Digital Commons Network^™

Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse

Walden Dissertations and Doctoral Studies

Food insecurity (FI) is a persistent public health challenge in the United States and disproportionately affects rural communities. Guided by syndemic theory, this quantitative cross-sectional study examined associations between FI and chronic disease outcomes among rural residents of Vermont and the Adirondack region of New York. Social determinants of health screenings and electronic medical records from 35 rural primary care sites were analyzed. Secondary data from n = 72,505 adults were used to evaluate these relationships. Binary logistic regression models assessed obesity, hypertension (HTN), and diabetes (DM), and a multinomial logistic regression model evaluated the combined presence of obesity and …

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …

How Recruitment And Retention Of Staff Affect Behavioral Health Care Facilities, Teresa A. Rodriguez

Walden Dissertations and Doctoral Studies

ABC Organization identified the barriers of how recruitment and retention of staff affect a behavioral health care agency. The goal of the study was to determine how these barriers affect behavioral health care organizations. The framework used for the study was the Baldridge framework. The research questions that guided the study addressed how recruitment of staff affects an organization and how retention of staff affect an organization. The methodology was a qualitative case study with 10 participants. Data was analyzed by coding and identifying themes. The results showed that when an organization invests in the leaders and offers benefit packages, …

Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch

Walden Dissertations and Doctoral Studies

Exploring nursing faculty job satisfaction is important for retaining faculty in undergraduate nursing programs because they are vital to training future bedside nurses. There is a nursing faculty shortage in the United States, and retaining faculty is critical to addressing it. The purpose of this study, guided by Herzberg’s motivation-hygiene theory, was to (a) understand the relationship between workload, work-life balance, and nursing faculty job satisfaction and (b) the relationship between student incivility and nursing faculty job satisfaction in undergraduate nursing programs. Undergraduate nursing faculty in Ohio and Florida with at least 2 years of teaching experience were recruited via …

Staff Education On The Patient Health Questionnaire-9 (Phq-9) To Improve Depression Screening In A Mental Health Clinic, Agatha Onyemaechi Okemkpa

Walden Dissertations and Doctoral Studies

For this doctoral project, I implemented a staff education program on the Patient Health Questionnaire-9 (PHQ-9) to address depression screening practices in a mental health clinic. The practice problem addressed was limited depression screening due to a lack of education on the PHQ-9. The project aimed to answer the question: “For staff in a mental health clinic, will an educational offering on the Patient Health Questionnaire improve knowledge towards the goal of increasing screening for depression among clients?” To evaluate the outcome, a pre- and post-knowledge-based assessment using a 10-question multiple-choice test was administered to 20 staff members, and the …

The Appropriation Of Indigenous Land In HawaiʻI, Julie Loo

Walden Dissertations and Doctoral Studies

In the transition from a monarchical to a democratic governance system in Hawaiʻi, Indigenous perspectives have not been fully integrated into land-use decision-making, resulting in mistrust, cultural marginalization, and inequitable policy outcomes. While prior researchers have examined colonization in Hawaiʻi, there is limited understanding of how Hawaiian cultural protocols may impact modern state-level decisions regarding Indigenous land use. The purpose of this qualitative ethnographic case study was to explore perceptions and lived experiences related to the cultural protocol of Kapu Aloha among Kanaka Maoli who participated in the Mauna Kea blockade and government officials involved in permitting Indigenous land for …

Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa

Walden Dissertations and Doctoral Studies

Nearly 50% of patients in substance abuse treatment settings exhibit aggressive behaviors, placing staff and other patients at risk. In the absence of structured de-escalation training, clinicians frequently rely on physical restraints or pharmacologic interventions, which contribute to staff burnout, injury, and ethical concerns. The project implemented an evidence-based staff education program to improve nurses’ knowledge, confidence, and competence in managing aggression using nonviolent de-escalation strategies. The project question guiding this initiative was: Can education improve nurses’ de-escalation skills in a substance abuse treatment setting? Using an evidence-based practice (EBP) approach and the PICO framework, the project evaluated the impact …

Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass

Walden Dissertations and Doctoral Studies

African American women experience disproportionately high rates of preeclampsia in the United States; however, the contributions of prenatal care provider type, health care access, and quality of care to this disparity were insufficiently defined. Guided by the quality health outcomes model, this quantitative case-control study used primary data to examine associations between these factors and the occurrence of preeclampsia among African American women age 18–40 who had given birth within the previous 5 years in Georgia. Descriptive statistics and binary and multinomial logistic regression analyses were conducted. Prenatal care quality was measured using the Quality of Prenatal Care Questionnaire (QPCQ), …

Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari

Walden Dissertations and Doctoral Studies

Depression is a serious public health concern affecting over 280 million people globally and leading to significant morbidity and mortality if left undetected and untreated. At the local organization, leadership identified inconsistent depression screening as a practice problem among nursing staff. Thus, the purpose of this doctor in nursing practice (DNP) project was to determine if an educational intervention focused on depression, the importance of depression screening, and the use of the Patient Health Questionnaire-9 (PHQ-9) increased knowledge and confidence among nursing staff working in a local organization. Fifteen participants volunteered to participate in the project. The average age was …

School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill

Walden Dissertations and Doctoral Studies

The experiences that Black parents had in school have been found to influence how they view and interact with schools and the challenges and barriers related to their child’s education attainment. It is important to understand school-based human service professionals’ perceptions about the relationship that Black families have with Southern schools and suggestions these professionals have about promoting better communication and understanding with Black families. The purpose of this qualitative generic study was to examine school human service professionals’ perceptions about the relationship that Black families have with schools and to gather suggestions about how they could promote communication and …

Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon

Walden Dissertations and Doctoral Studies

In the United States, over 100,000 deaths were attributed to drug overdose in 2021. Relapse rates are higher in rural communities than in urban communities due to sociocultural barriers such as employment, limited entrainment activities, and peer pressure during social events. Previous research did not indicate whether the increase or decrease of Daily Living Assessment (DLA-20) scores have a correlation between community resource utilization and relapse. Using systems theory as the research lens, this study examined the correlation between use of community engagement resources and relapse as manifested by scores on the DLA-20. Data were collected from 100 individuals enrolled …

Emotional And Psychological Well-Being In Early Postmenopausal Women: A Phenomenological Study, Marjorie F. Leon

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore how early postmenopausal women experience and navigate emotional and psychological well-being during the postmenopausal transition. Although menopause has been widely examined as a biological process, women’s lived emotional and psychosocial experiences during the early postmenopausal period remain underexplored in psychological research. Conceptually informed by Engel’s biopsychosocial model, this study examined how biological, psychological, and social factors intersect in shaping resilience, identity, and coping during this transitional life stage. Thirteen women within 5 years of menopause onset participated in semi structured interviews. Data were analyzed using Braun and Clarke’s six-phase reflexive …

Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson

Walden Dissertations and Doctoral Studies

Child protection workers work in a stressful and demanding occupation, subject to high staff turnover and inexperienced staff. This situation has created problems for child protection workers in doing their jobs effectively—for example, handling their daily tasks and caseload—leading to potential burnout and work dissatisfaction. Existing literature has explained how burnout begins to develop as a response to chronic exposure to job-related stressors, to a point of emotional exhaustion and reduced personal accomplishment. Researchers have found that work-related conditions have contributed to the development of burnout, especially when attempting to define how one could be overworked and how much labor …

Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders

Walden Dissertations and Doctoral Studies

Sexual and gender minorities (SGM) experience disproportionately high rates of substance use disorders linked to trauma exposure, minority stress, and barriers to affirming behavioral health care. Although trauma-informed approaches have expanded, little is known about how SGM individuals experience and make meaning of their engagement in internal family systems (IFS) therapy for trauma and addiction. Guided by Schwartz’s theory of the multiplicity of the mind and minority stress theory, the purpose of this qualitative phenomenological study was to explore how SGM individuals describe and interpret their engagement in IFS therapy within the context of trauma and addiction. Interpretative phenomenological analysis …

Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston

Walden Dissertations and Doctoral Studies

Telephone triage nurses routinely assess symptoms and make clinical decisions without visual contact, which introduces complex communication challenges. Language differences, emotional distress, cultural misunderstandings, and the absence of visual cues may influence how symptoms are described, interpreted, and acted upon during telephone encounters. The purpose of this qualitative interpretive description study, guided by Peplau’s theory of interpersonal relations, was to explore how RNs experience and manage communication barriers in telephone triage practice. Six RNs with recent experience in telephone triage participated in semistructured interviews, and the data were analyzed using interpretive description and thematic analysis. Findings indicated that participants relied …

Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison

Walden Dissertations and Doctoral Studies

The purpose of this qualitative action research study was to explore Dallas, Texas, human services professionals’ perceptions of the services that former foster youth need to ensure that they have access to medical and preventative care benefits when they age out of the system. The conceptual framework of Aday and Andersen’s health behavior model provided a structure for the lack of medical care access, the need for improvement, and the desire to use services for various marginalized at-risk populations. The action research design was chosen to help solve real-life healthcare problems that directly affect participants within their community. A purposeful …

Lived Experiences Of Texas Construction Workers Reporting Near Misses On Their Jobsite, Joaquin Manuel Diaz

Walden Dissertations and Doctoral Studies

Near miss incidents in the construction industry, when reported, serve as critical indicators of safety performance. When reported, organizations can identify hazards early and reduce the incidence of injuries and illnesses. Limited research exists on how construction workers perceive near miss incidents and how they are influenced to report them. Semi-structured audio-recorded interviews with 15 Texas-based construction workers in three cities about their lived experiences with near-miss reporting were conducted between July 18 and August 22, 2025. Data were organized using NVivo software and analyzed according to the phenomenological procedures outlined by Burns et al. and the qualitative analysis guidance …

Moderating Effects Of Leadership Style And Organizational Culture On Information Technology Involvement, Erick Dyson

Walden Dissertations and Doctoral Studies

This quantitative correlational study investigated the relationships among leadership styles, organizational culture, information technology involvement (INV), IT adoption intention (ITA), and knowledge-sharing intention (KSI) among managerial staff in educational institutions in the northeastern United States. Grounded in the technology acceptance model (TAM) and knowledge management theory, the study utilized survey responses from 141 participants in supervisory roles. Regression analyses revealed that INV significantly predicted ITA (F = 31.725, p < .001), accounting for 17.7% of the variance. However, ITA demonstrated a statistically significant but inverse relationship with KSI (F = 7.995, p < .001), indicating that greater ITA was associated with lower KSI. Hierarchical regression showed that the inclusion of leadership styles and organizational cultures improved model fit, with the final model explaining 53.3% of the variance in KSI. Charismatic, transformational, and transactional leadership styles moderated the ITA and KSI relationship, while servant and transactional leadership directly predicted KSI. Among cultural types, hierarchy and market cultures moderated the ITA and KSI relationship, while adhocracy, hierarchy, and market cultures directly predicted KSI. Seventeen significant two-factor interactions were identified, highlighting the complex interplay of leadership and culture. Reliability analyses confirmed acceptable internal consistency (α = .71 -.85), and regression diagnostics indicted no assumption violations. These findings challenge traditional TAM assumptions and emphasize the need for context-aware strategies integrating leadership and culture to enhance knowledge sharing in digitally transforming institutions.

Strategies For Bridging The Broadband Gap For An Inclusive Digital Economy, Hassana Asuku

Walden Dissertations and Doctoral Studies

Broadband access remains a critical driver of digital participation and economic inclusion; however, many rural communities continue to lack adequate connectivity and remain excluded from the digital economy. Although Information and Communication Technology (ICT) policymakers, regulators, and operators prioritize expanding broadband infrastructure, limited research exists on the strategies these stakeholders use to successfully bridge rural broadband gaps. Drawing on Jan van Dijk’s resources and appropriation theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by ICT policymakers, regulators, and operators to bridge the broadband gap in rural areas. Eight telecommunications industry players who had successfully …

Perceived Black Maternal Narcissism And Their Daughters’ Delinquency: Chronicles From A Daughter’S Interpretation, Nzinga Cates

Walden Dissertations and Doctoral Studies

This qualitative study examined the intricate dynamics between perceived Black narcissistic mothers and their daughters, particularly regarding potential delinquent behaviors exhibited by the daughters. By utilizing in-depth interviews with seven participants, I sought to uncover the psychological and relational factors contributing to these behaviors’ development. Thematic analysis indicated that daughters of narcissistic mothers often endure emotional neglect, manipulation, and lack of healthy role modeling. This can result in feelings of inadequacy and rebellion. Themes of identity confusion, low self-esteem, and desire for autonomy surfaced as significant contributors to the daughters’ engagement in delinquent activities. The study underscored the importance of …

Exploring The Perceptions Of Religious Trauma Among Former Members Of The Church Of Jesus Christ Of Latter-Day Saints Who Identify As A Sexual Minority, Samuel Clemens

Walden Dissertations and Doctoral Studies

This qualitative study explored the perceived experiences of religious trauma among formerly active members of The Church of Jesus Christ of Latter-day Saints (LDS) who identify as sexual minorities. Religious trauma, characterized by psychological, emotional, and social harm, arises from interactions with religious institutions and teachings. For sexual minorities within the LDS Church, strict adherence to heteronormative principles and rigid gender roles often results in identity suppression, emotional distress, and social isolation. Utilizing a generic qualitative inquiry approach, this study investigated how participants interpret their experiences of religious trauma and its perceived effects on their lives. Twelve participants aged 20–74 …

Negotiating Fatherhood: Young Men’S Narratives Of Care, Responsibility, And Struggle In A Low-Income South African Setting, Urlridge A. Thompson Dr, Tshepang Headman Mr, Leballo Tjemolane Mr, Lukhanyo H. Nyati Dr

Journal of Social, Behavioral, and Health Sciences

Financial provision continues to factor significantly in how Black men perceive and enact fatherhood, influencing the extent and manner of their paternal engagement. The enduring representation of men primarily as financial providers constrains the generation and enactment of alternative modalities of fatherhood within families and society. This qualitative study explored how the everyday lived experiences of young Black men in Soweto, South Africa, influence their varied engagements with fatherhood as they navigate structural constraints to pursuing their ideal of fatherhood. An exploratory descriptive qualitative approach was employed. We conducted two sets of semi-structured interviews with 19 young Black men in …

The Meaning Of The Practicum In Initial Teacher Training. The Educational Value Of Tutoring, María Pilar Sepúlveda-Ruiz, María José Mayorga-Fernández, Elena García-Vila

Higher Learning Research Communications

The theory-practice and practice-theory relationship is a fundamental axis in the learning of trainee teachers; therefore, the practicum must constitute the key element in their university training. The research described in this paper, in which students and teachers from the bachelor’s degrees in early childhood education and primary education programs at the University of Huelva in Spain have participated, has been carried out through a descriptive and interpretative qualitative study focused on case studies. This study highlights the need for greater communication between the work experience centers and the university and between the professionals who tutor the work experience period. …

Health Histories, Tiffanie Walton

Walden Dissertations and Doctoral Studies

No abstract provided.

Examining Academics’ Decision-Making Processes And Implementation Challenges Of Blended Learning Models For Future Higher Education, Devrim Akgunduz, Aysegul Kinik Topalsan

Higher Learning Research Communications

Objectives: Blended learning has gained increasing attention in higher education as a hybrid approach that integrates face-to-face and online modalities. This study investigates academics’ decision-making processes and challenges in implementing blended learning models to inform future educational practices.

Methods: An exploratory case study design was employed. Data were obtained from academics representing multiple faculties who participated in a professional development program on technological approaches and learning models. Participants completed the Blended Learning Sub-Model Preparation Form, which was analyzed to identify preferences and challenges in adopting blended learning.

Results: Findings reveal a clear preference for sub-models such as the flipped classroom, …

Third-Grade Teachers’ Experiences When Implementing Technology Tools To Enhance Literacy Instruction, Sherry Ann Kim Marie Meeks

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was that third-grade teachers had challenges fostering students’ use of technology during instruction to increase literacy proficiency at rural schools in the western Caribbean. Grounded in Siemens’s connectivism theory, the purpose of this study was to understand the experiences of third-grade teachers when using technology to improve students’ literacy proficiency levels. Data were collected from 14 third-grade teachers from regional primary schools who had in-depth knowledge about integrating technology into third-grade instruction. Thematic analysis using open coding yielded six themes: teachers (1) believe technology plays an important role in preparing third-grade students …

Teachers' Experiences Implementing Play-Based Learning Practices In Prekindergarten–Kindergarten Classrooms, Atiana T. Carroll

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that prekindergarten and kindergarten (PK-K) teachers in one large southern U.S. school district were not implementing play-based learning (PBL) practices despite the well-documented benefits of PBL in early childhood education. Guided by Knowles’s adult learning theory and Kolb’s experiential learning theory, the purpose of this basic qualitative study was to explore PK-K teachers’ experiences with implementing PBL and to identify what teachers need to embed PBL practices in PK-K classrooms. Semistructured interviews were conducted with nine PK-K teachers, and thematic analysis was applied to identify key patterns. Four themes emerged from the analysis: …

Lived Experiences Of Autonomy, Competence, And Relatedness To Commitment Among Middle School Teachers, Chandra Garlington-Hughes

Walden Dissertations and Doctoral Studies

Retaining middle school teachers has become increasingly challenging due to factors such as burnout, limited leadership support, and high job demands. School administrators need to understand these factors as a key indicator contributing to elevated attrition rates. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of middle school teachers regarding work-related autonomy, competence, and relatedness, and how these psychological needs contribute to their long-term commitment to the profession. Self-determination theory and Dahlberg’s reflective lifeworld research approach grounded this study. The participants were 11 U.S. middle school teachers with 5 or more years of professional …

Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa

Walden Dissertations and Doctoral Studies

This DNP project implemented a targeted staff education intervention designed to bridge the practice gap in obesity management among adolescents in underserved communities. A comprehensive chart review of 45 patients revealed that only 3% of encounters adequately addressed obesity using evidence-based practice (EBP) guidelines, establishing the urgent need for healthcare provider education and competency development. Adolescents in underserved communities face complex barriers to health and wellness, with obesity representing a critical public health concern. The literature demonstrated that childhood and adolescent obesity serves as a significant risk factor for multiple chronic conditions in adulthood, including Type 2 diabetes, hypertension, coronary …

The Relationship Between Police Encounters And Anxiety Levels Among Urban Black Males Aged 18–40, Wilbert Smith

Walden Dissertations and Doctoral Studies

This quantitative, cross-sectional, correlational study examined the relationship between police encounter characteristics and anxiety symptoms among urban Black males aged 18–40 in the United States. Although prior research has documented racial disparities in police contact and adverse mental health outcomes, limited empirical work has examined how multiple dimensions of police encounters jointly relate to anxiety within this population. Guided by Critical Race Theory, the study assessed whether the frequency, severity, and perceived fairness of police encounters were associated with self-reported anxiety symptoms. Data were collected from 138 self-identified urban Black males using a nonprobability, self-selected sampling approach. Participants completed an …