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Leadership, Employee Sustainability, And Organizational Resilience, Lois D. Saunders

Walden Dissertations and Doctoral Studies

Ineffective leadership practices can be counterproductive to an organization’s goals. This issue is important to executives because ineffective leadership practices can contribute to employee disengagement, increased turnover, and reduced organizational performance. Grounded in transformational and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore leadership practices used by executives to promote employee sustainability and organizational resilience in private sector organizations within the Washington metropolitan (District of Columbia, Maryland, and Virginia [DMV]) region. The participants were 10 executives from private sector organizations in the DMV region who served in CEO, senior management, and operational leadership roles and …

Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti

Walden Dissertations and Doctoral Studies

Syphilis remains an ongoing public health concern among African American men. Elevated rates during the COVID-19 pandemic further underscored the need for focused attention on this population. The risk factors driving syphilis diagnosis among African American men during a pandemic like COVID-19 remain poorly understood. The purpose of this quantitative cross-sectional study was to examine the association between sexual orientation and syphilis diagnosis among African American men in Colorado. Social cognitive theory was applied to understand the interaction among sexual orientation, HIV status, age, and syphilis diagnosis. Sexual orientation categories include men who have sex with men (MSM), men who …

Nurse-Led Remote Patient Monitoring In Outpatient Heart Failure, Jackline Ukadike

Walden Dissertations and Doctoral Studies

Chronic heart failure (HF) remains a leading cause of avoidable hospital readmissions and emergency department visits due to delayed recognition of early symptom exacerbation between routine outpatient encounters. This doctoral quality improvement project evaluated whether the implementation of an evidence-based, nurse-led remote patient monitoring (RPM) standard operating procedure (SOP) improved early identification of symptom exacerbation compared to standard episodic care among adult heart failure patients (NYHA Class II–III) in an outpatient primary care setting over a 10-week period. Guided by the Plan-Do-Study-Act (PDSA) framework, an evidence-based clinical practice guideline (CPG) and escalation protocol were developed and appraised by a 3-member …

Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focused on educating providers to fill in knowledge gaps in how to effectively manage chronic pain. The lack of knowledge about the evidence-based recommendations for treating chronic pain was the practice gap. Standardized training protocols to instruct pain management professionals and address disparities in chronic pain management care should be in place to guarantee that all patients in need of chronic pain management have access to culturally appropriate education.

Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja

Walden Dissertations and Doctoral Studies

The growing population of internally displaced persons (IDPs) in Nigeria presents significant public health challenges for children with physical disabilities. This study investigated how physical disabilities affect daily life, mobility, access to resources, and health outcomes among internally displaced children in IDP camps in Benue State, Nigeria. Guided by the ecological model of health behavior, the study examined caregivers’ experiences of children’s self-care, daily activities, environmental and interpersonal conditions, sanitation, and access to healthcare. A basic qualitative design used semi-structured interviews with parents and caregivers selected through purposive and snowball sampling. Data were analyzed using Braun and Clarke’s six-phase thematic …

Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise

Journal of Social, Behavioral, and Health Sciences

Black American existential–spiritual counseling integrates existential philosophy with the unique cultural, historical, and spiritual contexts of Black Americans to address their psychological and spiritual needs. Rooted in the lived experience of systemic oppression, alienation, and the quest for identity and freedom, this counseling approach emphasizes meaning-making, personal responsibility, and authentic living. It acknowledges the interconnectedness of spirituality and psychology, recognizing the importance of the Black church, music, and communal values in fostering resilience and empowerment. Drawing on existential themes, such as mortality, freedom, loneliness, and purpose, this approach supports clients in navigating sociocultural stressors and generational trauma through a spiritually …

Predictors Of Psychological Strain In College Students In The Context Of The Covid-19 Pandemic, Randy M. Ludwig

Journal of Social, Behavioral, and Health Sciences

The coronavirus disease 2019 (COVID-19) pandemic exacerbated the traditional challenges of being a college student. This study examined the factors associated with the mental health difficulties many college students faced during the pandemic. Factor analysis was used to uncover a latent variable called psychological strain, which was composed of mental instability, mental health strain, sadness, anxiety, and unhappiness. An exploratory path model was created to determine which factors most closely related to psychological strain. Of the 14 factors considered, 11 were significant predictors. Overall, the most important risk factor was found to be social isolation (total effects = .437), while …

Empowering Generations: The Role Of Family And Consumer Sciences In Advancing Financial Literacy And Resilience, Stephen Molchan

Journal of Educational Research and Practice

In this article, I explore the critical role of family and consumer sciences (FCS) in advancing financial literacy and resilience across generations. By addressing systemic financial challenges and integrating financial education into its curriculum, FCS empowers individuals and families to make informed decisions and build secure futures. The article highlights strategies such as early intervention, culturally relevant programs, and community outreach, emphasizing how FCS equips individuals with practical skills in budgeting, saving, debt management, and risk assessment. I discuss the importance of advocacy for financial inclusion and consumer protection as a means to create equitable opportunities for financial well-being, underscoring …

Early Elementary Teachers' Experiences Implementing Concrete Representational Abstract Strategies In A Low-Performing District, Grace Sheree Bruce-Spence

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that early elementary students in an achievement zone continued to demonstrate low mathematics achievement, despite the district-wide implementation of the concrete representational abstract (CRA) instructional strategy, designed to promote conceptual understanding through scaffolded stages at a school district in the southeastern United States. In this district, an achievement zone refers to a cluster of schools serving historically underperforming students in high-poverty communities who receive targeted academic support. Grounded in Bruner’s constructivist learning theory, the purpose of this basic qualitative study was to explore kindergarten through third-grade teachers’ experiences implementing the CRA strategy in …

Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane

Walden Dissertations and Doctoral Studies

Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …

Effective Strategies Nonprofit Leaders Use To Implement Agile And Lean Methodologies To Improve Project Performance Outcomes And Organizational Sustainability, Mariette Njumbe

Walden Dissertations and Doctoral Studies

Limited resources challenge nonprofit organizations to improve project performance and organizational sustainability. Although agile and lean methodologies can enhance adaptability, efficiency, and continuous improvement, many nonprofit leaders lack effective strategies to implement them in mission-driven environments. The purpose of this qualitative pragmatic inquiry was to explore strategies nonprofit leaders use to implement agile and lean methodologies to improve project performance and organizational sustainability. The project was grounded in an integrated conceptual framework of agile project management and lean thinking. Participants were nine nonprofit leaders. Data were collected through semistructured interviews and public documents and analyzed using thematic analysis. Five themes …

Relationship Between Aleks Use, Implementation Models, And Grade 9 Students’ Achievement On Algebra 1 Summative Assessments, Deneen Alfordburke

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was Grade 9 students’ achievement on the Algebra 1 New Jersey Student Learning Assessment (NJSLA) continued to be below the proficiency level that is defined by the state, despite implementation of Assessment and Learning in Knowledge Spaces (ALEKS) Algebra 1 software. The study was grounded in Doignon and Falmagne’s knowledge space theory (KST) which evaluates students’ current knowledge levels and guides them along individualized learning paths based on what they are ready to learn next. The purpose of this nonexperimental quantitative study was to determine whether the predictor variables Grade 9 students’ …

Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson

Walden Dissertations and Doctoral Studies

Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …

Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay

Walden Dissertations and Doctoral Studies

Prostate cancer incidence has increased among younger men in the United States, and treatment affects both patient survival and family well-being. This quantitative retrospective study examined survival among young men diagnosed with prostate cancer who received chemotherapy, radiation therapy, and/or prostatectomy, while accounting for socioeconomic factors of residence and ethnicity. Social cognitive theory was the framework. Ordinal logistic regression was used to determine whether treatment method, socioeconomic factors of residence and ethnicity predicted survival among young men diagnosed with prostate cancer. Data was sourced from the National Cancer Database Participant User File 2004-2021 specific to prostate cancer. The study cohort …

Mentorship As A Catalyst For Change Readiness: A Qualitative Study Of How Effective Mentoring Mitigates Burnout And Turnover During Organizational Transformation, Jeffery M. Camp

Journal of Online Mentoring

This qualitative study examined how effective mentorship mitigates burnout and attenuates turnover intention during organizational change, foregrounding the perspectives of experienced mentors. Drawing on Biggs’s presage–process–product (PPP) model, data were collected through semi-structured interviews (n = 12) and two focus group discussions (n = 6 each), engaging 18 unique mentors employed in organizations with 1,000 or more employees. Thematic analysis following Braun and Clarke’s six-phase protocol yielded four themes: (1) mentorship as strategic facilitation of organizational change; (2) mentorship as provision of emotional and psychological support; (3) empowering mentees through relationship-building; and (4) applying adaptive and reflective strategies. …

“I Was Not Wonder Woman And Required Help”: Black, Latina, And White Women’S Recovery From The Covid-19 Pandemic, J. Mitchell Vaterlaus, Colton Pierce, Harry Foster, Alison Brennan, Nicole Wanago

Journal of Social, Behavioral, and Health Sciences

The COVID-19 pandemic disproportionately affected women, particularly women of color, yet less is known about their recovery experiences following the end of the public health emergency. This exploratory mixed-methods study examined recovery from the COVID-19 pandemic among Black, Latina, and White women in the United States. Participants (N = 133) completed a survey that included a self-reported recovery measure and open-ended questions regarding their recovery experiences. A chi-square analysis indicated a significant association between race/ethnicity and recovery status, with Latina women more likely to report ongoing recovery than Black and White women. Codebook thematic analysis identified four themes: (1) …

Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars

Walden Dissertations and Doctoral Studies

Understanding debt and the quality of life in older adults after retirement is an important area of concern. Many older adults are forced by escalating debt to reduce spending on essential needs, such as health care, nutrition, and housing, and their physical and mental health is thereby directly compromised. These essential needs represent core social determinants of health, and their erosion under financial strain can have effects on older adults' overall well-being. The purpose of this generic qualitative study was to explore the experiences and perceptions of human services practitioners who were actively assisting older adults struggling with debt in …

Displaced By Disaster: Examining The Effects Of Hurricanes Maria And Irma On Chronic Homelessness In The United States Virgin Islands, Clinton Hart

Walden Dissertations and Doctoral Studies

The United States Virgin Islands (USVI) is an island territory that is geographically isolated and has a fragile economy that has a limited capacity to address homelessness particularly when exacerbated by natural disasters. Existing literature demonstrated that major hurricanes can be associated with displacement, housing instability, and increased demand for emergency housing resources among socially vulnerable populations. However, limited longitudinal quantitative research has examined the impact of hurricanes on changes in homelessness trends in the USVI, representing a gap in territory-specific research. The purpose of this quantitative interrupted time series study was to examine homelessness trends associated with hurricanes Irma …

Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President

Walden Dissertations and Doctoral Studies

African American males between the ages of 18 and 29 have lower rates of successful completion in drug court programs compared to other populations, increasing their risk of incarceration and recidivism. This study examined whether participation in the Habilitation Empowerment Accountability Therapy (HEAT) program, a culturally responsive intervention, was associated with improved drug court graduation outcomes among African American male participants. Guided by cognitive behavioral theory, a quantitative retrospective causal-comparative design was used to analyze archival data from 96 African American male participants enrolled in a drug treatment court program in Columbia, Missouri. A chi-square test of independence was conducted …

Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith

Walden Dissertations and Doctoral Studies

For many women leaving military service, the path to civilian life involves a fundamental renegotiation of identity. Gender-specific pressures, institutional norms, and fractured belonging compound reintegration, yet the lived experiences of women veterans navigating competing identities remain underexplored. The purpose of this phenomenological study was to understand the lived experiences of women veterans at least 5 years postdischarge who struggled with identity dissonance between their military and civilian identities. The study was informed by reculturation theory. Seven women veterans participated in semistructured interviews, and data were analyzed using Braun and Clarke’s thematic analysis, revealing five themes: institutions, culture, and unequal …

Development Of An Evidence-Based Clinical Practice Guideline For Glp-1 Medication Management And Weight-Loss Monitoring In Adults, Jeannette Mariela Pena

Walden Dissertations and Doctoral Studies

This doctor of nursing practice project addressed the lack of a standardized clinical practice guideline for glucagon-like peptide-1 (GLP-1)-based medication management and weight-loss monitoring in an outpatient functional health setting. The purpose was to develop an evidence-based guideline to improve provider consistency, patient education, monitoring, documentation, and treatment safety for adults receiving GLP-1-based weight-management therapy. The Johns Hopkins Evidence-Based Practice Model guided question development, evidence appraisal, synthesis, translation, and implementation planning. The guideline incorporated evidence related to adult obesity management, GLP-1-based pharmacotherapy, lifestyle intervention, eligibility assessment, medication selection and titration, adverse-effect monitoring, follow-up, and documentation. Three content experts—a nurse practitioner …

Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley

Walden Dissertations and Doctoral Studies

Third-sector organizations (TSOs) face challenges providing effective evidence in reducing stress and burnout for human services professionals (HSPs) to remain in the field. Burnout is a social phenomenon that has received much attention in the helping professions for the past 50 years, due to the nature of the work that HSPs perform. Researchers have confirmed that HSPs are at critical risk of burnout, which affects not only their health and work performance, but also their delivery of service. Current literature lacks studies on what supports HSPs’ need in TSOs to reduce their stress and burnout to remain in the field. …

Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower

Walden Dissertations and Doctoral Studies

African American men experience disproportionately low rates of mental health service utilization and often report negative perceptions of mental illness. Despite documented mental health disparities, limited research has explored how mental health workers understand and apply multicultural competence when providing treatment to African American men. Grounded in the theory of planned behavior and social identity theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of mental health workers regarding multicultural competence in their work with African American men. Data were collected through semi-structured interviews with seven mental health workers recruited through purposive sampling. Interview …

Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi

Walden Dissertations and Doctoral Studies

This study examined adolescent opioid misuse in the United States and the role of school-based prevention. Guided by the health belief model, the purpose was to test whether participation in school-based drug prevention lessons was associated with past-year opioid misuse among adolescents ages 14–17 and whether race and gender moderated that association. This quantitative, cross-sectional, nonexperimental secondary analysis used the 2019 National Survey on Drug Use and Health (N = 8,965). Analyses included weighted descriptives, chi-square tests, and complex-samples logistic regression controlling for age and socioeconomic status. The sample included adolescents ages 14–17 with complete data on school-based prevention participation, …

Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing

Walden Dissertations and Doctoral Studies

Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …

Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson

Walden Dissertations and Doctoral Studies

While school counselors play a pivotal role in promoting equity and inclusion within educational institutions, they may experience systemic challenges themselves, particularly in predominantly White professional environments. The purpose of this hermeneutic phenomenological study was to explore the experiences of Black American school counselors who experienced racial discrimination in the workplace and how they made meaning of those experiences. The research addressed the lived experiences of Black American school counselors who experienced racial discrimination in the workplace and how they make meaning of those experiences. The study was grounded in hermeneutic phenomenology and critical race theory. Six Black American school …

Developing The Social And Legal Competence Of Future Social Counselors, Lazzat Suleimenova, Saira Zhiyenbayeva, Kamchat Yessenova, Yernar Onalbekov, Elmira Bayarystanova

Higher Learning Research Communications

Objectives: The social and legal (also referred to as sociolegal) competence of future social counselors is one of the key factors that ensures the effectiveness of their professional activities—protecting the rights of the individual, collaborating with other professionals, and contributing to the creation of a safe social environment. The study aimed to create and implement a model and pedagogical conditions for the development of sociolegal competence of future social counselors in higher education institutions of the Republic of Kazakhstan.

Methods: As part of a study conducted at L.N. Gumilyov Eurasian National University, Faculty of Social Sciences, in the social pedagogy …

Surviving The Divide: Exploring Endometrial Cancer Survival In Idaho’S Urban And Rural Landscapes, Elena G. Estrada

Walden Dissertations and Doctoral Studies

Endometrial cancer is the fourth most common gynecologic malignancy in the United States, with a rising incidence among postmenopausal women. Although geographic disparities in cancer outcomes have been documented nationally, survival differences by urban versus rural residence and receipt of surgery remain understudied in Idaho. The purpose of this quantitative, retrospective cohort study was to examine the associations of urban versus rural residence, and receipt of surgery with 5-year survival among women in Idaho, a largely rural and underserved state. Guided by the social-ecological model and social determinants of health, this study used secondary data from the National Cancer Institute, …

Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that local school districts in Texas do not offer a visual arts-integrated curriculum despite the known academic and social-emotional benefits for K–12 students. The purpose of this basic qualitative study was to explore the perceptions of Texas K–12 visual arts teachers regarding arts integration to enhance core content learning. Grounded in Gardner’s multiple intelligences theory, the research questions focused on teachers' perceptions of arts integration and their recommendations for implementation. Data were collected through semistructured interviews with 10 K–12 visual arts teachers in Texas who had at least 1 year of teaching experience. …

Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson

Walden Dissertations and Doctoral Studies

Parental incarceration is an adverse childhood experience that can influence children’s emotional, educational, relational, and developmental outcomes into adulthood. Although previous research had examined the effects of parental incarceration on children, limited research had explored how young adults perceive their life course development when a parent was incarcerated for a violent crime. The purpose of this generic qualitative study was to explore the perceptions of young adults, age 18–25, regarding their life course development following parental incarceration for a violent crime. Elder’s life course development theory was the framework for this study. Data were collected through semistructured interviews with three …