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Articles 661 - 690 of 7906
Full-Text Articles in Entire DC Network
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Walden Dissertations and Doctoral Studies
Poor nutrition is a major contributor to death in the United States, and residents of public housing face disproportionate challenges in maintaining adequate nutrition. Public housing is the nation’s oldest housing subsidy program, providing more than one million units for millions of residents, many of whom are women, minorities, and unmarried individuals with incomes below the poverty line. The purpose of this generic qualitative study was to explore public housing professionals’ perspectives on using a mobile food unit located within housing communities to help reduce food insecurity. Feminist intersectionality theory provided the framework for this study, emphasizing how overlapping systems …
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Walden Dissertations and Doctoral Studies
Diabetes mellitus (DM) affects 12% of the United States population at an annual cost of $412.9 billion. In the local clinic, 20% of the patient population has a diagnosis of DM. Despite the importance of diabetes self-management education and support (DSMES) in managing DM, patients are often not educated on this important strategy. Leadership identified that patients were reporting a lack of knowledge regarding DSMES practices and that the nurses lacked the necessary knowledge and awareness to educate patients in DSMES. Thus, the purpose of this DNP project was to determine if an educational intervention focused on DM and DSMES …
Enhancing Medication Adherence In Primary Care Settings Through Staff Education, Sabita Bhusal
Enhancing Medication Adherence In Primary Care Settings Through Staff Education, Sabita Bhusal
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was an evidence-based staff education initiative addressing medication nonadherence in hypertension, a critical issue that contributes to poor health outcomes, uncontrolled blood pressure, preventable hospitalizations, and increased healthcare costs. The identified gap in practice was defined by limited staff knowledge, lack of structured training, and inconsistent application of evidence-based adherence counseling strategies. The practice-focused question was: In a primary care clinic, will an evidence-based staff education program on medication adherence increase staff knowledge? A structured training intervention was implemented and then evaluated for its effectiveness. Descriptive statistics and a paired t test comparing pre- …
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Walden Dissertations and Doctoral Studies
In fulfilling their role of monitoring individuals outside of a prison setting, probation officers may encounter individuals who have antisocial personality disorder (ASPD) or antisocial personality (ASP) traits. Individuals who have ASP traits and are not diagnosed with ASPD are still impacted by recommendations of punishment, higher recidivism rates, and a lack of treatment resources provided. Individuals in the criminal justice system with ASP traits are not a new phenomenon, but there is a lack of research on the probation officers' experience working with these individuals. The purpose of this study was to examine and explore the experiences of probation …
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Walden Dissertations and Doctoral Studies
: A lack of knowledge among nurses and healthcare staff in providing evidence-based practice (EBP) medication treatment and patient care for individuals who have attention-deficit/hyperactivity disorder (ADHD) was evident at a Midwest substance use and mental health facility. For nurses and staff caring for those with ADHD, appropriate patient treatment is essential in helping patients avoid struggles in their daily lives. To address this problem, I developed, implemented, and evaluated a staff education program on ADHD treatment in the project. The practice question focused on whether participants of the education program improved their knowledge of medication and treatment management, as …
Shared Family Identity And Emotional Abuse From A Childhood Caregiver As Predictors Of Self-Censorship Willingness, Jillian Theryon
Shared Family Identity And Emotional Abuse From A Childhood Caregiver As Predictors Of Self-Censorship Willingness, Jillian Theryon
Walden Dissertations and Doctoral Studies
Childhood emotional abuse may be underreported and unnoticed. The purpose of this quantitative cross-sectional study was to examine whether shared family identity (SFI) with an emotionally abusive childhood caregiver was linked to self-censorship of social and political opinions in adulthood. The study also examined whether this relationship is intensified among those with a strong sense of SFI with that caregiver. Linear multiple regression analysis of survey data collected from 119 participants, recruited through Survey Monkey Audience, revealed that willingness to self-censor was significantly shaped by the interaction between SFI and emotional abuse, especially overcontrol. Although SFI is often seen as …
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
Walden Dissertations and Doctoral Studies
Prolonged undiagnosed posttraumatic stress disorder (PTSD) has been examined from various perspectives and represents a significant medical concern across diverse populations. Research on PTSD often targets specific groups, such as postpartum women or military veterans. This narrow focus in much of the literature tends to obscure the broader impact of prolonged undiagnosed PTSD on the general population, thereby overlooking the critical need to highlight systemic shortcomings that hinder effective interventions and reform. Furthermore, personal narratives detailing the challenges individuals face when seeking help or treatment – factors that contribute to delays in care – and the subsequent effects on their …
Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula
Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula
Walden Dissertations and Doctoral Studies
Background: CLABSIs remain a significant cause of morbidity, mortality, and increased healthcare costs, particularly in hospitalized patients requiring long-term vascular access. Despite established guidelines, inconsistent adherence to central line dressing change protocols persists within the DNP project organization, often due to insufficient staff knowledge and variability in practice. This practice gap increases the risk of catheter site contamination and leads to preventable CLABSI events, creating a clear need for intervention. Method: A designed educational program that integrated interactive lectures, case studies, and simulation-based activities. A pre- and post-intervention assessment to measure changes in participants’ knowledge and self-reported confidence in applying …
Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi
Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi
Walden Dissertations and Doctoral Studies
Missed appointments remain a critical issue in health care, as they contribute to poorer patient health outcomes, treatment discontinuity, and increased system costs. Improving staff knowledge in this area is essential for ensuring timely, equitable, and effective patient care. This doctoral project was a staff education initiative designed to enhance community support workers (CSWs’) knowledge of methods for encouraging patient adherence to clinic appointments through psychoeducational training. The practice problem addressed was the inconsistency in staff use of evidence-based strategies to motivate and support patients in maintaining clinic attendance. The practice-focused question guiding the project was: Does psychoeducation improve CSWs’ …
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Walden Dissertations and Doctoral Studies
The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …
Hiv/Aids Among Young People In South Sudan: Assessing Misconceptions About Transmission, Healthcare Access, And Cultural/Religious Factors, John Valent Abore
Hiv/Aids Among Young People In South Sudan: Assessing Misconceptions About Transmission, Healthcare Access, And Cultural/Religious Factors, John Valent Abore
Walden Dissertations and Doctoral Studies
The HIV/AIDS epidemic continues to be a significant public health challenge among young people in South Sudan (SSD). Despite global efforts to curb the spread of HIV, misconceptions about HIV transmission, barriers to access to healthcare services, and cultural/religious factors that affect the epidemic persist in South Sudan, and it is not obvious how these factors interact to impact outcomes. This quantitative cross-sectional study investigated whether there is a relationship between misconceptions about HIV transmission and HIV/AIDS status and whether access to healthcare and cultural/religious factors mediate this relationship among young people (aged 18–35) in SSD. A secondary data analysis …
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Walden Dissertations and Doctoral Studies
The problem that this study investigated was that special education high school teachers (SEHSTs) struggled with implementing social emotional learning (SEL) into their teaching of core subjects in Maryland high schools. The purpose of this basic qualitative study was to explore SEHSTs’ perceptions of the challenges with implementing SEL into core subject areas. The conceptual framework that grounded this study was Argyris and Schon’s theory of action. Using a basic qualitative design, 10 SEHSTs participated in semistructured interviews. Participants were Maryland licensed high school special educators with a range of experience in teaching co-taught classes. Coding and thematic analysis were …
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Walden Dissertations and Doctoral Studies
Student response systems (SRS) and audience response systems (ARS) in the elementary classroom are sometimes used to assess students while keeping them engaged and offering them immediate feedback. The purpose of this basic qualitative study was to explore teachers’ perspectives on challenges of and resources needed to implement SRS and ARS in urban elementary schools in the Northeast United States. The conceptual framework for this study included the technology acceptance model and the theory of planned behavior. Semistructured interviews with 12 urban elementary school teachers from the Northeast United States were analyzed using a qualitative data analysis procedure by coding, …
Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman
Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman
Walden Dissertations and Doctoral Studies
Across the health care continuum, organizations face persistent nursing shortages and the challenge of integrating novice nurses into clinical practice, often with limited skills and underdeveloped critical thinking abilities. Nurse residency programs have been integrated by many facilities to provide support for new novice nurses in transitioning from academia to the professional nursing role. This quantitative, quasi-experimental research project was conducted at a community-based hospital with an existing 8- to 10-week nurse residency program that had very limited stakeholder involvement. The purpose of the project was to create an educational training module for key stakeholders to strengthen awareness of why …
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Walden Dissertations and Doctoral Studies
While national and state-level literature has documented racial inequities in school discipline, limited research has focused on how these policies are specifically implemented and perceived within the Charlotte Metropolitan Statistical Region School. The purpose of this basic qualitative study was to examine factors related to higher rate of expulsions and school suspensions of Black high school students in the CMSR Schools in comparison to their peers through the lens of the critical race theory. This research was used to engage teachers and administrators on current school suspension and expulsion policies while encouraging modifications to those policies that warranted equity and …
The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins
The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins
Walden Dissertations and Doctoral Studies
The Welfare Lifetime Ban imposed severe restrictions on women’s access to essential resources during the critical period following incarceration. By denying housing assistance, food aid, and employment services, the policy created significant barriers to reintegration and undermines both criminal justice and social welfare reform. Little is known about the long-term impacts of the ban or the absence of effective rehabilitative policy alternatives. Few studies have examined its outcomes within the framework of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). The findings within (PRWORA) enactment briefly stabilized a decline in welfare recipients, and employment rates increased temporarily for single …
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Walden Dissertations and Doctoral Studies
This qualitative study examined the lived experiences of 12 formerly incarcerated males in Louisiana between the ages of 18 and 25, with a focus on their perspectives related to schooling, social environments, and involvement in criminal activity. Guided by general strain theory, the research explored how participants described their learning experiences under Common Core standards and whether they perceived connections between those experiences and their criminal activity. The research question asked: How do American male ex-offenders between the ages of 18 and 25 in Louisiana describe the relationship between Common Core learning experiences and their criminal activity? Data were collected …
Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Walden Dissertations and Doctoral Studies
Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …
Educating Nurses On The Use Of The Mindfulness-Based Stress Reduction For Managing Work-Related Stress, Linda Alaekwe
Educating Nurses On The Use Of The Mindfulness-Based Stress Reduction For Managing Work-Related Stress, Linda Alaekwe
Walden Dissertations and Doctoral Studies
Mindfulness-based stress reduction (MBSR) is an evidence-based approach designed to help individuals manage stress, anxiety, and emotional exhaustion through mindfulness practices. The practice problem addressed in this project was the lack of knowledge among healthcare providers about using MBSR to manage workplace stress effectively. The purpose of this staff educational project was to develop and deliver an MBSR module aimed at improving providers’ knowledge of its principles and applications. The practice-focused question was: Upon educating healthcare providers on MBSR techniques, is there an increase in providers’ knowledge on MBSR as evidenced by pre- and postsurvey findings? I used the analysis, …
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Walden Dissertations and Doctoral Studies
Relationship Between Parent Demographics and Attitudes About Their Child’s Diabetes in Nigerian Parents who Live in the United States by Vivian Obioma Eluwa Nwankwo MA, Walden University, 2018 BA, University of Nigeria, 1992 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University August 2025
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Walden Dissertations and Doctoral Studies
Despite the proven efficacy of the incident command system (ICS), police agencies face obstacles in effective critical incident response. This qualitative study explored the cultural, structural, and potential training barriers that hinder the adoption of the ICS within police agencies. The purpose was to investigate how police can more effectively adopt this unified command structure designed for multiagency emergency response. Guided by the theory of planned behavior, the research question addressed how California police officers’ attitudes, perceived social norms, and sense of behavioral control influence their adoption of incident command system principles. Data were collected using semistructured Zoom interviews with …
The Victims’ Experience: Emotional Spiritual Abuse In The Christian Community, Arianna Branae Dotson
The Victims’ Experience: Emotional Spiritual Abuse In The Christian Community, Arianna Branae Dotson
Walden Dissertations and Doctoral Studies
In recent years, greater attention has been paid to the effects of sexual abuse within Christianity. There was a need for greater understanding of the psychological aspect of spiritual abuse within familial dynamics. The purpose of this qualitative study was to describe the phenomenon of emotional spiritual abuse that victims experience within Christian families. Using a theoretical foundation based on Bronfenbrenner's ecological systems theory and Bowen's family systems theory, this study focused on relationships within victims’ microsystem, mesosystem, and exosystem. It also explored the concept of emotional triangles in times of conflict. The data source consisted of one-on-one participant interviews …
Resources And Strategies Needed To Address The Problem Of Child Labor In Erbil, Kurdistan Region Of Iraq, Evan Faiq
Walden Dissertations and Doctoral Studies
Child labor is an international practice that has been on the rise in some parts of the world including Erbil, the Kurdistan region of Iraq. The purpose of this qualitative study was to explore the different resources needed but not available for the victims, how child labor has impacted the community, and how the criminal justice system can better approach the child labor issue and reduce it in Erbil, Kurdistan region of Iraq. Social conflict theory was used to guide the study. Data were collected from 15 interviews with individuals from different areas of the criminal justice department, local organizations …
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Walden Dissertations and Doctoral Studies
As a result of inadequate forecasting methods, Information Technology leaders experience inconsistent project flow and increased project failure. IT leaders who cannot predict project failure trends to better forecast and improve project management flow risk project failure and financial loss. Grounded in Porter’s five forces model, the purpose of this qualitative pragmatic inquiry was to explore strategies that some IT leaders use to predict project failures to better forecast project failures to improve project management flow and reduce expenditures. The participants were six senior-level IT professionals who successfully predicted project failures to better forecast project failures to improve project management …
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Walden Dissertations and Doctoral Studies
Wisconsin has the highest death rates from falls in the nation. In a brief, the Wisconsin Aging Advocacy Network indicated that most falls among individuals over 65 occur in residential settings. Further, a significant number of elderly people will fall each year, resulting in hospitalizations or fatalities. The purpose of this project was to provide staff education in one Wisconsin assisted living facility to effectively improve knowledge, attitude, and skill among frontline staff for fall prevention management. A formal Fall Education Day was provided to improve knowledge and shape positive attitudes among staff. A pretest-posttest design was used to measure …
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Walden Dissertations and Doctoral Studies
Suicide remains a critical public health issue in the United States, with rates continuing to rise despite national prevention initiatives. Primary care settings serve as a pivotal point for early detection, yet inconsistent use of standardized screening and safety planning tools contributes to under-recognition of suicide risk. This Doctor of Nursing Practice (DNP) project aimed to enhance the identification and management of suicide risk in primary care by developing and implementing an evidence-based clinical practice guideline (CPG). The project addressed the practice-focused question: Does implementing a standardized suicide prevention guideline using validated tools improve risk detection and management in primary …
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Walden Dissertations and Doctoral Studies
While the Language Essentials for Teachers of Reading and Spelling (LETRS) professional development provided elementary teachers with a new form of instruction, third-grade reading scores remain below proficiency levels on the Alabama state test. Guided by Vygotsky’s theory of social constructivism, the purpose of this basic qualitative study was to explore elementary teachers’ challenges of implementing LETRS in a local Alabama school district. Two research questions addressed the challenges of and suggestions for implementing LETRS. Data were collected through semistructured interviews with 10 elementary teachers in local school districts who were trained in LETRS, implemented LETRS in classroom instruction, and …
Examining The Relationship Between Technology Acceptance Model (Tam) Factors And Ai Adoption In Financial Industry’S Nontechnical Staff, John Beraducci
Examining The Relationship Between Technology Acceptance Model (Tam) Factors And Ai Adoption In Financial Industry’S Nontechnical Staff, John Beraducci
Walden Dissertations and Doctoral Studies
The rapid integration of artificial intelligence (AI) into the financial services industry has created a need for financial services managers to understand which factors drive AI adoption among non-technical staff, because shortfalls in AI adoption can erode efficiency gains and competitive advantage. Grounded in the Technology Acceptance Model (TAM), the purpose of this quantitative correlational study was to examine the relationship between perceived usefulness (PU) of AI, perceived ease of use (PEOU) of AI, and AI adoption among non-technical employees in the financial services industry. The research questions focused on whether PU and PEOU were significantly related to AI adoption …
Exploring Effective Technological And Innovation Strategies For Sustaining Fintech Startups In Nairobi, Kenya, Beyond 5 Years, Esay Kollie
Walden Dissertations and Doctoral Studies
Some small financial technology, or fintech, startup leaders in Nairobi, Kenya, lack the technological and innovation strategies required to sustain operations beyond 5 years. High failure rates among fintech startups in the early stages of operation affect financial inclusion and economic development in the region. Grounded in resource-based view theory, this qualitative pragmatic inquiry was to explore effective technological and innovation strategies fintech startup leaders in Nairobi use to sustain operations beyond 5 years. Data was collected through semistructured interviews with eight fintech startup leaders from different firms. Thematic analysis revealed seven major themes: (a) leveraging technological infrastructure, (b) innovating …
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Walden Dissertations and Doctoral Studies
Despite the Americans with Disabilities Act of 1990 promoting equality for people with disabilities, parents with developmental and intellectual disabilities experience high rates of involvement with child welfare services due to outdated terminology, information about disabilities, and policies. The purpose of this study was to identify the challenges of parents with intellectual and developmental disabilities and determine if they differ from those of parents without a disability. This was a generic qualitative study grounded in intersectionality theory. Education, employment, health and safety concerns, independence, assistive technology, social services involvement, and supports or resources were examined through the perspective of the …