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Articles 1441 - 1470 of 18117
Full-Text Articles in Entire DC Network
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
Walden Dissertations and Doctoral Studies
Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Walden Dissertations and Doctoral Studies
Childhood Sexual Abuse (CSA), traumatic sexual violence within trusted relationships, continues to impact children in the United States and often leads to insecure attachments in adulthood. There was a gap in the literature concerning the experiences of adult survivors of CSA within marginalized communities, where such experiences are frequently ignored. The purpose of this qualitative descriptive phenomenological study was to explore how adult survivors of CSA from marginalized populations develop attachments. Bowlby argued that maintaining mental health in adulthood depends on forming healthy and secure relationships during childhood. Bowlby’s attachment theory served as the framework to understand how early attachment …
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Walden Dissertations and Doctoral Studies
During the adolescent stage of development, identity is a foundational aspect of one’s development, and its absence leads to a negative outcome, characterized by role confusion. Positive interventions are necessary to develop a strong sense of self. The purpose of this generic qualitative project was to explore the perspectives of black males and the impact of mentorship on their identity during adolescence. The theoretical framework chosen for this study was Erikson’s identity versus role confusion, the fifth stage of his psychosocial development theory. Based on this concept, the research supported the idea that adolescent Black males should participate in culturally …
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Walden Dissertations and Doctoral Studies
This DNP staff education project was an initiative focused on improving fall-related knowledge among faculty members. The practice problem identified at the local project site was the frequent rate of patient falls. Analysis established the role of staff in the inefficient implementation of best practices and to the staff’s limited knowledge regarding the application of existing fall prevention strategies. The practice-focused question for this project was, In the emergency department setting, how does a fall prevention education program compared to pre-implementation practices, affect staff knowledge of fall prevention strategies within three months? The purpose of the project was to improve …
Medication Adherence Educational Module For Outpatient Nurses, Catherine Omidiwura
Medication Adherence Educational Module For Outpatient Nurses, Catherine Omidiwura
Walden Dissertations and Doctoral Studies
Medication nonadherence remains a key deterrent to high-quality care in the outpatient environment, resulting in ineffective disease control, preventable hospitalization, and rising healthcare costs. Nearly half of patients with chronic illnesses, such as diabetes, high blood pressure, and mental disorders, do not take medication as prescribed. Outpatient nurses, who are at the core of mandating compliance, are often not provided with much formalized education to effectively promote compliance. This Doctor of Nursing Practice (DNP) project addressed this knowledge gap through the development and implementation of an educational module to enhance nurses’ knowledge about measures for medication adherence. The practice question …
Staff Education: Teaching Patients To Manage Their Hypertension, Andrea Arroyo
Staff Education: Teaching Patients To Manage Their Hypertension, Andrea Arroyo
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project on staff education addresses the practice problem of staff knowledge deficits in educating patients on hypertensive management. The project question was: Will evidence-based hypertension management education increase staff knowledge? The project evaluated the effectiveness of a structured educational program in training personnel on how to educate patients on optimal hypertension management techniques. The project used evidence-based literature to bridge a clinical practice gap, educate staff, and empower healthcare professionals to improve patient care. Ten participants were a part of the project. A pre-survey was administered, followed by a PowerPoint presentation on how to …
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that arts integration (AI) was not implemented into Grades 6 through 8 curricula with consistency at a local project-based middle school (PBMS, a pseudonym). Grounded in Martin’s arts as a second language framework, the purpose of this basic qualitative study was to explore middle school teacher successes, challenges, and resources needed to implement AI into Grades 6 through 8 at PBMS. Semistructured interviews were conducted with nine middle school educators who were experienced with AI implementation at PBMS. Through thematic analysis using open and axial coding, teachers indicated that successes are seen when …
Mitigation Strategies For Burnout Prevention, Judith Nm Lamarre
Mitigation Strategies For Burnout Prevention, Judith Nm Lamarre
Walden Dissertations and Doctoral Studies
This doctoral project is a staff education initiative aimed at increasing staff knowledge on burnout mitigation strategies. The project describes the practice challenge and why staff practice must address it. Psychiatric burnout leads to emotional exhaustion, professional dissatisfaction, and patient safety concerns. The work aims to answer the practice-focused question and the purpose of the doctoral project, specifically asking: Will a structured educational session on evidence-based burnout mitigation strategies increase staff knowledge? Staff knowledge was measured using pre- and post-education surveys. The pre-survey results showed mean score of 60%, while the post-survey results showed a mean score of 80%, reflecting …
Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson
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, …
Effect Of Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny Sung Phd, Tom Butkiewicz Ph.D.
Effect Of Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny Sung Phd, Tom Butkiewicz Ph.D.
International Journal of Applied Management and Technology
Ineffective leadership characteristics hinder employee engagement in the financial industry, leading to negative organizational outcomes. The purpose of this quantitative, correlational, cross-sectional study was to examine the relationship between servant leaders’ humility, active listening, and trust-building and employee engagement in U.S. private financial organizations. The servant leadership theory of serving followers and the social exchange theory of reciprocity grounded this study. Using simple random sampling, the participants comprised190 employees from private financial organizations in the United States. They completed the Servant Leadership Scale-7; Servant Leadership Assessment Instrument factors 6 and 7; the hearing, understanding, remembering, interpreting, evaluating, and responding (HURIER) …
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Walden Dissertations and Doctoral Studies
Previous researchers have found that face to face bullying by students directed towards postsecondary education faculty may result in negative mental and emotional impacts. The virtual environment provides a unique opportunity for student-to-faculty bullying behaviors, known as cyberbullying, to occur. Researchers have not yet studied how psychology faculty in particular experience stress when cyberbullied by students. The purpose of this qualitative study, rooted in phenomenological design, was to improve the understanding of how psychology faculty who are cyberbullied by students experience stress. Contrapower harassment theory was used to ground these research questions and design. The research questions examined the experiences …
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Walden Dissertations and Doctoral Studies
The program created a more encouraging recovery environment by greatly increasing staff competency in relapse prevention. Staff reported having more conversations with patients about preventing relapses. These enhancements might result in lower relapse rates and better long-term recovery outcomes.
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Walden Dissertations and Doctoral Studies
This project was a clinical practice guideline (CPG) for mental health providers to expand telepsychiatry services to veterans who are homeless in a day treatment center. The practice problem was the lack of a standardized approach to increase access to mental health care. This CPG supports nurses in implementing evidence-based interventions to reduce mental health disparities and promote equitable care delivery for veterans who are homeless. The guideline was aimed to ensure safe, effective, and coordinated mental health care through integration with interprofessional teams. The project question was: Does the evidence support development of a CPG for provision of telepsychiatry …
Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos
Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos
Walden Dissertations and Doctoral Studies
Business leaders of homeschool consulting and testing services are experiencing a critical challenge in attracting new clients, which threatens their ability to sustain operations. Grounded in the Baldrige excellence framework and the diffusion of innovation theory, the purpose of this qualitative single case study was to explore effective strategies used by one business leader of a homeschool consulting and testing services organization in North Carolina to attract clients and sustain operations. Data sources included (a) semistructured interviews, (b) organizational archival records and documents, (c) public data such as reports and websites, and (d) literature including peer-reviewed articles and books. Findings …
The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene
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 …
Deprescription Of Benzodiazepine, Oji Gibson
Deprescription Of Benzodiazepine, Oji Gibson
Walden Dissertations and Doctoral Studies
Background: Benzodiazepines are commonly prescribed for anxiety disorders; however, long-term use increases risks of dependence, cognitive impairment, falls, and overdose. Despite established guidelines recommending time-limited use, inappropriate chronic prescribing remains prevalent in primary care. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based clinical practice guideline (CPG) to reduce benzodiazepine overprescribing for adults with anxiety disorders in a primary care setting. The goal was to improve prescriber adherence to current best practices and promote patient safety. Methods: This quality improvement project utilized the Johns Hopkins Evidence-Based Practice Model to guide development, …
How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney
How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney
Walden Dissertations and Doctoral Studies
The work of previous researchers has shown officers to have higher rates of depression, posttraumatic stress disorder (PTSD), generalized anxiety, and suicidality than the public, and a lower rate of mental health service-seeking. Stigma, both public and self-stigma, has been revealed by previous researchers to be the predominant barrier that deters officers from seeking out needed and/or desired services. A gap in research existed in examining alternative service types, and whether law enforcement officers perceived these service types as more or less stigmatizing than traditional methods. This study employed a quantitative research design to predict the probability that law enforcement …
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Walden Dissertations and Doctoral Studies
The school-to-prison pipeline, where minority men experience decreased academic performance, higher truancy rates, and increased vulnerability to arrest, persists in the United States. The purpose of this qualitative study was to explore how systemic racism is experienced by formerly incarcerated, college-educated Black men who were criminalized for behavioral issues that contributed to their incarceration. The research problem was a lack of knowledge of the experiences of educational environments and disciplinary systems that perpetuate racialized behavioral labeling and contribute to the school-to-prison pipeline. Grounded in the theoretical framework of institutional racism, the study featured a constructivist paradigm to capture participants' experiences. …
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
Walden Dissertations and Doctoral Studies
This exploratory study examined the lived experiences of parents whose autistic children turned 21 and aged out school and services provided by the federally funded Free Appropriate Public Education (FAPE) program. Although researchers have conducted numerous studies on autism, limited research has focused specifically on the stress parents face when their autistic child turns 21 and loses access to FAPE. The purpose of this qualitative narrative inquiry was to gain a deeper understanding of the emotional, logistical, and systemic challenges these parents encountered during the transition out of high school. Family Systems Theory provided the conceptual framework for exploring these …
Impact Of Team Coaching, Team Resilience, And Team Learning Agility On Team Adaptive Performance In Volatility, Uncertainty, Complexity, And Ambiguity Environments, Devon Morris
Walden Dissertations and Doctoral Studies
With volatile and rapidly changing environments, teams are under increasing pressure to adapt and maintain performance. This quantitative, cross-sectional correlational study examined the extent to which team coaching predicts team adaptive performance in volatility, uncertainty, complexity, and ambiguity environments, with team resilience as a mediator and team learning agility as a moderator. An integrated theoretical framework combining conservation of resources theory, social cognitive theory, goal-setting theory, and team coaching theory grounded this study. Participants included 291 working professionals with at least 3 months of team membership and coaching experience, spanning various industries, including technology, healthcare, finance, and government sectors. They …
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Staci Mason
Walden Dissertations and Doctoral Studies
Research has shown that due to their intersecting identities, Black women must contend with both racism and sexism in the workplace, resulting in oppressive work environments and limited access to career advancement. Studies also highlighted Black women’s disillusionment with workplace diversity, equity, and inclusion (DEI) programming and its role in addressing these negative impacts. However, these issues have not been studied through the perceptions of Black women leaders at national associations of regulatory boards. The purpose of this generic qualitative study was to examine perceptions of these Black women regarding the impact of DEI programs on their career. Using Benet’s …
The Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
The Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored the unique challenges faced by women of color professors in higher education, who often experience imposter syndrome due to systemic barriers and underrepresentation. The purpose of this study was to gain an in-depth understanding of how these professors experienced and made meaning of imposter syndrome in academic settings. The central research question examined the meaning of imposter syndrome among women of color professors in higher education. This study was grounded in intersectionality and self-determination theory, which provided frameworks for understanding how multiple identities influenced feelings of inadequacy and professional identity. Participants included 12 women of …
The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson
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 …
Improving Staff Knowledge And Confidence In Hypertension Patient Education Through Health Literacy Training, Blessing Ukomadu
Improving Staff Knowledge And Confidence In Hypertension Patient Education Through Health Literacy Training, Blessing Ukomadu
Walden Dissertations and Doctoral Studies
Summary This DNP staff education project focuses on providing health literacy training. The practice problem identified at the local project site was inadequate patient education it may have resulted from a number of factors,. poor blood pressure control. The practice-focused question for this project was as follows: “Will staff education on health literacy and patient education improve staff knowledge and confidence in providing HTN patient education?” The purpose of this doctoral project was to enhance healthcare providers' capacity to deliver effective, evidence-based hypertension education. Eventually, providers would acquire effective communication that would improve patient understanding and self-management. Awareness of this …
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project addresses a critical issue in outpatient mental health care: transportation barriers faced by adult mental health patients, particularly older adults. These barriers contribute to high no-show rates, which disrupt care continuity, worsen mental health outcomes, and increase reliance on emergency services. The project proposes the implementation of a structured transportation assistance program to enhance appointment adherence and reduce missed visits resulting from transportation challenges. The practice-focused question guiding this project is: In adult mental health patients with transportation barriers, does implementing a structured transportation assistance program improve appointment adherence rates over a 12-week …
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Walden Dissertations and Doctoral Studies
This grounded qualitative study explored the common themes of ecotherapy in practice. The research problem was the limited understanding of how counselors implement ecotherapy in clinical practice, hindering the field’s ability to fully integrate nature-based approaches into mental health treatment. The purpose of this grounded theory study was to explore counselor perspectives on ecotherapy using the biophilia hypothesis and Swarbrick’s wellness model. The research questions focused on how licensed mental health counselors understood, implemented, and evaluated the impact of ecotherapy. Qualitative data were collected through an online survey with open-ended questions from 15 licensed counselors across the United States who …
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Walden Dissertations and Doctoral Studies
Spanish-speaking Latinos continue to face significant barriers when attempting to access social support services through healthcare initiatives such as California Advancing and Innovating Medi-Cal (CalAIM). Despite previous efforts to address this issue, this population continues to encounter barriers such as systemic discrimination, language barriers, and limited access to culturally responsive care. This qualitative study was guided by the consolidated framework for implementation research and used an interpretative phenomenological analysis approach to explore the lived experiences of Spanish-speaking Latino parents whose children received CalAIM asthma home remediation (AHR) services. The purpose of this study was to understand the barriers and challenges …
Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu
Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu
Walden Dissertations and Doctoral Studies
Acute care nurses face persistent occupational stress that contributes to burnout, anxiety, depression, and high turnover rates within healthcare systems. The Stress First Aid (SFA) framework offers a proactive, evidence-based approach to identifying and managing psychological distress among healthcare workers. The purpose of this Doctor of Nursing Practice project was to implement and evaluate the SFA program as a structured, early-intervention model to improve nurse well-being, retention, and patient care outcomes in an acute care setting. Guided by the Stress Continuum Model and organizational change theory, this project emphasized early recognition of stress, peer support mechanisms, and continuous outcome monitoring. …
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Walden Dissertations and Doctoral Studies
The current study was administered in order to examine Oklahoman social workers’ perception of collaborating with police officers to foster community trust. The goal was to determine whether the collaboration amongst social and police officer fostered trust when collaborating during services calls. The theory of planned behavior and policing (TPBP) studied by Ishoy and giving credit to Ajzen’s were the foundational theory used to support this study. Collaboration among social workers and police officers can foster community trust and benefit both parties. Such collaboration could also lead to joint training and education, as well as alleviating public fears and misconceptions. …