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A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss Dec 2025

A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss

Walden Dissertations and Doctoral Studies

Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …

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Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork Dec 2025

Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork

Walden Dissertations and Doctoral Studies

Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …

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The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward Dec 2025

The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward

Walden Dissertations and Doctoral Studies

Abstract The problem that was addressed through this study is that Black women are underrepresented in executive leadership roles in the United States. Grounded in Ladson-Billings’ critical race theory and Hill Collins’ Black feminist theory, the purpose of this basic qualitative study was to explore the perceptions and experiences of Black women executives regarding the challenges they face in attaining executive leadership roles and their recommendations to address the underrepresentation of Black women in executive leadership roles. Data were collected using semistructured interviews of 13 adult Black female executive leaders in a private sector organization who had at least 2 …

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Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh Dec 2025

Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh

Walden Dissertations and Doctoral Studies

Abstract Outpatient addiction treatment centers face significant challenges from inefficient appointment scheduling systems that contribute to high no-show rates, delayed care, and weakened organizational performance. These barriers affect more than daily operations; they disrupt the flow of treatment, increase patient disengagement, and place additional strain on limited healthcare resources. For patients navigating substance use disorders, a missed appointment may jeopardize continuity of care and undermine recovery efforts. This integrative review explored strategies to improve scheduling efficiency and enhance patient engagement in outpatient addiction care. A systematic search of recent U.S. studies was conducted and appraised using the Johns Hopkins Evidence-Based …

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Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo Dec 2025

Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo

Walden Dissertations and Doctoral Studies

As baby boomers, Generation X, millennials, and Generation Z converge in healthcare settings, their distinct values and work styles influence organizational culture, communication, and collaboration, ultimately affecting patient care outcomes. This study was conducted to explore the impact of generational differences on registered nurses’ intentions to leave their organizations or the nursing profession. By examining how these generational differences shape nurses’ intentions to leave their organizations, the study can help to identify challenges and opportunities for healthcare leadership. Through an analysis of generational expectations and workforce dynamics, this research aimed to inform strategies for supporting retention, enhancing job satisfaction, and …

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The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes Dec 2025

The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes

Walden Dissertations and Doctoral Studies

Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …

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Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke Dec 2025

Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke

Walden Dissertations and Doctoral Studies

This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …

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African American Small Business Success Strategies, Zena Foster Dec 2025

African American Small Business Success Strategies, Zena Foster

Walden Dissertations and Doctoral Studies

Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …

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Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis Dec 2025

Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis

Walden Dissertations and Doctoral Studies

A lack of successful strategies can lead to a high failure rate among small businesses. Women small business owners often express concerns about identifying successful strategies, which research shows are a key predictor of business sustainability. Grounded in entrepreneurship theory and participative leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that some women small business entrepreneurs use to sustain their businesses beyond 5 years. The participants were five women small business owners from different sectors in the East Coast region of the United States who had sustained their businesses beyond 5 …

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Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech Dec 2025

Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech

Walden Dissertations and Doctoral Studies

An increasing focus on the recovery, rights, and autonomy of individuals with serious mental illnesses has led to ongoing debate regarding the practice and legal regulation of involuntary commitment (IVC). To ensure ethical and appropriate patient care throughout this complex process, more knowledge is needed about social workers’ decision-making process regarding the use of IVC. The purpose of this study was to investigate the decision-making processes associated with IVC for inpatient psychiatric treatment in North Carolina using the biomedical ethics framework. More specifically, the study addressed how licensed social workers describe their experiences and decision-making processes when determining whether to …

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Effective Digital Marketing Strategies For Small Businesses, Shannon Springob Dec 2025

Effective Digital Marketing Strategies For Small Businesses, Shannon Springob

Walden Dissertations and Doctoral Studies

The inability of many small businesses to effectively use digital marketing is a critical challenge for small business owners. Small business owners who lack effective digital marketing strategies are at greater risk of facing failure. Grounded in the do-it-yourself (DIY) behavioral theory, this qualitative pragmatic inquiry was conducted to identify, analyze, and explore the effective strategies employed by small business owners in the development and implementation of effective digital marketing campaigns. The participants included six small business owners in the United States who have used DIY digital marketing strategies within their businesses. Data were collected using semistructured interviews. Thematic analysis …

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Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders Dec 2025

Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders

Walden Dissertations and Doctoral Studies

Ineffective retention strategies can lead to employee turnover. Private childcare business owners who struggle to improve employee retention may find their business confronting attrition as a result. Grounded in job embeddedness theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective retention strategies used by private childcare business owners to reduce high employee turnover rates. The participants were eight private childcare business owners who had implemented retention strategies. Data were collected through semistructured interviews, public websites, and public documents. Through thematic analysis, five themes were identified: (a) providing competitive rewards and family support; (b) …

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Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes Dec 2025

Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic necessitated an shift to mandatory virtual learning (VL) for kindergarten through grade 12 students, disrupting educational systems globally and exposing systemic inequities. Although researchers had explored health and education disparities separately, they had not adequately examined the intersection of child health, specifically body mass index (BMI) and health-affected ability, with school readiness and level of distraction in VL environments. The purpose of this quantitative, cross-sectional study was to examine associations between BMI, health affected ability, school readiness, and distraction levels among U.S. Black children engaged in VL in the 2020 school year, controlling for gender, age, and …

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Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay Dec 2025

Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay

Walden Dissertations and Doctoral Studies

Scientists and health professionals have established the connection among physical activity and overall wellbeing. In more recent years, scholars have also researched the correlation among increased self-connection with increased overall well-being. Nevertheless, insignificant data has been gathered to investigate the impact of predictor variables upon the connection between exercise and wellbeing. This research study examined the mediating effect of self-connection among the relationship between exercise and wellbeing. The current study’s purpose was to gain better insights on how self-connection predicts a person’s physical activity, contributing to comprehensive insights how exercise habits may predict a person’s wellbeing by using a cross-sectional …

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Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis Dec 2025

Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis

Walden Dissertations and Doctoral Studies

Educating students with autism spectrum disorder (ASD) in under resourced schools remains a persistent equity concern in the United States. This study addressed a gap in the existing research, as prior studies have examined special education policy and school-level implementation challenges, but few have explored the experiences of general education teachers implementing inclusion in low-socioeconomic public schools. The purpose of this generic qualitative study was to explore the barriers general education teachers encounter in providing equitable education and their recommendations for improving inclusion. The study was guided by Ingram and Schneider’s (1993) social construction theory, which explains how marginalized groups …

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From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker Dec 2025

From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker

Walden Dissertations and Doctoral Studies

Children’s animated films have often been analyzed for problematic depictions of gender and cultural stereotypes, but far less attention has been given to how these narratives may portray psychological adversity and transformation. This study addressed this gap by examining how posttraumatic growth (PTG) is symbolized through the narrative arcs of ten Disney films released between 2013 and 2023. The purpose of this research was to explore how these films illustrate themes of emotional transformation, utilizing a theoretical foundation based on Tedeschi and Calhoun’s PTG model, which emphasizes five domains of growth following adversity: appreciation of life, enhanced relationships, personal strength, …

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Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams Dec 2025

Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to investigate the relationship between job demands and resources and job satisfaction among school social workers in North Carolina. School social workers are vital members of the school ecosystem, supporting the development and well-being of students, families, and communities. Grounded in the Job Demands-Resources (JD-R) theoretical framework, the impact of years of experience, caseload size, role ambiguity, burnout, and job autonomy on job satisfaction among school social workers was examined. The current study included 92 school social workers from twelve counties in the Sandhills and Research Triangle regions of North Carolina who completed …

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Elementary Teachers’ Use Of Sphero Robots To Teach Computational Thinking, Marquita Jackson Dec 2025

Elementary Teachers’ Use Of Sphero Robots To Teach Computational Thinking, Marquita Jackson

Walden Dissertations and Doctoral Studies

The power of play has often been used in K–5 classrooms, but it has not always been implemented as a way to teach computational thinking skills. The use of educational robots such as Sphero have been explored, but not with young learners. The research problem addressed through this study was the lack of understanding of K–5 teachers’ experiences in using Sphero robots to teach computational thinking. The purpose of this basic qualitative study was to explore K-5 teachers’ experiences in implementing Sphero robot activities and specifically to teach computational thinking. The conceptual framework included Magana’s T3 model and Angeli’s computational …

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Implicit Weight Bias Among Men In Allied Health Career Fields, Jessica Jensen Dec 2025

Implicit Weight Bias Among Men In Allied Health Career Fields, Jessica Jensen

Walden Dissertations and Doctoral Studies

This quantitative study observed if there was a difference in the presence of implicit weight bias in men who work in allied health fields versus men not in allied health fields. Age and ethnicity (Hispanic/Non-Hispanic) were also observed in these groups as moderating factors to see if they also had differences in the effects between groups. The purpose of this study was to utilize an electronic weight-implicit association test (W-IAT) to identify any significant differences in the presence of weight bias between the two groups. Implicit weight bias in this population is problematic in that implicit bias, particularly implicit weight …

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Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi Dec 2025

Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi

Walden Dissertations and Doctoral Studies

Abstract The shortage of nursing staff in rural hospitals has created a critical workforce challenge in the United States, negatively affecting patient care, organizational performance, and community health. The purpose of this integrative review was to identify evidence-based strategies to improve the recruitment and retention of nurses in rural hospital settings. A search of literature published between 2021 and 2025 yielded 20 high-quality and good-quality studies that addressed the problem. Guided by Herzberg’s two-factor theory, thematic analysis revealed six overarching themes: (a) strategic improvements, (b) system efficiency and effectiveness, (c) service availability, (d) care models, (e) organizational support, and (f) …

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Staff Education To Peri Operative Registered Nurses, Shahida P. Meghani Dec 2025

Staff Education To Peri Operative Registered Nurses, Shahida P. Meghani

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to enhance perioperative nursing adherence to evidence-based practices for preventing surgical site infections (SSIs). SSIs remain among the most prevalent healthcare-associated infections, affecting 2%–5% of surgical patients and contributing to extended hospital stays, higher costs, and preventable morbidity. The practice-focused question guiding this project was: In adult surgical patients, how does the implementation of a perioperative nursing education program on SSI prevention, compared to standard practice, affect SSI incidence rates over a 2- to 4-month period? The project applied the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to …

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Healthcare Access, Economic Stability, And Food Security And Inflammatory Bowel Disease In Hispanic Adults Living In The United States, Jennifer Rodriguez Dec 2025

Healthcare Access, Economic Stability, And Food Security And Inflammatory Bowel Disease In Hispanic Adults Living In The United States, Jennifer Rodriguez

Walden Dissertations and Doctoral Studies

Hispanic adults in the United States experience disparities in chronic disease detection and outcomes, including inflammatory bowel disease (IBD). Social determinants of health (SDoH), including economic stability, healthcare access, and food security, play a crucial role in shaping health risks and diagnostic opportunities in this population. The purpose of this quantitative cross-sectional study was to examine the relationship between selected SDoH factors and self-reported IBD diagnosis among U.S. Hispanic adults. This study utilized survey data from the 2023 National Health Interview Survey (n = 29,457). Weighted descriptive statistics and logistic regression were used to analyze the relationships between variables while …

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Effective Corporate Social Responsibility Strategies That Small Business Leaders Use To Improve Brand Reputation, William Cativo Dec 2025

Effective Corporate Social Responsibility Strategies That Small Business Leaders Use To Improve Brand Reputation, William Cativo

Walden Dissertations and Doctoral Studies

Ineffective corporate social responsibility (CSR) practices in small businesses can damage brand reputation, reduce employee retention, and hinder sustainability. Small business leaders are concerned about these risks, as a large majority of consumers expect companies to act on environmental, social, and governance issues. Grounded in Carroll’s CSR pyramid, the purpose of this qualitative pragmatic inquiry was to explore strategies small business leaders in the Western United States use to enhance brand reputation. The participants were six small business leaders with effective strategies to enhance brand reputation. Data were collected through semistructured interviews and a review of 10 CSR reports. Thematic …

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Examining Emotional Intelligence Strategies Of Human Resource Administrators For Women’S Leadership In Healthcare, Selenda Johnson Dec 2025

Examining Emotional Intelligence Strategies Of Human Resource Administrators For Women’S Leadership In Healthcare, Selenda Johnson

Walden Dissertations and Doctoral Studies

Gender-based distinctions between leaders create differences in leadership methods that reshape their choices and teamwork approaches. Human Resource Administrators are concerned with how the lack of organizational support for Emotional Intelligence (EI) in female leaders influences them to leave, potentially leading to increased organizational costs. Grounded in Emotional Intelligence theory, the purpose of this qualitative pragmatic study was to explore EI strategies used by healthcare administrators in the Southeastern United States to increase female leadership retention in their organizations. The participants were 6 HR administrators with at least 2 years of experience from healthcare organizations who successfully implemented EI strategies …

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Expressing Diversity And Anxiety Among Graduate Psychology Students, Selenda Johnson Dec 2025

Expressing Diversity And Anxiety Among Graduate Psychology Students, Selenda Johnson

Walden Dissertations and Doctoral Studies

Gender-based distinctions between leaders create differences in leadership methods that reshape their choices and teamwork approaches. Human Resource Administrators are concerned with how the lack of organizational support for Emotional Intelligence (EI) in female leaders influences them to leave, potentially leading to increased organizational costs. Grounded in Emotional Intelligence theory, the purpose of this qualitative pragmatic study was to explore EI strategies used by healthcare administrators in the Southeastern United States to increase female leadership retention in their organizations. The participants were 6 HR administrators with at least 2 years of experience from healthcare organizations who successfully implemented EI strategies …

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Adolescent Children’S Risk Of Long Covid-19 Syndrome Based On Diet And Demographic Factors From An Online Survey, Christopher Waskewich Dec 2025

Adolescent Children’S Risk Of Long Covid-19 Syndrome Based On Diet And Demographic Factors From An Online Survey, Christopher Waskewich

Journal of Social, Behavioral, and Health Sciences

Limited information is available on how coronavirus disease 2019 (COVID-19) has [JG1] affected adolescents regarding long-term health risks. This quantitative study focused on the effect of U.S. adolescents’ daily diet, race/ethnicity, levels of income, family level of education, access to health care, age, and comorbidities on the risks of long COVID-19 syndrome. I used the constructs of the health belief model to understand the impact of those variables. The online survey results (N = 298) found that adolescents whose daily vegetable consumption was more than daily recommendations (2–3 cups) had a lower odds ratio of having long COVID-19 syndrome …

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Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris Dec 2025

Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris

Walden Dissertations and Doctoral Studies

Health literacy (HL) remains a critical public health concern, particularly among immigrant populations. This qualitative study explored how low health literacy relates to hypertension (HTN) management among Somali immigrant women. Low HL and chronic conditions such as HTN continue to affect this group disproportionately, emphasizing the need for targeted interventions. Guided by the Health Belief Model, this research examined Somali immigrant women’s perceptions of HL, how literacy levels influence hypertension management, and the barriers they encounter when managing their condition. Five Somali immigrant women who met the criteria participated in semi-structured interviews. All spoke English, were at least 18 years …

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Strategies Top Airline Managers Use To Reduce Occupational Stress Among Cabin Crewmembers For Improved Flight Safety, Yograj Sewdat Raghunauth Dec 2025

Strategies Top Airline Managers Use To Reduce Occupational Stress Among Cabin Crewmembers For Improved Flight Safety, Yograj Sewdat Raghunauth

Walden Dissertations and Doctoral Studies

Airline cabin crew members face significant occupational stress, which adversely affects their psychological well-being and flight safety performance. Airline managers are concerned with identifying stress reduction strategies to support crew effectiveness and mitigate safety risks. Grounded in the job demands-resources theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies that top airline managers in the United States use to reduce occupational stress among cabin crew members for improved flight safety. The participants were six top airline managers in the United States with at least 5 years of experience in senior management and had implemented successful strategies …

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Elementary Teachers’ Perceptions Of A District Tutoring Program Focused On Improving Minoritized Students’ Proficiency, Asia M. Michael Dec 2025

Elementary Teachers’ Perceptions Of A District Tutoring Program Focused On Improving Minoritized Students’ Proficiency, Asia M. Michael

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that 75% of minoritized students in Grades 3–5 are not meeting proficiency goals in math at a suburban New Jersey school district (NJSD, a pseudonym), which prompted the implementation of a high-impact tutoring program for all students. Grounded in Dewey’s theory of action, the purpose of this mixed-methods study was to explore upper elementary teachers’ perceptions of the high-impact tutoring program and its influence on minoritized students’ math proficiency at NJSD. Data were collected from 22 upper elementary teachers through an anonymous survey, including both quantitative and qualitative prompts. The quantitative …

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Healthcare Leaders’ Effective Strategies For Shaping Organizational Culture, Samuel H. Zoker Dec 2025

Healthcare Leaders’ Effective Strategies For Shaping Organizational Culture, Samuel H. Zoker

Walden Dissertations and Doctoral Studies

Some leaders in healthcare organizations lack effective leadership strategies and practices to influence and shape organizational culture, leading to inconsistent cultural values and behaviors that undermine organizational effectiveness and employee engagement. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare leaders use to shape organizational culture and strengthen employee engagement. Using purposive sampling, seven healthcare leaders with three or more years of experience were recruited from a medical institution. Data were collected through semistructured interviews using a protocol refined with the IPR method. Using reflective thematic analysis, five themes emerged: (a) employee-engagement …

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