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Effective Strategies Hawaiian Food Truck Owners Use To Sustain Their Businesses, Eric J. Harring Dec 2025

Effective Strategies Hawaiian Food Truck Owners Use To Sustain Their Businesses, Eric J. Harring

Walden Dissertations and Doctoral Studies

Food trucks are popular choices for consumers seeking diverse cuisines and unique dining experiences, but running a successful food truck business presents significant challenges, including fluctuating customer preferences, regulatory hurdles, and intense competition. Addressing these obstacles is crucial for food truck owners to ensure the long-term viability of their enterprises. Grounded in contingency theory, the purpose of this qualitative pragmatic inquiry research project was to explore the strategies employed by food truck owners to overcome these challenges and foster sustainable growth. The participants were six business owners of Hawaiian food trucks who sustained their businesses for at least three years. …

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Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray Dec 2025

Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray

Walden Dissertations and Doctoral Studies

Voluntary employee attrition presents ongoing challenges for organizational leaders, particularly among employees whose workplace needs and preferences are unmet. The problem is that many leaders lack effective strategies to mitigate voluntary attrition, which negatively impacts productivity, morale, and overall organizational performance. Grounded in the job demands–resources model and wellness climate theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies leaders used to reduce voluntary employee attrition among employees who have access to workplace wellness programs. The participants were six organizational leaders from mid-sized and public-sector organizations who successfully mitigated voluntary attrition. Data were collected through semistructured …

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The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig Dec 2025

The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig

Walden Dissertations and Doctoral Studies

Stress in the workplace results in substantial economic losses for U.S. organizations. The effects of perceived stress on reducing the job performance of first responders continue to be a concern for administrators in emergency response management. Grounded in self-efficacy theory, the purpose of this quantitative correlational study was to examine the moderating effects of self efficacy on the relationship between perceived stress and job performance among U.S. first responders. The sample comprised 78 men and 65 women (N = 143) from professional response agencies in the United States. They completed the Perceived Stress Scale, Endicott Work Productivity Scale, and the …

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Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse Dec 2025

Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse

Walden Dissertations and Doctoral Studies

The Texas Department of Criminal Justice (TDCJ) faces employee retention challenges, and recruiting and retaining correctional officers remains TDCJ’s most significant challenge and highest priority. Correctional facility leaders need to understand these challenges as indicators of workforce sustainability. Grounded in job embeddedness theory, the purpose of this general qualitative study was to explore the turnover experiences of Texas correctional officers, to understand why officers left their jobs, and the factors that contributed to their decisions to stay in their jobs. Participants comprised 11 former correctional officers who had worked between 5 months and 6 years for the TDCJ. Data were …

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Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey Dec 2025

Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey

Walden Dissertations and Doctoral Studies

There is a growing need for supported employment services and improved programming among people with intellectual/developmental disabilities (I/DD). The research question for this study was; what are human service staff and administrators’ experiences and perceptions of what is working well in supported employment programs, and how to improve the services offered to adults with I/DD in a northeastern county? The tenets of Kurt Lewin’s change model form the theoretical framework for the study, to serve as a foundation for effective change. A force field analysis approach was used to gather narrative written data from open ended questionnaire responses to grasp …

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Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega Dec 2025

Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega

Walden Dissertations and Doctoral Studies

Hypertension remains a critical and often silent public health issue that disproportionately affects Latino men in California. This quantitative, retrospective cross-sectional study explored the social and contextual factors influencing hypertension among this vulnerable population. Using the 2019 Behavioral Risk Factor Surveillance System dataset, which included a sample size of 2,060 participants, the study examined the relationship between hypertension and key variables including primary care utilization, health insurance, smoking, physical activity, mental health, and marital status, while controlling for age, education, and income. Guided by the health belief model, binary logistic regression analyses found health insurance and primary care utilization significantly …

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An Examination Of Psychosocial Factors Related To Male Serial Killers, Rachael Elizabeth Tubbs Dec 2025

An Examination Of Psychosocial Factors Related To Male Serial Killers, Rachael Elizabeth Tubbs

Walden Dissertations and Doctoral Studies

Historically, studies on serial murderers have not concentrated in depth on analyzing what psychosocial factors are or how they could influence a man to become a serial killer. The focus of this qualitative study was on the psychosocial characteristics of male serial killers that are from, and based in, the United States. Using a case study analysis approach, the life course of serial killers in the FGCU Radford Database was analyzed to identify themes of adverse childhood experiences such as physical, emotional, or psychological abuse; abandonment by parent or guardian; limited or no social bonds; witnessing abuse; and signs of …

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Narratives Of Sexual Self-Esteem As A Domain Of Sexual Well-Being In Cisgender Women’S Long-Term Intimate Relationships, Lisa Criswell Dec 2025

Narratives Of Sexual Self-Esteem As A Domain Of Sexual Well-Being In Cisgender Women’S Long-Term Intimate Relationships, Lisa Criswell

Walden Dissertations and Doctoral Studies

Only within the last few decades has female sexual health become a topic of focus for researchers and practitioners to begin focusing on, leading to a gap in research between female sexual health and male sexual health. This has led to lack of knowledge and understanding on female sexual dysfunction and how interventions can effectively address it. An identified gap in knowledge of female sexual health and self-esteem is the lack of understanding of female narratives. This study was developed with the purpose of filling that gap and addressing domains within sexual health and self-esteem through exploration of the narratives …

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Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck Dec 2025

Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck

Walden Dissertations and Doctoral Studies

Abstract Nonprofit organizations provide critical services that address social, cultural, and economic needs within communities. Nonprofit leaders who cannot retain volunteers risk reduced organizational capacity, interruptions in program delivery, and weakened ability to achieve program objectives. Grounded in servant leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective strategies nonprofit leaders use to retain volunteers to support their program objectives. Participants were six nonprofit leaders in north Texas who have successfully retained volunteers to support their program objectives. Data was collected using semi structured interviews and a review of publicly available documents …

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Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii Dec 2025

Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii

Walden Dissertations and Doctoral Studies

Post-traumatic growth (PTG) has received increasing attention in psychological research, yet the PTG experiences of African Americans remain underexplored. Trauma researchers have established the common prevalence of trauma within this population, but there have been very few studies on how African Americans traverse trauma according to PTG. Understanding PTG in this population is essential for clergy, coaches, parents, counselors, and others who work in these communities. The purpose of this quantitative survey study was to determine whether there was a statistically significant relationship between rumination, religious orientation, religious commitment, and stressful life events (SLEs) and PTG among urban African American …

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Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski Dec 2025

Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski

Walden Dissertations and Doctoral Studies

Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …

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Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim Dec 2025

Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim

Walden Dissertations and Doctoral Studies

This quantitative survey study explored whether acculturation and enculturation predicted parenting styles among second-generation Korean American adults. The study was guided by Berry’s acculturation theory, Kim’s enculturation theory, and Baumrind’s parenting typology. Two research questions were addressed: (a) whether acculturation level predicted parenting style when controlling for parent age, gender, and number of children, and (b) whether enculturation level predicted parenting style when controlling for the same demographic variables. Emails and flyers were used to recruit participants from various Korean American groups on social media. A total of 146 Korean American parents completed anonymous online questionnaires about acculturation, enculturation, and …

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Examining The Association Between User Fee Exemptions And Maternal Healthcare Utilization In Northern Ghana, Martina Hilton-Ansah Dec 2025

Examining The Association Between User Fee Exemptions And Maternal Healthcare Utilization In Northern Ghana, Martina Hilton-Ansah

Walden Dissertations and Doctoral Studies

Abstract In Ghana, the user fee exemption policy, implemented in 2008, provides free maternal health services, which are a key component of the National Health Insurance Scheme (NHIS). Grounded in the Health Access Livelihood Framework, the purpose of this study was to determine the association between the user fee exemption policy and the utilization of antenatal care, facility-based delivery, and postnatal care in Northern Ghana, while controlling for sociodemographic factors. A quantitative approach was employed using secondary data from the Ghana Demographic and Health Surveys, encompassing women of reproductive age (15–49 years; N = 6,948). Logistic regression was used to …

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Digital Health Literacy And Health Information-Seeking Behavior Among Black Mothers With Hypertensive Disorders During The Perinatal Period, Robyn Ford Kebede Dec 2025

Digital Health Literacy And Health Information-Seeking Behavior Among Black Mothers With Hypertensive Disorders During The Perinatal Period, Robyn Ford Kebede

Walden Dissertations and Doctoral Studies

Abstract The purpose of this qualitative phenomenological study was to explore how Black mothers navigated digital health platforms during the perinatal period while managing hypertensive disorders of pregnancy (HDPs). Guided by the social ecological model and the transactional model of eHealth literacy, the study examined how individual, interpersonal, and structural factors influenced digital health engagement and decision-making. Guiding questions focused on how mothers perceived the credibility and trustworthiness of online health information, how healthcare providers shaped and influenced digital health literacy and information-seeking behaviors, and how community and family support affected digital engagement. Data were collected through semi structured interviews …

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Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh Dec 2025

Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh

Walden Dissertations and Doctoral Studies

Lack of employee engagement presents a significant risk and cost across the property management industry. Property management business leaders are concerned with this challenge because employee engagement directly affects performance efficiency and employee turnover costs. Grounded in the self-determination theory, the purpose of this qualitative pragmatic inquiry was to explore strategies property management leaders use to strengthen employee engagement in the workplace. The participants were six purposefully selected property management business leaders in the United States. Data were collected using semistructured interviews and a review of public industry documents. Through thematic analysis, six themes were identified: (a) communication, (b) mentorship, …

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Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino Dec 2025

Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino

Walden Dissertations and Doctoral Studies

This project was an evaluation of a quality improvement initiative that addressed the practice problem of having large volumes of unanswered messages within the patient portal. To increase patient access to the healthcare provider, a literature search was conducted using the practice-focused question: Can standardization of patient portals improve the message turnaround time? In January 2024, a scoping review of nursing message center pools determined 79 pools lacked standardized names and established workflows for 37 ambulatory clinics. Pool names were identified for each clinic and listed using an Excel spreadsheet. Clinic pool members were isolated, and it was determined by …

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The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong Dec 2025

The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a global issue that negatively affects humanity. The harmful effects of IPV often result in lifelong consequences for victims. Researchers have consistently identified women and children as the primary victims of IPV, although men can also be affected. The social stigma around men seeking formal help as victims is that they must endure physical, emotional, financial, sexual, and psychological abuse in intimate relationships. Because psychological abuse is the most common form experienced by male IPV victims, there is a higher prevalence of IPV within the Black community. However, research on help-seeking behaviors among Black men …

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Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel Dec 2025

Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel

Walden Dissertations and Doctoral Studies

Approximately 17% of known serial killers in the United States are women, and often their crimes go undetected for years accruing a higher number of victims than their male counterparts. The purpose of this study was to identify common characteristics of female serial killers (FSKs). A multidisciplinary, holistic and developmental approach was used to guide the identification of common characteristics based on theories by Erik Erikson and Carol Gilligan as well as feminist theory. Case studies of 15 FSKs were randomly selected for participation from a list of over 100 known FSKs documented in the Radford Serial Killer database. Common …

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Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke Dec 2025

Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice project was conducted to examine a quality improvement initiative that sought to address metabolic syndrome screening consistency for veterans on antipsychotic medications at a U.S. Department of Veterans Affairs health system located in the Midwest region of the United States. The project centered on whether the quality improvement program assessing compliance with the current metabolic syndrome screening process reflects increased early detection of metabolic syndrome to prevent cardiovascular complications. Data collection involved comprehensive chart reviews of 50 veterans’ records. The data collected were analyzed using a specially designed quality improvement initiative assessment form developed …

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Executive Summary: Executive Leadership System Improvement Workplace Violence, Mercedes Ivette Tejada Dec 2025

Executive Summary: Executive Leadership System Improvement Workplace Violence, Mercedes Ivette Tejada

Walden Dissertations and Doctoral Studies

Introduction This Doctor of Nursing Practice (DNP) Executive Leadership Project is focused on the reduction of workplace violence in a critical access hospital using an organized prevention program. Workplace violence in nursing is increasing, exposing the health of staff, patient safety, and quality of care in critical access hospitals. The question of the DNP project is: In nurses (P) in small critical access hospitals, how does implementing a structured workplace violence prevention program (I) compared to having no formal violence prevention strategy (C) impact the occurrence of workplace aggression and perceptions of safety among staff (O)? This practicum project used …

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Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin Dec 2025

Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin

Walden Dissertations and Doctoral Studies

Pet ownership continues to be part of modern society in the United States. Researchers have explored pet ownership’s impact on chronic diseases and aging populations, but research on health-related quality of life is limited. Grounded in the socioecological model, this quantitative study analyzed data from the 2005-2006 National Health and Nutrition Examination Survey (N = 10,348) to investigate the impact of pet ownership on health-related quality of life among low-income adults aged 30-50 years. Chi-square tests were performed to analyze the associations between age, income, gender, and race with three health-related quality of life metrics. Results showed no statistically significant …

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The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy Dec 2025

The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy

Walden Dissertations and Doctoral Studies

A sizeable number of U.S. heart failure patients are readmitted within 30 days of hospital discharge. There was a need to explore ways to reduce this number and improve the care of heart failure patients when they are discharged home. The purpose of this quantitative correlational study was to determine if there is a relationship between age, gender, and race of heart failure patients and 30-day readmissions in the U.S. state of Mississippi in 2019. The dependent variable was heart failure 30-day readmissions, and the independent variables were age, gender, and race. Wagner’s chronic care model was the theoretical framework …

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A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya Dec 2025

A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya

Walden Dissertations and Doctoral Studies

In this evidence-based educational project, I identified the gap in practice with the lack of nurses' knowledge in culturally tailored hypertension management among nurses caring for African American adults at a family nurse practitioner clinic. In this Doctor of Nursing Practice (DNP) project, I focused on a staff education initiative to improve nurses' knowledge to reduce disproportionately high rates of hypertension, complications, and mortality due to factors such as limited access to care, medication nonadherence, mistrust of providers, and improve on culturally competent interventions. The guiding practice-focused question was: Does educating nurses on hypertension in the African American population improve …

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Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku Dec 2025

Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku

Walden Dissertations and Doctoral Studies

This project is an education-based initiative designed to address the persistent problem of psychotropic medication duplication in integrated care settings. Duplication occurs when patients receive multiple prescriptions of the same or similar psychotropic drugs. The practice gap exposes patients to adverse drug events, complications of polypharmacy, and reduced adherence, and subjects the providers to liability. The practice-focused question guiding this project is: For primary care and psychiatric providers, will an education program on structured communication and medication reconciliation, compared to current usual practices, increase provider confidence and awareness of the risks of duplication, communication strategies, and increased the use of …

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Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves Dec 2025

Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves

Walden Dissertations and Doctoral Studies

A scoliosis diagnosis can impact an individual’s work performance, particularly if there is a lack of proper ergonomics or workplace accommodations that might lead to increased pain and discomfort. Organizational leaders must understand this impact as an indicator of employee motivation and productivity. The purpose of this qualitative, interpretative phenomenological analysis was to explore the lived experience of female employees in China with scoliosis pain and its impact on their motivation and productivity. The theoretical foundations used in this study were the job demands-resources model and the self-determination theory. The participants consisted of eight female employees with scoliosis pain working …

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Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe Dec 2025

Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe

Walden Dissertations and Doctoral Studies

Summary Falls in health care facilities constitute the most prevalent incidents among all safety-related mishaps. If unaddressed, falls can result in severe consequences and perhaps fatal outcomes for patients. The Doctor of Nursing practice (DNP) project was developed to address the issue of patient falls in a long-term acute care hospital (LTACH). The practice-focused question was: Will implementation of an educational evidence-based staff fall prevention program improve nurses’ knowledge on fall prevention? The 1-hour staff education program was created based on review of recent evidence. Twelve nurses attended the staff education program. A pre- and posttest were used to evaluate …

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Staff Education To Implement Phq-9 Depression Screening Among Adults, Sharon C. Nwanne-Temple Dec 2025

Staff Education To Implement Phq-9 Depression Screening Among Adults, Sharon C. Nwanne-Temple

Walden Dissertations and Doctoral Studies

Abstract Depression remains one of the most prevalent and underdiagnosed mental health conditions globally, resulting in substantial morbidity, diminished quality of life, and increased healthcare costs. The purpose of this Doctor of Nursing Practice (DNP) project was to improve early detection of depression among adults in a primary care setting through a structured staff education program on the use of the Patient Health Questionnaire-9 (PHQ-9) screening tool. A mixed-methods quality improvement design guided implementation over a six-week period with nine clinical staff participants, including nurses, medical assistants, and providers. The educational intervention comprised a PowerPoint presentation, interactive discussion, and post-training …

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Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms Nov 2025

Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms

Walden Dissertations and Doctoral Studies

Poor communication practices have significantly strained marital relationships, contributing to increased divorce rates in the United States. As a self-conscious emotion, hubristic pride often leads to poor communication, which in turn exacerbates marital discord and contributes to the breakdown of families. The purpose of this basic qualitative study was to explore how divorcees perceive the impact of hubristic pride on communication in their previous marriages. The theoretical framework underpinning this study was Homans’s social exchange theory. Data were obtained from eight divorced participants not actively involved in ongoing custody proceedings through semistructured interviews and analyzed using Saldaña’s descriptive coding methodology. …

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Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho Nov 2025

Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is a chronic and debilitating psychiatric condition characterized by intrusive memories, avoidance behaviors, hyperarousal, and alterations in mood and cognition following exposure to traumatic events. Although evidence-based pharmacotherapy is a cornerstone of PTSD treatment, medication nonadherence remains a pervasive barrier to effective symptom management and functional recovery. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an evidence-based clinical practice guideline (CPG) aimed at improving medication adherence in adults diagnosed with PTSD in outpatient psychiatric settings. Guided by the Johns Hopkins Evidence-Based Practice Model and appraised through the AGREE II instrument, current …

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Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr Nov 2025

Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr

Walden Dissertations and Doctoral Studies

The global pandemic, COVID-19, had an impact on the academic experiences of all college students. First-generation college students who often experience special challenges in adjusting to academia may have faced additional challenges given the transition to online learning. However, there has been little research focused on the impact of COVID on their adjustment to college. The purpose of this study was to explore the experiences of an unanticipated learning transition among first-generation college students pursuing higher education at a 4-year school, during a global pandemic. The theoretical framework for this study was based on an interactionalist theory focused on the …

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