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Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan Nov 2025

Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan

Journal of Social, Behavioral, and Health Sciences

The current study explored the factors influencing female breast cancer patients’ intentions to attend mindfulness-based stress reduction (MBSR) programs in Texas, utilizing the Theory of Planned Behavior (TPB) as the guiding framework. MBSR is a widely recognized stress management intervention shown to improve psychological well-being, yet its adoption among this population remains limited. The current study specifically examined the relationships between attitudes, subjective norms, and perceived behavioral control in predicting intentions to participate. A quantitative, cross-sectional survey design was employed, with 60 participants recruited via social media and support groups (see Appendix A). Data were collected using a validated TPB-based …

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Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards Nov 2025

Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is associated with significant health complications, including stroke, myocardial infarction, heart failure, and kidney disease. Despite advances in the treatment and management of HTN, a lack of medication adherence contributes to the persistence of HTN-related morbidity and mortality affecting men in The Bahamas. The purpose of this qualitative descriptive phenomenological study, guided by Pender’s health promotion model and Bandura’s social cognitive theory, was to explore the lived experiences of Bahamian men diagnosed with hypertension regarding their adherence to prescribed medications. Using Giorgi’s descriptive phenomenological method, in-depth, semistructured interviews were conducted with 11 participants. Data were analyzed through repeated …

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The Impact Of Machine Learning Security Models On Cloud Data Security, Ali Sanad Nov 2025

The Impact Of Machine Learning Security Models On Cloud Data Security, Ali Sanad

Walden Dissertations and Doctoral Studies

Abstract Many information technology (IT) leaders face challenges in adopting machine learning (ML) models for cloud infrastructure, despite their potential to enhance data security. The extent to which IT leaders’ perceived security (PeS) and perceived privacy (PeP) influence their intent to adopt ML security models is critical for organizational success. Grounded in the technology acceptance model, the purpose of this quantitative correlational study was to examine the relationship between IT leaders’ PeS and PeP and their intent to adopt ML security models in cloud-based applications. Data were collected from 106 IT professionals in Chicago using a validated instrument. Results from …

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Impact Of Community Factors On Naloxone Overdose Reduction In Ohio, Theophilus Oduro Frimpong Nov 2025

Impact Of Community Factors On Naloxone Overdose Reduction In Ohio, Theophilus Oduro Frimpong

Walden Dissertations and Doctoral Studies

The opioid crisis in Ohio, driven by fentanyl, persists due to inequitable access to naloxone despite its proven effectiveness. This study examined how socioeconomic status (SES), race/ethnicity, population density, and hospital availability per capita predicted naloxone overdose reversals (dependent variable) in Ohio. Social-ecological theory guided this quantitative historical correlational analysis of Ohio’s Project DAWN index data (N = 5,280). Inclusion criteria included individuals ages 18 to 65 with naloxone-related overdose reversals (dependent), naloxone distribution (moderator), and community factors (independent). Multiple linear regression results showed that SES (p >.50), race/ethnicity (% White, p = .588; % Black, p = .495; % …

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Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie Nov 2025

Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie

Walden Dissertations and Doctoral Studies

Gen Z, the first digital-native cohort, faces unique challenges in forming romantic relationships, including heightened dating anxiety. While there is extensive research with previous generations on dating anxiety, self-esteem, and early rejection, no study has examined parental rejection, self-esteem, and dating anxiety collectively, particularly in consideration of gender diverse individuals and digital dating platform use. The purpose of this correlational study was to examine (a) predictors of dating anxiety and (b) whether parental rejection during childhood and rejection sensitivity influenced dating anxiety, as well as the role of self-esteem in mediating those predictor variables. The conceptual framework was the interpersonal …

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Development Of An Evidence-Based Guideline For Nurse-Led Interventions To Improve Medication Adherence In Patients With Severe Mental Illness, Grace Uche Kalu Nov 2025

Development Of An Evidence-Based Guideline For Nurse-Led Interventions To Improve Medication Adherence In Patients With Severe Mental Illness, Grace Uche Kalu

Walden Dissertations and Doctoral Studies

I conducted this Doctor of Nursing Practice (DNP) project to address medication nonadherence among adults with severe mental illness (SMI) in a psychiatric care setting by developing an evidence-based clinical practice guideline (CPG) for nurse-led interventions. The identified practice gap was the absence of a standardized, evidence-informed framework to guide nurses in enhancing pharmacotherapy adherence, which is a critical issue linked to relapse, rehospitalization, and diminished quality of life in this population. This project was guided by the following practice question: Will an evidence-based guideline on nurse-led interventions to improve medication adherence in patients with SMI be approved by a …

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Multigenerational Teachers And Staff Experiences, Perceptions, And Preferences On Organizational Change Communication In Schools, Chrystal Louise Fields Nov 2025

Multigenerational Teachers And Staff Experiences, Perceptions, And Preferences On Organizational Change Communication In Schools, Chrystal Louise Fields

Walden Dissertations and Doctoral Studies

Organizational leaders’ failure to adopt effective change communication strategies in schools exacerbates teacher and staff shortages, compounding factors that undermine student outcomes and overall school effectiveness. Multigenerational teachers and staff must understand change communication strategies as a leading indicator of unsuccessful workforce and organizational change in schools. Grounded in social constructivist theory and conceptually informed by Goffman’s frame analysis, the purpose of this qualitative descriptive case study was to explore how multigenerational teachers and staff experience change communication as recipients and agents of change in schools. The participants consisted of 16 multigenerational teachers and staff members across four generations from …

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Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme Nov 2025

Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on developing and evaluating an evidence-based clinical practice guideline (CPG) for the psychopharmacologic management of serious mental illness (SMI) in a state correctional health system. The project explored a critical practice gap: the unavailability of standardized, evidence-based prescribing and monitoring protocols for incarcerated individuals diagnosed with schizophrenia, major depressive disorder with psychotic features, or bipolar disorder. The evidence-based project was structured around the central question: “Will an interprofessional team achieve consensus on updating the clinical practice guideline for psychopharmacologic management of serious mental illness in state prisons, thereby improving consistency and quality …

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Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye Nov 2025

Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye

Walden Dissertations and Doctoral Studies

In this doctoral project, I developed and validated an evidence-based clinical practice guideline for implementing smartphone technology to monitor diabetic patients in primary care settings with an 80% threshold. The project addressed a critical gap in standardized guidance for diabetes technology integration, which has resulted in inconsistent adoption and suboptimal patient outcomes. A systematic literature review of four major databases yielded 12 high-quality studies representing all evidence levels (I–V) according to the Johns Hopkins evidence-based practice model. Evidence synthesis revealed strong and compelling evidence with consistent results supporting smartphone technology implementation, including HbA1c improvements of 0.4%–0.8%, sustained patient engagement rates …

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Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner Nov 2025

Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner

Walden Dissertations and Doctoral Studies

Sepsis is a life-threatening medical emergency that requires rapid identification and treatment. Delays in administering antibiotics are directly associated with increased mortality, longer hospital stays, and higher complication rates. Without intervention, patients faced preventable harm, and the organization risked continued non-compliance with federal quality measures. This Doctor of Nursing Practice (DNP) project implemented a structured educational program for emergency department (ED) nurses to improve knowledge of evidence-based sepsis protocols. The practice-focused question asked: For nurses in the ED, will an educational intervention on sepsis recognition and antibiotic stewardship improve knowledge of timely antibiotic administration and blood culture acquisition? Twenty ED …

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Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison Nov 2025

Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison

Walden Dissertations and Doctoral Studies

Children aged 12 and under who exhibit problematic sexual behavior (PSB) often face barriers to care due to clinicians’ limited willingness and effectiveness in treating this population. However, little is known about the factors that influence clinicians’ willingness to provide treatment. Grounded in Bowen’s family systems theory and Bandura’s self-efficacy theory, this study examined how differentiation of self (DoS), sexual intervention self-efficacy (SISE), sexual comfort, and sexual education/training affect clinicians’ willingness to treat child PSB. A quantitative, non-experimental survey design with a convenience sample of 63 clinicians with experience working with children used a multiple linear regression analysis that revealed …

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Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri Nov 2025

Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri

Walden Dissertations and Doctoral Studies

Nurses have demonstrated positive attitudes toward complementary and alternative medicine (CAM); however, additional education is limited in nursing programs to prepare them to discuss and educate patients about these practices. Nursing faculty play a significant role in educating, mentoring, and influencing students’ knowledge levels and attitudes toward CAM. The purpose of this quantitative, non-experimental, cross-sectional study, guided by the CAM healthcare model, was to examine relationships among nursing faculty demographics, CAM knowledge, attitudes, and curriculum integration. The Knowledge, Attitudes, and Use of CAM survey was administered to 111 nursing faculty across multiple programs. Data were analyzed using multiple linear regression …

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The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres Nov 2025

The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres

Walden Dissertations and Doctoral Studies

Despite progress in addressing racism in the United States, its effects remain deeply entrenched, particularly for Black families. Research on Black parenting shows that parents adapt their strategies to protect children from criminalization, discussing violence, providing safety within the home, and limiting exposure to unsafe environments while also managing their own stress. Yet limited attention has been given to how Black mothers prepare their sons for race-related risks within the modern sociopolitical climate shaped by the #BlackLivesMatter movement. The purpose of this basic qualitative research study was to explore how Black mothers prepare their Black sons for race-related risks. Carter’s …

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Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink Nov 2025

Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink

Walden Dissertations and Doctoral Studies

The variability within interhospital transfers represents challenges for hospitals to maintain a standardized level of care for patients. This integrative review explored evidence-based healthcare interhospital transfer practices to improve outcomes and efficiency of care for patients. Under the framework of the Donabedian model of health quality, the study examined 28 empirical and nonempirical articles published from 2021–2025 for best practices to provide improvement measures towards care for transfer patients and increase support for healthcare personnel. These articles were analyzed for quality using the Johns Hopkins evidence-based practice model. Through analysis, seven themes were identified: improving interhospital communication, improving time-based care, …

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Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella Nov 2025

Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella

Walden Dissertations and Doctoral Studies

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …

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Improving Depression Remission Rates At 12 Months, Raysene R. Hall Nov 2025

Improving Depression Remission Rates At 12 Months, Raysene R. Hall

Walden Dissertations and Doctoral Studies

I developed this Doctor of Nursing Practice (DNP) project to create a clinical practice guideline (CPG) aimed at improving depression remission rates at an outpatient clinic where outcomes were below national benchmarks. National standards for managing major depressive disorder (MDD) prioritize remission as the primary treatment goal. I identified a practice gap involving inconsistent follow-up care, irregular use of PHQ-9 assessments, and non-standardized workflows. The guiding question for this project was: Will a CPG that is designed to improve depression remission rates at 12 months be approved by subject matter experts (SMEs) using the Appraisal of Guidelines for Research and …

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Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller Nov 2025

Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller

Walden Dissertations and Doctoral Studies

This quantitative study was conducted to investigate the relationship between crisis call responding and job satisfaction among police officers and whether gender moderates this relationship. With crisis helpline calls rising over the past decade, officers face increasing emotional labor demands, particularly female officers in male-dominated environments. While past research has explored stress and gender differences in law enforcement, few studies have examined their interaction. Using the job demands-resources model and gender role congruity theory, this study employed a correlational design with simple linear regression and Hayes’ PROCESS macro to test moderation effects. Participants included 78 police officers from central Texas …

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The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong Nov 2025

The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong

Walden Dissertations and Doctoral Studies

The correctional population in the United States remains high despite the implementation of various measures to reduce crime and recidivism. The primary goal of correctional establishments is to reduce recidivism and crime through effective rehabilitation programs. The role of the correctional officer is crucial in the rehabilitation process because they are the heartbeat of a prison. However, low staffing levels have a negative impact on the role of corrections officers. There is a gap in the relevant literature on the low staffing levels of African American correctional officers. This qualitative research, through the phenomenological approach, focused on the correctional culture …

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Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach Nov 2025

Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach

Walden Dissertations and Doctoral Studies

Notwithstanding knowledge of the high stress levels experienced by firefighters, little is known about their coping strategies as compared with the general population. To address this gap, the differences in humor styles between firefighters and nonfirefighters in the prediction of life satisfaction and burnout were assessed. The study was grounded in the PERMA theory of well-being and the job demands-resources theory. A cross-sectional, correlational survey research design was used to assess if there are differences between firefighters and nonfirefighters in the types of humor (i.e., self-enhancing, affiliative, aggressive, and self-defeating) used and in the prediction of burnout and life satisfaction …

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Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis Nov 2025

Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis

Walden Dissertations and Doctoral Studies

Parents in recovery from substance abuse rely on social support and programs to maintain their sobriety consistently. However, specific programs crucial for their social and mental well-being, such as most 12-step groups and recovery centers, were shut down during the COVID-19 pandemic. Despite some research on the impact of substance abuse during the pandemic, little attention has been given to sustained recovery. Therefore, the purpose of this descriptive qualitative study was to explore how parents maintained recovery from substance use amid the COVID-19 pandemic. Schlossberg’s transition process model served as the theoretical framework for this study. Semistructured interviews with nine …

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Burnout And Perceived Organizational Support Among Female Healthcare Social Workers, Shukundala Clark Champion Nov 2025

Burnout And Perceived Organizational Support Among Female Healthcare Social Workers, Shukundala Clark Champion

Walden Dissertations and Doctoral Studies

Healthcare social workers experience elevated levels of burnout, or psychological distress resulting from a prolonged mismatch between the individual and their work environment. The problem addressed in this generic qualitative study is that female healthcare social workers experience elevated rates of burnout but may not receive adequate perceived organizational support (POS) to help ameliorate burnout. This study concentrated on female healthcare social workers' descriptions and experiences of burnout and POS. The guiding theoretical framework for this study is the perceived organizational support theory (POST). The study was conducted with 14 female healthcare social workers working in various healthcare settings in …

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Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson Nov 2025

Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson

Walden Dissertations and Doctoral Studies

Burnout is common among hospice clinical social workers due to the emotionally demanding nature of the profession and heavy caseloads. This study explored how hospice clinical social workers perceive the role of empowerment and self-care practices in reducing burnout. The qualitative design used semi-structured interviews with ten hospice clinical social workers. Thematic analysis identified five categories: indicators of burnout, team-based/relational support, systemic and workload pressures, organizational culture, and values and professional identity. The themes that emerged from the five categories were emotional, physical, and professional; interdisciplinary support and supervisory support; workload and organizational demands; organizational challenges and policy limitations; workplace …

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Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter Nov 2025

Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter

Walden Dissertations and Doctoral Studies

The challenges individual agencies face in addressing the complex issue of human trafficking and how interagency collaboration can strengthen survivor-centered support are largely unknown. Organizations often lack formal alliances that combine expertise and resources to deliver more comprehensive care. The absence of such partnerships represents a missed opportunity to provide the essential services necessary for survivors’ recovery, empowerment, and social reintegration. The purpose of the study was to use interagency collaboration to address the question: How can education, law enforcement, public health, and community-based organizations assess the barriers and benefits of interagency collaboration to create a more seamless support network …

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Staff Education On The Timeliness Of Administration Of Insulin For The Hospitalized Diabetic Patient, Precious C. Abidoye Nov 2025

Staff Education On The Timeliness Of Administration Of Insulin For The Hospitalized Diabetic Patient, Precious C. Abidoye

Walden Dissertations and Doctoral Studies

The problem addressed in this DNP project was the necessity for a nursing staff education program (SEP) focused on the prompt administration of insulin and order management as well as the evaluation of the hospital policy regarding diabetes mellitus in nonpregnant adult patients concerning hypoglycemia/hyperglycemia. Timely administration of insulin in the hospital is essential to maintain blood glucose levels within a permissible range, which greatly reduces the chances of encountering complications related to diabetes. The project questions were: Will there be an alteration in the nursing team members’ understanding of the promptness of insulin administration and the associated policy from …

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Staff Education On Understanding Nurse Burnout, Kathlyn Tracy Mcglynn Nov 2025

Staff Education On Understanding Nurse Burnout, Kathlyn Tracy Mcglynn

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice (DNP) project was a staff education program on nurse burnout, which remains a pressing issue in healthcare. Burnout is marked by emotional exhaustion, depersonalization, and a diminished sense of personal achievement. Addressing burnout within the nursing profession is important because burnout leads to job dissatisfaction, absenteeism, and turnover. The project was guided by two practice-focused questions: Will there be a change in knowledge from pre- to posttest after participating in an educational program on nurse burnout? Will the objectives of the educational program be met relative to the curriculum presented? Therefore, the purpose of …

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Effective Corporate Social Responsibility Strategies For Catalyzing Employees’ Satisfaction In The Retail Industry To Reduce Turnover, Alberto Madureira Poxes Jr. Nov 2025

Effective Corporate Social Responsibility Strategies For Catalyzing Employees’ Satisfaction In The Retail Industry To Reduce Turnover, Alberto Madureira Poxes Jr.

Walden Dissertations and Doctoral Studies

Abstract A lack of effective corporate social responsibility (CSR) strategies among corporate leaders can contribute negatively to their efforts to catalyze employees' satisfaction to reduce turnover. Corporate leaders can help their organization by adopting CSR strategies to increase employees' satisfaction to reduce turnover. Based on the transformational leadership theory, the purpose of this qualitative case study was to explore effective CSR strategies retail leaders use to catalyze employees' satisfaction to reduce turnover.Based on the functional areas of leadership, the participants selected for this studywere eight first- and second-level managers in the sports retail industry in the Midwest United States who …

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Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo Nov 2025

Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo

Walden Dissertations and Doctoral Studies

The shortage of qualified nursing faculty in Canada threatens the ability to educate sufficient numbers of nurses to meet healthcare demands. Despite this, limited research explores how baccalaureate-prepared nurses experience the transition into nursing faculty roles. The purpose of this qualitative study, guided by Schoening’s nurse educator transition model, was to explore the experiences of baccalaureate prepared nurses on the transition to novice nurse faculty members teaching in 2-year diploma prepared nursing programs in Northwestern Ontario. Five semi-structured interviews were conducted with baccalaureate-prepared novice nursing faculty members, analyzed, and transcribed using Zoom. Data were coded and analyzed using Saldana’s first …

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The Impact Of Covid-19 Related Virtual Learning On Parents Raising Children With Learning Disabilities, Ty'sheka Ne'cole Lambert Nov 2025

The Impact Of Covid-19 Related Virtual Learning On Parents Raising Children With Learning Disabilities, Ty'sheka Ne'cole Lambert

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic caused major disruptions in education as schools abruptly closed and students transitioned to virtual learning. This shift placed significant strain on parents, especially those raising children with learning disabilities who required consistent accommodations and support. The purpose of this qualitative study was to explore parents’ perceptions of how COVID-19–related virtual learning affected their children’s academic performance, emotional well-being, and daily functioning. Guided by Bronfenbrenner’s Ecological Systems Theory, the study examined how family, school, and community systems shaped these experiences. Semi-structured interviews were conducted with 12 parents of children with learning disabilities. Using Braun and Clarke’s (2013) six-step …

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Reducing Missed Appointments In Mental Health Outpatient Care Using Sms Reminders, James Avoseh Nov 2025

Reducing Missed Appointments In Mental Health Outpatient Care Using Sms Reminders, James Avoseh

Walden Dissertations and Doctoral Studies

Missed appointments remain a serious problem in mental health outpatient clinics. They break the flow of treatment, waste staff time, and worsen outcomes for patients. In this setting, the practice problem is the lack of an evidence-based system for reminding patients about their visits. This doctor of nursing practice (DNP) project focused on developing and evaluating a clinical practice guideline (CPG) for automated text message (SMS) appointment reminders. The guiding question asked: Can a CPG using SMS reminders help reduce missed appointments in a mental health outpatient setting? A thorough review of CINAHL and PubMed found strong support for this …

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Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn Nov 2025

Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was the development and evaluation of a staff education initiative aimed at improving nurses’ knowledge and confidence in managing patients with co-occurring mental health and substance use disorders. The practice problem was the lack of structured training, which left nurses underprepared and contributed to inconsistent care and poorer outcomes. Addressing this gap is essential in nursing practice to ensure safe, equitable, and patient-centered care. The practice-focused question for this project was: Does staff education in a behavioral health setting improve nurses’ knowledge and confidence in managing cooccurring mental health and substance use disorders, …

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