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Articles 151 - 180 of 13138
Full-Text Articles in Entire DC Network
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Walden Dissertations and Doctoral Studies
According to the American Counseling Association (ACA, 2014) Code of Ethics, professional counselors are responsible to monitor their own impairment. Specific interventions to prevent impairment and foster counselor professional well-being (PWB) and resiliency are imperative in a profession in which it is ethically required to continuously provide competent counseling. The purpose of this study was to explore the narratives of licensed counselors’ PWB during the onset of and successively during the coronavirus disease 2019 (COVID-19) pandemic. The theoretical orientation for this study was Dewey’s theory of experience. Nine counselor participants who were licensed by May 2018 shared detailed accounts of …
Staff Education On An Electronic Health Record-Based Tracking And Reminder System For Long-Acting Injectable Antipsychotics, Osereme Nora Agboifo
Staff Education On An Electronic Health Record-Based Tracking And Reminder System For Long-Acting Injectable Antipsychotics, Osereme Nora Agboifo
Walden Dissertations and Doctoral Studies
Missed or delayed administration of long-acting injectable (LAI) antipsychotic medications remains a practice concern in outpatient mental health care because treatment gaps can interrupt continuity, increase relapse risk, and contribute to avoidable hospitalization. The practice problem addressed in this staff education project was inconsistent use of a standardized electronic health record (EHR)-based LAI tracking and reminder workflow. The project purpose was to improve staff knowledge, documentation consistency, reminder use, and follow-up practices for adults receiving LAI antipsychotic medications. The practice-focused question asked whether staff education on an EHR-based LAI tracking and reminder system would improve adherence monitoring and follow-up processes …
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Walden Dissertations and Doctoral Studies
Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …
Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils
Walden Dissertations and Doctoral Studies
Cervical cancer remains a significant public health concern, with African American and Hispanic women experiencing disproportionately higher incidence and mortality rates in the United States. Socioeconomic factors, including income, education, employment status, and place of residence, may contribute to these disparities by affecting access to preventive services, timely diagnosis, and follow-up care. This quantitative cross-sectional study examined associations between these factors and cervical cancer incidence among African American and Hispanic women while controlling for age and health insurance status. Guided by the socio-ecological model, the study used 2022 Behavioral Risk Factor Surveillance System data from N = 33,886 African American …
A Narrative-Restorative Framework For Addressing School Bullying, Tristan Patel, Michelle Myers, Daniel Stewart
A Narrative-Restorative Framework For Addressing School Bullying, Tristan Patel, Michelle Myers, Daniel Stewart
Journal of Educational Research and Practice
Bullying in schools is often addressed through punitive deterrence practices, solution-focused counseling, or restorative conferencing. These approaches often fail to recognize or account for the power imbalance that ultimately sustains bullying. This article discusses a narrative-restorative intervention to address bullying as a relational and communal issue, rather than relying on isolation or deterrence practices. The limitations of the dominant models discussed highlight the role of power in shaping bullying dynamics and connect legal and ethical responsibilities of narrative-restorative practices. Situated within the framework of California education law and professional ethical standards, at its core, undercover anti-bullying teams aim to redistribute …
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Walden Dissertations and Doctoral Studies
Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …
Staff Education To Reduce Burnout Among Psychiatric Nurses Caring For Patients With Schizophrenia, Gloria Laizer
Staff Education To Reduce Burnout Among Psychiatric Nurses Caring For Patients With Schizophrenia, Gloria Laizer
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project addressed occupational burnout among psychiatric registered nurses caring for patients with schizophrenia. Workplace violence, compassion fatigue, emotional exhaustion, and staffing shortages place psychiatric nurses at high risk for burnout, threatening nurse well-being, workforce retention, and patient safety. The practice site lacked a standardized resilience education program. The practice-focused question was, In psychiatric nurses caring for patients with schizophrenia, does implementation of an evidence-based resilience education program, compared with current practice, reduce occupational burnout? The purpose was to implement and evaluate such a program, informed by the Johns Hopkins evidence-based practice (JHEBP) Model …
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
Walden Dissertations and Doctoral Studies
Police use of excessive force is an enduring challenge for criminal justice institutions and the public, particularly, affecting minority communities. This has contributed to diminished public confidence in U.S. policing institutions. Prior empirical studies among law enforcement officers, indicate that Black minorities have been discriminated by police officers. Stress research links social stress to mental health and identifies police brutality as an anticipatory stressor for minority groups. The purpose of this qualitative case study was to identify factors, including job-related stressors, and racial bias, that contribute to officers using excessive force, so to fill the gap in research, and develop …
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Walden Dissertations and Doctoral Studies
Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …
Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike
Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike
Walden Dissertations and Doctoral Studies
A lack of effective leadership strategies for recruiting and retaining a multigenerational workforce poses a significant challenge for organizational leaders. Failure to address the diverse needs and expectations of employees across generations can reduce employee retention, hinder organizational effectiveness, and increase operational costs. Grounded in transformational leadership theory, the qualitative pragmatic inquiry identified and explored effective leadership strategies used by some organizational leaders to recruit and retain a multigenerational workforce. Participants were six organizational leaders from large organizations in the United States with experience leading multigenerational workforces. Data were collected through semistructured interviews and secondary data from publicly available sources …
Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil
Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil
Walden Dissertations and Doctoral Studies
Password workaround (PWWA) behaviors, such as password sharing, credential reuse, and other informal security practices, continue to expose organizations to significant cybersecurity risks. Small and medium-sized enterprise (SME) leaders are particularly vulnerable because they often operate with limited resources while balancing security requirements, regulatory obligations, and operational demands. Guided by Herzberg’s two-factor theory and activity theory. The purpose of this qualitative pragmatic inquiry was to explore [CS3.1]strategies SME leaders use to identify, manage, and mitigate the financial, reputational, and regulatory risks associated with PWWA behaviors. Data were collected through semistructured interviews with 10 cybersecurity professionals and organizational leaders who had …
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …
Public Defenders’ Challenges Representing Erroneous Prosecution Cases In The Black Community, Kayla Kristine Stephens
Public Defenders’ Challenges Representing Erroneous Prosecution Cases In The Black Community, Kayla Kristine Stephens
Walden Dissertations and Doctoral Studies
Public defenders in a southern state continue to face significant challenges when representing Black individuals in the criminal justice system, particularly in cases involving erroneous prosecution. These challenges are intensified by high caseloads, limited funding, and systemic inequities, which can be stressors affecting the prosecutors wellbeing and hinder the provision of adequate legal representation. Public defenders, appointed to represent indigent defendants, frequently navigate complex legal and social circumstances that intersect with racial disparities in the justice system. For this qualitative study the research question was, how do public defenders perceive and manage any stresses representing erroneous prosecution cases in the …
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Walden Dissertations and Doctoral Studies
A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …
Nursing Staff’S Perception Of The Implementation Of The Obstetric Emergency Code Pink, Mareena Johnson
Nursing Staff’S Perception Of The Implementation Of The Obstetric Emergency Code Pink, Mareena Johnson
Walden Dissertations and Doctoral Studies
The local nursing practice problem addressed by this DNP doctoral project was the inconsistent and uneven response to obstetric emergencies within the health care setting. The purpose of this project was to evaluate the current implementation of the Code Pink protocol, identify any gaps or barriers in its effectiveness, and gather insights from nursing staff to propose refinements that would enhance its reliability and impact., The perception of nursing staff regarding obstetric emergency codes represents a critical dimension in the domain of maternal and neonatal health care, significantly influencing the efficacy of emergency responses and patient outcomes. Obstetric emergencies, such …
Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) has been shown to be a critical public health and human rights crisis in Sierra Leone driven by patriarchal sociocultural norms. However, despite legislative frameworks like the Domestic Violence Act of 2007, IPV incidents continue to rise, revealing a gap in policy implementation and real-world enforcement. Past research has documented IPV prevalence, yet an empirical evaluation assessing how stakeholders viewed the impact of national policies on prevention and response had not been conducted. The purpose of this study was to explore frontline stakeholders' perceptions regarding the operational influence of existing IPV policies. Grounded in the narrative …
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
Walden Dissertations and Doctoral Studies
Anxiety is among the most prevalent mental health concerns affecting adults, yet many individuals encounter barriers to traditional mindfulness-based interventions. Running is frequently described as promoting presence, mental clarity, emotional grounding, and relief from anxiety-related distress; however, little qualitative research has explored how adults with anxiety make meaning of their lived experiences of running. The purpose of this interpretative phenomenological analysis (IPA) study was to explore how adults with anxiety describe and make meaning of their lived experiences of running. Guided by embodied cognition and informed by mindfulness and flow theories, this study explored participants' lived experiences of running. Participants …
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
Walden Dissertations and Doctoral Studies
Extensive research shows the brain is malleable and, with experience and knowledge, intelligence can grow. The research problem addressed through this study was that the extent of early childhood educators' knowledge of learnable intelligence and their advocacy for advancement of children’s cognitive capabilities as a developmental goal were unknown. Guided by Perkins’s theory of learnable intelligence, the purpose of this basic qualitative study was to explore K–3 teachers’ perspectives on learnable intelligence as a developmental target and how they advocate for children’s cognitive capabilities in their classrooms. In vivo and axial coding of data from semistructured interviews with 12 participants …
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that persistent reliance on market-oriented affordability strategies continued despite evidence of declining housing affordability in Nashville. Understanding how policy narratives structured accepted solutions may help explain the persistence of existing policy approaches. Research has shown that housing affordability is a significant policy concern in many U.S. cities. Rising housing costs, displacement pressures, and persistent rent burdens have been indicated in studies as contributing factors. However, less attention has been paid to how political and media narratives shape the boundaries of recognized housing policy solutions within local discourse, specifically in Nashville, Tennessee. The purpose …
Staff Education To Improve Knowledge On Accurate Administration Of Medication, Deepu Pudasaini
Staff Education To Improve Knowledge On Accurate Administration Of Medication, Deepu Pudasaini
Walden Dissertations and Doctoral Studies
Medication errors have been a significant problem, primarily due to a lack of continuous monitoring and inadequate training for personnel involved in managing or administering medications in non-healthcare settings. These errors often go undetected or unreported. This Doctor of Nursing Practice (DNP) project was a staff education project to improve staff knowledge of accurate medication administration of medication in a group home. The practice-focused question was: Will a staff education program on the accurate administration of medication improve certified medication technicians’ (CMTs) knowledge about the association between the medication administration process and medication error? The purpose of this DNP staff …
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Walden Dissertations and Doctoral Studies
African Americans experience disproportionately high rates of end-stage renal disease (ESRD) yet continue to experience disparities in access to kidney transplantation, the preferred treatment for ESRD. The purpose of this qualitative action research study was to explore the psychosocial barriers to kidney transplantation for African Americans living with ESRD in south Florida. This capstone project was guided by the tenets of intersectionality theory. Data was obtained through semi-structured interviews with four human services professionals and analyzed using thematic analysis. The findings revealed six interconnected themes: a) social support, b) practical barriers, c) psychological and cognitive barriers to transplant navigation, d) …
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Walden Dissertations and Doctoral Studies
Across the globe, divorce is a challenging situation that affects family relationships and disrupts social networks. Divorced women often experience a decline in their health and well-being immediately postdivorce. The problem addressed in this study is that divorcing women tend to experience more negative or undesirable impacts on their mental health (e.g., depression) postdivorce than men and often find involvement in church to be a source of support or added stress. The purpose of this generic qualitative study was to investigate how recently divorced Black women describe how their involvement in church may have supported their mental health and resilience …
Staff Covid-19 Infections, Staffing Shortages, And Resident Deaths In New York State Nursing Homes, Arun Inayatullah
Staff Covid-19 Infections, Staffing Shortages, And Resident Deaths In New York State Nursing Homes, Arun Inayatullah
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified existing staffing challenges in U.S. nursing homes. Although previous studies have examined the effects of COVID-19 in nursing homes, limited research has examined the association between staff COVID-19 infection counts, staffing shortages, and resident COVID-19 deaths in New York State nursing homes. The purpose of this quantitative correlational study was to examine whether staff COVID-19 infection counts were associated with staffing shortages and resident COVID-19 deaths in New York State nursing homes. The study was guided by the Donabedian structure-process-outcome model. Analyses of the four research questions examined whether staff COVID-19 infection counts were associated with …
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Walden Dissertations and Doctoral Studies
Inconsistent delivery and documentation of chronic pain patient education may contribute to variations in patient knowledge, treatment expectations, and engagement in self-management. This Doctor of Nursing Practice staff education and quality improvement project was designed to standardize chronic pain patient education in a primary care setting. The practice-focused question examined whether implementing standardized chronic pain education, compared with non-standardized education, would improve patient knowledge and use of self-management strategies over 10 weeks. Guided by the Johns Hopkins Evidence-Based Practice Model, the project included development of evidence-based education materials, staff preparation, workflow integration, and a standardized documentation process. Clinic staff identified …
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Walden Dissertations and Doctoral Studies
Nurse burnout is a severe job-related condition that significantly impacts nurses' well-being. Nurse burnout is a growing concern amid the increased demand for healthcare professionals. Research has been conducted to explore nurse burnout and how it affects the quality and safety of patients. Different research has also been conducted to review different interventions to address nurse burnout, including individual and organizational interventions. Some interventions include self-care, mindfulness and meditation, coping and resilience, as well as lifestyle adjustments. Some organizational interventions include workload management, psychological safety, and job redesign. This study was conducted to evaluate the effectiveness of individual interventions to …
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Walden Dissertations and Doctoral Studies
Students in special education may experience a variety of barriers to gaining cohesive and consistent life skills training programs. A lack of life skills training for special education students may lead to a lack of social-emotional skills, social awareness, and an overall lack of independence once students have graduated. The purpose of this qualitative single case study was to explore the charter school human service professionals’ perceptions of the life skills counseling services needed for K-8 self-contained students in Essex County, NJ. Botvin Lifeskills Training program was used as the framework for the study. Using a qualitative research model, semistructured …
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Walden Dissertations and Doctoral Studies
Somatic symptoms accompany psychological distress and can affect well-being. Hypnosis has demonstrated effectiveness in reducing psychological distress and related somatic symptoms, but limited research has explored hypnotherapists’ perspectives on its clinical application. The purpose of this qualitative phenomenological study was to explore the experiences of licensed hypnotherapists with 3 years of experience using hypnosis to treat adults experiencing somatic symptoms associated with psychological distress. Guided by Engel’s biopsychosocial model and Hilgard’s neodissociation theory, data were collected through semistructured interviews with 10 licensed hypnotherapists and analyzed using phenomenological reduction and thematic analysis. Analysis resulted in four primary themes: (a) mind–body connection …
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
Walden Dissertations and Doctoral Studies
This organization change process initiative addressed a critical safety practice gap regarding catheter-associated urinary tract infection (CAUTI) prevention in a 450-bed acute care facility. This gap was recognized based on evidence that the facility’s CAUTI Standardized Infection Ratio (SIR) was above the national benchmark—and daily necessity assessment compliance of only approximately 50%. This gap was attributed to an organizational interprofessional culture, which hindered timely device removal. Prolonged catheter dwell times increase patient morbidity, extend hospital stays, and expose the organization to severe financial penalties. The project aimed to safely reduce device dwell times by structurally empowering bedside nurses. I used …