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Articles 1651 - 1680 of 13140
Full-Text Articles in Entire DC Network
Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle
Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle
Walden Dissertations and Doctoral Studies
The underuse of standardized mental health screening tools, such as the Patient Health Questionnaire-9 (PHQ-9), delays the diagnosis of major depressive disorder (MDD) in pediatric patients. This staff education project aimed to improve psychiatric providers' knowledge, confidence, and PHQ-9 utilization through an interactive training program. Over four weeks, three nurse practitioners and two medical assistants participated in an evidence-based educational intervention. Pre- and post-training assessments measured provider knowledge, confidence, and PHQ-9 usage through surveys and electronic health record (EHR) audits. Results showed provider knowledge increased from 65% to 90%, confidence improved from 60% to 85%, and PHQ-9 usage rose from …
Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe
Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe
Walden Dissertations and Doctoral Studies
Patient safety is a cornerstone of effective healthcare delivery, particularly in critical care units (CCUs) where patients are at heightened risk of complications due to their complex medical conditions. The purpose of this study, guided by Watson’s theory of human caring, was to explore RNs’ perceptions of patient safety in CCUs. Data on eight RNs working in CCUs were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Data were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Using Saldana’s method of thematic analysis, three overarching themes emerged: patient safety, resource allocation, and …
A Survey Of Practice Models And Outcomes In Michigan Residential Substance Use Disorder Treatment, Lamart Hightower, Elissa Kent, Vikash Kumar, Lauren Michie, Alysha King, Tekoa Marshall
A Survey Of Practice Models And Outcomes In Michigan Residential Substance Use Disorder Treatment, Lamart Hightower, Elissa Kent, Vikash Kumar, Lauren Michie, Alysha King, Tekoa Marshall
Journal of Social Work in the Global Community
The United States has a lengthy history of treating individuals experiencing substance use disorders (SUDs) from an abstinence-only framework. Harm reduction practices have grown a large base of empirical support in other parts of the world and have become central to treating individuals with SUDs. Within the United States, however, a substantial number of residential SUD treatment programs that continue to perpetuate an abstinence-only framework, which creates a lack of access for people who seek a harm reduction approach—and who likely need it the most. In this study, 66 residential treatment programs in Michigan were examined to determine whether they …
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton
Walden Dissertations and Doctoral Studies
Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …
Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez
Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez
Walden Dissertations and Doctoral Studies
Exploring the lived experiences of rural women of color in the United States who seek police intervention during an intimate partner violence crisis is a necessity. In rural regions, many African American and Caribbean Blacks in rural communities endure physical assaults perpetrated by their partners throughout their lives. IPV among women of color, especially the obstacles that they face in requesting police intervention. The findings of this research study provide valuable insights that can support the establishment of intervention centers for rural women of color by involving key stakeholders, such as police departments in these regions. This study used semi-structured …
Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project is a staff education program aimed at improving nursing care for elderly patients with post-stroke depression (PSD) through education on the collaborative care model (CCM). The practice concern addressed is the underrecognition and undertreatment of PSD in elderly patients in a rehabilitation setting due to a lack of staff knowledge and confidence in screening for PSD in the elderly. The aim of this DNP project was to provide staff with the knowledge necessary to engage PSD screening as a part of the CCM, which has the potential to enhance PSD management and improve …
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith
Walden Dissertations and Doctoral Studies
Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students With Autism Spectrum Disorder, Karen Denise Buchanan
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students With Autism Spectrum Disorder, Karen Denise Buchanan
Walden Dissertations and Doctoral Studies
Early Childhood Teachers’ Perspectives on the Challenges of Teaching Students with Autism Spectrum Disorder by Karen D. Buchanan Ed.S. Mercer University 2017 MA, Mercer University, 2016 BA, Mercer University, 2012 AS Georgia Perimeter College, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Education Walden University August 2025
Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk
Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk
Journal of Social, Behavioral, and Health Sciences
Unraveling provider-level sexual health stigma requires building an understanding of contributing factors, such as provider knowledge, values, beliefs, medical training, and other intrapersonal or interpersonal factors that may influence its manifestation at the clinic level during patient–provider interactions. Healthcare provider stigma has not been sufficiently understood or explained using classic psychological theories, such as Cognitive Dissonance Theory (CDT) or Social Cognitive Theory (SCT). We build a theory-based understanding of sexual health-provider stigma by proposing modifications to the SCT to develop the Modified SCT (M-SCT) model, where cognitive dissonance is hypothesized to influence the personal/cognitive and behavioral factors of the M-SCT. …
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
Walden Dissertations and Doctoral Studies
Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Walden Dissertations and Doctoral Studies
This DNP project aimed to enhance the quality of care by improving healthcare providers’ knowledge and fostering confidence in the utilization of screening, brief intervention, and referral to treatment (SBIRT). At the practice site, patients were not screened for substance use due to the lack of provider knowledge on evidence-based screening tools. The practice-focused question for this project was, Among healthcare providers in outpatient mental health clinics, does education on the use of the SBIRT screening tool increase their knowledge and skill after educational intervention? The project used a sample of 12 healthcare professionals, including four mental health practitioners and …
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert
Walden Dissertations and Doctoral Studies
Challenges in achieving optimal performance outcomes among employees with disabilities in U.S. business organizations can contribute to decreased organizational profitability and increased stress among managers and other employees. Business leaders have expressed concern about the lack of effective strategies to recruit, hire, and retain employees with disabilities, which may hinder overall organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies business leaders use for recruiting, hiring, and retaining employees with disabilities to increase organizational productivity. Data were collected using semistructured interviews with six purposively sampled U.S. business …
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley
Walden Dissertations and Doctoral Studies
Patient-centered care has become increasingly paramount in healthcare organizations (Thummak et al., 2023). A critical component of this model is patient adherence to scheduled appointments, as missed visits can negatively affect outcomes (Halladay et al., 2019), increase healthcare costs, waste resources, and disrupt workflow (Low et al., 2023). This qualitative case study investigated the factors contributing to patient nonadherence to scheduled visits in a multidisciplinary behavioral health organization (BHO) in the Southwestern United States. The study utilized data from the behavioral health leader (BHL), organizational records, and secondary sources and was guided by the Baldrige Framework of Excellence as its …
Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes
Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes
Walden Dissertations and Doctoral Studies
The purpose of this staff education project was to improve nurses’ knowledge on burn care using an educational intervention. The project site became the children's hospital designated burn unit. Children with burns were a new patient population that the project unit had never cared for, and there was no formal training or competencies for nurses caring for these patients. Nurses requested formal education before being expected to care for these patients. This project utilized a single group, pre-post design comparing knowledge of bedside surgical nurses about pediatric burn care management principles before and after the educational intervention. The intervention was …
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
Walden Dissertations and Doctoral Studies
Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Walden Dissertations and Doctoral Studies
Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …
Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain
Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain
Walden Dissertations and Doctoral Studies
Small and medium-sized enterprises (SMEs) often lack dedicated public relations (PR) departments, limiting their ability to build brand identity, and gain market share compared to larger firms with greater resources. Small business owners need PR departments to improve their competitive positioning to satisfy buyers. stay competitive to maintain and increase employment, and satisfy customers. Grounded in the dynamic capability theory, this qualitative multiple case study explored how the development and strategic implementation of PR functions can provide SMEs with a competitive advantage. Participants included seven SME owners in fashion, real estate, beauty, business, technology, and retail, each with experience in …
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
Walden Dissertations and Doctoral Studies
This qualitative review used a convergent-parallel design to explore the perspectives of prison administrators and nonprofit reentry program providers regarding inmate rehabilitation iii and reentry services. In 2021, 76,000 inmates were pardoned due to changes in California legislation (Fritz, 2024, p. 1 ). According to a 2024 report, 89,898 inmates are residing in California State prisons- 119% over capacity (Morris, 2024, p. 1 ). This study investigated two key aspects: (1) What rehabilitation and reintegration services are offered to inmates in the California State prison system, and are these services provided upon release? 2. Are inmates required to participate in …
Research Integrity In The Era Of Generative Artificial Intelligence, Andrea Wilson, Cheryl Burleigh
Research Integrity In The Era Of Generative Artificial Intelligence, Andrea Wilson, Cheryl Burleigh
Journal of Educational Research and Practice
Protecting research integrity is crucial for maintaining trust in the scholarly record. Historically, threats to research integrity stemmed from deliberate human actions, such as data manipulation and misrepresentation. Generative artificial intelligence (GAI) is increasingly prevalent in higher education and is capable of generating research data and scholarly papers almost instantly. The immediate production of research data challenges traditional standards of academic rigor and integrity. The purpose of this study was to explore the role and impact of GAI on research integrity and the scholarly record, emphasizing the need for robust safeguards. For this study, we submitted Likert-type survey questions to …
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Walden Dissertations and Doctoral Studies
This doctoral project evaluated the impact of a staff education program aimed at increasing healthcare workers' awareness of workplace stress dangers among teammates in an outpatient hemodialysis center. The identified practice issue was limited knowledge about the facilitators, adverse outcomes, and resources related to occupational stress in healthcare. Lack of education regarding the risks of work-related stress presents a critical concern in nursing practice, significantly affecting caregiver well-being and patient outcomes. Nurses, particularly in high-pressure environments such as hemodialysis centers, often experience unrecognized and unmanaged emotional and physical demands, leading to chronic stress and burnout. Hemodialysis nurses are especially susceptible …
Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder
Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder
Walden Dissertations and Doctoral Studies
The problem this quantitative study addressed was police officers’ willingness to use organizational help-seeking interventions and rely on organizational support to mitigate operational and organizational stress. Previous literature discussed how officers engaged in different maladaptive coping behaviors as a result of work related stressor or low well-being, divorce, depression, prescription drug abuse, alcoholism, and suicide. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between emotional intelligence and well-being among law enforcement agents and examine agents’ willingness to use organizational-based intervention services. The organizational support theory and the social exchange theory provided the theoretical framework for …
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …
Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh
Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh
Walden Dissertations and Doctoral Studies
During the COVID-19 pandemic, African American adolescents experienced reduced access to needed resources and may have suffered poorer mental health outcomes as a result. The purpose of this quantitative study was to examine the association between race and the availability of mental health resources, food, medical health resources and mental health outcomes among African American adolescents in the United States during the COVID-19 pandemic compared to their White counterparts. The theoretical framework that grounded this study was the Socio Ecological Model. Secondary data from the Centers for Disease Control and Prevention’s Adolescent Behaviors and Experiences Survey database were analyzed. These …
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Walden Dissertations and Doctoral Studies
Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …
Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies
Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies
Walden Dissertations and Doctoral Studies
The rapid integration of artificial intelligence (AI) into essential sectors, including healthcare, customer services, and defense, has underscored the importance of user trust in AI systems. Psychological traits such as locus of control (the extent to which individuals attribute outcomes to internal or external factors) and self-efficacy (individuals’ confidence in their ability) have been identified as significant factors influencing trust in these automated systems. Previous studies have independently linked these psychological traits to trust in technology; however, there has been limited exploration of potential moderating effects of locus of control on the relationship between digital technology self-efficacy and trust in …
Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff
Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff
Walden Dissertations and Doctoral Studies
This study is a description of how educators’ participation in a coordinated approach to violence prevention contributed to employee wellness and school climate. Using principles of psychological capital (PsyCap) theory, archival focus group and interview data were used to describe educator experiences during implementation of a 3-year coordinated approach to school violence in a mid-sized public school district. Findings of the analysis revealed consistent references to feelings of hope, efficacy, resilience, and optimism throughout the study, but with slight shifts in frequency each year based on both internal (i.e. skill development, relationship-building), and external (i.e. administrative support, policy directives, broader …
Walk A Mile: Exploring Cause-Based Charity Event Participation As A Catalyst For Increasing Physical Activity Behavior, Kimberly S. Fasczewski, Andrey A. Sanko Posada, Meg Hopkins
Walk A Mile: Exploring Cause-Based Charity Event Participation As A Catalyst For Increasing Physical Activity Behavior, Kimberly S. Fasczewski, Andrey A. Sanko Posada, Meg Hopkins
Journal of Social, Behavioral, and Health Sciences
Despite the known benefits of physical activity (PA), more than half of U.S. adults do not meet the American College of Sports Medicine’s PA recommendations for health, often resulting in negative health outcomes. Developing programming that increases motivation for PA participation is critical for healthcare professionals to combat physical inactivity. Previous research has demonstrated that framing disease-based PA charity fundraising events as “helping a cause” improved motivation for PA due to the individual’s emotional connection to the cause. There is currently no congruent research on motivation for participation in cause-based charity events. Behavioral economics theory posits that cognitive, emotional, and …
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Walden Dissertations and Doctoral Studies
Lived Experiences of Sex Offenders on Probation with Housing and Employment by Katheryn Winslow MA, South University, 2013 BS, University of Central Florida, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University May 2025
Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker
Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker
Walden Dissertations and Doctoral Studies
Existing research revealed that K-12, school-based social work clinicians were utilized in various ways to support students' social-emotional learning (SEL) needs in public K-12 schools in the United States. However, there was a gap in knowledge about the unique approaches K-12 school-based social work clinicians employed to address the SEL needs of non-at-risk students. This basic qualitative study explored how K-12 school-based social work clinicians used empowerment case management practices to address the SEL needs of non-at-risk students. The theoretical framework grounding this study was empowerment theory. Using purposive sampling, semistructured interviews were conducted with five K-12 school-based social work …
K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth
K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is increasing job demands and insufficient job resources plaguing K-8 principals across the nation. The purpose of this basic qualitative study was to investigate K-8 principals’ perceptions of increased work demands and their influence on excessive stress, burnout, and turnover in a private, Midwestern school district. Bakker and Demerouti’s job demands-resources theory served as the theoretical foundation for this study. Data were collected from semistructured interviews with 10 principals from the same district. Participant responses were analyzed through several rounds of coding, which led to the emergence of the following six themes: …