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Female Military Sexual Trauma Survivors’ Experiences With Seeking Treatment From The Veterans Health Administration, Sherry Sophia Bolden Rivers Jan 2026

Female Military Sexual Trauma Survivors’ Experiences With Seeking Treatment From The Veterans Health Administration, Sherry Sophia Bolden Rivers

Walden Dissertations and Doctoral Studies

The Veterans Health Administration (VHA) provides free healthcare related to those who have experienced military sexual trauma (MST); however, many female veterans either go without or delay accessing such care. This generic qualitative study was conducted to answer the research question about the reasons behind female veterans’ decisions to seek or not seek VHA services following the experiences of MST. The framework for this study was Wollstonecraft’s feminist theory. An additional question was how, if at all, the stigma of MST and the military’s male-dominated culture play a role in the reporting of these incidents. Data were collected through semistructured …

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Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee Jan 2026

Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee

Walden Dissertations and Doctoral Studies

Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …

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Staff Education To Improve Patient Safety Using Standardized Medication Transcription Verification, Beloved Martey Jan 2026

Staff Education To Improve Patient Safety Using Standardized Medication Transcription Verification, Beloved Martey

Walden Dissertations and Doctoral Studies

This staff education project was a quality improvement initiative aimed at reducing medication transcription errors by implementing a standardized verification protocol. The project addressed the critical practice problem of transcription-related medication errors, which contribute to wrong medication administration, adverse drug events, and patient harm. The practice-focused question was: How does implementing a staff education program on standardized medication transcription verification processes in healthcare institutions affect the rate of wrong medication administration compared to traditional transcription methods without education? The project was implemented over 8 weeks in an outpatient clinic with 20 participants (8 prescribers and 12 nurses). The primary data …

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Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill Jan 2026

Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill

Walden Dissertations and Doctoral Studies

Clinical supervision practices, although essential to counselor development, often reflect limited cultural competence among supervisors contributes to unclear expectations, conflicting roles, and isolation, leading to stress, negative internalization, and compromised professional development. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of racial and ethnic minority supervisees in clinical supervision within the mental health counseling profession. The research question was: What are the lived experiences of racial and ethnic minority supervisees who have been involved in clinical supervision? The framework guiding the study was hermeneutic phenomenology. Data from interviews with eight participants were analyzed using the …

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Staff Education Project For Nursing Staff At An Adult Mental Health Clinic To Address Inconsistencies And Inadequacies In Suicide Risk Screening, Grace Oluwasade Awodele Jan 2026

Staff Education Project For Nursing Staff At An Adult Mental Health Clinic To Address Inconsistencies And Inadequacies In Suicide Risk Screening, Grace Oluwasade Awodele

Walden Dissertations and Doctoral Studies

This staff education initiative was designed for nursing personnel at an adult mental health clinic, aiming to address inconsistencies and inadequacies in suicide risk screening practices among health care providers. Despite regular patient interactions, staff frequently lack the necessary knowledge, confidence, and standardized tools to identify individuals at risk for suicide, leading to missed opportunities for early intervention. The existing gap in practice jeopardized patient safety, led to preventable harm, and highlighted the need for evidence-based screening protocols, such as the Ask Suicide-Screening Questions (ASQ) tool, to facilitate timely, equitable, and effective suicide prevention in nursing practice. The project focused …

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Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi Jan 2026

Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi

Walden Dissertations and Doctoral Studies

Despite ongoing eradication efforts, female genital mutilation and cutting (FGM/C) remains a major public health and human rights concern in Ethiopia. This quantitative study was conducted to examine how circumciser type (traditional cutter, birth attendant, or health professional) influences FGM/C prevalence and severity among girls ages 0–14, considering the moderating effects of residence and mothers’ FGM status, while controlling for age and income. Guided by the social ecological model and using 2016 E Ethiopian Demographic Health Surveys data, analysis indicates a significant association between circumciser type and FGM/C type (χ² (2, N = 1,553) = 6.86, p = .032), which …

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Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson Jan 2026

Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson

Walden Dissertations and Doctoral Studies

Juvenile recidivism persists in the U.S. justice system, highlighting the need for effective reentry programs. However, limited research exists on juvenile justice professionals’ perceptions of program success. The purpose of this qualitative study was to explore these professionals’ perceptions regarding the effectiveness of juvenile reentry programs in reducing recidivism. Guided by Bandura’s social learning theory, the study examined how observation and modeling influence youth behavior during reentry. The research questions focused on professionals’ perceptions of program effectiveness and how these perceptions impact recidivism reduction efforts. A qualitative phenomenological design involved semi-structured interviews with 13 juvenile justice professionals in the southwest …

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Staff Education To Improve Patient Outcomes Through Bedside Shift Report In A Skilled Nursing Facility, Ngum Avwontom Dec 2025

Staff Education To Improve Patient Outcomes Through Bedside Shift Report In A Skilled Nursing Facility, Ngum Avwontom

Walden Dissertations and Doctoral Studies

Abstract Problem: Inconsistent shift handoff communication in skilled nursing facilities (SNFs) contributes to adverse patient outcomes, including medical errors, falls, and pressure ulcers. Bedside shift reports (BSRs) are an evidence-based, patient-centered strategy to mitigate these risks, yet implementation at the project site was inconsistent. Methods: This staff education project implemented a standardized BSR program in a 100-bed SNF over seven weeks. The intervention trained 18 nursing staff (RNs, LPNs, CNAs) on BSR using the Situation-Background-Assessment-Recommendation (SBAR) communication framework. A pre- and post-test design was used to evaluate the impact on staff knowledge, shift report duration, and patient safety outcomes, including …

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Social Construction Of Female-Headed Households Participating In Hud Public Housing Programs, Emma Forks Dec 2025

Social Construction Of Female-Headed Households Participating In Hud Public Housing Programs, Emma Forks

Walden Dissertations and Doctoral Studies

The problem this study addressed involved factors associated with long-term program involvement of female-headed households living in public and vouchered housing. The literature indicated a significant gap regarding the reasons women who received federal housing assistance stayed in government housing. The purpose of this generic qualitative study was to examine the experiences of female-headed households living in public housing and Housing Choice Voucher (HCV) housing in a Central Texas region, specifically to identify the factors that limited their ability to leave these programs. Using Schneider and Ingram’s social construction of target populations theory, the data was collected from eight participants …

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Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager Dec 2025

Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager

Walden Dissertations and Doctoral Studies

A persistent gap exists involving health outcomes for Black women in the United States, regardless of socioeconomic status when compared to Black men and White women. This qualitative case study involved exploring the influence of social support on health-seeking behaviors among Black women. Sixteen participants, between ages 22 to 49 from nine states, were recruited. Data was collected using semi-structured interviews based on the social support theory. An analysis of the network composition showed that family members (including mothers, fathers, sisters, and partners), friends, community support groups not connected to social media, and online community support groups were the most …

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The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes Dec 2025

The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes

Walden Dissertations and Doctoral Studies

E-cigarette use among U.S. high school students is a significant public health issue. Factors such as mattering, sexual orientation, and gender identity (SOGI) influence e-cigarette use among adolescents, yet few studies have explored the relationship between mattering and e-cigarette use when considering SOGI. This quantitative study explored the association between past 30-day e-cigarette use and mattering among Maine high schoolers while controlling for SOGI and grade level. This correlational cross-sectional study used the 2023 Maine Integrated Youth Health Survey data, and the socioecological model served as the theoretical foundation. A multivariate binary logistic regression analysis indicated a significant association between …

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For Evidence-Based Suicide Risk Assessment, Monica Molah Dec 2025

For Evidence-Based Suicide Risk Assessment, Monica Molah

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) project was developed to address a practice gap regarding the lack of systemic approach to suicide assessment in adult patients. This Doctor of Nursing Practice (DNP) project identified a significant gap in care at a private mental health clinic, which lacked a consistent, evident-based approach to suicide risk assessment. The inconsistency increased the likelihood of under-identifying at risk patients, posing substantial medical-legal and patient safety concerns. The practice-focused question guiding this project was: Does the evidence support the development of a CPG for suicide risk screening that receives an AGREE II quality score by an …

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Relationship Between A Company's Owner Demographics, Socioeconomic Conditions, And Entrepreneurial Funding, Frances J. Arrington Dec 2025

Relationship Between A Company's Owner Demographics, Socioeconomic Conditions, And Entrepreneurial Funding, Frances J. Arrington

Walden Dissertations and Doctoral Studies

Entrepreneurial funding remains a persistent challenge for U.S. business owners, particularly as firms navigate demographic shifts and post-COVID-19 pandemic economic conditions. This challenge is important to entrepreneurs, investors, and lenders who rely on access to capital to support business development and economic growth. Grounded in Hersey and Blanchard’s situational leadership theory, the purpose of this quantitative, ex post facto study was to examine the relationship between gender of owner, age of firm, effect of COVID-19, and entrepreneurial funding. Data were collected from 309 U.S. employer firms drawn from a national small business credit survey. A binomial logistic regression analysis was …

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Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix Dec 2025

Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix

Walden Dissertations and Doctoral Studies

In this qualitative study, attachment styles of women who are attracted to violent incarcerated men were investigated. Bowlby’s attachment styles were used to develop an insight into the women who are attracted to violent incarcerated men. Steinberg’s theory of love was used for a more intimate view into the women and their pursuit of relationships with incarcerated males. The findings revealed that the women identify as having anxious attachment styles and are insecure-ambivalent/resistant. Those with anxious attachment styles yearn to develop supportive relationships as their insecurities hinder them from developing trust, satisfaction, commitment, and interdependence. As for being insecure-ambivalent/resistant, it …

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Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola Dec 2025

Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola

Walden Dissertations and Doctoral Studies

Occupational injuries remain prevalent across various industries, resulting in significant financial burdens for both organizations and employees through increased workers’ compensation claims. One potential contributing factor is substance use in the workplace, which has been linked to decreased productivity, impaired judgment, and workplace conflict. Despite these risks, the relationship between substance use and occupational injuries remains underexplored. As such, grounded in constructivism and interpretivism, this study investigated the extent to which substance use influences injury outcomes and whether its role is underestimated in workplace incident reporting by analyzing worker’s compensation claims in Ohio. A mixed-methods approach was employed, combining a …

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Care Navigator Role In The Management Of Patients' Access At A Mental And Behavioral Health Clinic, Bernadine Grinage Dec 2025

Care Navigator Role In The Management Of Patients' Access At A Mental And Behavioral Health Clinic, Bernadine Grinage

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Bernadine Grinage has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Sue Bell, Committee Chairperson, Nursing Faculty Dr. Diane Whitehead, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Abstract The practice issue cited by clinical staff of a rural mental and behavioral clinic (RMBHC) was fragmented versus holistic care, increase emergency room (ER) visits, inadequate access and patient attrition rate …

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Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty Dec 2025

Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty

Walden Dissertations and Doctoral Studies

The lack of diversity in healthcare management is a social issue that can lead to increased implicit bias and adverse effects on patient care and quality. This study examined the underrepresentation of Black RNs in leadership roles within healthcare. The purpose of this qualitative descriptive study was to explore the perceptions of Black RNs in leadership regarding the opportunities and resources they need for advancement, as outlined in three research questions. A sample of 10 BSN nurses responded to 10 semi-structured interview questions, grounded in critical race theory. Codes were developed from responses, resulting in nine themes and 16 sub-themes, …

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Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul Dec 2025

Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul

Walden Dissertations and Doctoral Studies

This doctoral staff education project was developed to address a significant gap in nursing practice, specifically the limited knowledge of outpatient clinical staff regarding cultural, social, and health literacy factors that influence the management of chronic hypertension in African American (AA) patients. Through this project, I aimed to equip clinical staff with evidence-based, culturally competent strategies to promote equitable, patient-centered care. This project was guided by the following practice-focused question: Can an evidence-based practice educational session on how external factors impact the management of chronic hypertension in the AA population enhance staff knowledge and understanding? Using the analysis, design, development, …

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Strategies To Mitigate Supply Chain Disruptions In Small Restaurant Business, Aminu Hassan Dec 2025

Strategies To Mitigate Supply Chain Disruptions In Small Restaurant Business, Aminu Hassan

Walden Dissertations and Doctoral Studies

Supply chain disruptions can impact the operational capability of small restaurant businesses, thereby affecting their financial health. Some small restaurant supply chain managers lack effective strategies to manage supply chain disruptions. Grounded in Oliver and Webber’s supply chain management theory, the purpose of this qualitative pragmatic inquiry was to explore strategies small restaurant supply chain managers use to manage supply chain disruptions. The participants were 10 small restaurant supply chain managers located in Baltimore who effectively mitigated the effects of at least one significant supply chain disruption. Data were collected using semistructured interviews and publicly available documents and reports. Through …

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Effect Of Stages Of Prehospital Hypertensive Crisis And Length-Of-Stay On Acute Stroke Readmission, Thomas Bob Ross Phd Dec 2025

Effect Of Stages Of Prehospital Hypertensive Crisis And Length-Of-Stay On Acute Stroke Readmission, Thomas Bob Ross Phd

Walden Dissertations and Doctoral Studies

Stroke is the second leading cause of mortality and the third leading cause of disability, affecting over 800,000 Americans annually. Traditional stroke research has focused on in-hospital settings, but not on prehospital stroke admissions, despite evidence that over 75% of acute stroke cases managed by emergency medical services involve prehospital hypertensive crises (HTN-C). HTN-C is classified into three systolic blood pressure (SBP) stages: Stage 1 (140–159 mm Hg), Stage 2 (160–179 mm Hg), and Stage 3 (≥180 mm Hg), the latter associated with organ damage. Hypertension correlates with longer hospital stays and more intensive interventions in hospitalized patients, but HTN-C …

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Leadership Strategies For Capturing And Transferring The Knowledge Of Experienced Workers In Canadian Higher Education Organizations, Dean Allan Bulloch Dec 2025

Leadership Strategies For Capturing And Transferring The Knowledge Of Experienced Workers In Canadian Higher Education Organizations, Dean Allan Bulloch

Walden Dissertations and Doctoral Studies

Higher education institutions face a risk of knowledge loss when they fail to implement strategies for transferring knowledge from experienced to less experienced employees. Canadian higher education managers are particularly concerned about the adverse impact of losing explicit and valuable tacit knowledge. Grounded in the socialization, externalization, combination, and internalization model, this qualitative pragmatic inquiry study identified and explored successful strategies employed by eight Canadian higher education managers to capture and transfer knowledge from experienced employees, thereby sustaining performance. Data were collected through semistructured interviews and a review of public documents, including strategic plans, annual reports, and accountability statements. Through …

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Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes Dec 2025

Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …

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Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery Dec 2025

Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery

Walden Dissertations and Doctoral Studies

Type II diabetes (DB2) is one of the leading causes of death in the United States, whether directly or as a comorbidity. This is especially alarming for Native Americans, who have the highest DB2 prevalence and death rates when compared to their non-Native American peers. This qualitative phenomenological study explored the lived experiences of Lumbee Tribe members in Robeson County regarding DB2. The health belief model was used as a lens through which to understand and interpret findings. In-person semi-structured audio-recorded interviews were conducted with 12 participants recruited through social media. Data were coded and analyzed using deductive thematic analysis. …

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Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish Dec 2025

Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …

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Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar Dec 2025

Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar

Walden Dissertations and Doctoral Studies

The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …

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Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell Dec 2025

Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell

Walden Dissertations and Doctoral Studies

Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety issue, especially among hospitalized patients receiving total parenteral nutrition (TPN). Patients on TPN face a higher risk of infection due to the high glucose content of the solution and the frequent access required for central line therapy. The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality have recognized CLABSI prevention as a national priority. In addition, there is emphasis on high-risk groups like patients receiving TPN. The Infusion Therapy Standards of Practice, an evidence-based guideline, recommends catheter care, including timely adapter (i.e., …

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Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami Dec 2025

Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami

Walden Dissertations and Doctoral Studies

This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …

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Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez Dec 2025

Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez

Walden Dissertations and Doctoral Studies

In this qualitative study, the evolving perceptions of law enforcement among child immigrants from Central and South America following their immigration to the United States were investigated. Anchored in social learning theory, the aim was to discern whether interactions with law enforcement in their home countries and the United States influence these perceptions. A phenomenological approach was used to conduct in-depth interviews with six Latino individuals who immigrated between the ages of 7 and 17 and are at least 18 years old at the time of their interview. Participants were recruited through purposeful sampling, and interview questions were used to …

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Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa Dec 2025

Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa

Walden Dissertations and Doctoral Studies

This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events

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Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun Dec 2025

Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun

Walden Dissertations and Doctoral Studies

Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …

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