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Articles 601 - 630 of 14297
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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 …
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 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) …
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 …
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 …
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that early childhood educators struggle to help students with literacy acquisition skills in a Title 1 elementary school. The purpose of this qualitative study was to investigate early childhood educators’ experiences with the challenges of teaching literacy acquisition skills and their suggestions for improving resources and training for teaching literacy acquisition skills. The study was grounded in Clay’s emergent literacy theory and Bronfenbrenner’s ecological systems theory. For this basic qualitative design, semistructured interviews with 14 participants were conducted with the following themes emerging: Early childhood educators were challenged due to (a) students’ background …
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 …
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 …
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 …
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 …
Teachers’ Perceptions Of Preventing Teacher-Directed Violence In Urban Title I Schools, Allison Mashburn
Teachers’ Perceptions Of Preventing Teacher-Directed Violence In Urban Title I Schools, Allison Mashburn
Walden Dissertations and Doctoral Studies
The problem that was investigated through this study was the increase in suspensions for teacher-directed violence at two urban mid-Atlantic Title I elementary schools. The purpose of this qualitative study was to explore elementary teachers’ perceptions of preventing and managing teacher-directed violence in two Title I mid-Atlantic schools. Bronfenbrenner’s ecological framework was used as the foundation for environmental explanations. For this basic qualitative design, semistructured interviews with 10 teacher participants were conducted. The thematic analysis resulted in three themes based on the teacher request for (a) classroom management resources and supports, (b) clarifying the code of conduct, and (c) improving …
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 …
A Phenomenological Study Of Digital Divide In Rural Philippines, Dennis Dizon
A Phenomenological Study Of Digital Divide In Rural Philippines, Dennis Dizon
Walden Dissertations and Doctoral Studies
The digital divide reflects policy relevant disparities in access to and effective use of internet based information resources, as experienced and interpreted by individuals navigating regulatory environments and governance conditions in the rural Philippines. Policymakers need to understand how the digital divide affects business owners and working-class people, with the impact of high costs and poor internet infrastructure in remote areas of the Philippines. Many of these business owners and working-class people lack access to the privileges and benefits of high-speed internet access. The purpose of this qualitative phenomenological study was to explore the lived experiences of these business owners …
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, …
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 …
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 …
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high teacher turnover, including traditionally certified, second-career teachers (TCSCTs), in United States classrooms, despite support and additional resources provided. The purpose of this qualitative study was to examine TCSCTs’ perceptions on the reasons and their recommendations to remain in the classroom. Ingersoll's teacher turnover and retention framework was used to conceptually frame this study. Using a basic qualitative design, semistructured interviews were conducted with 12 TCSCTs. Data were analyzed through thematic analysis. The following themes emerged: TCSCTs remain in the profession primarily due to a sense of purpose in their …
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 …
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
Walden Dissertations and Doctoral Studies
Immobility is a significant concern given that nearly half of all hospitalized adults are immobile during their hospitalization, placing them at increased risk for adverse outcomes. As a result, it is critical for nurses to implement strategies that promote safe, structured patient mobility. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on patient mobility and standardized mobility tool utilization increased knowledge and confidence among nursing staff in an acute care setting. Ten participants volunteered to attend the educational intervention. The average age of the participants was 44.30 years (SD …
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Walden Dissertations and Doctoral Studies
Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Walden Dissertations and Doctoral Studies
Prediabetes is a significant public health concern in the United States, as many individuals remain undiagnosed or inadequately managed, which increases the risk of progression to type 2 diabetes and associated complications. Primary care settings are essential for early identification and prevention. However, gaps in staff knowledge and inconsistent application of evidence-based guidelines frequently hinder effective management. This Doctor of Nursing Practice (DNP) staff education project aimed to enhance healthcare staff knowledge and confidence in screening for and managing prediabetes within a primary care clinic. The central question guiding this project was whether evidence-based staff education could improve healthcare staff …
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Walden Dissertations and Doctoral Studies
Although adverse childhood experiences (ACEs) are known to influence criminal behavior in adulthood, their potential influence on serial killer actions has not been scrutinized. This study was an investigation of how ACEs might affect serial killer actions later in life. The trauma-control model provided a conceptual framework for the investigation. Marono et al.’s research featuring behavior sequence analysis (BSA) was broadened to examine the impact of psychological abuse, sexual abuse, physical abuse, violence against animals, head injury, and bullying serial killer behaviors like stalking or sexual assault. The participants were 364 anonymized male serial killers from the Radford/Florida Gulf Coast …
Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles
Walden Dissertations and Doctoral Studies
Many small and medium-sized enterprise (SME) leaders in Grenada struggle to implement digital technologies effectively, which limits business sustainability, competitive advantage, and scalability. This issue is particularly concerning for SME leaders, as ineffective digital implementation threatens business survival, workforce stability, and economic resilience in small island developing states (SIDS). Grounded in a composite conceptual framework integrating the technology–organization–environment framework and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME leaders in Grenada used to implement digital technologies to achieve sustainability, competitive advantage, and scalability. The participants were six SME leaders in Grenada with at …
Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal
Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal
Walden Dissertations and Doctoral Studies
Traumatic brain injury (TBI) is a major public health concern associated with long-term disability and high healthcare utilization. Evidence guiding post-acute rehabilitation for medically complex TBI populations remains limited, particularly in long-term acute care hospital (LTACH) settings serving medically unstable patients. This study examined clinical and system-level factors associated with functional rehabilitation outcomes among adults with moderate-to-severe TBI in LTACHs. Guided by the Socioecological Model, recovery was conceptualized as interactions across individual, clinical, and organizational levels. This dissertation included three manuscripts using cross-sectional logistic regression and CMS Section GG measures. In Manuscript 1, longer time from injury to LTACH admission …
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Walden Dissertations and Doctoral Studies
The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Walden Dissertations and Doctoral Studies
Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Walden Dissertations and Doctoral Studies
The COVID-19 virus was a new virus that caused a worldwide pandemic. There was not much information about what the virus was, what caused it, or how to stop its spread. Vulnerable populations such as those in foster care were especially affected because the foster children had no place to go. The purpose of this qualitative study was to explore the lived experiences of foster parents who had older foster children in their care during the COVID-19 pandemic. There was a lack of research specifically on foster parents and their personal lived experiences with the foster care system and foster …