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Reducing Hospital-Acquired Pressure Injuries In Acute Care Facilities: Evidence-Based Strategies For Improving Patient Safety And Cms Compliance, Hugo Aldhair Lopez
Reducing Hospital-Acquired Pressure Injuries In Acute Care Facilities: Evidence-Based Strategies For Improving Patient Safety And Cms Compliance, Hugo Aldhair Lopez
Walden Dissertations and Doctoral Studies
No abstract provided.
Staff Education Project: Cultural Competency For Outpatient Nurses Caring For Adult Patients With Suds, Chloe Hylaire
Staff Education Project: Cultural Competency For Outpatient Nurses Caring For Adult Patients With Suds, Chloe Hylaire
Walden Dissertations and Doctoral Studies
No abstract provided.
Rural, Multigrade Kindergarten Through Grade 8 Teachers’ Experiences With Differentiated Instruction In A Northwestern State, Kristi Lynn Borge
Rural, Multigrade Kindergarten Through Grade 8 Teachers’ Experiences With Differentiated Instruction In A Northwestern State, Kristi Lynn Borge
Walden Dissertations and Doctoral Studies
No abstract provided.
Perceptions Of Instructional Accommodations Among Nursing Students With Information Processing Disorder, Imaobong Aliyu
Perceptions Of Instructional Accommodations Among Nursing Students With Information Processing Disorder, Imaobong Aliyu
Walden Dissertations and Doctoral Studies
Instructional accommodations in nursing education often emphasize testing adjustments, while classroom-based instructional support for students with information processing challenges remains underexamined. This descriptive qualitative study explored pre-licensure nursing students’ perceptions of instructional accommodations for students with information processing disorders in Southern California. Guided by humanistic learning theory, the study addressed the research question: What are the perceptions of instructional accommodations in the classroom setting among pre-licensure nursing students with information processing disorders? Seven pre-licensure nursing students participated in semistructured Zoom interviews. Data were analyzed using an inductive process consistent with Saldaña’s analytic approach. Analysis revealed one overarching theme- Instructional accommodations …
General Education Teacher Experiences With Implementing Inclusion In Middle School, Kelly Anne Bodkin
General Education Teacher Experiences With Implementing Inclusion In Middle School, Kelly Anne Bodkin
Walden Dissertations and Doctoral Studies
A state in the Pacific Northwest implemented an initiative to increase access to the general education setting for students with disabilities; however, students with disabilities continue to perform significantly below grade level standards despite the increase in inclusion. Guided by Bandura’s social cognitive theory of self-efficacy, the purpose of this basic qualitative study was to examine the perceptions of the challenges, successes, and necessary resources of eight general education teachers who teach students with disabilities in their classrooms. Semistructured interviews were conducted with eight general education teachers teaching students with disabilities in the general education setting. Thematic analysis using deductive …
Perceptions Of Novice Elementary Teachers Working In Mainstream Classrooms With English Language Learner Students, Cristin Mccue
Perceptions Of Novice Elementary Teachers Working In Mainstream Classrooms With English Language Learner Students, Cristin Mccue
Walden Dissertations and Doctoral Studies
Research indicates preservice teacher training frequently does not foster the pedagogical and linguistic expertise required to support students developing English proficiency. The problem addressed through this study was that novice teachers do not have the skills and knowledge to meet the learning needs of English language learners (ELLs) in mainstream classrooms. Guided by the integrated collaborative learning approach, the purpose of this basic qualitative study was to examine how novice teachers perceive the challenges of supporting ELLs in mainstream classrooms and the types of support they believe are necessary for student success. Data were collected through semistructured interviews with 10 …
Health-Related Quality Of Life Of Women With Polycystic Ovary Syndrome In Malaysia, Stephanie Yang
Health-Related Quality Of Life Of Women With Polycystic Ovary Syndrome In Malaysia, Stephanie Yang
Walden Dissertations and Doctoral Studies
Polycystic ovarian syndrome (PCOS) is the most prevalent endocrine condition among women of reproductive age. PCOS is known to be a chronic disease that presents significant physical and body image issues, which in turn are associated with lowered emotional and health-related quality of life. Previous studies point to widespread dissatisfaction and delays with the diagnosis of PCOS and a lack of information provided by doctors. This phenomenological study was guided by Wilson and Cleary’s model of health-related quality of life to explore the health-related quality of life in Malaysian women with PCOS. Seven Malaysian women aged 29 to 50 years …
Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins
Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins
Walden Dissertations and Doctoral Studies
Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Walden Dissertations and Doctoral Studies
Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …
Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon
Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon
Walden Dissertations and Doctoral Studies
Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …
Lived Experiences Of Husbands Of Deployed Military Spouses, Timothy Lee Heath
Lived Experiences Of Husbands Of Deployed Military Spouses, Timothy Lee Heath
Walden Dissertations and Doctoral Studies
The focus of this study was to explore the lived experiences of civilian husbands during the deployment of their active-duty spouses. Although there is plenty of information concerning the negative and demanding impacts of deployment on female spouses and children, more is needed to understand the lived experiences of husbands of deployed soldiers. Research has confirmed that husbands of deployed soldiers have distinctive gender-specific needs that have been inadequately addressed, leading to adverse psychosocial effects. The couple adaptation to traumatic stress model and gender role theory served as the frameworks for this study to identify the psychosocial issues faced by …
Healthcare Institutions’ Influences On Health Literacy Levels In Mothers In Greensboro, North Carolina, Wole Ajala
Healthcare Institutions’ Influences On Health Literacy Levels In Mothers In Greensboro, North Carolina, Wole Ajala
Walden Dissertations and Doctoral Studies
Immigrant populations experience persistent challenges within the U.S. healthcare system, including marginalization, discrimination, and limited access to understandable health information, which contribute to health disparities. Factors such as low income, cultural differences, and intersecting identities related to gender and race further compound these challenges. This qualitative phenomenological study examined how these social determinants of health influenced the health literacy experiences of African immigrant mothers in Greensboro, North Carolina. Data were collected through encrypted WhatsApp audio interviews with eight African immigrant mothers who had used healthcare services in the United States. Interview recordings were transcribed verbatim and analyzed using inductive thematic …
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, providing care to millions of veterans annually. Diagnostic service wait times affect veteran access to timely diagnoses and subsequent eligibility for disability benefits, vocational rehabilitation, and social services. The purpose of this integrative review was to identify evidence-based strategies to reduce diagnostic wait time within the VHA. The guiding review question addressed what strategies VA medical centers can use to reduce diagnostic wait times. Guided by Donabedian’s structure-process-outcome framework, a comprehensive literature search initially identified 487 sources across multiple databases. Subsequently, systematic screening and application …
K–8 Teachers' Perceptions Of The Barriers To Educating Chronically Absent Homeless Youth, Daniel James Pangrazio
K–8 Teachers' Perceptions Of The Barriers To Educating Chronically Absent Homeless Youth, Daniel James Pangrazio
Walden Dissertations and Doctoral Studies
Abstract The problem that was addressed through this study is that kindergarten through eighth-grade homeless students experience higher rates of chronic absenteeism and lower educational outcomes than their housed peers in California. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this study was to explore K–8 teachers’ perceptions of the barriers they face in educating chronically absent homeless youth. For this basic qualitative design, semistructured interviews were conducted with 10 K–8 teachers from one California school district. Creswell and Guetterman’s five-stage coding process was used for data analysis. Four themes emerged: Teachers discussed (a) barriers to addressing student academic …
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Walden Dissertations and Doctoral Studies
The problem addressed through this study is the low graduation rate of students with attention deficit hyperactivity disorder (ADHD) across the United States. Guided by Mezirow’s transformative learning theory, the purpose of this qualitative study was to explore the perceptions of fourth-year undergraduate college students with ADHD on the academic support or methods that contributed to their perseverance in college. For this basic qualitative design, semistructured interviews were conducted with 10 undergraduate college students who self-reported a diagnosis of ADHD and had successfully completed the first 3 years of their education. Through thematic analysis and open, inductive coding, the following …
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Walden Dissertations and Doctoral Studies
Patients with limited English proficiency (LEP) face ongoing communication barriers that heighten medical errors and health disparities because nurse leaders in acute care settings lack empirically informed guidance on leadership practices that effectively implement language services. Grounded in transformational leadership (TL) theory, the purpose of this qualitative pragmatic inquiry project was to explore how nurse leaders perceive, experience, and enact strategies to address the language access needs of LEP patients. The participants were six nurse leaders from across the Midwest region, who successfully led nursing teams to improve communication with LEP patients. Data were collected using semistructured interviews, government proactive …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Improving Advanced Practice Provider Knowledge Of Urinary Tract Infection In Geriatric Populations, Ashley Denise Lang
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs)in the geriatric population present unique diagnostic and management challenges. Improper classification and treatment plans contribute to increased morbidity, hospitalization, and mortality. This Doctor of Nursing staff education aimed to address a gap in Advanced Practice Provider knowledge regarding the differentiation of complicated versus uncomplicated UTIs in the geriatric population. Guided by the John Hopkins evidence-based practice model, a targeted educational intervention was developed and implemented. Evidence synthesis included 20 high-quality articles representing level 1-5 evidence. A pretest, educational PowerPoint presentation, and posttest were used to assess APP baseline knowledge and understanding of the education post-presentation. There …
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Early Childhood Educators’ Experiences Teaching Literacy Acquisition Skills, Dena Renee Crews
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that early childhood educators struggle to help students with literacy acquisition skills in a Title 1 elementary school. The purpose of this qualitative study was to investigate early childhood educators’ experiences with the challenges of teaching literacy acquisition skills and their suggestions for improving resources and training for teaching literacy acquisition skills. The study was grounded in Clay’s emergent literacy theory and Bronfenbrenner’s ecological systems theory. For this basic qualitative design, semistructured interviews with 14 participants were conducted with the following themes emerging: Early childhood educators were challenged due to (a) students’ background …
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how Florida police officers perceived changes in their spiritual and religious beliefs following prolonged exposure to critical incidents. The research question asked how officers interpreted, adapted, and transformed their spiritual or religious beliefs in response to repeated critical incident exposure. Nine sworn frontline officers participated and were interviewed using a semi structured protocol. Transcripts were analyzed inductively using thematic analysis. Three primary findings emerged: (1) Career and Impact captured cumulative occupational exposure that prompted moral appraisal and coping, and participants did not report uniform loss of faith; (2) Spiritual Belief followed three common trajectories—stability, strengthening/reaffirmation, …
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Walden Dissertations and Doctoral Studies
The problem addressed in this basic qualitative study was that K–8 students in the western United States continue to experience spelling underachievement despite structured literacy interventions. Grounded in Bowers and Kirby’s structured word inquiry (SWI) framework, the purpose of this study was to explore educators’ experiences implementing SWI for spelling instruction with K–8 students in the western United States. Data were collected through semistructured interviews with 16 K–8 educators with SWI experience who were selected through purposive and snowball sampling. Thematic analysis using open and axial coding resulted in six themes. Findings indicated that educators perceived SWI as an effective, …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …
A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long
A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long
Walden Dissertations and Doctoral Studies
The emergence of illicitly manufactured fentanyl has increased clinical uncertainty during buprenorphine induction in medication-assisted treatment for opioid use disorder. The purpose of this quantitative, retrospective cohort study, guided by the Transtheoretical Model (TTM), was to examine whether prescriber-level buprenorphine induction practices and experiences with precipitated withdrawal were associated with reported buprenorphine induction challenges, and whether county-level fentanyl prevalence contributed to these challenges after accounting for geographic clustering. Secondary, de-identified archival data were obtained from the National Institute on Drug Abuse Clinical Trials Network study CTN-0134 and included 64 prescribers practicing in fentanyl-endemic settings. Buprenorphine induction challenges were operationalized as …
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Walden Dissertations and Doctoral Studies
The COVID-19 virus was a new virus that caused a worldwide pandemic. There was not much information about what the virus was, what caused it, or how to stop its spread. Vulnerable populations such as those in foster care were especially affected because the foster children had no place to go. The purpose of this qualitative study was to explore the lived experiences of foster parents who had older foster children in their care during the COVID-19 pandemic. There was a lack of research specifically on foster parents and their personal lived experiences with the foster care system and foster …
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Walden Dissertations and Doctoral Studies
Mental health professionals working with Hispanic populations often face challenges in addressing grief, a culturally multifaceted experience influenced by traditions and familial and community practices. The purpose of this qualitative study was to examine psychologists’ self-efficacy and preparedness in managing grief among Hispanic individuals who have been affected by COVID-19, address cultural factors in grief management, and identify demographic or professional factors that predict higher self-efficacy in working with Hispanic clients. Data were collected at a single point in time from eight psychologists who were actively working or had worked with Hispanic populations during COVID-19 to explore psychologists’ self-efficacy, preparedness, …
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) screening rates are lower in rural areas than in urban settings. Individuals in rural areas have lower screening rates due to geographic isolation, provider shortages, and socioeconomic barriers. The purpose of this integrative review was to identify and synthesize best practices for implementing evidence-based strategies to increase CRC screening rates in rural primary care clinics. A systematic literature search across multiple databases identified 24 relevant articles published between 2019 and 2025. The Johns Hopkins Evidence-Based Practice Model (JHEBPM) rated articles for evidence and quality, while the Theoretical Domains Framework (TDF) guided the analysis. Thematic analysis identified four …