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Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice (DNP) project involved implementing a cultural competency staff education program at an outpatient mental health clinic. The identified practice problem was poor cultural competence practices knowledge among staff, resulting in poor patient engagement and a low patient satisfaction rate. Improving cultural competency in nursing practice was necessary to facilitate therapeutic trust, increase patient treatment adherence, and enhance staff compliance with Culturally and Linguistically Appropriate Services (CLAS). The practice-focused question guiding the DNP project was: Does implementing staff education impact their knowledge of cultural competence and confidence in adhering to CLAS? Data were collected through …
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Walden Dissertations and Doctoral Studies
In Colorado, early childhood education (ECE) directors are often not fully prepared to lead and develop high-quality teaching teams, which is integral to offering high-quality programming to children and families in the early years of development. Framed by transformational leadership theory, the purpose of this basic qualitative study was to explore Colorado ECE directors' experiences with training and support, and the resources needed to develop ECE directors to lead high-quality programming . Data were collected through semistructured interviews with 13 Colorado ECE directors from center-based programs that serve children from birth to 8 years. Thematic analysis using open coding yielded …
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Walden Dissertations and Doctoral Studies
This doctoral project addressed a gap in staff cultural competence at a mental health and addiction services center in the Midwest. I conducted this project to design, implement, and evaluate a staff educational program to improve staff knowledge, cultural awareness, and communication skills. The guiding practice-focused question was: Among staff at the Midwest mental health and addiction services center, how does a structured cultural competence education program compare to current practices in improving staff knowledge of cultural awareness? A 2-day educational session was held to accommodate participation within regular work schedules without interfering with the project site organization’s services. Arrangements …
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
Walden Dissertations and Doctoral Studies
Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that arts integration (AI) was not implemented into Grades 6 through 8 curricula with consistency at a local project-based middle school (PBMS, a pseudonym). Grounded in Martin’s arts as a second language framework, the purpose of this basic qualitative study was to explore middle school teacher successes, challenges, and resources needed to implement AI into Grades 6 through 8 at PBMS. Semistructured interviews were conducted with nine middle school educators who were experienced with AI implementation at PBMS. Through thematic analysis using open and axial coding, teachers indicated that successes are seen when …
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Walden Dissertations and Doctoral Studies
The school-to-prison pipeline, where minority men experience decreased academic performance, higher truancy rates, and increased vulnerability to arrest, persists in the United States. The purpose of this qualitative study was to explore how systemic racism is experienced by formerly incarcerated, college-educated Black men who were criminalized for behavioral issues that contributed to their incarceration. The research problem was a lack of knowledge of the experiences of educational environments and disciplinary systems that perpetuate racialized behavioral labeling and contribute to the school-to-prison pipeline. Grounded in the theoretical framework of institutional racism, the study featured a constructivist paradigm to capture participants' experiences. …
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Walden Dissertations and Doctoral Studies
This project was a clinical practice guideline (CPG) for mental health providers to expand telepsychiatry services to veterans who are homeless in a day treatment center. The practice problem was the lack of a standardized approach to increase access to mental health care. This CPG supports nurses in implementing evidence-based interventions to reduce mental health disparities and promote equitable care delivery for veterans who are homeless. The guideline was aimed to ensure safe, effective, and coordinated mental health care through integration with interprofessional teams. The project question was: Does the evidence support development of a CPG for provision of telepsychiatry …
Deprescription Of Benzodiazepine, Oji Gibson
Deprescription Of Benzodiazepine, Oji Gibson
Walden Dissertations and Doctoral Studies
Background: Benzodiazepines are commonly prescribed for anxiety disorders; however, long-term use increases risks of dependence, cognitive impairment, falls, and overdose. Despite established guidelines recommending time-limited use, inappropriate chronic prescribing remains prevalent in primary care. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based clinical practice guideline (CPG) to reduce benzodiazepine overprescribing for adults with anxiety disorders in a primary care setting. The goal was to improve prescriber adherence to current best practices and promote patient safety. Methods: This quality improvement project utilized the Johns Hopkins Evidence-Based Practice Model to guide development, …
Impact Of Team Coaching, Team Resilience, And Team Learning Agility On Team Adaptive Performance In Volatility, Uncertainty, Complexity, And Ambiguity Environments, Devon Morris
Walden Dissertations and Doctoral Studies
With volatile and rapidly changing environments, teams are under increasing pressure to adapt and maintain performance. This quantitative, cross-sectional correlational study examined the extent to which team coaching predicts team adaptive performance in volatility, uncertainty, complexity, and ambiguity environments, with team resilience as a mediator and team learning agility as a moderator. An integrated theoretical framework combining conservation of resources theory, social cognitive theory, goal-setting theory, and team coaching theory grounded this study. Participants included 291 working professionals with at least 3 months of team membership and coaching experience, spanning various industries, including technology, healthcare, finance, and government sectors. They …
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Walden Dissertations and Doctoral Studies
Spanish-speaking Latinos continue to face significant barriers when attempting to access social support services through healthcare initiatives such as California Advancing and Innovating Medi-Cal (CalAIM). Despite previous efforts to address this issue, this population continues to encounter barriers such as systemic discrimination, language barriers, and limited access to culturally responsive care. This qualitative study was guided by the consolidated framework for implementation research and used an interpretative phenomenological analysis approach to explore the lived experiences of Spanish-speaking Latino parents whose children received CalAIM asthma home remediation (AHR) services. The purpose of this study was to understand the barriers and challenges …
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Walden Dissertations and Doctoral Studies
African American males encounter more severe penalties, academic under-performance, and lower graduation rates compared to their Caucasian male counterparts. Numerous studies have delved into and elucidated the schooling experiences of African American male students from various perspectives, encompassing cultural, structural, racial, community, family, and school viewpoints. However, there remains a scarcity of voices documenting the experiences of African American males who have successfully completed high school in urban settings. The purpose of this descriptive qualitative study was to examine the schooling experiences of African American males who graduated from high schools located in urban settings. The Critical Race Theory and …
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Walden Dissertations and Doctoral Studies
The current study was administered in order to examine Oklahoman social workers’ perception of collaborating with police officers to foster community trust. The goal was to determine whether the collaboration amongst social and police officer fostered trust when collaborating during services calls. The theory of planned behavior and policing (TPBP) studied by Ishoy and giving credit to Ajzen’s were the foundational theory used to support this study. Collaboration among social workers and police officers can foster community trust and benefit both parties. Such collaboration could also lead to joint training and education, as well as alleviating public fears and misconceptions. …
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that grades 6-12 principals and assistant principals are unprepared to support teachers’ planning and implementation of standards-based learning in classrooms at mid-size rural school districts in a single midwestern state. Grounded in Senge’s five disciplines of a learning organization, the purpose of this study was to examine grades 6-12 principals’ and assistant principals’ experiences and challenges, the resources needed, and the perceived influence of their leadership in the implementation of standards-based learning in content-area classrooms at the study sites. For this basic qualitative study, semistructured interviews were conducted with 11 principals and two …
Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans
Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans
Walden Dissertations and Doctoral Studies
Leaders in urgent care centers across the United States continue to face challenges with patient flow, long wait times, and inconsistent staffing. The purpose of this integrative review was to explore strategies that help improve workflow efficiency and reduce wait times in urgent care settings. The review question pertained to strategies and best practices that could be implemented to improve patient flow management in urgent care centers. This study was guided by general systems theory, which views urgent care as a connected system where people, processes, and technology work together to influence outcomes. A review of literature published within the …
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Walden Dissertations and Doctoral Studies
Delays and inefficiencies in the hiring process can significantly hinder production and create instability within the manufacturing workforce. This, in turn, has a negative effect on employee well-being and the overall effectiveness of the organization. The purpose of this qualitative research project, grounded in the Job Demands-Resources model, was to explore successful strategies hiring managers use to address hiring inefficiencies. The study was guided by a pragmatic inquiry design and included semistructured interviews with six hiring managers in the manufacturing sector who held responsibilities related to hiring. Data were analyzed using thematic analysis following Braun and Clarke’s six-step framework. Data …
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
Walden Dissertations and Doctoral Studies
In many educational settings, marginalized populations—African American or Black students, Hispanic students, students in special education programs, and economically disadvantaged students—struggle with traditional assessments, which may create learning gaps. Grounded in Dewey, Vygotsky, and Bruner’s theories, the research problem and purpose of this qualitative single context exploratory case study was to explore high school teachers use of PBL as an innovation to address issues of equity, social justice, and cultural relevance to engage marginalized high school students. Purposeful sampling was utilized to identify 11 high school teachers who employ PBL from multiple campuses in a single school district. Data sources …
Increasing Knowledge And Awareness Of Cultural Competency Among Providers, Veronica Rodriguez
Increasing Knowledge And Awareness Of Cultural Competency Among Providers, Veronica Rodriguez
Walden Dissertations and Doctoral Studies
In today’s challenging healthcare environment, coupled with increasing global migration, healthcare delivery has become more diverse, and providers must deliver high-quality, patient-centered care across diverse populations. Cultural competency, the ability to understand and effectively interact with patients from diverse backgrounds, is essential for reducing health disparities, improving patient satisfaction, and enhancing health outcomes. However, many providers struggle to integrate these practices into daily care due to limited or inconsistent knowledge on applying these concepts in real-world settings. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused on cultural competency increased …
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice (DNP) project, I created a staff education initiative aimed at enhancing nurses’ understanding of heart failure (HF) and clarifying their role within clinical pathways for managing decompensated HF. HF is a common and complex condition, accounting for 1-2% of hospital admissions. In response to the rising 30-day readmission rate and lack of a standardized discharge protocol, an evidence-based staff education program was developed. According to the “ACC/AHA/HFSA 2022 HF guidelines”, effective prevention and management require nurses to understand causes, risk factors, and pathophysiology of HF, along with their role in patient-centered care. Nurses routinely …
Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Walden Dissertations and Doctoral Studies
The Ministry of Education in Guyana has focused on improving primary students’ performance in mathematics; however, low student performance persists. The problem addressed in this study was the limited understanding of how Guyanese primary teachers used the national professional development policies (NPDP) to address the low performance of students on the Math National Grade 6 Assessment (MNGSA). Grounded in Bandura’s social cognitive theory and Senge’s systems thinking theory, the purpose of this study was to explore Guyanese primary teachers’ perceptions of their successes and challenges using the NPDP to address the low performance of students on the MNGSA. For this …
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic heightened challenges for young adults transitioning from foster care to independence. Research shows that foster care alumni faced barriers in education, employment, housing, and health due to limited support networks. Yet, little is known about how emergency policies, such as the Consolidated Appropriations Act (CAA) of 2021, affected them. The purpose of this qualitative study was to explore the perceptions and experiences of foster care alumni who received financial aid through the Act. The research question: What were the experiences and perceptions of foster care alumni (aged 18-26) who received funds via the CAA of 2021 during …
Development Of An Evidence-Based Clinical Practice Guideline For Discharging Patients With Substance Use Disorder (Sud) From Outpatient Treatment To Community Care, Emmanuel Onyeani
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient treatment center for discharging patients with substance use disorder (SUD), addressing the need for follow-up care and relapse prevention due to the widespread impact of SUD. Clinical practice guidelines (CPG) help healthcare professionals make informed decisions for specific clinical situations. The guiding question asked whether an expert panel would evaluate and validate a CPG developed from current, evidence-based literature and recommendations with 70% agreement using the AGREE II tool. The CPG focused on continuity of care, access to resources, and relapse prevention strategies. Seven expert …
Improving Discharge Planning To Reduce Readmissions In Non-Teaching Urban Hospitals, Darlene Michelle Taylor
Improving Discharge Planning To Reduce Readmissions In Non-Teaching Urban Hospitals, Darlene Michelle Taylor
Walden Dissertations and Doctoral Studies
Hospital discharge planning is a critical determinant of patient outcomes, organizational performance, and financial sustainability. Many non-teaching urban hospitals continue to struggle with high readmission rates, especially among socially vulnerable populations such as the homeless. The purpose of this integrative review was to examine discharge planning strategies that would reduce readmissions, enhancing patient throughput, and mitigating financial penalties in non-teaching urban hospitals. The review question focused on effective discharge planning strategies that would improve readmission rates in non-teaching urban hospitals. A systematic integrative review of peer-reviewed studies published between 2020 and 2025 was conducted and 25 quantitative and qualitative studies …
Staff Education To Internal Medicine Clinic, Rafael A. Cardona Gonzalez
Staff Education To Internal Medicine Clinic, Rafael A. Cardona Gonzalez
Walden Dissertations and Doctoral Studies
This is a staff education project. The practice problem addressed was the lack of standardized orientation on the electronic health record (EHR) system for rotating students, which impacted documentation quality and workflow efficiency. Prior to the intervention, students received no formal training on the clinic’s EHR system, resulting in documentation errors, workflow disruptions, and dependence on administrative staff. The educational session, tailored to the clinic’s EHR platform, aimed to promote student knowledge and confidence through structured, site-specific training. The practice-focused question was: How does structured education on site-specific EHR use impact knowledge and documentation confidence among rotating medical and nurse …
The Predictive Power Of Social Engagement On Psychological Outcomes Among College Students, Allison J. Gamble
The Predictive Power Of Social Engagement On Psychological Outcomes Among College Students, Allison J. Gamble
Walden Dissertations and Doctoral Studies
Worsening mental health among college students post-COVID is a growing national health crisis. Grounded in Cacioppo’s evolutionary theory of loneliness and Feeney and Collins’ thriving through relationships theoretical perspectives, the purpose of this study was to explore the degree to which social interaction and social support predicted psychological outcomes among undergraduate students. Survey responses from over 74,000 undergraduate students who completed the ACHA-NCHA survey for Fall 2019, 2021, and 2022 were analyzed. The surveys included the Kessler 6 screening for non-specific mental illness, the Diener flourishing scale, and questions to assess the number of hours spent in categorically-sorted social situations …
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 …
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Walden Dissertations and Doctoral Studies
Black individuals with end-stage renal disease (ESRD) have an excessive risk of mortality and experience ongoing inequities in end-of-life (EOL) planning. This basic qualitative study, informed by Sulmasy's biopsychosocial-spiritual model, explored social workers' perspectives about approaches that consider the interplay of physical, psychological, social, and spiritual aspects for mitigating barriers to EOL planning among Black dialysis patients. Data were obtained from semi structured interviews with 10 licensed dialysis social workers in Virginia and Maryland. Thematic analysis with descriptive coding, reflexive journaling, and peer debriefing was employed to analyze qualitative data to ensure trustworthiness. Six themes were identified: (a) building trust …
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the gap in literature about K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Grounded in Fuller’s concerns of teachers framework and Foucault’s seminal work on the historical treatment of members of the LGBTQIA+ community, the purpose of this basic qualitative study was to explore K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Purposeful and snowball sampling were used to recruit 11 K–5 teachers who self-identified as having implemented the New Jersey LGBTQIA+-inclusive curriculum. Data collected through semistructured interviews were analyzed using a priori codes in …
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- …
Educator Perceptions On Preparing Students For A Biology I State Assessment, Lila Grooms
Educator Perceptions On Preparing Students For A Biology I State Assessment, Lila Grooms
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that 9th and 10th grade students’ Biology I state assessment scores continued to decline in a suburban South Carolina school district. The purpose of this basic qualitative study was to explore biology teachers’ perceptions of the low success rates on the Biology I state assessment and to identify recommendations for improvement. Vygotsky’s social constructivism theory provided the conceptual framework, emphasizing the role of social engagement and collaborative learning environments. Semistructured interviews with nine high school biology teachers were conducted and using Braun and Clark’s thematic analysis approach. Themes revealed that teachers are: (a) …
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 …