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Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink
Walden Dissertations and Doctoral Studies
The problem examined in this study is how colorism affects Black families. The purpose of this qualitative case study was to explore the lived experiences of Black women and the colorist messages they received from family members, how those messages were internalized, and the messages perceived effects. The conceptual framework for this study was based on the colorist-historical trauma framework, and data were obtained through individual interviews with Black women ages 22–70, from various socioeconomic backgrounds and selected through purposeful sampling. A multiple case study approach was used to examine similarities and differences among the participants. A thematic analysis was …
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
Walden Dissertations and Doctoral Studies
The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook
Walden Dissertations and Doctoral Studies
There is a need for high-quality practice-based field experiences as a component of early childhood teacher preparation programs. This need had been deemed critical and was prioritized by both national and local organizations in a Midwest state. Little research had focused on the quality of field experiences. Guided by Dewey’s progressive education and Vygotsky’s social cultural theory, the purpose of this basic qualitative study was to explore the perspectives of students, mentor teachers, and faculty on what constitutes high-quality field experiences and what components of the field experience are most important. Semistructured interviews were conducted with 16 early childhood degree …
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study is that third through fifth grade students continue to score below district expectations on the Georgia Milestones Assessment System in narrative writing. Guided by the Ofsted inspection framework, the purpose of this basic qualitative study was to understand the experiences of upper elementary teachers teaching writing in Title I classrooms. Data were collected through semistructured interviews with 10 participants who taught upper elementary grades. Through thematic coding, four themes emerged outlining (a) the instructional success teachers experienced teaching narrative writing, (b) the instructional challenges of teaching narrative writing, (c) teachers’ beliefs about …
Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis
Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice (DNP) staff education project was to enhance psychiatric nursing staff's knowledge and attitudes regarding the promotion of hygiene among adult behavioral health inpatients. Hygiene neglect is a widespread concern in psychiatric units as patients often experience psychomotor retardation, hopelessness, and low motivation that hinder self-care. To address this gap, a staff education program was implemented. Staff members (N = 35) participated in live huddle-based education sessions that included case discussions, demonstrations, and reflection exercises. Participants completed pre- and posttests measuring knowledge (10 items) and attitudes (6 Likert-scale items). Following the education, staff …
Relationship Between Transportation Availability And Obstetric Access In Predicting United States Maternal Death Rates, Veronica N. Trueblood
Relationship Between Transportation Availability And Obstetric Access In Predicting United States Maternal Death Rates, Veronica N. Trueblood
Walden Dissertations and Doctoral Studies
Maternal mortality remains a significant challenge in the United States with substantial variation across counties reflecting differences in health care delivery systems and access to obstetric services. Fragmented obstetric care networks, hospital closures, and geographic barriers to care contribute to delays in prenatal and emergency obstetric services, increasing the risk of preventable maternal deaths. Guided by the social determinants of health (SDOH) framework, this quantitative cross-sectional health services study examined relationships between transportation availability, obstetric care access, and county-level maternal mortality in the United States. A national scope was required to achieve an adequate analytic sample size, as maternal mortality …
Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate
Walden Dissertations and Doctoral Studies
Home care workers play a vital role in supporting older adults, yet retaining staff in these positions can often be challenging. The purpose and review question for this integrative review concerned the strategies and best practices for home health agencies to retain formal caregivers and implement in-home/informal caregiving as an integral component of the caregiving team. Penchansky and Thomas’s theory of access supported this study by highlighting how the qualities and expectations of home care workers align with their patients. A comprehensive review of the literature resulted in 53 articles, which were screened for quality and relevance. Of these, 24 …
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Walden Dissertations and Doctoral Studies
This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth
Walden Dissertations and Doctoral Studies
Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Walden Dissertations and Doctoral Studies
This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Walden Dissertations and Doctoral Studies
Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal
Walden Dissertations and Doctoral Studies
Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Walden Dissertations and Doctoral Studies
This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Walden Dissertations and Doctoral Studies
Unmet social determinants of health (SDOH) contribute significantly to poor health outcomes, increased healthcare utilization, and persistent inequities in access to care. In a primary care organization, the inconsistent identification and management of patients’ social needs resulted in variable documentation, limited referrals to social work services, and avoidable emergency department (ED) utilization. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an executive leadership systems implementation proposal to standardize the identification and referral of at-risk patients through the integration of a validated social needs screening tool into the electronic health record (EHR). The guiding practice-focused question …
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Walden Dissertations and Doctoral Studies
Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …
Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris
Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris
Walden Dissertations and Doctoral Studies
Many outpatient substance use treatment centers struggle with retention and recruitment of counseling staff. Without sufficient staff, substance use outpatient treatment centers are unable to provide services to patients who need such support, and patients often seek care in places like the emergency department, which creates problems for the healthcare system, such as overcrowding. The purpose of this research was to identify strategies to increase retention and improve recruiting effectiveness for counseling staff at outpatient substance use treatment centers. The conceptual framework of plan, recruit, retain underpinned this integrative review. The review question centered on the best strategies to reduce …
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Exploring The Experiences Of Cit Officers And Their Perceptions Of The Programs Effectiveness, Arkeshia Dominique Ware
Walden Dissertations and Doctoral Studies
Police officers across the United States frequently respond to individuals experiencing mental health crises, yet many lack specialized training to manage these encounters effectively. The Crisis Intervention Team (CIT) model was developed to improve law enforcement responses through collaboration with mental health professionals and an emphasis on de-escalation. Although prior research has examined measurable outcomes associated with CIT programs, limited qualitative research has explored CIT-trained officers’ lived experiences and perceptions of effectiveness. The purpose of this qualitative exploratory case study was to examine how CIT-trained officers use their skills to reduce arrest, officer and citizen injury, and use of force …
Patient Education Brochure On Diabetic Foot Care In A Primary Care Setting, Trinitas (Nitas) Duru Oha
Patient Education Brochure On Diabetic Foot Care In A Primary Care Setting, Trinitas (Nitas) Duru Oha
Walden Dissertations and Doctoral Studies
This Doctoral Nursing Practice (DNP) project was an evidence-based quality improvement (QI) initiative. The practice problem was the absence of expert-validated diabetic foot care education materials, insufficient and inconsistent patient education, and patients' limited knowledge of self-care for diabetic foot care, all of which led to the persistence of diabetic foot complications in primary care settings. Due to the organization’s identified lack of patient education materials, an evidence-based diabetic foot care brochure for diabetic self-foot care education was developed. The patient education materials assessment tool (PEMAT) was used to evaluate the brochure's efficacy. The practice question was designed to determine …
Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding
Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding
Walden Dissertations and Doctoral Studies
This study was focused on law enforcement officers’ experiences with secondary traumatic stress and coping while working with child molesters. Lazarus and Folkman’s cognitive model of stress and coping were used to examine how law enforcement officers manage stress, focusing on their cognitive processes and thought patterns. Using a basic qualitative approach, eight law enforcement officers who work with child molesters in the state of South Carolina were interviewed to hear their personal experiences. Interviews were semi-structured interview questions via a video-conferencing platform. The data were analyzed and coded using Braun and Clarke’s six-step thematic analysis. The study’s findings confirmed …
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Walden Dissertations and Doctoral Studies
Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …
Turn Teams, Ashley Johnson
Turn Teams, Ashley Johnson
Walden Dissertations and Doctoral Studies
Hospital-acquired pressure injuries (HAPIs) are recognized as a prominent cause of patient morbidity and mortality, affect lengths of stay, and are one of the most costly and chronic adverse events in healthcare. A structured Turn Teams program with enhancements was evaluated in a novel unit within a healthcare organization that had implemented the approach on another unit as the focus of this Doctor of Nursing Practice project. The guiding question was, Does implementing Turn Teams as a quality improvement measure improve pressure injury rates in patients with a Braden Score of 18 or lower and enhance staff compliance with the …
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
The Impact Of Cultural Competence On Patient Outcomes In The Bahamas, Erinique Denise E. Ingraham
Walden Dissertations and Doctoral Studies
In The Bahamas, the quality of care received by culturally diverse patients remains generally poor, highlighting an inability to adapt to the changing climate and adopt culturally responsive practices. The purpose of this quantitative causal-comparative study was to examine the relationship between perceived cultural competence of healthcare providers in The Bahamas and its impact on patient outcomes for the non-Bahamian patients they treat. The tripartite model of cultural competence grounded this study. The participants comprised 49 non-Bahamian patients from the public and private sectors. They completed the patient-reported physician cultural competency measure, self-efficacy for managing medications and treatments, and the …
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Walden Dissertations and Doctoral Studies
This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Educator Retention And Director Practices In Early Childhood Education Settings, Katherine Williams
Walden Dissertations and Doctoral Studies
Early childhood education (ECE) educators leave their profession at a rate 14% higher than K-12 educators, resulting in multisystemic issues that affect children, families, staff, and the ECE industry. Research has shown a connection between leadership practices and ECE educator turnover intentions; however, there is limited research on the relationship between the servant-leadership (SL) practices of ECE directors and ECE educators’ turnover intentions. Grounded in Greenleaf’s theory of servant-leadership, the purpose of this quantitative study was to explore the relationship between ECE director SL practices and its seven dimensions, measured using the SL scale, and ECE educator turnover intentions, measured …
Risk Management Strategies For Project Efficiency, Paulisa Janel Scarlett
Risk Management Strategies For Project Efficiency, Paulisa Janel Scarlett
Walden Dissertations and Doctoral Studies
Ineffective risk management strategies negatively impact organizational leaders due to potential project failures, financial losses, and diminished stakeholder trust. Grounded in general systems theory, this qualitative pragmatic inquiry was to explore senior project managers’ risk management strategies for enhancing project outcomes, efficiency, and profitability. Nine senior project managers from construction, software development, marketing, mechanical engineering, and automotive manufacturing, all overseeing complex, high-risk projects, participated in the study. Data were collected through semistructured interviews, organizational reports, and project documents. Thematic analysis, using Braun and Clarke’s six-step process, was employed to identify patterns aligned with the research questions. Five major themes emerged: …
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Walden Dissertations and Doctoral Studies
Heart failure (HF) is a leading cause of hospital readmissions. At the project site, early palliative care was inconsistently integrated despite strong evidence of benefit, suggesting that limited staff knowledge, lack of standardized referral processes, and uncertainty regarding referral timing contributed to this practice gap. The guiding practice-focused question was, “Does educating staff on early palliative care integration for HF patients improve knowledge as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model and the ADDIE instructional design model guided project development and implementation. A comprehensive literature search was conducted using MEDLINE/PubMed, CINAHL Complete, ProQuest, and …
A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore
A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project is a practice-focused executive leadership proposal addressing inconsistent discharge planning for unhoused surgical patients in an acute care hospital. Unhoused patients experience disproportionately poor outcomes, including prolonged length of stay, elevated 30-day readmission rates, and fragmented transitions of care. The practice-focused question guiding this project asks whether development of a standardized, housing-informed discharge planning program could improve transitions of care and reduce length of stay and readmissions when compared with current nonstandardized practices. Analytical strategies included synthesis of peer-reviewed literature, review of internal quality and utilization data, assessment of community-level housing instability trends, and …
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne
Walden Dissertations and Doctoral Studies
Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …
Telepsychiatry Follow-Up To Reduce Emergency Department Visits In Adults With Bipolar Disorder, Obianuju Tobechukwu Ibe
Telepsychiatry Follow-Up To Reduce Emergency Department Visits In Adults With Bipolar Disorder, Obianuju Tobechukwu Ibe
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project involved the development of a clinical practice guideline (CPG) for implementing structured telepsychiatry follow-up visits to reduce relapse rates and emergency department (ED) use among adults with bipolar disorder. The project addressed the growing need for accessible, evidence-based psychiatric follow-up care, particularly for patients facing barriers to consistent in-person visits. The practice-focused question guiding this project was: In adults with bipolar disorder, how do structured telepsychiatry follow-up visits, compared with in-person visits, affect relapse rates and Ed utilization? A systematic review and critical appraisal of current evidence were conducted using the Johns Hopkins …