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Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr. Mar 2026

Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr.

Walden Dissertations and Doctoral Studies

Arkansas’s COVID-19 vaccine rates were among the lowest for African Americans in Arkansas, who were hesitant to accept the vaccine. The purpose of this qualitative phenomenological study was to explore the lived experiences of African American adults in Pulaski County, Arkansas, and to explore factors influencing COVID-19 vaccine hesitancy and access to health care services. Guided by Andersen’s health care utilization model, the study focused on predisposing, enabling, and need-based factors shaping health care decision making. Data were collected through semi-structured interviews with 8 African American adults and analyzed using directed content analysis. Findings from the analysis revealed 365 codes, …

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Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord Mar 2026

Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord

Walden Dissertations and Doctoral Studies

There is a lack of acute crisis services for youth in the United States. In San Luis Obispo County, California, there are no designated facilities with crisis stabilization services near family homes for children in acute crisis. Grounded in Stroul et al.’s system of care approach for children and families, the purpose of this qualitative force field analysis study was to explore human service administrators’ perceptions of the services youth in acute crisis need to stabilize within San Luis Obispo County. Directors at youth human services county departments and nonprofits were contacted to help recruit a purposeful sample of 11 …

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Underreporting Of Campus Crimes: A Study On Students' Preference For Peer Reporting Over Official Channels, Vanessa White Mar 2026

Underreporting Of Campus Crimes: A Study On Students' Preference For Peer Reporting Over Official Channels, Vanessa White

Walden Dissertations and Doctoral Studies

Underreporting of campus crime remains a persistent challenge in higher education, with many students choosing to disclose incidents to peers rather than formal institutional channels. This qualitative phenomenological study was an exploration of the social and psychological factors influencing college students’ preference for peer-based disclosure over official reporting mechanisms, with particular attention to peer influence, social norms, and institutional trust. Guided by bystander intervention theory and victim precipitation theory, data were collected through an anonymous, open-ended online survey completed by 13 individuals who had attended traditional, in-person colleges or universities within the past 5 years. Thematic analysis was used to …

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Effects Of Technology-Integrated Science Of Reading And Kindergarten Readiness On Reading Fluency, Jeffrey Maxey Mar 2026

Effects Of Technology-Integrated Science Of Reading And Kindergarten Readiness On Reading Fluency, Jeffrey Maxey

Walden Dissertations and Doctoral Studies

The Science of Reading (SoR) model has influenced curriculum reform through state mandates and classroom practices emphasizing explicit, systematic phonics instruction in response to national trends indicating significant deficits in students’ reading abilities. The problem addressed through this study was the gap in knowledge on the effect of technology-integrated SoR on early elementary students’ reading skills at a large southeastern U.S. public school district. Grounded in Gough and Tunmer’s simple view of reading theory, the purpose of this quantitative study was to explore the main and interaction effects of students’ Kindergarten Readiness Assessment (KRA) levels and 2 years of technology-integrated …

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Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang Mar 2026

Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang

Walden Dissertations and Doctoral Studies

Cultural humility is essential to effective counseling across diverse populations, yet its dispositional foundations remain unclear, limiting the development of evidence based, personality informed training strategies in counselor education. Grounded in Foronda’s Cultural Humility theory, this quantitative, nonexperimental study examined the relationship between personality traits and cultural humility among licensed professional counselors in the United States. The participants included 125 licensed professional counselors who completed the HEXACO PI R 60-item inventory and Foronda’s Cultural Humility Scale. The results of a multiple linear regression were statistically significant for the overall model, F(6,118) = 6.165, p < .001, R² = .239, accounting for 23.9% of the variance in cultural humility. Openness to experience was a significantly negative predictor (B = –.519, p < .001), indicating that higher openness scores were associated with lower cultural humility; honesty-humility was not statistically significant (p = .052), and the remaining traits also were not significant predictors. These findings complicate assumptions about the dispositional roots of cultural humility and suggest potential implications for counselor education, including experiential learning, reflective supervision, and skills-based training that may support cultural humility development. The results suggest that personality traits may play a role in cultural humility and may have implications for integrating personality-related insights into multicultural frameworks, conceptualizing humility as a dynamic construct influenced by both traits and context.

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Intimate Partners Of National Guard And Reserve Members And Veterans With A Mental Health Diagnosis, Christine Sutton Mar 2026

Intimate Partners Of National Guard And Reserve Members And Veterans With A Mental Health Diagnosis, Christine Sutton

Walden Dissertations and Doctoral Studies

Research has documented increasing mental health challenges among military service members; however, limited scholarship examines the lived experiences of partners of National Guard and Reserve members when a mental health diagnosis is present within the relationship. Despite expanded attention to active-duty families, National Guard partners remain underrepresented while navigating dual civilian–military demands, fragmented support systems, and inconsistent access to care. The purpose of this hermeneutic phenomenological study was to explore and interpret the lived experiences of partners of National Guard and Reserve service members diagnosed with a mental health condition. Guided by a hermeneutic phenomenological framework, the study explored how …

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Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan Mar 2026

Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan

Walden Dissertations and Doctoral Studies

Despite physician burnout being a recognized problem, no single, successful, clear strategy has been developed to lessen this issue. The purpose of this qualitative phenomenological study was to explore the motivations underlying the development of responses to physician burnout by their creators and the factors that influenced their decision-making in creating these responses. A purposeful sample of 17 creators of physician burnout and suicide prevention strategies in the United States was selected based on Moustakas’s conventions for conducting a qualitative descriptive phenomenological study. Notwithstanding this sample, data collection continued until saturation was achieved. The qualitative data were collected using semi-structured …

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Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña Mar 2026

Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña

Walden Dissertations and Doctoral Studies

Single fathers are an increasing population in the United States and worldwide. However, the literature and programs that guide human services professionals supporting single fathers’ parenting experience are limited in Anne Arundel County, Maryland. There is a need to further study the varied challenges these fathers experience so that professionals in social support organizations and agencies can implement appropriate services, support, programs, and resources into practice and ensure access to support their families and parenting. This qualitative study includes a force field analysis as part of a formative program needs assessment to explore human services professionals' perceptions of service needs, …

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Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi Mar 2026

Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi

Walden Dissertations and Doctoral Studies

The contemporary U.S. welfare system, shaped by the 1996 Personal Responsibility and Work Opportunity Reconciliation Act and reinforced by the Illegal Immigration Reform and Immigrant Responsibility Act, established structural exclusions that bar lawful permanent residents (LPRs) from accessing core social welfare programs during their first five years of residency. Existing research provides support that exclusionary provisions caused economic instability, bureaucratic discrimination, and racialized stigma for immigrant participants, limiting access to basic needs, reinforcing poverty, and ultimately eroding trust in U.S. institutions. The purpose of this study was to bridge the gap in knowledge by examining the cumulative socio-economic and moral …

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Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons Mar 2026

Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons

Walden Dissertations and Doctoral Studies

Adults with mental illnesses have been disproportionately represented in the criminal justice system, often due to limited access to timely mental health treatment and fragmented community-based support. When continuity of care was inadequate, justice involvement frequently replaced coordinated interventions designed to promote stabilization and recovery. This qualitative study was guided by the sequential intercept model and the risk-need-responsivity model to examine how multidisciplinary treatment teams influenced rehabilitation and reoffending outcomes among formerly incarcerated adults diagnosed with mental illness. Data was collected through semi-structured interviews with justice-involved adults who described their experiences with multidisciplinary support during their reentry process and analyzed …

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Faith-Based School Leaders’ Strategies For Addressing Achievement Gaps Since The Covid-19 Pandemic, Jolene Culver Mar 2026

Faith-Based School Leaders’ Strategies For Addressing Achievement Gaps Since The Covid-19 Pandemic, Jolene Culver

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that faith-based school leaders are challenged to support teachers to address student achievement gaps following the COVID-19 pandemic. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative study was to investigate strategies veteran faith-based school leaders use to support teachers in addressing student achievement gaps in six Ohio districts that had a minimum of 50 students. For this basic qualitative design, semistructured interviews were conducted with one faith-based school leader from each of the six Ohio districts. Thematic coding yielded four themes encompassing the strategies that veteran faith-based school …

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Recent High School Graduates' Perspectives On The Practice Of Teacher Empathy As An Approach To Engage Learners, Susanna Michelle Post Mar 2026

Recent High School Graduates' Perspectives On The Practice Of Teacher Empathy As An Approach To Engage Learners, Susanna Michelle Post

Walden Dissertations and Doctoral Studies

The problem addressed through this study is that recent high school graduates’ perspectives on how teachers practiced empathy as an approach to engage learners have not been explored in an urban school district in a Southern state. Grounded in a conceptual framework that incorporates Kleinfeld’s concept of warm demander pedagogy with Goleman’s emotional intelligence theory, the purpose of this qualitative study was to explore recent high school graduates’ perspectives on how teachers practiced empathy as an approach to engage learners in an urban school district in a Southern state. For this basic qualitative design, semistructured interviews were conducted with 12 …

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Implementation Of Sustainable Development Goals In Higher Education, Adam Mehmet Kilic Mar 2026

Implementation Of Sustainable Development Goals In Higher Education, Adam Mehmet Kilic

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that higher education institutions play a critical role in advancing the United Nations sustainable development goals (SDGs), yet limited research offers guidance on how institutions can implement the SDGs through systems-oriented strategic planning. Guided by Hofstede’s cultural dimensions and Senge’s systems thinking, the purpose of this qualitative study was to examine the integration of SDGs into its policies and practices to inform effective, transformative approaches at a private Texas university. For this case study design, data were collected through 11 semistructured interviews, a focus group with five administrators and faculty, and …

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Ethical Leadership And Funding Strategies In Nonprofit Organizations, George Edward Walker Mar 2026

Ethical Leadership And Funding Strategies In Nonprofit Organizations, George Edward Walker

Walden Dissertations and Doctoral Studies

A lack of effective funding strategies can negatively affect nonprofit program sustainability and growth. Nonprofit leaders are concerned with inadequate funding practices as they lessen organizational sustainability, donor trust, and reliable program delivery. Grounded in deontological ethical theory, the purpose of this qualitative pragmatic inquiry was to explore funding strategies nonprofit leaders use to expand and sustain programs and services. The participants were eight nonprofit leaders from the West Coast of the United States with 10+ years of leadership experience. Data were collected using semistructured interviews and peer-reviewed journals. Through thematic analysis, five themes were identified: (a) research and data …

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Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse Mar 2026

Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse

Walden Dissertations and Doctoral Studies

Food insecurity (FI) is a persistent public health challenge in the United States and disproportionately affects rural communities. Guided by syndemic theory, this quantitative cross-sectional study examined associations between FI and chronic disease outcomes among rural residents of Vermont and the Adirondack region of New York. Social determinants of health screenings and electronic medical records from 35 rural primary care sites were analyzed. Secondary data from n = 72,505 adults were used to evaluate these relationships. Binary logistic regression models assessed obesity, hypertension (HTN), and diabetes (DM), and a multinomial logistic regression model evaluated the combined presence of obesity and …

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Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma Mar 2026

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …

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Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch Mar 2026

Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch

Walden Dissertations and Doctoral Studies

Exploring nursing faculty job satisfaction is important for retaining faculty in undergraduate nursing programs because they are vital to training future bedside nurses. There is a nursing faculty shortage in the United States, and retaining faculty is critical to addressing it. The purpose of this study, guided by Herzberg’s motivation-hygiene theory, was to (a) understand the relationship between workload, work-life balance, and nursing faculty job satisfaction and (b) the relationship between student incivility and nursing faculty job satisfaction in undergraduate nursing programs. Undergraduate nursing faculty in Ohio and Florida with at least 2 years of teaching experience were recruited via …

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How Recruitment And Retention Of Staff Affect Behavioral Health Care Facilities, Teresa A. Rodriguez Mar 2026

How Recruitment And Retention Of Staff Affect Behavioral Health Care Facilities, Teresa A. Rodriguez

Walden Dissertations and Doctoral Studies

ABC Organization identified the barriers of how recruitment and retention of staff affect a behavioral health care agency. The goal of the study was to determine how these barriers affect behavioral health care organizations. The framework used for the study was the Baldridge framework. The research questions that guided the study addressed how recruitment of staff affects an organization and how retention of staff affect an organization. The methodology was a qualitative case study with 10 participants. Data was analyzed by coding and identifying themes. The results showed that when an organization invests in the leaders and offers benefit packages, …

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Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari Mar 2026

Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari

Walden Dissertations and Doctoral Studies

Depression is a serious public health concern affecting over 280 million people globally and leading to significant morbidity and mortality if left undetected and untreated. At the local organization, leadership identified inconsistent depression screening as a practice problem among nursing staff. Thus, the purpose of this doctor in nursing practice (DNP) project was to determine if an educational intervention focused on depression, the importance of depression screening, and the use of the Patient Health Questionnaire-9 (PHQ-9) increased knowledge and confidence among nursing staff working in a local organization. Fifteen participants volunteered to participate in the project. The average age was …

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School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill Mar 2026

School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill

Walden Dissertations and Doctoral Studies

The experiences that Black parents had in school have been found to influence how they view and interact with schools and the challenges and barriers related to their child’s education attainment. It is important to understand school-based human service professionals’ perceptions about the relationship that Black families have with Southern schools and suggestions these professionals have about promoting better communication and understanding with Black families. The purpose of this qualitative generic study was to examine school human service professionals’ perceptions about the relationship that Black families have with schools and to gather suggestions about how they could promote communication and …

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Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon Mar 2026

Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon

Walden Dissertations and Doctoral Studies

In the United States, over 100,000 deaths were attributed to drug overdose in 2021. Relapse rates are higher in rural communities than in urban communities due to sociocultural barriers such as employment, limited entrainment activities, and peer pressure during social events. Previous research did not indicate whether the increase or decrease of Daily Living Assessment (DLA-20) scores have a correlation between community resource utilization and relapse. Using systems theory as the research lens, this study examined the correlation between use of community engagement resources and relapse as manifested by scores on the DLA-20. Data were collected from 100 individuals enrolled …

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Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao Mar 2026

Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) evidence-based staff education project aimed to improve the quality and consistency of discharge medication education for adolescents prescribed antidepressants. Adolescents are at increased risk for antidepressant-related adverse effects, including suicidal ideation, particularly during the early stages of treatment. The identified practice problem was the lack of consistent, developmentally appropriate, and culturally sensitive discharge teaching for adolescents and their families. This gap in practice contributes to poor adherence, preventable readmissions, and diminished safety outcomes. The project was guided by the PICO question: For adolescents discharged from inpatient or outpatient behavioral health care, how does a …

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Staff Education On The Patient Health Questionnaire-9 (Phq-9) To Improve Depression Screening In A Mental Health Clinic, Agatha Onyemaechi Okemkpa Mar 2026

Staff Education On The Patient Health Questionnaire-9 (Phq-9) To Improve Depression Screening In A Mental Health Clinic, Agatha Onyemaechi Okemkpa

Walden Dissertations and Doctoral Studies

For this doctoral project, I implemented a staff education program on the Patient Health Questionnaire-9 (PHQ-9) to address depression screening practices in a mental health clinic. The practice problem addressed was limited depression screening due to a lack of education on the PHQ-9. The project aimed to answer the question: “For staff in a mental health clinic, will an educational offering on the Patient Health Questionnaire improve knowledge towards the goal of increasing screening for depression among clients?” To evaluate the outcome, a pre- and post-knowledge-based assessment using a 10-question multiple-choice test was administered to 20 staff members, and the …

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The Appropriation Of Indigenous Land In HawaiʻI, Julie Loo Mar 2026

The Appropriation Of Indigenous Land In HawaiʻI, Julie Loo

Walden Dissertations and Doctoral Studies

In the transition from a monarchical to a democratic governance system in Hawaiʻi, Indigenous perspectives have not been fully integrated into land-use decision-making, resulting in mistrust, cultural marginalization, and inequitable policy outcomes. While prior researchers have examined colonization in Hawaiʻi, there is limited understanding of how Hawaiian cultural protocols may impact modern state-level decisions regarding Indigenous land use. The purpose of this qualitative ethnographic case study was to explore perceptions and lived experiences related to the cultural protocol of Kapu Aloha among Kanaka Maoli who participated in the Mauna Kea blockade and government officials involved in permitting Indigenous land for …

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Investigating Teachers’ Resistance To Instructional Coach Support In A Southern, Rural U.S. School District, Tukiiya Stephens Mar 2026

Investigating Teachers’ Resistance To Instructional Coach Support In A Southern, Rural U.S. School District, Tukiiya Stephens

Walden Dissertations and Doctoral Studies

Instructional coaching is a strategy designed to support systematic changes in instructional practices and improve student achievement. In the study site district, teachers were required to use instructional coaching as a mandated form of pedagogical support for enhancing teaching practices and improving student achievement. However, prior to this study, 48% of teachers did not seek support from the instructional coaches (ICs) hired to provide this job-embedded professional development. Guided by Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to investigate teachers’ perspectives regarding the lack of engagement with ICs and to identify ways to increase …

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Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis Mar 2026

Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis

Walden Dissertations and Doctoral Studies

This DNP project is a nurse-led quality improvement initiative that responds to the age-old issue of ineffective pain management in the home healthcare setting. The issue is the absence of standardization in staff education regarding pain assessment and intervention, leading to unfavorable patient outcomes and a reduced quality of life. The purpose of the project is to assess the efficacy of educational interventions delivered by nurses to enhance staff knowledge, confidence, and consistency in the management of pain procedures. The project question is: How effective are nurse-led educational interventions in improving staff knowledge and practices in pain assessment and management, …

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Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa Mar 2026

Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa

Walden Dissertations and Doctoral Studies

Nearly 50% of patients in substance abuse treatment settings exhibit aggressive behaviors, placing staff and other patients at risk. In the absence of structured de-escalation training, clinicians frequently rely on physical restraints or pharmacologic interventions, which contribute to staff burnout, injury, and ethical concerns. The project implemented an evidence-based staff education program to improve nurses’ knowledge, confidence, and competence in managing aggression using nonviolent de-escalation strategies. The project question guiding this initiative was: Can education improve nurses’ de-escalation skills in a substance abuse treatment setting? Using an evidence-based practice (EBP) approach and the PICO framework, the project evaluated the impact …

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Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass Mar 2026

Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass

Walden Dissertations and Doctoral Studies

African American women experience disproportionately high rates of preeclampsia in the United States; however, the contributions of prenatal care provider type, health care access, and quality of care to this disparity were insufficiently defined. Guided by the quality health outcomes model, this quantitative case-control study used primary data to examine associations between these factors and the occurrence of preeclampsia among African American women age 18–40 who had given birth within the previous 5 years in Georgia. Descriptive statistics and binary and multinomial logistic regression analyses were conducted. Prenatal care quality was measured using the Quality of Prenatal Care Questionnaire (QPCQ), …

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Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders Mar 2026

Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders

Walden Dissertations and Doctoral Studies

Sexual and gender minorities (SGM) experience disproportionately high rates of substance use disorders linked to trauma exposure, minority stress, and barriers to affirming behavioral health care. Although trauma-informed approaches have expanded, little is known about how SGM individuals experience and make meaning of their engagement in internal family systems (IFS) therapy for trauma and addiction. Guided by Schwartz’s theory of the multiplicity of the mind and minority stress theory, the purpose of this qualitative phenomenological study was to explore how SGM individuals describe and interpret their engagement in IFS therapy within the context of trauma and addiction. Interpretative phenomenological analysis …

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Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson Mar 2026

Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson

Walden Dissertations and Doctoral Studies

Child protection workers work in a stressful and demanding occupation, subject to high staff turnover and inexperienced staff. This situation has created problems for child protection workers in doing their jobs effectively—for example, handling their daily tasks and caseload—leading to potential burnout and work dissatisfaction. Existing literature has explained how burnout begins to develop as a response to chronic exposure to job-related stressors, to a point of emotional exhaustion and reduced personal accomplishment. Researchers have found that work-related conditions have contributed to the development of burnout, especially when attempting to define how one could be overworked and how much labor …

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