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Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino Dec 2025

Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino

Walden Dissertations and Doctoral Studies

This project was an evaluation of a quality improvement initiative that addressed the practice problem of having large volumes of unanswered messages within the patient portal. To increase patient access to the healthcare provider, a literature search was conducted using the practice-focused question: Can standardization of patient portals improve the message turnaround time? In January 2024, a scoping review of nursing message center pools determined 79 pools lacked standardized names and established workflows for 37 ambulatory clinics. Pool names were identified for each clinic and listed using an Excel spreadsheet. Clinic pool members were isolated, and it was determined by …

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Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel Dec 2025

Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel

Walden Dissertations and Doctoral Studies

Approximately 17% of known serial killers in the United States are women, and often their crimes go undetected for years accruing a higher number of victims than their male counterparts. The purpose of this study was to identify common characteristics of female serial killers (FSKs). A multidisciplinary, holistic and developmental approach was used to guide the identification of common characteristics based on theories by Erik Erikson and Carol Gilligan as well as feminist theory. Case studies of 15 FSKs were randomly selected for participation from a list of over 100 known FSKs documented in the Radford Serial Killer database. Common …

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Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe Dec 2025

Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe

Walden Dissertations and Doctoral Studies

Summary Falls in health care facilities constitute the most prevalent incidents among all safety-related mishaps. If unaddressed, falls can result in severe consequences and perhaps fatal outcomes for patients. The Doctor of Nursing practice (DNP) project was developed to address the issue of patient falls in a long-term acute care hospital (LTACH). The practice-focused question was: Will implementation of an educational evidence-based staff fall prevention program improve nurses’ knowledge on fall prevention? The 1-hour staff education program was created based on review of recent evidence. Twelve nurses attended the staff education program. A pre- and posttest were used to evaluate …

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Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin Dec 2025

Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin

Walden Dissertations and Doctoral Studies

Pet ownership continues to be part of modern society in the United States. Researchers have explored pet ownership’s impact on chronic diseases and aging populations, but research on health-related quality of life is limited. Grounded in the socioecological model, this quantitative study analyzed data from the 2005-2006 National Health and Nutrition Examination Survey (N = 10,348) to investigate the impact of pet ownership on health-related quality of life among low-income adults aged 30-50 years. Chi-square tests were performed to analyze the associations between age, income, gender, and race with three health-related quality of life metrics. Results showed no statistically significant …

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The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong Dec 2025

The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a global issue that negatively affects humanity. The harmful effects of IPV often result in lifelong consequences for victims. Researchers have consistently identified women and children as the primary victims of IPV, although men can also be affected. The social stigma around men seeking formal help as victims is that they must endure physical, emotional, financial, sexual, and psychological abuse in intimate relationships. Because psychological abuse is the most common form experienced by male IPV victims, there is a higher prevalence of IPV within the Black community. However, research on help-seeking behaviors among Black men …

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Effective Change Management Strategies For Minimizing Financial Impact And Operational Disruption, Nhung K. Tran Dec 2025

Effective Change Management Strategies For Minimizing Financial Impact And Operational Disruption, Nhung K. Tran

Walden Dissertations and Doctoral Studies

Ineffective organizational change strategies represent a persistent challenge for organizations undergoing transitions. Business leaders who must maintain operational stability and safeguard financial performance during periods of change need effective strategies to support successful implementation. Grounded in an 8-step change model, organizational information processing, and stakeholder theories, the purpose of this qualitative pragmatic inquiry research project was to identify effective change management strategies used by business leaders to minimize financial loss and operational disruptions during transitions. The participants were eleven leaders from nonprofit, higher education, corporate, faith-based, agriculture, and military sectors who had effective change management strategies. Data were collected through …

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The Relationship Between Internal Controls, Unfavorable Financial Statement Audit Opinions, And Nonprofit Financial Performance, Gwen Rachel Bedell Gadbois Dec 2025

The Relationship Between Internal Controls, Unfavorable Financial Statement Audit Opinions, And Nonprofit Financial Performance, Gwen Rachel Bedell Gadbois

Walden Dissertations and Doctoral Studies

Executives of nonprofit organizations face fiscal and operational challenges due to limited resources, threatening long-term viability. Weak internal controls and financial reporting systems can stem unfavorable Single Audit opinions and reduced funding, concerning to auditors and fiscal agencies. Grounded in resource dependency theory, the purpose of this quantitative ex post facto secondary data analysis was to examine whether financial performance differed by audit opinion and internal control indicators among U.S. nonprofits receiving federal aid. Data included 158 U.S. nonprofits that received $750K–$7M in federal aid in 2021 with qualified, adverse, or disclaimer audit opinions. A three-way analysis of variance revealed …

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A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya Dec 2025

A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya

Walden Dissertations and Doctoral Studies

In this evidence-based educational project, I identified the gap in practice with the lack of nurses' knowledge in culturally tailored hypertension management among nurses caring for African American adults at a family nurse practitioner clinic. In this Doctor of Nursing Practice (DNP) project, I focused on a staff education initiative to improve nurses' knowledge to reduce disproportionately high rates of hypertension, complications, and mortality due to factors such as limited access to care, medication nonadherence, mistrust of providers, and improve on culturally competent interventions. The guiding practice-focused question was: Does educating nurses on hypertension in the African American population improve …

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Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves Dec 2025

Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves

Walden Dissertations and Doctoral Studies

A scoliosis diagnosis can impact an individual’s work performance, particularly if there is a lack of proper ergonomics or workplace accommodations that might lead to increased pain and discomfort. Organizational leaders must understand this impact as an indicator of employee motivation and productivity. The purpose of this qualitative, interpretative phenomenological analysis was to explore the lived experience of female employees in China with scoliosis pain and its impact on their motivation and productivity. The theoretical foundations used in this study were the job demands-resources model and the self-determination theory. The participants consisted of eight female employees with scoliosis pain working …

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Elementary School Teachers’ Perspectives On Project-Based Learning Implementation In Commonwealth Of The Northern Mariana Islands, Xiao Tang Dec 2025

Elementary School Teachers’ Perspectives On Project-Based Learning Implementation In Commonwealth Of The Northern Mariana Islands, Xiao Tang

Walden Dissertations and Doctoral Studies

Elementary schools play an essential role in equipping students with 21st-century skills. Project-based learning (PBL) is a student-centered instructional approach that is associated with the development of these skills, yet PBL implementation in elementary schools is not well understood in Saipan, the Commonwealth of the Northern Mariana Islands (CNMI). The research problem addressed in this study was a lack of understanding of elementary teachers’ practices in implementing PBL in Saipan. Guided by constructivist theory, the purpose of this qualitative study was to examine elementary school teachers’ perspectives on the benefits of PBL, the ease or difficulty when implementing PBL, the …

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The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy Dec 2025

The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy

Walden Dissertations and Doctoral Studies

A sizeable number of U.S. heart failure patients are readmitted within 30 days of hospital discharge. There was a need to explore ways to reduce this number and improve the care of heart failure patients when they are discharged home. The purpose of this quantitative correlational study was to determine if there is a relationship between age, gender, and race of heart failure patients and 30-day readmissions in the U.S. state of Mississippi in 2019. The dependent variable was heart failure 30-day readmissions, and the independent variables were age, gender, and race. Wagner’s chronic care model was the theoretical framework …

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Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke Dec 2025

Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice project was conducted to examine a quality improvement initiative that sought to address metabolic syndrome screening consistency for veterans on antipsychotic medications at a U.S. Department of Veterans Affairs health system located in the Midwest region of the United States. The project centered on whether the quality improvement program assessing compliance with the current metabolic syndrome screening process reflects increased early detection of metabolic syndrome to prevent cardiovascular complications. Data collection involved comprehensive chart reviews of 50 veterans’ records. The data collected were analyzed using a specially designed quality improvement initiative assessment form developed …

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Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan Nov 2025

Examining Predictors Of Mindfulness-Based Stress Reduction Participation Among Breast Cancer Patients: Insights From The Theory Of Planned Behavior, Maxine Rose Duncan, Maxine Rose Duncan

Journal of Social, Behavioral, and Health Sciences

The current study explored the factors influencing female breast cancer patients’ intentions to attend mindfulness-based stress reduction (MBSR) programs in Texas, utilizing the Theory of Planned Behavior (TPB) as the guiding framework. MBSR is a widely recognized stress management intervention shown to improve psychological well-being, yet its adoption among this population remains limited. The current study specifically examined the relationships between attitudes, subjective norms, and perceived behavioral control in predicting intentions to participate. A quantitative, cross-sectional survey design was employed, with 60 participants recruited via social media and support groups (see Appendix A). Data were collected using a validated TPB-based …

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Preservice Teachers’ Preconception Of Student Voice In Their Teacher Education, Joan Belfon Nov 2025

Preservice Teachers’ Preconception Of Student Voice In Their Teacher Education, Joan Belfon

Walden Dissertations and Doctoral Studies

A 2022 Jamaican education report highlighted that student-centered pedagogy is crucial to educational outcomes. A problem exists in that there is limited research on how student voice practices within student-centered pedagogy are incorporated into teacher training. Before preservice teachers’ praxis can be transformed, greater understanding of their preconceptions about student voice is essential. Guided by conceptual change theory, the purpose of this generic qualitative study was to explore the preconceptions of preservice teachers in rural central Jamaica about student voice in their teacher education. Eight preservice teachers preparing for the secondary level in three Jamaican higher education institutions were purposefully …

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Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards Nov 2025

Exploring The Experiences Of Bahamian Men Diagnosed With Hypertension And Medication Adherence, Bianca Edwards

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is associated with significant health complications, including stroke, myocardial infarction, heart failure, and kidney disease. Despite advances in the treatment and management of HTN, a lack of medication adherence contributes to the persistence of HTN-related morbidity and mortality affecting men in The Bahamas. The purpose of this qualitative descriptive phenomenological study, guided by Pender’s health promotion model and Bandura’s social cognitive theory, was to explore the lived experiences of Bahamian men diagnosed with hypertension regarding their adherence to prescribed medications. Using Giorgi’s descriptive phenomenological method, in-depth, semistructured interviews were conducted with 11 participants. Data were analyzed through repeated …

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Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare Nov 2025

Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare

Walden Dissertations and Doctoral Studies

Organizational leaders increasingly face challenges associated with employee noncompliance with cybersecurity controls, which expose business leaders to reputational and financial risks. Addressing this business problem is critical for cybersecurity leaders and business executives who aim to strengthen digital resilience and sustain profitability. The purpose of this qualitative pragmatic inquiry was to explore effective strategies organizational leaders use to enhance employee cybersecurity compliance through training. The project was grounded in the protection motivation theory and total quality management frameworks, which provide insight into the behavioral and continuous improvement dimensions of cybersecurity management. Six cybersecurity leaders from Nigeria participated in semistructured interviews. …

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Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie Nov 2025

Dating In The Digital Age: The Effects Of Parental Rejection, Rejection Sensitivity, And Self-Esteem Among Gender-Diverse Gen Z, Crystal Currie

Walden Dissertations and Doctoral Studies

Gen Z, the first digital-native cohort, faces unique challenges in forming romantic relationships, including heightened dating anxiety. While there is extensive research with previous generations on dating anxiety, self-esteem, and early rejection, no study has examined parental rejection, self-esteem, and dating anxiety collectively, particularly in consideration of gender diverse individuals and digital dating platform use. The purpose of this correlational study was to examine (a) predictors of dating anxiety and (b) whether parental rejection during childhood and rejection sensitivity influenced dating anxiety, as well as the role of self-esteem in mediating those predictor variables. The conceptual framework was the interpersonal …

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Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh Nov 2025

Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh

Walden Dissertations and Doctoral Studies

Poor-quality suppliers present a significant risk and cost liability across the manufacturing industry. Industrial automotive manufacturing leaders are concerned with this challenge because supplier quality directly affects production efficiency and accounts for over 70% of total production costs. Grounded in resource dependence theory, the purpose of this qualitative pragmatic inquiry was to explore successful strategies supply chain leaders use to identify and address poor-quality suppliers to improve manufacturing processes and achieve cost savings. The participants were six purposefully sampled supply chain leaders in the U.S. industrial automotive sector who were experienced in successful supplier mitigation strategies. Data were collected using …

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Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr Nov 2025

Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr

Walden Dissertations and Doctoral Studies

The global pandemic, COVID-19, had an impact on the academic experiences of all college students. First-generation college students who often experience special challenges in adjusting to academia may have faced additional challenges given the transition to online learning. However, there has been little research focused on the impact of COVID on their adjustment to college. The purpose of this study was to explore the experiences of an unanticipated learning transition among first-generation college students pursuing higher education at a 4-year school, during a global pandemic. The theoretical framework for this study was based on an interactionalist theory focused on the …

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Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho Nov 2025

Clinical Practice Guideline To Improve Medication Adherence In Posttraumatic Stress Disorder (Ptsd), Leroy Anagho

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is a chronic and debilitating psychiatric condition characterized by intrusive memories, avoidance behaviors, hyperarousal, and alterations in mood and cognition following exposure to traumatic events. Although evidence-based pharmacotherapy is a cornerstone of PTSD treatment, medication nonadherence remains a pervasive barrier to effective symptom management and functional recovery. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an evidence-based clinical practice guideline (CPG) aimed at improving medication adherence in adults diagnosed with PTSD in outpatient psychiatric settings. Guided by the Johns Hopkins Evidence-Based Practice Model and appraised through the AGREE II instrument, current …

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The Impact Of Machine Learning Security Models On Cloud Data Security, Ali Sanad Nov 2025

The Impact Of Machine Learning Security Models On Cloud Data Security, Ali Sanad

Walden Dissertations and Doctoral Studies

Abstract Many information technology (IT) leaders face challenges in adopting machine learning (ML) models for cloud infrastructure, despite their potential to enhance data security. The extent to which IT leaders’ perceived security (PeS) and perceived privacy (PeP) influence their intent to adopt ML security models is critical for organizational success. Grounded in the technology acceptance model, the purpose of this quantitative correlational study was to examine the relationship between IT leaders’ PeS and PeP and their intent to adopt ML security models in cloud-based applications. Data were collected from 106 IT professionals in Chicago using a validated instrument. Results from …

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Impact Of Community Factors On Naloxone Overdose Reduction In Ohio, Theophilus Oduro Frimpong Nov 2025

Impact Of Community Factors On Naloxone Overdose Reduction In Ohio, Theophilus Oduro Frimpong

Walden Dissertations and Doctoral Studies

The opioid crisis in Ohio, driven by fentanyl, persists due to inequitable access to naloxone despite its proven effectiveness. This study examined how socioeconomic status (SES), race/ethnicity, population density, and hospital availability per capita predicted naloxone overdose reversals (dependent variable) in Ohio. Social-ecological theory guided this quantitative historical correlational analysis of Ohio’s Project DAWN index data (N = 5,280). Inclusion criteria included individuals ages 18 to 65 with naloxone-related overdose reversals (dependent), naloxone distribution (moderator), and community factors (independent). Multiple linear regression results showed that SES (p >.50), race/ethnicity (% White, p = .588; % Black, p = .495; % …

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Multigenerational Teachers And Staff Experiences, Perceptions, And Preferences On Organizational Change Communication In Schools, Chrystal Louise Fields Nov 2025

Multigenerational Teachers And Staff Experiences, Perceptions, And Preferences On Organizational Change Communication In Schools, Chrystal Louise Fields

Walden Dissertations and Doctoral Studies

Organizational leaders’ failure to adopt effective change communication strategies in schools exacerbates teacher and staff shortages, compounding factors that undermine student outcomes and overall school effectiveness. Multigenerational teachers and staff must understand change communication strategies as a leading indicator of unsuccessful workforce and organizational change in schools. Grounded in social constructivist theory and conceptually informed by Goffman’s frame analysis, the purpose of this qualitative descriptive case study was to explore how multigenerational teachers and staff experience change communication as recipients and agents of change in schools. The participants consisted of 16 multigenerational teachers and staff members across four generations from …

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Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme Nov 2025

Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on developing and evaluating an evidence-based clinical practice guideline (CPG) for the psychopharmacologic management of serious mental illness (SMI) in a state correctional health system. The project explored a critical practice gap: the unavailability of standardized, evidence-based prescribing and monitoring protocols for incarcerated individuals diagnosed with schizophrenia, major depressive disorder with psychotic features, or bipolar disorder. The evidence-based project was structured around the central question: “Will an interprofessional team achieve consensus on updating the clinical practice guideline for psychopharmacologic management of serious mental illness in state prisons, thereby improving consistency and quality …

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Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison Nov 2025

Effects Of Mental Health Clinician Characteristics And Education On Willingness To Treat Child Problematic Sexual Behavior, Debra Elise Hutchison

Walden Dissertations and Doctoral Studies

Children aged 12 and under who exhibit problematic sexual behavior (PSB) often face barriers to care due to clinicians’ limited willingness and effectiveness in treating this population. However, little is known about the factors that influence clinicians’ willingness to provide treatment. Grounded in Bowen’s family systems theory and Bandura’s self-efficacy theory, this study examined how differentiation of self (DoS), sexual intervention self-efficacy (SISE), sexual comfort, and sexual education/training affect clinicians’ willingness to treat child PSB. A quantitative, non-experimental survey design with a convenience sample of 63 clinicians with experience working with children used a multiple linear regression analysis that revealed …

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Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye Nov 2025

Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye

Walden Dissertations and Doctoral Studies

In this doctoral project, I developed and validated an evidence-based clinical practice guideline for implementing smartphone technology to monitor diabetic patients in primary care settings with an 80% threshold. The project addressed a critical gap in standardized guidance for diabetes technology integration, which has resulted in inconsistent adoption and suboptimal patient outcomes. A systematic literature review of four major databases yielded 12 high-quality studies representing all evidence levels (I–V) according to the Johns Hopkins evidence-based practice model. Evidence synthesis revealed strong and compelling evidence with consistent results supporting smartphone technology implementation, including HbA1c improvements of 0.4%–0.8%, sustained patient engagement rates …

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Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri Nov 2025

Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri

Walden Dissertations and Doctoral Studies

Nurses have demonstrated positive attitudes toward complementary and alternative medicine (CAM); however, additional education is limited in nursing programs to prepare them to discuss and educate patients about these practices. Nursing faculty play a significant role in educating, mentoring, and influencing students’ knowledge levels and attitudes toward CAM. The purpose of this quantitative, non-experimental, cross-sectional study, guided by the CAM healthcare model, was to examine relationships among nursing faculty demographics, CAM knowledge, attitudes, and curriculum integration. The Knowledge, Attitudes, and Use of CAM survey was administered to 111 nursing faculty across multiple programs. Data were analyzed using multiple linear regression …

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Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella Nov 2025

Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella

Walden Dissertations and Doctoral Studies

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …

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The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres Nov 2025

The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres

Walden Dissertations and Doctoral Studies

Despite progress in addressing racism in the United States, its effects remain deeply entrenched, particularly for Black families. Research on Black parenting shows that parents adapt their strategies to protect children from criminalization, discussing violence, providing safety within the home, and limiting exposure to unsafe environments while also managing their own stress. Yet limited attention has been given to how Black mothers prepare their sons for race-related risks within the modern sociopolitical climate shaped by the #BlackLivesMatter movement. The purpose of this basic qualitative research study was to explore how Black mothers prepare their Black sons for race-related risks. Carter’s …

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Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink Nov 2025

Improving The Efficiency Of Interhospital Transfers Through Best Practices Of Care, Victoria Frink

Walden Dissertations and Doctoral Studies

The variability within interhospital transfers represents challenges for hospitals to maintain a standardized level of care for patients. This integrative review explored evidence-based healthcare interhospital transfer practices to improve outcomes and efficiency of care for patients. Under the framework of the Donabedian model of health quality, the study examined 28 empirical and nonempirical articles published from 2021–2025 for best practices to provide improvement measures towards care for transfer patients and increase support for healthcare personnel. These articles were analyzed for quality using the Johns Hopkins evidence-based practice model. Through analysis, seven themes were identified: improving interhospital communication, improving time-based care, …

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