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Walden Dissertations and Doctoral Studies

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Caregiver Perspectives About Implementing Educational Goals For Children Of Incarcerated Parents In A Head Start Program, Alissa Jane Stark Sep 2025

Caregiver Perspectives About Implementing Educational Goals For Children Of Incarcerated Parents In A Head Start Program, Alissa Jane Stark

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that caregivers of children with incarcerated parents inconsistently implement the mandated educational goals developed through the Head Start program. Grounded in Bowen’s family systems theory, the purpose of this qualitative case study was to explore caregiver’s perspectives on implementing Head Start Educational goals for children of incarcerated parents and their views on the resources or training needed to support these goals. For this case study, 12 former caregivers from a Head Start program in a women’s correctional facility in Oregon were interviewed. Data were collected through semistructured interviews and analyzed thematically with the …


Fathers’ Lived Experiences After Their Children Experienced Child Sexual Abuse, Joan Michelle Lucien Sep 2025

Fathers’ Lived Experiences After Their Children Experienced Child Sexual Abuse, Joan Michelle Lucien

Walden Dissertations and Doctoral Studies

Child sexual abuse (CSA) is a global health crisis with deleterious consequences that violates children’s safety worldwide. Exact rates of CSA prevalence vary, as most cases of CSA are not disclosed. Survivors delayed or nondisclosure impedes early interventions to alleviate documented adverse effects of CSA. CSA survivors have an increased risk of suicidal ideation. This phenomenological study involved examining the lived experiences of adult fathers after their children experienced CSA. Finkelhor and Browne’s traumagenic dynamics framework guided this study. Traumagenic dynamics influence children’s cognitive and emotional functioning and distort their self-esteem, identity, worldview, and affective capacities. Stigmatization has been associated …


Middle School Teachers’ Perceptions About Lgbtq+ Inclusivity In The Classroom, Tanya Nordhaus Sep 2025

Middle School Teachers’ Perceptions About Lgbtq+ Inclusivity In The Classroom, Tanya Nordhaus

Walden Dissertations and Doctoral Studies

The problem addressed through this study is that middle school teachers struggle to incorporate LGBTQ+ issues into their classrooms. As the middle school years are pivotal, teachers may need support to be inclusive of their LGBTQ+ students. The purpose of this basic qualitative study was to investigate how middle school teachers incorporate LGBTQ+ issues in the classroom, as well as these teachers’ perceptions of their successes and challenges in doing so. The conceptual framework that grounded this study was queer pedagogy, which questions the normalization of heterosexuality and cisgenderism through pedagogical praxis. For this basic qualitative design, semistructured interviews were …


The Impact Of A Trauma-Informed Care Education Program On Nurses’ Knowledge And Confidence In Managing Sexual Trauma In A Psychiatric Clinic, Fatiatu Jobi Sep 2025

The Impact Of A Trauma-Informed Care Education Program On Nurses’ Knowledge And Confidence In Managing Sexual Trauma In A Psychiatric Clinic, Fatiatu Jobi

Walden Dissertations and Doctoral Studies

Summary This staff education project evaluates whether a staff education program on trauma-informed care (TIC) approaches would improve the knowledge, confidence, and skills of nurses working at a local mental health clinic in managing symptoms of sexual trauma-affected patients. With notable increased incidence of sexual trauma and inadequate protocols to address it there is need for TIC. Sexual trauma, if inadequately addressed, leads to profound and long-lasting psychological effects. The goal of this project was to enhance nurses’ understanding and capabilities related to TIC, using a pretest and posttest interventional design utilizing questionnaire that consisted of three sections: knowledge, perceived …


Consumer Behavior-Based Strategies Small Business Leaders Use To Increase Online Sales Revenues, Alexander Sakharov Sep 2025

Consumer Behavior-Based Strategies Small Business Leaders Use To Increase Online Sales Revenues, Alexander Sakharov

Walden Dissertations and Doctoral Studies

Many small business leaders struggle to tailor online strategies that drive demand, limiting growth and differentiation in competitive digital markets. Business leaders must adopt data-informed, customer-centered approaches that align digital marketing efforts with consumer behavior and market expectations. Grounded in social exchange theory, the purpose of this qualitative pragmatic inquiry was to explore the online shopping marketing strategies that some small business marketing leaders use to increase demand for products and services. Data were collected through semistructured interviews with six small business leaders from Vancouver, British Columbia; Toronto, Ontario; and Seattle, Washington. The four main themes identified using thematic analysis …


Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo Sep 2025

Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo

Walden Dissertations and Doctoral Studies

I designed this Doctor of Nursing Practice (DNP) project to develop an educational program that increases staff knowledge of hourly rounding using an evidence-based approach, specifically pain, position, potty, and possession (the 4Ps), to prevent falls among residents in a long-term care facility. According to facility leadership, the observed gap in practice was the nursing staff members’ lack of knowledge in performing hourly rounding. The facility’s fall records for the lockdown units indicated a surge in fall rate, with 32 falls among 62 residents per month, reflecting a need for action. The practice-focused question guiding the project was: For staff …


The Relationship Between Adverse Childhood Experiences And Disproportionate Minority Contact On Minority Youth Within Juvenile Justice In Texas, Atica Helms Thomas Sep 2025

The Relationship Between Adverse Childhood Experiences And Disproportionate Minority Contact On Minority Youth Within Juvenile Justice In Texas, Atica Helms Thomas

Walden Dissertations and Doctoral Studies

Disproportionate minority contact (DMC) remains a significant concern within the juvenile justice system, yet its connection to adverse childhood experiences (ACEs) among minority youth is underexamined. Nationally, minority youth, particularly Black youth, are disproportionately represented compared to their White peers, prompting efforts to understand and address racial and ethnic disparities in system involvement. The purpose of this study was to explore the relationship between DMC and ACEs within the Texas Juvenile Justice Department (TJJD). Guided by general strain theory (GST), whether traumatic life experiences contribute to the disproportionate representation of minority youth was examined. The central research question was designed …


Active Learning And Nclex-Rn Pass Rate On First Attempt In Bsn And Adn Programs, Janette Tingson Sep 2025

Active Learning And Nclex-Rn Pass Rate On First Attempt In Bsn And Adn Programs, Janette Tingson

Walden Dissertations and Doctoral Studies

Failing the NCLEX-RN on the first attempt affects not only the students and their families but also nursing programs. To increase NCLEX-RN pass rates, nursing programs are shifting from traditional teaching to active learning in their aim to produce nursing graduates who will pass the NCLEX-RN exams on the first attempt. The purpose of this descriptive, correlational study, guided by theory of constructivism, was to determine if there is a relationship between faculty’s use of active learning strategies (ALS) and nursing students’ NCLEX-RN pass rates on the first attempt in bachelor of science in nursing (BSN) and associate degree in …


Young Adults’ Self-Perceptions Of Parenting Styles And Attachments Influencing Juvenile Criminality, Keristin Zanda Scott Sep 2025

Young Adults’ Self-Perceptions Of Parenting Styles And Attachments Influencing Juvenile Criminality, Keristin Zanda Scott

Walden Dissertations and Doctoral Studies

Parenting styles, parent-to-child attachments, and parental involvements are contributing factors leading to juvenile delinquency. Adolescents are committing offending acts at a younger age, recidivating, and perpetrating with peers or parents. However, there is a lack of empirical research on juvenile perceptions of parenting, juvenile criminality, and desistance implications. The purpose of this interpretive phenomenological study was to explore past juvenile criminal offenders’ lived experiences and the corresponding influence parenting styles had on their deviant behaviors. Ainsworth and Bowlby’s attachment theory, Baumrind’s parenting style theory, and Bandura’s social learning theory provided a lens for examining young adults’ perceptions of parenting related …


Enhancing Disaster Response Through Mental Health Resilience: A Force Field Analysis, Veronica Portillo-Bradford Sep 2025

Enhancing Disaster Response Through Mental Health Resilience: A Force Field Analysis, Veronica Portillo-Bradford

Walden Dissertations and Doctoral Studies

Having a post-disaster program in place can offer survivors and emergency responders support, resource navigation, and resiliency planning. Human services workers in the field aid in disaster recovery and crisis prevention. The problem is that rural Nevada is already limited on resources and workforce with respect to mental and behavioral health response and recovery services. The purpose of this study was to identify unknown gaps within mental and behavioral health services in rural and frontier Nevada, in order to focus on advocating to enhance community resilience-related services post-disaster and potentially bolster resilience and disaster response preparedness. The framework for the …


Perceptions Of Adulthood Preparation Among Individuals Who Aged Out Of The Foster Care System, Victor Torrez Dawson Sep 2025

Perceptions Of Adulthood Preparation Among Individuals Who Aged Out Of The Foster Care System, Victor Torrez Dawson

Walden Dissertations and Doctoral Studies

This generic qualitative study was focused on the lived experiences of former foster care youth and their ability to acquire and retain self-sufficiency skills during their transition to adulthood. Using Bandura’s social learning theory as a framework, the research was focused on how interpersonal relationships with caregivers, mentors, and professionals influenced the development of these skills. Semistructured interviews were used to collect data from 10 former foster care youth. Thematic analysis was used to analyze the data, and three key themes and 13 subthemes emerged highlighting both support and barriers that youth encountered. The analysis of the data revealed that …


Strategies Managers Use To Improve Employee Retention, Jeanette L. Moncure Sep 2025

Strategies Managers Use To Improve Employee Retention, Jeanette L. Moncure

Walden Dissertations and Doctoral Studies

Addressing employee turnover and boosting retention are major challenges for companies looking to achieve long-term success. Project managers are crucial in tackling this issue, as high turnover can undermine team performance and increase operational costs. Grounded in Herzberg’s two factor theory, the purpose of this qualitative case study was to explore strategies that some project managers use to reduce high employee turnover. The participants included six project managers in Mississippi who had an active role in using strategies to increase employee retention. Data were collected using semistructured interviews, organizational documentation, and research statistics. Thematic analysis identified six key strategies: (a) …


Reducing Stigma And Enhancing Outcomes: An Antistigma Education Program For Mental Healthcare Professionals, Chidi Oriaku Sep 2025

Reducing Stigma And Enhancing Outcomes: An Antistigma Education Program For Mental Healthcare Professionals, Chidi Oriaku

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a staff education project that addressed the stigmatization of patients with mental illness (PMI) within psychiatric contexts. The project site healthcare organization’s mental health professionals had a high rate of stigmatization of PMI. Stigma is linked to poor medication adherence rates, delays in accessing healthcare, lower healthcare utilization among PMI, psychiatric morbidity and mortality, and poor quality of life. Despite recognizing this problem, the healthcare organization had no targeted antistigma interventions. I developed an antistigma education to improve outcomes. The practice-focused question was: In mental health staff, will an educational program on …


Preschool Teachers’ Perspectives Regarding Children’S Aggressive Behavior And In-School Suspension, Martha Baker Sep 2025

Preschool Teachers’ Perspectives Regarding Children’S Aggressive Behavior And In-School Suspension, Martha Baker

Walden Dissertations and Doctoral Studies

Aggressive behavior can lead preschool students to be suspended in and out of school. The problem in this study was the high rate of in-school suspension (ISS) among preschool students in response to child aggressive behavior. Informed by Harvey’s domain model of social reasoning and social information processing, the purpose of this basic qualitative study was to explore perspectives of preschool teachers working in childcare centers in one city in Texas regarding children’s aggressive behavior that may lead to ISS as a response to that behavior. Four research questions probed how preschool teachers describe the level of choice exercised by …


Staff Education To Improve Knowledge On Facilitation Of Psychoeducational Groups, Kenyett Moody Sep 2025

Staff Education To Improve Knowledge On Facilitation Of Psychoeducational Groups, Kenyett Moody

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Kenyett Moody has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Margaret Harvey, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Background and Purpose: Nurse-led psychoeducation groups are essential for improving patient outcomes by educating individuals about health conditions and coping strategies. In a dual-diagnosed inpatient psychiatric unit, a quality improvement (QI) project …


Staff Education On Ethical Considerations For The Implementation Of The Mental Health Triage Scale, Patrick Dioro Sep 2025

Staff Education On Ethical Considerations For The Implementation Of The Mental Health Triage Scale, Patrick Dioro

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) project, I employed the analysis, design, development, implementation, and evaluation (ADDIE) model to develop and deliver an educational intervention for emergency department (ED) nurses, with a specific focus on the Mental Health Triage Scale (MHTS). The practice-focused question was: In an emergency room at a mental health facility, how does staff education on the MHTS impact knowledge levels, as measured through pre- and post-education assessments? A needs assessment identified existing knowledge gaps and inconsistencies in triage practices among ED nurses. To address the problem, I developed a 4-week hybrid training program that combined …


The Progressive Changes In Posttraumatic Symptoms And Posttraumatic Growth Associated With Traumatic Incident Reduction, Joseph L. Mcclory Sep 2025

The Progressive Changes In Posttraumatic Symptoms And Posttraumatic Growth Associated With Traumatic Incident Reduction, Joseph L. Mcclory

Walden Dissertations and Doctoral Studies

Many millions of people are suffering from symptoms of posttraumatic stress disorder (PTSD). Just in the United States, 13 million Americans had a PTSD diagnosis as of 2020. Through the theoretical lens of catharsis, analysis of variance was used to examine whether traumatic incident reduction (TIR) is associated with changes in posttraumatic symptoms and posttraumatic growth by comparing pre, mid, and post-TIR PTSD Checklist for DSM-5 (PCL-5) and Posttraumatic Growth Inventory (PTGI) scores. Regression was also used to test whether post-PCL-5 scores accounted for variance in the post-PTGI scores. Ninety-seven TIR cases from the mental health agency between 2017 and …


Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter Sep 2025

Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter

Walden Dissertations and Doctoral Studies

Disparities in broadband access and the reliability of services are still a major issue for communities throughout the United States. Broadband information technology (IT) managers often lack effective customer retention strategies, which can seriously impact their organization's growth and profitability. This pragmatic qualitative project, grounded in Morgan and Hunt’s commitment-trust theory of relationship marketing, was to explore strategies employed by IT managers at broadband companies to retain customers and ensure financial viability and sustainability. The study included semistructured interviews with 10 IT managers from broadband providers in the Philadelphia region of the United States who possessed relevant expertise involving customer …


Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju Sep 2025

Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju

Walden Dissertations and Doctoral Studies

Poor maternal health-seeking behavior (MHSB) has contributed to persistently high maternal mortality in rural northern Nigeria. Despite increasing access to health information via media platforms, little is known about the association between media exposure and MHSB in this region. In this study, the association between mass media exposure (radio and television) and MHSB was investigated using institutional delivery as a proxy. The health belief model was applied as the theoretical framework for this study and sought to answer two key questions focused on whether there is an association between media exposure and MHSB in rural northern Nigeria and what the …


Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin Sep 2025

Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin

Walden Dissertations and Doctoral Studies

Research on counselors who treat sexually violent offenders has emphasized professional challenges, ethical dilemmas, and vicarious trauma, while less attention has been given to clinicians with personal histories of sexual abuse who may face added strain yet also bring unique empathy and resilience to their work. Addressing this gap is critical for the counseling profession, as it informs how training, supervision, and wellness practices can be structured to better support clinicians with lived trauma histories. This qualitative study explored the lived experiences of counselors with personal histories of sexual abuse who work with sexually violent offenders. Grounded in interpretative phenomenological …


The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh Sep 2025

The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh

Walden Dissertations and Doctoral Studies

The declining retention rate among U.S. child welfare workers is a significant concern. Research suggested that as millennials enter the workforce, adopting leadership styles that best meet the needs of each generation and/or facilitate congruence between organizational goals and the distinct work values of both the younger and older generations will help increase retention. Specifically, supervisors needed to identify a leadership style that best satisfied the needs of millennials who are stereotypically less loyal to organizations and exhibit higher job mobility than older generations. The purpose of this quantitative study was to examine the extent to which generational cohort moderated …


Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins Sep 2025

Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins

Walden Dissertations and Doctoral Studies

Ineffective strategies to increase the number of Black, Indigenous, and people of color (BIPOC) employees in senior-level positions can negatively impact financial performance. Some business leaders lack strategies to increase the number of BIPOC employees in senior-level positions and positively impact financial performance, which could increase risk of business instability. Grounded in multidimensional cultural competency framework; equity, diversity, and inclusion theory; and change management theory, this qualitative pragmatic inquiry was conducted to identify and explore effective strategies business leaders use to increase the number of BIPOC employees in senior-level positions and positively impact financial performance. The participants were eight business …


Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara Sep 2025

Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara

Walden Dissertations and Doctoral Studies

Depression is common yet frequently underdiagnosed in group home settings serving adult and geriatric residents. This Doctor of Nursing Practice (DNP) project aimed to improve staff knowledge and promote routine use of the Patient Health Questionnaire-9 (PHQ-9), a validated depression screening tool, through an evidence-based educational intervention. A practice gap was identified at the project site due to inconsistent use and documentation of the PHQ-9, primarily linked to staff knowledge deficits. The project explored whether educating staff on PHQ-9 administration, scoring, and documentation would lead to improved knowledge, as measured by pre- and post-intervention assessments. Guided by the ADDIE instructional …


Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips Sep 2025

Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips

Walden Dissertations and Doctoral Studies

This study was developed to address the partner site's need for an evidence-based approach to improving patient engagement among elderly individuals managing chronic diseases. Low engagement, often driven by poor provider–patient communication, non-compliance, and limited use of healthcare technology, was identified as a barrier to effective self-management and optimal health outcomes. Guided by the social cognitive theory, behavioral, cognitive, and environmental factors influencing engagement and self-efficacy were examined. Two practice-focused questions examined: identifying barriers to engagement and the impact of the provider–patient relationship on outcomes. The purpose of the project was to develop an evidence-based approach to enhance patient engagement. …


Strategies For Addressing The School Vaping Problem In The United States, Shanika Cole Sep 2025

Strategies For Addressing The School Vaping Problem In The United States, Shanika Cole

Walden Dissertations and Doctoral Studies

Vaping has become a pressing health concern among students, providing easy access to nicotine and other harmful chemicals. In schools, this issue threatened student well-being, discipline, and policy enforcement, underscoring the need for effective prevention. The purpose of this mixed-method study was to examine of the U.S. school practices and policies addressing vaping and (b) the development of a strategic prevention and intervention plan informed by the American Stop Smoking Intervention Study Framework (ASSIST Model). The study focused on one public school system and sought to answer practice-based research questions: How can the Board of Education effectively decrease vaping incidence …


The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson Sep 2025

The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson

Walden Dissertations and Doctoral Studies

The Impact of Social Support on Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective and Risk Factors by Mofoluwakemi Omololu Johnson MSW, University of Ibadan, 2007 BSc, University of Ilorin, 2003 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University August 2025   Camouflaging strategies used by individuals with autism spectrum disorder (ASD) to mask or compensate for autistic traits are often linked to adverse mental health out-comes. This quantitative correlational study investigated the relationship between perceived social support and camouflaging behaviors in young adults with autism. Grounded …


Effective Strategies Nonprofit Leaders Use To Enhance Volunteer Recruitment, Noelle Lauren Pollack Sep 2025

Effective Strategies Nonprofit Leaders Use To Enhance Volunteer Recruitment, Noelle Lauren Pollack

Walden Dissertations and Doctoral Studies

Human aid nonprofit organizations across the United States face significant challenges in recruiting volunteers, which impacts their ability to deliver essential services to vulnerable populations. The issue is important to nonprofit leaders because a lack of volunteers threatens organizational operations and sustainability. The purpose of this qualitative research project, grounded in self-determination theory, was to explore successful strategies nonprofit leaders use to enhance volunteer recruitment. The study was guided by a pragmatic inquiry design and included semistructured interviews with seven nonprofit leaders in Nashville, Tennessee who held roles responsible for volunteer recruitment. Data were collected through interviews and volunteer program …


Strategies For Faith-Based Organizations To Maintain A Competitive Advantage In Operations And Financial Stability, Pocahontas Shaniqua Atkinson Sep 2025

Strategies For Faith-Based Organizations To Maintain A Competitive Advantage In Operations And Financial Stability, Pocahontas Shaniqua Atkinson

Walden Dissertations and Doctoral Studies

Nonprofit organization leaders face numerous challenges in sustaining donations and memberships. Faith-based organizations in particular have experienced declining membership over the past seventy years, which negatively impacts their ability to provide community services. This problem is important to nonprofit and faith-based leaders because financial stability and membership engagement are essential to maintaining operations and fulfilling organizational missions. Grounded in the Baldrige Excellence Framework, the purpose of this qualitative single case study was to identify and explore effective strategies nonprofit faith-based leaders use to increase and sustain membership and donations. Participants were four senior business leaders with experience in business operations …


Improving Glucose Monitoring Using Smart Phone-Based Monitoring Devices, Yetunde Ogunjumelo Sep 2025

Improving Glucose Monitoring Using Smart Phone-Based Monitoring Devices, Yetunde Ogunjumelo

Walden Dissertations and Doctoral Studies

The use of continuous glucose monitoring devices (CGMs) has become essential for improved glycemic control and the prevention of complications among patients. However, a significant number of nurses lack proper training in supporting patients with these devices, leading to a gap in practice. The project addressed the problem of insufficient staff knowledge and confidence in supporting patients with smartphone based CGMs through staff education on CGMs and evidence-based training on glucose monitoring techniques, interpretation of monitoring results, and patient education strategies. The question that guided the project was as follows: Does implementing a staff education program on smartphone-based CGMs improve …


Staff Education On Nonpharmacological Strategies To Reduce Restraint Use., Abigail Addo Sep 2025

Staff Education On Nonpharmacological Strategies To Reduce Restraint Use., Abigail Addo

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the use of physical restraints in hospitalized psychiatric patients by training clinical staff in nonpharmacological strategies, specifically active listening and handholding. Despite regulatory guidelines and ethical concerns, physical restraint remains a common practice in acute care settings, often resulting in physical harm, psychological trauma, and a breakdown in the therapeutic relationship. The practice-focused question guiding the project was: How does education on nonpharmacological strategies impact a change in knowledge and attitudes to promote the reduction of restraint use among hospitalized patients exhibiting psychiatric symptoms? Thirty-one staff members …