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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 …
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Walden Dissertations and Doctoral Studies
Scholarly literature review found a gap in the identification of barriers experienced by pediatric office providers (POPs) for the provision of early childhood development (ECD) surveillance among culturally and linguistically diverse (CALD) children under the age of three years. The barriers may inhibit access to recommended screenings at defined milestones during the state of neurogenesis, whereby a child’s life trajectory may be negatively impacted and further handicap society at large. This qualitative study aimed to explore the access barriers and remedial strategies identified in the reconstructed narratives of southeast Florida POPs. The research design was premised on the behavioral model …
Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips
Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips
Walden Dissertations and Doctoral Studies
This study was developed to address the partner site's need for an evidence-based approach to improving patient engagement among elderly individuals managing chronic diseases. Low engagement, often driven by poor provider–patient communication, non-compliance, and limited use of healthcare technology, was identified as a barrier to effective self-management and optimal health outcomes. Guided by the social cognitive theory, behavioral, cognitive, and environmental factors influencing engagement and self-efficacy were examined. Two practice-focused questions examined: identifying barriers to engagement and the impact of the provider–patient relationship on outcomes. The purpose of the project was to develop an evidence-based approach to enhance patient engagement. …
Families Experiencing Domestic Violence Related Homelessness, Brittany Miller
Families Experiencing Domestic Violence Related Homelessness, Brittany Miller
Walden Dissertations and Doctoral Studies
Homelessness in the United States remains a persistent issue despite legislative efforts to address it. Single parents navigating homelessness encounter unique challenges in accessing stable housing and essential services, with domestic violence often serving as a significant contributory factor. The purpose of this qualitative study was to explore the perceptions of practitioners regarding the needs of single parents navigating domestic violence-related homelessness. The empowerment theory provided the framework for this study, and data were obtained from focus groups with leaders and administrators who work in the areas of homelessness, economic security, and family violence. The study’s findings revealed significant gaps …
Increasing Staff Knowledge In An Assisted Living Facility, Lindy Hilding
Increasing Staff Knowledge In An Assisted Living Facility, Lindy Hilding
Walden Dissertations and Doctoral Studies
The practice problem I identified was a rising number of resident falls throughout the past 6-12 months at a 29-bed assisted living facility (ALF). The organization requested an education program on evidence-based practices on fall prevention in older adults. I used the project question to explore if an education program would increase the knowledge of the staff and caregivers at the ALF. Numerous sources of evidence supported the practice guidelines including fall risk assessment tools. During the facility monthly staff meeting, participants completed a six-question knowledge assessment on falls. The participants completed the same assessment after the education program, as …
Racial Moderation Of Infant Mortality Risk And Protective Factors In The United States, Temitope Oluwaseun Akinsola
Racial Moderation Of Infant Mortality Risk And Protective Factors In The United States, Temitope Oluwaseun Akinsola
Walden Dissertations and Doctoral Studies
The rate of infant mortality is a pressing health issue in the United States, as ethnic minorities are disproportionately affected. This study addressed how race controls the predictive power of demographic, socioeconomic, and geographic factors on infant mortality. Using a quantitative correlational design, secondary data from 181 individuals listed in the CDC-National Vital Statistics System database were used, which contains nationally aggregated data related to infant mortality rates. Bronfenbrenner’s social ecological model guided the study, and multiple regression and moderation models were used to examine socioeconomic status and access to healthcare on infant mortality outcomes. Results indicated that race significantly …
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Staff Education On Perinatal Opioid Use Disorder, Mukisha Livingston Gunter
Walden Dissertations and Doctoral Studies
Perinatal Opioid Use Disorder (POUD) constitutes a significant public health issue with important ramifications for both mothers and their newborns. The gap in practice identified for this Doctor of Nursing Practice staff education project was the perinatal nurses’ lack of knowledge regarding POUD. The problem was the need for POUD education for the nurses. The practice focus questions were: Will there be a change in knowledge by perinatal nurses following the delivery of the education as shown by a pretest/posttest? Will the participants evaluate the education as having met the program objectives related to the curriculum presented? Guided by the …
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
The Association Between Malnutrition And Gingivitis Among Residents In St. Louis, Missouri, Alyssa Detrick
Walden Dissertations and Doctoral Studies
Malnutrition and gingivitis are common diagnoses in primary medical and dental care. The purpose of this quantitative study was to understand the association between malnutrition and gingivitis among residents in St. Louis, Missouri. The study was based on the social ecological model (SEM). The cross-sectional design involved secondary data (N = 2,553) from a Federally Qualified Health Center in St. Louis, Missouri that included de-identified patient demographic and diagnosis information of St. Louis City residents with a medical and dental visit in 2024. This study examined the relationship between malnutrition and gingivitis while controlling for ethnicity, preferred language, race, and …
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
Walden Dissertations and Doctoral Studies
Cancer is a major public health problem in the United States and around the world. The condition is reported to be among the leading causes of death and has a significant impact on quality of life. The purpose of this study was to explore the association of smoking, education, and income level with cancer in the Mexican migrant population at U.S./Mexico border while controlling for age and gender. This quantitative, retrospective, cross-sectional study with a sample size of 988 used secondary data from the Mexican Migrant Project to explore the potential association between smoking, education and income level with cancer …
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Walden Dissertations and Doctoral Studies
Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. …
Educating Nurses On The Agency Of Healthcare Research And Quality Pressure Ulcer Prevention Program To Reduce The Rate Of Pressure Ulcers, Marie France Destaul
Educating Nurses On The Agency Of Healthcare Research And Quality Pressure Ulcer Prevention Program To Reduce The Rate Of Pressure Ulcers, Marie France Destaul
Walden Dissertations and Doctoral Studies
A staff development project was conducted to address the practice problem encountered in a healthcare setting. The identified gap in practice was related to a lack of knowledge of pressure ulcer injury prevention among inpatient staff. Leadership deemed it essential to address this practice problem in nursing care because the prevalence of pressure ulcer injuries in hospitalized patients was high. The following practice-focused question guided the project: For staff in an inpatient setting, will education on the Agency of Healthcare Research and Quality (AHRQ) Pressure Ulcer Prevention Program increase knowledge toward the goal of decreasing the incidence of pressure ulcers? …
The Lived Experience Of Bariatric Patients During The Pre-Surgical Evaluation, Nathan Paul Wharton
The Lived Experience Of Bariatric Patients During The Pre-Surgical Evaluation, Nathan Paul Wharton
Walden Dissertations and Doctoral Studies
Patients undergoing bariatric surgery have no standard of care for the pre-surgical evaluation process (PSE). Often, these patients look at the PSE as just another hurdle to jump through before reaching surgery. The PSE, however, offers an opportunity for mental health professionals to prepare the patient for the challenging lifestyle changes necessary for weight loss maintenance in the long term. The problem being studied is whether patients feel they are prepared for the unique mental health challenges, eating disorder challenges, and strict lifestyle changes during the PSE. The study followed a qualitative interpretative phenomenological analysis approach to explore the lived …
Role Of Perceived Social Support And Knowledge Of Postpartum Depression Among Women In Anambra State, Eastern Nigeria, Raphael Oluwasina Babatola Folorunsho
Role Of Perceived Social Support And Knowledge Of Postpartum Depression Among Women In Anambra State, Eastern Nigeria, Raphael Oluwasina Babatola Folorunsho
Walden Dissertations and Doctoral Studies
Postpartum depression (PPD) is an increasingly pressing public health issue, particularly in low-resource settings like Nigeria, where maternal mental health tends to receive limited attention. This study explored the relationship between maternal awareness of PPD, perceived social support, and prevalence of depressive symptoms among postpartum women in the Nnewi North Local Government Area (LGA) of Anambra State. Grounded in the social support theory, health belief model, and socioecological model, the study used a descriptive cross-sectional research design. A total of 406 postpartum women attending primary healthcare centers were surveyed using validated instruments, including the PHQ-9 and MSPSS. Statistical analyses included …
Cardiometabolic Outcomes In The Obese African American Population With Rheumatoid Arthritis, Cecilia Jillo Walan
Cardiometabolic Outcomes In The Obese African American Population With Rheumatoid Arthritis, Cecilia Jillo Walan
Walden Dissertations and Doctoral Studies
Rheumatoid arthritis (RA) disproportionately impacts African American adults, particularly those with obesity, due to overlapping cardiometabolic risks and health care disparities. The intersection of RA, obesity, and chronic conditions such as cardiovascular disease (CVD) and hypertension underscores the need for targeted public health interventions. This study investigated the association between RA and cardiometabolic outcomes among African American adults with obesity, aiming to identify significant predictors within this high-risk population. This quantitative study employed a cross-sectional design to analyze data from the 1999–2018 National Health and Nutrition Examination Survey undergirded by the social ecological change framework with N=23644 African American adults …
Lived Experiences Of Newly Graduated Social Workers Transitioning Into The Field Of Child Protective Services, Chantrese Oliver
Lived Experiences Of Newly Graduated Social Workers Transitioning Into The Field Of Child Protective Services, Chantrese Oliver
Walden Dissertations and Doctoral Studies
Lived Experiences of Newly Graduated Social Workers Transitioning Into the Field of Child Protective Services by Chantrese Oliver MPhil, Walden University, 2024 MS, Walden University, 2014 AA, National Paralegal College, 2012 BS, Fayetteville State University, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University August 2025
Staff Education Program On Medication Reconciliation In Primary Care, Virginia Ann Bloomer
Staff Education Program On Medication Reconciliation In Primary Care, Virginia Ann Bloomer
Walden Dissertations and Doctoral Studies
Medication errors represent a persistent threat to patient safety, particularly during transitions of care in outpatient settings. Despite recognition of the problem, standardized medication reconciliation practices among primary care physicians and nurse practitioners (NPs) remain inconsistent, hindered by varied workflows, unclear responsibilities, and knowledge gaps. To address these issues, a staff education program focusing on medication reconciliation was introduced to seven NPs and three physicians in a primary care clinic. Pre- and post-intervention surveys measured participants’ knowledge and confidence in conducting medication reconciliation and documenting medications in electronic medical records. The average test score improved from 68% to 92%, demonstrating …
Preventing Nurse Burnout Through Self-Care Strategies, Doris Iwuh
Preventing Nurse Burnout Through Self-Care Strategies, Doris Iwuh
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Preventing Nurse Burnout through Self-Care Strategies by Doris Iwuh MS, Walden University, 2022 BSN, Grand Canyon University, 2020 ADN, Radiance College, 2016 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025 Summary An outpatient mental health clinic identified a rise in burnout among psychiatric nurse practitioners, licensed therapists, and social workers. A gap in practice revealed that staff lacked knowledge of self-care strategies to manage burnout, leading to the project question: Does implementing an educational program for nurses and mental health specialists on …
The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence
The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence
Walden Dissertations and Doctoral Studies
The Centers for Disease Control and Prevention considers suicide and suicide ideation as a severe public health issue among older men and people with disabilities. The purpose of this study was to determine if there is a predictive relationship between the level of disability, type of disability (i.e., physical, visual, hearing), functional disability, (i.e., mobility, activities of daily living (ADLs), instrumental activities of daily living (iADLs), and having multiple disabilities on suicide ideation among men with a disability who are aged 60 years and older while controlling for age, depression, marital status and retirement status. The interpersonal-psychological theory of suicidal …
Nonprofit Organizational Effectiveness And Executive Leaders, Karen Renee Solomon Edwards
Nonprofit Organizational Effectiveness And Executive Leaders, Karen Renee Solomon Edwards
Walden Dissertations and Doctoral Studies
U.S. nonprofit organizations provide important services to society as an integral sector within the community. This necessitates organizational effectiveness. The problem explored in this research concerned how nonprofit executive leaders defined organizational effectiveness and perceived their role in creating and sustaining it within their organization. There was limited scholarly literature regarding a common understanding of how executive leaders defined organizational effectiveness within a nonprofit, and how they perceived their role in creating and maintaining it. The purpose of this basic qualitative study was to explore how nonprofit organization executive leaders defined organizational effectiveness and perceived their role in creating and …
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Walden Dissertations and Doctoral Studies
Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease-related liver fibrosis) is a growing public health problem in the United States. The purpose of this study was to assess the prevalence of MASLD-related advanced fibrosis in the United States and assess whether type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) were independent risk factors for MASLD-related advanced fibrosis. This study was a quantitative cross-sectional analysis of the National Health and Nutrition Examination Survey data from 2011 to 2020, grounded in the social ecological theory. Participants (N = 21,829) were included if they were ≥18 years, excluded if …
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Walden Dissertations and Doctoral Studies
At the practice site, older residents face inconsistent and untimely blood sugar assessments, contributing to avoidable complications such as hypoglycemia, hyperglycemia, and hospitalizations. Many caregivers lack standardized training in blood glucose monitoring, which poses a significant risk to residents with diabetes or prediabetes. To address this practice problem, a staff education program on blood glucose monitoring protocols was initiated. The practice-focused question was the following: Will staff knowledge and confidence increase after participating in an education program on monitoring blood glucose levels? As part of the education program, staff received evidence-based instruction on proper techniques for blood glucose testing, recognizing …
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
Walden Dissertations and Doctoral Studies
This doctoral project seeks to bridge the existing knowledge gap in using Metformin to manage childhood obesity in patients with metabolic syndrome. The primary goal was to develop a complete toolkit to educate healthcare providers on utilizing Metformin in obese children with metabolic syndrome. Metabolic syndrome, characterized by higher triglycerides, decreased high-density lipoprotein cholesterol, increased blood pressure, elevated fasting plasma glucose, and increased waist circumference, offers considerable health hazards for children. The practice-focused question is, Is the toolkit deemed useful to providers for treating obesity in children with metabolic syndrome using metformin?” The project employed the theory of planned behavior, …
The Association Between Unemployment, Income, Education, Healthcare Access, Mental Health And High-Risk Hiv Behavior In The United States, Tia Smith
Walden Dissertations and Doctoral Studies
High-risk HIV behavior remains a critical public health concern in the United States, particularly among socioeconomically and psychologically vulnerable populations. Despite extensive prevention efforts, a gap persists in understanding how structural and mental health factors jointly contribute to HIV risk. This study addresses that gap by examining the association between socioeconomic status (SES), including income, education, employment, and healthcare access, and mental health status (diagnosis of depression and days of poor mental health) on high-risk HIV behavior at the individual level. Guided by the social determinants of health (SDOH) theoretical framework, the study utilized secondary data for over 40,000 adults …
The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh
The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh
Walden Dissertations and Doctoral Studies
HIV was first diagnosed over 40 years ago in the United States; however, HIV remains an epidemic. An understanding of how socio-emotional support, social isolation, and support from an individual's provider influence HIV testing in the Southern United States can be a key to increasing testing rates and ultimately reducing the incidence and prevalence of HIV in the Southern United States. The purpose of this non-experimental quantitative study was to examine the relationship between HIV testing, socio-emotional support, and social isolation, and how these variables are further moderated by an individual having provider support in the Southern United States. The …
Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh
Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh
Walden Dissertations and Doctoral Studies
Addres+D14sing medication non-adherence among patients with anxiety disorders is crucial in nursing practice due to its significant impact on patient outcomes and healthcare costs. This doctoral project explores the effectiveness of staff education in enhancing nurses' skills in promoting medication adherence within this population. The practice-focused question for this project is "What evidence supports the effectiveness of a staff education program in increasing nursing staff knowledge about evidence-based strategies for improving medication adherence among patients with anxiety disorders?" The purpose of this doctoral project is to investigate the effectiveness of staff education interventions in improving medication adherence among individuals with …
Childhood Vaccination In Mozambique Pre- And Post-Covid-19 Pandemic, Remy Mwamba
Childhood Vaccination In Mozambique Pre- And Post-Covid-19 Pandemic, Remy Mwamba
Walden Dissertations and Doctoral Studies
In 2019, infectious diseases and other conditions claimed the lives of over 5 million children under 5. Global immunization coverage remains below prepandemic levels, leaving behind over 14 million zero-dose children in 2022, of whom 84% lived in low- and middle-income countries. This quantitative cross-sectional study aimed to examine, using two consecutive Demographic and Health Surveys, whether the most significant household characteristics and health service utilization risk factors associated with nonvaccination before the COVID-19 pandemic still hold postpandemic in Mozambique. Andersen's behavioral model of healthcare service utilization was the foundation for this investigation. The sample included N=2034 children aged 12-35 …
Non-Pharmacological Interventions For Attention Deficit Hyperactive Disorders And Anxiety, Alichia Lashawn Pecks
Non-Pharmacological Interventions For Attention Deficit Hyperactive Disorders And Anxiety, Alichia Lashawn Pecks
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project used a quality improvement approach to address the co-prescription of stimulants and benzodiazepines in patients with attention deficit hyperactivity disorder (ADHD) and anxiety in outpatient mental health settings. The project explored whether implementing a structured non-pharmacological staff education program for mental health staff could improve knowledge of safe, evidence-based treatment alternatives. The purpose of this staff education project was to improve provider knowledge of evidence-based, non-pharmacological treatment alternatives. To address this issue, a structured non-pharmacological staff education program was implemented to improve provider knowledge of safer, evidence-based treatment alternatives. Four participants completed pre- …
Staff Education For Improved Diabetes Management: Enhancing Knowledge And Patient Outcomes, Carissa Martine Bolden
Staff Education For Improved Diabetes Management: Enhancing Knowledge And Patient Outcomes, Carissa Martine Bolden
Walden Dissertations and Doctoral Studies
An increase in patients’ hemoglobin A1c levels in a South Mississippi organization suggests that inadequate type 2 diabetes (T2DM) knowledge among the staff hindered them from delivering competent care. The gap in practice at the site revealed a deficiency in knowledge in nutrition education for healthcare providers and staff, which led to the practice question: Does educating providers and staff on nutrition for adults with type 2 diabetes improve knowledge, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the John Hopkins evidence-based practice (JHEBP) model, the Walden University Doctor …
Patient Engagement Strategies In Weight-Loss Programs, Olufunmilayo M. Bishop
Patient Engagement Strategies In Weight-Loss Programs, Olufunmilayo M. Bishop
Walden Dissertations and Doctoral Studies
Weight regain after pharmacological weight-loss interventions remains a pervasive challenge in primary care, with over 70% of patients reverting to baseline weight within six months. This quality improvement project aimed to enhance healthcare providers’ patient engagement skills to improve retention and long-term outcomes in weight-loss programs. A structured staff training program focusing on motivational interviewing, goal-setting, and barrier recognition was implemented among a multidisciplinary team. The program’s effectiveness was evaluated through a mixed-methods approach, incorporating quantitative pre- and post-assessment scores and qualitative staff satisfaction surveys. Results demonstrated a significant increase in staff knowledge, with average scores rising from 68% to …
The Challenges Faced By Postrelease Offenders In Rural Mississippi, Whitney Starks
The Challenges Faced By Postrelease Offenders In Rural Mississippi, Whitney Starks
Walden Dissertations and Doctoral Studies
Reintegration after incarceration has long been a subject of scholarly inquiry, particularly regarding barriers to employment, housing, and mental health services. However, limited research addresses the reintegration experiences of postrelease offenders in rural regions, where access to essential resources is often restricted. This qualitative single case study is an exploration of the challenges and service needs of formerly incarcerated individuals living in rural Mississippi. Using purposive and snowball sampling, six participants were selected based on residency in rural counties, a nonviolent criminal history, and at least one year of successful community reentry. The conceptual framework was guided by the assess, …