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Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen
Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen
Walden Dissertations and Doctoral Studies
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The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
Walden Dissertations and Doctoral Studies
Prolonged undiagnosed posttraumatic stress disorder (PTSD) has been examined from various perspectives and represents a significant medical concern across diverse populations. Research on PTSD often targets specific groups, such as postpartum women or military veterans. This narrow focus in much of the literature tends to obscure the broader impact of prolonged undiagnosed PTSD on the general population, thereby overlooking the critical need to highlight systemic shortcomings that hinder effective interventions and reform. Furthermore, personal narratives detailing the challenges individuals face when seeking help or treatment – factors that contribute to delays in care – and the subsequent effects on their …
Leadership Styles, Multigenerational Providers, Motivation, And Satisfaction In Mental Health Workplace Settings, Terri Adeshola
Leadership Styles, Multigenerational Providers, Motivation, And Satisfaction In Mental Health Workplace Settings, Terri Adeshola
Walden Dissertations and Doctoral Studies
A problem confronting organizations, including mental health organizations, is how leadership will address motivation and satisfaction in a diverse, multigenerational workforce. The purpose of this quantitative, cross-sectional correlational study was to examine the relationship between multigenerational licensed clinician providers and perceptions of their supervisors’ leadership style to predict their motivation and job satisfaction in mental health workplace settings. Transformational leadership theory grounded this study. The participants comprised 93 licensed clinician providers from mental health organizations in three generational cohorts, Baby Boomer, Generation X, and Millennial, in the Middle Atlantic, Pacific, South Atlantic, West-South Central, and East-North Central regions of the …
Hiv/Aids Among Young People In South Sudan: Assessing Misconceptions About Transmission, Healthcare Access, And Cultural/Religious Factors, John Valent Abore
Hiv/Aids Among Young People In South Sudan: Assessing Misconceptions About Transmission, Healthcare Access, And Cultural/Religious Factors, John Valent Abore
Walden Dissertations and Doctoral Studies
The HIV/AIDS epidemic continues to be a significant public health challenge among young people in South Sudan (SSD). Despite global efforts to curb the spread of HIV, misconceptions about HIV transmission, barriers to access to healthcare services, and cultural/religious factors that affect the epidemic persist in South Sudan, and it is not obvious how these factors interact to impact outcomes. This quantitative cross-sectional study investigated whether there is a relationship between misconceptions about HIV transmission and HIV/AIDS status and whether access to healthcare and cultural/religious factors mediate this relationship among young people (aged 18–35) in SSD. A secondary data analysis …
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Walden Dissertations and Doctoral Studies
The problem that this study investigated was that special education high school teachers (SEHSTs) struggled with implementing social emotional learning (SEL) into their teaching of core subjects in Maryland high schools. The purpose of this basic qualitative study was to explore SEHSTs’ perceptions of the challenges with implementing SEL into core subject areas. The conceptual framework that grounded this study was Argyris and Schon’s theory of action. Using a basic qualitative design, 10 SEHSTs participated in semistructured interviews. Participants were Maryland licensed high school special educators with a range of experience in teaching co-taught classes. Coding and thematic analysis were …
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Walden Dissertations and Doctoral Studies
Student response systems (SRS) and audience response systems (ARS) in the elementary classroom are sometimes used to assess students while keeping them engaged and offering them immediate feedback. The purpose of this basic qualitative study was to explore teachers’ perspectives on challenges of and resources needed to implement SRS and ARS in urban elementary schools in the Northeast United States. The conceptual framework for this study included the technology acceptance model and the theory of planned behavior. Semistructured interviews with 12 urban elementary school teachers from the Northeast United States were analyzed using a qualitative data analysis procedure by coding, …
High School Instructional Staff Perspectives On Effective Strategies For Increasing Enrollment In The Career And Technical Education Pathway, Briana O'Brien
High School Instructional Staff Perspectives On Effective Strategies For Increasing Enrollment In The Career And Technical Education Pathway, Briana O'Brien
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the challenges of enrolling students in the career and technical education (CTE) pathway at a northeastern high school, despite local and national commitments to expanding CTE opportunities. The purpose of this basic qualitative study was to explore high school instructional staff perceptions of the challenges in enrolling students in the CTE pathway and the strategies they suggest would increase enrollment. The study was grounded in the conceptual framework of the concerns-based adoption model and the expectancy-value theory, which allowed for an understanding of staff concerns, motivations, and perceptions in relation to student enrollment …
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Walden Dissertations and Doctoral Studies
This qualitative study examined the lived experiences of 12 formerly incarcerated males in Louisiana between the ages of 18 and 25, with a focus on their perspectives related to schooling, social environments, and involvement in criminal activity. Guided by general strain theory, the research explored how participants described their learning experiences under Common Core standards and whether they perceived connections between those experiences and their criminal activity. The research question asked: How do American male ex-offenders between the ages of 18 and 25 in Louisiana describe the relationship between Common Core learning experiences and their criminal activity? Data were collected …
Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine
Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic increased the utilization of telehealth in managing chronic conditions such as heart failure. Existing research has primarily focused on patient experiences with specific telehealth platforms or settings, limiting generalizability within the diverse United States healthcare system. The purpose of this qualitative study, guided by the health promotion model, was to describe patient experiences with self-management of heart failure while receiving medical care through any type of telehealth service (e.g., telephone, video calls, remote monitoring) in the United States. Twenty-two participants were interviewed who met the criteria of having a diagnosis of heart failure and using telehealth since …
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Walden Dissertations and Doctoral Studies
Relationship Between Parent Demographics and Attitudes About Their Child’s Diabetes in Nigerian Parents who Live in the United States by Vivian Obioma Eluwa Nwankwo MA, Walden University, 2018 BA, University of Nigeria, 1992 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University August 2025
Resources And Strategies Needed To Address The Problem Of Child Labor In Erbil, Kurdistan Region Of Iraq, Evan Faiq
Walden Dissertations and Doctoral Studies
Child labor is an international practice that has been on the rise in some parts of the world including Erbil, the Kurdistan region of Iraq. The purpose of this qualitative study was to explore the different resources needed but not available for the victims, how child labor has impacted the community, and how the criminal justice system can better approach the child labor issue and reduce it in Erbil, Kurdistan region of Iraq. Social conflict theory was used to guide the study. Data were collected from 15 interviews with individuals from different areas of the criminal justice department, local organizations …
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Walden Dissertations and Doctoral Studies
More than 50% of women experience excessive weight gain during pregnancy or are overweight at the start of pregnancy, increasing their risk of short and long-term maternal and fetal complications. The literature highlights the relationship between sociocultural factors and excessive gestational weight gain (EGWG) and the need to explore these factors in ethnic subgroups. The purpose of this descriptive qualitative study, guided by Nola Pender’s health promotion model, was to explore the sociocultural factors that influence EGWG for pregnant women living in Puerto Rico. Semi-structured interviews were conducted with seven participants recruited from public and private prenatal clinics in Puerto …
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
Walden Dissertations and Doctoral Studies
In this qualitative phenomenological study, the perceived barriers to services among Hispanic immigrant community members in Southern Connecticut were explored. The study was grounded in social disorganization theory and cultural conflict theory to identify the specific obstacles these communities face, understand the underlying causes, and examine the broader societal and criminal justice implications. Data were collected through open-ended anonymous questionnaires with participants from Hispanic immigrant communities. The findings revealed that fear of deportation, language barriers, and limited education about available services and resources were the most perceived barriers. These challenges were found to significantly affect the integration and well-being of …
Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin
Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin
Walden Dissertations and Doctoral Studies
Nursing education is evolving, requiring educators to adapt teaching methods due to advances in technology, pedagogy, and accreditation standards. In Northern Ontario, geographic and resource limitations make this adaptability critical for ensuring equitable, high-quality education. Guided by Lewin’s change theory, this qualitative phenomenological study examined how Bachelor of Science in Nursing (BScN) nursing educators in Northern Ontario adapted their teaching practices to these evolving demands. Six full-time educators teaching in BScN programs with at least 3 years of recent nursing education experience using synchronous instructional methods participated in semistructured qualitative interviews. Data were analyzed using Saldaña’s coding framework. Four themes …
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Walden Dissertations and Doctoral Studies
Wisconsin has the highest death rates from falls in the nation. In a brief, the Wisconsin Aging Advocacy Network indicated that most falls among individuals over 65 occur in residential settings. Further, a significant number of elderly people will fall each year, resulting in hospitalizations or fatalities. The purpose of this project was to provide staff education in one Wisconsin assisted living facility to effectively improve knowledge, attitude, and skill among frontline staff for fall prevention management. A formal Fall Education Day was provided to improve knowledge and shape positive attitudes among staff. A pretest-posttest design was used to measure …
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Walden Dissertations and Doctoral Studies
Suicide remains a critical public health issue in the United States, with rates continuing to rise despite national prevention initiatives. Primary care settings serve as a pivotal point for early detection, yet inconsistent use of standardized screening and safety planning tools contributes to under-recognition of suicide risk. This Doctor of Nursing Practice (DNP) project aimed to enhance the identification and management of suicide risk in primary care by developing and implementing an evidence-based clinical practice guideline (CPG). The project addressed the practice-focused question: Does implementing a standardized suicide prevention guideline using validated tools improve risk detection and management in primary …
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Walden Dissertations and Doctoral Studies
While the Language Essentials for Teachers of Reading and Spelling (LETRS) professional development provided elementary teachers with a new form of instruction, third-grade reading scores remain below proficiency levels on the Alabama state test. Guided by Vygotsky’s theory of social constructivism, the purpose of this basic qualitative study was to explore elementary teachers’ challenges of implementing LETRS in a local Alabama school district. Two research questions addressed the challenges of and suggestions for implementing LETRS. Data were collected through semistructured interviews with 10 elementary teachers in local school districts who were trained in LETRS, implemented LETRS in classroom instruction, and …
Relationship Of Job Demands And Perceived Usefulness Of Virtual Nursing Technology Among Bedside Nurses In Acute Care Settings, Oluponle Olubajo
Relationship Of Job Demands And Perceived Usefulness Of Virtual Nursing Technology Among Bedside Nurses In Acute Care Settings, Oluponle Olubajo
Walden Dissertations and Doctoral Studies
Bedside nurses in acute care settings face intensified job demands amid persistent low nursing staff census and rising patient acuity. The purpose of the study, guided by the job demands–resources (JD-R) model, was to examine the relationship between job demands, years of nursing experience, and perceived usefulness of virtual nursing technology among bedside nurses in acute care settings. A cross-sectional online survey was administered to bedside registered nurses (N = 102) currently using virtual nursing technology. Measures included the Intensification of Job Demands Scale and the Perceived Usefulness Scale. Data analyses indicated that the multiple regression was not statistically significant, …
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Walden Dissertations and Doctoral Studies
Despite the Americans with Disabilities Act of 1990 promoting equality for people with disabilities, parents with developmental and intellectual disabilities experience high rates of involvement with child welfare services due to outdated terminology, information about disabilities, and policies. The purpose of this study was to identify the challenges of parents with intellectual and developmental disabilities and determine if they differ from those of parents without a disability. This was a generic qualitative study grounded in intersectionality theory. Education, employment, health and safety concerns, independence, assistive technology, social services involvement, and supports or resources were examined through the perspective of the …
School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito
School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito
Walden Dissertations and Doctoral Studies
Minority students are often omitted from social, economic, cultural, and political life due to ethnicity or poverty, which increases their risk of adverse childhood experiences, such as abuse or neglect, and increases their likelihood of discrimination that can obstruct their normal childhood development, including academic performance. Child-centered play therapy (CCPT) is a multiculturally appropriate approach that creates a safe and nonjudgmental environment, supporting adjustment and coping. However, many school counselors are not using CCPT. The research question was as follows: What are the lived experiences of school counselors who use CCPT in their work at high-diversity elementary schools? This study …
Secondary World Language Teachers’ Perspectives On Gamification-Based Assessments, Taryn Thompson
Secondary World Language Teachers’ Perspectives On Gamification-Based Assessments, Taryn Thompson
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that there was a gap in the literature about secondary world language teachers using gamification-based assessments and the influence on student learning. The purpose of this basic qualitative study was to explore teachers’ perspectives on the benefits and challenges of gamification-based assessments. The study was grounded in the unified theory of acceptance and use of technology, digital game-based language learning, and Krashen’s second language acquisition theory. To secure a sample of 12 participants for this study, purposeful and snowball sampling were employed, wherein potential secondary world language teachers were solicited through …
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 …
Trauma As A Predictor Of Engagement Among Former Foster Youth Parents Involved With Child Welfare, Sarah Gordon
Trauma As A Predictor Of Engagement Among Former Foster Youth Parents Involved With Child Welfare, Sarah Gordon
Walden Dissertations and Doctoral Studies
The specific research problem addressed in this study is that the relationship between parent engagement with child safety personnel and the trauma histories of parents with transgenerational child welfare involvement is not well understood. Parent engagement is a critical component of child safety family outcomes. Although past research recognizes lower engagement for former foster youth (FFY) parents with child safety systems and the negative effects of trauma throughout a person’s life, there is no prior research that examines how trauma affects FFY parent engagement with child safety systems. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this quantitative, cross-sectional …
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 …
Influence Of High-Speed Internet Infrastructure Availability On Aggregate Academic Outcome Measures For Washington State High Schools, Jessie A. Tanksley
Influence Of High-Speed Internet Infrastructure Availability On Aggregate Academic Outcome Measures For Washington State High Schools, Jessie A. Tanksley
Walden Dissertations and Doctoral Studies
Limited research has been conducted about the potential influence of high-speed broadband infrastructure availability in rural and urban communities on high school academic outcome measures in Washington state. Guided by Siemens’s theory of connectivism and van Dijk’s digital divide theory, the purpose of this quasi-experimental, causal-comparative, quantitative study was to determine whether significant differences in high school academic performance, measured by graduation rates and standardized test scores, exist between urban and rural communities with and without access to high-speed broadband internet infrastructure in Washington state. Three research questions were developed to examine differences in graduation rates, 10th-grade English Language Arts …
Strategies For Recruitment And Retention Of Mental Health Providers In The Military Health System, Christopher J. Chase
Strategies For Recruitment And Retention Of Mental Health Providers In The Military Health System, Christopher J. Chase
Walden Dissertations and Doctoral Studies
Recruitment and retention of mental health professionals are critical challenges for the Military Health System (MHS), affecting timely access to behavioral health care, workforce stability, and mission readiness. Persistent shortages threaten the well-being of service members and increase reliance on the resilience of overburdened staff, particularly in rural and underserved areas. This integrative review aimed to identify and synthesize best practices to improve recruitment and retention of mental health providers within the MHS. Using the Johns Hopkins Nursing Evidence-Based Practice Model, a systematic literature search and thematic analysis were conducted on 27 high-quality research and non-research articles. The Affective, Continuance, …
Educational Experiences Of Traditional And Online Learning Graduate Students, Beverly Crawford Williams
Educational Experiences Of Traditional And Online Learning Graduate Students, Beverly Crawford Williams
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore how graduate-level human services students who have attended both traditional and online courses describe their educational experiences, particularly in terms of engagement, knowledge application, and peer connections. Semistructured interviews were conducted among 12 graduate-level, human services students who had experience in both learning environments. Social learning theory was the theoretical foundation used in the study. Thematic analysis, revealed four major themes describing distinct learning experiences across modalities. First, online and traditional learning involve different forms of engagement. Second, relational engagement in academic environments is important. Third, constraints on engagement across learning …
The Relationship Between Telehealth And In-Person Visits And Patient Experience In Connecticut In 2021–2022, Lisa M. Roth
The Relationship Between Telehealth And In-Person Visits And Patient Experience In Connecticut In 2021–2022, Lisa M. Roth
Walden Dissertations and Doctoral Studies
As the healthcare landscape continues to shift, so does the delivery of healthcare services. Health systems now offer in-person and telehealth visits to meet the consumer’s needs. Healthcare stakeholders have been tasked with improving the quality of care and the patient’s experience during their healthcare visits. The purpose of this retrospective quantitative study was to explore the relationship between telehealth and in-person visits and patient experiences. The theoretical framework used in this study was the Donabedian model. For the purpose of this study, the structure was the hospital setting for in-person visits and use of a computer or a device …
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 …
Fema Public Policy Impacts On Emergency Preparedness In Florida, Sara Sambolin
Fema Public Policy Impacts On Emergency Preparedness In Florida, Sara Sambolin
Walden Dissertations and Doctoral Studies
Older adults are at an increased risk of mortality during hazardous emergencies; therefore, it is crucial to comprehend how current emergency preparedness policies are related to preparedness perceptions of older adults. Findings in recent literature identified the underrepresentation of older adults in Emergency Preparedness studies across all areas and Counties of the state of Florida as a gap that needs to be addressed. The purpose of this quantitative correlational study was to examine the relationship between the 2023 FEMA policy on emergency preparedness and the self-reported degree of preparedness among Florida’s older adult residents in urban and rural areas across …