Digital Commons Network^™

Proposal For A Comprehensive Workplace Violence Program In An Acute Care Facility, Christin V. Timmons

Walden Dissertations and Doctoral Studies

Workplace violence (WPV) in healthcare is a growing threat to caregiver safety, workforce stability, and patient outcomes. At a newly opened acute care facility, the absence of a comprehensive WPV prevention program posed a gap in practice, creating safety risks and regulatory vulnerability. A literature search was conducted using CINAHL, PubMed/ MEDLINE, ProQuest Nursing & Allied Health collection, and Google Scholar. A total of 50 articles were identified with 11 articles meeting all inclusion criteria. Collectively, findings supported comprehensive, multicomponent WPV prevention programs to integrate leadership engagement, structured governance, staff education, environmental controls, and continuous data monitoring to improve safety …

Ai Vs. Licensed Psychologists: A Comparative Analysis Of Treatment Plan Quality For Treating Psychological Distress, Michael Edward Maloney

Walden Dissertations and Doctoral Studies

The study was conducted to investigate whether statistically significant differences exist in the quality of treatment plans developed by artificial intelligence (AI) platforms versus treatment plans generated by licensed psychologists, with a focus on intervention specificity and clinical appropriateness. Given the rapid proliferation of digital mental health technologies and the persistent shortage of licensed mental health professionals, empirical evaluation of AI-driven clinical tools has become a critical area of inquiry. Grounded in dual process theory (DPT), which conceptualizes decision making as the product of both intuitive and analytical cognitive systems, the study employed a quantitative, between-groups design. Sixty-six licensed psychologists …

High School Educational Leaders’ Perceptions On College And Career Readiness Programs, Sabrina Cosey-Davis

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that despite the widespread availability of college and career readiness (CCR) programs in high schools, these programs are inconsistently designed, implemented, and aligned at the school level. Grounded in Conley’s CCR framework, the purpose of this study was to explore high school educational leaders’ perceptions on the design, implementation, and alignment of CCR programs within their schools. For this basic qualitative design, data were collected through semistructured interviews with 15 educational leaders including administrators, counselors, and department heads. Data were analyzed using Braun and Clarke’s six-phase thematic analysis with the following …

Leadership Role In The Formation Of Leadership Qualities, Culture Of Business Communication, And Emotional Intelligence Of Future Higher Education Professionals, Larysa Hren, Arseniy Khaziyev, Kostiantyn Kachailo, Ivan Kirsanov, Mykola Chebotarev

Higher Learning Research Communications

Introduction/Aims: The study was conducted among 2nd- and 3rd-year undergraduate students and 1st-year master’s students majoring in three specialties: psychology, social security, and medicine. The research examined the influence of leadership qualities on professional training, emotion management, and business communication skills of students in higher education institutions. It explored how these competencies collectively enhance adaptability and preparedness for professional activities in fields such as psychology, social work, and medicine, addressing gaps in educational methodologies.

Methods: We employed a comprehensive, four-stage methodology with content analysis as the primary data collection method. The study involved 63 participants from the National …

Association Between Opioids And Leukemia/Lymphoma In Adults Living In The United States, Brenda Sue Newberry-Colasanti

Walden Dissertations and Doctoral Studies

Opioid prescribing rates and opioid misuse remain high throughout the United States. Exposure to opioids has been positively associated with various cancers; however, research evaluating associations between opioid exposure and hematologic cancers like leukemia and lymphoma is limited. Using the Socio- Ecological Model as a foundation, this quantitative cross-sectional study aimed to analyze the association between medicinal opioid use, opioid misuse, and leukemia/lymphoma while exploring how selected social determinants of health (SDOH) may modify that relationship. Secondary data were pooled from the 2015–20-year United States National Survey on Drug Use and Health (NSDUH). One thousand three hundred and twenty binary …

Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis

Walden Dissertations and Doctoral Studies

Emotional competence is essential for effective clinical practice, professional development, and client care. However, limited research has examined how emotional competence develops among students in fully online doctoral clinical psychology programs. This qualitative descriptive phenomenological study explored how students enrolled in online doctoral clinical psychology programs experience the development of emotional competence during clinical field training. Guided by Goleman’s emotional competence framework, the lived experiences of doctoral students as they developed emotional awareness, emotional regulation, empathy, and relationship management skills was examined. Data were collected through semistructured interviews with 10 purposively selected participants enrolled in online doctoral clinical psychology programs …

Effective Work-Life Balance Strategies That Small Business Owners Use To Increase Personal And Organizational Resilience, Anquinett Pope

Walden Dissertations and Doctoral Studies

Small business owners frequently sustain their businesses at the cost of their personal health, which poses long-term threats to both organizational sustainability and resilience. The sustainability of a small business is often inseparable from the health, well-being, and decision-making capacity of its owner. The purpose of this qualitative single case study was to identify and explore effective strategies employed by some small business owners to balance personal and professional obligations to enhance business sustainability. The study was focused on one small business owner from a consulting firm based in the United Kingdom. The project was grounded in the Baldrige excellence …

A Program Proposal For A Leadership-Driven, Evidence-Based, Intentional Rounding Playbook, Jacqueline Butler Brown

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality. In an acute care hospital in Northeast Georgia, intentional rounding is an established practice. Inconsistent communication, variable leadership engagement, and limited accountability are practice gaps that have reduced its effectiveness in improving patient experience outcomes. A comprehensive literature review using PubMed, CINAHL, MEDLINE, and the Cochrane Library yielded 15 peer-reviewed studies that consistently support intentional rounding as an evidence-based strategy for improving patient satisfaction. As the team leader for this Executive Leadership System Improvement Project, I proposed the development of an Evidence-Based, Leader-Driven Intentional Rounding Program Playbook to standardize enhanced rounding …

Street-Level Mentors And Counselors’ Educational Support To Adolescents In Urban Kenya, Benta A. Abuya Dr., Nelson Muhia

Journal of Educational Research and Practice

This article seeks to establish the experiences of mentors and counselors as “street-level bureaucrats” who worked with students and parents to deliver an after-school support program in urban Kenya. Data were collected from interviews with six mentors and four counselors at the endline evaluation of the Advancing Learning Outcomes for Transformational Change (ALOT Change III). The interviews were conducted in November and December 2021 with parents/guardians, mentors, counselors, and community leaders. We employed the analytical approach by Miles and Huberman to answer the research questions. Our findings showed that mentors and counselors were pillars of the intervention, respectively, with after-school …

African American Women Counselors’ Lived Experiences Of Burnout Due To Microaggressions, Anquitra Walton

Walden Dissertations and Doctoral Studies

Within the counseling profession, African American women navigate unique challenges in the workplace, often experiencing microaggressions that contribute to stress, self-doubt, and emotional exhaustion. While systemic racial issues drive workplace microaggressions, counselor educators and supervisors remain ill-equipped to support African American women through the resulting burnout. The purpose of this qualitative study was to explore the lived experiences of African American women counselors to understand how microaggressions can lead to burnout and affect their psychological well-being. Guided by a transcendental-phenomenological qualitative framework, semi-structured interviews were conducted to capture participants’ experiences, exploring the lived experiences of African American women counselors who …

North Dakota’S New Health Initiative The Multi-Partner Health Collaborative, Krissie L. Mayer

Walden Dissertations and Doctoral Studies

North Dakota’s declining health outcomes and continued disparities demonstrate a need for a coordinated, multisector approach to statewide health improvement. This qualitative case study examined stakeholder perceptions of the initial effectiveness and potential sustainability of the Multi‑Partner Health Collaborative (MPHC) in advancing the State Health Improvement Plan (SHIP). Using systems theory (ST), the study explored how executive leadership, the steering committee, and goal groups function as interdependent subsystems whose alignment, communication, and feedback loops influence overall performance. Semi-structured interviews, analyzed thematically, reflected the patterns related to collaboration, SHIP implementation, barriers to effectiveness, and factors shaping long-term sustainability. Stakeholders generally viewed …

The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn

Walden Dissertations and Doctoral Studies

The Flint, Michigan, water crisis of 2014, with lead contamination of drinking water, adversely affected predominantly Black, socioeconomically disadvantaged residents. However, no research has investigated residents’ experiences, especially their trust in local and state government leaders. The purpose of this study was to explore the lived experiences of the Flint water crisis and its psychological effects. Rawls’s theory of justice provided the framework for the study. Three research questions guided this qualitative descriptive phenomenological study. Information from eight Flint residents was collected through semi-structured interviews. Data analysis followed Giorgi’s descriptive phenomenological steps. Five strong themes emerged: understanding individual perceptions, views …

Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit

Walden Dissertations and Doctoral Studies

Childhood sexual victimization is associated with long-term psychological, emotional, and functional challenges that may persist into adulthood. Despite a growing body of literature on childhood trauma, limited research has explored its residual effects on adult functionality among Black Caribbean immigrants. The purpose of this qualitative phenomenological study was to explore the residual effects of childhood sexual victimization on adult functionality among Black Caribbean immigrants. Purposive and snowball sampling were used to recruit 9 participants through social media platforms. Rational choice theory served as the conceptual framework to examine how trauma-related and sociocultural factors shaped participants' decision-making processes. Data were collected …

General And Special Education Teachers’ Experiences With The Implementation Of Inclusive Education, Katie Chardoussin

Walden Dissertations and Doctoral Studies

Some elementary special education and general education teachers in New Jersey struggle to implement inclusion programs. The purpose of this study was to explore special and general education teachers’ experiences with the challenges they encountered teaching in inclusion classrooms. The conceptual framework for this study was Anderson’s ecology of inclusive education, which highlighted the importance of students having meaningful relationships with their peers. For this basic qualitative design, semistructured interviews were conducted with 19 participants, of whom eight were special education teachers, and 11 were general education teachers. Through inductive coding, the following three themes emerged: Special education and general …

How Female Leaders Perceive The Influence Of Gender On Career Advancement In The Indonesian Construction Industry, Jadeviput Suwanarat

Walden Dissertations and Doctoral Studies

Women who work in leadership positions in the construction industry in Indonesia face gender related challenges. Grounded in Acker’s theory of gendered organizations, this qualitative hermeneutic phenomenological study examined how women leaders experience and interpret gender-related workplace challenges. I collected data through semistructured interviews with nine women leaders in the Greater Jakarta Metropolitan Area and analyzed the data using the modified van Kaam method. Manual coding produced seven emergent themes. Key findings showed that gender inequality is embedded in organizational culture, policies, and everyday practices rather than occurring as isolated incidents. Women leaders reported heightened scrutiny, the need to continually …

Administrative Discharge Strategies To Decrease Readmission Rates Of Black Patients In Acute Care Hospitals, Patricia Cummings

Walden Dissertations and Doctoral Studies

High 30-day hospital readmission rates among Black patients remain a healthcare administration problem associated with high costs and poor care quality. The purpose of this integrative review was to identify evidence-based discharge planning strategies to reduce hospital readmissions among Black patients. The review question was used to examine strategies healthcare administrators can implement to enhance discharge planning for Black patients. Donabedian’s structure-process-outcome model guided the review. A literature search yielded 87 relevant articles; 27 articles published from 2021 through 2026 were appraised using the Johns Hopkins evidence-based practice model, and 25 were used in this review. Thematic analysis resulted in …

Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson

Walden Dissertations and Doctoral Studies

In this quantitative cross-sectional study, differences in perceived preparedness among state, local, and tribal law upon Kingdon’s multiple streams approach and Baumgartner and Jones’ punctuated equilibrium theory to explain administrative changes in law enforcement following the September 11, 2001, attacks. Data were collected from 53 full-time police officers across state, local and tribal agencies using a web-based survey instrument measuring enforcement officers in a northern border region were examined. Officers’ perceived preparedness to identify, prevent, and respond to future terrorist threats were evaluated. Whether perceived preparedness differed by agency type and whether officers with military experience or advanced homeland security …

Food And Drug Administration Audit Outcomes And Their Association With Class I And Class Ii Food Recalls, Mark Baker

Walden Dissertations and Doctoral Studies

Foodborne illness and food recalls remain major public health concerns in the United States. Guided by the Theory of Planned Behavior, the purpose of this quantitative secondary analysis was to examine whether Food and Drug Administration (FDA) inspection classifications, warning letters, and prior 24-month inspection frequency were associated with facility involvement in a subsequent Class I or Class II food recall. Question-specific analytic files were created from publicly available FDA administrative records. Eligible records included FDA-regulated food facilities with qualifying inspection or warning letter events and sufficient data to assess recall involvement within a 12-month follow-up period. The final analytic …

Principals' Perceived Leadership Training For Inclusive K-12 Education, Lettie E. Webster

Walden Dissertations and Doctoral Studies

Adequate training and professional development enhance school principals’ effectiveness in leading inclusive K-12 schools. The problem addressed in this study was the gap in the literature on K-12 principals’ perceptions of the essential elements of preparation and ongoing professional development needed for effective leadership in inclusive educational settings. The purpose of this qualitative study was to explore K-12 school principals’ perceptions of essential components of preparation for effective leadership and the role of ongoing professional development in enhancing their effectiveness as leaders in inclusive educational settings. Beard’s engaged school leadership theory served as the conceptual framework. For this basic qualitative …

The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves

Walden Dissertations and Doctoral Studies

COVID-19 changed the methods in which therapy was traditionally delivered. Mental health therapists switched from in-person to virtual sessions during the pandemic. There was a gap in research related to stress levels of mental health therapists in the telehealth field. Adaptations were made by mental health therapists to provide services and as a result virtual platforms were used to connect with the community served. This qualitative research study was an exploration of mental health therapists perceived responses to stress or burnout in relation to a global pandemic. The theoretical foundation used to assess perceived stress is the Stress Theory. The …

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …

Gender Disparities In The United States Federal Government Stem Leadership, Naomi Hirose-Gormally

Walden Dissertations and Doctoral Studies

Persistent gender disparities continue to limit women’s representation in senior science technology, engineering, and mathematics (STEM) leadership roles within the United States federal government, particularly at the GS‑13, GS‑14, GS‑15, and subject matter expert/senior executive service (SME/SES) levels. The purpose of this qualitative descriptive phenomenological study was to explore how women in senior STEM leadership experience and interpret gender disparities as they pursue and attain leadership positions. Data were collected through individual semi‑structured interviews with women serving in senior STEM leadership and analyzed inductively using phenomenological coding procedures to identify categories and themes that were grounded in participants’ lived experiences. …

Clinical Practice Guideline To Improve Medication Adherence In Adults With Chronic Conditions In Outpatient Settings, Mulumbwa Chishimba

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice project was conducted to develop and assess a clinical practice guideline (CPG) to enhance medication adherence among adult patients with chronic illnesses in an outpatient setting. Adverse health-related outcomes include worsening chronic illness and developing complications, frequent hospital admissions, and rising costs of healthcare services. While some interventions are recommended based on the available literature, most outpatient facilities do not have systematic practices for monitoring and enhancing medication adherence among patients with chronic conditions. The evidence-based question was: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II …

Bahamian Human Resource Practitioners' Perceptions Of Public Service Performance, Lanisha Tamar Rolle

Walden Dissertations and Doctoral Studies

Strong, capable public service systems are essential to meeting society's needs, and perceptions of public-service performance indicate how people ultimately respond to and value public sector systems and performance. While the literature documented the perspectives of public service employees and citizens, and found that they generally believed that public service was inefficient and ineffective due to excessive bureaucracy, autocratic leadership, and political influence, little was known about the perspectives of other stakeholders who participate in or are affected by the public service performance process. The purpose of this generic qualitative study was to bridge the knowledge gap by gathering Bahamian …

Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer

Walden Dissertations and Doctoral Studies

Maternal mortality (MM) continues to be a public health concern in the state of Arizona. There is little to no research investigating the relationship between MM and mental health conditions co-occurring with contributing factors among women who have died in Arizona while pregnant or within 1 year of the end of a pregnancy. The purposes of this quantitative study, guided by the three delays model (3DM), were to examine (a) MM and mental health conditions as the primary underlying cause of death; (b) MM and mental health conditions surrounding death; and (c) significant contributing factors (i.e., discrimination, knowledge, lack of …

Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson

Walden Dissertations and Doctoral Studies

Workplace violence remains a significant issue in healthcare settings, particularly in emergency departments where psychiatric patients may present with aggressive behaviors. Nurses and healthcare staff are frequently exposed to verbal threats, intimidation, and physical aggression, which negatively impact staff safety, job satisfaction, and patient care quality. Despite workplace violence prevention policies, gaps remain in staff preparedness when managing escalating patient behaviors. The purpose of this Doctor of Nursing Practice project was to implement an evidence-based de-escalation training program to improve staff knowledge about managing aggressive psychiatric patients in the emergency department. The practice- focused question was: Can staff education on …

An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate

Walden Dissertations and Doctoral Studies

Canada has exhibited lower productivity growth since 1990, resulting in substantially reduced gains in citizens’ standards of living despite the importance of sustainable productivity to economic prosperity. Understanding the primary factors that influence productivity growth is a critical concern for Canadian government leaders, as it is a key indicator of the nation’s economic vitality, competitiveness, and citizens’ quality of life. The purpose of this qualitative multiple case study was to explore the factors that influenced the investment in productivity improvement of organizations in the energy sector in the Edmonton region of Alberta, Canada. The COSO internal control framework guided this …

Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella

Walden Dissertations and Doctoral Studies

Since the Supreme Court of the United States made the decision to overturn Roe v. Wade, providing access to reproductive health care in the state of North Carolina has been a challenge for medical professionals. Findings from existing literature indicate that a lack of access to reproductive health care can have a negative impact on society from socioeconomics, food and home inequality, and other health care complications. The purpose of this study was to focus on the impacts that health care providers faced when providing care for those who live in the state of North Carolina since the Supreme Court’s …

Seasonal Affective Disorder’S Prevalence And Impact On Organizational Outcomes In The Northeastern United States, Tommaso Bruce Fernandes

Walden Dissertations and Doctoral Studies

Seasonal affective disorder (SAD), a type of depression linked to seasonal changes, primarily affects individuals during fall and winter. More insight was needed on the prevalence of SAD and the role of social support in moderating its impact on organizational outcomes. The purpose of this study was to examine the relationships between SAD and organizational outcomes, including employee well-being, absenteeism, job satisfaction, and productivity, in the Northeastern United States, where SAD symptoms are more prevalent due to environmental factors. Engel’s biopsychosocial model and Cullen’s social support theory provided a theoretical framework for the study. A quantitative cross-sectional design, featuring structured …

Correctional Officers' Perceptions Of Inmate Suicide In Florida State Prisons, Chrishelle Robbins

Walden Dissertations and Doctoral Studies

Correctional officers are responsible for the care, custody, safety, and supervision of inmates within jails, prisons, and correctional institutions. They face many hardships within a prison setting including inmate suicides. The purpose of this qualitative study was to explore and understand the perceptions of Florida state correctional officers who have experienced inmate suicide firsthand. This study was formulated using the transcendental, descriptive phenomenology approach and addressed the study’s research questions. Participants included nine Florida state certified correctional officers who witnessed an inmate suicide. Participants were selected using purposive snowball sampling. Interviews were scheduled and conducted via ZOOM or by telephone …