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Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi Mar 2026

Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi

Walden Dissertations and Doctoral Studies

Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …

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Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole Mar 2026

Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole

Walden Dissertations and Doctoral Studies

This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.

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Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton Mar 2026

Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton

Walden Dissertations and Doctoral Studies

Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …

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Alignment Of Projects With Business Strategy, Lyndon Leathan Martin Mar 2026

Alignment Of Projects With Business Strategy, Lyndon Leathan Martin

Walden Dissertations and Doctoral Studies

Some organizations lack strategies to ensure that project outcomes are aligned with organizational objectives. Business leaders are concerned when project outcomes are misaligned with organizational objectives, as this can lead to decreased profitability and a loss of competitive advantage. Grounded in Porter’s Five Forces model, the purpose of this qualitative, pragmatic inquiry was to explore the strategies business leaders use to ensure project outcomes are profitable and aligned with organizational objectives. The participants were six executive leaders of real estate and development companies in the Caribbean, purposefully selected because their organizations had successfully fulfilled organizational objectives through project outcomes. Data …

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Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill Mar 2026

Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill

Walden Dissertations and Doctoral Studies

Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …

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Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah Mar 2026

Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah

Walden Dissertations and Doctoral Studies

Reading skills in elementary school students continue to decline despite the efforts of teachers and lawmakers. The problem addressed through this study was that although teachers at ABC Elementary School (pseudonym) had access to 30 different software/apps for technology literacy programs that could help improve student achievement on state assessments, district data showed that very few teachers were using the technology with students. The purpose of this qualitative project study was to explore the perspectives of elementary teachers on the challenges of implementing reading technology and ways to better support its use in classroom instruction at ABC Elementary School. The …

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Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar Mar 2026

Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar

Walden Dissertations and Doctoral Studies

A lack of effective strategies for adopting generative artificial intelligence (GenAI) limits business leaders in the Caribbean’s ability to enhance business performance and decision-making. Business executives, shareholders, employees, and policymakers are vested in the success of Caribbean businesses to remain competitive and become more efficient. Grounded in the technology acceptance model (TAM), the purpose of this qualitative, pragmatic inquiry project was to identify and explore the strategies Caribbean business leaders use to successfully adopt GenAI, thereby enhancing business performance and decision-making. The participants were seven business leaders from for-profit organizations in the English-speaking Caribbean. Data were collected using semistructured interview-based …

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The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett Mar 2026

The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett

Walden Dissertations and Doctoral Studies

Homelessness is a worldwide, complex social problem that has impacted groups like women and children. In recent studies, researchers have demonstrated that homeless mothers can face mental health challenges and stressors related to parenting, while homeless children can experience emotional and physical difficulties. Parental resources have been cited as a tool to help homeless families address stress and development in distinct settings in current research; however, there was limited research on how faith-based non-profits utilize parental resources to help homeless mothers. The purpose of the generic qualitative study was to learn the perceptions and experiences of faith-based non-profit human services …

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Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates Mar 2026

Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates

Walden Dissertations and Doctoral Studies

Anxiety is the most rapidly growing mental health problem globally, particularly among adolescents and young adults. Mental health clinicians need effective integrative health treatment strategies to address the anxiety epidemic. The purpose of this qualitative generic study was to explore the perspectives of clinicians on the process of using equine-assisted psychotherapy (EAP) to treat adolescents and young adults with anxiety through the lens of a somatic theory, bioenergetics. Data were collected using semi-structured interviews with 12 EAP clinicians and analyzed using Braun and Clarke’s thematic analysis. Three themes were identified: 1. The process of EAP is highly effective because energetic …

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Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay Mar 2026

Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was the high percentage of novice teachers leaving the profession during the first 5 years of teaching in a Southwestern state. Grounded in Mitchell et al.'s job embeddedness theory, the purpose of this qualitative study was to explore K-12 teachers’ perspectives on factors influencing their decision to remain in the education profession, as well as K-12 administrators’ perspectives on influencing novice teachers’ decisions to persist in the education profession in a Southwestern state. For this basic qualitative design, data were collected from 10 teachers and three administrators and analyzed using Braun and …

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Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell Mar 2026

Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell

Walden Dissertations and Doctoral Studies

Acute care hospitals continue to experience financial strain as the healthcare system transitions from fee for service to value-based reimbursement (VBR) models. The purpose of this integrative review was to identify evidence-based financial, clinical, and operational strategies that support hospital adaptation to value-based models while maintaining financial stability and high-quality care. The guiding question focused on determining which strategies reduce financial pressures and improve value-based performance in acute care hospitals. Guided by resource-based theory, this integrative review included 25 empirical and nonempirical studies published between 2019 and 2025 that examined U.S. acute care hospitals. Data were synthesized through a thematic …

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Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson Mar 2026

Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson

Walden Dissertations and Doctoral Studies

This doctoral project was conducted at a family practice clinic to assess the impact of staff education on the clinic staff knowledge of the use of situation, background, assessment, recommendation (SBAR) as a communication tool. Miscommunication among healthcare staff is a practice problem at the clinic caused by unstructured sharing of information, which often results in delay in patient care, occurrence of medical errors, and decrease in patient safety, thus the need to address this problem. The purpose of the project was to use staff education on SBAR to increase the clinic staff knowledge on the use of SBAR as …

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Falls In Inpatient Hospital Settings, Merlina Constantine Mar 2026

Falls In Inpatient Hospital Settings, Merlina Constantine

Walden Dissertations and Doctoral Studies

Inpatient falls are a common and preventable problem that affects health care costs, patient safety, and clinical quality. Inpatient falls occur within hospitals, cause harm, extend hospitalization, and require additional healthcare funding. Falls harm a patient’s physical health and cause emotional trauma, decrease patient satisfaction, and undermine confidence in the hospital care systems. Falls are therefore a significant concern in the nursing practice environment because nurses form the first component of prevention, monitoring, and intervention. This doctoral project aimed to re-educate and reinforce staff understanding of clinical guidelines to prevent inpatient falls through evidence-based interventions targeting environmental, behavioral, and organizational …

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Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton Mar 2026

Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton

Walden Dissertations and Doctoral Studies

Ineffective employee well-being strategies can contribute to elevated levels of voluntary turnover, resulting in increased employee replacement costs, lost organizational knowledge, and operational disruption. Human resource (HR) leaders who do not successfully develop employee well-being strategies may find their organization facing operational disruptions as a result. Grounded in social sustainability and the European corporate sustainability frameworks, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective employee well-being strategies used by HR leaders to reduce employee turnover and employee replacement costs. The participants were 10 HR leaders who had implemented effective employee well-being strategies. Data …

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Lived Experiences Of Black, Indigenous, And People Of Color (Bipoc) Counselors Collaborating With Multidisciplinary Teams To Treat Bipoc Clients Diagnosed With Eating Disorders, Melissa Sherfield Mar 2026

Lived Experiences Of Black, Indigenous, And People Of Color (Bipoc) Counselors Collaborating With Multidisciplinary Teams To Treat Bipoc Clients Diagnosed With Eating Disorders, Melissa Sherfield

Walden Dissertations and Doctoral Studies

Eating disorder (ED) treatment has historically been grounded in Eurocentric models that inadequately account for the cultural contexts and lived experiences of Black, Indigenous, and people of color (BIPOC), contributing to persistent disparities in care. The purpose of this descriptive transcendental phenomenological study was to explore the lived experiences of BIPOC counselors who provide culturally responsive care to BIPOC clients diagnosed with EDs. Guided by Husserl’s phenomenological philosophy of intentionality and Giorgi’s descriptive phenomenological method, the central research question addressed the lived experiences of BIPOC counselors providing culturally responsive ED care, with a sub-question addressing how counselors describe their preparedness …

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Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe Mar 2026

Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe

Walden Dissertations and Doctoral Studies

Understaffing during the weekends has been related to issues in patient safety, delayed responses, and increased nurse fatigue and turnover in a majority of inpatient mental health units. This practice improvement Doctor of Nursing Practice (DNP) project aimed to address disparities in nurse staffing ratios between weekdays and weekends within inpatient mental health units. The purpose of the project was to design and test an evidence-based acuity-based staffing model, supported by structured staff education and compliance monitoring, to promote equitable workload distribution and improve patient and organizational outcomes. The guiding practice question asked: How does the implementation of an acuity-based …

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Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer Mar 2026

Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer

Walden Dissertations and Doctoral Studies

Breast cancer patients with major depressive disorder (MDD) are at a high risk of experiencing pain and fatigue, anxiety and substance use, poor quality of life, marital spouses with elevated depression, impaired sexual functioning, sleep disorders, poor immune system functioning, rapid progression of cancer, and higher mortality rates. Grounded in Fritz Heider’s attribution theory, the purpose of this quantitative quasi-experimental study was to examine the relationship between physical exercise and a decrease in MDD. The participants comprised of 15 female breast cancer patients, 18 years of age and older, who may have experienced depression. The participants completed the Beck Depression …

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Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards Mar 2026

Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards

Walden Dissertations and Doctoral Studies

Custody decisions are often informed by attachment-based arguments, yet little research has examined long-term effects of custody type on adult outcomes. This study involved examining whether joint versus sole physical custody predicted relationship satisfaction, testing both parental attachment and socioeconomic status as mediators. Data were collected from 226 adult participants (mean age = 33.42), whose parents separated before age 13. Validated measures were used to assesse relationship satisfaction, parental attachment, and socioeconomic status. Participants who grew up in joint physical custody arrangements reported significantly higher relationship satisfaction compared to those who experienced sole physical custody (b = 0.54, p = …

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The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett Mar 2026

The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett

Walden Dissertations and Doctoral Studies

No abstract provided.

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Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips Mar 2026

Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips

Walden Dissertations and Doctoral Studies

The United States Department of Defense and Bureau of Labor Statistics estimated that female veterans and nurses experience work-related trauma at rates of 51% or higher. While many studies have examined their mental health outcomes, posttraumatic worsening of physical health has been less studied in this population. This generic qualitative inquiry was conducted to gain a deeper understanding of the subjective lived experiences of female nurses and veterans' work-related traumatic exacerbation of an existing respiratory disorder. The coping strategies developed, the potential barriers they overcame, and the support systems used were examined. The theoretical framework that grounded this study was …

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U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals Mar 2026

U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals

Walden Dissertations and Doctoral Studies

Pharmacists play a pivotal role in public health, particularly in promoting vaccination. However, vaccine hesitancy among pharmacists significantly undermines their willingness to provide effective patient counseling and to advocate for vaccination, potentially eroding public trust in vaccines. This descriptive-phenomenological study sought to understand the factors contributing to pharmacists’ COVID-19 vaccine hesitancy and how this hesitancy affected their willingness to recommend vaccines to patients. Twenty practicing pharmacists were interviewed via Zoom between September 23 and October 14, 2025. The health belief model helped interpret the study findings. Thematic analysis, as described by Braun and Clarke, was conducted to identify and interpret …

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Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh Mar 2026

Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh

Walden Dissertations and Doctoral Studies

During the stage of late adolescence, marriage presents unique challenges, with partners navigating several developmental tasks in tandem with forming and maintaining marital relationships. Partner responsiveness has been consistently identified as a key factor for personal wellbeing and relationship satisfaction. Limited research has explored how late adolescent married individuals describe this dynamic. The purpose of this qualitative transcendental phenomenological study was to explore lived experiences of late adolescent married individuals between 18 and 20 who described their experiences with partner responsiveness during this transitional period. This study was grounded in Bronfenbrenner’s ecological systems theory in order to explore how relational …

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Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown Mar 2026

Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown

Walden Dissertations and Doctoral Studies

This is an educational intervention project targeted was developed to fill a knowledge gap in the treatment of hypertension in a rural primary care clinic. The project focused on enhancing staff education for Remote Blood Pressure Monitoring (RBPM) to enhance the desired patient outcomes regarding continuous monitoring and early interventional actions. The practice problem focuses on the lack of effective methods in managing hypertension that can facilitate the identification of hypertensive crisis and in rural areas. This project's primary research question is: "How can staff education on RBPM enhance knowledge and skills about hypertension management in rural clinics?" The project …

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Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller Mar 2026

Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller

Walden Dissertations and Doctoral Studies

There is a high rate of women in their late 20s and early 30s that are in destructive relationships, many because of decisions that were made during adolescence . Little research has focused on understanding the decision making process of entering intimate, long-term romantic relationships from the viewpoint of adult women in their late 20s through 30s who made that decision during adolescence. This phenomenological study allowed for a greater understanding of adolescent decision making, specifically about entering intimate, long-term romantic relationships. The research questions were (a) What are the lived experiences of young women as they enter intimate, long-term …

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Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan Mar 2026

Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …

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Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay Mar 2026

Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice capstone project presents the development and evaluation of a clinical practice guideline (CPG) for the assessment and management of Type 2 Diabetes Mellitus in adults. The project addresses the ongoing challenge of diabetes-related complications and hospitalizations, highlighting the critical role of personalized patient education and the integration of smartphone technology for home monitoring. Central to this initiative was the question of whether an expert panel would endorse an evidence-based guideline for diabetes monitoring using innovative technology, as evaluated by the AGREE II tool. A robust review of the literature supported the guideline’s development, with high-quality …

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Identity Restoration Theory: Reclaiming Cultural Identity As A Pathway To Reintegration, Sigifredo Castell Britton Mar 2026

Identity Restoration Theory: Reclaiming Cultural Identity As A Pathway To Reintegration, Sigifredo Castell Britton

Journal of Social, Behavioral, and Health Sciences

This article introduces Identity Restoration Theory (IRT), a new theoretical framework that explains what formerly incarcerated individuals need to reconnect with disrupted cultural identities as a pathway to reintegration. Grounded in qualitative fieldwork with Raizal ex-offenders and community leaders on San Andrés Island, Colombia, IRT is designed to conceptualize reintegration, not as institutional resettlement, but as a culturally rooted process of re-embedding identity within community and place. The framework delineates five interdependent constructs—cultural memory, place reconnection, narrative repair, communal belonging, and agency activation—that emerged inductively from participant narratives. Anchored in the postcolonial context of an Afro-Caribbean island society, IRT provides …

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Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones Mar 2026

Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones

Walden Dissertations and Doctoral Studies

Nursing leadership in Belize is lacking but crucial to the well-being of patients, families, and the healthcare team. The purpose of this non-experimental, descriptive, comparative study was to a) determine the difference in leadership self-efficacy for current nurse leaders with three years or less of leadership experience compared to current nurse leaders with more than three years of leadership experience in Belize, and b) examine the differences in leadership self-efficacy between nurses in a leadership position and nurses not in a leadership position in Belize. The theories supporting the study were Burns’ transformational leadership theory and leadership self-efficacy, based on …

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Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud Mar 2026

Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud

Walden Dissertations and Doctoral Studies

Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …

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Opioid Overdose Associations In The United States Among Pregnant And Postpartum Women During 2019-2023, Permecia Winston-Dixon Mar 2026

Opioid Overdose Associations In The United States Among Pregnant And Postpartum Women During 2019-2023, Permecia Winston-Dixon

Walden Dissertations and Doctoral Studies

The rising trend of opioid-involved overdose deaths among pregnant and postpartum women in the United States from 2019 to 2023 represents a pressing public health issue. This population faces increasing risk due to opioid use and co-occurring mental health conditions, yet remains underrepresented in research. The purpose of this quantitative study was to examine the association between opioid involvement among pregnancy-associated overdose deaths, while controlling for pandemic periods (pre-COVID: 2019, peak COVID: 2020–2021, post-peak COVID: 2022–2023). Grounded in the syndemic theory, this study addressed two research questions Grounded in syndemic theory, this study addressed two research questions focused on opioid-involved …

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