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Articles 931 - 960 of 16767
Full-Text Articles in Entire DC Network
Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high percentage of novice teachers leaving the profession during the first 5 years of teaching in a Southwestern state. Grounded in Mitchell et al.'s job embeddedness theory, the purpose of this qualitative study was to explore K-12 teachers’ perspectives on factors influencing their decision to remain in the education profession, as well as K-12 administrators’ perspectives on influencing novice teachers’ decisions to persist in the education profession in a Southwestern state. For this basic qualitative design, data were collected from 10 teachers and three administrators and analyzed using Braun and …
Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel
Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel
Walden Dissertations and Doctoral Studies
No abstract provided.
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
Walden Dissertations and Doctoral Studies
No abstract provided.
Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe
Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe
Walden Dissertations and Doctoral Studies
Understaffing during the weekends has been related to issues in patient safety, delayed responses, and increased nurse fatigue and turnover in a majority of inpatient mental health units. This practice improvement Doctor of Nursing Practice (DNP) project aimed to address disparities in nurse staffing ratios between weekdays and weekends within inpatient mental health units. The purpose of the project was to design and test an evidence-based acuity-based staffing model, supported by structured staff education and compliance monitoring, to promote equitable workload distribution and improve patient and organizational outcomes. The guiding practice question asked: How does the implementation of an acuity-based …
Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell
Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell
Walden Dissertations and Doctoral Studies
Acute care hospitals continue to experience financial strain as the healthcare system transitions from fee for service to value-based reimbursement (VBR) models. The purpose of this integrative review was to identify evidence-based financial, clinical, and operational strategies that support hospital adaptation to value-based models while maintaining financial stability and high-quality care. The guiding question focused on determining which strategies reduce financial pressures and improve value-based performance in acute care hospitals. Guided by resource-based theory, this integrative review included 25 empirical and nonempirical studies published between 2019 and 2025 that examined U.S. acute care hospitals. Data were synthesized through a thematic …
Lived Experiences Of Black, Indigenous, And People Of Color (Bipoc) Counselors Collaborating With Multidisciplinary Teams To Treat Bipoc Clients Diagnosed With Eating Disorders, Melissa Sherfield
Walden Dissertations and Doctoral Studies
Eating disorder (ED) treatment has historically been grounded in Eurocentric models that inadequately account for the cultural contexts and lived experiences of Black, Indigenous, and people of color (BIPOC), contributing to persistent disparities in care. The purpose of this descriptive transcendental phenomenological study was to explore the lived experiences of BIPOC counselors who provide culturally responsive care to BIPOC clients diagnosed with EDs. Guided by Husserl’s phenomenological philosophy of intentionality and Giorgi’s descriptive phenomenological method, the central research question addressed the lived experiences of BIPOC counselors providing culturally responsive ED care, with a sub-question addressing how counselors describe their preparedness …
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela
Walden Dissertations and Doctoral Studies
African American women may experience body dysmorphia differently due to cultural, racial, and societal influences that shape their body perceptions and counseling experiences. Guided by a Heideggerian theoretical foundation, this hermeneutic phenomenological study aimed to explore how African American women experience receiving counseling for body dysmorphia in the United States. The guiding research question was: How do African American women with body dysmorphia experience receiving help in counseling? Eight African American women participated in in-depth, semi-structured interviews, and data analytic procedures were analyzed using the hermeneutic circle. Key findings revealed body dysmorphia as a persistent, embodied experience shaped by racialized …
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates
Walden Dissertations and Doctoral Studies
Anxiety is the most rapidly growing mental health problem globally, particularly among adolescents and young adults. Mental health clinicians need effective integrative health treatment strategies to address the anxiety epidemic. The purpose of this qualitative generic study was to explore the perspectives of clinicians on the process of using equine-assisted psychotherapy (EAP) to treat adolescents and young adults with anxiety through the lens of a somatic theory, bioenergetics. Data were collected using semi-structured interviews with 12 EAP clinicians and analyzed using Braun and Clarke’s thematic analysis. Three themes were identified: 1. The process of EAP is highly effective because energetic …
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Walden Dissertations and Doctoral Studies
This is an educational intervention project targeted was developed to fill a knowledge gap in the treatment of hypertension in a rural primary care clinic. The project focused on enhancing staff education for Remote Blood Pressure Monitoring (RBPM) to enhance the desired patient outcomes regarding continuous monitoring and early interventional actions. The practice problem focuses on the lack of effective methods in managing hypertension that can facilitate the identification of hypertensive crisis and in rural areas. This project's primary research question is: "How can staff education on RBPM enhance knowledge and skills about hypertension management in rural clinics?" The project …
Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh
Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh
Walden Dissertations and Doctoral Studies
During the stage of late adolescence, marriage presents unique challenges, with partners navigating several developmental tasks in tandem with forming and maintaining marital relationships. Partner responsiveness has been consistently identified as a key factor for personal wellbeing and relationship satisfaction. Limited research has explored how late adolescent married individuals describe this dynamic. The purpose of this qualitative transcendental phenomenological study was to explore lived experiences of late adolescent married individuals between 18 and 20 who described their experiences with partner responsiveness during this transitional period. This study was grounded in Bronfenbrenner’s ecological systems theory in order to explore how relational …
Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay
Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice capstone project presents the development and evaluation of a clinical practice guideline (CPG) for the assessment and management of Type 2 Diabetes Mellitus in adults. The project addresses the ongoing challenge of diabetes-related complications and hospitalizations, highlighting the critical role of personalized patient education and the integration of smartphone technology for home monitoring. Central to this initiative was the question of whether an expert panel would endorse an evidence-based guideline for diabetes monitoring using innovative technology, as evaluated by the AGREE II tool. A robust review of the literature supported the guideline’s development, with high-quality …
Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan
Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan
Walden Dissertations and Doctoral Studies
This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …
Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller
Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller
Walden Dissertations and Doctoral Studies
There is a high rate of women in their late 20s and early 30s that are in destructive relationships, many because of decisions that were made during adolescence . Little research has focused on understanding the decision making process of entering intimate, long-term romantic relationships from the viewpoint of adult women in their late 20s through 30s who made that decision during adolescence. This phenomenological study allowed for a greater understanding of adolescent decision making, specifically about entering intimate, long-term romantic relationships. The research questions were (a) What are the lived experiences of young women as they enter intimate, long-term …
Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii
Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii
Walden Dissertations and Doctoral Studies
Ineffective marketing strategies contribute to lower retention outcomes by failing to communicate the value of training programs and build sustained community engagement. Training managers must implement intentional marketing strategies that strengthen community engagement and improve participant retention. Grounded in organization theory, the purpose of this qualitative pragmatic inquiry was to explore the successful marketing strategies used by training managers of private organizations in the United States to increase military numbers. The participants were six training managers from the Southwest United States. Data were collected from semistructured interviews. Through thematic analysis, four themes emerged: (a) marketing strategies, (b) training managers, (c) …
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud
Walden Dissertations and Doctoral Studies
Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …
Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee
Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that elementary administrators struggle to implement the positive behavioral interventions and supports (PBIS) framework as a school reform model for discipline at a Southern school district (SSD). Grounded in Bandura’s theory on social learning, the purpose of this qualitative study was to explore elementary administrators’ perceptions of their successes, challenges, and recommendations for using the PBIS framework as a school reform model for discipline in the SSD. For this basic qualitative design, semistructured interviews were conducted with 12 administrators that implemented the PBIS framework in their schools. Through thematic analysis using …
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Walden Dissertations and Doctoral Studies
Nursing leadership in Belize is lacking but crucial to the well-being of patients, families, and the healthcare team. The purpose of this non-experimental, descriptive, comparative study was to a) determine the difference in leadership self-efficacy for current nurse leaders with three years or less of leadership experience compared to current nurse leaders with more than three years of leadership experience in Belize, and b) examine the differences in leadership self-efficacy between nurses in a leadership position and nurses not in a leadership position in Belize. The theories supporting the study were Burns’ transformational leadership theory and leadership self-efficacy, based on …
Opioid Overdose Associations In The United States Among Pregnant And Postpartum Women During 2019-2023, Permecia Winston-Dixon
Opioid Overdose Associations In The United States Among Pregnant And Postpartum Women During 2019-2023, Permecia Winston-Dixon
Walden Dissertations and Doctoral Studies
The rising trend of opioid-involved overdose deaths among pregnant and postpartum women in the United States from 2019 to 2023 represents a pressing public health issue. This population faces increasing risk due to opioid use and co-occurring mental health conditions, yet remains underrepresented in research. The purpose of this quantitative study was to examine the association between opioid involvement among pregnancy-associated overdose deaths, while controlling for pandemic periods (pre-COVID: 2019, peak COVID: 2020–2021, post-peak COVID: 2022–2023). Grounded in the syndemic theory, this study addressed two research questions Grounded in syndemic theory, this study addressed two research questions focused on opioid-involved …
From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li
From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li
Walden Dissertations and Doctoral Studies
Silo mentality within nonprofit behavioral health organizations creates barriers to effective leadership communication and undermines change management efforts. This case study involved examining how siloed practices influenced leadership communication during organizational change at a nonprofit behavioral health organization in a rural area of California. The study was grounded in the Baldrige Excellence Framework, which emphasizes leadership, workforce engagement, and systems alignment. Data were collected through semi-structured interviews with leaders at multiple organizational levels and review of internal archival documents. Thematic analysis revealed 3 central themes: siloed decision-making, information gatekeeping, and inconsistent communication, as well as localized resilience practices that were …
Social Determinants Of Health And Treatment Outcomes In Black And White Men With Early-Stage Prostate Cancer, Laurel Cannon
Social Determinants Of Health And Treatment Outcomes In Black And White Men With Early-Stage Prostate Cancer, Laurel Cannon
Walden Dissertations and Doctoral Studies
Black men are disproportionately affected in diagnosis and death rates from prostate cancer compared to White men. Although prior research established links between race, sociodemographic factors, and prostate cancer outcomes, longitudinal analyses examining multiple social determinants of health simultaneously were limited. The purpose of this quantitative study was to examine whether race, marital status, and education impact how long patients live who were diagnosed with early-stage prostate cancer. Social impact theory framed how social forces such as race, education, and marital status influence health outcomes. A non-experimental correlational design was employed, drawing on archival data from 4,407 participants in the …
Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr.
Access To Care, Vaccine Hesitancy, And The Lived Experiences Of African Americans Living In Pulaski County, Arkansas, Donald Ray Kelly Ellis Jr.
Walden Dissertations and Doctoral Studies
Arkansas’s COVID-19 vaccine rates were among the lowest for African Americans in Arkansas, who were hesitant to accept the vaccine. The purpose of this qualitative phenomenological study was to explore the lived experiences of African American adults in Pulaski County, Arkansas, and to explore factors influencing COVID-19 vaccine hesitancy and access to health care services. Guided by Andersen’s health care utilization model, the study focused on predisposing, enabling, and need-based factors shaping health care decision making. Data were collected through semi-structured interviews with 8 African American adults and analyzed using directed content analysis. Findings from the analysis revealed 365 codes, …
Anxiety, Cognitive Load, And Simulation Effectiveness In Pre-Licensure Bsn Students, Brittany Behrens
Anxiety, Cognitive Load, And Simulation Effectiveness In Pre-Licensure Bsn Students, Brittany Behrens
Walden Dissertations and Doctoral Studies
High-fidelity simulation experiences are an integral component of pre-licensure nursing curricula, providing students with realistic, controlled environments to develop clinical judgement skills. While these simulations enhance learning, they can increase anxiety and cognitive load, potentially impairing students’ ability to process information and derive meaningful outcomes. The purpose of this quantitative, correlational study was to examine the relationships among pre-simulation anxiety, cognitive load, and perceived simulation effectiveness in pre-licensure BSN students. Data were collected from 90 participants using the shortened Spielberger State-Trait Anxiety Inventory (STAI), the Cognitive Load Measurement–Naïve Rating Questionnaire, and the Simulation Effectiveness Tool–Modified (SET-M). Pearson correlation analyses indicated …
Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord
Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord
Walden Dissertations and Doctoral Studies
There is a lack of acute crisis services for youth in the United States. In San Luis Obispo County, California, there are no designated facilities with crisis stabilization services near family homes for children in acute crisis. Grounded in Stroul et al.’s system of care approach for children and families, the purpose of this qualitative force field analysis study was to explore human service administrators’ perceptions of the services youth in acute crisis need to stabilize within San Luis Obispo County. Directors at youth human services county departments and nonprofits were contacted to help recruit a purposeful sample of 11 …
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Walden Dissertations and Doctoral Studies
Improving Depression Screening for African American Adolescents Through Staff Education on the PHQ-A
Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang
Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang
Walden Dissertations and Doctoral Studies
Cultural humility is essential to effective counseling across diverse populations, yet its dispositional foundations remain unclear, limiting the development of evidence based, personality informed training strategies in counselor education. Grounded in Foronda’s Cultural Humility theory, this quantitative, nonexperimental study examined the relationship between personality traits and cultural humility among licensed professional counselors in the United States. The participants included 125 licensed professional counselors who completed the HEXACO PI R 60-item inventory and Foronda’s Cultural Humility Scale. The results of a multiple linear regression were statistically significant for the overall model, F(6,118) = 6.165, p < .001, R² = .239, accounting for 23.9% of the variance in cultural humility. Openness to experience was a significantly negative predictor (B = –.519, p < .001), indicating that higher openness scores were associated with lower cultural humility; honesty-humility was not statistically significant (p = .052), and the remaining traits also were not significant predictors. These findings complicate assumptions about the dispositional roots of cultural humility and suggest potential implications for counselor education, including experiential learning, reflective supervision, and skills-based training that may support cultural humility development. The results suggest that personality traits may play a role in cultural humility and may have implications for integrating personality-related insights into multicultural frameworks, conceptualizing humility as a dynamic construct influenced by both traits and context.
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Walden Dissertations and Doctoral Studies
This staff education project focuses on improving depression detection in a primary care settings using Patient Health Questionnaire (PHQ-9) screening tool. Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The diagnosis of depression is one of the most common mental health disorders in primary care but is poorly identified and frequently missed. The lack of consistent screening for depression among patients often results in delayed identification of symptoms, which postpones early treatment, increasing the risk of complications associated with untreated depression. The practice site identified that depression screening was frequently missed during patient intake, …
Public Policy Issues Faced By Educators Teaching Incarcerated Youth, Tariq Shabazz
Public Policy Issues Faced By Educators Teaching Incarcerated Youth, Tariq Shabazz
Walden Dissertations and Doctoral Studies
Educational policies at the federal, state, and juvenile levels shape the academic transfer and reintegration processes for youth returning from confinement to public schools in the United States. Despite the passage of the Every Student Succeeds Act of 2015, the literature indicates that policies at the federal, state, and programmatic levels were not fully aligned. Each required education to be provided to juveniles while incarcerated, but each did not show how this education was transferred afterward or if this was a requirement at each level. The purpose of this general qualitative study was to conduct a comparative policy analysis of …
Intimate Partners Of National Guard And Reserve Members And Veterans With A Mental Health Diagnosis, Christine Sutton
Intimate Partners Of National Guard And Reserve Members And Veterans With A Mental Health Diagnosis, Christine Sutton
Walden Dissertations and Doctoral Studies
Research has documented increasing mental health challenges among military service members; however, limited scholarship examines the lived experiences of partners of National Guard and Reserve members when a mental health diagnosis is present within the relationship. Despite expanded attention to active-duty families, National Guard partners remain underrepresented while navigating dual civilian–military demands, fragmented support systems, and inconsistent access to care. The purpose of this hermeneutic phenomenological study was to explore and interpret the lived experiences of partners of National Guard and Reserve service members diagnosed with a mental health condition. Guided by a hermeneutic phenomenological framework, the study explored how …
Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan
Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan
Walden Dissertations and Doctoral Studies
Despite physician burnout being a recognized problem, no single, successful, clear strategy has been developed to lessen this issue. The purpose of this qualitative phenomenological study was to explore the motivations underlying the development of responses to physician burnout by their creators and the factors that influenced their decision-making in creating these responses. A purposeful sample of 17 creators of physician burnout and suicide prevention strategies in the United States was selected based on Moustakas’s conventions for conducting a qualitative descriptive phenomenological study. Notwithstanding this sample, data collection continued until saturation was achieved. The qualitative data were collected using semi-structured …
Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña
Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña
Walden Dissertations and Doctoral Studies
Single fathers are an increasing population in the United States and worldwide. However, the literature and programs that guide human services professionals supporting single fathers’ parenting experience are limited in Anne Arundel County, Maryland. There is a need to further study the varied challenges these fathers experience so that professionals in social support organizations and agencies can implement appropriate services, support, programs, and resources into practice and ensure access to support their families and parenting. This qualitative study includes a force field analysis as part of a formative program needs assessment to explore human services professionals' perceptions of service needs, …