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Articles 1561 - 1590 of 16848
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Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Walden Dissertations and Doctoral Studies
Survivors of same-sex intimate partner violence (IPV) face negative mental health consequences. A lack of research exists on how social support, emotional and coping regulation, and counselors’ behaviors, knowledge, and skills affect the help-seeking behaviors and therapeutic outcomes of survivors of same-sex IPV. Addressing the gap is important because recent studies report an increase in same-sex IPV but low levels of help-seeking behaviors in response. If unaddressed, IPV can affect the well-being and safety of those partnered individuals. The purpose of this qualitative hermeneutic phenomenological study was to explore the experiences of same-sex IPV survivors who received therapeutic counseling. The …
Staff Education Workshop Focusing On Enhancing Nurse Knowledge And Adherence To The Time (Tissue, Infection/Inflammation, Moisture, Edge) Framework To Improve The Quality Of Wound Assessment And Care, Ijeoma G. Onyejiji
Walden Dissertations and Doctoral Studies
This staff educational project focused on implementing training on the tissue, infection/inflammation, moisture, edge (TIME) framework to address gaps in nurses’ knowledge and improve adherence to the TIME framework during wound assessment. Current evidence shows inconsistent use of standardized wound assessment among nurses, which can lead to inappropriate treatment, delayed wound healing, increased infection risk, and higher healthcare utilization. This project’s question sought to assess whether implementing a staff education workshop focusing on the TIME framework would enhance nurse knowledge and adherence to the TIME framework. Six nurses participated in the training. Pre/post questionnaires were used to evaluate knowledge before …
Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine
Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine
Walden Dissertations and Doctoral Studies
The problem for this study is that, despite longstanding efforts to promote diversity in higher education, faculty from racial and ethnic minorities remain underrepresented in nursing programs in the United States. Guided by critical race theory, the purpose of this basic qualitative study was to explore nursing faculty perceptions of the effectiveness and challenges of institutional efforts to address underrepresentation. Using purposive sampling, 12 nursing faculty members with knowledge of or experience with diversity initiatives were recruited as participants. Data were collected through semistructured interviews. Through a six-phase thematic analysis, nursing faculty identified five critical insights: (a) diversity messaging often …
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Walden Dissertations and Doctoral Studies
Abstract Rural African Americans experience a higher prevalence of Type 2 diabetes compared to their White counterparts, yet little research has explored the roles of food insecurity and educational attainment in this disparity. The purpose of this quantitative, correlational study was to examine whether food insecurity and educational attainment were associated with the prevalence of Type 2 diabetes among African Americans aged 18 to 65 years in rural Southern United States, using the World Health Organization’s social determinants of health framework. Data from the 2019-2022 IPUMS National Health Interview Survey (N=793) were analyzed both descriptively and using multiple logistic regression …
Child Poverty: Understanding The Emotional Labor Of Social Work Professionals, Aamir Terry
Child Poverty: Understanding The Emotional Labor Of Social Work Professionals, Aamir Terry
Walden Dissertations and Doctoral Studies
Child Poverty: Understanding the Emotional Labor of Social Work Professionals by Aamir Terry MSW, Walden University 2019 BS, Central State University 2008 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Social Work Walden University November 2025
Of Rollercoasters And Resilience: The Role Of Ceos’ Biases And Heuristics For Large Firms’ Technological Innovation, Cristina O. Vlas, Radu E. Vlas
Of Rollercoasters And Resilience: The Role Of Ceos’ Biases And Heuristics For Large Firms’ Technological Innovation, Cristina O. Vlas, Radu E. Vlas
International Journal of Applied Management and Technology
How do CEOs’ personality biases and motivational heuristics influence innovation in large firms? Because large-firm innovation is more common and less risky, overlooked factors—such as narcissism, self-monitoring, and promotion or prevention foci—become pivotal. Drawing on these traits, we found that narcissistic CEOs differ from self-monitoring CEOs in driving innovation. Moreover, the effect of self-monitoring CEOs depends on whether their regulatory focus is oriented toward promotion or prevention. However, this interplay between personality and motivation does not apply to narcissistic CEOs, suggesting that certain characteristics remain relatively fixed. These findings advance the understanding of how CEO traits shape large-firm innovation and …
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the incidence of central line-associated bloodstream infections (CLABSI) in the Pediatric Intensive Care Unit (PICU) by educating clinical staff on the importance of hand hygiene and bundle compliance. Despite established guidelines, CLABSI remains a significant issue in healthcare, particularly in PICUs, where patients are at higher risk for infections. The practice-focused question guiding the project was: How does staff education on hand hygiene and CLABSI bundle compliance impact the prevention of CLABSI in the PICU? Twenty-five PICU nurses participated in the educational sessions. Analytical strategies included pretests and …
The Experiences Of African Americans Seeking Health Care Services, Sandy Latreice Sullivan
The Experiences Of African Americans Seeking Health Care Services, Sandy Latreice Sullivan
Walden Dissertations and Doctoral Studies
Health care experiences are shaped by life events and cultural background, making engagement with providers individualized. African Americans have historically reported distrust of health professionals due to targeted mistreatment. The purpose of this generic qualitative study was to explore the experiences of middle-aged African American adults receiving care from non-African American health care providers. Rosenstock’s health belief model was the framework for the study. Nine participants were recruited from social media using purposeful sampling. Data were gathered through semistructured interviews held on Zoom. Saldana’s four-step qualitative data analysis process was utilized to analyze the data. The results of the data …
African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran
African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) can have detrimental impacts on lifelong functioning. Although African Americans experience disproportionately higher rates of community violence, one type of ACE, the potential long-term impacts of exposure to such violence and of historical oppression on their parenting practices in adulthood, was little understood. In this qualitative study, an ethnographic approach was used to explore African American parents’ perceptions of how early exposure to community violence (before age of 18) and the intergenerational transmission of historical oppression influenced their current parenting practices. The conceptual framework, which integrated Engel’s biopsychosocial model and Bowen’s family systems theory, provided a …
Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin
Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin
Walden Dissertations and Doctoral Studies
This qualitative study explored how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman (SBW) role. This study investigated how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman role and how they interpret this role in relation to coping with depression. Guided by a social constructionist framework, the study used a qualitative design. Eight women who identified as middle-class, experienced depression, and endorsed the SBW role participated in semi-structured interviews. Braun and Clarke’s six phase thematic analysis revealed six themes: therapy as cultural …
Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr
Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr
Walden Dissertations and Doctoral Studies
This study addressed the impact of stigma and cultural beliefs on help-seeking behaviors among the Igbo tribe in Nigeria. The importance of this issue lies in its potential to increase access to mental health services and foster well-being among Igbo community members who might be harmed by stigma and cultural barriers. The study's theoretical framework was the cultural theory of mental illness, which emphasizes how cultural values and beliefs influence how people perceive and express their mental health. This study aimed to offer guidance for interventions and programs that address mental health disparities in the Igbo community by comprehending the …
The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson
The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson
Walden Dissertations and Doctoral Studies
The Strong Black Woman (SBW) schema has been explored during the past two decades; however, limited research has been conducted on the phenomenological experiences of Black women who identify with the characteristics of the SBW schema and their impact on Black and African American marriages. The purpose of this study was to explore the lived experiences of married African American women in modern day marriages who endorse the characteristics of the superwoman schema. This qualitative study was an interpretative phenomenological analysis and focused on the lived experiences of this population. Individual interviews of 12 married African American women who identified …
Reduce Readmission Among Patients Within 60 Days Of Discharge In A Behavioral Health Unit, Iretioluwa Emmanuella Adeniran-Adetoye
Reduce Readmission Among Patients Within 60 Days Of Discharge In A Behavioral Health Unit, Iretioluwa Emmanuella Adeniran-Adetoye
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on a staff education initiative to reduce 60-day readmission rates in a behavioral health unit within a hospital. The project was staff focused, emphasizing the provision of training to the nursing staff to effectively design the discharge planning of patients by actively involving them in the discharge plans. The purpose was to provide nurses with the necessary skills and knowledge to strengthen discharge planning and directly influence patient outcomes. Addressing the practice problem was an urgent need because patients in the behavioral health unit were at increased risk of readmission. The main factors …
The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka
The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka
Walden Dissertations and Doctoral Studies
As global aging trends and longer life expectancy encourage many seniors to seek meaningful engagement through volunteering, this research examined how such activities influence their perceptions and experiences. While much of the existing literature on volunteering in later life has concentrated on individuals involved in local community service, little research has addressed what motivates seniors to volunteer abroad. The purpose of this qualitative study was to examine the perceptions and lived experiences of German volunteers aged 55 or older in development service in Tanzania and the influence of these experiences on their lives. The theoretical framework examined the guiding approaches …
Over Reliance On Antidepressant Medication In Long-Term Care Facilities: Rethinking Mental Health Approaches, Kaylene Elder
Over Reliance On Antidepressant Medication In Long-Term Care Facilities: Rethinking Mental Health Approaches, Kaylene Elder
Walden Dissertations and Doctoral Studies
Depression is a prevalent mental health condition among older adults in long-term care (LTC) facilities and is often managed primarily through antidepressant medications. While these medications can be effective, their overuse in elderly populations increases the risk of falls, sedation, cognitive decline, and adverse drug interactions. This project addresses the need for safer, evidence-based alternatives by promoting non-pharmacological interventions that support holistic well-being. The proposed approach integrates gratitude journaling, vitamin D testing to identify deficiencies, and vitamin D supplementation for residents experiencing mild to moderate depressive symptoms. Implementation is led by nursing staff and supported by the interdisciplinary care team, …
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Alba Gisel Ayala
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Alba Gisel Ayala
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …
Exploring Psychological Empowerment Among Hiv Support Groups, Harit Agroia, Leyla Mousli, Rock Braithwaite, Silvia Boron, Rene Padilla
Exploring Psychological Empowerment Among Hiv Support Groups, Harit Agroia, Leyla Mousli, Rock Braithwaite, Silvia Boron, Rene Padilla
Journal of Social, Behavioral, and Health Sciences
Support groups can provide members with space to discuss life issues, foster a sense of community, and promote connections with others. For people living with HIV, support groups can improve knowledge and awareness of tools and resources for HIV management, reduce stigma, improve social competence, and overall health. Studies that have connected empowerment and support group structures in populations with HIV have found promising results; however, a dearth of research demonstrates how applying theoretical frameworks can improve understanding of factors that increase empowerment among support group participants. The purpose of this phenomenological study was to apply the Psychological Empowerment Theory …
Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …
Special Education Teachers' Experience Implementing Constant Time Delays On Young Adults With Autism Spectrum Disorder To Improve Employment Stability, Ayodele Salihu
Walden Dissertations and Doctoral Studies
Individuals with autism spectrum disorder (ASD) often encounter challenges in securing and maintaining employment. With appropriate support, they can gradually develop the functional and social skills necessary to perform job tasks independently, fostering long-term employment and greater autonomy. Achieving independence depends on both the cognitive abilities of individuals with ASD and the instructional strategies educators employ to engage them effectively in the learning process. Constant time delay (CTD) is an evidence-based practice that has demonstrated significant benefits for individuals with ASD in skill acquisition and task mastery. This qualitative study explored the experiences of special education (SPED) teachers in implementing …
Staff Education For Nurses To Increase Nursing Staff Knowledge On Hospital-Acquired Infection Prevention, Mimi M. Farride
Staff Education For Nurses To Increase Nursing Staff Knowledge On Hospital-Acquired Infection Prevention, Mimi M. Farride
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project focused on a staff education initiative aimed at reducing hospital-acquired infections (HAIs) in healthcare settings. HAIs contribute to patient morbidity, extended hospital stays, and increased healthcare costs. Despite established infection control policies, inconsistencies in adherence had highlighted the need for targeted education. The central practice question guiding this project, conducted in a hospital setting, was, “How did implementing a comprehensive infection prevention education program for healthcare staff influence their knowledge?” The primary goal was to educate staff with the skills needed to minimize infection risks and enhance patient outcomes through effective prevention techniques. …
Staff Education For Catheter-Related Urinary Tract Infection Prevention In Intensive Care, Ascar Boinett
Staff Education For Catheter-Related Urinary Tract Infection Prevention In Intensive Care, Ascar Boinett
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) staff education project was conducted to address inconsistent adherence to catheter-associated urinary tract infection (CAUTI) prevention bundles in an adult intensive care unit (ICU). CAUTIs remain a leading cause of morbidity, extended hospital stays, and increased healthcare costs. The project aimed to improve nurses’ knowledge and attitudes regarding CAUTI prevention through structured education and the integration of daily catheter reassessment checklists into practice. A quantitative pretest–posttest design was used to measure changes in participants’ knowledge and attitudes following two 45-minute educational sessions. Forty-two ICU nurses participated in the intervention. Data were analyzed using descriptive …
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Walden Dissertations and Doctoral Studies
The identified problem at the project site facility was rising incidences of patient falls, which was attributed to insufficient staff knowledge of evidence-based strategies for preventing falls, including purposeful hourly rounding (PHR). Research has demonstrated that PHR effectively reduces the risk of falls among patients by allowing clinicians to proactively address patient needs. The purpose of this staff education project was to enhance healthcare providers’ knowledge of PHR and its role in fall prevention. The practice-focused question that guided this project was: For staff in a long-term care facility, will training on hourly rounding increase knowledge toward the goal of …
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Walden Dissertations and Doctoral Studies
Studies show Black Americans face high police brutality, leading to mental health issues like PTSD, depression, and anxiety. The purpose of this qualitative interpretive phenomenological study is to explore the lived experiences of Black Americans who have been exposed to police brutality on social media and how it impacts their racial identity and emotional well-being. This study employed critical race theory as both a theoretical lens and a conceptual framework to examine how race and systemic inequalities shape legal systems and societal narratives. I used IPA to explore how people interpret their experiences and the meanings they assign. This study …
Global Citizenship Education In Ghana: An Evaluation Of The Junior High School Social Studies Curriculum, Benjamin Takyi, Anthony Bordoh Dr., Isaac Eshun Prof., Frederick Owusu
Global Citizenship Education In Ghana: An Evaluation Of The Junior High School Social Studies Curriculum, Benjamin Takyi, Anthony Bordoh Dr., Isaac Eshun Prof., Frederick Owusu
Journal of Educational Research and Practice
The aim of global citizenship education (GCE) is to equip individuals with the knowledge, skills, and values necessary to address global challenges. Despite its significance, GCE is often insufficiently integrated into curricula, particularly in the Global South. The purpose of the study was to examine the alignment of the junior high school standards-based social studies curriculum with GCE principles. Using a qualitative case study design and content analysis, the study explores cognitive, socio-emotional, and behavioral aspects of global citizenship embedded in the curriculum. The findings indicate a strong alignment between social studies learning outcomes and GCE principles, with content incorporating …
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Walden Dissertations and Doctoral Studies
Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice project in physical medicine and rehabilitation (PM&R), the focus was on enhancing education for acute care nurses about the benefits of inpatient rehabilitation for appropriate patients. The practice problem was the underutilization of inpatient rehabilitation despite its proven benefits in improving patient outcomes and reducing readmissions. With this project, I aimed to educate nurses on identifying suitable candidates for inpatient rehabilitation, thereby improving patient care transitions and outcomes. The practice-focused question revolved around assessing the effectiveness of educational interventions in increasing nurse knowledge and referral rates to inpatient rehab. Analytical strategies included pre- and …
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Walden Dissertations and Doctoral Studies
Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Walden Dissertations and Doctoral Studies
Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical gap in care at a 24-bed, combined, intensive care unit (ICU): The absence of a standardized, evidence-based clinical practice guideline (CPG) for managing diabetic ketoacidosis (DKA). DKA is a life-threatening emergency requiring timely, coordinated, and evidence-driven management. Despite its prevalence, the project site ICU lacked formal guidelines, resulting in fragmented care delivery and inconsistent treatment practices. Project site leadership expressed concerns that the absence of a unified protocol contributed to increased workload for nurses and physicians with frequent interruptions for order verification and delays that compromised patient safety and care …
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Walden Dissertations and Doctoral Studies
Abstract Thirty-day hospital readmissions continue to be an increasing problem for healthcare administrators due to quality and costs. This study was conducted to examine whether gender and race were related to 30-day readmissions in urban and rural counties of North Carolina and Wisconsin. Research questions included the dependent variable of 30-day acute hospital readmissions and the independent variables of race (Black and White) and gender (male and female). The framework was Donabedian’s quality of care model consisting of three components: structure, process, and outcomes. Centers for Medicare and Medicaid Services secondary data were gathered in 2022 from 595,294 patients in …