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Imposter Syndrome And Self Determination In Clinical Social Work Supervision, Alexis Tarr

Walden Dissertations and Doctoral Studies

This doctoral project is focused on the social work practice problem of limited understanding of how social workers experience clinical supervision in the context of imposter syndrome. Imposter syndrome can affect confidence, decision making, and overall wellbeing, making it an important issue in clinical social work practice. The purpose of this study was to explore how social workers describe and make meaning of their supervision experiences involving feelings of imposter syndrome. Guiding practice-focused research questions were used to examine how social workers experienced clinical supervision and described autonomy, competence, and relatedness. This study was informed by the self-determination theory, which …

Southeastern United States Community College Instructors’ Perceptions In Implementing Universal Design For Learning, Marshalle Lockhart

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that community college instructors struggle to implement universal design for learning (UDL) in Southeastern districts in the United States. Grounded in UDL, which was developed by the Center for Applied Technology, the purpose of this qualitative study was to explore community college instructors’ perceptions on the challenges they face when implementing UDL in their classroom. For this basic qualitative study, semistructured interviews were conducted with eight community college instructors. Using deductive coding, the data were analyzed using a thematic approach with five themes emerging: (a) UDL improves access but does not …

From Fields To Flu: Mapping H5n1 Zoonotic Risk In California Rice Fields, Mariati Messinger

Walden Dissertations and Doctoral Studies

Highly Pathogenic Avian Influenza (HPAI) H5N1 threatens agriculture, wildlife, and public health in California, where flooded rice fields in the Central Valley provide surrogate wetland habitat for migratory waterfowl and may create ecological interfaces for viral spillover into poultry systems. This quantitative ecological study examined whether county-level rice acreage, Lesser Snow Goose activity, and their interaction were associated with poultry HPAI H5N1 outbreak incidence during complete winter seasons available for analysis. Guided by One Health and disease ecology frameworks, secondary data from USDA, eBird, PRISM, and public surveillance sources were analyzed for 36 county-winter observations using negative binomial regression, logistic …

Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia

Walden Dissertations and Doctoral Studies

The underrepresentation of Latinx professionals in leadership roles remains a challenge for technology leaders. Leaders who lack effective leadership development strategies for Latinx employees may experience reduced innovation, lower productivity, and decreased organizational competitiveness. Grounded in the resource-based view, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by Silicon Valley technology leaders to advance Latinx employees into leadership roles to increase firm productivity. Participants were 10 technology leaders with experience implementing strategies to hire, develop, and promote Latinx talent. Data were collected through semistructured interviews, public organizational documents, and industry publications. …

Examining Variations In Non-Conventional Health Care Utilization Among Students At A Hispanic-Serving Institution, Monideepa B. Becerra, Karina E. Corral

Journal of Social, Behavioral, and Health Sciences

The use of non-conventional health care, such as complementary and alternative medicine (CAM) and traditional healing practices, is increasing in the United States. Little is known, however, about its prevalence and influencing factors among college students—especially of varied racial/ethnic background. This study examined these patterns among college students using a cross-sectional survey conducted at a Hispanic-serving institution. Participants reported their use of non-conventional care, and demographic and motivational factors were analyzed using descriptive and bivariate analyses. Of the 641 participants, a majority reported CAM use (96%) and visits to a traditional healer (83%), with higher prevalence among Hispanic and female …

Marketing Strategies To Enhance Awareness And Attract International Patients In The Medical Tourism Industry Of Trinidad And Tobago, Natasha Rachel Rochford-Chance

Walden Dissertations and Doctoral Studies

Disseminating inadequate service information can limit a business's market appeal and hinder its growth. Business leaders must include comprehensive service information in their marketing strategies, as inadequate service information can make a business seem unappealing to potential clients, undermine competitive position, reduce market share, and diminish profitability. The purpose of this qualitative pragmatic inquiry was to explore the marketing strategies used by medical tourism business leaders in Trinidad and Tobago to attract international patients and increase profitability. The participants were eight medical tourism business leaders with experience in implementing marketing strategies. McCarthy's marketing mix theory of product, price, place, and …

Staff Education To Improve Nurse Competency In Phq-9 And Gad-7 Screening Using A Standardized Behavioral Assessment In An Outpatient Mental Health Setting, Ernest Ogbeide

Walden Dissertations and Doctoral Studies

Evidence-based practice was the basis for this quality improvement project, which involved developing and implementing a staff education program to enhance nurses' competency in administering, scoring, and interpreting behavioral health screening tools (PHQ-9 and GAD-7) for outpatient mental health services. Variability in competency amongst clinical staff to use these standardized screening tools for evaluating anxiety and depression was identified as a problem, as there was no structured, evidence-based education and competency validation process for clinical staff to use, which has the potential to decrease early identification of anxiety and depression among patients and impact clinical assessment and decision-making. The practice …

Strategies For Effectively Socializing Remote Workers, Emily Dahlen

Walden Dissertations and Doctoral Studies

Improper socialization of remote workers into the organization can increase employee turnover and create an unstable remote workforce. Business leaders who fail to effectively socialize remote workers in ways that strengthen organizational identification and reduce turnover risk may create workforce instability that exposes the organization to additional business risks. Grounded in the theory of organizational socialization, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies some business leaders use to socialize remote workers and increase employee retention. The participants were eight business leaders who had implemented effective socialization strategies to remote employees. …

Staff Education To Address Medication Nonadherence Among Patients With Mental Health Challenges, Almena Ilis Huggins

Walden Dissertations and Doctoral Studies

Patients’ non-adherence to prescribed medication regimens remains a significant challenge in healthcare. Patients often misuse or skip their medications, which undermines treatment outcomes. This was evident at a mental health medical practice located in a suburban area of the southeastern coast. To address this problem, I developed, implemented, and evaluated a staff education program on evidence-based strategies to improve medication adherence among individuals with mental illness. The practice question focused on whether staff knowledge increased following participation in the education program. Four nursing staff participated in the 2-hour education program. Pre- and posttest questionnaires consisted of 15 multiple-choice questions. The …

Enhancing Surgical Team Readiness: Simulation Training For Power Failure Response In Robotic Procedures, Heather Marie Sorton

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) project, I used a quality improvement design to implement and evaluate a simulation-based education aimed at improving perioperative staff knowledge related to robotic power-loss events. A practice gap was identified in staff preparedness for robotic system failures due to limited education on emergency protocols, communication, team roles, and Association of PeriOperative Registered Nurses (AORN)-aligned response processes, impacting patient safety during robotic-assisted procedures. I examined whether implementation of a simulation-based educational intervention improved staff knowledge related to robotic power-loss management. The purpose of the project was to improve staff knowledge and standardize responses to …

K-12 Teachers’ Perspectives On The Adoption Of Virtual Reality And Augmented Reality Technology In Classroom Instruction, Breanna Mckenley

Walden Dissertations and Doctoral Studies

The problem addressed in this basic qualitative study was that although some K–12 teachers have access to virtual reality (VR) and augmented reality (AR) technologies, these tools are not widely accepted or adopted for classroom instruction. Guided by the technology acceptance model, the purpose of the study was to explore K–12 teachers’ perspectives on their willingness to incorporate VR/AR, the perceived usefulness and ease of use of these technologies, and the challenges they encounter or anticipate during the adoption process. Semistructured interviews were conducted with 10 K-12 teachers from public, charter, and private schools in the United States who had …

Medical Recommendations And Bmi Among Black And Hispanic Adolescent Females, Dorothea Polk

Walden Dissertations and Doctoral Studies

Adolescent obesity persists as a critical public health challenge in the United States, with Black and Hispanic adolescent females experiencing elevated rates. Adolescent obesity contributes to serious long-term health risks, but provider counseling may support body mass index (BMI) management. Guided by the social-ecological model, this study examined whether receiving medical recommendations to control or lose weight was associated with BMI among Black and Hispanic adolescent females aged 16–19 years and whether meal preparation habits and food security status moderated this association, controlling for age, household income, and race/ethnicity. This quantitative, cross-sectional secondary analysis used multiple linear regression analyses to …

Strategies Managers Used To Mitigate Constraints For Project Success, Teela Washington

Walden Dissertations and Doctoral Studies

Persistent project failures result in significant financial losses and reduced project management efficacy. Project managers who struggle to complete projects to scope, on time, and on budget risk reducing business performance and organizational value. Grounded in change management theory and theory of constraints, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies project managers employ to mitigate constraints and improve project success. Participants were 10 project managers who effectively mitigated constraints. Data were collected using semistructured interviews and publicly available documents. Thematic analysis yielded four key themes: leadership, resource management, stakeholder engagement, and …

A Dynamic Web Design Strategy For Increased Customer Engagement And Sales, Sherline Jones

Walden Dissertations and Doctoral Studies

Nonprofit organizations risk losing customers, revenue, and mission impact when leaders fail to adapt digital strategies to evolving customer expectations. Nonprofit leaders are concerned because digital strategy adoption is essential to strengthening sustainability and expanding mission-centered services. Grounded in the Baldrige Excellence Framework, the purpose of this qualitative single case study research project was to explore effective strategies nonprofit business leaders use to leverage technology to attract new customers, retain existing customers, and increase sales. The participants were two senior leaders from a Florida nonprofit organization in the southern United States. Data collection included semistructured interviews, internal archival data, and …

Staff Education In An Outpatient Psychiatric Setting Using The Teach-Back Method To Improve Staff Knowledge Toward The Ultimate Goal Of Improving Medication Adherence, Laura Assanga Eyong

Walden Dissertations and Doctoral Studies

For this doctoral project, I implemented a structured staff education intervention at an outpatient psychiatric clinic that required a practice change to address medication nonadherence among patients diagnosed with schizophrenia. The practice-focused question was: For staff in an outpatient psychiatric setting, will structured education on the use of the teach-back method improve staff knowledge toward the ultimate goal of improving medication adherence? The goal of this project was to conduct a rigorous education program using the analysis, design, development, implementation, and evaluation model to bridge the communication gap between staff and patients. Staff knowledge was evaluated via a pre-/posttest design …

Reducing Psychotropic Polypharmacy In Outpatient Mental Health Settings, Roseline Onyebuchi Okafor

Walden Dissertations and Doctoral Studies

Psychotropic polypharmacy in outpatient mental health settings is associated with increased adverse drug events, reduced adherence, and higher healthcare utilization. This Doctor of Nursing Practice project developed and evaluated an evidence-based clinical practice guideline (CPG) to reduce inappropriate psychotropic polypharmacy among adults receiving outpatient psychiatric care. Guided by the Johns Hopkins Nursing Evidence-Based Practice model, a systematic literature review informed recommendations including structured medication reviews, standardized prescribing practices, interdisciplinary collaboration, and shared decision-making. The guideline was evaluated by a multidisciplinary expert panel using the AGREE II instrument. Mean domain scores ranged from 6.3 to 6.8 on a 7-point scale, indicating …

Effective Strategies For Hospital Leaders To Increase Employee Retention, Lionso Gomez

Walden Dissertations and Doctoral Studies

Employee retention remains a critical challenge for hospital leaders because high turnover can contribute to workforce instability, increased organizational costs, and poor patient care quality. The purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies that hospital leaders in Texas use to increase employee retention. The participants were six former hospital leaders in Texas's eastern and southern regions who had successfully implemented employee retention strategies. This research project was grounded in Herzberg’s two-factor theory. Data were collected through semistructured interviews and publicly available documents. The data were analyzed utilizing Braun and Clarke’s six-step thematic …

Enhancing Chronic Kidney Disease Awareness And Early Identification Through Community Health Worker Education In Rural Arkansas, Samantha L.M. Smith

Walden Dissertations and Doctoral Studies

The doctoral project was focused on improving staff education and development to prevent chronic kidney disease (CKD) through community health worker (CHW) education. The practice problem was the delayed identification of CKD risk factors and late referral to nephrology services, particularly among rural and underserved populations. Because CKD often progresses without symptoms, early education and awareness are critical to improving outcomes and reducing disease progression. The purpose of the project was to develop and implement a structured CKD educational curriculum for CHWs to improve their confidence in kidney health, CKD risk factors, prevention strategies, early identification, and referral awareness. The …

Maintaining Excellence Under Pressure: The Stress–Performance Paradox In A Multi-Campus State University System, Rico D. De Asis Dr.

Higher Learning Research Communications

Objectives: This study examines how multiple stress dimensions (levels, sources, effects, and coping mechanisms) relate to teaching performance in resource-constrained Southeast Asian public higher education, addressing the geographic concentration of faculty stress research in Western contexts.

Methods: Using multiple regression analysis with 80 permanent faculty members across three campuses of a state university system, I assessed relationships between stress factors and teaching performance. The study employed validated stress assessment instruments examining stress levels, sources (student, teacher, environment, work-related), effects (self, family, work), and coping mechanisms.

Results: Self effects of stress demonstrated the strongest negative relationship with teaching performance (R² …

Time Series Analysis Of Temperature And Pollen Exposure On Asthma Outcomes In Atlanta, Georgia, Victoria Okereke-Viktorsson

Walden Dissertations and Doctoral Studies

The effects of climate change contribute to volatile temperature changes, which coupled with pollen exposure pose a significant threat to asthmatic people, potentially impacting methods for asthma management. The purpose of this ecological time-series study was to use the carbon dioxide theory of climate change, Dutch hypothesis, and social ecological model to estimate the relationship between average temperature and average pollen concentrations on average asthma morbidity outcomes for adults living in metropolitan Atlanta from 2020 to 2022 (N = 37,913). Results varied in terms of years, socioeconomic status (SES) vulnerability, gender, and racial group. Overall, a linear regression model revealed …

Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji

Walden Dissertations and Doctoral Studies

This staff education project addressed inconsistent staff knowledge of prenatal depression screening and follow-up protocols in an outpatient behavioral health practice serving prenatal patients. Prenatal depression is a nursing practice concern because delayed identification and inconsistent follow-up may affect maternal well-being, infant outcomes, family functioning, and timely access to behavioral health support. The practice-focused question was: According to the evidence, among clinical staff in an outpatient maternal mental health setting, what is the impact of structured staff education on adherence to prenatal depression screening on follow-up protocol knowledge? The purpose was to improve clinical staff knowledge through a structured education …

Identifying Symbolic Modeling Of Grooming Precursors In Social Media, Heath Landress

Walden Dissertations and Doctoral Studies

Short-form video platforms such as TikTok and Instagram Reels increasingly circulate dating and lifestyle advice that may normalize coercive relational scripts. A key challenge for preventing technology-facilitated child sexual exploitation is that early grooming precursors can be communicated through audiovisual design choices, such as tone, pacing, setting, and editing, that make manipulative narratives appear benign. The purpose of this qualitative multimedia content analysis was to identify recurring observable patterns that provide a form of symbolic modeling, through which relational and boundary-shaping cues associated with early-stage sexualized grooming are framed as ordinary dating or lifestyle advice in public TikTok and Instagram …

Effectiveness And Ethics Of Biometrics In Homeland Security, Aaron Akintayo Akindiya

Walden Dissertations and Doctoral Studies

Homeland security agencies increasingly deploy biometric technologies, including facial recognition and fingerprint scanning, to enhance identity verification and threat detection at airports and borders. However, these technologies raise ethical concerns regarding privacy, algorithmic bias, data protection, and civil liberties. Limited research captures the perspectives of frontline professionals who implement these systems. This study explored how homeland security professionals perceive the balance between effectiveness and ethics. Guided by the technological determinism theory, semistructured interviews were conducted with 13 professionals from U.S. Customs and Border Protection, Transportation Security Administration, and Immigration and Customs Enforcement. Thematic analysis revealed four themes: effectiveness in enhancing …

Creative Independent Work As A Tool For Professional Skill Development In Students, Zhanna Mussina, Gulnar Kazhikenova, Murshida Nurgaliyeva, Klara Smatova, Bakyt Kuanysheva

Higher Learning Research Communications

Objectives: This study aimed to analyze the implementation and impact of students’ creative independent work in English language lessons at Toraighyrov University in Pavlodar.

Methods: The research employed a combination of qualitative and quantitative methods, including logical analysis, functional analysis, and formal legal approaches, supplemented by deductive and inductive reasoning. The empirical phase involved a pedagogical experiment with two student groups (n = 37) to evaluate the effectiveness of creative independent work methods.

Results: Results demonstrated that incorporating creative independent work significantly enhanced both English language competency and broader professional skills, including critical thinking and autonomous learning capabilities. Students …

Effective Strategic Planning Processes Used By Construction Industry Companies, Melvin C. Porter Jr.

Walden Dissertations and Doctoral Studies

Strategic planning failures among small and medium-sized enterprises (SME) construction managers can lead to cost overruns, schedule delays, and operational inefficiencies that threaten organizational viability. SME construction managers who lack effective strategic planning processes face an elevated risk of project failures that jeopardize workforce stability and the long-term sustainability of the communities they serve. Grounded in hoshin kanri framework, the purpose of this qualitative pragmatic inquiry was to explore successful strategic planning processes and models used by SME construction managers in southeastern Virginia to improve operations and reduce project failures. The participants were seven SME construction managers who had successfully …

Exploring Successful Change Strategies For Small Business Owners To Remain Competitive, Omari Akuamoah Boateng

Walden Dissertations and Doctoral Studies

Small businesses are vital to the U.S. economy but face significant challenges in implementing organizational change to remain competitive due to resource constraints. This problem is important to small business owners because ineffective change strategies limit growth, sustainability, and broader economic contribution. Grounded in the resource-based view of the firm and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry project is to explore the evidence-based organizational change strategies used by some small business owners in the United States to achieve and sustain a competitive advantage. The participants were 6 leaders from small businesses with fewer than 100 employees located …

Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado

Walden Dissertations and Doctoral Studies

Current knowledge regarding risk factors for metabolic syndrome (METS) among Hispanic individuals of Mexican descent remains limited. Using data from NHANES 2017–2020, this study compared factors contributing to METS and included U.S.-born and non-U.S.-born Hispanic adults of Mexican descent aged ≥ 18 years living in the USA (N = 949) with assessed METS. Grounded in the social ecological model and social determinants of health, this research evaluated dietary habits, lifestyle patterns, and acculturation processes using multivariate logistic regression and stratified analyses. Educational attainment was associated with METS, but the association was not statistically significant in adjusted models p = 0.528. …

Strategic Organizational Growth In Nonprofit Organizations: A Swot-Based Change Management Analysis, Sharika Williams

Walden Dissertations and Doctoral Studies

Nonprofit organizations often face operational and sustainability challenges. This study examined a nonprofit serving individuals with intellectual and developmental disabilities that was experiencing increased service demands, communication challenges, and workforce shortages. The purpose of this generic qualitative study was to develop a sustainable strategic change management approach to strengthen workforce development, financial stability, stakeholder collaboration, and strategic planning. Guided by the research question, "How can the client nonprofit organization implement a sustainable change-management approach that addresses internal communication challenges and resource constraints while maintaining mission alignment?" the study used a SWOT analysis and Kotter’s eight-step change model. Data were collected …

Global Humanitarian Aid Sector Leaders’ Perceptions Of Leadership Development Programs To Support Humanitarian Aid Workers, Stephen J. Thomspon

Walden Dissertations and Doctoral Studies

The problem addressed through this study is that current leadership development programs for global humanitarian aid sector (GHAS) leaders fail to adequately address the unique circumstances of humanitarian aid work. Grounded in trauma-informed care and adaptive leadership, the purpose of this basic qualitative study was to explore GHAS leaders' perceptions of the essential components and opportunities for improving leadership development programs, as well as their recommendations on how to address the unique contexts of humanitarian aid workers. Semistructured interviews with eight GHAS leaders who had at least 10 years of sector experience were conducted. Through qualitative content analysis with a …

Metropolitan Public School Counselors’ Perceptions On Implementing The Ohio K–3 Social And Emotional Learning Standards, Sharon Johnson

Walden Dissertations and Doctoral Studies

In 2019, the Ohio Department of Education adopted K–12 Social and Emotional Learning (SEL) standards to support students’ emotional, behavioral, and academic development; however, the problem is that implementation remains optional across districts, resulting in variability in school counselors’ access and consistency. Although SEL implementation has been examined in educational settings, there is a gap due to a lack of available research that have explored metropolitan K-3 public school counselors’ lived experiences implementing the Ohio K-3 SEL standards. The purpose of this transcendental phenomenological study was to explore metropolitan K-3 public school counselors lived experiences implementing the Ohio K-3 SEL …