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Impact of Ohio Senate Bill 265 on Infant Mortality Rate in Ohio
Get PDFThere is a problem with the infant mortality rate among Black women living in Ohio. Despite programs such as the Ohio Infant Mortality Reduction Initiative and Celebrate One, the infant mortality rate among Black women continues to persist, and a rate disparity between White women and Black women remains. The purpose of this generic qualitative inquiry was to explore retail pharmacists’ behavioral beliefs and attitudes toward providing prenatal care as a reimbursed service in Ohio. Currently, no studies exist that explore retail pharmacists\u27 behavioral beliefs and attitudes toward expanding their services to include prenatal care. Using Ajzen’s theory of planned behavior as a theoretical lens, the following research question was explored: With the implementation of Ohio Senate Bill 265 expanding access to care by designating pharmacists as healthcare providers, what behavioral beliefs and attitudes towards offering prenatal care as a reimbursed service influence pharmacists’ intention to positively impact the infant mortality rate in Ohio? Survey responses were obtained through open-ended structured surveys from 22 Ohio-based retail pharmacists who illustrated a positive attitude toward providing prenatal care and believed they could successfully provide additional services with adequate support. Overall, four emerging themes were identified: (a) adequate support needed (staffing, space, and time), (b) support for the addition of prenatal care, (c) proper training is critical, and (d) expanded access to care. The potential for positive social change is highlighted by the opportunity to reduce Ohio’s infant mortality rate by expanding Ohio Senate Bill 265, which would allow retail pharmacists to provide additional reimbursable clinical support services
Developing Organizational Leaders’ Personal Mastery Through Emotional Intelligence Training in the Workplace: An Interpretive Phenomenological Analysis
Get PDFMayer and Salovey, seminal researchers of emotional intelligence (EI), indicated that the ability measures of EI are still evolving, and the mental abilities involved in EI remain to be determined. Organizational leaders should understand this intention as the key to developing EI and personal mastery, resting firmly upon attaining accurate self-awareness as a prerequisite for human behavior. The purpose of this interpretive phenomenological analysis was to gain an understanding of the socially constructed realities of the lived experiences of organizational leaders and organizational development specialists who have completed Ennea International’s 5 Lens Development Platform (5LDP). Bandura’s social cognitive theory grounded this study. Four participants were purposively selected by applying convenience and snowballing methodologies to identify a small homogenous group. Data were collected using semistructured interviews with open-ended questions. Five themes emerged from the analysis, including that the 5LDP provides participants with a valid working platform for integrating EI-learned principles, skills, and abilities and a reliable framework for a continued, purposeful, and practiced way of being. This purposive meta-theoretical contribution expands upon decades of research in multiple interdisciplinary areas, including the corpus of industrial and organizational psychology, which may lead to new concepts, paradigms, and programs in organizations and schools. The implications for positive social change include the potential for organizational leaders to develop EI for continued self-improvement and personal mastery, extending to their teams’ efficacy, which may increase productivity and nurture diversity, equity, and inclusiveness
Strategies for Intimate Partner and Domestic Violence Survivorship
Get PDFDomestic violence victims suffer not only physical abuse but also emotional, psychological, and economic violence, leading to long-term trauma, poverty, and recovery barriers. At least 40% of victims of abuse and their children have experienced some form of violence. The lack of shelters, counseling, and legal support deepens the sense of hopelessness victims often feel. In this study, the gap in literature was addressed by exploring coping strategies of survivors of intimate partner and domestic violence in rural North Carolina. The social and economic effects of survivorship were explored in this study, especially the disruptions caused by the COVID-19 pandemic, which exacerbated isolation and limited access to services. Grounded in the Duluth model and attribution theory, this study was an examination of how survivors interpret their experiences and the social systems that support them. Interviews with 14 survivors selected for their experiences with abuse and service barriers during COVID-19 resulted in insights into key challenges and coping mechanisms. The findings from thematic analysis of coded interviews revealed obstacles like isolation, financial instability, and fear of retribution while highlighting how survivors adapted during the pandemic, providing valuable information for developing survivor-centered strategies and community interventions. Positive social change implications include the potential to inform local and state governments and social and human services professionals regarding the socioeconomic disadvantages and barriers that need to be addressed to increase survivorship among intimate partner and domestic violence in rural North Carolina
Impact of a Standardized Discharge Teaching Protocol for Congestive Heart Failure Patients in Emergency Room
Get PDFThis doctoral project was a staff education initiative to improve nursing knowledge through a standardized, evidence-based teaching discharge protocol for congestive heart failure (CHF) patients in emergency room (ER) observation units. CHF is a leading cause of hospital readmissions, often due to gaps in discharge education. Strengthening nursing clinical expertise by improving knowledge through standardized education supports effective teaching and promotes patient adherence. This project sought to answer the following practice-focused question: Does implementing staff education on CHF discharge practices result in an increase in staff knowledge? A PowerPoint presentation was created based on the analysis, design, development, implementation, and evaluation (ADDIE) model and delivered via live education sessions. Pre- and post-education surveys were included to assess the effects of the staff education. Surveys were analyzed using descriptive statistics to measure the change from presurvey to postsurvey. Participant presurvey scores were 73.5% and rose to 100% in the postsurvey, indicating notable knowledge gains. Key findings support integrating standardized discharge teaching into routine practice, emphasizing ongoing staff education. This initiative exemplifies evidence-based nursing education, supporting health equity for all patients and thereby promoting positive social change. Future recommendations to be considered include exploring the integration of digital education tools, interdisciplinary collaboration for discharge planning, and ongoing competency assessments for nursing staff
The Lived Experiences of Gay Trafficked and Traumatized Men Seeking Psychological and Forensic Restoration Services
Get PDFFeminine-centric, heteronormative psychological restoration interventions on gay minority men exposed to trauma and human trafficking are poorly understood. This study includes an analysis of forensics and psychological causal factors retrieved from 6 semi structured interviews with gay minority male psychological services providers. The corroboration of the clinical opinions of the participants and the enrichment of data using database reviews reflected poor treatment outcomes for the gay, minority-men population. The qualitative methodology and thematic analysis framework highlighted oppressive factors of structural intersectionality. This results in heteronormativity gender binaries that misalign with self-identified gender perceptions of gay-minority men exposed to trafficking and trauma experiences. This has led to service fragmentation, stemming from inequalities not only in psychological service access but also in the justice system, primarily impacting non-minority men due to its binary perspective. Both systemic disparities are attributable to disproportionate socioeconomic access to efficacious psychological restoration services for the gay trafficked and traumatized minority-men population, a vulnerability factor for further exploitation. Current trends of treatment poorly implement gender-affirming, culturally sensitive interventions for gay minority male survivors, which is currently a knowledge gap in the field of forensics and psychology. The implications of positive social change reflected in this study include upholding humanity\u27s rights by implementing innovative approaches and recognizing gay male minorities as protected categories, warranting priority status when accessing psychological restoration needs
Administrators’ and Teachers’ Perceptions and Experiences Regarding Alternative Discipline for Disabled Students
Get PDFCompared to other students, students with emotional and behavioral disorders receive more disciplinary consequences from within the public school system, which often means that students with emotional and behavioral disorders do not receive the same education. The purpose of this qualitative generic design study was to explore the perceptions and experiences of administrators and teachers in the public school system regarding using alternative discipline for African American students diagnosed with behavioral and emotional disabilities or disorders. The disability critical race framework was used as a framework for this study. Responses were generated through in-depth, semi-structured interviews of 10 participants. Thematic analysis was used to examine the participants’ interview responses. (a) structure influences the use of alternative discipline on students with a disability; (b) proper professional training services for understanding alternative discipline for students with disability; (c) decisions in discipline influence the; (d) skills set in decision-making may affect decision in disciplining students with a disability; (e) lack of consistency in working together; (f) lack of knowledge in conflict; and (g) lack knowledge on how to be problem solvers for students with a disability. The results of this study show the importance of alternative discipline used among students with disabilities and of color to ensure that their needs are met. This study can lead to positive social change by helping society work toward equality. Becoming more literate will help teachers and administrators know how to deal with the various behaviors and offer the students and families the necessary resources to help them grow and succeed in school
Experiences of Low-Risk, Low-Need Participants in a Gender-Neutral and Inclusive Domestic and Intimate Partner Violence Intervention Program
Get PDFTraditional batterer intervention programs often prioritize male-perpetrator-female-victim models, thereby overlooking diverse relationship contexts and marginalized populations. Understanding participants’ experiences is essential for researchers, policymakers, counselor educators, and practitioners to develop alternatives to one-size-fits-all gender- specific strategies, which aligns with the call for more robust evidence-based practices. The purpose of this hermeneutic phenomenological qualitative study, guided by van Manen’s framework, was to explore the lived experiences of low-risk, low-need participants who completed a gender-neutral and inclusive domestic and intimate partner violence intervention program. The research answered what essential themes emerged from the participants’ lived experiences. Data were collected from (n=8) participants through semi-structured interviews. Data were analyzed by employing thematic analysis and cross-case comparison, implementing the hermeneutic circle to iteratively explore the data and researcher reflexivity to mitigate bias and ensure interpretations remained grounded in participants’ lived experiences. Key findings revealed that participants’ experiences in the gender-neutral program highlighted the complexities of challenging traditional gender roles and power dynamics. Participants’ narratives illustrated both the potential and the difficulties of applying gender-neutral approaches to diverse relationships and mandated participation. The overarching themes of the transformational journey and the relational path to growth, along with experiences unpacking resistance and shaping understanding, suggest that the intervention offers opportunities to address assumptions, promote empathy and self-awareness, and encourage personal growth
Strategies for Migrating Data Warehouses to Data Lakehouses Using Public Cloud Computing
Get PDFThe exponential growth of big data—characterized by high volume, velocity, and variety—has overwhelmed the capacity of traditional data warehouses, making it difficult to deliver timely and actionable insights. This problem is critical for IT professionals in large organizations, who face the absence of robust, evidence-based migration strategies and rely on efficient data infrastructure to maintain competitive performance and support strategic decision-making. Anchored in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic study was to explore strategies employed by large organizations to migrate data warehouses to data lakehouses. The study involved semistructured interviews with six IT professionals from California-based organizations that migrated to data lakehouses within the past five years. Data were analyzed using the modified van Kaam method and thematic analysis. Three key themes emerged, corresponding to TOE dimensions: (a) technological factors, necessitating scalable infrastructure and seamless system integration; (b) organizational factors, encompassing resource allocation and robust management support; and (c) environmental factors, driven by regulatory compliance and competitive pressures. A key recommendation is for organizations to implement ongoing training programs to equip IT personnel with the skills needed to effectively manage and leverage data lakehouse technologies. The implications for positive social change include the potential for IT leaders to foster innovation by leveraging data-driven insights, benefiting organizational stakeholders and communities through enhanced economic competitiveness and improved access to advanced analytics
Staff Education to Improve Patient Outcomes and Treatment Compliance Through Use of Motivational Interviewing in the Mental Health Setting
Get PDFSummary: Treatment noncompliance is a significant problem within the realm of mental health care. Recurrent noncompliance increases symptom severity, the likelihood of a crisis, and the burden placed on mental health care resources. Motivational interviewing (MI) is an evidence-based practice (EBP) demonstrated through extensive research to positively affect patient outcomes. Teaching MI to mental health care providers is one option organizational leaders can choose to address treatment noncompliance. In order for MI to become standard nursing practice, a method of education must be developed and implemented. This necessitates the identification of effective education delivery methods. A staff education project was created in response to the question, In mental health nurses, does education on MI techniques, compared to no education, increase nurses\u27 knowledge on how to utilize MI in practice over 4 weeks? Analytical strategies utilized in management of the project included gap analysis; use of the Organizational Readiness for Implementing Change (ORIC) tool and the stakeholder analysis tool; and strength, weaknesses, opportunities, and threats (SWOT) analysis. Conclusions drawn from the postintervention phase indicated that an interactive, blended education model successfully increased nurses’ knowledge of MI techniques. Project results support the addition of the MI presentation into the yearly required educational modules. The positive social change implications of introducing the MI presentation into yearly learning modules include patient harm reduction, increased quality of life (QoL), decreased exacerbation of symptoms and development of comorbid diseases, and an increase in the accessibility and affordability of mental health care due to diminished strain on mental health services
Staff Educational Program on the Patient Health Questionnaire-9 Depression Screening Tool in a Psychiatric Outpatient Clinic
Get PDFThis Doctor of Nursing Practice (DNP) staff education project focused on improving the knowledge and confidence of psychiatric outpatient clinic staff in administering and interpreting the Patient Health Questionnaire-9 (PHQ-9), a critical tool for depression screening. Given the high prevalence of depression and disparities in mental health care, inconsistent PHQ-9 use can lead to delayed diagnoses and unequal access to treatment. Addressing this gap is both a clinical priority and a matter of social justice. I delivered a 2-hour educational program for 17 staff members to improve screening practices. The session included a PowerPoint presentation, role playing, and an interactive discussion, all designed to standardize PHQ-9 use and build staff confidence. The question guided the project: In a psychiatric outpatient clinic, how does a classroom-based educational program on the PHQ-9 affect nursing staff\u27s knowledge and confidence compared to baseline levels? Pre- and post-intervention assessments included multiple-choice questions and a 5-point Likert confidence scale. Results showed strong improvement: The correct interpretation of PHQ-9 score ranges rose from 55.6% to 94.1%, and participants’ average confidence scores increased from 3.44 to 4.88 (p = .005). These findings demonstrate the value of focused training in improving knowledge and clinical consistency. By promoting accurate and equitable depression screening, this project strengthens nursing practice and supports health equity. The project highlights the need to integrate PHQ-9 education into staff onboarding and continuing education. Additionally, it affirms the role of nurses in advancing social justice by ensuring all patients receive timely, inclusive, evidence-based mental health care