Digital Commons Network^™

Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud

Walden Dissertations and Doctoral Studies

Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …

Underreporting Of Campus Crimes: A Study On Students' Preference For Peer Reporting Over Official Channels, Vanessa White

Walden Dissertations and Doctoral Studies

Underreporting of campus crime remains a persistent challenge in higher education, with many students choosing to disclose incidents to peers rather than formal institutional channels. This qualitative phenomenological study was an exploration of the social and psychological factors influencing college students’ preference for peer-based disclosure over official reporting mechanisms, with particular attention to peer influence, social norms, and institutional trust. Guided by bystander intervention theory and victim precipitation theory, data were collected through an anonymous, open-ended online survey completed by 13 individuals who had attended traditional, in-person colleges or universities within the past 5 years. Thematic analysis was used to …

Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons

Walden Dissertations and Doctoral Studies

Adults with mental illnesses have been disproportionately represented in the criminal justice system, often due to limited access to timely mental health treatment and fragmented community-based support. When continuity of care was inadequate, justice involvement frequently replaced coordinated interventions designed to promote stabilization and recovery. This qualitative study was guided by the sequential intercept model and the risk-need-responsivity model to examine how multidisciplinary treatment teams influenced rehabilitation and reoffending outcomes among formerly incarcerated adults diagnosed with mental illness. Data was collected through semi-structured interviews with justice-involved adults who described their experiences with multidisciplinary support during their reentry process and analyzed …

Psychologists’ And Psychiatrists’ Views On Criminal Behavior, Fetal Alcohol Spectrum Disorder, And Federally Sentenced Indigenous Women In The Prairie Region And British Columbia, Rina Asghar

Walden Dissertations and Doctoral Studies

The overrepresentation of federally sentenced Indigenous women in Canada reflects longstanding structural and systemic injustices within the criminal justice system. Constituting approximately 5% of the female population, Indigenous female offenders are disproportionately represented, especially in maximum security facilities and structured intervention units. This qualitative study examined psychologists’ and psychiatrists’ perspectives on the potential role of fetal alcohol spectrum disorder (FASD) related neurocognitive impairments in increasing justice system involvement among Indigenous women in Western Canada. Guided by the multidimensional Indigenous developmental framework, which integrates historical trauma theory and attachment theory, nine psychologists and one psychiatrist were interviewed in semi-structured interviews. The …

Exploring African American Officers’ Lived Experiences Of Racial Microaggressions In A Metropolitan Police Department, Kareem Mc Kenna

Walden Dissertations and Doctoral Studies

African American men in law enforcement encounter subtle racial microaggressions that contribute to emotional distress, identity conflict, and burnout. Although researchers have examined microaggressions, few studies have centered on African American men within a large metropolitan police department or explored how they interpret these experiences across tenure ranges. This qualitative phenomenological study explored how African American men with at least 2 years of service in frontline or first-line supervisory roles in a Southern California metropolitan police department experienced, interpreted, and coped with workplace racial microaggressions over the past five years. Guided by critical race theory, intersectionality, and Sue et al.’s …

Using Fire Investigators' Narratives To Explore Serial Firesetting Behaviors, Alisha Jones-Creel

Walden Dissertations and Doctoral Studies

This qualitative narrative inquiry examined how fire investigators share tacit knowledge related to threat assessment and risk management in cases of serial firesetting. Data were derived from eight semi-structured interviews with fire investigators from Louisiana, Mississippi, and Texas who had investigated firesetting incidents within the past five years. Narrative analysis was used to identify cross-case patterns in how investigators recognize offender characteristics, assess contextual risk factors, and detect early warning signs across incidents. Analysis identified three themes addressing how lived experience informs peer understanding of offender behavior, risk indicators, and warning signs, and three themes addressing how narrative experience guides …

Effective Strategies For Small And Mid-Sized Enterprises To Leverage Resources And Sustain Operations, Priscilla Neri Rebibis Barbero

Walden Dissertations and Doctoral Studies

Ineffective strategies for leveraging resources can lead to early business closures. Small-to medium-sized enterprise (SME) owners who struggle to acquire sufficient resources for their operations may experience diminished profits and business instability as a result. Grounded in resource-based view (RBV) theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by SME owners to leverage resources and sustain business operations beyond 5 years. The participants were 10 SME owners who had implemented strategies for sustainable business operations. Data were collected through semistructured interviews and a review of relevant public documents. Using thematic …

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 …

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 …

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 …

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 …

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte

Walden Dissertations and Doctoral Studies

Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn

Walden Dissertations and Doctoral Studies

In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …

Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel

Walden Dissertations and Doctoral Studies

Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …

Investigating Sex Offenders’ Experience Of Being Registered As A Sex Offender, Stacey Mitchell-Swingle

Walden Dissertations and Doctoral Studies

In society, sex offenders are subject to unforeseen consequences of the sex offender registry. The purpose of this qualitative study was to investigate how the sex offender registry contributes to the mental distress of registered sex offenders and their concerns about recidivism. This study addressed a gap in understanding the sex offender registry experiences from the offender’s perspective. The research question addressed how adult male registrants describe their experiences of mental distress associated with registration and how they perceive registration as shaping their risk of reoffending. The theoretical framework was John Braithwaite’s reintegrative shaming theory, with a specific focus on …

Risk Awareness Of Alcohol Related Car Fatalities In Whatcom County, Tayler Wilson

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

My goal to address alcohol-related traffic fatalities in Whatcom County is to reduce the prevalence of these fatalities by 20% over two years through preventative community education and targeted enforcement programs to decrease high-risk drinking behaviors in college-age youth.

Significant Findings

There has been a significant rise in alcohol-related traffic fatalities within Whatcom County, upwards of 50% of fatal car accidents in 2024 involving alcohol; 67.8% higher than the national average (CDC, 2024; Starks et al.,2025). The population most impacted by this public health risk is 21-24 year-olds, especially young men, who are four times more likely to …

Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston

Walden Dissertations and Doctoral Studies

Abstract A high incidence of on-duty firefighter sudden cardiac death (SCD) results in increased costs and decreased organizational performance. Fire department leaders are concerned about the financial burden of SCDs as they put strain on departmental budgets and subsequently limit operational readiness. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore how fire department leaders used cost-effective strategies to reduce SCD episodes among on-duty firefighters. Participants comprised six fire department leaders located on the East Coast of the United States who had successfully implemented strategies to minimize firefighter SCD. Data were collected using …

Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy

Walden Dissertations and Doctoral Studies

The role of law enforcement officers is to restore peace and safety when chaos occurs, which can be life-threatening and stressful as officers respond to the critical incidents unfolding. For this study, a qualitative approach and phenomenological framework were utilized to gain insight into the first-hand psychological experiences of officers responding to critical incidents. Police officers work in demanding environments that can lead to mental health conditions such as depression and post-traumatic stress disorder. Peer support and communication among coworkers have emerged as a potentially important factor, as officers would share traumatic events with other officers. Therefore, my research focused …

A Qualitative Study Of Medical Cannabis Policy For Multiple Sclerosis In Kansas And Colorado, Haydn Primrose

Walden Dissertations and Doctoral Studies

Medical cannabis may alleviate symptoms associated with multiple sclerosis (MS), yet access to cannabis-based treatment (CBT) remains inconsistent across U.S. states. The research problem was that state policy variation and administrative implementation produce inequitable access and clinical uncertainty for individuals with MS and for clinicians and policymakers responsible for compliant care decisions. Existing literature on cannabis for MS primarily addresses symptom relief, including spasticity reduction, pain relief, and improved sleep quality; however, access policies vary by state. The purpose of this qualitative systematic review was to synthesize evidence on policy and administrative barriers shaping access to medical cannabis for MS …

Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson

Walden Dissertations and Doctoral Studies

Juvenile recidivism persists in the U.S. justice system, highlighting the need for effective reentry programs. However, limited research exists on juvenile justice professionals’ perceptions of program success. The purpose of this qualitative study was to explore these professionals’ perceptions regarding the effectiveness of juvenile reentry programs in reducing recidivism. Guided by Bandura’s social learning theory, the study examined how observation and modeling influence youth behavior during reentry. The research questions focused on professionals’ perceptions of program effectiveness and how these perceptions impact recidivism reduction efforts. A qualitative phenomenological design involved semi-structured interviews with 13 juvenile justice professionals in the southwest …

The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley

Walden Dissertations and Doctoral Studies

Public school district leaders are challenged with funding K-12 education that creates the desired student academic performance. Grounded in student-based budgeting theory, this quantitative ex post facto study aimed to investigate the relationship between K–12 public school funding, per-pupil expenditures, student achievement, and graduation rates in Georgia. The study included secondary data from 51 North Georgia public school districts for the 2018–2019 school year. Multiple regression analysis was completed to examine the relationship between the independent variables—state funding, per-pupil expenditures, and academic achievement in math, science, and language arts—and the dependent variable: graduation rates. The results of the analysis were …

Developing Outreach Strategies To Sustain Diversity And Inclusion In Interfaith Partnerships With Local Government, Dora Muhammad

Walden Dissertations and Doctoral Studies

Local government has been hindered by a lack of sustained interfaith engagement. Faith leaders have not been consistent stakeholders in policymaking decisions. This gap in practice stemmed from a lack of research of self-transcendence within public administrative settings. Grounded in a review of 70 years of research into the conceptual framework of government needs analysis, this study’s purpose was to explore principles and concepts of civic engagement and partnership shared among faiths. Qualitative research was designed to answer, “How do faith leaders describe the current civic participation, partnership, diversity, and inclusive strategies within their faith communities as they relate to …

Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski

Walden Dissertations and Doctoral Studies

Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …

The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong

Walden Dissertations and Doctoral Studies

The correctional population in the United States remains high despite the implementation of various measures to reduce crime and recidivism. The primary goal of correctional establishments is to reduce recidivism and crime through effective rehabilitation programs. The role of the correctional officer is crucial in the rehabilitation process because they are the heartbeat of a prison. However, low staffing levels have a negative impact on the role of corrections officers. There is a gap in the relevant literature on the low staffing levels of African American correctional officers. This qualitative research, through the phenomenological approach, focused on the correctional culture …

Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters

Walden Dissertations and Doctoral Studies

Studies show Black Americans face high police brutality, leading to mental health issues like PTSD, depression, and anxiety. The purpose of this qualitative interpretive phenomenological study is to explore the lived experiences of Black Americans who have been exposed to police brutality on social media and how it impacts their racial identity and emotional well-being. This study employed critical race theory as both a theoretical lens and a conceptual framework to examine how race and systemic inequalities shape legal systems and societal narratives. I used IPA to explore how people interpret their experiences and the meanings they assign. This study …

Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker

Walden Dissertations and Doctoral Studies

Prostate cancer screening has been a focus of scholars since the late 20th century, as researchers have sought to address persistent disparities in early detection and mortality rates among African American men. Researchers have demonstrated that cultural beliefs, mistrust of the medical system, and limited access to healthcare significantly influence prostate cancer screening behaviors within this population. However, researchers have yet to establish how younger African American men specifically interpret prostate cancer risk and how their beliefs and attitudes shape decisions regarding screening participation. The purpose of this study was to explore the beliefs, perceptions, and attitudes of younger African …

Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson

Walden Dissertations and Doctoral Studies

Research on police culture often contrasts the “warrior” mentality, linked to aggression and control, with the “guardian” mentality, which emphasizes empathy, restraint, and community trust. Yet little research explores how police academy instructors, who shape officers’ professional identities, understand and teach these opposing orientations. This phenomenological study examined how Oklahoma police academy instructors perceive the influence of warrior and guardian mentalities on officers’ decision making and behavior in use of force encounters. Grounded in symbolic interaction theory, the study explored how meaning, socialization, and thought interact to construct officers’ self-concepts and guide behavior under pressure. Fifteen semi-structured interviews were conducted, …

The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene

Walden Dissertations and Doctoral Studies

Sexual assault is a pervasively dangerous crime affecting persons of all ages, races, and genders, both in the United States and globally. Essential in the safeguarding of American citizens, U.S. law enforcement officers are among the first responders on scene to investigate reports of sexual assault claims. However, echoed in previous research are the sentiments of victim-survivors who experienced negative encounters with officers who exhibited an implicit lack of victim-centered training and were dismissive in their investigative approach. Consequently, this gap in the literature requires exploration; therefore, this study focuses on the lived experiences of U.S. law enforcement officers and …

The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson

Walden Dissertations and Doctoral Studies

This quantitative study explored how past experiences with racial microaggressions affect emotional reactions to racially charged media and whether factors like age and gender influence that response. Using Minority Stress Theory as a guide, 183 African American adults completed the Racial and Ethnic Microaggressions Scale and the State-Trait Anxiety Inventory before and after watching a racially provocative film clip. The first analysis found no direct link between microaggression exposure and emotional change. However, further testing with analysis of variance showed that people with higher exposure reported much stronger emotional distress than those with lower exposure, F(1,180) = 38.12, p < .001, η² = .175. When demographic factors were added in a hierarchical regression, the model became significant, F(7,175) = 2.06, p = .036, R² = .076, showing that age (β = .086, p = .009) and gender (β = 1.505, p = .039) influenced emotional responses. Thus, older African American women showed the strongest distress, suggesting that the combined effects of race, gender, and age increase vulnerability to racial stress. These findings support the idea that racial trauma is complex and shaped by overlapping social identities. The study highlights the need for culturally sensitive mental health support, inclusive media portrayals, and greater awareness of generational and caregiving stress among African American women. By showing how overlapping identities shape emotional well-being, this research advances social change through empathy, reduced stigma, and institutional accountability, encouraging equity-driven practices that foster racial healing, fairness, and psychological resilience across communities.

Perspectives Of Therapists Treating First Responders On The Role Of Peer Support In Psychological Recovery And Development Of Ptsd Symptoms, Audrey Ramos

Walden Dissertations and Doctoral Studies

First responders face an increased risk of posttraumatic stress disorder (PTSD) due to repeated exposure to traumatic events. While traditional treatments like cognitive-behavioral therapy and medication remain standard, peer support has become a supplementary strategy. However, limited research has investigated how licensed therapists view the role of peer support in clinical care. Therapists’ perspectives on the effectiveness, limitations, and integration of peer support in first responder PTSD recovery were explored in this qualitative, phenomenological study. Guided by Lazarus and Folkman’s transactional model of stress and coping and Masten’s resilience theory, how peer support serves as both a coping mechanism and …