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Articles 151 - 180 of 14296
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Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Walden Dissertations and Doctoral Studies
Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …
A Narrative-Restorative Framework For Addressing School Bullying, Tristan Patel, Michelle Myers, Daniel Stewart
A Narrative-Restorative Framework For Addressing School Bullying, Tristan Patel, Michelle Myers, Daniel Stewart
Journal of Educational Research and Practice
Bullying in schools is often addressed through punitive deterrence practices, solution-focused counseling, or restorative conferencing. These approaches often fail to recognize or account for the power imbalance that ultimately sustains bullying. This article discusses a narrative-restorative intervention to address bullying as a relational and communal issue, rather than relying on isolation or deterrence practices. The limitations of the dominant models discussed highlight the role of power in shaping bullying dynamics and connect legal and ethical responsibilities of narrative-restorative practices. Situated within the framework of California education law and professional ethical standards, at its core, undercover anti-bullying teams aim to redistribute …
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Walden Dissertations and Doctoral Studies
Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Walden Dissertations and Doctoral Studies
Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Walden Dissertations and Doctoral Studies
Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) staff education project, I addressed inconsistent staff knowledge of evidence-based strategies for preventing and controlling hypertension among African American women in an outpatient primary care setting. The practice-focused question was: In an outpatient clinical setting, what was the impact of an evidence-based staff education program on healthcare providers' knowledge of hypertension prevention and control strategies for African American women, as measured by pretest and posttest scores? The purpose of this project was to implement and evaluate a structured staff education program to improve providers' knowledge of evidence-based strategies for preventing and controlling hypertension …
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Walden Dissertations and Doctoral Studies
A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
Walden Dissertations and Doctoral Studies
Police use of excessive force is an enduring challenge for criminal justice institutions and the public, particularly, affecting minority communities. This has contributed to diminished public confidence in U.S. policing institutions. Prior empirical studies among law enforcement officers, indicate that Black minorities have been discriminated by police officers. Stress research links social stress to mental health and identifies police brutality as an anticipatory stressor for minority groups. The purpose of this qualitative case study was to identify factors, including job-related stressors, and racial bias, that contribute to officers using excessive force, so to fill the gap in research, and develop …
Best-Practice Patient Education On Glp-1, Low-Glycemic Diet, Intermittent Fasting, And Exercise For Weight Loss In Obese Nondiabetics, Clara Green
Walden Dissertations and Doctoral Studies
Executive Summary: Clinical Practice Guideline Best-Practice Patient Education on GLP-1, Low-Glycemic Diet, Intermittent Fasting, and Exercise for Weight Loss in Obese Nondiabetics by Clara Green MS, Walden University, 2020 BS, University of Texas at El Paso, 2014 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2026
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Walden Dissertations and Doctoral Studies
Across the globe, divorce is a challenging situation that affects family relationships and disrupts social networks. Divorced women often experience a decline in their health and well-being immediately postdivorce. The problem addressed in this study is that divorcing women tend to experience more negative or undesirable impacts on their mental health (e.g., depression) postdivorce than men and often find involvement in church to be a source of support or added stress. The purpose of this generic qualitative study was to investigate how recently divorced Black women describe how their involvement in church may have supported their mental health and resilience …
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Walden Dissertations and Doctoral Studies
Retail banking organizations lose billions of dollars annually to nonofficer employee turnover, disrupting operations, degrading customer service, and burdening human resource (HR) leaders with repeated recruitment costs. When retail bank HR leaders experience nonofficer employee turnover among their frontline workforces, it can influence profitability and community trust. Grounded in stakeholder theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies used by retail bank HR leaders to retain nonofficer talent. The participants were 10 HR leaders in U.S. retail banking institutions who had successfully implemented nonofficer retention strategies. Data were collected using semistructured interviews and …
Staff Education To Address Verbal De-Escalation Skills In Correctional Mental Healthcare, Mary L. Goodman
Staff Education To Address Verbal De-Escalation Skills In Correctional Mental Healthcare, Mary L. Goodman
Walden Dissertations and Doctoral Studies
This staff education project evaluated the effects of a structured verbal de-escalation training program on self-efficacy among staff in a federal correctional mental health unit. Staff at the site often reported uncertainty managing escalating behaviors, leading to frequent use of restrictive interventions like restraints and seclusion—practices that can compromise safety, quality of care, and raise ethical concerns. To address this gap, an evidence-based curriculum was implemented for 41 multidisciplinary staff, including nurses, certified nursing assistants, and correctional officers. The curriculum included a PowerPoint presentation, role play, and group discussion. A pre–post design measured changes in staff confidence using a modified …
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
Walden Dissertations and Doctoral Studies
Extensive research shows the brain is malleable and, with experience and knowledge, intelligence can grow. The research problem addressed through this study was that the extent of early childhood educators' knowledge of learnable intelligence and their advocacy for advancement of children’s cognitive capabilities as a developmental goal were unknown. Guided by Perkins’s theory of learnable intelligence, the purpose of this basic qualitative study was to explore K–3 teachers’ perspectives on learnable intelligence as a developmental target and how they advocate for children’s cognitive capabilities in their classrooms. In vivo and axial coding of data from semistructured interviews with 12 participants …
Staff Education To Improve Knowledge And Confidence In A1c Screening For Adults With Serious Mental Illness, Veronica Akweley Odoi
Staff Education To Improve Knowledge And Confidence In A1c Screening For Adults With Serious Mental Illness, Veronica Akweley Odoi
Walden Dissertations and Doctoral Studies
This project was conducted to observe the effects of staff education on staff knowledge and confidence regarding metabolic risk and hemoglobin A1c (A1C) monitoring for adults with serious mental illness in a crisis response unit. The lack of a streamlined system in metabolic testing in recent times has led to nuances in metabolic testing for patients with serious mental illness. The practice-focused question asked whether evidence-based staff education on A1C monitoring, and provider roles would improve staff knowledge and confidence. The purpose of the education is to strengthen knowledge of metabolic risk, A1C screening expectations, role clarity, workflow, and staff …
Staff Education To Providers Prescribing Glp-1 Medications For The Treatment Of Obesity, Madeleine Williams
Staff Education To Providers Prescribing Glp-1 Medications For The Treatment Of Obesity, Madeleine Williams
Walden Dissertations and Doctoral Studies
The utilization of glucagon-like peptide 1 (GLP-1) medications has skyrocketed over the past 5–8 years, with an average weight loss of 15–21% of initial weight. Unfortunately, not all providers offer evidence-based patient education when starting a GLP-1 medication for the treatment of obesity. A practice gap I have identified is the lack of consistent evidence-based education providers utilize when prescribing GLP-1 for obesity treatment in the primary care setting. The project site was a hospital-based primary care clinic located in a suburban community in Washington. This staff education aimed to evaluate whether a standardized, evidence-based educational tool on GLP-1 medications …
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Walden Dissertations and Doctoral Studies
Students in special education may experience a variety of barriers to gaining cohesive and consistent life skills training programs. A lack of life skills training for special education students may lead to a lack of social-emotional skills, social awareness, and an overall lack of independence once students have graduated. The purpose of this qualitative single case study was to explore the charter school human service professionals’ perceptions of the life skills counseling services needed for K-8 self-contained students in Essex County, NJ. Botvin Lifeskills Training program was used as the framework for the study. Using a qualitative research model, semistructured …
Exploring The Lived Experiences Of African American Couples: Narcissism, Marital Quality, And Spousal Distress, Lindella Lenise Mcdowell
Exploring The Lived Experiences Of African American Couples: Narcissism, Marital Quality, And Spousal Distress, Lindella Lenise Mcdowell
Walden Dissertations and Doctoral Studies
Narcissism is a global phenomenon that is manifested across cultures. Despite research on narcissism and relationships, there is limited literature focusing on diverse cultural backgrounds, particularly African American couples, where one spouse has been diagnosed as exhibiting narcissistic tendencies or traits. Addressing the research gap may foster cultural understanding and encourage recognition of the effects of narcissism within the African American culture and the significance of social support. The purpose of this study was to increase knowledge and awareness of grandiose and vulnerable narcissism’s impact on African American couples. A qualitative phenomenological research design was used. The hierarchical two-dimensional view …
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Walden Dissertations and Doctoral Studies
African Americans experience disproportionately high rates of end-stage renal disease (ESRD) yet continue to experience disparities in access to kidney transplantation, the preferred treatment for ESRD. The purpose of this qualitative action research study was to explore the psychosocial barriers to kidney transplantation for African Americans living with ESRD in south Florida. This capstone project was guided by the tenets of intersectionality theory. Data was obtained through semi-structured interviews with four human services professionals and analyzed using thematic analysis. The findings revealed six interconnected themes: a) social support, b) practical barriers, c) psychological and cognitive barriers to transplant navigation, d) …
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
Walden Dissertations and Doctoral Studies
Anxiety is among the most prevalent mental health concerns affecting adults, yet many individuals encounter barriers to traditional mindfulness-based interventions. Running is frequently described as promoting presence, mental clarity, emotional grounding, and relief from anxiety-related distress; however, little qualitative research has explored how adults with anxiety make meaning of their lived experiences of running. The purpose of this interpretative phenomenological analysis (IPA) study was to explore how adults with anxiety describe and make meaning of their lived experiences of running. Guided by embodied cognition and informed by mindfulness and flow theories, this study explored participants' lived experiences of running. Participants …
Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso
Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso
Walden Dissertations and Doctoral Studies
In this staff education doctor of nursing practice (DNP) project, I addressed a practice gap associated with inadequate staff knowledge of workplace stress-management strategies in an assisted living facility. Workplace stress in nursing practice is a contributing factor to burnout, reduced job satisfaction, poor teamwork, and a decline in the quality of resident care. The practice-focused question for this project was about whether staff knowledge would be enhanced over an 8-week period in comparison to baseline knowledge as a result of their participation in a structured staff education program on workplace stress management. The purpose of the project was to …
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Walden Dissertations and Doctoral Studies
Inconsistent delivery and documentation of chronic pain patient education may contribute to variations in patient knowledge, treatment expectations, and engagement in self-management. This Doctor of Nursing Practice staff education and quality improvement project was designed to standardize chronic pain patient education in a primary care setting. The practice-focused question examined whether implementing standardized chronic pain education, compared with non-standardized education, would improve patient knowledge and use of self-management strategies over 10 weeks. Guided by the Johns Hopkins Evidence-Based Practice Model, the project included development of evidence-based education materials, staff preparation, workflow integration, and a standardized documentation process. Clinic staff identified …
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Walden Dissertations and Doctoral Studies
Nurse burnout is a severe job-related condition that significantly impacts nurses' well-being. Nurse burnout is a growing concern amid the increased demand for healthcare professionals. Research has been conducted to explore nurse burnout and how it affects the quality and safety of patients. Different research has also been conducted to review different interventions to address nurse burnout, including individual and organizational interventions. Some interventions include self-care, mindfulness and meditation, coping and resilience, as well as lifestyle adjustments. Some organizational interventions include workload management, psychological safety, and job redesign. This study was conducted to evaluate the effectiveness of individual interventions to …
Effective Strategies To Implement Energy-Efficient Practices In Enterprise Cloud Data Centers: A Qualitative Pragmatic Inquiry, Joshua Tremayne Campbell
Effective Strategies To Implement Energy-Efficient Practices In Enterprise Cloud Data Centers: A Qualitative Pragmatic Inquiry, Joshua Tremayne Campbell
Walden Dissertations and Doctoral Studies
Cloud computing has increased electricity use in data centers, leading to higher costs and a larger carbon footprint. Information Technology (IT) leaders need to address this, as such inefficiencies will increase operational costs, undermine sustainability commitments, and leave companies unprepared for future regulatory pressures. Energy-efficient technologies can reduce data center energy consumption by 40-60%, yet few studies examine the qualitative processes behind IT leaders' practices. The specific IT problem is that some IT leaders lack effective strategies to implement energy-efficient practices in enterprise cloud data centers. Grounded in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic inquiry was …
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Walden Dissertations and Doctoral Studies
Secondary postpartum hemorrhage (SPPH) is a significant contributor to maternal morbidity in the United States and occurs after hospital discharge during the postpartum period. Persistent disparities in terms of maternal outcomes suggest access to prenatal care alone may not adequately address clinical and social factors associated with SPPH. Guided by the Social Ecological Model, which recognizes that health outcomes are influenced by a collective approach to examining health. The purpose of this study was to examine associations between SPPH, prenatal care access, and social determinants of health from 2019 to 2022 while controlling for maternal age, race, and delivery type. …
Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) has been shown to be a critical public health and human rights crisis in Sierra Leone driven by patriarchal sociocultural norms. However, despite legislative frameworks like the Domestic Violence Act of 2007, IPV incidents continue to rise, revealing a gap in policy implementation and real-world enforcement. Past research has documented IPV prevalence, yet an empirical evaluation assessing how stakeholders viewed the impact of national policies on prevention and response had not been conducted. The purpose of this study was to explore frontline stakeholders' perceptions regarding the operational influence of existing IPV policies. Grounded in the narrative …
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Walden Dissertations and Doctoral Studies
Somatic symptoms accompany psychological distress and can affect well-being. Hypnosis has demonstrated effectiveness in reducing psychological distress and related somatic symptoms, but limited research has explored hypnotherapists’ perspectives on its clinical application. The purpose of this qualitative phenomenological study was to explore the experiences of licensed hypnotherapists with 3 years of experience using hypnosis to treat adults experiencing somatic symptoms associated with psychological distress. Guided by Engel’s biopsychosocial model and Hilgard’s neodissociation theory, data were collected through semistructured interviews with 10 licensed hypnotherapists and analyzed using phenomenological reduction and thematic analysis. Analysis resulted in four primary themes: (a) mind–body connection …