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The Effectiveness Of Naloxone Staff Education In Reducing Opioid Overdose Mortality Among Young Adults In An Outpatient Behavioral Clinic, Taiwo Oguntade

Walden Dissertations and Doctoral Studies

The Naloxone Staff Education Project was implemented within an outpatient behavioral health practice to address the critical issue of insufficient staff education regarding Naloxone use in opioid overdose responses. Opioid overdoses, particularly among young adults, have become a leading cause of preventable death, with nearly 108,000 deaths recorded in 2022, 76% of which involved opioids. The project aimed to assess the impact of Naloxone education on staff knowledge, competency, and confidence in responding to opioid overdoses among patients aged 18 to 35. Utilizing pre- and post-education assessments, including surveys and interviews, the project evaluated staff readiness to administer Naloxone. Results …

Medical Laboratory Technologist Labor Market And Industry Initiatives To Address Labor Shortages, Jarvis John Surriga

Walden Dissertations and Doctoral Studies

The demand for laboratory testing has increased, requiring more medical laboratory technologists/scientists (MLTs/MLSs) in the United States. However, the supply of qualified MLS workers has decreased, which has caused a critical labor shortage. The purpose of this integrative review was to determine the best practices and strategies for improving the staffing and retention of clinical laboratory staff (CLS) given the growing demand for laboratory services. A search of empirical and nonempirical literature published between 2019 and 2024 yielded 1,935 articles, and exclusions resulted in 66 articles that addressed the problem. The additional examination resulted in 26 articles chosen for further …

Development Of An Evidence-Based Program To Increase Burnout Knowledge Among Psychiatric Mental Health Nurse Practitioners In An Inpatient Psychiatric Hospital, Christianah Agunanne

Walden Dissertations and Doctoral Studies

In this staff education project, I addressed burnout prevention among psychiatric mental health nurse practitioners (PMHNPs) in an inpatient psychiatric hospital. Burnout can cause strain on mental health nurses and reduce patient satisfaction, impair quality of care, and increase medical errors. In this project, I developed and applied an evidence-based program (EBP) on burnout for PMHNPs, educating them about the problem and helping identify, avoid, or at least prevent burnout symptoms. I addressed how an EBP staff education program could affect knowledge and recognition of burnout for PMHNPs working in an inpatient psychiatric hospital. The purpose of the project was …

Perspectives Of Residential Treatment Center Staff On Organizational Climate And Rehabilitation, Erika Drayton

Walden Dissertations and Doctoral Studies

Residential treatment centers (RTCs) within the juvenile justice system (JJS) are commonly used as an out-of-home placement for adjudicated youths who require more individualized care. Several researchers studied the JJS; however, few explored RTCs or the direct care staff. Probation officers and detention facility staff have been the focus of previous studies. The purpose of this generic qualitative study was to explore the perspectives of RTC staff on organizational climate and rehabilitation of adjudicated youths. The participants included 12 direct care RTC staff age 18 and older who had worked with adjudicated youths for one year or more. Bronfenbrenner’s ecological …

The Lived Experiences Of Police Officers’ Responses To Stranger And Familial Child Abductions, Kennedy Pierce

Walden Dissertations and Doctoral Studies

When the media covers stories of child abductions, a common misconception is who the abductor is. Despite what the news broadcasts, a child is more likely to be abducted by a family member or acquaintance than a stranger. This qualitative study was conducted to explore the lived experiences of police officers’ responses to stranger and familial abductions using a phenomenological approach to determine how schemas may shape police officers’ perceptions, specifically concerning responding to child abductions. Schema theory suggests schemas are formed based on an occurrence between an individual and their surrounding environment. Nine interviews were conducted of police officers …

Lived Experiences Of Police Use Of Force In Western Utah, Kenny Augustin

Walden Dissertations and Doctoral Studies

The use of force by police officers toward African Americans has been a tense subject in the United States Although statutory law grants the police officers the right to use force, the level and the type of force used by police officers can be seen as problematic. In this study, the lived experiences of African Americans and police officers’ use of force were explored. The purpose of this phenomenological study was to explore whether the lived experiences of African Americans differ from police officers concerning the use of force in Utah and how fear, trust, and confidence influenced behaviors. A …

Relationship Between Self-Silencing And Self-Neglect Behaviors And Disordered Eating And Stigma Toward Seeking Behavioral Health Support Among Black Women Who Adopt The Superwoman Schema, Veanda Hemphill

Walden Dissertations and Doctoral Studies

Self-silencing and self-neglect behaviors, key dimensions of the superwoman schema (SWS), function as protective coping mechanisms in response to psychosocial stressors. However, these behaviors often perpetuate self-sacrifice, leading to an increased risk of physical and mental health decline. The purpose of this quantitative correlational study was to examine the relationship between self-silencing and self-neglect behaviors (independent variables) and disordered eating and stigma toward seeking support from behavioral health services (dependent variables) among Black women who adopt the SWS. The theoretical and conceptual frameworks of silencing the self and intersectionality guided this study. The 78 participants who self-identified as Black and …

A Document Analysis Of School Shooting On College Campuses, Kevin Lavelle Childs

Walden Dissertations and Doctoral Studies

Despite media outcry and societal outcry, gun violence on college campuses in the United States continues to be an unresolved problem. Prior to on-campus shootings, college campuses were safe locations that were conducive to learning. Sadly, this is no longer the case. The purpose of this qualitative study was to identify the key characteristics of mass shootings on college campuses so that officials would be provided with information that would enable them to create safer campuses. Using a rational choice theory as the conceptual framework, which focused on the perpetrator’s behavior, a document analysis was conducted to identify and understand …

Relationship Between Motivation, Job Satisfaction, And Company Performance In Virtual Teams In The U.S. Insurance Industry, Rena Lois Roundtree

Walden Dissertations and Doctoral Studies

Information technology (IT) leaders in the U.S. insurance industry are concerned with sustaining employee motivation in virtual teams, as it is a key challenge in managing virtual employees. Grounded in Herzberg’s two-factor theory, the purpose of this quantitative ex-post facto study was to examine the relationship between achievement, recognition, and company policy with job satisfaction and company performance. The participants were 54 U.S.-based insurance companies listed in Fortune’s Best Workplaces in Financial Services & Insurance (2021), with data sourced from publicly available financial reports and the U.S. Securities and Exchange Commission’s EDGAR system. The result of the multiple linear regression …

Perceptions Of Clinically Depressed Individuals: Social Media Use, Depressive Symptoms, And Interpersonal Relationships, Rachel N. Fullen

Walden Dissertations and Doctoral Studies

Recent literature has shown an association between social media usage and depressive symptoms, but there remains a gap regarding the perceptions of individuals with clinical depression on their social media usage and their interpersonal relationships. This qualitative study was conducted to uncover how people view social media and their clinical depression as well as the quality of their interpersonal interactions through social media platforms. Semi-structured interviews were conducted with 10 individuals who were diagnosed with clinical depression, used social media for 2 hours daily, and lived with their significant other/partner. The theory applied to this study was Blumler and Katz’s …

Internet Addiction And Academic Fatigue, Engagement, And Performance Among Undergraduates In Southwestern Universities In Nigeria, Mensah Prince Osiesi, Olutoyin Olufunke Fajobi, Sikeade Mercy Adegboyega, Abiodun Adesope Fadiya, Olaitan Titilayo Akinola, Folasade Oluyemisi Olayinka, Muyiwa Sunday Ajimuse, Sunday Nnamdi Okocha, Tolulope Oluwatoyin Olayiwola-Adedoja, Oladipo Adeyeye Olubodun Phd, Atinuke Titilope Babalola, Valentina Grion

Higher Learning Research Communications

Objective: Internet addiction among university undergraduates may deeply impact their academic lives. This study investigated the association between academic fatigue, academic engagement, academic performance, gender, and internet addiction and how the variables jointly and relatively predict internet addiction among undergraduates in southwestern universities in Nigeria.

Method: The correlational research type of the non-experimental research design was adopted for this study. A multi-stage sampling procedure was used to select 1,157 students. The main variables were the Internet Addiction Test (r = 0.82) and the Academic Fatigue Questionnaire (r = 0.85; both adapted), as well as the Academic Engagement Scale …

Nurse Experiences Of Caring For Children With Autism Spectrum Disorder In Los Angeles Pediatric Intensive Care Units, Makenna Brown

Walden Dissertations and Doctoral Studies

One in 22 California children is diagnosed with autism spectrum disorder (ASD). In combination with sensory considerations, healthcare costs, and increased healthcare utilization, these children face a lesser quality of care and poorer health outcomes. The literature addresses healthcare needs and experiences from various viewpoints, but does not address the experiences of nurses (RN) caring for children with ASD in the pediatric intensive care unit (ICU). The purpose of this study was to gain an understanding of RN’s challenges, and the helpful strategies utilized in practice. A qualitative, grounded study approach, centered on the patient-and-family centered care conceptual framework, was …

Executive Summary: Educating Staff On The Use Of The Columbia Suicide Severity Rating Scale, Muktar Trawalley

Walden Dissertations and Doctoral Studies

Suicidal ideation is a serious public health concern among individuals, especially in the United States. The Columbia-Suicide severity rating scale (C-SSRS) is the tool used to assess the severity and frequency of suicidal ideations. The gap in practice at this site is that mental health providers lack knowledge of using the C-SSRS. This evidence-based educational project aimed to improve nursing knowledge on using the C-SSRS in a psychiatric mental health facility. A practice-focused question was developed: Among psychiatric nurses in an outpatient mental health facility, does staff education on C-SSRS improve their knowledge of its application over 8 weeks, as …

Hispanic Family Caregivers’ Experiences With Dementia Patients During The Covid-19 Emergency, Vivian Arroyo

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly impacted caregiving dynamics, particularly for Hispanic family caregivers of dementia patients. This qualitative study explored the experiences, challenges, and coping strategies of these caregivers during the pandemic. The theoretical framework was systems theory. Semistructured interviews were conducted with 12 participants to collect data. Participants were recruited through purposive sampling and responded to open-ended questions regarding their caregiving experiences. The collected data were analyzed using Braun and Clarke’s six-step thematic analysis The findings revealed four themes: (a) caregiving strategies, including time management, collaboration, and reliance on religious faith; (b) self-care experiences, which highlighted the balance between personal …

Skill Development Approach For Poverty Alleviation In India, Sameer Chandra

Walden Dissertations and Doctoral Studies

India’s Poverty Profile revealed that over 65% of the poor reside in rural areas. This study examined the effectiveness of the Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDU-GKY) skill development program in alleviating poverty in Uttar Pradesh, India. Guided by Sen’s capability approach, a quantitative cross-sectional design employing logistic regression analyzed the relationships of candidate qualifications and trade categories, predicting the likelihood of successful job placement. The study analyzed 4,789 randomly selected cases from 14 high-poverty districts in DDU-GKY’s database. The job placement rate within cases was 28.2%, with 71.8% not placed. Candidate qualification significantly predicted the likelihood of job …

The Relationships Between Social Stress, Anxiety, And School Attendance/Absenteeism Among Middle School Students With High-Incidence Disabilities, Rebecca Caroline Canady

Walden Dissertations and Doctoral Studies

Chronic absenteeism has been on the rise across the United States since schools fully reopened to in-person learning after COVID-19-related closures. Historically, students with disabilities are more likely to experience increased rates of absenteeism. However, there is a lack of research on specific psychosocial factors related to school attendance/absenteeism (SA/A) for students with disabilities. The purpose of this quantitative study of archival data was to examine through analyses of variance what extent the relationship between anxiety and SA/A is moderated by social stress among middle school students with high-incidence disabilities. Additionally, trends in the relationship between variables from before and …

Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis

Walden Dissertations and Doctoral Studies

Rural hospitals experience challenges in supplying the physician workforce, leading to poor organizational and population health outcomes. The purpose of this integrative review was to determine factors that affect physician recruitment and retention in rural hospitals and provide strategies for administrators to support sufficient physician staffing. The review question was used to identify effective strategies to improve physician recruitment and retention in rural hospitals. An integrative review was completed using empirical and nonempirical research published between 2019 and 2024. The results of the literature demonstrated components affecting physician motivation and job satisfaction. Five main themes surfaced: (a) professional education, (b) …

Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle

Walden Dissertations and Doctoral Studies

In the United States, lung cancer is responsible for killing more people than prostate, breast, and colon cancer combined. African Americans are at a greater risk of dying from the disease due to the infrequency of early detection achieved through screening. This research focused on African American female smokers (AAFS) in the District of Columbia, Maryland, and Virginia between the ages of 50 and 80 with a 20-year pack history and who were smoking or had quit within the past 15 years. A quantitative correlational research design was employed with a sample of 101 participants to explore the relationship between …

Lived Experiences Of Geriatric African American Males In Recovery And Participation In Spiritual Social-Oriented Communities, Gail Venerable

Walden Dissertations and Doctoral Studies

Substance use among older persons has increased among the aging baby boomer generation. At the same time, individuals aged 65 and beyond see increased longevity. The utilization of alcohol and drugs as a means of managing associated challenges has been shown to contribute to health problems that lead to a diminished quality of life and early death rates. Empirical investigations have demonstrated that social-oriented interventions such as Alcoholics Anonymous (AA) have a beneficial role in sustaining an individual’s recovery process. However, joining such programs may pose challenges for African American males 65 and older due to African Americans’ distrust of …

Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie

Walden Dissertations and Doctoral Studies

In practice, social workers are expected to translate cultural competency skills and knowledge they have acquired to handle diverse clients whose gender, racial, ethnic, religious, and personal beliefs and orientations can conflict. Using a qualitative research approach, the study addressed perceptions and roles of cultural competence in social work practice. Three research questions guided the study. The Campinha-Bacote framework of culturally competent healthcare was used for this study. The study involved employing thematic analysis to analyze research questions. It was determined that social workers must meet clients where they are culturally, respecting and learning from them to adapt interventions accordingly. …

Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a clinical practice guideline project focused on overweight and obesity management of adult women in primary care. The practice problem identified was the lack of an evidence-based clinical practice guideline to manage overweight/obesity in adult women. It was important to address this problem because overweight and obesity were significant health concerns at this clinical site in the United States and the world. The practice-focused question was the following: “Does the evidence support the development and Appraisal of Guideline for Research and Evaluation (AGREE) II instrument quality scoring of a clinical practice guideline on …

Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor

Walden Dissertations and Doctoral Studies

Employees with nonnative accents sometimes avoid leadership roles, engage less in the workplace, and perform poorly. Organizational leaders need to understand how the challenges of individuals with nonnative accents specifically affect millennials. Grounded in attribution theory and social identity theory, the purpose of this qualitative study was to explore how millennial employees with nonnative accents experience leadership opportunities in the corporate workplace. The participants were 10 millennial corporate employees in the United States with nonnative accents working toward or already holding leadership positions. Data were collected using in-depth interviews for thematic and interpretive phenomenological analysis. Seven themes emerged: (a) challenges …

Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila

Walden Dissertations and Doctoral Studies

The staff education project aimed to address the gap in practice regarding the use of the PHQ-9 depression screening tool in a primary care setting. The providers at the setting demonstrated variations in screening practices leading to potential missed opportunities for early depression identification and treatment. This Doctor of Nursing Practice project explored the question: “What is the effect of implementing a staff education program to improve staff knowledge to effectively implement changes that affect the use of the PHQ-9 screening tool to improve depression identification and treatment of adult patients in a primary care clinic?” This project aimed to …

Employee Turnover Intention In Automotive Manufacturing: An Examination Of Job Satisfaction Components For Leaders, James Edward Carlin Vi

Walden Dissertations and Doctoral Studies

Hiring managers in the automotive manufacturing industry have consistently faced high turnover rates compared to other sectors, prompting efforts to understand the factors influencing employees' intention to leave. Recognizing the impact of turnover on profitability and knowledge retention, these managers require deeper insights into the underlying relationships to develop effective mitigation strategies. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this quantitative correlational study was to examine the relationship between interpersonal relationships, recognition, and turnover intention. The participants consisted of 155 first-line supervisors within the automotive industry in the Midwest United States who responded to the Minnesota Satisfaction Questionnaire Recognition …

Leaders’ Experience Of Spiritual Leadership Concerning Followership In Brazilian Organizations, Livia Mandelli

Walden Dissertations and Doctoral Studies

Spiritual leadership has been the focus of scholars since 2003. Researchers have demonstrated the relevance of spiritual leadership as a new leadership model. Researchers have yet been able to understand the practice of spiritual leadership in Latin America. The purpose of this phenomenological qualitative study was to describe the leaders’ lived experiences concerning followership, taking into consideration the meanings they ascribe to the relationship with their followers and the description of the subjective lived experiences of adopting spiritual leadership practice. The nexus between leaders’ lived experiences and their meaning regarding followership was given special consideration. This was a qualitative research …

Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh

Walden Dissertations and Doctoral Studies

This project aimed to improve the consistency of PHQ-9 depression screenings for young adults in an outpatient mental health clinic. Through the implementation of standardized protocols and staff training, the goal was to reduce variability in screening outcomes. The evaluation method of the project involved staff interviews, surveys, and comparing pretest and post-test results to measure staff knowledge and confidence improvements. The results showed that there were significant improvements in staff knowledge and confidence. This project highlights the importance of standardized procedures in improving mental health care for young adults.

The Relationship Between Remote Followers’ Perceptions Of Leader’S Emotional Intelligence And Followers’ Psychological Safety, Gender, And Tenure, Jeanine P. Stroud

Walden Dissertations and Doctoral Studies

This quantitative study explored the relationship between remote workers’ perceptions of their leaders’ emotional intelligence and their self-reported psychological safety, with gender and tenure as moderating variables. Data from 172 remote employees using a cross-sectional online survey revealed that perceived leader emotional intelligence was a significant predictor of psychological safety, both as a composite measure and across its four dimensions of emotional intelligence: self-emotional appraisal, others’ emotional appraisal, regulation of emotion, and use of emotion. Gender moderated the relationship with the combined interaction of worker and leader gender in female leader–female follower dyads. Tenure with the leader did not moderate …

Agile Culture As Experienced By Scrum Masters In The Financial Sector, Andrew John Haigh

Walden Dissertations and Doctoral Studies

There is a high failure rate for software development projects, even those that have adopted an Agile approach, despite the United States spending more than $250 billion yearly on developing 175,000 software projects costing $2,322,000 on average. Scrum masters on software development projects with an Agile approach need to adopt more than just the process and procedures; they need to adopt the Agile culture. The purpose of this general qualitative study was to explore the implementation of the Agile culture experienced by scrum masters in the financial sector. The Scrum software development framework is the most popular variant of the …

Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project addressed the critical issue of medication nonadherence among mental health patients by implementing a staff education program at an outpatient clinic in the Mid-Atlantic region USA. The program focused on enhancing staff knowledge and confidence through training in psychoeducation, motivational interviewing, and multidisciplinary collaboration. Nonadherence often leads to relapse, hospitalization, and poor outcomes, compounded by a lack of structured interventions at the project site. Sixteen clinic staff members participated in biweekly training sessions over a one-month period. Pre- and post-training assessments revealed a 44.79% increase in staff knowledge and a 50% improvement in confidence …

Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike

Walden Dissertations and Doctoral Studies

Depression is one of the most common psychiatric illnesses and one of the main causes of disability globally. Currently, at behavioral care facility patients are not consistently screened during the initial and follow-up visits due to limited staff knowledge in using the Patient Health Questionnaire-9 (PHQ-9) screening tool. Evidence-based literature recommends depression screening be done at every initial and follow-up visit. The PHQ-9 tool is valid and reliable for identifying, diagnosing, and monitoring depression treatment outcomes. Inadequate use of the PHQ-9 tool can lead to several negative patient outcomes. The project practice-focused question was: Does comprehensive education increase the knowledge …