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Full-Text Articles in Entire DC Network
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Walden Dissertations and Doctoral Studies
This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …
Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba
Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba
Walden Dissertations and Doctoral Studies
This doctoral project focused on developing and evaluating a clinical practice guideline (CPG) to address the lack of standardized interdisciplinary communication between psychologists and psychiatric mental health nurse practitioners (PMHNPs) in a pediatric outpatient psychiatric setting. Inconsistent communication practices, including informal conversations, delayed documentation, and unstructured messaging, contributed to fragmented care and inefficient treatment coordination. To address this gap, an evidence-based, structured communication framework was developed to guide interdisciplinary collaboration. The guideline was developed using the Johns Hopkins Evidence-Based Practice model and supported by a review of 14 evidence sources spanning Levels I to V of the literature. A four-member …
Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky
Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky
Walden Dissertations and Doctoral Studies
Social media platforms have become significant contexts for informal learning among adults, offering access to information and peer exchange outside of formal educational settings. These platforms are also emotionally complex environments in which stress and emotion regulation may shape learning outcomes. The purpose of this quantitative, nonexperimental study was to examine the relationship between social media use and informal learning in adults, with perceived stress and emotion regulation examined as moderating variables. Secondary data from the Stress in America: The State of Our Nation, 2007–2018 surveys were analyzed, using binary logistic regression with moderation while controlling for age, gender, and …
Staff Education Project On Enhancing Provider Knowledge And Confidence In Adolescent Depression Assessment Using The Phq-9 Tool, Beatrice Ogoh Stephens
Staff Education Project On Enhancing Provider Knowledge And Confidence In Adolescent Depression Assessment Using The Phq-9 Tool, Beatrice Ogoh Stephens
Walden Dissertations and Doctoral Studies
Adolescent depression is a developing public health issue, especially in underprivileged areas where delayed diagnosis and treatment are caused by uneven screening procedures and inadequate provider training. By increasing provider and staff knowledge, confidence, and use of the Patient Health Questionnaire-9 (PHQ-9) for systematic teen depression screening, this staff education project filled a practice gap in a primary care clinic. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that was guided by the ADDIE instructional design approach. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that …
The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn
Walden Dissertations and Doctoral Studies
In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Walden Dissertations and Doctoral Studies
Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Walden Dissertations and Doctoral Studies
Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Walden Dissertations and Doctoral Studies
Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …
Challenges To Completion Of Workforce Adult Education Classes Among New Americans, Damon Grew Peter Syphers-Wilkins
Challenges To Completion Of Workforce Adult Education Classes Among New Americans, Damon Grew Peter Syphers-Wilkins
Walden Dissertations and Doctoral Studies
The problem which was addressed through this study was New American groups face challenges in the completion of workforce adult education classes. The purpose of this qualitative study was to explore New Americans’ challenges, needs, and cultural challenges to complete workforce adult education classes. The conceptual frameworks that guided this study were Knowles’ model of andragogy and Wlodkowski and Ginsberg’s motivational framework for culturally responsive teaching. Freire’s pedagogy of hope can inform future research focused on strengthening the model of andragogy and the motivational framework for culturally responsive teaching. For this phenomenological design, 10 semistructured telephone interviews were conducted with …
Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson
Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson
Walden Dissertations and Doctoral Studies
The purpose of this doctoral project was to implement a quality improvement educational initiative to strengthen provider understanding of antidepressant side effects in an outpatient behavioral health setting. The project was conducted to address gaps in staff knowledge related to identifying and managing antidepressant adverse effects, which are essential skills for safe medication practices in mental health care. Addressing this gap was significant because unrecognized antidepressant side effects can contribute to poor adherence, worsening symptoms, preventable complications, and negative patient outcomes. The results of the project demonstrated meaningful improvements in provider knowledge. Six staff members completed pre- and posttest assessments. …
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
Walden Dissertations and Doctoral Studies
Mental health stigma among healthcare professionals remains a barrier to help-seeking behaviors, workforce well-being, and psychological safety. This Doctor of Nursing Practice project addressed a practice gap by providing standardized, evidence-based staff education to reduce mental health stigma. The practice-focused question examined whether implementing an evidence-based staff education guideline improved healthcare professionals’ knowledge, attitudes, and confidence regarding mental health stigma. An evidence-based educational intervention was developed using the ADDIE instructional design model and informed by an integrative literature review. The intervention was delivered through structured staff education sessions and evaluated using pre- and post-intervention design. Results demonstrated improved knowledge of …
Staff Education To Improve Consistent Utilization Of The Phq-9 Depression Screening Tool, Ekaette Akpabio
Staff Education To Improve Consistent Utilization Of The Phq-9 Depression Screening Tool, Ekaette Akpabio
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed the inconsistent use of standardized depression screening tools in an outpatient behavioral health setting. The purpose of the project was to implement a structured staff education intervention to improve clinician knowledge, confidence, and consistency in PHQ-9 documentation. Guided by the Johns Hopkins Evidence-Based Practice Model, the project involved delivering targeted education to behavioral health clinicians and evaluating practice implications. Findings support that staff education promotes improved documentation practices, supports accurate symptom assessment, and enhances patient safety. Incorporating standardized screening education into onboarding and ongoing professional development may contribute to sustainable, evidence-based mental …
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Walden Dissertations and Doctoral Studies
Burnout is a significant concern in nursing practice as it is linked to emotional exhaustion, decreased job satisfaction, compromised patient safety, and increased nurse turnover—especially in high-acuity settings. Targeted education is essential to supporting nurse well-being and sustaining high-quality care This doctoral project entailed the implementation of a structured, practice-focused educational intervention to address nurse burnout and limited awareness of mental health resources in an acute care setting. The guiding question was, among acute care nurses, does participation in a one-day educational workshop on burnout and available mental health resources improve knowledge and awareness of burnout prevention compared to before …
Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel
Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel
Walden Dissertations and Doctoral Studies
A lack of staff knowledge regarding timely intake response and follow-up communication processes resulted in inconsistent management of client follow-up at the private mental health clinic in Florida. This gap in practice guided the practice-focused question: Does educating mental health clinical staff on timely intake response and follow-up communication improve staff knowledge in managing client follow-up processes in a private mental health clinic, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the Johns Hopkins evidence-based practice (JHEBP) model, the Walden University DNP Project Checklist, and the DNP Project Process …
The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga
The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga
Walden Dissertations and Doctoral Studies
Helicopter parenting has been extensively studied within the emerging adult population. However, previous studies have recruited their participants solely from a university setting. The current literature on grit and emerging adults is limited. Therefore, this study sought to add to the current literature by recruiting emerging adults through multiple platforms, such as multiple social media platforms, to allow non-university participants. This study also sought to add to the current literature on emerging adults and grit. Utilizing the theories of social learning theory and self-determination theory, the purpose of this quantitative, correlational study was to determine if helicopter parenting and grit …
Staff Education Project Staff Education To Increase Knowledge Of The Patient Health Questionnaire-9 Screening Tool, Linda Ejem
Walden Dissertations and Doctoral Studies
This staff education doctoral project focused on educating nursing staff about the Patient Health Questionnaire-9 (PHQ-9) for depression screening in inpatient psychiatric care. Addressing this issue is crucial, as poor adherence leads to missed diagnoses and treatment, increased hospital visits, and poor patient outcomes. Low adherence to the PHQ-9 depression screening protocol has emerged as a significant practice gap. The purpose of this doctoral project was to increase nursing staff knowledge of the PHQ-9 depression screening tool in psychiatric care through staff education. The practice-focused question was: Does education on PHQ-9 depression symptoms improve nursing staff knowledge as compared pre- …
Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu
Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu
Walden Dissertations and Doctoral Studies
This doctoral project implemented a staff education program to promote nursing knowledge of resilience training and stress management at an outpatient mental health clinic. Workplace stress contributes to medication errors and to poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Nurse Communication scores, both of which undermine patient safety. The practice-based question was: Does resilience education enhance stress management strategy knowledge from pre- to post-education? The purpose was to evaluate whether structured resilience education improved nursing knowledge of stress management, guided by the analysis, design, development, implementation, and evaluation (ADDIE) model. Using the Johns Hopkins evidence-based practice (JHEBP) …
Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Walden Dissertations and Doctoral Studies
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Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Walden Dissertations and Doctoral Studies
Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Walden Dissertations and Doctoral Studies
Due to complex neurological deficits that raise the risk of falls, falls among persons admitted to inpatient tele-neurology units represent a substantial and continuous problem in nursing practice. A preliminary evaluation conducted at the project site revealed inconsistent fall prevention procedures, inconsistent use of risk assessments, and a lack of a standardized, evidence based strategy to lower fall risk in this especially susceptible group. A practice focused investigation into whether the adoption of a standardized, nurse led fall prevention bundle would improve staff adherence to fall prevention protocols and lower the incidence of inpatient falls over a six month period …
Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel
Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel
Walden Dissertations and Doctoral Studies
There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …
Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele
Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele
Walden Dissertations and Doctoral Studies
Clinician burnout is increasingly prevalent in outpatient mental health settings due to high emotional demands, heavy caseloads, and limited organizational resources, contributing to reduced job satisfaction, increased turnover, and diminished quality of care. The gap in practice at the project center revealed a deficiency in knowledge among mental health clinic staff regarding effective stress management and burnout prevention, which led to the practice question: Does educating providers and staff on mindfulness-based interventions improve knowledge, as evidenced by pre- and postsurveys? To close this gap, this Doctor of Nursing Practice (DNP) project educated staff members on mindfulness-based interventions (MBIs). The Walden …
Lgbtq+ Cultural Competency Training For Mental Health Care Workers, Shyla Noelle Herndon-Dye
Lgbtq+ Cultural Competency Training For Mental Health Care Workers, Shyla Noelle Herndon-Dye
Walden Dissertations and Doctoral Studies
The purpose of the staff education project was to address a noticeable gap in training regarding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) cultural competencies for the multidisciplinary mental health care workers of an inpatient child and adolescent psychiatry unit. LGBTQ+ individuals commonly encounter discriminatory barriers to care, resulting in mental health disparities and medical distrust; thus, mental health care workers must engage in professional allyship and improve their capability to sufficiently care for this population. The practice question that guided this project was the following: Will a staff education program designed to educate multidisciplinary mental health care workers on …
Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson
Staff Education Program To Improve Pediatric Medication Adherence Knowledge In Primary Care, Coby Anderson
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was focused on a staff education program aimed at addressing the knowledge gaps of primary healthcare providers regarding pediatric medication adherence. Nonadherence among pediatric patients is a significant issue leading to adverse health outcomes and increased healthcare costs. The project underscores the necessity of enhancing provider knowledge and communication skills, alongside implementing systematic strategies to promote adherence. My objective with the project was to elevate primary healthcare providers’ understanding and practical application of pediatric adherence techniques through targeted, evidence-based education. I developed the practice-focused question to examine whether this tailored staff education could bolster …
Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer
Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer
Walden Dissertations and Doctoral Studies
This study explored how informal caregivers of colorectal cancer (CRC) gain access to supportive care services at integrated cancer care institutions. Although supportive care aims to improve the quality of life for patients and caregivers, there is limited research on how informal caregivers participate in distress screening, and no standard process exists across settings. This study used a qualitative phenomenological approach to explore the lived experiences of 10 oncology nurses with screening informal caregivers for distress and referring them to supportive care within integrated cancer care institutions. The Global Supportive Care Framework for Cancer Care served as the theoretical framework …
Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion
Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion
Walden Dissertations and Doctoral Studies
Although childhood sexual abuse (CSA) is known to affect survivors’ subsequent self- esteem and interpersonal trust levels, its long-term impacts among African American women were not fully understood. The purpose of this qualitative phenomenological study, which was grounded in attachment theory and trauma theory, was to explore how CSA shapes African American women’s self-esteem, interpersonal trust, and healing processes in adulthood. To answer the study’s seven research questions, semistructured interviews were conducted with eight African American women. The use of Braun and Clarke’s reflexive thematic analysis approach yielded seven themes: (a) impaired trust, (b) disrupted self-esteem, (c) resilience and strength …
Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren
Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed stigma and implicit bias toward individuals with opioid use disorder (OUD) within a rehabilitation subacute care setting. OUD remains a significant public health concern and at the project site, inconsistent staff education was identified as a practice gap requiring intervention. The purpose of this practice-focused DNP project was to evaluate the impact of a structured staff education intervention on healthcare staff knowledge, attitudes, and confidence in caring for patients with OUD. The project was guided by a thorough evidence search. The project was implemented using brief, unit-based educational sessions delivered to interdisciplinary …
Perceptions Of Community College Faculty Regarding Online Student Engagement Challenges And Recommendations, Jana Allen-Bishop
Perceptions Of Community College Faculty Regarding Online Student Engagement Challenges And Recommendations, Jana Allen-Bishop
Walden Dissertations and Doctoral Studies
The problem addressed through this study is that local community college faculty members struggle to develop student engagement in online courses. The purpose of this basic qualitative study was to explore community college faculty perceptions about challenges with student engagement in online courses and recommendations for fostering that engagement. The conceptual frameworks for this study were Knowles’ theory of andragogy and self-directed learning, as well as Mezirow’s transformative learning theory. Data were collected through semistructured interviews with eight community college faculty members teaching online courses. Through open and axial coding the following themes emerged: faculty noted that their own technological …