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Articles 31 - 60 of 15511
Full-Text Articles in Entire DC Network
Relationship Between High-Risk Cytogenetic Abnormalities And Tent5 Mutations And Disease Outcomes Of Multiple Myeloma Patients, Erica Lea Richardson
Relationship Between High-Risk Cytogenetic Abnormalities And Tent5 Mutations And Disease Outcomes Of Multiple Myeloma Patients, Erica Lea Richardson
Walden Dissertations and Doctoral Studies
Multiple myeloma (MM) patients have the lowest 5-year cancer survival rates due, in part, to the time it takes for symptoms to develop and the presence of one to four high-risk cytogenetic abnormalities (HRCA). The Terminal Nucleotidyltransferases 5 (TENT5) subfamily, which regulates myeloma cell migration and tumorigenesis, may also increase the risk for developing MM and impact survival rates. The purpose of this study was to investigate the association between the number of HRCA and TENT5 mutation hits with disease outcomes in MM patients while controlling for the stage of the disease (i.e., I, II, or III) at diagnosis. The …
Clinicians’ Perceptions Of Mental Health Care Access For Middle-Aged, Black Women Post-Sexual Assault, Monica Latrice Bolton
Clinicians’ Perceptions Of Mental Health Care Access For Middle-Aged, Black Women Post-Sexual Assault, Monica Latrice Bolton
Walden Dissertations and Doctoral Studies
No abstract provided.
Staff Education To Improve Sleep Hygiene Knowledge And Competency Among Nursing Staff On An Inpatient Behavioral Health Unit, Jennings Ubadi Mekoba
Staff Education To Improve Sleep Hygiene Knowledge And Competency Among Nursing Staff On An Inpatient Behavioral Health Unit, Jennings Ubadi Mekoba
Walden Dissertations and Doctoral Studies
This staff education project addressed the gap in standardized knowledge and implementation of evidence-based sleep hygiene interventions among nursing staff on an inpatient behavioral health unit. Sleep disturbances affect 80%–90% of psychiatric patients and directly impact treatment outcomes and recovery. I developed the practice-focused question to consider whether an evidence-based sleep hygiene education program would enhance the awareness, knowledge, and practices of the nursing staff regarding sleep hygiene interventions. A thorough literature review of 23 high-quality sources formed the background for the development of a structured educational intervention that encompassed assessment methodologies, nonpharmacological interventions, environmental interventions, and patient education interventions. …
Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Walden Dissertations and Doctoral Studies
Adults with spinal muscular atrophy (SMA) may experience significant disability-related stressors, yet mental health services remain underused within this population. Although prior research has identified barriers to service use among individuals with SMA and people with disabilities more broadly, there is less literature about how adults with SMA experience the mental health care system. The purpose of this qualitative phenomenological study was to explore lived experiences of adults living in the United States with SMA as they relate to this system. Guided by the biopsychosocial model and Andersen’s behavioral model, the study involved addressing the question: What are lived experiences …
Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Walden Dissertations and Doctoral Studies
Breast cancer-specific mortality in the United States remains higher among women in rural and socioeconomically disadvantaged areas, yet few population-based studies have been conducted to jointly scrutinize demographic and structural determinants of this disparity. Informed by the social determinants of health framework, this secondary data analysis, using records from the SEER Research Plus database, examined the association between age at diagnosis, race and ethnicity, rural/urban residence, county-level median household income, and breast cancer-specific mortality among U.S. women aged 18 and older diagnosed with malignant invasive breast cancer between 2010 and 2020 (N = 285,865). Bivariate chi-square tests and binary logistic …
Phenomenological Study Of Protective Buffering By Afsoc Civilian Spouses During Military Deployments, Janell C. Cotton
Phenomenological Study Of Protective Buffering By Afsoc Civilian Spouses During Military Deployments, Janell C. Cotton
Walden Dissertations and Doctoral Studies
Protective buffering (PB) is used by civilian military spouses to withhold or deny stressful information or concerns to protect their spouse, others, or themselves, from upset or burden. This coping mechanism is commonly used during military deployments, yet is associated with negative physical, psychological, and social consequences. The purpose of this phenomenological qualitative study was to explore the lived experience of when and why civilian military spouses engage in PB during military deployments. Guided by the communication privacy management theory and the transactional stress and coping theory, the study examined the civilian spouses’ perceptions of their active-duty spouses’ stressors, and …
The Psychosocial Experience Of Black Pentecostal Pastors In Western America Post-Pandemic, Isaiah Kelley
The Psychosocial Experience Of Black Pentecostal Pastors In Western America Post-Pandemic, Isaiah Kelley
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic disrupted religious institutions, altering how Black pastors provided spiritual leadership, community support, and social connection. Limited research has examined how these disruptions affected the social identity and psychosocial well-being of African American Pentecostal pastors. This qualitative phenomenological study explored the lived experiences of 11 African American Pentecostal pastors in the western United States following COVID-19 church closures. Guided by social identity theory, semi-structured interviews examined changes in participants’ social identity. Data were analyzed using Moustakas’s phenomenological approach: first- and second-cycle coding, member checking, reflective journals, and thematic analysis. Four themes emerged: psychological and emotional burden, social isolation …
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
Walden Dissertations and Doctoral Studies
In Washington, DC, African American single mothers continued to experience food insecurity despite available assistance, as financial and bureaucratic barriers limited access to and utilization of these programs. This problem is relevant because identifying barriers to food assistance can inform recommendations to improve Supplemental Nutrition Assistance Program (SNAP) implementation and effectiveness. Findings from existing literature, conducted primarily from clients’ perspectives, found that food insecurity remained prevalent among African American single mothers. However, limited research has examined the perspectives of SNAP workers, known as street-level bureaucrats, who implement food assistance policies and mediate access to benefits. The purpose of this generic …
Nurse-Led Remote Patient Monitoring In Outpatient Heart Failure, Jackline Ukadike
Nurse-Led Remote Patient Monitoring In Outpatient Heart Failure, Jackline Ukadike
Walden Dissertations and Doctoral Studies
Chronic heart failure (HF) remains a leading cause of avoidable hospital readmissions and emergency department visits due to delayed recognition of early symptom exacerbation between routine outpatient encounters. This doctoral quality improvement project evaluated whether the implementation of an evidence-based, nurse-led remote patient monitoring (RPM) standard operating procedure (SOP) improved early identification of symptom exacerbation compared to standard episodic care among adult heart failure patients (NYHA Class II–III) in an outpatient primary care setting over a 10-week period. Guided by the Plan-Do-Study-Act (PDSA) framework, an evidence-based clinical practice guideline (CPG) and escalation protocol were developed and appraised by a 3-member …
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on educating providers to fill in knowledge gaps in how to effectively manage chronic pain. The lack of knowledge about the evidence-based recommendations for treating chronic pain was the practice gap. Standardized training protocols to instruct pain management professionals and address disparities in chronic pain management care should be in place to guarantee that all patients in need of chronic pain management have access to culturally appropriate education.
Agree To Disagree? Classification Agreement Among Discrepancy-Based Sld Models Used In School Psychology, Emma M. Ferns, Carlos O. Calderón-Tena
Agree To Disagree? Classification Agreement Among Discrepancy-Based Sld Models Used In School Psychology, Emma M. Ferns, Carlos O. Calderón-Tena
Journal of Educational Research and Practice
For decades, school psychologists have attempted to operationalize the federal definition of the most prevalent disability under the Individuals with Disabilities Education Act (IDEA), specific learning disability. These attempts have led to three major identification method camps: the severe discrepancy approach, the patterns of strengths and weaknesses (PSW) approach, and the response-to-intervention approach—all of which are federally permissible under the IDEA. This study aimed to determine whether three operationalizations of the severe discrepancy approach (simple severe discrepancy using 1 and 1.5 standard deviations and the regression approach) identified the same students as those classified by their school as having an …
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Walden Dissertations and Doctoral Studies
The growing population of internally displaced persons (IDPs) in Nigeria presents significant public health challenges for children with physical disabilities. This study investigated how physical disabilities affect daily life, mobility, access to resources, and health outcomes among internally displaced children in IDP camps in Benue State, Nigeria. Guided by the ecological model of health behavior, the study examined caregivers’ experiences of children’s self-care, daily activities, environmental and interpersonal conditions, sanitation, and access to healthcare. A basic qualitative design used semi-structured interviews with parents and caregivers selected through purposive and snowball sampling. Data were analyzed using Braun and Clarke’s six-phase thematic …
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Walden Dissertations and Doctoral Studies
Employee disengagement during organizational change can reduce workforce commitment, increase resistance, and delay implementation. Some information technology (IT) project managers lack effective strategies to foster employee engagement during organizational change. Effective employee engagement is important to IT project managers because workforce commitment can influence the successful implementation of change. The purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies that IT project managers use to foster employee engagement during organizational change. Kotter’s eight-step change model grounded the research project. The participants were seven U.S. IT project managers with at least 3 years of project management …
Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise
Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise
Journal of Social, Behavioral, and Health Sciences
Black American existential–spiritual counseling integrates existential philosophy with the unique cultural, historical, and spiritual contexts of Black Americans to address their psychological and spiritual needs. Rooted in the lived experience of systemic oppression, alienation, and the quest for identity and freedom, this counseling approach emphasizes meaning-making, personal responsibility, and authentic living. It acknowledges the interconnectedness of spirituality and psychology, recognizing the importance of the Black church, music, and communal values in fostering resilience and empowerment. Drawing on existential themes, such as mortality, freedom, loneliness, and purpose, this approach supports clients in navigating sociocultural stressors and generational trauma through a spiritually …
Teachers’ Perspectives On Student-Centered Technology Integration, Kiyana Janise Bell
Teachers’ Perspectives On Student-Centered Technology Integration, Kiyana Janise Bell
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the inconsistent integration of student-centered technology among elementary teachers in an urban school district in the southeastern United States. Grounded in the technological pedagogical content knowledge framework, the purpose of this study was to explore teachers’ perspectives on the factors influencing their integration of student-centered technology. Using a basic qualitative design, semistructured interviews were conducted with 10 experienced certified K–5 teachers with at least 1 year of experience integrating technology into the curriculum. Data were analyzed through two-cycle inductive coding and thematic analysis resulting in six themes: teachers (1) demonstrated foundational …
Predictors Of Psychological Strain In College Students In The Context Of The Covid-19 Pandemic, Randy M. Ludwig
Predictors Of Psychological Strain In College Students In The Context Of The Covid-19 Pandemic, Randy M. Ludwig
Journal of Social, Behavioral, and Health Sciences
The coronavirus disease 2019 (COVID-19) pandemic exacerbated the traditional challenges of being a college student. This study examined the factors associated with the mental health difficulties many college students faced during the pandemic. Factor analysis was used to uncover a latent variable called psychological strain, which was composed of mental instability, mental health strain, sadness, anxiety, and unhappiness. An exploratory path model was created to determine which factors most closely related to psychological strain. Of the 14 factors considered, 11 were significant predictors. Overall, the most important risk factor was found to be social isolation (total effects = .437), while …
Human Service Professionals’ Support And Practice-Informed Strategies For Uninsured And Underinsured Adults Needing Mental Health-Related Services In Brazoria County, Texas, Henry Palacios
Walden Dissertations and Doctoral Studies
Access to mental health-related services has remained a significant human services concern for uninsured and underinsured adults in Brazoria County, Texas, where financial, transportation, provider-capacity, and service-coordination barriers affected access and continuity of care. The purpose of this qualitative modified action research study was to explore how human service professionals supported uninsured and underinsured adults needing mental health-related services and to identify practice-informed strategies to improve access, coordination, and continuity of care. Lewin’s change theory provided the theoretical framework. The research question explored how human service professionals supported this population and identified strategies to strengthen access, coordination, and continuity of …
Empowering Generations: The Role Of Family And Consumer Sciences In Advancing Financial Literacy And Resilience, Stephen Molchan
Empowering Generations: The Role Of Family And Consumer Sciences In Advancing Financial Literacy And Resilience, Stephen Molchan
Journal of Educational Research and Practice
In this article, I explore the critical role of family and consumer sciences (FCS) in advancing financial literacy and resilience across generations. By addressing systemic financial challenges and integrating financial education into its curriculum, FCS empowers individuals and families to make informed decisions and build secure futures. The article highlights strategies such as early intervention, culturally relevant programs, and community outreach, emphasizing how FCS equips individuals with practical skills in budgeting, saving, debt management, and risk assessment. I discuss the importance of advocacy for financial inclusion and consumer protection as a means to create equitable opportunities for financial well-being, underscoring …
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Walden Dissertations and Doctoral Studies
Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …
Effective Strategies Nonprofit Leaders Use To Implement Agile And Lean Methodologies To Improve Project Performance Outcomes And Organizational Sustainability, Mariette Njumbe
Walden Dissertations and Doctoral Studies
Limited resources challenge nonprofit organizations to improve project performance and organizational sustainability. Although agile and lean methodologies can enhance adaptability, efficiency, and continuous improvement, many nonprofit leaders lack effective strategies to implement them in mission-driven environments. The purpose of this qualitative pragmatic inquiry was to explore strategies nonprofit leaders use to implement agile and lean methodologies to improve project performance and organizational sustainability. The project was grounded in an integrated conceptual framework of agile project management and lean thinking. Participants were nine nonprofit leaders. Data were collected through semistructured interviews and public documents and analyzed using thematic analysis. Five themes …
Effects Of A Filial Therapy Program On Gifted Children’S Self-Regulation And Academic Perseverance, Helin Yarcel, Fuat Tanhan
Effects Of A Filial Therapy Program On Gifted Children’S Self-Regulation And Academic Perseverance, Helin Yarcel, Fuat Tanhan
Journal of Educational Research and Practice
The aim of this study was to examine the effects of a 10-session filial therapy program delivered to mothers on gifted children’s self-regulation and academic perseverance. Participants were 45 gifted students attending a Science and Art Center (Bilim ve Sanat Merkezi [BİLSEM]) in Eastern Türkiye and their mothers, who were randomly assigned to an experimental, placebo, or control group. Self-regulation and academic perseverance scales were administered as pre-test, post-test, and 6-week follow-up measures. Given the sample size, data were analyzed with non-parametric tests, including the Kruskal–Wallis H, Friedman, Wilcoxon signed-rank, and Mann–Whitney U tests. Results showed improvements in self-regulation …
Leveraging A Model Of Intergroup Competencies: A Reflexive Tool For Developing Diversity Leadership In Higher Education, Arig Al Shaibah
Leveraging A Model Of Intergroup Competencies: A Reflexive Tool For Developing Diversity Leadership In Higher Education, Arig Al Shaibah
Journal of Educational Research and Practice
Despite, or perhaps precisely because of, the current partisan pushback against equity, diversity, and inclusion (EDI) efforts in Western higher education institutions, universities may be well served to renovate their approaches to leadership diversity development to build greater capacity for advancing mission-critical inclusion excellence priorities. This article describes a promising educational intervention that has broad applicability to more meaningfully develop leadership proficiencies that better enable the advancement of EDI goals in higher education. While individual diversity leadership development programming is a micro-level intervention, it could prove beneficial—though insufficient on its own—as a prerequisite for macro-level equity and inclusion policymaking and …
Mentorship As A Catalyst For Change Readiness: A Qualitative Study Of How Effective Mentoring Mitigates Burnout And Turnover During Organizational Transformation, Jeffery M. Camp
Journal of Online Mentoring
This qualitative study examined how effective mentorship mitigates burnout and attenuates turnover intention during organizational change, foregrounding the perspectives of experienced mentors. Drawing on Biggs’s presage–process–product (PPP) model, data were collected through semi-structured interviews (n = 12) and two focus group discussions (n = 6 each), engaging 18 unique mentors employed in organizations with 1,000 or more employees. Thematic analysis following Braun and Clarke’s six-phase protocol yielded four themes: (1) mentorship as strategic facilitation of organizational change; (2) mentorship as provision of emotional and psychological support; (3) empowering mentees through relationship-building; and (4) applying adaptive and reflective strategies. …
“I Was Not Wonder Woman And Required Help”: Black, Latina, And White Women’S Recovery From The Covid-19 Pandemic, J. Mitchell Vaterlaus, Colton Pierce, Harry Foster, Alison Brennan, Nicole Wanago
“I Was Not Wonder Woman And Required Help”: Black, Latina, And White Women’S Recovery From The Covid-19 Pandemic, J. Mitchell Vaterlaus, Colton Pierce, Harry Foster, Alison Brennan, Nicole Wanago
Journal of Social, Behavioral, and Health Sciences
The COVID-19 pandemic disproportionately affected women, particularly women of color, yet less is known about their recovery experiences following the end of the public health emergency. This exploratory mixed-methods study examined recovery from the COVID-19 pandemic among Black, Latina, and White women in the United States. Participants (N = 133) completed a survey that included a self-reported recovery measure and open-ended questions regarding their recovery experiences. A chi-square analysis indicated a significant association between race/ethnicity and recovery status, with Latina women more likely to report ongoing recovery than Black and White women. Codebook thematic analysis identified four themes: (1) …
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Walden Dissertations and Doctoral Studies
The foster care system faces a persistent challenge in retaining foster parents, resulting in adverse outcomes for foster children. The literature identifies multiple reasons for foster parent attrition (e.g., foster agency dissatisfaction, life changes, and lack of resources and support). This study explored former foster parents’ narratives of exiting foster care. I illuminated how foster care agencies treat foster parents who exit the system and how this affects their attitude about the foster care system. General systems theory (GST) was used to guide the analysis. The research design was basic qualitative, and purposive and snowball sampling were used to recruit …
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Walden Dissertations and Doctoral Studies
Employee turnover and declining workplace productivity remain persistent challenges for healthcare organizations operating in a rapidly evolving industry environment. Healthcare leaders are concerned about employees’ intent to leave, as it is the strongest predictor of rising turnover, directly threatening both productivity and organizational stability. Grounded in equity theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies healthcare leaders use to retain employees and increase workplace productivity in a changing healthcare environment. The participants were seven healthcare leaders who had implemented effective strategies to retain employees and increase workplace productivity in a changing healthcare environment. Data …
Enhancing Hiv Knowledge And Resource Awareness Among Chief Nursing Officers, Susan Louise Cooper Bailey
Enhancing Hiv Knowledge And Resource Awareness Among Chief Nursing Officers, Susan Louise Cooper Bailey
Walden Dissertations and Doctoral Studies
Human immunodeficiency virus (HIV) remains a significant public health concern in rural communities, where limited specialty care, geographic isolation, transportation barriers, and stigma may delay testing and entry into care. The Texas Panhandle is a geographically expansive rural region served by rural hospitals with limited resources. Although area HIV services are available, they are inconsistently utilized. Although chief nursing officers (CNOs) influence practice and care coordination, knowledge gaps regarding HIV guidelines, prevention strategies, and regional resources may limit identification, referral, and continuity of care. The purpose of this doctor of nursing practice (DNP) project was to determine whether a targeted …
Displaced By Disaster: Examining The Effects Of Hurricanes Maria And Irma On Chronic Homelessness In The United States Virgin Islands, Clinton Hart
Walden Dissertations and Doctoral Studies
The United States Virgin Islands (USVI) is an island territory that is geographically isolated and has a fragile economy that has a limited capacity to address homelessness particularly when exacerbated by natural disasters. Existing literature demonstrated that major hurricanes can be associated with displacement, housing instability, and increased demand for emergency housing resources among socially vulnerable populations. However, limited longitudinal quantitative research has examined the impact of hurricanes on changes in homelessness trends in the USVI, representing a gap in territory-specific research. The purpose of this quantitative interrupted time series study was to examine homelessness trends associated with hurricanes Irma …
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
Walden Dissertations and Doctoral Studies
This study examines leadership in a community policing context. It addresses a long-standing problem: injustice, inequality, and unfair treatment. Specifically, it examines community policing and the impact of law enforcement leadership, particularly servant leadership, on policing outcomes. Greenleaf’s Theory of Servant Leadership guided this study. Participants included mid- to senior-level law enforcement officers with community policing experience, at least three years of leadership experience, and at least 18 years of age. Recruitment occurred through social media outlets such as Facebook and Instagram. Data were collected through semi-structured interviews with 19 participants. Thematic analysis produced six themes: community engagement and partnerships; …
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Walden Dissertations and Doctoral Studies
African American males between the ages of 18 and 29 have lower rates of successful completion in drug court programs compared to other populations, increasing their risk of incarceration and recidivism. This study examined whether participation in the Habilitation Empowerment Accountability Therapy (HEAT) program, a culturally responsive intervention, was associated with improved drug court graduation outcomes among African American male participants. Guided by cognitive behavioral theory, a quantitative retrospective causal-comparative design was used to analyze archival data from 96 African American male participants enrolled in a drug treatment court program in Columbia, Missouri. A chi-square test of independence was conducted …