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Articles 1891 - 1920 of 16849
Full-Text Articles in Entire DC Network
Reducing Stigma And Enhancing Outcomes: An Antistigma Education Program For Mental Healthcare Professionals, Chidi Oriaku
Reducing Stigma And Enhancing Outcomes: An Antistigma Education Program For Mental Healthcare Professionals, Chidi Oriaku
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a staff education project that addressed the stigmatization of patients with mental illness (PMI) within psychiatric contexts. The project site healthcare organization’s mental health professionals had a high rate of stigmatization of PMI. Stigma is linked to poor medication adherence rates, delays in accessing healthcare, lower healthcare utilization among PMI, psychiatric morbidity and mortality, and poor quality of life. Despite recognizing this problem, the healthcare organization had no targeted antistigma interventions. I developed an antistigma education to improve outcomes. The practice-focused question was: In mental health staff, will an educational program on …
Preschool Teachers’ Perspectives Regarding Children’S Aggressive Behavior And In-School Suspension, Martha Baker
Preschool Teachers’ Perspectives Regarding Children’S Aggressive Behavior And In-School Suspension, Martha Baker
Walden Dissertations and Doctoral Studies
Aggressive behavior can lead preschool students to be suspended in and out of school. The problem in this study was the high rate of in-school suspension (ISS) among preschool students in response to child aggressive behavior. Informed by Harvey’s domain model of social reasoning and social information processing, the purpose of this basic qualitative study was to explore perspectives of preschool teachers working in childcare centers in one city in Texas regarding children’s aggressive behavior that may lead to ISS as a response to that behavior. Four research questions probed how preschool teachers describe the level of choice exercised by …
Staff Education To Improve Knowledge On Facilitation Of Psychoeducational Groups, Kenyett Moody
Staff Education To Improve Knowledge On Facilitation Of Psychoeducational Groups, Kenyett Moody
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Kenyett Moody has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Margaret Harvey, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Background and Purpose: Nurse-led psychoeducation groups are essential for improving patient outcomes by educating individuals about health conditions and coping strategies. In a dual-diagnosed inpatient psychiatric unit, a quality improvement (QI) project …
Staff Education On Ethical Considerations For The Implementation Of The Mental Health Triage Scale, Patrick Dioro
Staff Education On Ethical Considerations For The Implementation Of The Mental Health Triage Scale, Patrick Dioro
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) project, I employed the analysis, design, development, implementation, and evaluation (ADDIE) model to develop and deliver an educational intervention for emergency department (ED) nurses, with a specific focus on the Mental Health Triage Scale (MHTS). The practice-focused question was: In an emergency room at a mental health facility, how does staff education on the MHTS impact knowledge levels, as measured through pre- and post-education assessments? A needs assessment identified existing knowledge gaps and inconsistencies in triage practices among ED nurses. To address the problem, I developed a 4-week hybrid training program that combined …
Behavioral Health Leadership Strategies Used To Promote Cultural Change Within A Behavioral Health Organization, Jessica Wishom
Behavioral Health Leadership Strategies Used To Promote Cultural Change Within A Behavioral Health Organization, Jessica Wishom
Walden Dissertations and Doctoral Studies
The deficiency of patient-centered care and active treatment within behavioral health hospitals continues to contribute to decreased patient satisfaction, increased rapid readmissions, and low employee engagement and morale. This qualitative case study explored how behavioral health leadership in a for-profit behavioral health hospital in the southwestern United States addressed challenges related to patient-centered care and active treatment to foster cultural change. The study was grounded in the Baldrige framework of excellence. Data collection included semi structured interviews with behavioral health leaders and analysis of the hospital’s internal archival data, including patient satisfaction surveys and rapid readmission rates. Thematic analysis identified …
Staff Education To Increase Knowledge About The Workflow Process, Mwikali Mutia-Lamin
Staff Education To Increase Knowledge About The Workflow Process, Mwikali Mutia-Lamin
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was conducted to address staff’s lack of knowledge about the workflow process in an outpatient mental health setting. Evidence has shown that staff’s lack of knowledge about workflow processes creates ineffective communication and collaboration in care as well as reduces patient outreach. The practice-focused question was focused on determining whether training staff in an outpatient mental health setting about the organization’s workflow process increased their knowledge on how to use the workflow process in an effort to improve patient care and care outcomes. Thirteen of the 20 staff members participated in this educational …
First-Generation Black And Latinx Students And Their Perceived Level Of Postsecondary Education Preparedness, Shawanna Burton
First-Generation Black And Latinx Students And Their Perceived Level Of Postsecondary Education Preparedness, Shawanna Burton
Walden Dissertations and Doctoral Studies
First-generation Black and Latinx students report challenges of belonging and preparation in the transition to college. Limited research on these experiences hinders counselors’ support for these students. The purpose of this hermeneutic phenomenological study was to explore first-generation Black and Latinx college students’ meaning of their high school experiences. A hermeneutic phenomenology conceptual framework was used to explore the lived experiences of first-generation Black and Latinx college students, focusing on how guidance from high school counselors influenced their sense of belonging, persistence, and degree attainment in postsecondary education. Data were collected from nine participants through semistructured interviews and analyzed using …
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus (T2DM) remains a significant public health concern in the United States, with non-Hispanic Black women bearing a disproportionately high burden of the disease. Although this group has a lower overall prevalence of gestational diabetes mellitus (GDM), those who develop GDM face an increased risk of progressing to T2DM. The purpose of this quantitative, correlational study was to explore the relationship between GDM, physical activity, weight status, and T2DM development among non-Hispanic Black women. Secondary data from the National Health and Nutrition Examination Survey, collected from 2017 through March 2020, were analyzed. The health belief model served …
Service Learning And Association To Social Responsibility And The Process Of Cultural Competence In Nursing Practice, Helene Kay Hegge
Service Learning And Association To Social Responsibility And The Process Of Cultural Competence In Nursing Practice, Helene Kay Hegge
Walden Dissertations and Doctoral Studies
Service Learning and Association to Social Responsibility and the Process of Cultural Competence in Nursing Practice by Helene Hegge MSN, Walden University, 2011 BSN, Mount Marty University, 1986 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Nursing Walden University August 2025 Cultural competence and social responsibility are essential qualities of baccalaureate-prepared nurses. Cultural competence and social responsibility can occur in nursing students following their service learning (SL) experience and remain to influence practice as a professional nurse. The purpose of this basic qualitative study using 18 individual interviews of nurses who participated in …
Exploring Social Support In African American Males Recovering From Serious Mental Illness, Nicole Manza
Exploring Social Support In African American Males Recovering From Serious Mental Illness, Nicole Manza
Walden Dissertations and Doctoral Studies
This research explored the lived experience of social support in the recovery from significant mental illness (SMI) among African American males. Research suggests that African American males face greater psychosocial stressors than other racial and ethnic groups and have historically been less likely to utilize professional mental health services due to various systemic and cultural barriers. Supplemental forms of support, including social support, may reduce the likelihood of prolonged psychological distress and promote sustained recovery. The purpose of this qualitative study was to examine the role of social support in the recovery of African American males with SMI. The study …
Book Review Of The Art And Science Of Connection By Kasley Killam, Harit Agroia
Book Review Of The Art And Science Of Connection By Kasley Killam, Harit Agroia
Journal of Social, Behavioral, and Health Sciences
The Art and Science of Social Connection by Kasley Killam presents a case for better understanding individual health by ensuring that the social aspect is considered as a significant component of health in addition to the physical and mental aspects. Killam states that social health consists of an individual’s sense of belonging, the strength of relationships, and meaningful connections. By drawing from years of evidence building, Killam argues that social health is fundamental for one to truly flourish and prosper in their life as people who have stronger social health are shown to have higher quality of life, emotional resilience, …
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
Walden Dissertations and Doctoral Studies
Maternal mental health disparities in the United States continue to impact reproductive-age women, especially those from underserved populations. In this quantitative study, how healthcare accessibility and socioeconomic status (SES) influenced psychological stress and maternal mental health outcomes was examined. Bronfenbrenner’s socioecological model and critical race theory guided the theoretical framework. Secondary data from the 2019 Behavioral Risk Factor Surveillance System were used to analyze three research questions related to the predictive relationships between systemic factors and mental health outcomes, and differences in stress across age groups. Key variables included insurance coverage, access to a personal doctor, cost-related barriers, income, employment …
Staff Education About Cultural Awareness In A Healthcare Setting, Phylis Titty Tarawally
Staff Education About Cultural Awareness In A Healthcare Setting, Phylis Titty Tarawally
Walden Dissertations and Doctoral Studies
Summary This quality improvement project was carried out to address a practice gap in culturally responsive care among nursing staff working in a skilled nursing facility. African-American residents often face disparities in healthcare due to staff’s limited knowledge of cultural health beliefs and confidence in engaging with diverse populations. To improve this, an educational intervention was designed using the ADDIE instructional model and evaluated to see if it could enhance staff knowledge and confidence related to African-American cultural practices. The project was guided by the practice-focused question: Will a structured African-American cultural awareness program improve staff knowledge and confidence to …
The Progressive Changes In Posttraumatic Symptoms And Posttraumatic Growth Associated With Traumatic Incident Reduction, Joseph L. Mcclory
The Progressive Changes In Posttraumatic Symptoms And Posttraumatic Growth Associated With Traumatic Incident Reduction, Joseph L. Mcclory
Walden Dissertations and Doctoral Studies
Many millions of people are suffering from symptoms of posttraumatic stress disorder (PTSD). Just in the United States, 13 million Americans had a PTSD diagnosis as of 2020. Through the theoretical lens of catharsis, analysis of variance was used to examine whether traumatic incident reduction (TIR) is associated with changes in posttraumatic symptoms and posttraumatic growth by comparing pre, mid, and post-TIR PTSD Checklist for DSM-5 (PCL-5) and Posttraumatic Growth Inventory (PTGI) scores. Regression was also used to test whether post-PCL-5 scores accounted for variance in the post-PTGI scores. Ninety-seven TIR cases from the mental health agency between 2017 and …
Staff Education To Pediatric Healthcare Providers On How To Prevent Unintentional Childhood Injuries., Peter Cleveland Collins
Staff Education To Pediatric Healthcare Providers On How To Prevent Unintentional Childhood Injuries., Peter Cleveland Collins
Walden Dissertations and Doctoral Studies
This staff education quality improvement Doctor of Nursing Practice (DNP) project was focused on teaching pediatric healthcare providers how to provide education during wellness visits to prevent unintentional childhood injury. The practice problem at the clinic was that pediatric providers lacked knowledge about injury prevention. A literature review showed that unintentional childhood injuries are the leading cause of death in this population. The practice-focused question determined was to determine if, after educating providers, they have improved knowledge and intent to educate their patients. I used the analysis, design, development, implementation and evaluation (ADDIE) model to guide this project. The participants …
Strategies To Improve Work–Life Balance Among Remote Millennials To Increase Employee Productivity, Paige Frost
Strategies To Improve Work–Life Balance Among Remote Millennials To Increase Employee Productivity, Paige Frost
Walden Dissertations and Doctoral Studies
A lack of effective strategies to improve work-life balance for remote millennial employees is a concern for healthcare leaders. Without such strategies, organizations may struggle to remain competitive and ensure sustainability. Grounded in Homans’s social exchange theory, this qualitative pragmatic inquiry identified and explored the effective strategies healthcare leaders use to improve work-life balance for remote millennial employees to increase productivity. Participants were six leaders of healthcare organizations located in the southeastern United States with at least 2 years of leadership experience managing remote employees. Data were collected through semistructured interviews and analyzed using Braun and Clarke’s six-step thematic analysis. …
Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter
Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter
Walden Dissertations and Doctoral Studies
Disparities in broadband access and the reliability of services are still a major issue for communities throughout the United States. Broadband information technology (IT) managers often lack effective customer retention strategies, which can seriously impact their organization's growth and profitability. This pragmatic qualitative project, grounded in Morgan and Hunt’s commitment-trust theory of relationship marketing, was to explore strategies employed by IT managers at broadband companies to retain customers and ensure financial viability and sustainability. The study included semistructured interviews with 10 IT managers from broadband providers in the Philadelphia region of the United States who possessed relevant expertise involving customer …
Spatial-Temporal Variation Of Diarrhea Among Children Under 5 Years Old Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr., Elias Nyandwi Dr.
Spatial-Temporal Variation Of Diarrhea Among Children Under 5 Years Old Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr., Elias Nyandwi Dr.
Journal of Social, Behavioral, and Health Sciences
We used secondary data from the Rwanda Demographic and Health Surveys of 2010, 2015, and 2020 to assess the spatial-temporal variation of diarrhea among children under 5 years old between the years 2010 and 2020 in Rwanda. Stratified descriptive statistics, pairwise comparisons, and logistic regression designs were used for data analysis in SPSS. A statistically significant variation of diarrhea among children under 5 years old was observed across districts, regions, and urban–rural areas but not at the national level between 2010–2020. Some districts of the Western region, including Nyabihu (OR = 2.5), Ngororero (OR = 2.3), and Karongi …
How Medical Mistrust Serves As A Barrier To Mental Health Treatment In The African American Community, Nicholas Young
How Medical Mistrust Serves As A Barrier To Mental Health Treatment In The African American Community, Nicholas Young
Journal of Social, Behavioral, and Health Sciences
Throughout history, research has depicted the notion that African Americans do not make use of mental health treatment, even when their mental health status may deem it clinically necessary. One of the most prevalent deterrents to African Americans seeking treatment is the mistrust of the medical system. In the African American community, medical mistrust has a longstanding history that stems from the discrimination, racism, lack of representation in the field, and medical mistreatment that African Americans received as test subjects by the medical community over time. Various instances, throughout history, of African Americans being unjustly treated— for the sake of …
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Walden Dissertations and Doctoral Studies
Poor maternal health-seeking behavior (MHSB) has contributed to persistently high maternal mortality in rural northern Nigeria. Despite increasing access to health information via media platforms, little is known about the association between media exposure and MHSB in this region. In this study, the association between mass media exposure (radio and television) and MHSB was investigated using institutional delivery as a proxy. The health belief model was applied as the theoretical framework for this study and sought to answer two key questions focused on whether there is an association between media exposure and MHSB in rural northern Nigeria and what the …
Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin
Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin
Walden Dissertations and Doctoral Studies
Research on counselors who treat sexually violent offenders has emphasized professional challenges, ethical dilemmas, and vicarious trauma, while less attention has been given to clinicians with personal histories of sexual abuse who may face added strain yet also bring unique empathy and resilience to their work. Addressing this gap is critical for the counseling profession, as it informs how training, supervision, and wellness practices can be structured to better support clinicians with lived trauma histories. This qualitative study explored the lived experiences of counselors with personal histories of sexual abuse who work with sexually violent offenders. Grounded in interpretative phenomenological …
The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh
The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh
Walden Dissertations and Doctoral Studies
The declining retention rate among U.S. child welfare workers is a significant concern. Research suggested that as millennials enter the workforce, adopting leadership styles that best meet the needs of each generation and/or facilitate congruence between organizational goals and the distinct work values of both the younger and older generations will help increase retention. Specifically, supervisors needed to identify a leadership style that best satisfied the needs of millennials who are stereotypically less loyal to organizations and exhibit higher job mobility than older generations. The purpose of this quantitative study was to examine the extent to which generational cohort moderated …
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Walden Dissertations and Doctoral Studies
The nature of nursing practice—persistent exposure to patient suffering—often results in compassion fatigue for staff. Compassion/emotional fatigue can affect nurses’ mental well-being, which can manifest in burnout, decreased empathy, and emotional numbness. These outcomes can eventually reduce job satisfaction for nurses and nursing assistants, increase errors during patient care, and lead to poorer patient outcomes. Prioritizing caregivers' mental health may improve the quality of nursing care. Mindfulness-based therapy (MBT) is an approach that may ensure the mental health and emotional stability of those who care for patients while also being a comparatively easy, accessible, and affordable tool. The goal of …
Education For Home Infusion Nurses, Ann Marie Wilson
Education For Home Infusion Nurses, Ann Marie Wilson
Walden Dissertations and Doctoral Studies
This document presents an executive summary of a staff education initiative designed for home infusion nurses, submitted in fulfillment of requirements for the Doctor of Nursing Practice at Walden University. The project aims to address the specialized educational needs of nurses in the home infusion setting, where evolving clinical procedures and patient safety standards demand advanced competency and knowledge. Through the development and implementation of targeted educational strategies, the project seeks to enhance nurses' skills, promote best practices in infusion therapy, and improve health outcomes for patients receiving infusion care at home. Key objectives include identifying gaps in current education, …
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Walden Dissertations and Doctoral Studies
Adult obesity rates have increased from approximately 15% in 1980 to more than 40% of adults in 2018, and the rates continue to increase. White-collar workers are disproportionately impacted as a result of the sedentary work performed in a white-collar work environment. Increased levels of obesity result in elevated levels of psychological stress, chronic health conditions, and increased organizational costs. The purpose of this basic qualitative study was to understand the lived experiences of the obese white-collar worker who has used a worksite wellness program to lose weight and to understand what additional support was needed to achieve weight loss. …
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
Walden Dissertations and Doctoral Studies
Single mothers receiving cash welfare assistance through the Temporary Assistance for Needy Families (TANF) program, may not be prepared for economic self-sufficiency due to TANF’s primary focus on employment and limited focus on self-sufficiency barriers. Past studies have found that cash welfare assistance recipients may not become self-sufficient due to low-wage employment, limited education, and the lack of a public policy-based standardization of the concept of economic self-sufficiency. The purpose of this study was to examine the experiences of single mother TANF recipients pursuing economic self-sufficiency through the lens of the capabilities approach, life chances theory, and the feminization of …
Coping Self-Efficacy, Acculturation, Gender, Socioeconomic Status, And Perceived Discrimination As Predictors Of Depression Among Nigerian Immigrants In The United States, Olatunde O. Osibote
Coping Self-Efficacy, Acculturation, Gender, Socioeconomic Status, And Perceived Discrimination As Predictors Of Depression Among Nigerian Immigrants In The United States, Olatunde O. Osibote
Walden Dissertations and Doctoral Studies
Nigerian immigrants represent one of the fastest-growing immigrant populations in the United States. Relocating to a new country can be a major source of stress, often increasing individuals’ vulnerability to mental health challenges. While considerable research has examined predictors of depression in the general population and among certain immigrant groups, limited attention has been given to these factors in the context of Nigerian immigrants in the U.S. This study aimed to address that gap by applying Berry’s acculturation theory to investigate predictors of depression within this population. A quantitative, cross-sectional, correlational survey design was used to examine whether acculturation, socioeconomic …
Social Service Supervisors' Perceptions Of Professional Development Training, Jaida Elaine Patterson
Social Service Supervisors' Perceptions Of Professional Development Training, Jaida Elaine Patterson
Walden Dissertations and Doctoral Studies
Chafee Independent Living Skills and Goals Program (CILSGP) is a federally mandated program for public child welfare organizations that provide services to adolescents and young adults in the foster care system. The problem that was addressed through this study was that program administrators are unsure of the additional professional development (PD) needs of the social service supervisors at the study site, a foster care independent living program for youth. The purpose of this basic qualitative study was to investigate social service supervisors’ perceptions on the PD they receive; the influence the PD has on their self-concept as a learner, their …
Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara
Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara
Walden Dissertations and Doctoral Studies
Depression is common yet frequently underdiagnosed in group home settings serving adult and geriatric residents. This Doctor of Nursing Practice (DNP) project aimed to improve staff knowledge and promote routine use of the Patient Health Questionnaire-9 (PHQ-9), a validated depression screening tool, through an evidence-based educational intervention. A practice gap was identified at the project site due to inconsistent use and documentation of the PHQ-9, primarily linked to staff knowledge deficits. The project explored whether educating staff on PHQ-9 administration, scoring, and documentation would lead to improved knowledge, as measured by pre- and post-intervention assessments. Guided by the ADDIE instructional …
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
Walden Dissertations and Doctoral Studies
The problem explored in this study was the low graduation rate of first-generation college students at the university study site. Using Bandura’s self-efficacy theory, the purpose of this basic qualitative study was to explore first-generation college graduates’ beliefs about their educational experience as students upon entering a bachelor’s degree program, identify obstacles, and understand ways to master those obstacles to successfully graduate. Six first-generation college graduates from the study site were recruited from FIRST, an on-campus support organization, for semistructured interviews using purposeful sampling. Due to COVID and the closing of the university study site at the time of recruitment, …