Digital Commons Network^™

Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan

Walden Dissertations and Doctoral Studies

The behavioral health leaders at Organization X do not have a clear and practical way to engage family members in youth behavioral health programs. When caregivers are not actively involved in youth behavioral health treatment, youth may disengage from missed appointments and discontinue treatment prematurely. The present case study focused on Organization X, a small behavioral health organization located in the Southeastern United States. The Baldrige Framework of Excellence was the conceptual framework for this study, with a focus on consumer engagement and workforce operations. Semi structured and structured interviews were conducted with three behavioral health leaders. Data were collected …

Teachers’ Perceptions Of Preventing Teacher-Directed Violence In Urban Title I Schools, Allison Mashburn

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study was the increase in suspensions for teacher-directed violence at two urban mid-Atlantic Title I elementary schools. The purpose of this qualitative study was to explore elementary teachers’ perceptions of preventing and managing teacher-directed violence in two Title I mid-Atlantic schools. Bronfenbrenner’s ecological framework was used as the foundation for environmental explanations. For this basic qualitative design, semistructured interviews with 10 teacher participants were conducted. The thematic analysis resulted in three themes based on the teacher request for (a) classroom management resources and supports, (b) clarifying the code of conduct, and (c) improving …

Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan

Walden Dissertations and Doctoral Studies

While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …

Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter

Walden Dissertations and Doctoral Studies

Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …

Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes

Walden Dissertations and Doctoral Studies

High employee turnover in small U.S. technology firms undermines productivity and disrupts workforce stability. Small U.S. technology business leaders are concerned with employee turnover because persistent workforce attrition weakens operational continuity, increases organizational strain, and limits the ability to sustain a stable and effective workforce. Grounded in psychological capital (PsyCap) theory, this qualitative pragmatic inquiry was to explore leadership strategies used by small U.S. technology business leaders in North Carolina to mitigate negative employee experiences that contribute to turnover and reduced productivity. Data were collected using semistructured interviews and publicly available organizational documents. Using thematic analysis, three themes emerged: (a) …

A Phenomenological Study Of Digital Divide In Rural Philippines, Dennis Dizon

Walden Dissertations and Doctoral Studies

The digital divide reflects policy relevant disparities in access to and effective use of internet based information resources, as experienced and interpreted by individuals navigating regulatory environments and governance conditions in the rural Philippines. Policymakers need to understand how the digital divide affects business owners and working-class people, with the impact of high costs and poor internet infrastructure in remote areas of the Philippines. Many of these business owners and working-class people lack access to the privileges and benefits of high-speed internet access. The purpose of this qualitative phenomenological study was to explore the lived experiences of these business owners …

Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin

Walden Dissertations and Doctoral Studies

African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …

Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was the high teacher turnover, including traditionally certified, second-career teachers (TCSCTs), in United States classrooms, despite support and additional resources provided. The purpose of this qualitative study was to examine TCSCTs’ perceptions on the reasons and their recommendations to remain in the classroom. Ingersoll's teacher turnover and retention framework was used to conceptually frame this study. Using a basic qualitative design, semistructured interviews were conducted with 12 TCSCTs. Data were analyzed through thematic analysis. The following themes emerged: TCSCTs remain in the profession primarily due to a sense of purpose in their …

Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass

Walden Dissertations and Doctoral Studies

Organizational change initiatives in higher education often lead to decreased job satisfaction among administrative staff. Higher education leaders are concerned with maintaining employee job satisfaction during such periods because disengagement among administrative staff can reduce performance and increase turnover. The purpose of this qualitative pragmatic inquiry was to explore strategies higher education leaders use to improve administrative staff job satisfaction during organizational change. Lewin’s change management theory served as the foundation for the capstone research project. Data were collected through semistructured interviews with a purposive sample of six higher education leaders in the United States who had implemented change initiatives …

Dementia De-Escalation Staff Education Program, Gretchan Edwards

Walden Dissertations and Doctoral Studies

Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …

Assistant Principals’ Perceptions Of Their University Training, District Provided Orientations, And Professional Development, Claudette Nicole Agbonkhese Parker

Walden Dissertations and Doctoral Studies

Existing evidence shows that instructional leadership activities are an increasingly demanding aspect of school leaders’ roles, and assistant principals (APs) often enter the position without the preparation or support needed to navigate these complex expectations. The problem addressed was the struggle encountered by some APs in their capacity as instructional leaders within a Florida Public School District (FPSD). Guided by the balanced leadership framework, the purpose of this generic qualitative study was to explore the perceptions of current and former FPSD APs regarding their university training, district provided orientations, and professional development (PD). Semistructured interviews were conducted with 10 current …

Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson

Walden Dissertations and Doctoral Studies

Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …

Beyond Social Media: Effective Innovative Strategies For Small Cleaning Services To Engage Decision-Makers And Secure Contracts, Danielle Edwesa Gaskins

Walden Dissertations and Doctoral Studies

Small cleaning service businesses often encounter challenges when attempting to reach decision-makers and obtain commercial contracts. Small cleaning service business leaders are concerned with securing contracts because the continual acquisition of agreements underpins both business stability and growth. Grounded in the service-dominant logic, the purpose of this qualitative pragmatic inquiry was to explore strategies small cleaning business leaders use to engage decision-makers and win contracts without relying on the use of social media marketing. The participants were five leaders from small cleaning businesses in the United States who had successfully secured contracts through alternative engagement strategies. Data were gathered using …

Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford

Walden Dissertations and Doctoral Studies

Although adverse childhood experiences (ACEs) are known to influence criminal behavior in adulthood, their potential influence on serial killer actions has not been scrutinized. This study was an investigation of how ACEs might affect serial killer actions later in life. The trauma-control model provided a conceptual framework for the investigation. Marono et al.’s research featuring behavior sequence analysis (BSA) was broadened to examine the impact of psychological abuse, sexual abuse, physical abuse, violence against animals, head injury, and bullying serial killer behaviors like stalking or sexual assault. The participants were 364 anonymized male serial killers from the Radford/Florida Gulf Coast …

Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune

Walden Dissertations and Doctoral Studies

Prediabetes is a significant public health concern in the United States, as many individuals remain undiagnosed or inadequately managed, which increases the risk of progression to type 2 diabetes and associated complications. Primary care settings are essential for early identification and prevention. However, gaps in staff knowledge and inconsistent application of evidence-based guidelines frequently hinder effective management. This Doctor of Nursing Practice (DNP) staff education project aimed to enhance healthcare staff knowledge and confidence in screening for and managing prediabetes within a primary care clinic. The central question guiding this project was whether evidence-based staff education could improve healthcare staff …

Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles

Walden Dissertations and Doctoral Studies

Many small and medium-sized enterprise (SME) leaders in Grenada struggle to implement digital technologies effectively, which limits business sustainability, competitive advantage, and scalability. This issue is particularly concerning for SME leaders, as ineffective digital implementation threatens business survival, workforce stability, and economic resilience in small island developing states (SIDS). Grounded in a composite conceptual framework integrating the technology–organization–environment framework and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME leaders in Grenada used to implement digital technologies to achieve sustainability, competitive advantage, and scalability. The participants were six SME leaders in Grenada with at …

A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long

Walden Dissertations and Doctoral Studies

The emergence of illicitly manufactured fentanyl has increased clinical uncertainty during buprenorphine induction in medication-assisted treatment for opioid use disorder. The purpose of this quantitative, retrospective cohort study, guided by the Transtheoretical Model (TTM), was to examine whether prescriber-level buprenorphine induction practices and experiences with precipitated withdrawal were associated with reported buprenorphine induction challenges, and whether county-level fentanyl prevalence contributed to these challenges after accounting for geographic clustering. Secondary, de-identified archival data were obtained from the National Institute on Drug Abuse Clinical Trials Network study CTN-0134 and included 64 prescribers practicing in fentanyl-endemic settings. Buprenorphine induction challenges were operationalized as …

A Quality Assurance Framework For Maintaining And Enhancing Academic Standards Of Ai-Infused Higher Education: Insights From Gcc Faculty Perspectives, Nina Abdul Razzak

Higher Learning Research Communications

Objectives: This study addresses the gap in research on maintaining and enhancing the quality of artificial intelligence (AI)–infused higher education in a structured and systematized way by proposing a comprehensive quality assurance (QA) framework fit for that purpose.

Methods: The study employs a qualitative research design approach in the form of a constructivist or interpretive investigation, exploring in depth faculty members’ different perspectives and experiences in relation to AI implementation. The study combines a textual analysis of the international literature on the topic, with insights from four focus groups involving faculty members from various disciplines and colleges across the Gulf …

Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal

Walden Dissertations and Doctoral Studies

Traumatic brain injury (TBI) is a major public health concern associated with long-term disability and high healthcare utilization. Evidence guiding post-acute rehabilitation for medically complex TBI populations remains limited, particularly in long-term acute care hospital (LTACH) settings serving medically unstable patients. This study examined clinical and system-level factors associated with functional rehabilitation outcomes among adults with moderate-to-severe TBI in LTACHs. Guided by the Socioecological Model, recovery was conceptualized as interactions across individual, clinical, and organizational levels. This dissertation included three manuscripts using cross-sectional logistic regression and CMS Section GG measures. In Manuscript 1, longer time from injury to LTACH admission …

Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon

Walden Dissertations and Doctoral Studies

The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …

Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan

Walden Dissertations and Doctoral Studies

Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …

Exploring The Perceptions Of Black Nurse Educators Regarding Antiracist Pedagogy In Nursing Education, Deborah Ann Stallworth

Walden Dissertations and Doctoral Studies

Racism remains a persistent issue in nursing, prompting calls to create more inclusive educational environments and confront racial disparities. Guided by an intersectionality and critical realism framework, this generic qualitative study examined how Black nursing educators perceive antiracist pedagogy, how they implement it, and what they believe is needed to strengthen its adoption in nursing education. Twelve Black undergraduate nursing educators participated in in‑depth, one‑on‑one interviews. Thematic analysis generated four themes: (a) implementing antiracist pedagogy in the classroom; (b) challenges and resistance within school environments; (c) racial marginalization norms in nursing education, and (d) advocacy and vision for institutional reform …

Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson

Walden Dissertations and Doctoral Studies

The COVID-19 virus was a new virus that caused a worldwide pandemic. There was not much information about what the virus was, what caused it, or how to stop its spread. Vulnerable populations such as those in foster care were especially affected because the foster children had no place to go. The purpose of this qualitative study was to explore the lived experiences of foster parents who had older foster children in their care during the COVID-19 pandemic. There was a lack of research specifically on foster parents and their personal lived experiences with the foster care system and foster …

Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover

Walden Dissertations and Doctoral Studies

Ineffective business strategies can lead to premature closure. Small business owners who struggle to develop long-term strategies may experience failure as a result. Grounded in the resource-based view and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore practical strategies used by massage therapy small business owners to sustain their businesses for more than 5 years. The participants were 10 massage therapy small business owners who had sustained their businesses for more than 5 years. Data were collected through semistructured interviews, business documents, and public records. Through thematic analysis, six themes were …

Succession Strategies For Family Business Owners, Sara Ann Neel

Walden Dissertations and Doctoral Studies

Family business succession remains a persistent challenge, as many family-owned enterprises fail to survive transitions in leadership and ownership. Family business owners and stakeholders are concerned with ineffective succession because failed transitions can threaten business longevity, family relationships, and the preservation of multigenerational wealth and legacy. Grounded in the family business three-circle model and stewardship theory, the purpose of this qualitative pragmatic inquiry was to explore effective succession strategies used by some family business owners to improve succession outcomes. The participants were eight senior family business owners in Texas whose business revenues were between $3 million and $250 million. Data …

Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez

Walden Dissertations and Doctoral Studies

Mental health professionals working with Hispanic populations often face challenges in addressing grief, a culturally multifaceted experience influenced by traditions and familial and community practices. The purpose of this qualitative study was to examine psychologists’ self-efficacy and preparedness in managing grief among Hispanic individuals who have been affected by COVID-19, address cultural factors in grief management, and identify demographic or professional factors that predict higher self-efficacy in working with Hispanic clients. Data were collected at a single point in time from eight psychologists who were actively working or had worked with Hispanic populations during COVID-19 to explore psychologists’ self-efficacy, preparedness, …

Sociodemographic Factors And Dating Violence Among Adolescents Living In Rural Southern U.S. Communities, Kiara Patricia Sims-Thrasher

Walden Dissertations and Doctoral Studies

Adolescent dating violence (ADV) is a significant public health issue that disproportionately affects youths in southern rural communities, yet these populations remain underrepresented in research. The purpose of this quantitative cross-sectional study was to examine the association between ADV and sociodemographic factors (gender, race, age, and education level), alcohol consumption, and bullying among adolescents in Alabama, Arkansas, and Mississippi using data from the 2021 Youth Risk Behavior Surveillance System. Guided by the social-ecological model, binary logistic regression analyses were conducted to assess relationships between ADV victimization and the selected predictors. Results indicated that females had significantly higher odds of reporting …

Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray

Walden Dissertations and Doctoral Studies

Hepatitis B virus (HBV) presents a significant public health burden in Sierra Leone. Although the estimated prevalence was 8.7% in 2021, comprehensive statistical data has been limited in general. Programmatic interventions for HBV control such as systematic screening and vaccination have remained limited as well. The purpose of this quantitative cross-sectional study was to examine the relationship between screening and vaccination practices and HBV prevalence in Sierra Leone while controlling for age, sex, education and health care access. The theoretical framework incorporated the Integrated Screening Action model, which highlights screening as a critical disease prevention strategy, and the Social Ecological …

Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed

Walden Dissertations and Doctoral Studies

Pressure injuries (PIs) are localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure including pressure associated from shear. Surgical patients are estimated to represent 42% of hospital acquired PIs. PIs result in poor patient outcomes, increase length of stay, add billions to heath care costs are no longer reimbursed by Centers for Medicare/Medicaid Services. Prevention of PI is different in the perioperative setting due to the complexities of surgery. This project focused on developing, delivering, and evaluating a robust education program for perioperative staff on PI prevention in the perioperative setting. The …

Association Between Childhood Exposure To Family Substance Abuse, Mental Health Issues, And Cervical Screening Among Women Ages 18-65 In South Carolina, Ashley Laine Hamm

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have been associated with adverse health outcomes in adulthood; however, less is known about their relationship with preventive health behaviors such as cervical cancer screening. The purpose of this quantitative, correlational study was to examine associations between selected ACEs and cervical cancer screening among women aged 18–65 in South Carolina. Data were drawn from the 2020 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and included 1,323 women. Binary logistic regression analyses were used to examine unadjusted and adjusted associations between ACE exposures and being up to date with Pap testing, controlling for age, race/ethnicity, income, …