is an essential function within the counselor education training system that is aimed at helping counselors in training (CIT) achieve competency to practice. The process entails monitoring counselor development at critical points in the process of entering the profession. However, there continues to be gateslippage, with a high percentage of CITs with problematic behaviors completing their training programs, putting the public at risk. There is a lack of research focused on understanding gatekeepers’ lived experiences, including how they resolve challenges within the system. The purpose of this hermeneutic study was to understand the lived experiences of gatekeepers in the …

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Exploring The Perceptions Of Teachers Regarding Learner-Centered Instruction And Its Potential Impact On International Students, Evan David Barnhart Jan 2021

Exploring The Perceptions Of Teachers Regarding Learner-Centered Instruction And Its Potential Impact On International Students, Evan David Barnhart

Walden Dissertations and Doctoral Studies

The subject of how best to educate students in the classroom has been one of debate, discussion, and research, with various forms of instruction touted as the most effective. Recently, learner-centered instruction (LCI) has been put forth as a method to educate students, and research supports its implementation. The problem addressed in this study was the inconsistent implementation of LCI at a private school in the West Coast of the United States, specifically regarding its failure to meet the needs of international students. The purpose of this qualitative study was to investigate how teachers implement LCI in their classrooms to …

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The Role Of Organizational Socialization On The Ethical Orientation Of Male Police Officers, Megan Marie Bessey Jan 2021

The Role Of Organizational Socialization On The Ethical Orientation Of Male Police Officers, Megan Marie Bessey

Walden Dissertations and Doctoral Studies

A gap in literature exists surrounding years of service, training, and ethical attitudes within the law enforcement industry. The proposed hypothesis was that years of service in law enforcement and hours of in-service training were interactively related to an officer's ethical attitudes as related to ethical orientation. The purpose of this study was to examine organizational socialization within the law enforcement profession, specifically as demonstrated through the interaction effects of factors relating to ethical orientation and scores measured by the Ethics Position Questionnaire of male Northern Kentucky and Southern Oregon police officers. The major theoretical propositions for this study came …

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Use Of Cognitive Behavioral Therapy To Reduce Patient Self-Harm Incidents In Psychiatric In-Patient Settings, Amarachi Chigbu Jan 2021

Use Of Cognitive Behavioral Therapy To Reduce Patient Self-Harm Incidents In Psychiatric In-Patient Settings, Amarachi Chigbu

Walden Dissertations and Doctoral Studies

AbstractThis doctoral project aimed to assess how the provision of a mental health providers’ education program regarding the use of cognitive-behavioral therapy for self-harm would assist in preventing and reducing self-harm incidents in an adolescents’ psychiatric unit. The project entailed a literature search that used various databases. The doctoral project relied on evidence deduced from systematic reviews, meta-analyses, randomized controlled trials, and well-designed controlled trials without randomization. The evidence obtained from the studies formulated an education program for the providers. The education program was based on John Hopkins nursing evidence-based practice model, lewin’s change theory, and the adult learning theory. …

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Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo Jan 2021

Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo

Walden Dissertations and Doctoral Studies

Distracted nurses who use their personal smartphone at work has resulted in the diversion of attention from patient care. The specific problem is the personal smartphone use by nurses in the hospital settings has resulted in distracted patient care, leading to wrongful release of patient’s information, medical errors, injury or preventable patient death. The purpose of this qualitative study was to describe the perceptions of nurses regarding distracted patient care in their clinical workplace due to personal smartphone use by nurses. The study was grounded in the distraction-conflict theory conceptual framework. The key research question examined the perceptions of nurses …

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The Use Of Social Media In Moderating Feelings Of Belongingness And Suicidal Ideation Among Women, Latasha Davidson Jan 2021

The Use Of Social Media In Moderating Feelings Of Belongingness And Suicidal Ideation Among Women, Latasha Davidson

Walden Dissertations and Doctoral Studies

Suicide among women in the United States increased significantly over the last decade, now accounting for six suicides per 100,000 population. Concurrently, there has been an increase in social media use, with women exhibiting elevated presence on social networking platforms. Grounded in the theoretical framework of the theory of suicide and the interpersonal theory of suicide, the purpose of this quantitative nonexperimental study was to evaluate the association between social media use, feelings of belongingness, and suicidal ideation to address the increased suicide rate among adult women in the United States. One research question focused on how social media use …

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Impact Of Incarceration On The Maternal Identities Of African American Women, Shameka Roshe Davis Jan 2021

Impact Of Incarceration On The Maternal Identities Of African American Women, Shameka Roshe Davis

Walden Dissertations and Doctoral Studies

There are minimal studies that have analyzed the impact and consequences of multiple incarcerations among African American mothers regarding their maternal identity and relationships. With this study, how African American women perceive the impact of their multiple incarcerations, relationships with their children, ability to parent their children, and how they negotiate their own maternal identity was examined. This study was completed in Las Vegas, Nevada and involved a multiple case study format and sample of 12 African American women who have experienced multiple incarcerations and have already been released from prison. Perspectives of participants were examined through a sequence of …

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An Acceptable Cloud Computing Model For Public Sectors, Eswar Kumar Devarakonda Jan 2021

An Acceptable Cloud Computing Model For Public Sectors, Eswar Kumar Devarakonda

Walden Dissertations and Doctoral Studies

Cloud computing enables information technology (IT) leaders to shift from passive business support to active value creators. However, social economic-communication barriers inhibit individual users from strategic use of the cloud. Grounded in the theory of technology acceptance, the purpose of this multiple case study was to explore strategies IT leaders in public sector organizations implement to utilize cloud computing. The participants included nine IT leaders from public sector organizations in Texas, USA. Data were collected using semi-structured interviews, field notes, and publicly available artifacts documents. Data were analyzed using thematic analysis: five themes emerged (a) user-centric and data-driven cloud model; …

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Strategies To Monitor And Deter Cyberloafing In Small Businesses: A Case Study, Veronica Pugh Dooly Jan 2021

Strategies To Monitor And Deter Cyberloafing In Small Businesses: A Case Study, Veronica Pugh Dooly

Walden Dissertations and Doctoral Studies

Some information technology (IT) managers working for small businesses are struggling to monitor and deter cyberloafing. Strategies are needed to help IT practitioners to discourage cyberloafing and improve productivity while maintaining employee satisfaction. Grounded in adaptive structuration theory, the purpose of this qualitative multiple-case study was to explore strategies some small business IT managers use to monitor and deter cyberloafing. The participants were nine IT managers who successfully implemented cyberloafing monitoring and deterrence strategies in the United States. Data were collected via semistructured interviews and organization employee policy handbooks (n = 4) provided by the participants. Data were analyzed using …

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Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans Jan 2021

Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans

Walden Dissertations and Doctoral Studies

One of the key ethical principles in nursing is the promotion of health and wellness and ensuring that patients are free from unnecessary pain and suffering. It is estimated that at least 65% of patients in skilled nursing centers in the United States report the presence of pain, indicating that there are opportunities for improvement with effective pain management within this practice setting. A key factor that has been identified as an opportunity for improvement is education for clinical staff who practice within this setting. This Doctorate of Nursing Practice (DNP) project provided education to a group of clinical team …

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