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Developing Nurse Knowledge And Confidence In Telehealth Delivery For Ptsd Care, Bisilola M. Yinusa
Developing Nurse Knowledge And Confidence In Telehealth Delivery For Ptsd Care, Bisilola M. Yinusa
Walden Dissertations and Doctoral Studies
With posttraumatic stress disorder (PTSD) prevalence increasing and telehealth becoming more integrated into mainstream healthcare practice, it is critical to ensure that nurses are adequately trained to deliver evidence-based, trauma-informed care through digital modalities. The identified practice problem centered on the limited telehealth competency among nurses, particularly in communication strategies, confidence, and clinical readiness for PTSD care via virtual platforms. This doctoral project was a staff education initiative designed to enhance the telehealth delivery of trauma-informed care for patients with PTSD. The purpose of this project was to evaluate whether the structured educational intervention improved nurses’ knowledge and confidence in …
Relationship Between Time Assessment, Cost Projection, And Project Performance In The U.S. Government, James Egerson Harris
Relationship Between Time Assessment, Cost Projection, And Project Performance In The U.S. Government, James Egerson Harris
Walden Dissertations and Doctoral Studies
Project management roles are growing in terms of importance, yet project failure rates remain significant. Business leaders and stakeholders are concerned about the successful completion of projects because failure can result in significant cost overruns and delays. Grounded in the iron triangle theory, the purpose of this quantitative correlational research project was to examine the relationship between time assessment, cost projections, and project performance. Participants included 84 professionals, including project/program managers and IT analysts in Northern Virginia, who completed the Project Implementation Profile (PIP) tool. Results of Spearman’s Rho correlational test were significant, indicating time (r = 0.240, p = …
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Walden Dissertations and Doctoral Studies
The purpose of this project is to determine whether implementing a staff education program in a psychiatric clinical setting can improve healthcare staff knowledge of strategies to prevent burnout. The project addresses a critical practice problem: a lack of structured education programs specifically targeting burnout recognition and management among mental healthcare staff. Burnout not only negatively impacts staff well-being but also affects patient safety and the overall quality of care. This project was designed to fill this gap by providing an educational intervention, with effectiveness measured through pre- and post-intervention surveys assessing staff knowledge. This staff education project was strengthened …
Counselors’ Experience Of Vicarious Trauma Symptoms During The Covid-19 Pandemic, Aleah B. Curley
Counselors’ Experience Of Vicarious Trauma Symptoms During The Covid-19 Pandemic, Aleah B. Curley
Walden Dissertations and Doctoral Studies
As caseloads increased during the COVID-19 pandemic, counselors experienced a shift to telehealth counseling and double exposure to trauma and pandemic elements. Some counselors experienced symptoms of vicarious trauma (VT). A gap in the literature existed regarding the interaction of the pandemic among clients and counselors’ experiences of VT symptoms. The purpose of this narrative inquiry was to explore the lessons learned by capturing the stories of counselors who experienced VT symptoms during the COVID-19 pandemic. The research question concerned the retrospective experiences of counselors who self-reported experiencing VT symptoms during the COVID-19 pandemic. Seven licensed professional counselors who experienced …
Pregnancy Intention And Maternal Morbidity In Oklahoma And Mississippi: A Moderation Analysis Of Abortion Restriction Policies, Vicki Johnson
Pregnancy Intention And Maternal Morbidity In Oklahoma And Mississippi: A Moderation Analysis Of Abortion Restriction Policies, Vicki Johnson
Walden Dissertations and Doctoral Studies
More than half of all pregnancies are unintended (mistimed or unwanted), and women with unplanned pregnancies may face economic hardships for families and additional health consequences if they have pre-existing medical conditions. This quantitative study was conducted to examine the relationship between pregnancy intention levels and severe acute maternal morbidity, specifically chorioamnionitis, among women who gave birth in Oklahoma and Mississippi in 2022. Using secondary data (N=1939) from the Pregnancy Risk Assessment Monitoring System Automated Research Files and state-level abortion policy data from the Guttmacher Institute, this study employed Bronfenbrenner’s social ecological model framework to investigate the relationship between pregnancy …
Effective Strategies To Attract And Retain Qualified Hospitality Staff In The Post-Pandemic Caribbean, Rajan Bhattarai
Effective Strategies To Attract And Retain Qualified Hospitality Staff In The Post-Pandemic Caribbean, Rajan Bhattarai
Walden Dissertations and Doctoral Studies
Employee attraction and retention remain critical constraints for Caribbean luxury-wellness resorts in the post-pandemic era. Hospitality and tourism leaders are concerned because persistent vacancy, churn, and extended time-to-competence impair service quality and performance of their organizations. Grounded in the Baldrige Excellence Framework and social exchange theory, the purpose of this qualitative single case study was to explore the effective strategies employed by tourism leaders to attract and retain qualified staff within a Caribbean hospitality organization. Data were collected from five Caribbean leaders (HR director, department manager, and supervisors) using semistructured interviews and analyzing organizational documents. Thematic analysis was used to …
Developing Outreach Strategies To Sustain Diversity And Inclusion In Interfaith Partnerships With Local Government, Dora Muhammad
Developing Outreach Strategies To Sustain Diversity And Inclusion In Interfaith Partnerships With Local Government, Dora Muhammad
Walden Dissertations and Doctoral Studies
Local government has been hindered by a lack of sustained interfaith engagement. Faith leaders have not been consistent stakeholders in policymaking decisions. This gap in practice stemmed from a lack of research of self-transcendence within public administrative settings. Grounded in a review of 70 years of research into the conceptual framework of government needs analysis, this study’s purpose was to explore principles and concepts of civic engagement and partnership shared among faiths. Qualitative research was designed to answer, “How do faith leaders describe the current civic participation, partnership, diversity, and inclusive strategies within their faith communities as they relate to …
Primary School Teachers’ Perceptions On The Implementation Of Positive Behavioral Interventions And Supports, Heather Page
Primary School Teachers’ Perceptions On The Implementation Of Positive Behavioral Interventions And Supports, Heather Page
Walden Dissertations and Doctoral Studies
Student disruptive behaviors are a growing problem affecting schools and teachers. Positive Behavioral Intervention and Support (PBIS) is designed to help educators reduce disruptive students. The problem at a southeastern primary school was, despite implementing PBIS, teachers were concerned the model was ineffective in terms of managing students’ disruptive behaviors. Framed using the PBIS model by Sugai and Horner, the purpose of this qualitative study was to examine teachers’ perceptions regarding implementing the PBIS model for behavior modification and what was needed to improve the program. Data were collected from 11 primary school teachers in grades K-3 using semistructured interviews. …
Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse
Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse
Walden Dissertations and Doctoral Studies
The Texas Department of Criminal Justice (TDCJ) faces employee retention challenges, and recruiting and retaining correctional officers remains TDCJ’s most significant challenge and highest priority. Correctional facility leaders need to understand these challenges as indicators of workforce sustainability. Grounded in job embeddedness theory, the purpose of this general qualitative study was to explore the turnover experiences of Texas correctional officers, to understand why officers left their jobs, and the factors that contributed to their decisions to stay in their jobs. Participants comprised 11 former correctional officers who had worked between 5 months and 6 years for the TDCJ. Data were …
Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey
Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey
Walden Dissertations and Doctoral Studies
There is a growing need for supported employment services and improved programming among people with intellectual/developmental disabilities (I/DD). The research question for this study was; what are human service staff and administrators’ experiences and perceptions of what is working well in supported employment programs, and how to improve the services offered to adults with I/DD in a northeastern county? The tenets of Kurt Lewin’s change model form the theoretical framework for the study, to serve as a foundation for effective change. A force field analysis approach was used to gather narrative written data from open ended questionnaire responses to grasp …
Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck
Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck
Walden Dissertations and Doctoral Studies
Abstract Nonprofit organizations provide critical services that address social, cultural, and economic needs within communities. Nonprofit leaders who cannot retain volunteers risk reduced organizational capacity, interruptions in program delivery, and weakened ability to achieve program objectives. Grounded in servant leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective strategies nonprofit leaders use to retain volunteers to support their program objectives. Participants were six nonprofit leaders in north Texas who have successfully retained volunteers to support their program objectives. Data was collected using semi structured interviews and a review of publicly available documents …
Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii
Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii
Walden Dissertations and Doctoral Studies
Post-traumatic growth (PTG) has received increasing attention in psychological research, yet the PTG experiences of African Americans remain underexplored. Trauma researchers have established the common prevalence of trauma within this population, but there have been very few studies on how African Americans traverse trauma according to PTG. Understanding PTG in this population is essential for clergy, coaches, parents, counselors, and others who work in these communities. The purpose of this quantitative survey study was to determine whether there was a statistically significant relationship between rumination, religious orientation, religious commitment, and stressful life events (SLEs) and PTG among urban African American …
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Walden Dissertations and Doctoral Studies
Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …
Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas
Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas
Walden Dissertations and Doctoral Studies
Small businesses can be at a heightened risk of occupational fraud if their internal control strategies are not effective. This risk is a major concern for small business owners, who might face financial and operational challenges as a result. Grounded in Cressey’s fraud triangle framework, the purpose of this qualitative multiple case study was to explore effective internal control strategies to reduce the risk of occupational fraud from occurring. Participants were six small business owners in New England who had developed effective internal controls. Data were collected through semistructured interviews and employee handbooks. Through thematic analysis, four themes emerged, including …
Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim
Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim
Walden Dissertations and Doctoral Studies
This quantitative survey study explored whether acculturation and enculturation predicted parenting styles among second-generation Korean American adults. The study was guided by Berry’s acculturation theory, Kim’s enculturation theory, and Baumrind’s parenting typology. Two research questions were addressed: (a) whether acculturation level predicted parenting style when controlling for parent age, gender, and number of children, and (b) whether enculturation level predicted parenting style when controlling for the same demographic variables. Emails and flyers were used to recruit participants from various Korean American groups on social media. A total of 146 Korean American parents completed anonymous online questionnaires about acculturation, enculturation, and …
Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh
Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh
Walden Dissertations and Doctoral Studies
Lack of employee engagement presents a significant risk and cost across the property management industry. Property management business leaders are concerned with this challenge because employee engagement directly affects performance efficiency and employee turnover costs. Grounded in the self-determination theory, the purpose of this qualitative pragmatic inquiry was to explore strategies property management leaders use to strengthen employee engagement in the workplace. The participants were six purposefully selected property management business leaders in the United States. Data were collected using semistructured interviews and a review of public industry documents. Through thematic analysis, six themes were identified: (a) communication, (b) mentorship, …
Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke
Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke
Walden Dissertations and Doctoral Studies
Summary This Doctor of Nursing Practice project was conducted to examine a quality improvement initiative that sought to address metabolic syndrome screening consistency for veterans on antipsychotic medications at a U.S. Department of Veterans Affairs health system located in the Midwest region of the United States. The project centered on whether the quality improvement program assessing compliance with the current metabolic syndrome screening process reflects increased early detection of metabolic syndrome to prevent cardiovascular complications. Data collection involved comprehensive chart reviews of 50 veterans’ records. The data collected were analyzed using a specially designed quality improvement initiative assessment form developed …
The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy
The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy
Walden Dissertations and Doctoral Studies
A sizeable number of U.S. heart failure patients are readmitted within 30 days of hospital discharge. There was a need to explore ways to reduce this number and improve the care of heart failure patients when they are discharged home. The purpose of this quantitative correlational study was to determine if there is a relationship between age, gender, and race of heart failure patients and 30-day readmissions in the U.S. state of Mississippi in 2019. The dependent variable was heart failure 30-day readmissions, and the independent variables were age, gender, and race. Wagner’s chronic care model was the theoretical framework …
A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya
A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya
Walden Dissertations and Doctoral Studies
In this evidence-based educational project, I identified the gap in practice with the lack of nurses' knowledge in culturally tailored hypertension management among nurses caring for African American adults at a family nurse practitioner clinic. In this Doctor of Nursing Practice (DNP) project, I focused on a staff education initiative to improve nurses' knowledge to reduce disproportionately high rates of hypertension, complications, and mortality due to factors such as limited access to care, medication nonadherence, mistrust of providers, and improve on culturally competent interventions. The guiding practice-focused question was: Does educating nurses on hypertension in the African American population improve …
Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku
Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku
Walden Dissertations and Doctoral Studies
This project is an education-based initiative designed to address the persistent problem of psychotropic medication duplication in integrated care settings. Duplication occurs when patients receive multiple prescriptions of the same or similar psychotropic drugs. The practice gap exposes patients to adverse drug events, complications of polypharmacy, and reduced adherence, and subjects the providers to liability. The practice-focused question guiding this project is: For primary care and psychiatric providers, will an education program on structured communication and medication reconciliation, compared to current usual practices, increase provider confidence and awareness of the risks of duplication, communication strategies, and increased the use of …
Staff Education To Implement Phq-9 Depression Screening Among Adults, Sharon C. Nwanne-Temple
Staff Education To Implement Phq-9 Depression Screening Among Adults, Sharon C. Nwanne-Temple
Walden Dissertations and Doctoral Studies
Abstract Depression remains one of the most prevalent and underdiagnosed mental health conditions globally, resulting in substantial morbidity, diminished quality of life, and increased healthcare costs. The purpose of this Doctor of Nursing Practice (DNP) project was to improve early detection of depression among adults in a primary care setting through a structured staff education program on the use of the Patient Health Questionnaire-9 (PHQ-9) screening tool. A mixed-methods quality improvement design guided implementation over a six-week period with nine clinical staff participants, including nurses, medical assistants, and providers. The educational intervention comprised a PowerPoint presentation, interactive discussion, and post-training …
Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh
Effective Strategies To Address Poor-Quality Suppliers In The Automotive Industry, Virginia May Hartleigh
Walden Dissertations and Doctoral Studies
Poor-quality suppliers present a significant risk and cost liability across the manufacturing industry. Industrial automotive manufacturing leaders are concerned with this challenge because supplier quality directly affects production efficiency and accounts for over 70% of total production costs. Grounded in resource dependence theory, the purpose of this qualitative pragmatic inquiry was to explore successful strategies supply chain leaders use to identify and address poor-quality suppliers to improve manufacturing processes and achieve cost savings. The participants were six purposefully sampled supply chain leaders in the U.S. industrial automotive sector who were experienced in successful supplier mitigation strategies. Data were collected using …
Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms
Divorcees’ Experiences Of Hubristic Pride In Communication In Previous Marital Relationships, Amanda Harms
Walden Dissertations and Doctoral Studies
Poor communication practices have significantly strained marital relationships, contributing to increased divorce rates in the United States. As a self-conscious emotion, hubristic pride often leads to poor communication, which in turn exacerbates marital discord and contributes to the breakdown of families. The purpose of this basic qualitative study was to explore how divorcees perceive the impact of hubristic pride on communication in their previous marriages. The theoretical framework underpinning this study was Homans’s social exchange theory. Data were obtained from eight divorced participants not actively involved in ongoing custody proceedings through semistructured interviews and analyzed using Saldaña’s descriptive coding methodology. …
Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare
Organizational Leaders’ Effective Strategies For Using Employee Training To Mitigate Threats To Cybersecurity Compliance, Oluwaseye Adekunle Fadare
Walden Dissertations and Doctoral Studies
Organizational leaders increasingly face challenges associated with employee noncompliance with cybersecurity controls, which expose business leaders to reputational and financial risks. Addressing this business problem is critical for cybersecurity leaders and business executives who aim to strengthen digital resilience and sustain profitability. The purpose of this qualitative pragmatic inquiry was to explore effective strategies organizational leaders use to enhance employee cybersecurity compliance through training. The project was grounded in the protection motivation theory and total quality management frameworks, which provide insight into the behavioral and continuous improvement dimensions of cybersecurity management. Six cybersecurity leaders from Nigeria participated in semistructured interviews. …
Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme
Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project focused on developing and evaluating an evidence-based clinical practice guideline (CPG) for the psychopharmacologic management of serious mental illness (SMI) in a state correctional health system. The project explored a critical practice gap: the unavailability of standardized, evidence-based prescribing and monitoring protocols for incarcerated individuals diagnosed with schizophrenia, major depressive disorder with psychotic features, or bipolar disorder. The evidence-based project was structured around the central question: “Will an interprofessional team achieve consensus on updating the clinical practice guideline for psychopharmacologic management of serious mental illness in state prisons, thereby improving consistency and quality …
Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner
Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner
Walden Dissertations and Doctoral Studies
Sepsis is a life-threatening medical emergency that requires rapid identification and treatment. Delays in administering antibiotics are directly associated with increased mortality, longer hospital stays, and higher complication rates. Without intervention, patients faced preventable harm, and the organization risked continued non-compliance with federal quality measures. This Doctor of Nursing Practice (DNP) project implemented a structured educational program for emergency department (ED) nurses to improve knowledge of evidence-based sepsis protocols. The practice-focused question asked: For nurses in the ED, will an educational intervention on sepsis recognition and antibiotic stewardship improve knowledge of timely antibiotic administration and blood culture acquisition? Twenty ED …
The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres
The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres
Walden Dissertations and Doctoral Studies
Despite progress in addressing racism in the United States, its effects remain deeply entrenched, particularly for Black families. Research on Black parenting shows that parents adapt their strategies to protect children from criminalization, discussing violence, providing safety within the home, and limiting exposure to unsafe environments while also managing their own stress. Yet limited attention has been given to how Black mothers prepare their sons for race-related risks within the modern sociopolitical climate shaped by the #BlackLivesMatter movement. The purpose of this basic qualitative research study was to explore how Black mothers prepare their Black sons for race-related risks. Carter’s …
The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong
The Underrepresentation Of African American Officers In A Large Midwestern Correctional System, Julius Oben Eyong
Walden Dissertations and Doctoral Studies
The correctional population in the United States remains high despite the implementation of various measures to reduce crime and recidivism. The primary goal of correctional establishments is to reduce recidivism and crime through effective rehabilitation programs. The role of the correctional officer is crucial in the rehabilitation process because they are the heartbeat of a prison. However, low staffing levels have a negative impact on the role of corrections officers. There is a gap in the relevant literature on the low staffing levels of African American correctional officers. This qualitative research, through the phenomenological approach, focused on the correctional culture …
Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson
Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson
Walden Dissertations and Doctoral Studies
Burnout is common among hospice clinical social workers due to the emotionally demanding nature of the profession and heavy caseloads. This study explored how hospice clinical social workers perceive the role of empowerment and self-care practices in reducing burnout. The qualitative design used semi-structured interviews with ten hospice clinical social workers. Thematic analysis identified five categories: indicators of burnout, team-based/relational support, systemic and workload pressures, organizational culture, and values and professional identity. The themes that emerged from the five categories were emotional, physical, and professional; interdisciplinary support and supervisory support; workload and organizational demands; organizational challenges and policy limitations; workplace …
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Walden Dissertations and Doctoral Studies
The challenges individual agencies face in addressing the complex issue of human trafficking and how interagency collaboration can strengthen survivor-centered support are largely unknown. Organizations often lack formal alliances that combine expertise and resources to deliver more comprehensive care. The absence of such partnerships represents a missed opportunity to provide the essential services necessary for survivors’ recovery, empowerment, and social reintegration. The purpose of the study was to use interagency collaboration to address the question: How can education, law enforcement, public health, and community-based organizations assess the barriers and benefits of interagency collaboration to create a more seamless support network …