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2022

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Implementation Strategies For Organizational Change Initiatives, Laura Massie Jan 2022

Implementation Strategies For Organizational Change Initiatives, Laura Massie

Walden Dissertations and Doctoral Studies

Change initiatives within the higher education industry often fail because leaders are not successful in implementing change strategies. Higher education leaders who lack successful implementation strategies decrease employee productivity and increase educational costs for students. Grounded in Kotter’s (1995) eight-step model of change, the purpose of this qualitative multiple case study was to explore strategies senior-level executives in higher education use to implement organizational change initiatives. The participants were four leaders of two higher education organizations in West Virginia who successfully implemented change initiatives in finance operations. Data were collected from virtual semistructured interviews and organization documents. Yin’s 5 step …

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Fiscal Capacity And Decision Making Flexibility And The Title Iv-E Waiver, Laura Ann Mayate-Deandreis Jan 2022

Fiscal Capacity And Decision Making Flexibility And The Title Iv-E Waiver, Laura Ann Mayate-Deandreis

Walden Dissertations and Doctoral Studies

Public managers must reconcile fiscal constraints within a confined decision-making environment. This study was conducted to examine the extent to which policy tools, such as the Title IV-E waiver demonstration, facilitate cost control and increased decision-making flexibility. The central question guiding the study was whether policy tools enable public managers to effectively meet policy goals within inelastic fiscal and regulatory environments. Choice theories provided a theoretical framework to examine the multidimensional aspects of decision making and policy prioritization. An exploratory case study approach was employed to compare the change in fiscal capacity and flexibility of California counties participating in the …

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Early College High School, Dual Enrollment, Traditional College, And Time To Obtain A 2-Year Degree, Christopher D. Mccraw Jan 2022

Early College High School, Dual Enrollment, Traditional College, And Time To Obtain A 2-Year Degree, Christopher D. Mccraw

Walden Dissertations and Doctoral Studies

Early college high school (ECHS) and dual enrollment programs offer opportunities for students to work toward their 2-year degree while still in high school. The problem for this study was that the ECHS and dual enrollment programs had not been compared to see if they facilitated 2-year college degree completion compared to one another and to a traditional college program. The problem was urgent because there was a need to evaluate two different ECHS screening methods, assuming significantly less time to degree completion for the ECHS students. The purpose of this quantitative project study was to determine if the time …

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Experiences Of African American Parents Of Special Needs Students And School Decisions, Jennifer Selena Mccray Jan 2022

Experiences Of African American Parents Of Special Needs Students And School Decisions, Jennifer Selena Mccray

Walden Dissertations and Doctoral Studies

AbstractMany individuals prefer the ability to choose options as opposed to being directed toward a certain path. School choice programs in the United States allow parents to exercise their democratic right to choose what is best for their children with respect to choosing a school for them to receive their education. The problem is that many African American parents have lost faith and trust in public education due to low school safety, lack of quality education, and social/emotional issues with public schools. The purpose of this descriptive phenomenological study was to explore the perceptions of African American parents concerning students’ …

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Perceived Transformational Leadership Styles And Job Satisfaction Among Probation Officers, Joann Ruth Mcgee Jan 2022

Perceived Transformational Leadership Styles And Job Satisfaction Among Probation Officers, Joann Ruth Mcgee

Walden Dissertations and Doctoral Studies

As the field of probation service work evolves, so does the role of the probation officer. The problem addressed in this study is that probation officers are experiencing more complexities related to job satisfaction, however there exists limited amount of research on probation leadership and probation officers overall job satisfaction. The purpose of this quantitative study was to investigate whether there is a relationship between the level of job satisfaction of probation officers and supervisors' transformational leadership style. Malsow's hierarchy of need theory and Bass and Avolio's full-range leadership model was utilized as the theoretical framework for the research. The …

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Relationships Among Burden, Quality Of Life, And Self-Efficcy In Careegivers Of An Older Family Member, Dr. Marietta Margaret Miller Jan 2022

Relationships Among Burden, Quality Of Life, And Self-Efficcy In Careegivers Of An Older Family Member, Dr. Marietta Margaret Miller

Walden Dissertations and Doctoral Studies

AbstractInformal caregivers of a family member who has been dementia diagnosed play a substantial personal, social, and economic role in the care of their family member. However, this type of caregiving can have detrimental effects on a caregiver’s psychological, financial, physical, social, and emotional well-being. This quantitative study addressed possible relationships between caregiver burden and quality of life, and caregiver burden and self-efficacy as measured by the Zarit Burden Interview, the World Health Organization Quality of Life-BREF, and the Caregiver Self-Efficacy Scale. The theory of transactional stress and the stress process model provided the theoretical foundation. The participants of this …

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Lived Experiences Of Nurse Leaders, Catherine Jeannette Mohammed Jan 2022

Lived Experiences Of Nurse Leaders, Catherine Jeannette Mohammed

Walden Dissertations and Doctoral Studies

AbstractThe National Academy of Medicine (NAM) has called for more leadership, more accountability, and increased education and training of health care leaders. The NAM has demanded that nurses participate in health care policy making, increase their knowledge of research and data collection, advise leaders across the business world, train and educate seamlessly, and practice to the full extent of their licensure. The purpose of this qualitative phenomenological study was to explore the lived experiences of 12 influential nurse leaders from the state of Arizona. Transformational leadership theory provided the framework for the study. Semi-structured interview data were transcribed, coded, and …

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Compassion And Empathy: Comparing Police Officers With And Without Military Experience, Harlyn Alexander Montealegre Jan 2022

Compassion And Empathy: Comparing Police Officers With And Without Military Experience, Harlyn Alexander Montealegre

Walden Dissertations and Doctoral Studies

Interpersonal characteristics, including compassion and empathy, are an essential part of the relationship that police officers have with local communities. Historically, recruitment departments of law enforcement agencies have favored military veterans as candidates because of the similarities between the two professions, such as weapon handling and organizational structure. However, it is possible that prior military experience may negatively impact characteristics of compassion and empathy, given that military personnel are often exposed to conditions (e.g., combat) that can degrade compassion and empathy. The purpose of this study was to compare levels of compassion and empathy between police officers with and without …

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A Study Of Racialized Identity Among Single, White Mothers Of Biracial Children, Shonjala Moore Jan 2022

A Study Of Racialized Identity Among Single, White Mothers Of Biracial Children, Shonjala Moore

Walden Dissertations and Doctoral Studies

A limited amount of research addresses the challenges single, White, birth mothers of Black-White biracial children have experienced with racialized identity within their kinships and social networks. In this transcendental, descriptive, phenomenological study, the lived experiences of eight single, White, birth mothers of Black-White biracial children were investigated to address that research gap. The conceptual framework was Helms’s Black and White racial identity theory. After thematic analysis of semistructured interview data, five themes emerged to describe the experiences of the single, White, birth mothers of Black-White biracial children: (a) the mother’s insight, (b) racism, (c) attitude about a Black partner, …

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Teachers’ Perspectives Of What They Need From School Administration To Teach Remotely, Destiny Pietra Moretto Jan 2022

Teachers’ Perspectives Of What They Need From School Administration To Teach Remotely, Destiny Pietra Moretto

Walden Dissertations and Doctoral Studies

In 2020, the COVID-19 pandemic caused an educational shift from traditional teaching to remote teaching. Teachers struggled to adapt to the changes because they were unable to properly prepare, yet administrators expected them to continue successfully teaching from home. Using Garrison et al.’s community of inquiry model, the purpose of this basic qualitative study was to explore the perspectives of early childhood teachers regarding teaching remotely during a pandemic and what they need from school administration to teach children remotely. Semistructured interviews were conducted with 10 early childhood teachers with experience teaching remotely during the onset of the COVID-19 pandemic …

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Job Satisfaction Among Nurse Practitioners Who Work At Retail Health Care Centers, Karen Morrissey Jan 2022

Job Satisfaction Among Nurse Practitioners Who Work At Retail Health Care Centers, Karen Morrissey

Walden Dissertations and Doctoral Studies

Retail health care clinics (RHCCs) were designed to ease the shortage of access to primary care by having nurse practitioners (NPs) provide quality care to patients on a walk-in approach. RHCCs can be stressful work environments and when NPs become dissatisfied, they may leave RHCCs which creates a shortage of primary care access. The purpose of this descriptive study, guided by Herzberg’s dual-factor theory, was to determine if there was a relationship between: (a) challenge/autonomy, and professional growth and job satisfaction among NPs who work at RHCCs and (b) intrapractice partnership/collegiality, professional, social and community interaction, time and benefits and …

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Parents’ Perceptions Of Kinesthetic Learning And Academic Performance Among Students With Attention Deficit Hyperactivity Disorder, Beverly Mount Jan 2022

Parents’ Perceptions Of Kinesthetic Learning And Academic Performance Among Students With Attention Deficit Hyperactivity Disorder, Beverly Mount

Walden Dissertations and Doctoral Studies

Students with attention deficit hyperactivity disorder (ADHD) struggle academically more than students without ADHD. Although kinesthetic learning, a motor and tactile style of experiential learning, has been found to benefit students generally, parents’ perceptions of it as an educational intervention for students with ADHD has not been examined. The purpose of this qualitative study was to explore parents’ perceptions of kinesthetic learning and academic performance among students with ADHD. The experiential learning theory, which posits that learning occurs through experience, was the theoretical framework for the study. Eleven parents participated in an open-ended question interview ranging from 7 to 22 …

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Factors Of Experience And Training And Physician Intention To Adopt Telemedicine, Tina Mozhayski Jan 2022

Factors Of Experience And Training And Physician Intention To Adopt Telemedicine, Tina Mozhayski

Walden Dissertations and Doctoral Studies

Despite the increased role of telemedicine services, physicians’ intention to adopt telemedicine for the long term remains disproportionately low; further, little research has focused on the factors behind these intentions. The purpose of this study was to determine and compare the effects of two causal factors: previous experience of physicians in telemedicine and company telemedicine training, on physicians’ intention to adopt telemedicine. The Davis’s technology acceptance model was used as a theoretical framework for this study, which included analytical data of health care regulatory organizations, medical professional alliances, and secondary statistical data of a marketing company with experience in conducting …

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Youth And Family Factors Affecting Completion Of A Diversion Program, Teresita Nuguid Jan 2022

Youth And Family Factors Affecting Completion Of A Diversion Program, Teresita Nuguid

Walden Dissertations and Doctoral Studies

The Florida Department of Juvenile Justice (FDJJ) has launched several diversion programs for at-risk youth in the state of Florida. Prior studies revealed the efficacy of diversion programming in helping mentally ill individuals, the community, and the criminal justice system. This study addressed a gap in the literature regarding how youth and family factors and characteristics can determine program completion. The purpose of this quantitative study was to investigate youth and family factors and characteristics associated with program completion for participants in diversion programs in the state of Florida. The family systems theory used for this study supports the idea …

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Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu Jan 2022

Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu

Walden Dissertations and Doctoral Studies

AbstractPolydipsia is found in 20% of inpatients with chronic severe mental disorders. Of this, 80% are diagnosed with chronic schizophrenia, hence polydipsia is strongly associated with chronic schizophrenia. Despite the prevalence and serious health complications of coexisting polydipsia in this population, its current method of detection is flawed. The purpose of this quantitative study was to accurately identify comorbid polydipsia in schizophrenia using periodic weight change and hyponatremia. The Wilson’s complexity theory and primary data were used to attempt to explain the relationship between weight change and hyponatremia and polydipsia, in a cross-sectional study design. The dependent variable was polydipsia, …

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Juvenile Probation Officers' Perceptions Of Strategies To Reduce Juvenile Delinquency In Maryland, Ebenezer Nwaedozie Obonna Jan 2022

Juvenile Probation Officers' Perceptions Of Strategies To Reduce Juvenile Delinquency In Maryland, Ebenezer Nwaedozie Obonna

Walden Dissertations and Doctoral Studies

AbstractYoung offenders aged 10 to 17 years have increasingly become involved with the juvenile justice system, causing concerns about their future prospects and their role in positively contributing to the prosperity of society, particularly in Maryland. The purpose of this qualitative descriptive study was to provide detailed descriptions of the strategies that stakeholders in the juvenile criminal justice system and the offenders can use to reduce youth crime in Maryland. Cognitive-behavioral therapy theory provided the framework for the study. Data were collected from semistructured interviews with 11 probation officers from Maryland. Findings from thematic analysis demonstrated that some juvenile justice …

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An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia Jan 2022

An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia

Walden Dissertations and Doctoral Studies

Drug abuse among university students has become a public health problem. The prevalence of drug abuse has negatively impacted the students, causing serious health outcomes. Finding a solution has the potential to benefit both students and society. Various intervention strategies have been adopted but the results have varied. The purpose of this qualitative case study was to evaluate the administrators’ and students’ perceptions of anti-drug-use policy at a federal university in Southeastern Nigeria to determine its effectiveness on drug abuse prevention among students. The policy feedback theory (PFT), which helps to understand and analyze the policy process, was the explanatory …

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Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke Jan 2022

Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke

Walden Dissertations and Doctoral Studies

AbstractCultural humility is an ethical standard within the social work profession. As the United States becomes more diverse, there are increasing rates of failure to implement cultural humility in social work practice in mental health settings. The purpose of this generic qualitative study was to examine how clinical social workers demonstrate cultural humility and intersectionality in mental health settings. The theoretical basis on which the research was conducted includes the person-centered theory and the feminist theories, which provided a strong framework for understanding the influences of cultural dynamics and intersectionality on the quality of patient outcomes in mental health care. …

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Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar Jan 2022

Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar

Walden Dissertations and Doctoral Studies

Some healthcare leaders lack strategies to successfully implement electronic medical record (EMR) systems to improve patient care efficiency and effectiveness. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies healthcare leaders use to implement EMR systems. The participants comprised five healthcare leaders who implemented EMRs in U.S. hospitals. Data were collected using semistructured interviews, government websites, and relevant documents and analyzed using Yin’s five-step data analysis method. Three themes emerged: (a) adequate training, (b) workflow analysis, and (c) technical support. A key recommendation is for management to provide customized training to …

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Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo Jan 2022

Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo

Walden Dissertations and Doctoral Studies

The rise in the use of electronic health records (EHRs) in health care facilities necessitates a standardized tool for evaluating their effectiveness. Delone and McLean’s information system success model (ISSM) was the theoretical foundation, which consists of seven dimensions namely system, information, service qualities, user satisfaction, use, system usefulness, and net benefits. The purpose of this study was to examine EHRs’ efficiency and identify ISSM dimensions that influenced net benefits, the dependent variable. The research questions examined the relationship between dimensions of ISSM and the dimensions that affect net benefits. Participants were recruited using purposeful sampling via social media and …

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Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek Jan 2022

Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek

Walden Dissertations and Doctoral Studies

AbstractIn the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …

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Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter Jan 2022

Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter

Walden Dissertations and Doctoral Studies

Intermittent preventive treatment of malaria in pregnancy (IPTp) is an intervention consisting of the full course of therapeutic antimalarial medicine administered to pregnant women during routine antenatal visits regardless of whether the woman is infected with malaria. The use of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) has been reportedly low in most of the malaria endemic areas, including Uganda. The coverage of IPTp in Uganda has been estimated to be as low as 17%. An in-depth secondary data analysis using the 2016 Uganda Department of Health Services survey was conducted to understand the causal relationships between …

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Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin Jan 2022

Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin

Walden Dissertations and Doctoral Studies

The English Language Learner (ELL) population continues to steadily grow. While most research focuses on preservice or novice teachers’ perceptions of their preparedness to instruct ELLs, there have been very limited studies focusing on veteran elementary teachers. The purpose of this qualitative multicase study was to explore veteran elementary teachers’ perceptions of their preparedness to teach ELLs literacy. This study was grounded in the conceptual framework of Bandura’s self-efficacy theory. Purposeful sampling was used to select nine veteran elementary classroom teachers to share their perceptions through in-depth, semistructured interviews. Study participants were kindergarten, first, and second grade teachers. Data were …

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Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti Jan 2022

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

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Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts Jan 2022

Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts

Walden Dissertations and Doctoral Studies

The problem of this study was the achievement gap that exists between Black and White children prior to kindergarten entrance. As children continue in school this gap grows substantially; therefore, it was important to understand perspectives of stakeholders regarding this gap. The purpose of this study was to explore perspectives of parents of Black Head Start graduates regarding the Black-White achievement gap, and how those perspectives shaped parents’ actions in promoting their children’s kindergarten readiness. The conceptual framework for this study was based on Bronfenbrenner’s ecological theory. The research questions focused on parents’ perspectives and how they believed those perspectives …

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Mediated Effect Of Perceived Supervisor Support On Leader-Member Exchange Quality And Employee’S Commitment, Jeffery Proby Jan 2022

Mediated Effect Of Perceived Supervisor Support On Leader-Member Exchange Quality And Employee’S Commitment, Jeffery Proby

Walden Dissertations and Doctoral Studies

Social exchange relationship quality can influence an employee’s commitment to supporting continuous improvement (CI) initiatives. Researchers have established that leader-member exchange (LMX) quality and perceived supervisor support (PSS) can reduce employee commitment, affecting an organizational outcome. Based on the theoretical foundation of LMX quality theory, the purpose of this quantitative correlational study was to examine the relationship between the independent variables (LMX quality) and the dependent variable (affective commitment [AC]) through the mediated variable (PSS) and moderated mediation variable (workplace ostracism [WO]). Employee age, gender, tenure with the company, ethnicity, certification level, and the manufacturing sector were control variables of …

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Law Enforcement’S Effect On Rape Victims’ Initial Interview: A Victim Advocate’S Perspective, Nkenge Pruden Jan 2022

Law Enforcement’S Effect On Rape Victims’ Initial Interview: A Victim Advocate’S Perspective, Nkenge Pruden

Walden Dissertations and Doctoral Studies

Among the U.S. military community, organizations have been established to focus solely on sexual assault reporting, prevention efforts, and support for survivors. Although more victims are reporting their sexual assault, the number of perpetrators going to prison have not increased significantly. Some studies suggest victims’ unwillingness to report and cooperate with the proponents of criminal justice process are the reasons for the lack of rightful justice. The intent of this study was to examine the interaction between law enforcement and the sexual assault victim via the perception of the victim advocate. The importance of this study was to understand whether …

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Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail Jan 2022

Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail

Walden Dissertations and Doctoral Studies

AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …

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Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis Jan 2022

Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis

Walden Dissertations and Doctoral Studies

Corruption is harmful to businesses and impedes performance and growth. When business leaders fail to mitigate fraud and corruption, their business and the local economy suffer. Grounded in the principal-agent theory and the integrative social contract theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in Nigeria use to reduce firm-level corrupt practices. The participants were six anticorruption officers at three firms who implemented successful strategies to reduce corrupt practices to enhance performance. Data collected came from semistructured interviews and company documents. Five themes emerged from the thematic analysis: bribery and corruption are part …

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Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos Jan 2022

Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos

Walden Dissertations and Doctoral Studies

AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. …

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