Digital Commons Network^™

Generative Ai Use Among University Students Depends On Academic Level And Task, Karen E. Singer-Freeman, Kristi Verbeke, Betsy Barre

Higher Learning Research Communications

Objectives: The present study investigated the extent to which AI use and opinions about its use will vary by academic stage and academic task in ways that align with Budwig’s (2013) developmental stages.

Methods: We surveyed 1,259 students from different academic stages (first-year students, sophomores, juniors, seniors, and graduate students) at a highly selective private university in the United States.

Results: We found that all students desire institutional AI policies and are concerned about the negative consequences of AI use by themselves and others. There was some evidence of the use of AI in ways that might violate academic integrity. …

Cannabis And Covid: An Interrupted Time Series Analysis Of Their Impact On Mental Health-Related Hospital Visits In Rural Arizona (2016-2023), Jennifer Megan Suter

Walden Dissertations and Doctoral Studies

Arizona’s rural communities face shortages in mental health care services. In 2020, the nearly simultaneous onset of the COVID-19 pandemic and the legalization of recreational cannabis introduced overlapping public health stressors that may have disproportionately affected these vulnerable populations. However, their combined impact on rural mental health remains understudied. This three-manuscript dissertation employed interrupted time series analyses to assess how these events influenced monthly hospital visits for schizophrenia, psychosis, cannabis-induced psychosis, and suicidal behaviors among rural Arizona adults aged 21 and older. A total of 16,468 records from the Arizona State Inpatient and Emergency Department Databases (SID and SEDD) met …

Experiences And Meaning Of Seeking Help And Resources For Male Victims Of Intimate Partner Violence, Dr. Cierra A. Ozolin

Walden Dissertations and Doctoral Studies

Experiences and Meaning of Seeking Help and Resources for Male Victims of Intimate Partner Violence by Cierra Ozolin MSW, Walden University, 2022 BA, BS, Central Washington University 2019 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University August 2025

The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn

Walden Dissertations and Doctoral Studies

Due to insurance status, COVID-19 has restricted how and when patients can access healthcare providers. In the health services community, examining obstetric care services during the coronavirus outbreak was important because it increased awareness about how changes to maternal healthcare access affect the health of the mother and unborn child during a pandemic. The theories and/or concepts that grounded this study include the intersectionality theory, which examined the connections between social groups and systems as individuals try to access health services based on health insurance reform, depending on their race. The purpose of this study was to determine if there …

Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma

Walden Dissertations and Doctoral Studies

Early detection and treatment of latent tuberculosis infection (LTBI) is crucial in preventing active TB and supporting elimination efforts. However, adherence to LTBI treatment is challenging, especially among racial and ethnic minorities, with Black/African Americans showing particularly low rates. A quantitative retrospective chart review was conducted to examine sociodemographic factors affecting LTBI adherence in Black/African American individuals and to evaluate various adherence strategies. Using the health belief model, 435 deidentified secondary data records were analyzed from the Houston Health Department from 2012 to 2022, covering both native and foreign-born Black/African American patients undergoing LTBI treatment. Descriptive and inferential statistics, including …

Parents Of Adolescents On Electronic Use And Attention Deficit Hyperactivity Disorder: Parental Perspectives, Sleep, Internalization, Jessica Wiepking

Walden Dissertations and Doctoral Studies

ADHD in adolescents is a common diagnosis, with exposure to daily electronic use. There is strong evidence for a relationship between electronic use and ADHD in adolescents. However, there is a gap on electronic use, internalized feelings, and sleep behaviors in ADHD adolescents and how sleep behaviors might impact that relationship. ADHD has its core symptoms that impact the individual daily. These symptoms need to be taken into consideration when looking at internalized feelings and sleep behavior patterns. The theoretical framework that aligns with this study is the Dopaminergic Dysregulation Theory (DDT). This theory is a module that suggests that …

In-Home Supports For The Developmentally Disabled Population: A Heuristic Phenomenological Study Of Sc’ Experiences, Stephen Troy Davis

Walden Dissertations and Doctoral Studies

Despite occupying a central role in the developmental disabilities systems of 48 states, SC do not have a voice in program or policy development and are not well represented in the disabilities literature. The purpose of this study was to understand the experiences of SC who work with individuals with intellectual and developmental disabilities in southeastern Pennsylvania. The theoretical lenses through which the study was viewed were Bronfenbrenner’s ecological systems theory and Wolfensberger’s social role valorization. The study was guided by research questions aimed at illuminating the intensity of support coordinators’ experiences by uncovering how they experience and define their …

Relationship Between Indulgent Parenting, Household Composition, And Parental Efficacy In Managing Adolescents' Smartphone Use, Bernice Cook

Walden Dissertations and Doctoral Studies

Smartphones have become an integral part of society, resulting in increased adolescent dependence on smartphone applications. This dependence poses challenges for parents in managing the risk of problematic smartphone use among adolescents aged 11-17 years old. Rapid technological advancements have significantly reshaped parenting practices, necessitating greater adaptability and impacting adolescent development. Guided by Bandura’s self-efficacy theory, this correlational study examines how indulgent parenting and household composition, including demographic variables such as race, gender, education, employment, and income, predict parental self-efficacy in managing adolescent smartphone use. A convenience sample of 238 U.S. parents, with at least one adolescent aged 11-17 years, …

Prosecuting Attorneys’ Experiences And Perceptions Of Evidence That Most Often Leads To Wrongful Convictions At The Pretrial Stage, Shari Lee Barton Harrell

Walden Dissertations and Doctoral Studies

Before trial, prosecuting attorneys obtain and review evidence, including the types of evidence (i.e., perjury/false accusations, official misconduct, mistaken eyewitness testimony, false/misleading forensic evidence, false confessions, and inadequate defense counsel) that most often lead to wrongful convictions. The role of the prosector after conviction has been explored. The scholarly community needed to understand how prosecuting attorneys view this evidence at the pretrial stage so some wrongful convictions may be prevented. The purpose of this study was to explore prosecuting attorneys’ experience and perceptions regarding the evidence that most often leads to wrongful convictions at the pretrial stage. As part of …

Improving Employee Engagement Through Effective Change Management, Whitney Cearrow Sims

Walden Dissertations and Doctoral Studies

Human resources (HR) managers often face challenges due to ineffective change management strategies, which can lead to reduced employee engagement, decreased performance, and increased turnover. This issue is important to HR managers and organizational leaders who seek to improve workforce engagement and retention. Grounded in Kotter’s eight step change management model and Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies HR managers use to improve employee engagement. The participants were five HR managers from manufacturing companies in the southeast region in Georgia who had implemented effective change management strategies that improved employee engagement. …

Drug Recognition Experts’ Perspectives On The State Of Maryland’S Legalization Of Cannabis And Its Impact On Impaired Driving, Raymond D. Brooks

Walden Dissertations and Doctoral Studies

Motor vehicles have become both affordable and practical to own. As a result, law enforcement has been tasked with enforcing laws related to safe vehicular operation on the roadways nationwide. Further, much like alcohol, drug influence causes concern for motorists, and with the introduction of cannabis legalization, there is a clash between use, public interaction and vehicle operation. Cannabis consumption in public, the perception that use is allowed anywhere, and the impact that impairment has while driving can be a concern for those tasked with enforcing laws that some perceive to be allowed. This study introduces cannabis legalization within the …

Perceived Experiences Of Native American Men During Incarceration In Tribal Jail, Stacy Marie Becker

Walden Dissertations and Doctoral Studies

The subject of this dissertation is the Perceived Experiences of Native American Men during Incarceration in Tribal Jail. The reason for this research is to determine what practices are rehabilitative and what practices are detrimental to this population. This is important to learn so that criminal justice professionals will be able to consider possible changes that can be made to make recidivism less likely among this population while increasing practices that are conducive to rehabilitation. This work was researched using the Indigenous Standpoint Theory which is meant to reflect the experiences and views of the research participants without analysis through …

African American Women's Lived Experience Of The Process And Outcomes Of Psychotherapy For Depression, Eva Coleman Springs

Walden Dissertations and Doctoral Studies

The study of individuals’ experiences in psychotherapy has resulted in improvements in delivery of services to clients. The purpose of the current study was to use Aragon’s primary provider theory as the theoretical foundation to explore African American women’s perceptions of the process and outcomes of their psychotherapy for depression. Phenomenological methodology was used to explore a sample of nine African American women’s perceptions of the process and outcomes of their psychotherapy for depression and other mental health issues. Participants answered nine semi-structured interview questions to describe their experiences of at least one session of psychotherapy in the 2023 calendar …

Integrating Ai In Academia: A Sem Evaluation Of Research Scholars Usage Intentions On Chatgpt, Sonal Sharma Phd, V. P. Joshith Phd, K Kavitha Med, Anusha Anthony Med

Higher Learning Research Communications

Objectives: In this study, we investigate the intentions of research scholars to use ChatGPT in their academic research endeavors by employing an extended Unified Theory of Acceptance and Use of Technology model, the UTAUT2, which examines factors such as performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, habit, ethical concerns, and research excellence. By incorporating “research excellence” into the model, we aim to provide insights into artificial intelligence (AI) adoption in academic research settings and contribute to the broader discourse on the future of academic practices.

Method: We conducted a survey among 400 research scholars in Indian higher …

Staff Education Project: Staff Education To Improve Nurses’ Knowledge, Self-Efficacy, And Motivation In Supporting Medication Adherence, Giovanna Happy

Walden Dissertations and Doctoral Studies

Medication nonadherence among individuals with psychiatric disorders remains a significant barrier to recovery, ranging from 40% to 60%. Contributing factors include fear of side effects, stigma, cognitive limitations, and complex regimens. This staff education project addressed challenges through the implementation of a structured, evidence-based intervention to improve adherence-supportive practices among 14 outpatient psychiatric nurses. A preimplementation needs assessment revealed inconsistent application of adherence strategies and low staff confidence. The project’s objective was to evaluate whether a structured education program could improve nurses’ knowledge by 15%, confidence by 15%, and willingness by 3.5 points on a Likert scale to promote medication …

Staff Education On Colorectal Cancer Screening To Improve Knowledge And Usage, Mary Tessie Thullah Bangura

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education on Colorectal Cancer Screening to Improve Knowledge and Usage

Healthcare Professionals’ Experiences Regarding Barriers And Facilitators Of The Hospital Readmissions Reduction Program, Abrin Jacobson

Walden Dissertations and Doctoral Studies

The Hospital Readmissions Reduction Program (HRRP), developed by the Centers for Medicare and Medicaid Services, aims to reduce avoidable readmissions through financial penalties. While HRRP has been associated with modest reductions in readmissions, it has also been linked to the problem of unintended outcomes such as increased mortality and inequitable penalties for hospitals serving socioeconomically disadvantaged populations. The literature presents a limited understanding of how hospital-based healthcare professionals (HHPs) implement HRRP. The purpose of this generic qualitative study was to explore how HHPs perceive the implementation of HRRP requirements and the barriers and facilitators that influence compliance. Grounded in Lipsky’s …

Big Five Personality Traits As Predictors Of Funeral Directors’ Job Satisfaction, Teresa Busick

Walden Dissertations and Doctoral Studies

By 2037, annual deaths in the United States are expected to exceed 3.6 million, over 1 million more than in 2015. At the same time, the funeral service industry faces a serious staffing problem, with about 50% of funeral directors leaving the profession within 2 years. These combined challenges highlight the need to understand what contributes to job satisfaction and helps to retain these workers in this essential field. This quantitative correlational study examined whether the Big Five personality traits predict job satisfaction among funeral directors. Thus, the Big Five model of personality traits was used to guide the study. …

Communication Enhancement Strategies To Mitigate Functional Siloes In Head Start Programs, Maryom G. Mccloud

Walden Dissertations and Doctoral Studies

Inefficient internal communication between program and financial operations may negatively affect organizational performance and profitability. Some Head Start Program (HSP) leaders are concerned with communication failures because of the potential to negatively impact business productivity and profitability. Grounded in business process re-engineering, the purpose of this qualitative single case study was to explore strategies used by HSP leaders to increase communications between program and financial operations to increase profitability. The participants were four HSP leaders located in the Northern Region of the United States, who successfully implemented such strategies. Data were collected from semistructured interviews and company documents. Through thematic …

Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix

Walden Dissertations and Doctoral Studies

Falls in nursing home facilities are prevalent, and numbers continue to rise as residents grow older and antipsychotic (AP) medications are prescribed more frequently. The purpose of this quantitative study was to investigate whether frequency of falls was related to the use of AP medications. Data (N=100) were collected from 2020 incident reports, investigation sheets, and patient charts generated by the State Department of Public Health regarding resident falls and the use of AP medications in a nursing home Facility located in the Southern United States. Social Cognitive Theory (SCT) was used to understand specific behavior patterns such as personal, …

Experiences Of Managing And Living With Autoimmune Addison’S Disease In The Younger And Newly Diagnosed Adults: An Interpretative Phenomenological Analysis, Mathew Horodner

Walden Dissertations and Doctoral Studies

There is a lack of knowledge regarding the experiences of managing and living with autoimmune Addison’s disease (AD) in the younger and newly diagnosed adults. AD research usually focuses on biological or medication studies. Thus, the purpose of this qualitative study was to understand the lived experiences of the younger and newly diagnosed adults living with autoimmune AD. Consisting of the complex integration of biological, psychological, and social factors, Engel’s biopsychosocial model served as the study’s conceptual framework. I conducted this study to include the experiences of managing and living with autoimmune AD in the younger (18–35) and newly diagnosed …

Strategies Used By Public Relations And Communications Executives To Implement Ethical Use Standards For Ai, Karl Bateson

Walden Dissertations and Doctoral Studies

Public relations and communications (PR&C) executives’ ineffective artificial intelligence (AI) strategies to develop and apply ethical frameworks for AI implementation can negatively impact organizations’ brand reputation. Grounded in AI4People and stakeholder theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective AI strategies PR&C executives used to develop and apply ethical frameworks for AI implementation while maintaining their organizations’ brand reputations. The participants were six PR&C executives who used effective strategies to develop and apply ethical frameworks for AI implementation while maintaining their organization’s brand reputation. Data were collected using semistructured interviews, public websites, …

Examining The Association Between The Timing Of The First Antenatal Check; Number Of Antenatal Care (Anc) Visits During Pregnancy With Maternal Mortality In Nigeria, Kanayo Omonoju

Walden Dissertations and Doctoral Studies

Maternal mortality is growing at an alarming rate in Nigeria, ranking the second highest Maternal Mortality Rate (MMR) globally. This cross-sectional study examined the association between the timing of the first antenatal check and the number of Antenatal Care (ANC) visits during pregnancy and its impact on maternal mortality using the Nigerian Demographic and Health Survey (NDHS) 2018 among a study population of women 15 - 49 years old. The theoretical framework for this study was grounded in the socioecological model. Multiple logistic regression was used to determine if there are relationships between timing of first antenatal check, the number …

Administrator Perspectives Of Challenges In Instructional Support Of Secondary Special Education Co-Teach Model, Sonya R. Pichon

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that school administrators may not be knowledgeable regarding how to support co-teachers, which may contribute to the underperformance of students in special education co-teach programs. The purpose of this basic qualitative study was to explore school administrator perspectives regarding the supervision of special education teachers and the support they provide to them in the classroom. This study was grounded in Bass’ transformational leadership. Data were collected through semistructured interviews with 12 secondary school principals and assistant principals who supervise special education programs in one large urban district in Texas serving 22,600 students from …

The Association Between Dietary Behavior Change And The Health Of Adult African Immigrants In The United States, Seyoum Abebe

Walden Dissertations and Doctoral Studies

African immigrants represent one of the fastest-growing immigrant populations in the United States; yet, their health outcomes related to Type II diabetes remain understudied compared to other racial and ethnic groups. Grounded in the theoretical framework of the Health Belief Model, the purpose of this quantitative non-experimental study was to examine the relationship between dietary behavior changes and the diagnosis of Type 2 diabetes among African immigrants aged 20–80 residing in the United States. The research questions examined the association between getting meals prepared away from home and awareness of MyPlate nutritional guidelines, recommended by the U.S. Department of Agriculture, …

Pragmatic Approaches To Data Breach Prevention: Strategies Employed By It Managers, Thompson Adefemi Olatuyi

Walden Dissertations and Doctoral Studies

The increasing frequency and complexity of data breaches present critical challenges for cybersecurity managers responsible for protecting organizational assets. This qualitative phenomenological study examined how information technology (IT) managers conceptualize, strategize, and apply best practices to prevent breaches in complex environments. Unmanaged risks can compromise sensitive systems, disrupt operations, and erode stakeholder trust. Business and IT leaders must proactively address these threats to avoid reputational damage, financial loss, regulatory penalties, and loss of competitive advantage. Grounded in Actor-Network Theory (ANT), the study examined insights gathered from 20 experienced IT managers in multiple countries, using semi-structured questionnaires and organizational documents. Thematic …

Strategies For Reducing Employee Turnover In Long-Term Care, Eleanor Denise Gaines

Walden Dissertations and Doctoral Studies

High employee turnover in long-term care (LTC) facilities contributes to diminished care quality, low staff morale, and increased operational costs. LTC organizational leaders must address high turnover because it disrupts continuity of care, undermines team cohesion, and increases the burden of recruiting and training new staff. This qualitative multiple case study explored strategies used by human resource managers (HRMs) to improve staff retention and morale in LTC settings, motivated by the need to prevent workforce deterioration, enhance competitive advantage, and increase organizational profitability. Grounded in Herzberg’s two-factor theory, the purpose of the study was to identify evidence-based practices that effectively …

Third To Fifth-Grade Teachers’ Challenges When Teaching Reading Comprehension Skills To English Language Learners In Northern Virginia, Lorraine A. Wickham-Ellis

Walden Dissertations and Doctoral Studies

Third to fifth-grade teachers in a Northern Virginia Title 1 elementary school faced challenges when teaching reading comprehension skills to English language learners (ELLs) which impacted ELLs’ performance on state-mandated tests. Framed by Cummins’s second language acquisition theory, the purpose of this basic qualitative study was to explore third to fifth-grade teachers’ challenges in teaching reading comprehension skills to ELLs and their suggestions for improved training and resources in a Northern Virginia Title 1 elementary school. Two research questions addressed the teachers’ challenges and suggestions for improved training and resources. Semistructured interviews were used to collect qualitative data from nine, …

Intersectionality Gaps Among Multiple Social Determinants In U.S. Infant And Maternal Mortality Rates, Mary D. Kirkley

Walden Dissertations and Doctoral Studies

The purpose of this quantitative, cross-sectional study was to examine whether social determinants interactively influence U.S. maternal and infant mortality rates. Grounded in the Social Ecological Model, this study analyzed secondary data from the Centers for Disease Control and Prevention’s National Vital Statistics System were analyzed using multivariable logistic regression. The final sample included 110,402 maternal deaths and 55,839 infant deaths, with inclusion criteria requiring complete data on race, education, age, marital status, gender (for infants), residency, and year of death. Exclusion criteria included non-U.S. resident deaths or missing demographic data. Results revealed statistically significant interaction effects: race/ethnicity with education …

Shareholders’ Perceptions And Attitudes On Recruiting Female Board Members To Financial Institutions In The Caribbean, Jadese Mikova Manning

Walden Dissertations and Doctoral Studies

Although research underscores the importance of having women on boards, the problem is that women remain disproportionately underrepresented in boardrooms, even in countries with mandatory quota laws. The purpose of this qualitative case study was to explore shareholders’ perceptions and attitudes on recruiting female board members to serve at financial institutions in the Caribbean. The agency and critical mass theories grounded this study. The participants comprised 10 shareholders, five of whom were current board members. Data were collected using semistructured interviews. Six themes emerged from the thematic analysis: (a) shareholders’ perceptions of women regarding board governance and decision-making, (b) shareholders’ …