Digital Commons Network^™

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 …

Book Review: Don’T Believe Everything You Think: Why Your Thinking Is The Beginning And End Of Suffering, Monique Salcido

Journal of Social, Behavioral, and Health Sciences

This book review examines a recent publication on how individuals can learn to end negative thinking and spend more time living in abundance, peace, and joy. The review summarizes the central themes, highlights strengths and weaknesses, outlines contributions to mental health literature, and offers recommendations. Particular attention is given to how the author conveys his message, and examples from the book are provided. Although the book has several limitations, the review underlines how it can be incorporated into the mental health field through contributions to clinicians and their clients. Overall, the book provides a beneficial resource for social workers, counselors, …

Staff Education On Improving Abnormal Involuntary Movement Scale (Aims) Documentation And Monitoring For Adult Psychiatric Patients Prescribed Antipsychotic Medications In An Outpatient Clinic, Simisola M. Asekun

Walden Dissertations and Doctoral Studies

In outpatient psychiatric settings, inconsistent recordkeeping and a lack of systematic monitoring continue despite the availability of established tools like Abnormal Involuntary Movement Scale (AIMS). The goal of this Doctor of Nursing Practice project was to enhance the documentation and quality improvement through staff education and monitoring of AIMS in adult mental patients receiving antipsychotic medications. Tardive dyskinesia (TD) is still a serious, frequently misdiagnosed side effect of long-term antipsychotic therapy that significantly affects functional outcomes and patient quality of life. This project was guided by the following practice-focused question: How does implementing standardized AIMS documentation and electronic health record …

Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) poses significant health challenges globally, with individuals and health care systems in rural communities particularly affected. Adherence to antidiabetic medication is crucial for effective management of T2DM. Still, people with T2DM encounter barriers that lead to nonadherence, resulting in poor glycemic control, increased complications, and higher health care costs. The purpose of this study was to explore the perceptions and experiences of rural Jamaicans regarding the factors influencing nonadherence to antidiabetic medications. The basic qualitative study was underpinned by social cognitive theory. Semi-structured interviews were conducted with eight rural Jamaican participants with T2DM. Interview data …

Law Enforcement Help-Seeking Behaviors And Organizational Mental Health Supports, Jordan Elizabeth Longendorf

Walden Dissertations and Doctoral Studies

Due to the traumatic and repetitive nature of law enforcement work, mental health support is often needed by officers, but is not consistently sought. Law enforcement leaders need to understand this concern as a leading indicator of workforce well-being, organizational effectiveness, and officers’ willingness to seek needed mental health support. Guided by the conceptual framework of Rickwood and Thomas’s help-seeking behaviors, the purpose of this descriptive phenomenological study was to explore law enforcement officers’ lived experiences of help-seeking behaviors for emotional and mental health issues. Data were collected through six semistructured interviews with current law enforcement officers in four different …

Risk Factors Of Suicidality Among Physician Assistants, Lynn Marie Page

Walden Dissertations and Doctoral Studies

Suicide is a global public health issue that affects all ages, genders, races, and social classes. Although suicide rates are higher among health care providers than in the general public, there is a gap in the literature regarding the suicidal risk factors of physician assistants (PAs), who increasingly provide health care in the United States. The aim of this quantitative cross-sectional study was to explore the association between anxiety, burnout, and depression and the stress-reducing benefits of mindfulness-based interventions (MBIs), as well as the dependent variable suicidality among PAs in the United States. A self-directed questionnaire incorporated psychometrically validated tools …

Enhancing Nursing Competency In The Ambulatory Surgery Center, Rachael Owokole

Walden Dissertations and Doctoral Studies

In this project, I addressed a persistent practice problem among agency nurses working in an ambulatory surgery center (ASC) in Southern California, who often enter the facility with varying familiarity with its policies and procedures. I designed this staff education, evidence-based practice (EBP), quality-improvement initiative to strengthen nursing knowledge and competency among agency nurses at the facility. The practice question was designed to assess on whether their knowledge and self-perceived competency improved after participating in the education program. I obtained evidence for the project from peer‑reviewed research, clinical guidelines, and national competency frameworks. I identified sources through systematic searches of …

Psychosocial Characteristics Of Self-Identifying Incels, Joleen Koroluck

Walden Dissertations and Doctoral Studies

Research examining individuals who self-identify as involuntary celibates (incels) has increased in response to concerns surrounding online grievance communities and violence-related rhetoric. Despite growing scholarship, limited research has examined the psychosocial lived experiences of individuals who identify as incels. The purpose of this qualitative study was to explore these experiences and examine factors associated with violent or extremist beliefs within incel-related online communities. Guided by social comparison theory and social identity theory, reflexive thematic analysis was used to examine 90 publicly available forum posts collected from 4Chan, Incel.is, and Looksmaxx. The data were manually coded and analyzed through iterative thematic …

Prepared Or Not? Perceptions Of Novice Counseling Professionals On Working With Trauma Clients, Christina L. Richardson

Walden Dissertations and Doctoral Studies

The prevalence of trauma across clinical settings and limited trauma training for clinicians can negatively affect trauma survivors. The impact of novice clinicians’ lack of preparedness and its implications for clients should be important considerations for educators, supervisors, and policymakers. The purpose of this qualitative study was to explore the lived experiences of novice counselors and their preparedness to work with trauma survivors. Grounded in descriptive phenomenology, this study explored participants’ perceived preparedness to work with trauma survivors and the ways these experiences may inform counselor education and supervision. Participants were provisionally licensed counselors within three years of graduating from …

Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey

Walden Dissertations and Doctoral Studies

Construction remains one of the most hazardous industries in the United States, while employer-sponsored training opportunities have declined, raising concerns about safety, workforce readiness, and knowledge transfer. Construction leaders need to understand how workers perceive immersive virtual reality (IVR) amid these challenges as an indicator of persistent safety risks, limited workforce preparedness, and ineffective knowledge transfer. The purpose of this single exploratory case study was to examine construction workers’ perceptions of the effectiveness of IVR in transferring knowledge to enhance job performance. Guided by Kirkpatrick’s four-level model of training evaluation, participants’ perceptions of reaction, learning, behavior, and results were examined. …

Perceptions Of African American Males Regarding Legal Risks Of Alcohol Misuse, Tylisha Wright

Walden Dissertations and Doctoral Studies

Alcohol misuse among young adults leads to legal, social, and behavioral consequences in the United States. The justice system unequally impacts young African American males. The purpose of this generic qualitative study was to understand perceptions of legal risks of alcohol misuse among African American young adult males who were formerly adjudicated or nonadjudicated. The research question involved African American young adult males and legal risks associated with misuse of alcohol. The differential association theory guided this study in terms of its emphasis on decision-making and learned social behaviors. Data for this study were collected through semi-structured interviews with eight …

Comparative Analysis Of “Silver Education” In Kazakhstan, Europe, Asia, And The United States, Diana Abetova, Albina Dossanova, Mehmet Cuneyt Birkok

Higher Learning Research Communications

Objectives: The study aimed to compare “silver education” policies in Kazakhstan, several European countries (Germany, Finland, France, the United Kingdom, Italy, and Spain), countries in Asia (China, Japan, South Korea and Thailand), and the United States to identify the strengths and weaknesses of the Kazakh model and to suggest improvements.

Methods: Methods included synthesis, comparative and system analysis, and structural-functional analysis.

Results: The findings show that Kazakhstan is in the early stages of developing silver education, lacking a dedicated legal framework and offering limited educational opportunities for older adults (aged 65 and over). In contrast, other countries examined have well-established …

The Ppp Model In Action: Empowering Tertiary Vocational Students Through Digital And English Training, Hüsem Korkmaz, Ali Geris, Cenk Yoldaş

Higher Learning Research Communications

Objectives: This study aimed to explore the stakeholder perspectives in a public–private partnership project as a remarkable initiative to enhance quality education at the tertiary level in Turkey. In this regard, the motivations behind participating in the partnership, perceived benefits and challenges, significant outcomes, and recommendations for similar prospective partnership programs were investigated empirically.

Method: The study employed a qualitative phenomenological research design, which relies on semi-structured interviews and focus group discussions with the key stakeholders of a public–private partnership project to empower vocational higher education. The data were collected from the representatives of Enerjisa Üretim Company (n = …

Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas

Walden Dissertations and Doctoral Studies

College students aged 18–25 transitioning to independent living often experience changes in diet, physical activity, stress, and time management that increase health risks. These challenges may be amplified in semi-urban communities by limited access to healthy food, transportation barriers, and scheduling constraints. This qualitative phenomenological study explored how college students in Huntsville, Texas, perceived and interpreted these lifestyle changes and their influence on perceptions of health and weight. Guided by the social ecological model, the study included 12 participants who were 18–25 years old, enrolled in college, living independently in Huntsville, Texas, and able to describe their experiences with lifestyle …

Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth

Walden Dissertations and Doctoral Studies

Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …

Licensed Social Workers’ Perceived Structural And Systemic Treatment Barriers For Clients With Severe Mental Illness, Myron Curtis White

Walden Dissertations and Doctoral Studies

There was a gap in the existing strategies in social work practice regarding the structural and systemic barriers to health care treatment for clients with serious/severe mental illness (SMI). The Centers for Disease Control and Prevention documented that addressing mental health destabilization in the United States is important and requires an understanding of the mental illness to be addressed, including its causal factors, the relationships between the mentally ill and their community/environment, and the methodology for effecting care. This general qualitative study explored what licensed social workers perceived as structural and systemic barriers to health care treatment access for their …

A Glimpse Into Classrooms: Teachers’ Experiences Pre- And Post-Covid, Sam Hilbert, Katherine Wheeler, Robin H. Lock, Janna Brendle, Kassi Gregory

Journal of Educational Research and Practice

The COVID-19 pandemic forced many schools to pause in-person learning. Prior research indicates that these closures affected overall mental health and student academic performance. Mental health concerns, particularly anxiety and depression, were exacerbated for many school-aged children during these closures. Research has linked disorders, such as anxiety and depression, with changes in behaviors. Academic gaps have also been linked with negatively displayed behaviors in school settings. COVID school closures resulted in a 25% increased global prevalence of anxiety and depression diagnoses and an estimated 1-year academic loss in student learning. Although both variables have been shown to contribute to changes …

Shame, Resilience, And Disclosure Predictors Of Mental Health Seeking In Male Veterans With Ptsd And Military Sexual Trauma, Neftali Melendez

Walden Dissertations and Doctoral Studies

Male veterans are often the least likely to report military sexual trauma (MST), increasing the experience of shame, fear, fragility, and mental health disorders. The primary goal of this study was to examine the relationship of shame (internal and external), attitudes towards disclosure, and resilience on mental health help-seeking in male veterans who have experienced sexual abuse while in the military. Brown’s theory of shame resilience guided the development of the hypotheses and interpretation of results. Approximately 146 veterans participated in an anonymous online cross-sectional survey using a convenience sampling design and psychometrically validated questionnaires (Mental Help Seeking Attitudes Scale, …

Marketing Strategies To Increase Student Enrollment To Generate Revenue, Jermaine R. Mccain

Walden Dissertations and Doctoral Studies

Declining student enrollment can reduce district revenue and limit a public school’s ability to sustain educational programs, staffing, and overall organizational effectiveness. Public school business leaders who lack effective marketing strategies to increase student enrollment may experience financial instability, limiting their organization’s capacity to maintain long-term operational sustainability. Grounded in consumer choice theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective marketing strategies public school business leaders use to increase student enrollment to generate district revenue. Participants were six public school business leaders in the southeastern United States. Data were collected through semistructured interviews and …

The Association Between Food Insecurity, Housing Insecurity, Self-Care Practice And Depression Among Black Immigrants In The United States, Beatrice Ngozi Mbaocha

Walden Dissertations and Doctoral Studies

The prevalence and poor prognosis of depressive symptoms remain significant among adult Black immigrants in the United States. This study examined the complex interplay between food insecurity, housing insecurity, self-care practices, and depression among adult Black immigrants in the United States. Grounded in the socioecological model, this quantitative cross-sectional study analyzed data from N = 469 noninstitutionalized Black immigrant adults (54.2% female, 45.8% male) using the 2023 National Health Interview Survey. Binary logistic regression was employed to assess the probability of depressive symptoms as a function of food insecurity, housing insecurity, and self-care practices, controlling for age, gender, and employment …

Navigating Leadership With A History Of Parental Incarceration: An Interpretative Phenomenological Analysis Of Nurse Managers’ Professional Relationships And Coaching Receptivity, Demetria Hazlett

Walden Dissertations and Doctoral Studies

Nurse managers play a critical role in healthcare organizations, yet limited research has examined how early-life adversity, such as parental incarceration, influences leadership relationships and development. The purpose of this qualitative phenomenological study, guided by interpretative phenomenological analysis (IPA), was to explore how nurse managers’ lived experiences of parental incarceration made sense of their influenced attachment-related relational patterns, professional relationships, and receptivity to leadership coaching. The attachment theory and Karpman’s Drama Triangle grounded this study. The participants comprised eight nurse managers in six states within the United States. Data were collected through semistructured interviews and analyzed using the IPA analytic …

Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White

Walden Dissertations and Doctoral Studies

Trauma-informed care is a critical component of supporting students' overall wellness, and school nurses are central to this work. They are often the first professionals to recognize when a student is exhibiting a trauma response or experiencing a mental health concern during the school day. Although evidence-based school health organizations have advanced efforts to ensure that academic environments are prepared to support students’ mental health needs, school nurses are too often left out of these strategic planning processes. Their exclusion not only overlooks their clinical expertise but also weakens the school’s ability to respond effectively and holistically to student needs. …

First Year College Students’ Perceptions Of Their Engagement Skills And Satisfaction In Online Courses, Ryan Ann Mathews

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the gap in literature on first-year college students’ perceptions of engagement and satisfaction in online courses. Grounded in the framework of Astin’s student involvement theory and Cotton et al., happy productive theory, the purpose of this basic qualitative study was to explore first-year college students’ perceptions of their engagement and satisfaction in online courses. Semistructured interviews with eight first-year online college students throughout the U.S. were conducted. Through thematic analysis, the following four themes emerged: First-year online college students noted that their (1) engagement skills and study habits, when used consistently, …

Relationship Between Employee Engagement, Gender, And Intention To Quit In The Retail Industry, Lataya V. Mills

Walden Dissertations and Doctoral Studies

Intention to quit remains a significant challenge for retail organizations, contributing to recruitment and training costs, workforce instability, and operational disruptions. The purpose of this quantitative correlational research project was to examine the relationship between employee engagement, gender, and intention to quit among frontline retail employees in the Mid-Atlantic United States. Grounded in employee engagement theory, participants included 71 frontline retail employees. Data were collected using the Utrecht Work Engagement Scale, an Intention to Quit Scale, and demographic questions. Composite scores were calculated for employee engagement and intention to quit, and the data were analyzed using descriptive statistics, reliability analysis, …

The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley

Walden Dissertations and Doctoral Studies

The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …

African American Women’S Perceptions And Experiences With Weight Management And Ensuing Health Outcomes, Brenda Louise Gill

Walden Dissertations and Doctoral Studies

African American women (AAW) experience disproportionately high rates of obesity and chronic disease compared to all other demographic groups in the United States. The purpose of this basic qualitative study was to explore the experiences of AAW aged 36–64 residing in Nashville, Tennessee, regarding food, weight management, and chronic disease management. The social-ecological model (SEM) served as the theoretical framework, providing a multilevel lens through which individual, interpersonal, organizational, community, and societal factors are examined. Three research questions guided the inquiry, examining individual-level experiences, parental and caregivers’ influences, and community and societal-level factors shaping participants’ relationship with food, weight management, …

Fostering Active Learning In Reproductive Health Classes Among Undergraduates Of A Nigerian Public University: The Role Of Cognitive Restructuring Health Education, Ndubuisi Friday Ugwu, Adewumi Segun Igbinlade, Adijat Bolanle Adams, Uchenna Anselm Anibueze, Gabriel Aderibigbe Oyegbami, Chinyere Chrysantus Onwurah, Sabina Nwakaego Igwilo, Olufemi M. Olubamise, Folasade Adediran, Oladipo Adeyeye Olubodun Phd, Jacob Kehinde Opele, Loveth Nnenna Ugwu, Amos Olorunwa Agbojo

Higher Learning Research Communications

Objective: This study examined the efficacy of the cognitive restructuring health education (CRHE) intervention in improving participatory learning in sexual and reproductive health classes among students at a Nigerian public university.

Methods: The study employed a randomized pretest/posttest control group design involving 130 undergraduates from Federal University Oye-Ekiti, Nigeria. Participants were randomly assigned to either a 2-week intensive health education–based cognitive restructuring program (n = 65) or a waitlist control group (n = 65). Interaction behavior was assessed at pretreatment, at post-treatment, and at a 6-week follow-up using the 14-item Interaction Behavior Checklist (reliability = 0.85). …

Examining Inmate Labor In Emergency Management: Contributions, Challenges, And Ethical Considerations, Boris Eugene Valiance

Walden Dissertations and Doctoral Studies

Incarcerated individuals remain inconsistently engaged in disaster preparedness, response, and recovery, creating both an operational gap and an ethical challenge regarding labor equity, safety, voluntariness, and human dignity. Guided by RBT and EMT, the purpose of this qualitative case study was to explore how incarcerated individuals are utilized in emergency management and to examine stakeholder perceptions of the operational, ethical, and policy implications of inmate labor programs. The research questions examined current utilization patterns, stakeholder-perceived benefits and drawbacks, and ethical concerns influencing participation decisions. Data were collected through semi structured interviews with purposefully sampled emergency management professionals, policymakers, and correctional …