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Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish Dec 2025

Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …

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Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa Dec 2025

Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa

Walden Dissertations and Doctoral Studies

This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events

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Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami Dec 2025

Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami

Walden Dissertations and Doctoral Studies

This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …

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Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun Dec 2025

Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun

Walden Dissertations and Doctoral Studies

Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …

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First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller Dec 2025

First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller

Walden Dissertations and Doctoral Studies

First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …

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Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin Dec 2025

Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin

Walden Dissertations and Doctoral Studies

Workforce retention among mental health professionals has been a central focus of scholars as behavioral health systems continue to face chronic staffing instability (Hallett et al., 2024). Researchers have demonstrated that burnout, limited organizational support, and resource misalignment significantly influence turnover in these settings (Maslach & Leiter, 2016; Pulman & Fenge, 2024). However, researchers have not yet established how mental health professionals within a single publicly funded, state-operated behavioral health organization interpret the organizational and cultural factors that influence their decision to remain employed. The purpose of this qualitative single-case study was to explore how mental health professionals in a …

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Employers’ Best Practices For Retaining Women Employees With Dual Responsibilities Post-Covid-19 Pandemic: A Multiple Case Study, Wenoka E. Nieves Dec 2025

Employers’ Best Practices For Retaining Women Employees With Dual Responsibilities Post-Covid-19 Pandemic: A Multiple Case Study, Wenoka E. Nieves

Walden Dissertations and Doctoral Studies

The challenges women face with dual responsibilities during a crisis often force them to take on additional or multiple responsibilities at home. The specific research problem is that although researchers have investigated job loss during crises, such as the COVID-19 pandemic, the topic of how employers can retain women with dual responsibilities, caring for their family members in their household and working during crises, has not been explored. The purpose of this qualitative multiple case study was to explore the best practices that employers use to retain women employees with dual responsibilities who are caring for their household family members …

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Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams Dec 2025

Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams

Walden Dissertations and Doctoral Studies

Academic scholars have researched the impact of artificial intelligence (AI) on privacy, trust, and data governance; however, substantial gaps remain—particularly regarding how AI influences consumer trust and privacy among Texas consumers subscribed to digital platforms. The purpose of this generic qualitative study was to explore how Texas consumers experience and perceive online platforms for personal and private use regarding online data privacy and trust, underscoring the gap in prior research on how state-level consumer protection laws, such as the Texas Deceptive Trade Practices Act (DTPA), address concerns relative to data trust, privacy, and digital protection. The conceptual framework that guided …

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Inclusive Stem Education In Nigerian Schools:An Emerging Pathway For Substainable Development, Oginni Aderonke Margaret Dr., Awobodu Victoria Yetunde Dr., Olusegun Bisola Esther Miss Dec 2025

Inclusive Stem Education In Nigerian Schools:An Emerging Pathway For Substainable Development, Oginni Aderonke Margaret Dr., Awobodu Victoria Yetunde Dr., Olusegun Bisola Esther Miss

Journal of Educational Research and Practice

Inclusive STEM (science, technology, engineering, and mathematics) education plays a vital role in promoting equitable learning opportunities and fostering sustainable development. However, in Nigeria, many marginalized student groups face barriers that hinder their full participation in STEM fields. This study examines the factors impeding inclusivity in STEM education and their effects on students’ motivation, academic performance, and awareness of sustainable development in Lagos State. Employing a survey research design, data were gathered from 550 students selected through simple random sampling across 21 secondary schools in Education Districts I, III, and V. A researcher-developed questionnaire was used for data collection. To …

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Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton Dec 2025

Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton

Walden Dissertations and Doctoral Studies

Teacher retention has been a growing issue, as the rate of teacher vacancies has continued to increase after the COVID-19 pandemic. The increase in teacher vacancies after the pandemic highlighted the importance of retaining and attracting highly qualified teachers for schools and school districts. A coastal South Carolina school district had been providing employee support services to retain current staff and create a competitive advantage over other school districts in attracting new staff. The purpose of this generic qualitative study is to examine the perception of classroom teachers regarding the efficacy of free afterschool childcare as an employee support service …

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Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley Dec 2025

Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley

Walden Dissertations and Doctoral Studies

Independent quick-service restaurant owners face challenges sustaining their businesses beyond 5 years of operation. Many independent quick-service restaurant owners are concerned about maintaining sustainable business operations, as failure can negatively affect owners, employees, and the communities they serve. Grounded in the resourcebased view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful sustainability strategies that quick-service restaurant owners used to survive beyond 5 years. The participants were six independent, quick-service restaurant owners operating in the state of Maryland who employed effective sustainability strategies to survive for more than 5 years. Data were collected using semistructured …

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The Perception Of Therapists About Compassion Fatigue And Burnout After Working With Victims Of Domestic Violence, Bernadine Edwards Dec 2025

The Perception Of Therapists About Compassion Fatigue And Burnout After Working With Victims Of Domestic Violence, Bernadine Edwards

Walden Dissertations and Doctoral Studies

This qualitative study involved gaining a better understanding of the perceptions of therapists who work with domestic violence victims, and how the therapists’ work may contribute to the development of compassion fatigue and burnout in the treating therapists. The goal was to gather firsthand data regarding the lived experiences of therapists. This study involved conducting semi-structured interviews with six counselors, listening to lived experiences, reading transcriptions, taking and reading notes in a journal during and after interviews, and analyzing data. The social ecological theory guided the study. The research identified 11 key themes highlighting the significant stress associated with this …

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Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield Dec 2025

Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield

Walden Dissertations and Doctoral Studies

Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …

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Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell Dec 2025

Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell

Walden Dissertations and Doctoral Studies

Approximately one in six youth ages 6 to 17 years old in the United States have a mental health disorder, such as depression and anxiety. Out of the 119,000 youth in Michigan in that age group, roughly 57.8% are not receiving proper mental health support services. Students are at school for a large majority of their day, so it is important that they have access to school-based services. The purpose of this basic qualitative study was to understand the perceptions of secondary education teachers in Wayne County, Michigan, on school-based mental health support services. Using the community level and the …

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Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy Dec 2025

Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy

Walden Dissertations and Doctoral Studies

Ineffective strategies to reduce burnout for employees can decrease productivity and quality of work, and can increase turnover. Event industry leaders who struggle to reduce burnout of employees with high workload demands are at risk of employee turnover. Grounded in the Job Demands-Resources (JD-R) model, the purpose of this qualitative, pragmatic inquiry research project was to explore effective strategies to reduce burnout for employees with high workload demands. The participants were eight event industry leaders who had effectively implemented strategies to reduce burnout. Data were collected using semistructured interviews and a review of public websites and documents. Using thematic analysis, …

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In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs Dec 2025

In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs

Walden Dissertations and Doctoral Studies

Counselor educators lack an in-depth understanding of the unique needs and experiences of African American women with binge eating behavior, leading them to be ill-equipped to train counselors to meet these culturally specific needs. As a result of this study, counselor educators were able to understand how African American women experience binge eating behavior, enhancing training for counselors. This qualitative study included a transcendental phenomenological approach and focused on providing answers regarding the lived experiences of African American women with binge eating behavior during their binge eating episodes. Semistructured interviews with eight African American women with binge eating behavior were …

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Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders Dec 2025

Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders

Walden Dissertations and Doctoral Studies

Telehealth has emerged as a transformative approach to healthcare delivery, particularly for populations facing geographic, financial, and mobility-related barriers. In rural communities such as Sumter, South Carolina, seniors 50 and older continue to experience challenges in accessing timely care, including limited transportation, provider shortages, digital illiteracy, and financial constraints. Conducted by Andersen’s Behavioral Model of Health Services Use (ABMHSU), this qualitative phenomenological study explored the lived experiences of seven seniors in Sumter to understand how telehealth influences engagement in healthcare. This study was guided by three research questions (RQ) that examined seniors’ experiences using ABMHSU, focusing on predisposing factors, enabling …

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Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie Dec 2025

Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie

Walden Dissertations and Doctoral Studies

Organizations may experience negative impacts, such as the loss of valuable employees and disruptions in team dynamics, when coaching interventions lead to challenges against organizational norms or policies. Coaching industry leaders must understand the negative impacts as indicators of workplace vulnerability affecting employees and productivity. The purpose of this qualitative phenomenological study was to explore how coachees describe their lived experiences of strengths-based coaching (SBC) and its impact on their psychological well-being (PWB). The SBC’s dual outcomes on PWB, using a conceptual framework that integrates positive psychology coaching, Ryff’s model of PWB, and social exchange theory, grounded this study. The …

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Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks Dec 2025

Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks

Walden Dissertations and Doctoral Studies

Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …

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A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss Dec 2025

A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss

Walden Dissertations and Doctoral Studies

Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …

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The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner Dec 2025

The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner

Walden Dissertations and Doctoral Studies

Child sexual abuse (CSA) can be detrimental to survivors well into adulthood and can affect the relationships of everyone with whom they are involved. Knowing the perpetrator is a determining factor in the equation and is associated with increased odds of behavioral health challenges among survivors. This is especially true within African American communities, where cultural violence results in an increased level of trauma. The purpose of this qualitative study was to examine the lived experiences of African American CSA survivors and their relationships with the perpetrators. As part of the phenomenological design, data were collected through semi-structured interviews with …

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Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace Dec 2025

Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace

Walden Dissertations and Doctoral Studies

Abstract This Doctor of Nursing Practice project involved the development and quality appraisal of a clinical practice guideline (CPG) for early depression screening in adults with opioid use disorder (OUD), addressing the absence of standardized, evidence-based screening protocols in addiction treatment settings. Guided by the practice-focused question of whether existing evidence supports the development and evaluation of such a guideline using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, a systematic synthesis of 35 research articles was conducted, with 15 high-level studies informing guideline development. A multidisciplinary panel of four experts evaluated the CPG using the …

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The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes Dec 2025

The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes

Walden Dissertations and Doctoral Studies

Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …

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Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan Dec 2025

Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan

Walden Dissertations and Doctoral Studies

Scholarly literature has found that post-traumatic stress impacts first responders; however, little attention has been paid to how first responders learn resiliency through post-traumatic growth (PTG). The purpose of this hermeneutic phenomenological study was to explore a gap in the literature of first responders who learned resiliency through posttraumatic growth following a critical incident in the line of duty. The research study was grounded in Heidegger’s philosophy of hermeneutic phenomenology, guided by resiliency theory , and informed by post-traumatic growth theory. Seven first responders from multiple disciplines were invited to participate in semi-structured interviews designed to provide rich and reflective …

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African American Small Business Success Strategies, Zena Foster Dec 2025

African American Small Business Success Strategies, Zena Foster

Walden Dissertations and Doctoral Studies

Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …

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Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke Dec 2025

Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke

Walden Dissertations and Doctoral Studies

This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …

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Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech Dec 2025

Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech

Walden Dissertations and Doctoral Studies

An increasing focus on the recovery, rights, and autonomy of individuals with serious mental illnesses has led to ongoing debate regarding the practice and legal regulation of involuntary commitment (IVC). To ensure ethical and appropriate patient care throughout this complex process, more knowledge is needed about social workers’ decision-making process regarding the use of IVC. The purpose of this study was to investigate the decision-making processes associated with IVC for inpatient psychiatric treatment in North Carolina using the biomedical ethics framework. More specifically, the study addressed how licensed social workers describe their experiences and decision-making processes when determining whether to …

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Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu Dec 2025

Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu

Walden Dissertations and Doctoral Studies

Summary This doctoral project was a staff education program designed to improve depression screening among patients in an adult primary care setting. The practice problem addressed was the lack of standardized depression screening that led to inconsistent detection, delayed diagnosis, and fragmented mental health care. A move to address the issue is critical in nursing practice since nurses play a central role in early identification, patient advocacy, and integration of behavioral health into primary care. The practice-focused question guiding the project was, Will implementing a nursing staff education program impact their knowledge of Clinical Practice Guideline (CPG) for depression screening …

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Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork Dec 2025

Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork

Walden Dissertations and Doctoral Studies

Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …

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Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo Dec 2025

Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo

Walden Dissertations and Doctoral Studies

As baby boomers, Generation X, millennials, and Generation Z converge in healthcare settings, their distinct values and work styles influence organizational culture, communication, and collaboration, ultimately affecting patient care outcomes. This study was conducted to explore the impact of generational differences on registered nurses’ intentions to leave their organizations or the nursing profession. By examining how these generational differences shape nurses’ intentions to leave their organizations, the study can help to identify challenges and opportunities for healthcare leadership. Through an analysis of generational expectations and workforce dynamics, this research aimed to inform strategies for supporting retention, enhancing job satisfaction, and …

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