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The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn Jul 2026

The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn

Walden Dissertations and Doctoral Studies

The Flint, Michigan, water crisis of 2014, with lead contamination of drinking water, adversely affected predominantly Black, socioeconomically disadvantaged residents. However, no research has investigated residents’ experiences, especially their trust in local and state government leaders. The purpose of this study was to explore the lived experiences of the Flint water crisis and its psychological effects. Rawls’s theory of justice provided the framework for the study. Three research questions guided this qualitative descriptive phenomenological study. Information from eight Flint residents was collected through semi-structured interviews. Data analysis followed Giorgi’s descriptive phenomenological steps. Five strong themes emerged: understanding individual perceptions, views …

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General And Special Education Teachers’ Experiences With The Implementation Of Inclusive Education, Katie Chardoussin Jul 2026

General And Special Education Teachers’ Experiences With The Implementation Of Inclusive Education, Katie Chardoussin

Walden Dissertations and Doctoral Studies

Some elementary special education and general education teachers in New Jersey struggle to implement inclusion programs. The purpose of this study was to explore special and general education teachers’ experiences with the challenges they encountered teaching in inclusion classrooms. The conceptual framework for this study was Anderson’s ecology of inclusive education, which highlighted the importance of students having meaningful relationships with their peers. For this basic qualitative design, semistructured interviews were conducted with 19 participants, of whom eight were special education teachers, and 11 were general education teachers. Through inductive coding, the following three themes emerged: Special education and general …

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Higher Education Faculty’S Perceptions On Generative Artificial Intelligence Use In Teaching And Learning Practices, Inez Mitchell Jul 2026

Higher Education Faculty’S Perceptions On Generative Artificial Intelligence Use In Teaching And Learning Practices, Inez Mitchell

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that higher education (HE) faculty are challenged to integrate generative artificial intelligence (GenAI) in their teaching and learning practices. Grounded in Mishra and Koehler’s technological, pedagogical and content knowledge framework and Knowles’ theory of andragogy, the purpose of this study was to explore HE faculty’s perceptions on their content, andragogical, and technological knowledge and their instructional strategies used in integrating GenAI. For this basic qualitative design, semistructured interviews were conducted with nine HE faculty who self-identified as having at least 3 years of teaching and GenAI usage experience from across the …

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Principals' Perceived Leadership Training For Inclusive K-12 Education, Lettie E. Webster Jul 2026

Principals' Perceived Leadership Training For Inclusive K-12 Education, Lettie E. Webster

Walden Dissertations and Doctoral Studies

Adequate training and professional development enhance school principals’ effectiveness in leading inclusive K-12 schools. The problem addressed in this study was the gap in the literature on K-12 principals’ perceptions of the essential elements of preparation and ongoing professional development needed for effective leadership in inclusive educational settings. The purpose of this qualitative study was to explore K-12 school principals’ perceptions of essential components of preparation for effective leadership and the role of ongoing professional development in enhancing their effectiveness as leaders in inclusive educational settings. Beard’s engaged school leadership theory served as the conceptual framework. For this basic qualitative …

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Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit Jul 2026

Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit

Walden Dissertations and Doctoral Studies

Childhood sexual victimization is associated with long-term psychological, emotional, and functional challenges that may persist into adulthood. Despite a growing body of literature on childhood trauma, limited research has explored its residual effects on adult functionality among Black Caribbean immigrants. The purpose of this qualitative phenomenological study was to explore the residual effects of childhood sexual victimization on adult functionality among Black Caribbean immigrants. Purposive and snowball sampling were used to recruit 9 participants through social media platforms. Rational choice theory served as the conceptual framework to examine how trauma-related and sociocultural factors shaped participants' decision-making processes. Data were collected …

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Food And Drug Administration Audit Outcomes And Their Association With Class I And Class Ii Food Recalls, Mark Baker Jul 2026

Food And Drug Administration Audit Outcomes And Their Association With Class I And Class Ii Food Recalls, Mark Baker

Walden Dissertations and Doctoral Studies

Foodborne illness and food recalls remain major public health concerns in the United States. Guided by the Theory of Planned Behavior, the purpose of this quantitative secondary analysis was to examine whether Food and Drug Administration (FDA) inspection classifications, warning letters, and prior 24-month inspection frequency were associated with facility involvement in a subsequent Class I or Class II food recall. Question-specific analytic files were created from publicly available FDA administrative records. Eligible records included FDA-regulated food facilities with qualifying inspection or warning letter events and sufficient data to assess recall involvement within a 12-month follow-up period. The final analytic …

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Administrative Discharge Strategies To Decrease Readmission Rates Of Black Patients In Acute Care Hospitals, Patricia Cummings Jul 2026

Administrative Discharge Strategies To Decrease Readmission Rates Of Black Patients In Acute Care Hospitals, Patricia Cummings

Walden Dissertations and Doctoral Studies

High 30-day hospital readmission rates among Black patients remain a healthcare administration problem associated with high costs and poor care quality. The purpose of this integrative review was to identify evidence-based discharge planning strategies to reduce hospital readmissions among Black patients. The review question was used to examine strategies healthcare administrators can implement to enhance discharge planning for Black patients. Donabedian’s structure-process-outcome model guided the review. A literature search yielded 87 relevant articles; 27 articles published from 2021 through 2026 were appraised using the Johns Hopkins evidence-based practice model, and 25 were used in this review. Thematic analysis resulted in …

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Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson Jul 2026

Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson

Walden Dissertations and Doctoral Studies

In this quantitative cross-sectional study, differences in perceived preparedness among state, local, and tribal law upon Kingdon’s multiple streams approach and Baumgartner and Jones’ punctuated equilibrium theory to explain administrative changes in law enforcement following the September 11, 2001, attacks. Data were collected from 53 full-time police officers across state, local and tribal agencies using a web-based survey instrument measuring enforcement officers in a northern border region were examined. Officers’ perceived preparedness to identify, prevent, and respond to future terrorist threats were evaluated. Whether perceived preparedness differed by agency type and whether officers with military experience or advanced homeland security …

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Bahamian Human Resource Practitioners' Perceptions Of Public Service Performance, Lanisha Tamar Rolle Jul 2026

Bahamian Human Resource Practitioners' Perceptions Of Public Service Performance, Lanisha Tamar Rolle

Walden Dissertations and Doctoral Studies

Strong, capable public service systems are essential to meeting society's needs, and perceptions of public-service performance indicate how people ultimately respond to and value public sector systems and performance. While the literature documented the perspectives of public service employees and citizens, and found that they generally believed that public service was inefficient and ineffective due to excessive bureaucracy, autocratic leadership, and political influence, little was known about the perspectives of other stakeholders who participate in or are affected by the public service performance process. The purpose of this generic qualitative study was to bridge the knowledge gap by gathering Bahamian …

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Gender Disparities In The United States Federal Government Stem Leadership, Naomi Hirose-Gormally Jul 2026

Gender Disparities In The United States Federal Government Stem Leadership, Naomi Hirose-Gormally

Walden Dissertations and Doctoral Studies

Persistent gender disparities continue to limit women’s representation in senior science technology, engineering, and mathematics (STEM) leadership roles within the United States federal government, particularly at the GS‑13, GS‑14, GS‑15, and subject matter expert/senior executive service (SME/SES) levels. The purpose of this qualitative descriptive phenomenological study was to explore how women in senior STEM leadership experience and interpret gender disparities as they pursue and attain leadership positions. Data were collected through individual semi‑structured interviews with women serving in senior STEM leadership and analyzed inductively using phenomenological coding procedures to identify categories and themes that were grounded in participants’ lived experiences. …

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Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti Jul 2026

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …

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The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves Jul 2026

The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves

Walden Dissertations and Doctoral Studies

COVID-19 changed the methods in which therapy was traditionally delivered. Mental health therapists switched from in-person to virtual sessions during the pandemic. There was a gap in research related to stress levels of mental health therapists in the telehealth field. Adaptations were made by mental health therapists to provide services and as a result virtual platforms were used to connect with the community served. This qualitative research study was an exploration of mental health therapists perceived responses to stress or burnout in relation to a global pandemic. The theoretical foundation used to assess perceived stress is the Stress Theory. The …

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An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate Jul 2026

An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate

Walden Dissertations and Doctoral Studies

Canada has exhibited lower productivity growth since 1990, resulting in substantially reduced gains in citizens’ standards of living despite the importance of sustainable productivity to economic prosperity. Understanding the primary factors that influence productivity growth is a critical concern for Canadian government leaders, as it is a key indicator of the nation’s economic vitality, competitiveness, and citizens’ quality of life. The purpose of this qualitative multiple case study was to explore the factors that influenced the investment in productivity improvement of organizations in the energy sector in the Edmonton region of Alberta, Canada. The COSO internal control framework guided this …

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Clinical Practice Guideline To Improve Medication Adherence In Adults With Chronic Conditions In Outpatient Settings, Mulumbwa Chishimba Jul 2026

Clinical Practice Guideline To Improve Medication Adherence In Adults With Chronic Conditions In Outpatient Settings, Mulumbwa Chishimba

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice project was conducted to develop and assess a clinical practice guideline (CPG) to enhance medication adherence among adult patients with chronic illnesses in an outpatient setting. Adverse health-related outcomes include worsening chronic illness and developing complications, frequent hospital admissions, and rising costs of healthcare services. While some interventions are recommended based on the available literature, most outpatient facilities do not have systematic practices for monitoring and enhancing medication adherence among patients with chronic conditions. The evidence-based question was: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II …

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Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson Jul 2026

Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson

Walden Dissertations and Doctoral Studies

Workplace violence remains a significant issue in healthcare settings, particularly in emergency departments where psychiatric patients may present with aggressive behaviors. Nurses and healthcare staff are frequently exposed to verbal threats, intimidation, and physical aggression, which negatively impact staff safety, job satisfaction, and patient care quality. Despite workplace violence prevention policies, gaps remain in staff preparedness when managing escalating patient behaviors. The purpose of this Doctor of Nursing Practice project was to implement an evidence-based de-escalation training program to improve staff knowledge about managing aggressive psychiatric patients in the emergency department. The practice- focused question was: Can staff education on …

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Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer Jul 2026

Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer

Walden Dissertations and Doctoral Studies

Maternal mortality (MM) continues to be a public health concern in the state of Arizona. There is little to no research investigating the relationship between MM and mental health conditions co-occurring with contributing factors among women who have died in Arizona while pregnant or within 1 year of the end of a pregnancy. The purposes of this quantitative study, guided by the three delays model (3DM), were to examine (a) MM and mental health conditions as the primary underlying cause of death; (b) MM and mental health conditions surrounding death; and (c) significant contributing factors (i.e., discrimination, knowledge, lack of …

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Seasonal Affective Disorder’S Prevalence And Impact On Organizational Outcomes In The Northeastern United States, Tommaso Bruce Fernandes Jul 2026

Seasonal Affective Disorder’S Prevalence And Impact On Organizational Outcomes In The Northeastern United States, Tommaso Bruce Fernandes

Walden Dissertations and Doctoral Studies

Seasonal affective disorder (SAD), a type of depression linked to seasonal changes, primarily affects individuals during fall and winter. More insight was needed on the prevalence of SAD and the role of social support in moderating its impact on organizational outcomes. The purpose of this study was to examine the relationships between SAD and organizational outcomes, including employee well-being, absenteeism, job satisfaction, and productivity, in the Northeastern United States, where SAD symptoms are more prevalent due to environmental factors. Engel’s biopsychosocial model and Cullen’s social support theory provided a theoretical framework for the study. A quantitative cross-sectional design, featuring structured …

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Examining Hiv Testing In Black Americans In The Southern United States: Association Between Sexual Orientation, Gender Identity, Healthcare Access, And Hiv High-Risk Behaviors, Shavon Wolfe Jul 2026

Examining Hiv Testing In Black Americans In The Southern United States: Association Between Sexual Orientation, Gender Identity, Healthcare Access, And Hiv High-Risk Behaviors, Shavon Wolfe

Walden Dissertations and Doctoral Studies

Examining factors that affect HIV testing in the Black/African American population is important because socioeconomic hardship, stigma, and restricted access to healthcare all lead to gaps in early diagnosis and prevention treatment to prevent further spread of infection. However, most studies have focused on these factors separately, leaving less understanding of how they work together to influence HIV testing behavior. Guided by the health belief model, this study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV high-risk behaviors. The study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV testing, and the influence …

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The Impact Of Super Political Action Committee Spending On Abortion Legislation In A Post-Dobbs Era, Jeni Atchley Jul 2026

The Impact Of Super Political Action Committee Spending On Abortion Legislation In A Post-Dobbs Era, Jeni Atchley

Walden Dissertations and Doctoral Studies

Super political action committee (Super PAC) spending has become a prominent feature of U.S. elections, yet limited research had examined how independent expenditures related to electoral success in competitive U.S. House races and whether that relationship varied by candidates’ abortion policy positions in the post-Dobbs era. Prior research has shown that Super PAC independent expenditures expanded sharply after Citizens United and can influence candidate visibility in competitive races, yet findings on whether that spending translates into electoral success have been mixed, and few studies had examined it in relation to candidates' abortion positions after Dobbs. The purpose of this correlational …

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Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella Jul 2026

Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella

Walden Dissertations and Doctoral Studies

Since the Supreme Court of the United States made the decision to overturn Roe v. Wade, providing access to reproductive health care in the state of North Carolina has been a challenge for medical professionals. Findings from existing literature indicate that a lack of access to reproductive health care can have a negative impact on society from socioeconomics, food and home inequality, and other health care complications. The purpose of this study was to focus on the impacts that health care providers faced when providing care for those who live in the state of North Carolina since the Supreme Court’s …

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Correctional Officers' Perceptions Of Inmate Suicide In Florida State Prisons, Chrishelle Robbins Jul 2026

Correctional Officers' Perceptions Of Inmate Suicide In Florida State Prisons, Chrishelle Robbins

Walden Dissertations and Doctoral Studies

Correctional officers are responsible for the care, custody, safety, and supervision of inmates within jails, prisons, and correctional institutions. They face many hardships within a prison setting including inmate suicides. The purpose of this qualitative study was to explore and understand the perceptions of Florida state correctional officers who have experienced inmate suicide firsthand. This study was formulated using the transcendental, descriptive phenomenology approach and addressed the study’s research questions. Participants included nine Florida state certified correctional officers who witnessed an inmate suicide. Participants were selected using purposive snowball sampling. Interviews were scheduled and conducted via ZOOM or by telephone …

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Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake Jul 2026

Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake

Walden Dissertations and Doctoral Studies

Community health workers (CHWs) distributing sterile injecting equipment help reduce infectious disease transmission among people who inject drugs; however, limited research exists regarding their experiences delivering harm reduction services during public health emergencies in rural areas. The purpose of this qualitative study was to explore CHWs’ experiences and perceptions of health risks, operational barriers, and social influences affecting harm reduction service delivery during the COVID-19 pandemic in the Barren River Area Development District. The health belief model guided this study, emphasizing perceived susceptibility, severity, barriers, benefits, and self-efficacy. Data were collected through semistructured Zoom interviews with eight purposively sampled CHWs …

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Book Review: Don’T Believe Everything You Think: Why Your Thinking Is The Beginning And End Of Suffering, Monique Salcido Jul 2026

Book Review: Don’T Believe Everything You Think: Why Your Thinking Is The Beginning And End Of Suffering, Monique Salcido

Journal of Social, Behavioral, and Health Sciences

This book review examines a recent publication on how individuals can learn to end negative thinking and spend more time living in abundance, peace, and joy. The review summarizes the central themes, highlights strengths and weaknesses, outlines contributions to mental health literature, and offers recommendations. Particular attention is given to how the author conveys his message, and examples from the book are provided. Although the book has several limitations, the review underlines how it can be incorporated into the mental health field through contributions to clinicians and their clients. Overall, the book provides a beneficial resource for social workers, counselors, …

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Law Enforcement Help-Seeking Behaviors And Organizational Mental Health Supports, Jordan Elizabeth Longendorf Jul 2026

Law Enforcement Help-Seeking Behaviors And Organizational Mental Health Supports, Jordan Elizabeth Longendorf

Walden Dissertations and Doctoral Studies

Due to the traumatic and repetitive nature of law enforcement work, mental health support is often needed by officers, but is not consistently sought. Law enforcement leaders need to understand this concern as a leading indicator of workforce well-being, organizational effectiveness, and officers’ willingness to seek needed mental health support. Guided by the conceptual framework of Rickwood and Thomas’s help-seeking behaviors, the purpose of this descriptive phenomenological study was to explore law enforcement officers’ lived experiences of help-seeking behaviors for emotional and mental health issues. Data were collected through six semistructured interviews with current law enforcement officers in four different …

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Managing Instructional Leadership: K–12 Principals Seen Through The Lens Of Instructional Leadership Theory, Natalie Marie Poli Jul 2026

Managing Instructional Leadership: K–12 Principals Seen Through The Lens Of Instructional Leadership Theory, Natalie Marie Poli

Walden Dissertations and Doctoral Studies

The research problem guiding this study was K–12 principals are challenged to manage their responsibilities for instructional leadership. Grounded in instructional leadership theory and Covey's Time Management Matrix, the purpose of this qualitative study was to explore K–12 principals' perspectives of the challenges they face in managing instructional leadership responsibilities and how they categorize the significance of those responsibilities. Using a basic qualitative design, semistructured interviews were conducted with 10 K–12 principals from a suburban Midwestern public school district with at least 2 years of principal experience, and the data were analyzed using a hybrid a priori and inductive thematic …

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Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards Jul 2026

Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) poses significant health challenges globally, with individuals and health care systems in rural communities particularly affected. Adherence to antidiabetic medication is crucial for effective management of T2DM. Still, people with T2DM encounter barriers that lead to nonadherence, resulting in poor glycemic control, increased complications, and higher health care costs. The purpose of this study was to explore the perceptions and experiences of rural Jamaicans regarding the factors influencing nonadherence to antidiabetic medications. The basic qualitative study was underpinned by social cognitive theory. Semi-structured interviews were conducted with eight rural Jamaican participants with T2DM. Interview data …

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Talent Management Strategies For Employee Retention And Business Effectiveness In Small To Medium-Sized Businesses, Felicia Y. Coverson Jul 2026

Talent Management Strategies For Employee Retention And Business Effectiveness In Small To Medium-Sized Businesses, Felicia Y. Coverson

Walden Dissertations and Doctoral Studies

One of the most persistent and costly challenges faced by leaders of small-to medium-sized businesses (SMBs) is retaining skilled employees. SMB leaders are concerned about retaining skilled employees because employee turnover threatens organizational stability, productivity, and long-term competitiveness. Grounded in Becker’s human capital theory and Barney’s resource-based view theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the talent management strategies SMB leaders use to retain employees and enhance business effectiveness. The participants were eight SMB leaders with responsibility for talent management and employee retention in Columbia, South Carolina. Data were collected through semistructured interviews and …

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Risk Factors Of Suicidality Among Physician Assistants, Lynn Marie Page Jul 2026

Risk Factors Of Suicidality Among Physician Assistants, Lynn Marie Page

Walden Dissertations and Doctoral Studies

Suicide is a global public health issue that affects all ages, genders, races, and social classes. Although suicide rates are higher among health care providers than in the general public, there is a gap in the literature regarding the suicidal risk factors of physician assistants (PAs), who increasingly provide health care in the United States. The aim of this quantitative cross-sectional study was to explore the association between anxiety, burnout, and depression and the stress-reducing benefits of mindfulness-based interventions (MBIs), as well as the dependent variable suicidality among PAs in the United States. A self-directed questionnaire incorporated psychometrically validated tools …

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U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward Jul 2026

U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward

Walden Dissertations and Doctoral Studies

Health care leaders in the United States increasingly adopt artificial intelligence (AI) to improve operational efficiency, yet many organizations struggle to achieve sustained operational value from AI initiatives. This problem is important to health care leaders, patients, clinicians, staff, and communities because AI-supported decisions may affect workflow, access, safety, staffing, and trust. The purpose of this qualitative pragmatic inquiry project was to explore strategies U.S. health care leaders used to improve operational efficiency through AI in hospital settings. Eight U.S. health care leaders in hospital settings across the United States participated. The technology-organization-environment framework grounded the project. Data were collected …

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Prepared Or Not? Perceptions Of Novice Counseling Professionals On Working With Trauma Clients, Christina L. Richardson Jul 2026

Prepared Or Not? Perceptions Of Novice Counseling Professionals On Working With Trauma Clients, Christina L. Richardson

Walden Dissertations and Doctoral Studies

The prevalence of trauma across clinical settings and limited trauma training for clinicians can negatively affect trauma survivors. The impact of novice clinicians’ lack of preparedness and its implications for clients should be important considerations for educators, supervisors, and policymakers. The purpose of this qualitative study was to explore the lived experiences of novice counselors and their preparedness to work with trauma survivors. Grounded in descriptive phenomenology, this study explored participants’ perceived preparedness to work with trauma survivors and the ways these experiences may inform counselor education and supervision. Participants were provisionally licensed counselors within three years of graduating from …

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