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Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed stigma and implicit bias toward individuals with opioid use disorder (OUD) within a rehabilitation subacute care setting. OUD remains a significant public health concern and at the project site, inconsistent staff education was identified as a practice gap requiring intervention. The purpose of this practice-focused DNP project was to evaluate the impact of a structured staff education intervention on healthcare staff knowledge, attitudes, and confidence in caring for patients with OUD. The project was guided by a thorough evidence search. The project was implemented using brief, unit-based educational sessions delivered to interdisciplinary …

Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel

Walden Dissertations and Doctoral Studies

There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …

Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey

Walden Dissertations and Doctoral Studies

Current literature does not adequately address the factors that lead to and prevent burnout and poor work performance among inexperienced clinicians and clinical supervisors working in group private practice. Exploring supervision experiences, specifically leadership style, employee engagement, and internal communication, may provide insight into the experiences of novice mental health professionals and their supervisors in addressing burnout and enhancing work performance. Through a qualitative single-case study design informed by interpretative phenomenological principles, data were collected in semistructured interviews with five behavioral health leaders from a two-location group private practice who hold dual roles as clinicians and supervisors. The interview data …

Exploring Turkish Adolescents’ Humor Styles And Social-Emotional Skills In Relation To Gender, Alev Üstündağ, Elif Dursun, İlayda Avcı

Journal of Social, Behavioral, and Health Sciences

We conducted this study to explore the relationship between different humor styles and social-emotional competence in terms of gender differences in Turkish adolescents. A total of 504 high school students participated in this descriptive, cross-sectional, and correlational study. The age of the subjects ranged from 15 to 18 years. We used a demographic information form, the Child Humor Styles Questionnaire (CHSQ), and the Social Emotional Competency Questionnaire as data collection tools. The data were analyzed with percentage and mean, t test in independent groups, Pearson correlation analysis, and multiple linear regression analysis. We found a relationship between gender and humor …

How Case Management Can Improve Access To Outpatient Mental Health Clinics For Low-Income African American Women, Marie Daphney Vilseant

Walden Dissertations and Doctoral Studies

Abstract: African American women face deeply rooted systemic challenges that affect their access to mental health care treatment. There are no case management techniques that are strategic and equity driven and offer individualized support tailored to the needs of African American women, especially those from low-income backgrounds. The purpose of this study was to explore the role of case management as a potential solution to improve access to outpatient mental health services for this under-served group. The Anderson behavioral model for health care was utilized to understand access and utilization of health care services. The review question focused on case …

Optimizing Patient Intake Efficiency: Integrating Data Accuracy And Workflow Improvement Strategies, Breanna Virginia Martin

Walden Dissertations and Doctoral Studies

For a professional therapist, social worker, psychologist, or psychiatrist, improving the quality and effectiveness of patient care is a central responsibility. This qualitative single-case study examined how WGGX, a nonprofit behavioral health organization in South Philadelphia, addressed challenges within its patient intake process to improve workflow efficiency, data accuracy, and the client onboarding experience. Guided by the Baldrige Health Care Criteria for Performance Excellence, the study explored how leadership practices, workforce engagement, and process management influenced organizational effectiveness related to intake operations. Data were collected through semistructured, in-person interviews with six organizational stakeholders and a review of organizational documents and …

A Prevention Model For Delaware: Reducing Opioid Relapse After Release From Incarceration, Jaime Basara

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

The goal of this Social Change Portfolio is to reduce relapse risk among individuals with opioid use disorder who are reentering society after their release from a Delaware correctional facility, by enhancing clinical continuity of care, including counseling, relapse-prevention planning, and linkage to community-based treatment programs.

Significant Findings

This portfolio aims to raise the awareness that justice-involved individuals with opioid use disorder in Delaware face extremely high rates of relapse, overdose, and death during the post-release period, particularly within the first few weeks and months after reentering society. This is often due to abrupt discontinuation of treatment, reduced …

The Environmental Mental Health Services Needed For Youth Ages 18-25 Aging Out Of The Foster Care System, Keelin Leger

Walden Dissertations and Doctoral Studies

Youth transitioning out of foster care experience increased mental health challenges that affect their ability to age out successfully to independence. In this qualitative modified action study, the environmental mental health services needed for adolescents, aged 18 to 25, aging out of the foster care system in Lafayette Parish, Louisiana were explored. This study was guided by the Families Rising framework. Purposeful sampling was used to recruit 20 participants who provided insights to this study. Participants were reached by posting flyers on social media and the online platform forums, and they signed the consent form to participate. The data were …

Attribution Of Behavior And Misdiagnosis In Mental Health Evaluation Of Primary School Children, E’Mon Ambers

Walden Dissertations and Doctoral Studies

The problem of misdiagnosis of mental health conditions in primary school aged children because of attributions related to misbehavior is a significant issue. The purpose of this qualitative multiple case study was to explore a selected sample of educators’ and mental health professionals’experiences and perceptions of the risks of attribution errors in mental health misdiagnosis among primary school-aged children in Richmond, VA. The research questions addressed how stakeholders perceive the role of attribution errors in professional practice contributing to misdiagnosis, as well as what practice-based and systemic changes stakeholders propose to enhance diagnostic accuracy. Narrative data was collected from educators …

Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice staff education project was to strengthen nurses’ knowledge and confidence in suicide risk assessments. Suicide remains a crucial patient safety issue, and nurses report uncertainty in early recognition and intervention; therefore, brief, practice-proximal training is essential. The practice-focused question that informed this project’s purpose was whether a short education module with pre- and post testing improves nurses’ knowledge and confidence in suicide risk assessment. Three nurses participated in a structured session covering risk factors, warning signs, standardized screening, and safety planning. I then used descriptive analysis to compare their pre- and posttest …

Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase

Walden Dissertations and Doctoral Studies

This qualitative study examined the troubling intersection of parental separation, domestic violence and paternal filicide, issues that profoundly challenge societal and legal frameworks. Although domestic violence and marital dissolution are recognized risk factors for child maltreatment, their role in paternal filicide, specifically when motivated by parental separation, has been understudied. Using a purposeful and criterion-based sampling strategy, cases were drawn from the Center for Judicial Excellence database of children murdered during divorce, parental separation, and child custody disputes. After applying predefined inclusion and exclusion criteria, the final sample consisted of 113 biological fathers responsible for the deaths of 263 children …

Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu

Walden Dissertations and Doctoral Studies

Early-onset atopic dermatitis (AD) affects approximately 10-20% of children in the United States, and emerging evidence suggests potential links between early immune dysregulation and neurodevelopmental outcomes. Limited research has examined whether early AD serves as a specific risk factor for later ASD diagnosis. Guided by life course theory, the purpose of this study was to examine whether AD diagnosed within the first two years of life predicts later diagnosis of ASD among U.S. children younger than five years. A secondary analysis of the Fragile Families and Child Wellbeing Study was conducted using a retrospective cohort design. The sample included 2,949 …

Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford

Walden Dissertations and Doctoral Studies

Black women experience intimate partner violence (IPV) at disproportionately high rates, yet most research has focused on those from lower socioeconomic backgrounds, overlooking how educated Black women navigate relationships after IPV. While extensive studies have examined the health consequences of IPV among Black women, less attention has been given to their experiences with intimacy, trust, and partner selection post-IPV. Additionally, existing research on relationship formation after IPV has largely centered on other racial groups, leaving the unique challenges faced by Black educated women underexplored. The purpose of this phenomenological study was to explore how Black, educated women describe their experiences …

Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price

Walden Dissertations and Doctoral Studies

Remarriage offers the opportunity to create new family structures, giving individuals second chances to forge meaningful connections and develop new family dynamics. This study involved investigating the experiences of newly-married Black American couples with children as they faced challenges inherent to blended family dynamics. The objective was to understand how these families navigated the complexities of integrating different family systems during their formative years. Using a basic qualitative research design, the study was guided by Bowen’s family systems theory, which emphasizes how individuals construct knowledge within their socioemotional contexts. A convenience sample of nine spouses from blended families was purposefully …

Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano

Walden Dissertations and Doctoral Studies

Despite the growing demand for mental health services in Spanish, bilingual counselors are often ill-equipped to provide services in Spanish and frequently enter state-required supervised licensure without adequate training or opportunities for clinical supervision to support their growth as bilingual counseling professionals. The purpose of this qualitative narrative inquiry was to answer the research question: What are the narratives of first-generation Mexican American bilingual counselors during supervised licensure? Guided by Anzaldua’s Borderlands Theory as a conceptual framework, data were collected from eight participants through semi-structured virtual interviews and analyzed using thematic analysis. Findings revealed four themes mirroring the stages of …

Effective Leadership Strategies That Enhance Banking Employees’ Productivity, Biljana Matevska

Walden Dissertations and Doctoral Studies

Ineffective leader-follower relationships in banks can negatively affect productivity. Branch bank leaders in New Jersey are concerned that low productivity reduces the quality of service provided to clients. Based on leader-member exchange theory, the purpose of this qualitative pragmatic inquiry project is to identify and explore effective strategies that some leaders in the banking industry in New Jersey use to build leader-follower relationships for increasing and sustaining worker productivity. Participants were six bank managers in New Jersey who had implemented strategies. Data were collected through semistructured interviews and a review of publicly available industrial documents, and three themes were identified …

Fort William First Nation People’S Perceptions Of Receiving Nursing Care To Meet Their Wholistic Health Needs, Kara Morriseau

Walden Dissertations and Doctoral Studies

There was limited knowledge of First Nations people’s experiences receiving nursing care to meet their wholistic health needs in Northern Ontario. The purpose of this qualitative interpretive description study, grounded in the two-eyed seeing framework and the Indigenous wholistic theory, was to explore First Nations people’s descriptions of receiving nursing care to meet their wholistic health needs in Northern Ontario. The study took place in the community of Fort William First Nation, a First Nations community in Northern Ontario. With approval from the Chief and Council of Fort William First Nation, semistructured interviews were conducted in person and on Zoom …

Socioecological Stressors During Covid-19 Among Urban Refugee Youth In Kampala, Uganda: A Qualitative Descriptive Analysis, Sikky Shiqi Chen, Carmen H. Logie, Frannie Mackenzie, Moses Okumu, Robert Hakiza, Brenda Katisi, Daniel Kibuuka Musoke, Aidah Nakitende, Isha Berry, Bay Bahri, Peter Kyambadde

Journal of Social, Behavioral, and Health Sciences

Limited studies have examined pandemic-related stressors among urban refugee youth in low and middle-income humanitarian countries (LMICs), such as Uganda. We explored the lived experience of COVID-19-related stressors among urban refugee youth in Kampala, Uganda. We analyzed qualitative data (text messages, WhatsApp chats, photos) collected in an interactive mobile health intervention with 346 refugee youth aged 16–24 in Kampala. Findings revealed stressors across socioecological levels: individual (e.g., financial-related distress), social (e.g., limited social interactions), community (e.g., food insecurity), and policy (e.g., unprecedented lockdowns). Findings can inform social work organization pandemic preparedness strategies for economic empowerment and social cohesion with youth.

Identifying Best Practices To Decrease The High Rate Of 30-Day Rehospitalization Of Patients With Dementia From Skilled Nursing Facilities, Mavis Johnson

Walden Dissertations and Doctoral Studies

Abstract As CMS continues to prioritize quality care over quantity and positive patient outcomes, hospitals and nursing homes must ensure that their mission and goals align. The high rehospitalization rate is a current and ongoing concern among policymakers and healthcare administrators. Adverse patient outcomes and increased financial costs to both patients and Health Service Organization (HSO) administrators highlight the need to identify best practices to help reduce rehospitalization. The purpose of this integrative review is to identify best practices for reducing the high rate of 30-day rehospitalization among patients with dementia in skilled nursing facilities (SNF). The review question that …

Kindergarten Teachers’ Experiences And Training With Critical Reflection To Support Adaptive Teaching, Tessa Cushman

Walden Dissertations and Doctoral Studies

The problem that was addressed in this study is that kindergarten teachers often lack training in critical reflection as part of their adaptive teaching practice. Despite much research on critical reflection, there was a lack of knowledge regarding training kindergarten teachers receive on critical reflection and how they use it to adapt their teaching. The purpose of this study was to explore the experiences of kindergarten teachers regarding the training they received on critical reflection and the support they felt they needed to implement critical reflection for an adaptive teaching practice. Schön’s reflective practice theory was the conceptual framework for …

Exploring Juvenile Justice System Social Workers’ Dual Role Conflicts, Tayler Janet Deggendorfer

Walden Dissertations and Doctoral Studies

Social workers working within the juvenile justice system face challenges in managing dual roles of providing social support for clients in a punitive environment of incarceration. The problem that was explored in this study is the ethical and practical dilemmas of dual roles for social workers—specifically the potential for burnout and mental health injury for social workers who work within the parameters of both roles. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of a selected criterion sample of social workers. The study was framed by Goffman’s role theory. Oral narrative data were collected …

Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee

Walden Dissertations and Doctoral Studies

The purpose of this qualitative research was to explore how self-identified Hmong college students aged 18–24 perceived their culture’s influence on their academic experiences. The study examined the relationships shaping individual identity and their effects on academic pursuits. A basic qualitative inquiry approach was used to interview ten Hmong undergraduate students enrolled in colleges across the United States. Semi-structured interviews facilitated data collection guided by the ecological systems theory, while thematic analysis and inductive coding were employed to identify patterns and develop themes from the data. The themes identified in the study were family as the central influence, negotiating conflicting …

School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin

Walden Dissertations and Doctoral Studies

The problem investigated in this study was that approximately 34% of African American male students had dropped out of high school in an urban public school district in the Northern United States. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this basic qualitative study was to explore school social workers’ perceptions of the effectiveness of strategies used to reduce dropout rates among African American male high school students. Purposive sampling was used to recruit 10 school social workers from one urban public school district who worked with African American male students at risk of dropping out. Data was collected …

Social Workers' Perspectives Of Using Teletherapy To Foster Resilience Among Middle-Class Single Black Mothers, Yvonne Judge

Walden Dissertations and Doctoral Studies

Inadequate mental health support, particularly from social workers, disproportionately affects middle-class single Black mothers. Prior studies have examined low-income single mothers’ access to mental health care and the potential of teletherapy as a tool for improving access; however, few have explored how middle-class single Black mothers navigate mental health challenges. Further, there is a lack of research on social workers’ perspectives of using teletherapy to foster resilience among middle-class single Black mothers. This is a critical gap, as social workers play a key role in tailoring mental health interventions. The purpose of this study was to explore social workers’ perspectives …

Community College And School Administrators’ Perspectives On Communication And Collaboration In The Formation Of Partnerships, Shannon Stukes Williams

Walden Dissertations and Doctoral Studies

Challenges have limited the opportunities for educational institutions to support student transitions and success. The problem addressed through this study was the challenge to establish effective partnerships between community colleges and public K–12 schools in a rural county in a southern state. Grounded in Hartford’s small group theory, the purpose of this basic qualitative study was to examine community college and K–12 administrators’ perspectives on the role of collaboration and communication, as well as the knowledge and skills needed for faculty, staff, and officials to create and sustain partnerships. Semistructured interviews were conducted with 18 community college and K–12 administrators. …

First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller

Walden Dissertations and Doctoral Studies

First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …

Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin

Walden Dissertations and Doctoral Studies

Workforce retention among mental health professionals has been a central focus of scholars as behavioral health systems continue to face chronic staffing instability (Hallett et al., 2024). Researchers have demonstrated that burnout, limited organizational support, and resource misalignment significantly influence turnover in these settings (Maslach & Leiter, 2016; Pulman & Fenge, 2024). However, researchers have not yet established how mental health professionals within a single publicly funded, state-operated behavioral health organization interpret the organizational and cultural factors that influence their decision to remain employed. The purpose of this qualitative single-case study was to explore how mental health professionals in a …

Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy

Walden Dissertations and Doctoral Studies

Ineffective strategies to reduce burnout for employees can decrease productivity and quality of work, and can increase turnover. Event industry leaders who struggle to reduce burnout of employees with high workload demands are at risk of employee turnover. Grounded in the Job Demands-Resources (JD-R) model, the purpose of this qualitative, pragmatic inquiry research project was to explore effective strategies to reduce burnout for employees with high workload demands. The participants were eight event industry leaders who had effectively implemented strategies to reduce burnout. Data were collected using semistructured interviews and a review of public websites and documents. Using thematic analysis, …

Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech

Walden Dissertations and Doctoral Studies

An increasing focus on the recovery, rights, and autonomy of individuals with serious mental illnesses has led to ongoing debate regarding the practice and legal regulation of involuntary commitment (IVC). To ensure ethical and appropriate patient care throughout this complex process, more knowledge is needed about social workers’ decision-making process regarding the use of IVC. The purpose of this study was to investigate the decision-making processes associated with IVC for inpatient psychiatric treatment in North Carolina using the biomedical ethics framework. More specifically, the study addressed how licensed social workers describe their experiences and decision-making processes when determining whether to …

Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to investigate the relationship between job demands and resources and job satisfaction among school social workers in North Carolina. School social workers are vital members of the school ecosystem, supporting the development and well-being of students, families, and communities. Grounded in the Job Demands-Resources (JD-R) theoretical framework, the impact of years of experience, caseload size, role ambiguity, burnout, and job autonomy on job satisfaction among school social workers was examined. The current study included 92 school social workers from twelve counties in the Sandhills and Research Triangle regions of North Carolina who completed …