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The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves

Walden Dissertations and Doctoral Studies

COVID-19 changed the methods in which therapy was traditionally delivered. Mental health therapists switched from in-person to virtual sessions during the pandemic. There was a gap in research related to stress levels of mental health therapists in the telehealth field. Adaptations were made by mental health therapists to provide services and as a result virtual platforms were used to connect with the community served. This qualitative research study was an exploration of mental health therapists perceived responses to stress or burnout in relation to a global pandemic. The theoretical foundation used to assess perceived stress is the Stress Theory. The …

An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate

Walden Dissertations and Doctoral Studies

Canada has exhibited lower productivity growth since 1990, resulting in substantially reduced gains in citizens’ standards of living despite the importance of sustainable productivity to economic prosperity. Understanding the primary factors that influence productivity growth is a critical concern for Canadian government leaders, as it is a key indicator of the nation’s economic vitality, competitiveness, and citizens’ quality of life. The purpose of this qualitative multiple case study was to explore the factors that influenced the investment in productivity improvement of organizations in the energy sector in the Edmonton region of Alberta, Canada. The COSO internal control framework guided this …

Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson

Walden Dissertations and Doctoral Studies

Workplace violence remains a significant issue in healthcare settings, particularly in emergency departments where psychiatric patients may present with aggressive behaviors. Nurses and healthcare staff are frequently exposed to verbal threats, intimidation, and physical aggression, which negatively impact staff safety, job satisfaction, and patient care quality. Despite workplace violence prevention policies, gaps remain in staff preparedness when managing escalating patient behaviors. The purpose of this Doctor of Nursing Practice project was to implement an evidence-based de-escalation training program to improve staff knowledge about managing aggressive psychiatric patients in the emergency department. The practice- focused question was: Can staff education on …

Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer

Walden Dissertations and Doctoral Studies

Maternal mortality (MM) continues to be a public health concern in the state of Arizona. There is little to no research investigating the relationship between MM and mental health conditions co-occurring with contributing factors among women who have died in Arizona while pregnant or within 1 year of the end of a pregnancy. The purposes of this quantitative study, guided by the three delays model (3DM), were to examine (a) MM and mental health conditions as the primary underlying cause of death; (b) MM and mental health conditions surrounding death; and (c) significant contributing factors (i.e., discrimination, knowledge, lack of …

Examining Hiv Testing In Black Americans In The Southern United States: Association Between Sexual Orientation, Gender Identity, Healthcare Access, And Hiv High-Risk Behaviors, Shavon Wolfe

Walden Dissertations and Doctoral Studies

Examining factors that affect HIV testing in the Black/African American population is important because socioeconomic hardship, stigma, and restricted access to healthcare all lead to gaps in early diagnosis and prevention treatment to prevent further spread of infection. However, most studies have focused on these factors separately, leaving less understanding of how they work together to influence HIV testing behavior. Guided by the health belief model, this study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV high-risk behaviors. The study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV testing, and the influence …

The Impact Of Super Political Action Committee Spending On Abortion Legislation In A Post-Dobbs Era, Jeni Atchley

Walden Dissertations and Doctoral Studies

Super political action committee (Super PAC) spending has become a prominent feature of U.S. elections, yet limited research had examined how independent expenditures related to electoral success in competitive U.S. House races and whether that relationship varied by candidates’ abortion policy positions in the post-Dobbs era. Prior research has shown that Super PAC independent expenditures expanded sharply after Citizens United and can influence candidate visibility in competitive races, yet findings on whether that spending translates into electoral success have been mixed, and few studies had examined it in relation to candidates' abortion positions after Dobbs. The purpose of this correlational …

Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake

Walden Dissertations and Doctoral Studies

Community health workers (CHWs) distributing sterile injecting equipment help reduce infectious disease transmission among people who inject drugs; however, limited research exists regarding their experiences delivering harm reduction services during public health emergencies in rural areas. The purpose of this qualitative study was to explore CHWs’ experiences and perceptions of health risks, operational barriers, and social influences affecting harm reduction service delivery during the COVID-19 pandemic in the Barren River Area Development District. The health belief model guided this study, emphasizing perceived susceptibility, severity, barriers, benefits, and self-efficacy. Data were collected through semistructured Zoom interviews with eight purposively sampled CHWs …

Law Enforcement Help-Seeking Behaviors And Organizational Mental Health Supports, Jordan Elizabeth Longendorf

Walden Dissertations and Doctoral Studies

Due to the traumatic and repetitive nature of law enforcement work, mental health support is often needed by officers, but is not consistently sought. Law enforcement leaders need to understand this concern as a leading indicator of workforce well-being, organizational effectiveness, and officers’ willingness to seek needed mental health support. Guided by the conceptual framework of Rickwood and Thomas’s help-seeking behaviors, the purpose of this descriptive phenomenological study was to explore law enforcement officers’ lived experiences of help-seeking behaviors for emotional and mental health issues. Data were collected through six semistructured interviews with current law enforcement officers in four different …

Managing Instructional Leadership: K–12 Principals Seen Through The Lens Of Instructional Leadership Theory, Natalie Marie Poli

Walden Dissertations and Doctoral Studies

The research problem guiding this study was K–12 principals are challenged to manage their responsibilities for instructional leadership. Grounded in instructional leadership theory and Covey's Time Management Matrix, the purpose of this qualitative study was to explore K–12 principals' perspectives of the challenges they face in managing instructional leadership responsibilities and how they categorize the significance of those responsibilities. Using a basic qualitative design, semistructured interviews were conducted with 10 K–12 principals from a suburban Midwestern public school district with at least 2 years of principal experience, and the data were analyzed using a hybrid a priori and inductive thematic …

Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) poses significant health challenges globally, with individuals and health care systems in rural communities particularly affected. Adherence to antidiabetic medication is crucial for effective management of T2DM. Still, people with T2DM encounter barriers that lead to nonadherence, resulting in poor glycemic control, increased complications, and higher health care costs. The purpose of this study was to explore the perceptions and experiences of rural Jamaicans regarding the factors influencing nonadherence to antidiabetic medications. The basic qualitative study was underpinned by social cognitive theory. Semi-structured interviews were conducted with eight rural Jamaican participants with T2DM. Interview data …

Talent Management Strategies For Employee Retention And Business Effectiveness In Small To Medium-Sized Businesses, Felicia Y. Coverson

Walden Dissertations and Doctoral Studies

One of the most persistent and costly challenges faced by leaders of small-to medium-sized businesses (SMBs) is retaining skilled employees. SMB leaders are concerned about retaining skilled employees because employee turnover threatens organizational stability, productivity, and long-term competitiveness. Grounded in Becker’s human capital theory and Barney’s resource-based view theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the talent management strategies SMB leaders use to retain employees and enhance business effectiveness. The participants were eight SMB leaders with responsibility for talent management and employee retention in Columbia, South Carolina. Data were collected through semistructured interviews and …

General Education Primary Teachers’ Perspectives Of Inclusive Practices To Engage Students With Special Educational Needs, Zhen Rolle

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that general education primary teachers (GEPTs) struggled to engage students with special educational needs (SEN) in Bahamian primary inclusive classrooms (BPICs). The purpose of this qualitative study was to investigate GEPTs’ perspectives on their successes, challenges, and additional training needed to engage students with SEN in BPICs. This study was guided by universal design for learning, pioneered by Rose and Meyer, which supported an inclusive academic environment that accommodated students with SEN. For this basic qualitative design, data were collected from semistructured interviews with 10 GEPTs. Through thematic analysis, the following five themes …

Staff Education To Instruct Nurses On How To Use The Braden Scale To Increase Their Knowledge, Anna Shedrick

Walden Dissertations and Doctoral Studies

No abstract provided.

U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward

Walden Dissertations and Doctoral Studies

Health care leaders in the United States increasingly adopt artificial intelligence (AI) to improve operational efficiency, yet many organizations struggle to achieve sustained operational value from AI initiatives. This problem is important to health care leaders, patients, clinicians, staff, and communities because AI-supported decisions may affect workflow, access, safety, staffing, and trust. The purpose of this qualitative pragmatic inquiry project was to explore strategies U.S. health care leaders used to improve operational efficiency through AI in hospital settings. Eight U.S. health care leaders in hospital settings across the United States participated. The technology-organization-environment framework grounded the project. Data were collected …

Enhancing Nursing Competency In The Ambulatory Surgery Center, Rachael Owokole

Walden Dissertations and Doctoral Studies

In this project, I addressed a persistent practice problem among agency nurses working in an ambulatory surgery center (ASC) in Southern California, who often enter the facility with varying familiarity with its policies and procedures. I designed this staff education, evidence-based practice (EBP), quality-improvement initiative to strengthen nursing knowledge and competency among agency nurses at the facility. The practice question was designed to assess on whether their knowledge and self-perceived competency improved after participating in the education program. I obtained evidence for the project from peer‑reviewed research, clinical guidelines, and national competency frameworks. I identified sources through systematic searches of …

Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas

Walden Dissertations and Doctoral Studies

College students aged 18–25 transitioning to independent living often experience changes in diet, physical activity, stress, and time management that increase health risks. These challenges may be amplified in semi-urban communities by limited access to healthy food, transportation barriers, and scheduling constraints. This qualitative phenomenological study explored how college students in Huntsville, Texas, perceived and interpreted these lifestyle changes and their influence on perceptions of health and weight. Guided by the social ecological model, the study included 12 participants who were 18–25 years old, enrolled in college, living independently in Huntsville, Texas, and able to describe their experiences with lifestyle …

Psychosocial Characteristics Of Self-Identifying Incels, Joleen Koroluck

Walden Dissertations and Doctoral Studies

Research examining individuals who self-identify as involuntary celibates (incels) has increased in response to concerns surrounding online grievance communities and violence-related rhetoric. Despite growing scholarship, limited research has examined the psychosocial lived experiences of individuals who identify as incels. The purpose of this qualitative study was to explore these experiences and examine factors associated with violent or extremist beliefs within incel-related online communities. Guided by social comparison theory and social identity theory, reflexive thematic analysis was used to examine 90 publicly available forum posts collected from 4Chan, Incel.is, and Looksmaxx. The data were manually coded and analyzed through iterative thematic …

Examining The Relationship Between Employee Engagement, Career Advancement, And Talent Retention, Nadeen Angella Allen

Walden Dissertations and Doctoral Studies

Retaining talent continues to be a challenge for organizations and their business leaders. The problem is important to human resource (HR) business leaders because retaining talent helps reduce turnover costs, preserve institutional knowledge, strengthen workforce stability, and enhance organizational success and competitive advantage. The purpose of this quantitative correlational research project, grounded in the social exchange theory, was to examine the relationships between employee engagement, career advancement, and talent retention among employees working for organizations throughout the southeastern United States. The participants were 78 employees in the southeastern United States who met the exclusion criteria and who completed the Utrecht …

Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju

Walden Dissertations and Doctoral Studies

Poverty disproportionately affects rural populations, women, and children and is shaped by structural inequalities in access to resources and opportunities, reinforcing cycles of disadvantage. Although existing literature provides extensive quantitative evidence on multidimensional poverty, there remains a limited qualitative understanding of how these deprivations are experienced at the household level. This generic qualitative study addressed this gap by examining the lived experiences of heads of households in Bayelsa West Senatorial District, Nigeria, where poverty incidence and intensity are among the highest nationally. Drawing on Sen’s capability theory, Atkinson’s multidimensional poverty framework, and the social determinants of health model, this study …

Fall Prevention Education Among Older Adults At Townson Assisted Living Facility (Talf), Yolana Farrell-Williams

Walden Dissertations and Doctoral Studies

Falls in the elderly are a significant cause of injury, disability, and preventable medical expenditure; thus, fall prevention is an issue to assisted living homes like Townson Assisted Living Facility (TALF). The internal incident reports showed that persistent fall incidents were associated with inconsistent knowledge among the staff and unequal observed compliance with fall-prevention guidelines, indicating a practice gap in the systematized education of nurses. Educational interventions are effective in achieving high-quality staff, adherence to protocols, and outcomes concerning falls. Consequently, the current project was conducted to determine whether a specialized falls-prevention education program would enhance the knowledge and competency …

Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth

Walden Dissertations and Doctoral Studies

Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …

The Ppp Model In Action: Empowering Tertiary Vocational Students Through Digital And English Training, Hüsem Korkmaz, Ali Geris, Cenk Yoldaş

Higher Learning Research Communications

Objectives: This study aimed to explore the stakeholder perspectives in a public–private partnership project as a remarkable initiative to enhance quality education at the tertiary level in Turkey. In this regard, the motivations behind participating in the partnership, perceived benefits and challenges, significant outcomes, and recommendations for similar prospective partnership programs were investigated empirically.

Method: The study employed a qualitative phenomenological research design, which relies on semi-structured interviews and focus group discussions with the key stakeholders of a public–private partnership project to empower vocational higher education. The data were collected from the representatives of Enerjisa Üretim Company (n = …

Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey

Walden Dissertations and Doctoral Studies

Construction remains one of the most hazardous industries in the United States, while employer-sponsored training opportunities have declined, raising concerns about safety, workforce readiness, and knowledge transfer. Construction leaders need to understand how workers perceive immersive virtual reality (IVR) amid these challenges as an indicator of persistent safety risks, limited workforce preparedness, and ineffective knowledge transfer. The purpose of this single exploratory case study was to examine construction workers’ perceptions of the effectiveness of IVR in transferring knowledge to enhance job performance. Guided by Kirkpatrick’s four-level model of training evaluation, participants’ perceptions of reaction, learning, behavior, and results were examined. …

Perceptions Of African American Males Regarding Legal Risks Of Alcohol Misuse, Tylisha Wright

Walden Dissertations and Doctoral Studies

Alcohol misuse among young adults leads to legal, social, and behavioral consequences in the United States. The justice system unequally impacts young African American males. The purpose of this generic qualitative study was to understand perceptions of legal risks of alcohol misuse among African American young adult males who were formerly adjudicated or nonadjudicated. The research question involved African American young adult males and legal risks associated with misuse of alcohol. The differential association theory guided this study in terms of its emphasis on decision-making and learned social behaviors. Data for this study were collected through semi-structured interviews with eight …

Comparative Analysis Of “Silver Education” In Kazakhstan, Europe, Asia, And The United States, Diana Abetova, Albina Dossanova, Mehmet Cuneyt Birkok

Higher Learning Research Communications

Objectives: The study aimed to compare “silver education” policies in Kazakhstan, several European countries (Germany, Finland, France, the United Kingdom, Italy, and Spain), countries in Asia (China, Japan, South Korea and Thailand), and the United States to identify the strengths and weaknesses of the Kazakh model and to suggest improvements.

Methods: Methods included synthesis, comparative and system analysis, and structural-functional analysis.

Results: The findings show that Kazakhstan is in the early stages of developing silver education, lacking a dedicated legal framework and offering limited educational opportunities for older adults (aged 65 and over). In contrast, other countries examined have well-established …

A Glimpse Into Classrooms: Teachers’ Experiences Pre- And Post-Covid, Sam Hilbert, Katherine Wheeler, Robin H. Lock, Janna Brendle, Kassi Gregory

Journal of Educational Research and Practice

The COVID-19 pandemic forced many schools to pause in-person learning. Prior research indicates that these closures affected overall mental health and student academic performance. Mental health concerns, particularly anxiety and depression, were exacerbated for many school-aged children during these closures. Research has linked disorders, such as anxiety and depression, with changes in behaviors. Academic gaps have also been linked with negatively displayed behaviors in school settings. COVID school closures resulted in a 25% increased global prevalence of anxiety and depression diagnoses and an estimated 1-year academic loss in student learning. Although both variables have been shown to contribute to changes …

Navigating Leadership With A History Of Parental Incarceration: An Interpretative Phenomenological Analysis Of Nurse Managers’ Professional Relationships And Coaching Receptivity, Demetria Hazlett

Walden Dissertations and Doctoral Studies

Nurse managers play a critical role in healthcare organizations, yet limited research has examined how early-life adversity, such as parental incarceration, influences leadership relationships and development. The purpose of this qualitative phenomenological study, guided by interpretative phenomenological analysis (IPA), was to explore how nurse managers’ lived experiences of parental incarceration made sense of their influenced attachment-related relational patterns, professional relationships, and receptivity to leadership coaching. The attachment theory and Karpman’s Drama Triangle grounded this study. The participants comprised eight nurse managers in six states within the United States. Data were collected through semistructured interviews and analyzed using the IPA analytic …

Shame, Resilience, And Disclosure Predictors Of Mental Health Seeking In Male Veterans With Ptsd And Military Sexual Trauma, Neftali Melendez

Walden Dissertations and Doctoral Studies

Male veterans are often the least likely to report military sexual trauma (MST), increasing the experience of shame, fear, fragility, and mental health disorders. The primary goal of this study was to examine the relationship of shame (internal and external), attitudes towards disclosure, and resilience on mental health help-seeking in male veterans who have experienced sexual abuse while in the military. Brown’s theory of shame resilience guided the development of the hypotheses and interpretation of results. Approximately 146 veterans participated in an anonymous online cross-sectional survey using a convenience sampling design and psychometrically validated questionnaires (Mental Help Seeking Attitudes Scale, …

Marketing Strategies To Increase Student Enrollment To Generate Revenue, Jermaine R. Mccain

Walden Dissertations and Doctoral Studies

Declining student enrollment can reduce district revenue and limit a public school’s ability to sustain educational programs, staffing, and overall organizational effectiveness. Public school business leaders who lack effective marketing strategies to increase student enrollment may experience financial instability, limiting their organization’s capacity to maintain long-term operational sustainability. Grounded in consumer choice theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective marketing strategies public school business leaders use to increase student enrollment to generate district revenue. Participants were six public school business leaders in the southeastern United States. Data were collected through semistructured interviews and …

The Association Between Food Insecurity, Housing Insecurity, Self-Care Practice And Depression Among Black Immigrants In The United States, Beatrice Ngozi Mbaocha

Walden Dissertations and Doctoral Studies

The prevalence and poor prognosis of depressive symptoms remain significant among adult Black immigrants in the United States. This study examined the complex interplay between food insecurity, housing insecurity, self-care practices, and depression among adult Black immigrants in the United States. Grounded in the socioecological model, this quantitative cross-sectional study analyzed data from N = 469 noninstitutionalized Black immigrant adults (54.2% female, 45.8% male) using the 2023 National Health Interview Survey. Binary logistic regression was employed to assess the probability of depressive symptoms as a function of food insecurity, housing insecurity, and self-care practices, controlling for age, gender, and employment …