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Clinicians’ Perceptions Of Adverse Childhood Experiences, Resiliency, And Treatment Engagement With Criminal Offenders, Aaron Pena
Walden Dissertations and Doctoral Studies
This study investigated the pervasive impact of adverse childhood experiences (ACEs) on clinicians, particularly those who provide services to criminal offenders. ACEs contribute to a range of mental and physical health issues that can extend into adulthood, affecting not only individuals who experienced these adversities, but also clinicians who treat them. Despite the growing body of research on the consequences of ACEs, there remained a significant gap in terms of understanding how clinicians’ own histories influence their professional resilience and treatment efficacy. Garmezy’s resiliency theory, the framework for the study, emphasizes the role of positive contextual, social, and individual factors …
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
Walden Dissertations and Doctoral Studies
Ex-offenders possibly felt excluded when private landlords or property managers conducted background checks and decided to immediately deny ex-offenders housing opportunities. The problem this study addressed was how landlords and property managers’ exclusion of ex-offenders impacted reentry post-incarceration. There was a gap regarding how Michigan private landlords impacted ex-offenders’ success factor in securing safe housing upon reentry back to society. The key findings related to the literature in ways that showed how landlords acknowledged outside biases, yet described ex-offender tenants as appreciative, positive, and respectful. The purpose of this general qualitative study was to explore how state and federal policies …
Staff Education And Competency Assessment For Central Line-Associated Bloodstream Infection Reduction, Shabana Ali
Staff Education And Competency Assessment For Central Line-Associated Bloodstream Infection Reduction, Shabana Ali
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was an educational initiative to provide comprehensive central line-associated bloodstream infection (CLABSI) prevention education program for staff working in an intensive care unit (ICU). CLABSIs pose a significant threat to patient safety, contributing to increased morbidity, mortality, and healthcare costs, with annual expenditures estimated at $300 million to $2.3 billion and mortality rates ranging from 10% to 30%. Despite existing protocols, the project site facility experienced persistent CLABSI rates. The purpose of the project was to provide a comprehensive educational program to ICU staff members on the unit. The practice-focused question guiding this project …
Lived Experiences Of Postdoctoral And Licensed Psychologists Diagnosing Bipolar Disorder In Adolescents, Kim Colleen Anaya
Lived Experiences Of Postdoctoral And Licensed Psychologists Diagnosing Bipolar Disorder In Adolescents, Kim Colleen Anaya
Walden Dissertations and Doctoral Studies
This interpretative phenomenological analysis (IPA) was conducted to explore the lived experiences of licensed psychologists in diagnosing adolescents with bipolar disorder, aiming to answer two key questions: How do psychologists make sense of diagnosing bipolar disorder in adolescents? And do they rely on their education and lived experience in the diagnostic process? Drawing from developmental psychology, clinical decision-making theories, and ethical considerations, the study highlights the complexities and challenges of diagnosing bipolar disorder in youth. Semi-structured interviews with four psychologists were transcribed and analyzed to identify recurring themes, which emphasized the importance of collateral information, developmental context, and professional judgment. …
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Amy K Gearhard
Towards A Standard Assessment And Treatment Protocol For Firefighters: A Delphi Study, Amy K Gearhard
Walden Dissertations and Doctoral Studies
Firefighters are 5 times more likely than civilians to experience depression and post-traumatic stress disorder. Firefighters have suicidal ideation and attempt rates that are 2 to 3 times higher than the general population, yet most do not seek treatment. The purpose of this qualitative Delphi study was to develop an expert consensus on psychological assessment and treatment practices with firefighters through the lens of an expert panel of 19 psychologists who work with this population. Siebert’s normative theory was used with the assumption that the panelists would provide feedback based on their clients’ best interests. The expert panel was recruited …
The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr
The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr
Walden Dissertations and Doctoral Studies
Low project success rates are a significant issue for telecommunications organizations and project managers, as they can negatively impact operational efficiency and profitability. Grounded in transformational leadership theory, this quantitative project aimed to investigate the relationship between transformational leadership and project success within the telecommunications industry. A priori power analysis was conducted using G*Power, yielding a noncentrality parameter of 2.54, a critical t value of 1.68, degrees of freedom (df) equal to 49, a total sample size of 51, and an actual power of 0.80. The 51 participants were project managers in leadership positions, with two or more years of …
Polarization, Performance, Responsiveness, And Trust In Malawian Executive, Legislative, And Judicial Institutions, Rodgers Brenner Chawani
Polarization, Performance, Responsiveness, And Trust In Malawian Executive, Legislative, And Judicial Institutions, Rodgers Brenner Chawani
Walden Dissertations and Doctoral Studies
Political trust matters for good governance and democracy. Although Malawi's constitution affirms trust as a key component of authority, Afrobarometer surveys have revealed broad declines, hindering democratic consolidation and the achievement of the long-term Vision 2063 development goals. Prior researchers studying the country have fixated on qualitative analyses and overlooked affective polarization and differentiation across government branches. The purpose of this cross-sectional quantitative study was to examine the predictive relationship between perceived government performance, responsiveness, corruption, affective polarization, democratic satisfaction, and trust in the Malawi president, parliament, and judiciary, using generalized linear models to apply Easton's political support theory to …
Effective Strategies To Integrate Social Media Influencers In Marketing Frameworks, Vanessa R. Alexander
Effective Strategies To Integrate Social Media Influencers In Marketing Frameworks, Vanessa R. Alexander
Walden Dissertations and Doctoral Studies
Social media dominates modern marketing, yet many retail businesses struggle to integrate social media influence into their business marketing frameworks. This problem is important to retail marketing leaders because unsuccessful integration influence can weaken brand credibility and reduce revenue. Grounded in Cialdini’s theory of social influence and the electronic word-of-mouth model, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that retail industry marketing leaders on the East Coast of the United States used to integrate social media influencers. The participants were eight retail industry marketing leaders on the East Coast of the United States. …
Strategies To Prevent Employee Turnover And Revenue Losses Resulting From Workplace Bullying, Sylvester Doby Jr
Strategies To Prevent Employee Turnover And Revenue Losses Resulting From Workplace Bullying, Sylvester Doby Jr
Walden Dissertations and Doctoral Studies
Workplace bullying is a serious issue that can lead to high employee turnover and significant revenue loss. To maintain a healthy work environment and support their employees, business leaders need to develop and implement effective strategies to prevent bullying. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore the successful strategies that U.S. business leaders used to prevent workplace bullying. Six business leaders who have successfully implemented strategies to combat workplace bullying were purposively recruited and interviewed using semistructured interviews. The reflexive six-step thematic analysis of the interview transcripts and …
Special Education Teachers’ Perceptions Of Teaching Effectiveness When Working With Students With Emotional And Behavioral Disorders, Ernest J. Fruge
Special Education Teachers’ Perceptions Of Teaching Effectiveness When Working With Students With Emotional And Behavioral Disorders, Ernest J. Fruge
Walden Dissertations and Doctoral Studies
This qualitative study examined how special education teachers perceived their teaching effectiveness in supporting students identified with emotional and behavioral disorders (EBD). The study addressed a gap in the literature by examining the factors that influence special educators’ sense of self-efficacy when working with this population. Bandura’s theory of self-efficacy served as the conceptual framework. A generic qualitative research design was employed, and data were collected through semi-structured interviews with eight participants from two central Texas school districts. Braun and Clarke’s thematic analysis guided the coding and interpretation process, supported by MAXQDA software. Analysis of the data revealed seven key …
Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney
Educating Emergency Department Nursing Staff: Early Identification Of Sepsis, Cynthia A. Chaney
Walden Dissertations and Doctoral Studies
Sepsis remains a life-threatening health challenge, contributing to significant morbidity and mortality within healthcare systems. This Doctor of Nursing Practice (DNP) project aimed to address knowledge deficits among emergency room nurses regarding the early identification and management of sepsis, mainly through the implementation of the 3-hour sepsis bundle. The practice-focused question guiding this project was whether educating nurses on the 3-hour sepsis bundle would increase their knowledge. This project aimed to educate nurses on how to identify sepsis early and implement the sepsis 3-hour bundle in a timely manner, with the overall goal of improving nursing knowledge. The sources of …
Improving Nurse Adherence To Medication Reconciliation During Patient Admissions To Reduce Medication Errors Through Targeted Education, Wendy J. Marlowe
Improving Nurse Adherence To Medication Reconciliation During Patient Admissions To Reduce Medication Errors Through Targeted Education, Wendy J. Marlowe
Walden Dissertations and Doctoral Studies
Medication reconciliation errors are a significant clinical concern because they have the potential to result in serious or even life-threatening harm to patients. Implementing risk-reduction strategies through targeted education and systematic processes for medication reconciliation is crucial to enhancing patient safety and mitigating the risk of errors. Over 40% of medication errors occur during patient transitions, such as admissions, which are mainly due to inadequate medication reconciliation. The project addressed a practice-focused question to increase patient admission medication reconciliation by improving nurse knowledge by 20% and reducing medication errors by 60% within 2 months. I employed a pre-/posttest design in …
Strategies Managers Use To Retain Financial Advisors New To The Industry, Andraes Anthony Alexander
Strategies Managers Use To Retain Financial Advisors New To The Industry, Andraes Anthony Alexander
Walden Dissertations and Doctoral Studies
High employee turnover can negatively affect a business. Some financial advisor managers are concerned about the retention of financial advisors who are new to the industry, as addressing this issue is vital for organizational efficiency, given the high costs of employee replacement. Grounded in social exchange theory, the purpose of this qualitative, pragmatic inquiry project was to explore the strategies financial advisor managers use to improve the retention of financial advisors who are new to the industry. The participants comprised eight financial advisor managers with successful retention strategies. Data were collected using semistructured interviews and by reviewing organizational websites and …
Improving Icu Nurses’ Knowledge Of Early Mobility Through An Educational Intervention, Mohini Chand
Improving Icu Nurses’ Knowledge Of Early Mobility Through An Educational Intervention, Mohini Chand
Walden Dissertations and Doctoral Studies
This doctoral project sought to close a critical knowledge gap in the implementation of early mobility (EM) practices among intensive care unit (ICU) nurses. Guided by the ADDIE instructional design model, the initiative centered on developing and delivering a six-week educational intervention aimed at enhancing nurses’ comprehension and application of EM strategies for critically ill patients. Despite robust evidence supporting EM’s role in mitigating ICU-acquired weakness, reducing delirium, and improving functional outcomes, its clinical adoption remained inconsistent prior to this intervention. The project was anchored by the practice-focused question: “To what extent does an educational intervention improve ICU nurses’ knowledge …
Effective Organizational Succession Planning Strategies For Retaining Knowledge From Retiring Employees, Rodriquez Tremayne Brown
Effective Organizational Succession Planning Strategies For Retaining Knowledge From Retiring Employees, Rodriquez Tremayne Brown
Walden Dissertations and Doctoral Studies
A lack of succession planning to retain critical knowledge from retiring employees poses significant risks to organizational revenue and long-term survival. Organizational leaders are particularly concerned about succession planning because failure to capture employee knowledge threatens organizational performance and survival. Grounded in the 7-step model for succession planning theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective succession planning strategies that some organizational leaders use to retain knowledge from retiring employees to avoid a negative impact on organizational revenue and survival. The participants included eight senior human resource managers from different organizations in the …
An Examination Of Successful Reentry And Recidivism For Drug-Involved Offenders In Rural Areas, Jacqueline Cottle
An Examination Of Successful Reentry And Recidivism For Drug-Involved Offenders In Rural Areas, Jacqueline Cottle
Walden Dissertations and Doctoral Studies
In rural communities, treatment and supportive resources are limited, putting ex-offenders (EXOs) at an increased risk for relapse or recidivism. The purpose of this qualitative study was to understand, through semistructured interviews, the experiences of EXOs who completed the court residential treatment center, intermediate sanction facility, or substance abuse felony punishment facility, and returned to a rural county in Texas, along with the perspectives of 11 community supervision officers who worked closely with the EXOs. This study was guided by Agnew’s general strain theory, which posits that drug-involved offenders achieve successful reentry in rural areas when positive supports are present, …
Early Childhood Special Education Teachers’ Perspectives Of Teaching Social-Emotional Skills During The Covid-19 Pandemic Virtual Learning Period, Dalena Lynette Lafferty
Early Childhood Special Education Teachers’ Perspectives Of Teaching Social-Emotional Skills During The Covid-19 Pandemic Virtual Learning Period, Dalena Lynette Lafferty
Walden Dissertations and Doctoral Studies
During the COVID-19 pandemic, early childhood special education teachers struggled to virtually teach social-emotional skills to their students when schools were closed, and all students were moved from face-to-face to virtual learning. The purpose of this basic qualitative study was to explore early childhood special education teachers’ perspectives on teaching social-emotional skills to their students during the COVID-19 pandemic virtual learning period. Vygotsky’s sociocultural theory was used as the conceptual framework for this study. Data were collected through semistructured interviews with 10 early childhood special education teachers from the United States who had experience with teaching social-emotional skills virtually during …
Implementation Of The Patient Health Questionnaire-9 As A Screening Tool For Depression, Nathalie Teboh Njofri Bih
Implementation Of The Patient Health Questionnaire-9 As A Screening Tool For Depression, Nathalie Teboh Njofri Bih
Walden Dissertations and Doctoral Studies
Depression is a common mental health issue that is often misdiagnosed or underdiagnosed in primary care practice due to a lack of appropriate screening. The practice problem addressed by this project was the inconsistent use of standardized tools, like the Patient Health Questionnaire (PHQ-9), which hinders timely and accurate depression diagnosis. The practice-focused question was: Does educating staff impact their knowledge of the recommended use and interpretation of the PHQ-9 and their confidence in administering the tool? I aimed to enhance depression screening practices by educating nursing staff on administering, scoring, and integrating the PHQ-9 into routine patient care. For …
Comparing Fall Champions Versus Standard Protocol To Enhance Fall Prevention In An Adult Medical-Surgical Unit, Lily Denney
Comparing Fall Champions Versus Standard Protocol To Enhance Fall Prevention In An Adult Medical-Surgical Unit, Lily Denney
Walden Dissertations and Doctoral Studies
I conducted this quality improvement (QI) initiative with the aim of reducing inpatient falls within an adult medical-surgical unit through the implementation of a Fall Champions model supported by structured education and decentralized nursing leadership. Inpatient falls pose a persistent threat to patient safety, often leading to injury, prolonged hospitalization, and increased healthcare costs. Internal audits conducted through VigiLanz reporting revealed inconsistent protocol compliance and minimal accountability, signaling the need for targeted practice reform. Framed by the guiding question of whether Fall Champions could reduce inpatient falls compared to standard protocols, I evaluated the role of frontline leadership in reinforcing …
Alternative And Traditional Schooling On Sexual Risk Behaviors Among Alaska Native Youth In The Lower Kuskokwim, Nathaniel Hebert
Alternative And Traditional Schooling On Sexual Risk Behaviors Among Alaska Native Youth In The Lower Kuskokwim, Nathaniel Hebert
Walden Dissertations and Doctoral Studies
Alaska Native youth experience disproportionately high rates of sexual risk, yet disaggregated data and school-contextual analyses remain limited. Understanding how school type (alternative vs. traditional) and individual factors influence sexual risk among Alaska Native youth is essential for informing targeted, culturally responsive health interventions and addressing ongoing health disparities. This quantitative study aimed to examine the association between three behaviors (condom use, multiple sexual partners, and substance use) by school type, controlling for gender, grade level, body mass index, and afterschool activity. Guided by the social-ecological model, this cross-sectional study provided new insights into the relationship between school type and …
Addressing The Impact Of Workplace Violence On Staff Injury And Turnover Rates, Kia Denae Walker
Addressing The Impact Of Workplace Violence On Staff Injury And Turnover Rates, Kia Denae Walker
Walden Dissertations and Doctoral Studies
This is an evaluation of a quality initiative (QI) project to determine the effectiveness of the 2023 workplace violence prevention training program in reducing workplace violence-related injures increasing the staff’s self-reported confidence in managing violence-related injuries and increasing the staff’s self-reported confidence in managing violent incidents during the six-month evaluation period. The objective of this QI evaluation project was to analyze the effectiveness of staff education intervention in reducing workplace violence and its costs. The level of increase in staff’s knowledge, level of compliance with safety measures, and number of violence-related cases and claims was the focus of the post-implementation …
Staff Education Program To Increase Staff Knowledge On Evidence-Based Practices To Reduce Falls, Ariella Carrenan
Staff Education Program To Increase Staff Knowledge On Evidence-Based Practices To Reduce Falls, Ariella Carrenan
Walden Dissertations and Doctoral Studies
Falls among older adults in long-term care facilities constitute a pressing concern, affecting 30% to 40% of residents each year due to physiological changes associated with aging. Such incidents precipitated injuries, extended hospitalizations, elevated healthcare costs, and increased the potential for legal liabilities. This project investigated the effect of a structured educational intervention on nursing staff knowledge of fall prevention strategies in a long-term care facility where the fall rate of 3.4% exceeded the state average of 2.5% and the national average of 3.3%. The project explored the question: In a long-term care facility, does staff education increase staff knowledge …
Stakeholder Value Creation Strategies For Small Financial Service Business Owners, David Sone Njumbe
Stakeholder Value Creation Strategies For Small Financial Service Business Owners, David Sone Njumbe
Walden Dissertations and Doctoral Studies
Small business owners who emphasize wealth creation to the detriment of sustainability may experience negative business outcomes. Small insurance agency owners are concerned because agency sustainability is a key to creating value for all stakeholder groups. Grounded in the stakeholder theory, the purpose of this qualitative pragmatic inquiry was to explore strategies that some owners of small insurance agencies in the financial services industry use to create value for different stakeholder groups in order to remain sustainable in an evolving business environment. The participants were six financial professionals/advisors of the financial services industry. Data were collected using semistructured interview questions. …
Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu
Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu
Walden Dissertations and Doctoral Studies
Correctional nurses deliver care in environments marked by violent incidents, chronic understaffing, and moral distress. These conditions heighten occupational stress, jeopardize patient safety, and accelerate staff turnover, yet few U.S. jails provide evidence-based training in rapid self-regulation strategies. The purpose of this staff education project was to evaluate whether a 2-week curriculum could increase correctional nurses’ knowledge, attitudes, and self-reported skills (KAS) for on-shift mindfulness use. Pender’s health promotion model framed the intervention, Bloom’s taxonomy and Kirkpatrick’s evaluation model informed learning objectives and outcome levels. Five correctional nurses at a large urban jail completed an anonymous 10‑item KAS survey before …
Implementing Patient Health Questionnaire-9 Screening In Adult Mental Health: A Staff Education Initiative, Precious Nmachi Adaso
Implementing Patient Health Questionnaire-9 Screening In Adult Mental Health: A Staff Education Initiative, Precious Nmachi Adaso
Walden Dissertations and Doctoral Studies
This project was a staff education program aimed at the use of the Patient Health Questionnaire-9 (PHQ-9) as a universal depression screening instrument within a mental health facility. The project was conducted in an urban area of the United States at an outpatient behavioral health facility and was focused on addressing the stagnation in the staff’s correct use of evidence-based measures of depression screening that inhibits the prompt detection and treatment of major depressive disorder (MDD). The practice focused question was: Following participation in a staff education program, will staff demonstrate increased knowledge on depression screening and use of the …
Staff Education To Increase Nursing Staff Knowledge On Handoff Tool Kit For Medication Reconciliation, Mode Hilaire
Staff Education To Increase Nursing Staff Knowledge On Handoff Tool Kit For Medication Reconciliation, Mode Hilaire
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to enhance medication safety by implementing a structured staff education initiative focused on standardized handoff communication using a medication reconciliation tool kit. Medication errors during transitions of care contribute to adverse drug events and patient harm. A lack of consistency in handoff processes was identified as a critical gap in practice. The practice-focused question guiding this project was: In an inpatient hospital setting, how does implementation of a standardized handoff tool kit affect nursing staff knowledge and communication practices related to medication reconciliation? The purpose was to educate nurses on utilizing a …
Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady
Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady
Walden Dissertations and Doctoral Studies
According to recent studies, women were underrepresented in senior leadership in the global Christian church, and leadership pathways for the development of women were often lacking. The local problem within the International Christian Church (ICC) was a lack of understanding of holistic mentoring strategies that support the development of women clergy members, which could help fill the current leadership gap. Guided by Dahlvig and Longman’s model of women’s leadership development, the purpose of this basic qualitative study was to explore the perceptions of women clergy regarding holistic mentoring strategies that might increase the number of women in leadership within the …
Strategies To Improve The Financial Success For Minority And Small Business Owners, Kimberly D. Stone
Strategies To Improve The Financial Success For Minority And Small Business Owners, Kimberly D. Stone
Walden Dissertations and Doctoral Studies
Although minority small business owners have a substantial influence on the U.S. economy, they often face significant financial obstacles. Minority small business owners are concerned with the history of unfair lending practices in the United States, as access to adequate capital is crucial to achieving business success. Grounded in Donaldson’s pecking order theory, the purpose of this qualitative pragmatic inquiry was to explore effective financial strategies that some minority small business owners used to sustain their businesses. The project participants were six minority small business leaders who had more than 5 years of experience from various industries in South Florida. …
Leading Through Times Of Financial Uncertainty In Nonprofit Organizations, Lakisha A. Dent-Gordon
Leading Through Times Of Financial Uncertainty In Nonprofit Organizations, Lakisha A. Dent-Gordon
Walden Dissertations and Doctoral Studies
This macro analysis examines the leadership effectiveness of a CEO within a nonprofit re-entry organization dedicated to reducing the 36% recidivism rate in a Southwestern U.S. state. The organization serves up to 50 clients recently released from the state prison system, offering housing and support services. The organizations leadership faced imminent closure due to a financial crisis driven by limited funding, high employee turnover, and a lack of community partnerships, allowing for an examination of the CEO’s response to the crisis. The quantitative study includes a review of peer-reviewed literature, assessments based on the Baldrige Framework of Excellence, and interviews …
Using Supply Chain Management Strategies To Create Competitive Advantages, Marlon Mitchell
Using Supply Chain Management Strategies To Create Competitive Advantages, Marlon Mitchell
Walden Dissertations and Doctoral Studies
In an increasingly competitive marketplace, small and medium businesses (SMBs) can use effective supply chain management (SCM) to strengthen competitiveness. Supply chain stakeholders and SMB owners are concerned with maintaining resilient and innovative supply chains to sustain growth. Grounded in game theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that small business leaders use to identify and implement supply chain innovation. Data were collected through Walden University and peer-reviewed studies. Through thematic analysis, nine themes were identified: supplier diversification, inventory management, cost evaluation, visibility systems, technology and automation, improved communication, risk management, changes …