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Full-Text Articles in Entire DC Network
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Walden Dissertations and Doctoral Studies
Patients with limited English proficiency (LEP) face ongoing communication barriers that heighten medical errors and health disparities because nurse leaders in acute care settings lack empirically informed guidance on leadership practices that effectively implement language services. Grounded in transformational leadership (TL) theory, the purpose of this qualitative pragmatic inquiry project was to explore how nurse leaders perceive, experience, and enact strategies to address the language access needs of LEP patients. The participants were six nurse leaders from across the Midwest region, who successfully led nursing teams to improve communication with LEP patients. Data were collected using semistructured interviews, government proactive …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
Walden Dissertations and Doctoral Studies
Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley
Walden Dissertations and Doctoral Studies
Idaho private and charter schools are experiencing increased enrollment, including students who are developmentally delayed. Such an increase in the population of developmentally delayed students presents challenges for school social workers in providing needed therapeutic services. This study addressed the limited therapeutic services for students with developmental disabilities in Idaho’s private and charter schools, as perceived by school social workers. The purpose was to examine school social workers’ perceptions of the barriers and challenges they encounter when supporting students with developmental disabilities in private or charter schools in Idaho. Participant eligibility criteria included holding a minimum of a bachelor’s degree …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of a structured staff education program aimed at improving nurses’ knowledge and confidence in early sepsis recognition and management using the quick Sequential Organ Failure Assessment (qSOFA) tool. Despite the availability of evidence-based screening methods, inconsistent application and limited nurse confidence were identified as key practice gaps. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional design framework, an educational intervention was developed and delivered to hospital-based nurses, focusing on qSOFA criteria, early identification of sepsis, and nurse-driven escalation pathways aligned with current clinical guidelines. A pre- …
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Walden Dissertations and Doctoral Studies
Individuals with mental health disorders are overrepresented in the criminal justice system, yet minimal evidence exists on how risk-based case management influences pretrial supervision. Existing literature focuses on post-conviction populations, with limited focus on pretrial defendants, particularly those with mental health disorders and gaps in how gender and mental health intersect to influence supervision outcomes. The study addressed the problem of whether risk-based case management improves pretrial outcomes for defendants with mental health needs and vary by gender or case management components. The purpose of this quantitative, non-experimental, retrospective design study was to examine the relationship between case management and …
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey
Walden Dissertations and Doctoral Studies
Employee retention remains a persistent challenge for rural small business leaders. The specific business problem addressed in this study was that some rural small business leaders lack effective leadership strategies to retain employees, which threatens organizational sustainability and workforce stability in rural communities. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective leadership strategies used by rural small business leaders in Northeast California to optimize employee retention. Data were collected from semistructured interviews with six rural small business leaders in Northeast California and were triangulated with publicly available documents, websites, and …
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Exploring School Administrators' Perceptions Of Zero Tolerance Policies For African American Female Students, Keysha D. Knight
Walden Dissertations and Doctoral Studies
Zero tolerance policies disproportionately affect African American female students and contribute to their accelerated entry into the school-to-prison pipeline. Existing literature indicated that these policies subject African American female students to harsher disciplinary practices and that their behaviors were often misunderstood by school administrators. However, there is limited research on how school administrators’ discretionary implementation of zero-tolerance policies contributes to these disparities. The purpose of this general qualitative study was to explore how school administrators interpret and exercise discretion when implementing zero tolerance policies affecting African American female students through the lens of Lipsky’s street-level bureaucracy theory. Four themes were …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs)in the geriatric population present unique diagnostic and management challenges. Improper classification and treatment plans contribute to increased morbidity, hospitalization, and mortality. This Doctor of Nursing staff education aimed to address a gap in Advanced Practice Provider knowledge regarding the differentiation of complicated versus uncomplicated UTIs in the geriatric population. Guided by the John Hopkins evidence-based practice model, a targeted educational intervention was developed and implemented. Evidence synthesis included 20 high-quality articles representing level 1-5 evidence. A pretest, educational PowerPoint presentation, and posttest were used to assess APP baseline knowledge and understanding of the education post-presentation. There …
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Walden Dissertations and Doctoral Studies
Burnout in supervisors/managers working in residential substance use disorder (SUD) treatment settings poses serious threats to the agency, staffing, and client care. Behavioral health leaders need to understand how organizational culture and leadership practices shape burnout and resilience in their teams. This qualitative case study drew on the Leadership and Workforce categories of the Baldrige Excellence Framework to examine the influence of leadership and organizational culture on staff emotional well-being and resilience at a Boston-area nonprofit residential SUD treatment center. The study sought to answer: (a) how organizational culture and leadership affect supervisor and manager well-being and resilience; and (b) …
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Walden Dissertations and Doctoral Studies
Black women have long contributed to leadership in academia, government, and the nonprofit sector, yet they remain significantly underrepresented in senior leadership roles in higher education. When Black women are missing from leadership, institutions lose out on talent, students lose out on representation, and society loses out on the full range of perspectives needed to solve complex problems. Grounded in Black Feminist Thought, this general qualitative study explored the experiences and perceptions of bias and barriers among Black women serving in leadership roles at the dean level and above in higher education. Data were collected through structured interviews with seven …
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how Florida police officers perceived changes in their spiritual and religious beliefs following prolonged exposure to critical incidents. The research question asked how officers interpreted, adapted, and transformed their spiritual or religious beliefs in response to repeated critical incident exposure. Nine sworn frontline officers participated and were interviewed using a semi structured protocol. Transcripts were analyzed inductively using thematic analysis. Three primary findings emerged: (1) Career and Impact captured cumulative occupational exposure that prompted moral appraisal and coping, and participants did not report uniform loss of faith; (2) Spiritual Belief followed three common trajectories—stability, strengthening/reaffirmation, …
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Walden Dissertations and Doctoral Studies
Resistance to patient experience initiatives remains a persistent challenge in acute care hospitals, often undermining organizational efforts to improve engagement, culture, and care delivery despite broad acknowledgment of their importance. Healthcare leaders need to understand this challenge as a primary indicator affecting patient experience outcomes. The purpose of this qualitative narrative inquiry was to explore the factors that cause resistance to change faced by patient experience leaders (PELs) in the acute care hospital setting. The theory of planned behavior grounded this study. The participants consisted of 15 PELs working in acute care hospitals across the United States. Data were collected …
Staff Education To Integrate Evidence-Based Practice Of Music Therapy As An Adjunct To Cognitive Behavioral Therapy For Anxiety And The Use Of Anxiety Screening Tool In An Outpatient Clinic, Virginia Bahena
Walden Dissertations and Doctoral Studies
Evidence-based practice (EBP) is essential for improving quality, safety, and outcomes in healthcare; however, gaps in staff knowledge and readiness continue to limit consistent implementation in outpatient settings. This Doctor of Nursing Practice project was a practice-focused quality improvement initiative designed to evaluate the impact of a targeted staff education intervention on EBP knowledge and readiness. The practice-focused question guiding the project was: Does a targeted staff education intervention improve knowledge and readiness to integrate brief music therapy as an adjunct to cognitive behavioral therapy (CBT) and appropriately utilize the Generalized Anxiety Disorder-7 (GAD-7) screening tool in an outpatient setting? …
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Walden Dissertations and Doctoral Studies
This phenomenological study explored counselors’ lived experiences of utilizing Eye Movement Desensitization and Reprocessing (EMDR) with children ages 8 to 12 years of age. Guided by a Husserlian approach, the research examined how clinicians make meaning of adapting EMDR—traditionally conceptualized as a structured, eight-phase protocol—for developmental and relational responsiveness within child psychotherapy. Through phenomenological reduction and epoché, counselors described a shift in consciousness from viewing EMDR as a rigid procedure to experiencing it as a flexible, relationally attuned process grounded in the child’s lived world. Counselors described the phenomenon of implementing EMDR with children with playful adaptations and co-regulation. The …
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Walden Dissertations and Doctoral Studies
The federal government faces the ongoing challenge of sustaining a workforce that represents the diversity of the American public while navigating through policy changes that eliminated diversity, equity, inclusion, and accessibility initiatives. The federal government is public serving and is one of the largest employers in the United States. The purpose of this generic qualitative study was to explore the perceptions and experiences of government employees navigating the termination of all diversity and inclusion programs through the lens of the antecedents and outcomes of inclusions model, which showed that inclusive leadership, climate and practices contribute to positive employee and organizational …
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Highly Skilled First-Generation Immigrant Kenyan Women’S Lived Experiences With Workplace Integration Strategies In California, Lily Quiette Otieno
Walden Dissertations and Doctoral Studies
Unlocking the potential of highly skilled first-generation immigrant women in the workplace is critical in an era of globalization and multiculturalism. The social problem is that organizations face challenges integrating highly skilled first-generation immigrant women into the U.S. workforce due to a limited understanding of effective workplace integration strategies. The purpose of this qualitative phenomenological study was to explore the lived experiences of highly skilled first-generation Kenyan women with workplace integration strategies in California. The study was grounded in Graen and Uhl-Bien’s leader-member exchange theory and Crenshaw’s intersectionality theory to understand how leadership relationships and intersecting identities shaped workplace experiences. …
Staff Education To Improve Knowledge On Discharge Planning And Transitions Of Care For Chronically Ill Patients, Cynthia Adebisi Kadiri
Staff Education To Improve Knowledge On Discharge Planning And Transitions Of Care For Chronically Ill Patients, Cynthia Adebisi Kadiri
Walden Dissertations and Doctoral Studies
Patients with chronic conditions have the tendency to return to the hospital. Staff education to address high-rate re-hospitalization among patients with chronic conditions is the focus of my Doctor of Nursing Practice project. This is a significant practice problem, since patient outcomes and increased healthcare costs is compromised. Regarding re-hospitalization prevention and ultimate aid in reducing readmissions among people with chronic conditions, the project was used to enhance the knowledge of the nursing staff and competence in transitions of care and discharge planning. The project included 10 nurses who are regularly involved in discharging patients in the medical outpatient clinic. …
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Walden Dissertations and Doctoral Studies
Criminal cannibalism is a rare form of violent offending that remains understudied despite public attention. This gap limits understanding of the psychosocial characteristics and life experiences of individuals who engage in cannibalistic behavior. The purpose of this qualitative study was to explore psychosocial characteristics within the life experiences of North American males who engaged in cannibalistic behavior and identify common themes. Grounded in social control theory and self-control theory, the study examined how weakened social bonds and diminished self-regulation may relate to extreme deviance. The guiding research question focused on identifying common psychosocial characteristics within this population. A descriptive phenomenological …
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Walden Dissertations and Doctoral Studies
Many adults suffer from mental health issues, often caused by retained primary reflexes. There are current gaps in the literature surrounding primary reflex assessment methods. The purpose of this quantitative psychometric study was to evaluate the psychometric properties of a new behavioral self-assessment scale used to identify retained primary reflexes from behavioral indicators, while also determining if statistically significant relationships exist among study variables. The theoretical foundation for this cross-sectional study was based on the neurodevelopmental and neurobehavioral work of Melillo, while conceptually benefiting from several neuroplasticity related frameworks, such as those developed by Ayres, Bach-y-Rita, and Masgutova. The self-report …
Shift Work And Shift Change And Police Officers’ Subjective Well-Being, Macey Silano
Shift Work And Shift Change And Police Officers’ Subjective Well-Being, Macey Silano
Walden Dissertations and Doctoral Studies
This phenomenological study explored the lived experiences of police officers working second and third shifts and how these schedules impacted their subjective well-being, mental health, relationships, and life satisfaction. This study addressed an important research problem because limited research has examined how night shifts and shift changes impact police officers’ well-being. The purpose of this qualitative study was to examine how police officers experienced shift work and shift changes while working second and third shifts and how they made meaning of these experiences in relation to subjective well-being. Using interpretative phenomenological analysis, this study was grounded in restorative rest and …
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Walden Dissertations and Doctoral Studies
Diabetes remains disproportionately prevalent in Appalachia, and macroenvironmental contributors remain poorly understood. Guided by spatial epidemiology, this quantitative, cross-sectional ecological study examined whether county-level environmental factors including distance to mine, distance to landfill, distance to water, mean annual precipitation, mean annual temperature, forest classification, distance to impervious surface, and median income were independently and collectively associated with diabetes cases per capita in West Virginia, used as a surrogate for Appalachia. Research questions addressed environmental predictors of diabetes cases per capita with and without controlling for median income. Publicly available county-level data from 53 West Virginia counties representing adults aged 20 …
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Walden Dissertations and Doctoral Studies
The behavioral health leaders at Organization X do not have a clear and practical way to engage family members in youth behavioral health programs. When caregivers are not actively involved in youth behavioral health treatment, youth may disengage from missed appointments and discontinue treatment prematurely. The present case study focused on Organization X, a small behavioral health organization located in the Southeastern United States. The Baldrige Framework of Excellence was the conceptual framework for this study, with a focus on consumer engagement and workforce operations. Semi structured and structured interviews were conducted with three behavioral health leaders. Data were collected …
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …
Enhancing Post‑Discharge Outcomes: A Quality Improvement Project To Reduce 30‑Day Readmission Rates For Patients With Schizoaffective Disorder, Samson Laryea Norteye
Enhancing Post‑Discharge Outcomes: A Quality Improvement Project To Reduce 30‑Day Readmission Rates For Patients With Schizoaffective Disorder, Samson Laryea Norteye
Walden Dissertations and Doctoral Studies
This DNP quality improvement project aimed to reduce 30-day readmission rates for patients with schizoaffective disorder (SAD) by enhancing discharge planning interventions. Using pre- and post-intervention methods, the project compared readmission rates before and after implementing interventions and gathered feedback from patients and staff to identify barriers and facilitators. The intervention bundle included patient education, participation in psychotherapy or support groups, medication reconciliation, and the use of long-acting injectables (LAIs) during hospitalization and prior to discharge. Evaluation of postintervention data revealed that none of the 10 patients in the intervention group were readmitted within 30 days, indicating a significant reduction …
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Walden Dissertations and Doctoral Studies
Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Walden Dissertations and Doctoral Studies
African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Walden Dissertations and Doctoral Studies
Black men experience disproportionate mental health disparities, particularly in relation to depression, yet remain less likely to engage in formal mental health treatment due to cultural stigma and barriers to care. The Black church, a historically trusted institution within the Black community, may influence how depression is understood and managed. The purpose of this generic qualitative study was to explore how Black men in Inkster, Michigan perceive the role of the Black church in influencing their understanding and management of depression. The Health, Illness, Men, and Masculinities (HIMM) framework guided this study. Data were collected through semi-structured interviews with 10 …