Digital Commons Network^™

Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke

Walden Dissertations and Doctoral Studies

Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …

Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal

Walden Dissertations and Doctoral Studies

Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …

Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade

Walden Dissertations and Doctoral Studies

This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …

Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson

Walden Dissertations and Doctoral Studies

Unmet social determinants of health (SDOH) contribute significantly to poor health outcomes, increased healthcare utilization, and persistent inequities in access to care. In a primary care organization, the inconsistent identification and management of patients’ social needs resulted in variable documentation, limited referrals to social work services, and avoidable emergency department (ED) utilization. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an executive leadership systems implementation proposal to standardize the identification and referral of at-risk patients through the integration of a validated social needs screening tool into the electronic health record (EHR). The guiding practice-focused question …

Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori

Walden Dissertations and Doctoral Studies

Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …

Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay

Walden Dissertations and Doctoral Studies

This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …

Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris

Walden Dissertations and Doctoral Studies

Many outpatient substance use treatment centers struggle with retention and recruitment of counseling staff. Without sufficient staff, substance use outpatient treatment centers are unable to provide services to patients who need such support, and patients often seek care in places like the emergency department, which creates problems for the healthcare system, such as overcrowding. The purpose of this research was to identify strategies to increase retention and improve recruiting effectiveness for counseling staff at outpatient substance use treatment centers. The conceptual framework of plan, recruit, retain underpinned this integrative review. The review question centered on the best strategies to reduce …

Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware

Walden Dissertations and Doctoral Studies

Police officers across the United States frequently respond to individuals experiencing mental health crises, yet many lack specialized training to manage these encounters effectively. The Crisis Intervention Team (CIT) model was developed to improve law enforcement responses through collaboration with mental health professionals and an emphasis on de-escalation. Although prior research has examined measurable outcomes associated with CIT programs, limited qualitative research has explored CIT-trained officers’ lived experiences and perceptions of effectiveness. The purpose of this qualitative exploratory case study was to examine how CIT-trained officers use their skills to reduce arrest, officer and citizen injury, and use of force …

Patient Education Brochure On Diabetic Foot Care In A Primary Care Setting, Trinitas (Nitas) Duru Oha

Walden Dissertations and Doctoral Studies

This Doctoral Nursing Practice (DNP) project was an evidence-based quality improvement (QI) initiative. The practice problem was the absence of expert-validated diabetic foot care education materials, insufficient and inconsistent patient education, and patients' limited knowledge of self-care for diabetic foot care, all of which led to the persistence of diabetic foot complications in primary care settings. Due to the organization’s identified lack of patient education materials, an evidence-based diabetic foot care brochure for diabetic self-foot care education was developed. The patient education materials assessment tool (PEMAT) was used to evaluate the brochure's efficacy. The practice question was designed to determine …

Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding

Walden Dissertations and Doctoral Studies

This study was focused on law enforcement officers’ experiences with secondary traumatic stress and coping while working with child molesters. Lazarus and Folkman’s cognitive model of stress and coping were used to examine how law enforcement officers manage stress, focusing on their cognitive processes and thought patterns. Using a basic qualitative approach, eight law enforcement officers who work with child molesters in the state of South Carolina were interviewed to hear their personal experiences. Interviews were semi-structured interview questions via a video-conferencing platform. The data were analyzed and coded using Braun and Clarke’s six-step thematic analysis. The study’s findings confirmed …

Lyari: A War Unseen, Sammi Deen

MSJ Capstone Projects

This capstone explores the conflict in Lyari Karachi and its enduring aftermath on the locals. It examines the lived experiences of conflict victims, their families and the profound psychological traumas resulting from prolonged violence. The study highlights how the conflict continue to shape everyday life in Lyari.

My capstone provides overview of the Lyari conflict, followed by an in-depth analysis of its social and human consequences. It documents the impacts on locals’ communities, particularly victims’ families, and illustrates how the conflict not only devastated lives but also contributed to the spread of drug abuse, lawlessness, and a culture of unaccountability, …

Protecting ‘Punks’: The Shortcomings Of The Prison Rape Elimination Act, Rachel Goldsmith

Binghamton University Undergraduate Journal

Prisoner-on-prisoner sexual abuse is widespread in US male prisons, with inmates “turning each other out” by sexually assaulting each other. While the Prison Rape Elimination Act (PREA) received unanimous support in Congress in 2003, motivated by the Human Rights Watch Report “No Escape: Male Rape in Prisons,” scholars argue that the PREA fails to protect prisoners from prison rape: for example, its standards may be ineffective or criminalize consensual sex between prisoners. This essay will examine the shortcomings of the PREA, drawing on current legal scholarship, and propose solutions to enhance the law's effectiveness in protecting prisoners. The US government …

Evaluating Functional Imagery Training And Internal Visual Imagery On Tennis Serve Performance, Jonathan Rhodes, Amelie Leach

School of Psychology

Imagery is widely used in sport, but its effectiveness depends on how it is structured and the range of senses engaged. This study compared Functional Imagery Training - a multisensory, motivational intervention - with single-sense internal visual imagery and a control condition without imagery training. Thirty-eight competitive tennis players completed imagery ability and preference assessments before engaging in a 6-week intervention. Serve accuracy was measured pre- and post intervention using a target-based scoring task. Both imagery conditions led to performance improvements, with Functional Imagery Training producing significantly greater gains. The control group showed no significant change. Imagery ability and preferred …

Transition Beyond The Transaction, Finding Clarity Through Learning: An Autoethnographic Study Of My Search For Purpose And Meaning As A Graduate Student Veteran, Guy Delahoussaye

Electronic Theses and Dissertations Archive

The issue at hand for this study is the lack of specifically designed support for graduate student veterans as they transition from military service in search of a job in the civilian workforce. A recent Department of Veteran Affairs study stated that in 2018, nearly 700,000 veterans used veteran educational benefits, with 52% of this group in undergraduate programs and 9% in graduate programs. Both undergraduate and graduate student veterans seek career opportunities, personal growth, improvement of economic status, and professional advancement, but how these groups approach achieving their goals is not the same. When support was available, there was …

Evaluation Of The Consistency Of A Speech Verification System With Human Raters In Early Literacy Screening Assessments, Yaacov Petscher, Jennifer O'Sullivan, Hugh W. Catts, Ashley Edwards, Lisa Fitton Ph.D., Ccc-Slp

Faculty Publications

This study investigates the use of a speech verification system (SVS) technology, a form of automatic speech recognition (ASR), in the assessment of children's reading skills. Despite the growing integration of ASR systems in educational assessment, significant challenges persist, particularly due to the acoustic, pronunciation and dialectal variability inherent in children's speech. Our research evaluated the consistency between human rater (HR) and speech verification system (SVS) scores produced from SoapBox Labs across three linguistic tasks—phoneme blending, expressive vocabulary and word reading. Results reveal variability in agreement rates, with SVS showing lower consistency with human raters in phonologically complex tasks like …

Evaluation Of The Consistency Of A Speech Verification System With Human Raters In Early Literacy Screening Assessments, Yaacov Petscher, Jennifer O'Sullivan, Hugh W. Catts, Ashley Edwards, Lisa Fitton Ph.D., Ccc-Slp

Faculty Publications

This study investigates the use of a speech verification system (SVS) technology, a form of automatic speech recognition (ASR), in the assessment of children's reading skills. Despite the growing integration of ASR systems in educational assessment, significant challenges persist, particularly due to the acoustic, pronunciation and dialectal variability inherent in children's speech. Our research evaluated the consistency between human rater (HR) and speech verification system (SVS) scores produced from SoapBox Labs across three linguistic tasks—phoneme blending, expressive vocabulary and word reading. Results reveal variability in agreement rates, with SVS showing lower consistency with human raters in phonologically complex tasks like …

Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal

Walden Dissertations and Doctoral Studies

Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …

Turn Teams, Ashley Johnson

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure injuries (HAPIs) are recognized as a prominent cause of patient morbidity and mortality, affect lengths of stay, and are one of the most costly and chronic adverse events in healthcare. A structured Turn Teams program with enhancements was evaluated in a novel unit within a healthcare organization that had implemented the approach on another unit as the focus of this Doctor of Nursing Practice project. The guiding question was, Does implementing Turn Teams as a quality improvement measure improve pressure injury rates in patients with a Braden Score of 18 or lower and enhance staff compliance with the …

The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham

Walden Dissertations and Doctoral Studies

In The Bahamas, the quality of care received by culturally diverse patients remains generally poor, highlighting an inability to adapt to the changing climate and adopt culturally responsive practices. The purpose of this quantitative causal-comparative study was to examine the relationship between perceived cultural competence of healthcare providers in The Bahamas and its impact on patient outcomes for the non-Bahamian patients they treat. The tripartite model of cultural competence grounded this study. The participants comprised 49 non-Bahamian patients from the public and private sectors. They completed the patient-reported physician cultural competency measure, self-efficacy for managing medications and treatments, and the …

Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga

Walden Dissertations and Doctoral Studies

This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …

Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams

Walden Dissertations and Doctoral Studies

Early childhood education (ECE) educators leave their profession at a rate 14% higher than K-12 educators, resulting in multisystemic issues that affect children, families, staff, and the ECE industry. Research has shown a connection between leadership practices and ECE educator turnover intentions; however, there is limited research on the relationship between the servant-leadership (SL) practices of ECE directors and ECE educators’ turnover intentions. Grounded in Greenleaf’s theory of servant-leadership, the purpose of this quantitative study was to explore the relationship between ECE director SL practices and its seven dimensions, measured using the SL scale, and ECE educator turnover intentions, measured …

Risk Management Strategies For Project Efficiency, Paulisa Janel Scarlett

Walden Dissertations and Doctoral Studies

Ineffective risk management strategies negatively impact organizational leaders due to potential project failures, financial losses, and diminished stakeholder trust. Grounded in general systems theory, this qualitative pragmatic inquiry was to explore senior project managers’ risk management strategies for enhancing project outcomes, efficiency, and profitability. Nine senior project managers from construction, software development, marketing, mechanical engineering, and automotive manufacturing, all overseeing complex, high-risk projects, participated in the study. Data were collected through semistructured interviews, organizational reports, and project documents. Thematic analysis, using Braun and Clarke’s six-step process, was employed to identify patterns aligned with the research questions. Five major themes emerged: …

Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a leading cause of hospital readmissions. At the project site, early palliative care was inconsistently integrated despite strong evidence of benefit, suggesting that limited staff knowledge, lack of standardized referral processes, and uncertainty regarding referral timing contributed to this practice gap. The guiding practice-focused question was, “Does educating staff on early palliative care integration for HF patients improve knowledge as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model and the ADDIE instructional design model guided project development and implementation. A comprehensive literature search was conducted using MEDLINE/PubMed, CINAHL Complete, ProQuest, and …

Development And Diffusion Of The Social Capital Index (Soci), Dean Kyne, Daniel P. Aldrich, Dominic Kyei

Sociology Faculty Publications

Social capital influences community disaster preparedness, response, and recovery. In 2020, Kyne and Aldrich introduced the Social Capital Index (SoCI), a pioneering, publicly available county-level measure capturing bonding, bridging, and linking social capital across the United States. Since then, the SoCI has been widely adopted across disciplines and applied in diverse research contexts. Five years later, emerging theoretical developments and expanded data availability offer an opportunity to reassess its diffusion and strengthen its methodological foundations. This study addresses three objectives: (1) revisiting the conceptual roots that informed the original index, (2) examining its diffusion through citation and co-citation analyses of …

Cover And Contents

Turkish Journal of Physics

No abstract provided.

Scalar Hybrid Meson B̄Gc, Bi̇rten Barsbay İnaç

Turkish Journal of Physics

The scalar hybrid meson H_bc, containing both heavy b and c quarks, represents an intriguing exotic state in QCD. In this article, we investigate its strong decay properties using three-point QCD sum rules. We focus on the two leading decay channels, H_bc → B⁺ D⁰ and H_bc → B⁰ D⁺, which are expected to dominate the decay dynamics. The B and D mesons produced in these decays each consist of one heavy and one light quark. The strong coupling constants at the corresponding vertices are extracted, and the partial decay widths …

The 1/C Expansion Of General Relativity In A 3+1 Formulation, Revisited, Mahmut Elbi̇stan

Turkish Journal of Physics

We study the 1/c expansion of general relativity within a formulation that is compatible with both the Arnowitt-Deser-Misner and the Kol-Smolkin decompositions. The Einstein-Hilbert action takes a common form for those decompositions as they are dual to each other. We first develop a method to expand this generic form and then push the expansion up to c−3 order within this novel approach. Next, we apply our technique to the Arnowitt-Deser-Misner decomposition and expand it up to c−3 order explicitly. In order to demonstrate the applicability of our method and to highlight the duality at the level of expansion, we also …

Outburst Characteristics Of Transient  Low-Mass X-Ray Binary 4u 1608-52, Can Güngör

Turkish Journal of Physics

We present a detailed analysis of the long-term X-ray light curve of 4U 1608–52, focusing on fast-rising exponential-decay (FRED) outbursts, low-intensity states, and quiescent intervals. By calibrating the onset times of the outbursts, we identify three distinct classes for the FRED-type events: (i) the long-high outbursts, exceeding ~50 d in duration with peak count rates above ~40 cnt s-1; (ii) the short-medium outbursts, with durations of ~20 d and peak count rates of ~30-50 cnt s-1; and (iii) the short-low outbursts, also lasting ~20 d but reaching only ~20-30 cnt s-1 at peak. Furthermore, we examine the relation between preoutburst …

New Measurement And Analysis For The 15N + 11B Elastic Scattering System, Nurlan Amangeldi, İsmai̇l Boztosun, Dauren Soldatkhan, Bakytbek Mauyey, Kanat Makhanov, Raimbek Akhat, Aida Anuar, Gani Yergaliuly

Turkish Journal of Physics

New experimental data on the elastic scattering of the nuclear process 15N+11B at an energy of Elab=26.25 MeV were obtained on the DC-60 cyclotron of the INP RK. Based on a semi-microscopic analysis of the interaction of an accelerated 15N ion with 1p-shell nuclei 11B the effectiveness of the new B3Y-Fetal potential was studied. . The difference between the B3Y-Fetal potential and the traditional Yukawa potentials (M3Y-Reid and M3Y-Paris) is that its density-dependent parameters are determined from the saturation condition of nuclear matter at low energy. Analysis was performed on double folding optical model (DFOM) and so no for other …

Determinasi Minimum Dietary Diversity Pada Anak Usia 6-23 Bulan: Analisis Survei Kesehatan Indonesia 2023, Elfys Ferdynan, Besral Besral

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Keragaman pangan minimum atau minimum dietary diversity (MDD) merupakan indikator penting kualitas konsumsi pangan anak usia 6-23 bulan. Pemenuhan MDD berperan dalam mendukung pertumbuhan optimal dan pencegahan malnutrisi, termasuk stunting. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan pemenuhan MDD pada anak usia 6-23 bulan di Indonesia. Data yang digunakan adalah data Survei Kesehatan Indonesia 2023 dengan desain potong lintang. Subjek penelitian adalah 17.991 anak usia 6-23 bulan. Analisis yang dilakukan menggunakan regresi logistik biner dengan penyesuaian desain complex samples. Hasil penelitian menunjukkan bahwa faktor yang meningkatkan peluang pemenuhan MDD secara signifikan meliputi usia anak 12-23 bulan, …