Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden University

Discipline
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 1051 - 1080 of 16252

Full-Text Articles in Entire DC Network

Improving Staff Knowledge Regarding Fall Prevention Guidelines In An Acute Care Setting, Opeyemi Adebayo Feb 2026

Improving Staff Knowledge Regarding Fall Prevention Guidelines In An Acute Care Setting, Opeyemi Adebayo

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a staff education initiative aimed at addressing gaps in the implementation of evidence-based fall prevention practices among nursing staff in an acute care hospital setting. Despite the availability of established fall prevention guidelines, inconsistent staff adherence to protocols continues to place patients at risk. This project was guided by the practice-focused question: Does nursing staff education on fall prevention guidelines improve nursing knowledge as compared to pre- to post-education? The purpose of the project was to develop a comprehensive resource to enhance nursing staff's knowledge of fall prevention guidelines. The Johns Hopkins evidence-based …

Go to article

Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel Feb 2026

Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) affects approximately 18 million individuals in India, yet the factors influencing parental care-seeking behavior were not well understood. Guided by the health belief model, the purpose of this basic qualitative study was to explore how parents’ perceived severity of a child’s symptoms, parental beliefs about the causes of autism, and perceived mental and physical health outcomes of caregiving influence parents’ intention to seek services for children aged 1–10 years diagnosed with ASD in India. Data were collected using semistructured interviews with 10 mothers of autistic children. Data were analyzed using Braun and Clarke’s six-step thematic analysis. …

Go to article

Program Proposal For A Nurse Led Pre-Procedure Readiness Program, Walter Magramo Feb 2026

Program Proposal For A Nurse Led Pre-Procedure Readiness Program, Walter Magramo

Walden Dissertations and Doctoral Studies

Same-day outpatient procedural cancellations represent a persistent challenge for healthcare organizations, negatively affecting patient safety, access, operational efficiency, and financial performance. This Doctor of Nursing Practice (DNP) executive leadership project proposes the implementation of a nurse-led, artificial intelligence (AI)–enhanced preprocedural readiness program within an outpatient procedural department. The initiative integrates standardized nurse-led readiness checklists, AI-supported clinical decision support embedded in the electronic health record, structured nurse-led outreach, and standardized patient and staff education to proactively identify and address preventable barriers to procedural readiness. Internal organizational data identified a sustained same-day cancellation rate of approximately 22%, with most cancellations attributable to …

Go to article

Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee Feb 2026

Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee

Walden Dissertations and Doctoral Studies

This is a qualitative case study on Organization X that used the Baldrige Framework to investigate employee burnout, a growing concern associated with staff turnover, reduced job satisfaction, depression, and disengagement. The goal was to examine how organizational leaders assess the effectiveness of burnout prevention strategies, identify organizational factors and leadership practices that either mitigate or increase burnout, and discover key factors that contribute to burnout. Semi-structured interviews, guided by the Baldrige Framework, were conducted with three leaders at Organization X. The themes resulting from interviews included burnout, open-ended communication, team cohesion, real-time protection, ethical leadership and authenticity, restoring norms, …

Go to article

Nurse-Led Educational Program For Standardized Discharge Coordination, Janet Foster Feb 2026

Nurse-Led Educational Program For Standardized Discharge Coordination, Janet Foster

Walden Dissertations and Doctoral Studies

Fragmented discharge processes increase the risk of missed follow-up, medication nonadherence, and avoidable 30-day psychiatric readmissions among individuals with serious mental illness (SMI). I conducted this Doctor of Nursing Practice project to address this practice gap by developing a standardized nurse-led educational framework to strengthen discharge coordination in an inpatient psychiatric setting. The practice-focused question examined whether a standardized nurse-led discharge coordination education framework would improve discharge coordination for adults with SMI transitioning from inpatient to outpatient psychiatric care compared with current non-standardized practices. In a comprehensive literature search using the Johns Hopkins Model, I identified 15 peer-reviewed studies, including …

Go to article

Staff Education To Implement Routine Use Of Hamilton Depression Rating Scale On The Identification And Severity Classification Of Adult Depression In Primary Care, Christencia Nkechi Obinna-Igbokwe Feb 2026

Staff Education To Implement Routine Use Of Hamilton Depression Rating Scale On The Identification And Severity Classification Of Adult Depression In Primary Care, Christencia Nkechi Obinna-Igbokwe

Walden Dissertations and Doctoral Studies

This Doctor of Nursing practice (DNP) project was a quality improvement initiative focused on staff education to standardize the workflow and documentation of the Hamilton depression rating scale (HAM-D). The goal was to enhance measurement-based care and mitigate inconsistencies in depression severity assessments that could potentially delay treatment modifications, follow-up planning, and safety decisions. The practice-focused inquiry examined whether a concise staff education program, in conjunction with a HAM-D clinical practice guideline, would enhance staff knowledge and preparedness to administer and document the HAM-D for routine severity monitoring in adults exhibiting depressive symptoms. Employing rapid-cycle plan–do–study–act (PDSA) methodologies, five members …

Go to article

Staff Education On Motivational Interviewing And Culturally Responsive Education To Reduce No-Shows And Appointment Cancellations, Aisha Adigun Feb 2026

Staff Education On Motivational Interviewing And Culturally Responsive Education To Reduce No-Shows And Appointment Cancellations, Aisha Adigun

Walden Dissertations and Doctoral Studies

No-show and late appointment cancellations remain significant challenges in outpatient psychiatry clinics, negatively impacting continuity of care, clinic efficiency, and patient outcomes. Motivational interviewing (MI) and culturally responsive communication are evidence-based approaches that support patient engagement and understanding, yet they are not consistently incorporated into staff education related to appointment adherence. This project evaluates whether staff education on MI and culturally responsive communication increases staff knowledge and skills in educating patients about no-show and appointment cancellation policies and whether this education contributes to improved appointment attendance. A pre–post intervention design will be used in an outpatient psychiatry clinic. Clinical and …

Go to article

Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro Feb 2026

Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro

Walden Dissertations and Doctoral Studies

Mental health services are available to police officers, but many do not utilize these resources due to stigma, shame, and fear of job loss. This reluctance often forces officers to handle mental health issues alone, frequently leading to unhealthy coping strategies that negatively impact their well-being and job performance. While advancements in mental health support exist, they primarily serve larger departments, leaving the needs of small departments largely unmet. The foundation of the study was rooted in resilience theory, which holds that the impact of trauma on an individual is determined not by the event itself but by the coping …

Go to article

Nurse-Led Telehealth Quality Improvement Initiative For Chronic Disease Management In Rural North Dakota, Alona J. Jarmin Feb 2026

Nurse-Led Telehealth Quality Improvement Initiative For Chronic Disease Management In Rural North Dakota, Alona J. Jarmin

Walden Dissertations and Doctoral Studies

In this quality improvement project, I assessed a telehealth-enhanced care coordination model in a rural primary care clinic to improve chronic disease management for adults with limited access to in-person services. The issues addressed included delayed follow-up, inconsistent self-management support, and limited continuity of care, which significantly affect rural populations and health equity. The purpose of this doctoral project was to evaluate whether a structured telehealth follow-up protocol improved key care coordination outcomes, appointment adherence, follow-up timeliness, and documentation completeness for rural adults receiving chronic disease management services. In this project, I employed a pre-/postimplementation evaluation design using de-identified electronic …

Go to article

Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes Feb 2026

Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes

Walden Dissertations and Doctoral Studies

Digital transformation projects have a failure rate of 66% to 84%, costing U.S. companies billions of dollars each year. Organizational leaders need to understand the implications of these costly failures, leading to substantial financial losses. The purpose of this qualitative descriptive phenomenological study was to explore the reasons for digital transformation project failures from the perspective of the lived experiences of U.S. project managers. The conceptual framework consisted of Lewin’s 3-stage change management model, Correani et al.’s digital transformation implementation model, Herzberg’s 2-factor theory of motivation-hygiene, and von Bertalanffy’s systems theory. The participants were 13 U.S. active, certified professional project …

Go to article

Multimodal Interventions To Assist In Reducing No Show Rates In An Outpatient Primary Care Setting, Amelia Barber Feb 2026

Multimodal Interventions To Assist In Reducing No Show Rates In An Outpatient Primary Care Setting, Amelia Barber

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) incorporated a Clinical Practice Guideline (CPG) approach to address a practice issue of increased no show rates of patients scheduled for follow-up appointments in an adult outpatient primary care setting. Missed appointments symbolize a long-standing practice problem in ambulatory care, exacerbating challenges like healthcare expenses, fragmented care, inefficient resource utilization, and delayed treatment often resulting in negative patient outcomes. The project’s purpose was to develop an evidence-based CPG with integrated multimodal patient outreach strategies, including patient portal, text messaging, transportation support, and live reminder calls within Electronic Health Record (EHR) system to prevent and/or …

Go to article

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte Feb 2026

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte

Walden Dissertations and Doctoral Studies

Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …

Go to article

Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis Feb 2026

Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis

Walden Dissertations and Doctoral Studies

This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …

Go to article

The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen Feb 2026

The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen

Walden Dissertations and Doctoral Studies

Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …

Go to article

Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne Feb 2026

Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an executive leadership proposal to develop an evidence-based program plan for standardized postpartum mental health screening and structured referral processes within an obstetric clinic. The practice problem was inconsistent postpartum mental health screening and follow up. Internal organizational data demonstrated elevated no-show and cancellation rates among obstetric patients referred for mental health services, reflecting gaps in care coordination, particularly for rural and underserved populations. The purpose of this project was to develop a comprehensive program plan guided by the following practice-focused question: Will a standardized postpartum mental health screening and structured referral program …

Go to article

Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra Feb 2026

Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra

Walden Dissertations and Doctoral Studies

Inpatient falls continue to represent a significant nurse-sensitive quality indicator associated with patient injury, extended hospital stays, and increased healthcare costs. Despite the presence of established fall-prevention protocols, inconsistent completion of fall-risk assessments and uneven application of prevention strategies contributed to ongoing fall events at the project site. The practice problem addressed in this Doctor of Nursing Practice (DNP) project was the lack of consistent staff knowledge and application of evidence-based fall-prevention practices. The purpose of this evidence-based quality improvement project was to implement and evaluate a structured fall-prevention staff education program to increase inpatient staff knowledge related to fall-prevention …

Go to article

Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle Feb 2026

Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle

Walden Dissertations and Doctoral Studies

The problem in this study was that at Windland Elementary School (WES; pseudonym) early childhood teachers experienced a 16% decrease in parent satisfaction with the school's ability to eliminate or reduce barriers to parent engagement. Framed by six types of activities that encompass family engagement from Epstein et al., the purpose of this study was to explore early childhood teachers' experiences in establishing and maintaining school-home relationships at WES. Data were collected through semistructured interviews with 10 Kindergarten through Grade 3 teachers who had at least 3 years’ teaching experience at WES. Thematic analysis using open coding yielded four key …

Go to article

Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell Feb 2026

Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …

Go to article

Challenges To Completion Of Workforce Adult Education Classes Among New Americans, Damon Grew Peter Syphers-Wilkins Feb 2026

Challenges To Completion Of Workforce Adult Education Classes Among New Americans, Damon Grew Peter Syphers-Wilkins

Walden Dissertations and Doctoral Studies

The problem which was addressed through this study was New American groups face challenges in the completion of workforce adult education classes. The purpose of this qualitative study was to explore New Americans’ challenges, needs, and cultural challenges to complete workforce adult education classes. The conceptual frameworks that guided this study were Knowles’ model of andragogy and Wlodkowski and Ginsberg’s motivational framework for culturally responsive teaching. Freire’s pedagogy of hope can inform future research focused on strengthening the model of andragogy and the motivational framework for culturally responsive teaching. For this phenomenological design, 10 semistructured telephone interviews were conducted with …

Go to article

Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller Feb 2026

Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on the development and expert appraisal of a clinical practice guideline (CPG) to improve home-based comfort care in hospice settings. Terminally ill patients frequently experience distressing symptoms such as pain, dyspnea, and nausea, yet inconsistent symptom management and documentation practices persist across hospice care (Henson et al., 2020). A CPG was developed to evaluate a comfort care kit for patients. The CPG was independently reviewed by a three-member expert panel using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, which consists of 23 items that are organized into …

Go to article

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris Feb 2026

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris

Walden Dissertations and Doctoral Studies

Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …

Go to article

Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba Feb 2026

Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba

Walden Dissertations and Doctoral Studies

This doctoral project focused on developing and evaluating a clinical practice guideline (CPG) to address the lack of standardized interdisciplinary communication between psychologists and psychiatric mental health nurse practitioners (PMHNPs) in a pediatric outpatient psychiatric setting. Inconsistent communication practices, including informal conversations, delayed documentation, and unstructured messaging, contributed to fragmented care and inefficient treatment coordination. To address this gap, an evidence-based, structured communication framework was developed to guide interdisciplinary collaboration. The guideline was developed using the Johns Hopkins Evidence-Based Practice model and supported by a review of 14 evidence sources spanning Levels I to V of the literature. A four-member …

Go to article

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn Feb 2026

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn

Walden Dissertations and Doctoral Studies

In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …

Go to article

Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel Feb 2026

Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel

Walden Dissertations and Doctoral Studies

Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …

Go to article

Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo Feb 2026

Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo

Walden Dissertations and Doctoral Studies

Patient falls remain a significant patient safety concern in emergency departments (EDs) despite the routine use of fall risk screening tools. At the project site, continued fall events suggested a gap in staff knowledge, confidence, and consistent application of evidence-based fall prevention strategies. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted staff education intervention would improve ED nursing staff's knowledge, confidence, and intent to identify fall risk, implement prevention strategies, and respond appropriately to patient falls. Guided by the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) instructional design model, an evidence-based educational intervention was developed …

Go to article

Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu Feb 2026

Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu

Walden Dissertations and Doctoral Studies

Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …

Go to article

Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky Feb 2026

Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky

Walden Dissertations and Doctoral Studies

Social media platforms have become significant contexts for informal learning among adults, offering access to information and peer exchange outside of formal educational settings. These platforms are also emotionally complex environments in which stress and emotion regulation may shape learning outcomes. The purpose of this quantitative, nonexperimental study was to examine the relationship between social media use and informal learning in adults, with perceived stress and emotion regulation examined as moderating variables. Secondary data from the Stress in America: The State of Our Nation, 2007–2018 surveys were analyzed, using binary logistic regression with moderation while controlling for age, gender, and …

Go to article

Staff Education To Address Financial Barriers In Outpatient Psychiatric Care, Yvette Taffou Kamayou Feb 2026

Staff Education To Address Financial Barriers In Outpatient Psychiatric Care, Yvette Taffou Kamayou

Walden Dissertations and Doctoral Studies

This staff education project addressed financial barriers that prevent psychiatric outpatients from accessing consistent care. High no-show rates in outpatient psychiatry, often 20–40%, stem largely from costs such as co-pays, transportation, and medication, leading to missed appointments, poorer outcomes, and increased healthcare costs. The practice-focused question was “In an outpatient psychiatric clinic, does a targeted staff education program on non-judgmental financial discussions, sliding-scale fees, and telehealth options improve staff knowledge, confidence, and patient referral rates to resources over 8 weeks?” The purpose was to implement and evaluate a structured educational intervention to equip staff with tools for addressing financial barriers, …

Go to article

Optimizing Telehealth Staff Education To Improve Medication Adherence In Adults With Ptsd, Omotayo Abdul Feb 2026

Optimizing Telehealth Staff Education To Improve Medication Adherence In Adults With Ptsd, Omotayo Abdul

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a staff education quality improvement initiative designed to optimize telehealth training for nurses to improve medication adherence in adults with posttraumatic stress disorder (PTSD). Telehealth has become an essential modality for delivering mental health care, yet its effectiveness depends heavily on nurses’ ability to communicate effectively, build trust, and engage patients in treatment discussions. Medication nonadherence remains a significant challenge in PTSD care and is closely linked to the quality of clinician communication and patient engagement during care encounters. The practice-focused question guiding this project asked how a staff education project on PTSD …

Go to article

The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy Feb 2026

The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …

Go to article

First Prev Next Last