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Articles 781 - 810 of 13138
Full-Text Articles in Entire DC Network
The Relative Strength Of Paternal Absence, Strong Black Woman Schema, And Self-Esteem In Predicting Resilience Among Black Women, Aqueelah Wheatley
The Relative Strength Of Paternal Absence, Strong Black Woman Schema, And Self-Esteem In Predicting Resilience Among Black Women, Aqueelah Wheatley
Walden Dissertations and Doctoral Studies
The continued rise in single-mother households within Black communities has led to an increase in hyper-independence among Black women, a phenomenon referred to as the strong Black woman schema. Studies have found an association between hyper-independence (i.e., excessive self-reliance and emotional invulnerability) and absent fathers (i.e., due to incarceration or abandonment), forcing Black women to assume the roles of financial provider, caregiver, and community agent. Though studies have found a link between the strong Black woman and negative health outcomes (e.g., emotional distress), other studies have found that strong Black women characterize themselves as independent, empowered, and content individuals, feelings …
Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers
Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a staff education initiative addressing a critical practice gap: clinical staff at a mental health facility lacked the practical knowledge to implement evidence-based telemonitoring protocols for suicide prevention, despite strong supporting research. High rates of suicide attempts and readmissions underscored the urgency for this intervention. The practice-focused question was: “Will a staff education program designed to educate healthcare providers on nurse-led telemonitoring protocols increase staff knowledge?” The purpose of this project was to develop, implement, and evaluate an educational program for providers to increase their knowledge on how a telemonitoring protocol can reduce …
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Walden Dissertations and Doctoral Studies
Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
Walden Dissertations and Doctoral Studies
The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
The Relative Importance Of Cultural Competence And Compassion Fatigue In Predicting Nurse Prescribing Self-Efficacy, Debarah Lane Jowett-Gordon
Walden Dissertations and Doctoral Studies
As a result of the growing diversity among citizens requiring medical care, there has been a substantial increase in immigrants globally and in the United States. In the U.S. healthcare system, nurse practitioners (NPs) have been facing increased cultural challenges. The purpose of this quantitative study was to determine the relative importance of cultural competence and compassion fatigue in predicting nursing prescribing self-efficacy. Cultural competence served as the theoretical framework, as it focuses on how NPs can effectively communicate with patients from diverse backgrounds by understanding and respecting cultural differences, thereby building trust, improving patient outcomes, and providing quality healthcare. …
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Walden Dissertations and Doctoral Studies
Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Walden Dissertations and Doctoral Studies
Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Walden Dissertations and Doctoral Studies
Access to effective behavioral treatment is critical for the imprisoned population and newly released individuals to reduce reentry into the penitentiary system. Social workers within correctional facilities can determine the need for treatment, how often treatment is required, what specific treatment is necessary, and what resources will be needed to provide those treatments. A qualitative exploratory design was used in this study. I explored the quality of behavioral health treatment provided to the incarcerated population. Systems theory was used as the theoretical framework this study. There were 17 participants in this study who had been incarcerated in a Kentucky prison …
Understanding The Lived Experiences Of Mental Health Professionals Providing Animal Assisted Play Therapy® To Adults In An Outpatient Setting, Kelsey Unger
Walden Dissertations and Doctoral Studies
Animal Assisted Play Therapy® (AAPT) is a growing therapeutic approach that incorporates a therapy animal into therapy while utilizing the therapeutic powers of play. There is a lack of research on using AAPT with adult clients in an outpatient setting. This needs to be explored so best practices can be developed to ensure that counselors are using AAPT with adults in a safe and ethical manner for both clients and animals. I sought to understand the lived experiences of mental health professionals providing AAPT to adult clients in an outpatient setting through hermeneutic phenomenology. The data were collected through semi-structured …
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Walden Dissertations and Doctoral Studies
Police officers across the United States frequently respond to individuals experiencing mental health crises, yet many lack specialized training to manage these encounters effectively. The Crisis Intervention Team (CIT) model was developed to improve law enforcement responses through collaboration with mental health professionals and an emphasis on de-escalation. Although prior research has examined measurable outcomes associated with CIT programs, limited qualitative research has explored CIT-trained officers’ lived experiences and perceptions of effectiveness. The purpose of this qualitative exploratory case study was to examine how CIT-trained officers use their skills to reduce arrest, officer and citizen injury, and use of force …
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Walden Dissertations and Doctoral Studies
Black women managing Fibromyalgia Syndrome (FMS) and mood disorders navigate complex health care experiences within systems that often fail to recognize their needs. Health care disparities, cultural expectations, and systemic barriers create distinct interpretive contexts for this population, who often encounter delayed diagnoses, inadequate treatment, and dismissal of their symptoms despite often reporting higher levels of pain severity. Using the biopsychosocial model as a conceptual framework, this qualitative study utilized interpretative phenomenological analysis to explore how Black women make sense of their experiences across physical, psychological, and social dimensions. Data were collected from semi-structured interviews with six participants. Key findings …
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
Walden Dissertations and Doctoral Studies
In The Bahamas, the quality of care received by culturally diverse patients remains generally poor, highlighting an inability to adapt to the changing climate and adopt culturally responsive practices. The purpose of this quantitative causal-comparative study was to examine the relationship between perceived cultural competence of healthcare providers in The Bahamas and its impact on patient outcomes for the non-Bahamian patients they treat. The tripartite model of cultural competence grounded this study. The participants comprised 49 non-Bahamian patients from the public and private sectors. They completed the patient-reported physician cultural competency measure, self-efficacy for managing medications and treatments, and the …
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
Walden Dissertations and Doctoral Studies
This qualitative study explored the lived experiences of school administrators in Maryland public schools regarding the implementation of discipline policies and their impact on juvenile delinquency. Prompted by rising concerns about delinquent behavior and inconsistent consequences for students, the research investigated how administrators perceive and navigate the challenges of enforcing discipline and the strategies they employ to foster safe, positive school environments. Grounded in defiance theory and social learning theory, the study used open-ended surveys to gather insights from 16 retired and current principals and assistant principals in Maryland public school systems. The findings reveal that while discipline policies provide …
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Walden Dissertations and Doctoral Studies
Early childhood education (ECE) educators leave their profession at a rate 14% higher than K-12 educators, resulting in multisystemic issues that affect children, families, staff, and the ECE industry. Research has shown a connection between leadership practices and ECE educator turnover intentions; however, there is limited research on the relationship between the servant-leadership (SL) practices of ECE directors and ECE educators’ turnover intentions. Grounded in Greenleaf’s theory of servant-leadership, the purpose of this quantitative study was to explore the relationship between ECE director SL practices and its seven dimensions, measured using the SL scale, and ECE educator turnover intentions, measured …
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Walden Dissertations and Doctoral Studies
Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Walden Dissertations and Doctoral Studies
This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Walden Dissertations and Doctoral Studies
Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …
Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding
Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding
Walden Dissertations and Doctoral Studies
This study was focused on law enforcement officers’ experiences with secondary traumatic stress and coping while working with child molesters. Lazarus and Folkman’s cognitive model of stress and coping were used to examine how law enforcement officers manage stress, focusing on their cognitive processes and thought patterns. Using a basic qualitative approach, eight law enforcement officers who work with child molesters in the state of South Carolina were interviewed to hear their personal experiences. Interviews were semi-structured interview questions via a video-conferencing platform. The data were analyzed and coded using Braun and Clarke’s six-step thematic analysis. The study’s findings confirmed …
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
Walden Dissertations and Doctoral Studies
Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …
Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Walden Dissertations and Doctoral Studies
The problem examined in this study is how colorism affects Black families. The purpose of this qualitative case study was to explore the lived experiences of Black women and the colorist messages they received from family members, how those messages were internalized, and the messages perceived effects. The conceptual framework for this study was based on the colorist-historical trauma framework, and data were obtained through individual interviews with Black women ages 22–70, from various socioeconomic backgrounds and selected through purposeful sampling. A multiple case study approach was used to examine similarities and differences among the participants. A thematic analysis was …
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo
Walden Dissertations and Doctoral Studies
Hospitals and healthcare facilities in the United States continue to face persistent shortages of ancillary imaging technologists, creating significant challenges for hospital administrators. The purpose of this integrative review was to identify effective strategies for recruiting and retaining imaging staff in hospitals. The review question concerned what best practices and strategies healthcare administrators can use to improve the recruitment and retention of ancillary imaging staff. The theoretical frameworks for this research, strategic human resource development and Maslow’s theory of human motivation, provided a lens for understanding organizational enhancement and employee engagement, respectively. Following the application of inclusion and exclusion criteria, …
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Secondary Students’ Mental Health And Absenteeism Post-Covid-19: School Social Workers’ Perspectives, Tiffany Hines Sutton
Walden Dissertations and Doctoral Studies
School social workers practice in a post-COVID-19 educational context where anxiety, depression, and emotional dysregulation are closely associated with chronic absenteeism among middle school students. This practice problem is central to clinical social work because distress-based avoidance is often misinterpreted as defiance, resulting in punitive responses that intensify disengagement. The purpose of this doctoral project was to explore how school social workers perceive and respond to the interconnected dynamics of student mental health and chronic absenteeism following COVID-19. Bronfenbrenner’s ecological systems theory guided the inquiry. A qualitative descriptive design was employed using semi-structured interviews with 10 middle school social workers …
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Walden Dissertations and Doctoral Studies
No abstract provided.
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
Walden Dissertations and Doctoral Studies
Community health worker (CHW) programs are an increasingly important strategy for addressing social determinants of health (SDOH) within Medicaid systems. However, evidence on how specific SDOH impact healthcare utilization remains limited. In this quantitative, correlational study, the relationship between SDOH factors like housing instability, food insecurity, and transportation barriers, and primary care utilization among adult Medicaid recipients aged 18–65 who participated in a Medicaid managed care organization’s CHW program in Clark County, Nevada, during 2023 were examined. Retrospective administrative data from 441 participants were analyzed using negative binomial regression to assess associations between SDOH factors and postintervention primary care visits …
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Walden Dissertations and Doctoral Studies
Ineffective regulatory strategies can lead to reduced financial stability. Nursing home leaders who wrestle to improve regulatory practices may find their business facing reduced financial sustainability. Grounded in management by objectives theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies nursing home leaders used to implement regulatory compliance practices that increase financial sustainability. The participants were nine nursing home leaders who had successfully implemented regulatory compliance strategies within their organizations. Data was collected through semistructured interviews, public websites, and current and archival public documents. Through thematic analysis, three themes were identified: …
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Walden Dissertations and Doctoral Studies
Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Walden Dissertations and Doctoral Studies
A significant issue in human services practice in Macon, Georgia, is law enforcement officers’ responding to individuals experiencing a mental health crisis in public. Many police officers are not equipped to handle situations involving individuals experiencing mental health events, leading to possible adverse outcomes such as injury, incarceration, or even fatalities. There are increasing rates of mental illness disorders, and therefore, the need for compassionate, informed approaches for human service professionals to respond to those in crisis. More training to improve responses can lead to better outcomes for individuals in crisis, foster community trust in law enforcement, and enhance overall …
Clinical Practice Guideline For Universal Anxiety Screening For Advanced Practice Providers, Kelechi Blanton
Clinical Practice Guideline For Universal Anxiety Screening For Advanced Practice Providers, Kelechi Blanton
Walden Dissertations and Doctoral Studies
This project was a clinical practice guideline (CPG) focused on anxiety screening in a primary care setting using the Generalized Anxiety Disorder (GAD-7) screening tool. The practice problem addressed general anxiety disorder and the need for standardized assessments for risk, as recently been recommended by the U.S. Prevention Service Task Force (USPSTF). Anxiety disorder is common but frequently untreated, due in part to low rates of screening. Lack of an evidence-based guideline for anxiety screening may contribute to delayed diagnosis and inconsistencies. The practice-focused question was, Does the evidence support development of an evidence-based CPG for universal anxiety screening in …
Experiences Of Loneliness And Belonging Among U.S.-Born Women During The Covid-19 Pandemic In Germany, Anna Sizorina
Experiences Of Loneliness And Belonging Among U.S.-Born Women During The Covid-19 Pandemic In Germany, Anna Sizorina
Walden Dissertations and Doctoral Studies
Existing literature indicates that the COVID-19 pandemic led to increased levels of loneliness, particularly among individuals with transnational ties. Travel and entry bans, along with social distancing, led to separation from family abroad and from people and communities in the countries of new residence. In this qualitative phenomenological study, experiences of loneliness and belonging among U.S.-born women during the COVID-19 Pandemic in Germany were explored. The transaction theory of stress guided the scientific enquiry, and the evolutionary theory of loneliness served as a conceptual framework for examining loneliness in the given context. Six adult female participants, born in the United …