Digital Commons Network^™

Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran

Walden Dissertations and Doctoral Studies

A mental health therapist is a licensed professional who is trained to identify any barriers or regression during the recovery process with their female patients’ psychological experiences from sexual violent trauma (SVT) perpetrated by a degree of familiar offenders. In this study, the therapists’ perceptions identified the impact of the SVT committed by a familiar offender toward the female victim’s recovery process. The theoretical foundation included betrayal trauma theory, moral injury, and victimology. The research question addressed how therapists described the psychological recovery of female patients who experienced sexual violence by a familiar offender. The research design was data collection …

Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi

Walden Dissertations and Doctoral Studies

The increasing use of telehealth in autism care has created opportunities to improve caregiver satisfaction as it remains a critical challenge in pediatric specialty settings. The purpose of this integrative review was to identify strategies that healthcare administrators can implement to improve caregiver satisfaction with telehealth platforms and optimize care delivery for autism patients. Using an integrative review methodology and viewed from the lens of the unified theory of acceptance and use of technology framework, evidence from 20 research and non-research sources published between 2018 and 2025 were analyzed, using the Johns Hopkins nursing evidence-based practice model and synthesized. The …

Health-Related Quality Of Life Of Women With Polycystic Ovary Syndrome In Malaysia, Stephanie Yang

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is the most prevalent endocrine condition among women of reproductive age. PCOS is known to be a chronic disease that presents significant physical and body image issues, which in turn are associated with lowered emotional and health-related quality of life. Previous studies point to widespread dissatisfaction and delays with the diagnosis of PCOS and a lack of information provided by doctors. This phenomenological study was guided by Wilson and Cleary’s model of health-related quality of life to explore the health-related quality of life in Malaysian women with PCOS. Seven Malaysian women aged 29 to 50 years …

The Association Between Racial Discrimination And Pregnancy-Related Hypertension Among Department Of Health And Human Services Regions Between 2016 And 2022, Emily Chew

Walden Dissertations and Doctoral Studies

This quantitative study examined the association between racial discrimination and pregnancy-related hypertension among women age 18–40 in the United States, and how this relationship is modified by age and the Department of Health and Human Services (HHS) regions (states). Guided by the social ecological model, this research measured whether race, place, and lived experiences of discrimination contributed to disparities in maternal health outcomes. The study utilized the Centers for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System data set (2016–2022) which represented 81% of United States live births (n=249,970). The independent variable was self-reported racial discrimination during pregnancy, delivery, …

Strategies To Improve Diversity In Leadership And The Representation Of Black Women Within An Integrated Nonprofit Health Care System, Dominique Clark

Walden Dissertations and Doctoral Studies

Black women have been underrepresented in health care leadership, specifically at the senior level. The purpose of this integrative review was to identify strategies that could be implemented to increase representation for Black women in health care leadership, with emphasis on senior leadership. The review question centered on sustainable strategies and best practices that support an increased representation of Black women in health care leadership. Relational leadership theory (RLT) served as the theoretical framework, demonstrating that leadership advancement is influenced by relational networks. A comprehensive literature review identified 50 articles that were critically appraised using the John Hopskins evidence tools, …

Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins

Walden Dissertations and Doctoral Studies

Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …

Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth

Walden Dissertations and Doctoral Studies

Despite organizational policy and access to physical activity facilities, the U.S. Department of Defense has observed an increase in the prevalence of service members classified as overweight or obese. Guided by the social-ecological model, this quantitative study investigated the work-related exercise determinants within the U.S. military community. Voluntarily recruited current and former service members from Stars and Stripes completed the Office Exercise Behavior Determinant Scale and the International Physical Activity Questionnaire, along with demographic and biometric questions, to identify physical activity behavior and potential barriers. Findings revealed statistical significance related to exercise duration and military variables (e.g., occupation, race/ethnicity), as …

Information Security Strategies To Thwart Cybersecurity Attacks In The Financial Services Industry, Donovan Anthony Miles

Walden Dissertations and Doctoral Studies

Financial markets and industries are vulnerable to ransomware attacks. Information technology (IT) security subject matter experts (SMEs) are concerned about ransomware cyberattacks on critical infrastructure that threaten their customers’ financial privacy and the institution’s reputation, causing severe financial losses and diminishing productivity. Grounded in the diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry was to explore strategies IT security SMEs use to increase the implementation of existing solutions to thwart cybersecurity attacks in the financial services sector. The participants were six IT security SMEs in the financial industry in the Northeast United States who were responsible for …

Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart

Walden Dissertations and Doctoral Studies

Transracial adoption continues to increase in the United States, particularly in states with predominantly White populations; yet, culturally competent preparation and postadoption resources remain limited. The lack of structured cultural socialization and race-responsive supports places transracially adopted youth at increased risk for identity disruption, mental health challenges, and experiences of racism and microaggressions. The purpose of this qualitative action research study was to explore human service professionals’ perceptions of the services needed to provide culturally competent resources for transracial adoption in Washington State. Guided by the Transracial Adoption Parenting Series framework developed by the Coalition for Children, Youth, and Families, …

Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun

Walden Dissertations and Doctoral Studies

The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, providing care to millions of veterans annually. Diagnostic service wait times affect veteran access to timely diagnoses and subsequent eligibility for disability benefits, vocational rehabilitation, and social services. The purpose of this integrative review was to identify evidence-based strategies to reduce diagnostic wait time within the VHA. The guiding review question addressed what strategies VA medical centers can use to reduce diagnostic wait times. Guided by Donabedian’s structure-process-outcome framework, a comprehensive literature search initially identified 487 sources across multiple databases. Subsequently, systematic screening and application …

Lived Experiences Of Husbands Of Deployed Military Spouses, Timothy Lee Heath

Walden Dissertations and Doctoral Studies

The focus of this study was to explore the lived experiences of civilian husbands during the deployment of their active-duty spouses. Although there is plenty of information concerning the negative and demanding impacts of deployment on female spouses and children, more is needed to understand the lived experiences of husbands of deployed soldiers. Research has confirmed that husbands of deployed soldiers have distinctive gender-specific needs that have been inadequately addressed, leading to adverse psychosocial effects. The couple adaptation to traumatic stress model and gender role theory served as the frameworks for this study to identify the psychosocial issues faced by …

Strategies Of It Leaders For Deploying Cloud-Native Applications In Emerging Markets, Peter Ekhator

Walden Dissertations and Doctoral Studies

Cloud-native applications are transforming organizational information technology (IT) operations by enabling scalability, flexibility, and cost efficiency. However, some IT leaders in emerging markets lack evidence-based strategies for successfully deploying cloud-native applications. IT leaders and organizational decision-makers are concerned because ineffective deployment limits the ability to leverage cloud technologies for innovation, operational resilience, and sustained competitiveness. Grounded in the technology–organization–environment (TOE) framework, the purpose of this qualitative pragmatic inquiry was to explore strategies IT leaders use to deploy cloud-native applications in emerging-market contexts. Data were collected using semistructured interviews from 10 IT leaders with experience deploying cloud-native applications and were supplemented …

Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence

Walden Dissertations and Doctoral Studies

No prior studies have compared occupational stressors of criminal defense lawyers by practice setting (public defender, court-appointed, or retained). In this mixed-method study, the goal was to identify occupational stressors perceived by criminal defense lawyers in different settings and to determine if those stressors were correlated with depression, anxiety, and burnout, using Maslach’s burnout-engagement continuum as the theoretical framework. Based on stressors identified in semistructured interviews with 15 criminal defense lawyers, the Criminal Defender Stress Survey (CDSS) was created to measure the frequency and perceived intensity of identified stressors. The CDSS was incorporated into an online survey, along with the …

Reducing College Dropout Rates Of People With Autism In Hillsborough County, Florida, Jennifer Warren

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

Significant barriers exist for neurodivergent individuals when they try to access higher education and these barriers continue to disrupt their ability to persist and obtain a college degree or secondary professional education. By implementing targeted academic supports and increasing authentic inclusive education practices on campuses and in online education spaces, barriers can be reduced or eliminated. With clear actionable steps and intentional buy in from institutions, barriers present for teens and young adults with autism are removed and higher education.

Significant Findings

College students with autism spectrum disorder (ASD) are a growing population in higher education, but they …

Bound By Belief: Exploring The Influence Of Internalized Rape Myths On Survivor Agency And Identity, Arika I. White

Walden Dissertations and Doctoral Studies

This qualitative study explored how internalized RMA impacts survivors’ cognitive processing, coping strategies, and psychological agency, as observed by licensed psychotherapists who treat sexual assault survivors. Despite extensive literature on the societal impacts of RMA, less attention has been given to understanding how these cultural myths are internalized by survivors and manifest intrapsychically, influencing self-perception, self-blame, and identity reconstruction following trauma. Using a phenomenological approach, semi-structured interviews with therapists provided meta-level insights into how survivors’ narratives reflect internalized cultural stigma and misogynistic beliefs. Thematic analysis was used to identify patterns of maladaptive coping, internalized misogyny, and diminished agency, revealing how …

The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter

Walden Dissertations and Doctoral Studies

Adult Protective Services (APS) workers play a crucial role in providing care, support, and services to older and adult clients with special needs. There was a lack of empirical data on the long-term retention of APS investigators and on how burnout affects their intentions to resign. Departments consistently rely on a cycle of using newer, less experienced investigators who may not know about community and state services or department policies and procedures to connect clients. The purpose of this quantitative correlational study was to examine the relationship between personal, work-related, and client-related burnout and APS investigators’ intention to resign. Data …

K–8 Teachers' Perceptions Of The Barriers To Educating Chronically Absent Homeless Youth, Daniel James Pangrazio

Walden Dissertations and Doctoral Studies

Abstract The problem that was addressed through this study is that kindergarten through eighth-grade homeless students experience higher rates of chronic absenteeism and lower educational outcomes than their housed peers in California. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this study was to explore K–8 teachers’ perceptions of the barriers they face in educating chronically absent homeless youth. For this basic qualitative design, semistructured interviews were conducted with 10 K–8 teachers from one California school district. Creswell and Guetterman’s five-stage coding process was used for data analysis. Four themes emerged: Teachers discussed (a) barriers to addressing student academic …

Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey

Walden Dissertations and Doctoral Studies

Undergraduate nursing education presents ongoing challenges related to student stress and persistence, and the COVID-19 pandemic further complicated these existing challenges for many students and programs. In this quantitative, correlational, cross-sectional study, the relationships among state mindfulness, trait mindfulness, and academic self-efficacy in undergraduate nursing students were examined and whether state and trait mindfulness predicted academic self-efficacy was tested. Participants were recruited through nursing student Facebook groups and completed an anonymous SurveyMonkey questionnaire that included the State Mindfulness Scale, the Mindful Attention Awareness Scale, the Academic Behavioral Confidence Scale, and demographic items. Data were collected over 6 weeks ending August …

Male Teachers' Experiences On The Gender Imbalance In Early Education, Erika White

Walden Dissertations and Doctoral Studies

Diversity in the ECE workforce has been shown to have a positive social and academic influence on children and families within the ECE setting. The problem addressed in this study was that in an urban eastern school district (UESD), there was an educator gender imbalance in early childhood education (ECE). Grounded in Smith’s rational choice theory, the purpose of this basic qualitative study was to explore the experiences of male preschool and kindergarten (P—K) teachers in UESD. Data were collected through semistructured interviews with 13 male P—K teachers working in the UESD. Thematic analysis using inductive coding indicated male educators: …

Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong

Walden Dissertations and Doctoral Studies

Military sexual trauma (MST)—sexual harassment or assault during military service—is more common among women and is a leading cause of posttraumatic stress disorder (PTSD). Veterans Affairs (VA) disability for MST-related PTSD offers financial support, free healthcare, and validation, but women face barriers and uneven access to supports (veteran service organizations, trained advocates, trauma-informed clinicians), reducing their chances of favorable decisions. In this generic qualitative study, semi-structured interviews were conducted with 11 purposively sampled women veterans representing diverse service eras, branches, and adjudication outcomes. Analysis was guided by feminist theory to shift focus from individual blame to structural factors, including how …

Nurse Education On Nonpharmacological Management Of Knee Osteoarthritis, Toyin Mary Ajayi

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice (DNP) project aims to fill the gaps in the management of knee osteoarthritis (OA) in adults aged 40 to 75 years in a primary care practice. Knee OA is a common chronic disease that significantly impacts pain, mobility, and quality of life. Although there is empirical evidence that nonpharmacological interventions, including exercise, weight control, and self-management education, are effective, these methods are not consistently used in clinical practice, and pharmacologic treatment continues to be used. The project was designed to inform healthcare personnel about evidence-based nonpharmacological strategies to improve patient outcomes and reduce reliance on …

Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …

The Lived Experiences Of The Strong Black Woman Cultural Convention On Black Women Counselors’ Emotional Intelligence, Pranati Walker

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is a critical competency for counselors due to the relational and emotionally demanding nature of counseling. Although existing literature explored EI among Black women broadly, limited research examined the experiences of Black women counselors (BWCs). This descriptive phenomenological study was guided by the philosophy of phenomenology and explored the lived experiences and impact of the SBW cultural convention on the EI of BWCs. The researcher explored the lived experiences of BWCs regarding the SBW cultural convention and its impact on emotional intelligence. Participant data from eight semi-structured interviews were collected. The participants identified as female gender identity, …

Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore

Walden Dissertations and Doctoral Studies

Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …

Social Workers’ Views On Students With Developmental Disabilities In Charter And Private Schools In Idaho, Branden Smalley

Walden Dissertations and Doctoral Studies

Idaho private and charter schools are experiencing increased enrollment, including students who are developmentally delayed. Such an increase in the population of developmentally delayed students presents challenges for school social workers in providing needed therapeutic services. This study addressed the limited therapeutic services for students with developmental disabilities in Idaho’s private and charter schools, as perceived by school social workers. The purpose was to examine school social workers’ perceptions of the barriers and challenges they encounter when supporting students with developmental disabilities in private or charter schools in Idaho. Participant eligibility criteria included holding a minimum of a bachelor’s degree …

How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher

Walden Dissertations and Doctoral Studies

Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …

Effective Data-Driven Marketing Strategies Used By Independent Insurance Agency Owners To Acquire And Retain Clients, Yolanda Marie Gunn

Walden Dissertations and Doctoral Studies

Ineffective use of data-driven marketing strategies among independent insurance agency owners’ limits client acquisition and weakens retention in saturated markets, thereby jeopardizing financial stability, constraining sustainable growth, and reducing long-term competitiveness. Grounded in data-driven decision-making theory, this qualitative pragmatic inquiry was to explore strategies independent insurance agency owners used to implement data-driven marketing practices to improve client acquisition and retention. Participants were six independent insurance agency owners in the southern United States with experience implementing data-driven marketing strategies. Data were collected through semistructured interviews, field notes, and publicly available agency marketing materials and analyzed using Braun and Clarke’s six-phase thematic …

Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein

Walden Dissertations and Doctoral Studies

The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …

It Strategies Used To Implement Enterprise Resource Planning Systems, Michele Doverspike

Walden Dissertations and Doctoral Studies

Enterprise resource planning (ERP) system implementation represents a significant challenge for small businesses, with failure rates that can lead to substantial financial losses and operational disruption. Information Technology (IT) managers in small businesses face a gap in evidence-based strategies tailored to their organizational context, increasing the risk of implementation failure and its associated financial and operational consequences. Grounded in general systems theory, the purpose of this qualitative multicase study was to explore the strategies IT managers use to implement ERP systems in small businesses in central Pennsylvania. The participants were six IT managers from small businesses in Pennsylvania who had …

Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon

Walden Dissertations and Doctoral Studies

Individuals with mental health disorders are overrepresented in the criminal justice system, yet minimal evidence exists on how risk-based case management influences pretrial supervision. Existing literature focuses on post-conviction populations, with limited focus on pretrial defendants, particularly those with mental health disorders and gaps in how gender and mental health intersect to influence supervision outcomes. The study addressed the problem of whether risk-based case management improves pretrial outcomes for defendants with mental health needs and vary by gender or case management components. The purpose of this quantitative, non-experimental, retrospective design study was to examine the relationship between case management and …