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Staff Education Program On Perceived Stress Scale, Juliana Mutua
Staff Education Program On Perceived Stress Scale, Juliana Mutua
Walden Dissertations and Doctoral Studies
This project was a staff education program conducted at a mental health and rehabilitation center in the United States. The program was designed to address a critical gap in practice of limited staff knowledge of using standardized stress assessment tools to assess patient stress, leading to poor patient outcomes. The practice-focused question was: Does staff education on the Perceived Stress Scale (PSS) improve staff knowledge as compared pre- to post-education? The purpose was to enhance staff knowledge on the application and interpretation of the PSS. The Johns Hopkins nursing evidence-based practice (JHNEBP) model was used to organize and evaluate the …
Strategies To Improve Access To Clinical Informatics Specialist Consultations In An Acute Care Hospital System, Holli Miller
Strategies To Improve Access To Clinical Informatics Specialist Consultations In An Acute Care Hospital System, Holli Miller
Walden Dissertations and Doctoral Studies
Access to clinical informatics specialist (CIS) consultations is essential for optimizing electronic health record (EHR) use in acute care hospital systems. Limited availability of CIS support contributes to clinician burnout, workflow inefficiencies, and patient safety risks. The purpose of this integrative review was to identify strategies to improve access to CIS consultations in acute care settings. A comprehensive literature search across multiple databases yielded 656 articles, with 24 meeting inclusion criteria based on relevance and methodological rigor, evaluated using the Johns Hopkins Nursing Evidence-Based Practice appraisal tools. These studies, published between 2019 and 2024, underwent thematic analysis guided by the …
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Walden Dissertations and Doctoral Studies
Being overweight or obese poses major public health concerns and contributes to the development of chronic illnesses. While researchers have explored how a total plant-based diet impacts excess body weight or obesity, there is still a lack of clarity about how Hispanics living in Miami, FL, perceive or understand this diet concerning overweight and obesity. Using a generic qualitative approach, this study was conducted on how Hispanics in Miami, FL, understand and view a whole plant-based diet (WPBD) for preventing and reducing overweight and obesity. Through interviews with 14 diverse Hispanic participants, the study revealed that they see WPBD as …
Rurality’S Impact On Alaska Native Elders’ Levels Of Physical Activity And Obesity, Jessie Doherty
Rurality’S Impact On Alaska Native Elders’ Levels Of Physical Activity And Obesity, Jessie Doherty
Walden Dissertations and Doctoral Studies
While there have been studies on obesity levels and physical activity levels across many populations and age groups, few studies have focused on Alaska Native Elders. The purpose of this study was to examine rurality (urban vs. rural counties), physical activity, and obesity level while controlling for sex, self-reported loneliness, and self-reported stress. The theoretical foundation for this study was based on the socio-ecological model (SEM), and the research questions in this study explored how rurality impacted obesity levels and how rurality impacted physical activity levels in Alaska Native Elders. The methodology of this study was a quantitative cross-sectional design …
Association Between Embedded No-Cost Materials And Student Success For Undergraduate Students In For-Profit Universities, Gaby Gabriela Johnson
Association Between Embedded No-Cost Materials And Student Success For Undergraduate Students In For-Profit Universities, Gaby Gabriela Johnson
Walden Dissertations and Doctoral Studies
Purchasing educational materials adds to college costs. The problem addressed in this study is the lack of research on the association between student success and the use of no-cost educational materials in for-profit universities. Grounded in Rawls’ principles of justice, the purpose of this quantitative study was to investigate the association between student success as measured by pass/fail outcomes and the use of embedded no-cost educational and open educational resources (OER) materials in undergraduate courses at a for-profit university. Academic outcomes of 751 undergraduate students across three courses were analyzed using the chi-square test of association. Results showed a weak …
Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady
Women Clergy Members' Perceptions Of Mentorship Strategies For Leader Development, Linda Ann Brady
Walden Dissertations and Doctoral Studies
According to recent studies, women were underrepresented in senior leadership in the global Christian church, and leadership pathways for the development of women were often lacking. The local problem within the International Christian Church (ICC) was a lack of understanding of holistic mentoring strategies that support the development of women clergy members, which could help fill the current leadership gap. Guided by Dahlvig and Longman’s model of women’s leadership development, the purpose of this basic qualitative study was to explore the perceptions of women clergy regarding holistic mentoring strategies that might increase the number of women in leadership within the …
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Walden Dissertations and Doctoral Studies
Substance use disorders (SUDs) disproportionately affects Native Hawaiians, yet conventional treatments often overlook the cultural, spiritual, and relational foundations of well-being for Native Hawaiians. This gap represents a human services problem, as it perpetuates health disparities, limits recovery, and slows social change within Native Hawaiian communities. The purpose of this qualitative single case study was to identify culturally relevant components for an SUD treatment program tailored to Native Hawaiians. The research question guiding this study was, what are culturally appropriate components for a SUD program for Native Hawaiians. The Nā Pou Kihi framework grounded the exploration of Indigenous approaches to …
Examining The Feedback Effects Of The Child And Family Services Review Process On The Child Welfare Caseworker, Molly Blanchette
Examining The Feedback Effects Of The Child And Family Services Review Process On The Child Welfare Caseworker, Molly Blanchette
Walden Dissertations and Doctoral Studies
The Child and Family Services Review (CFSR) is a federally mandated continuous quality improvement process that sets and assesses national child welfare performance standards. The CFSR impacts agency practices and caseworker responsibilities. Research has linked high turnover rates, averaging around 30% nationally, to agency-related variables, some of which are influenced by the CFSR. Given this context, it was necessary to understand how the CFSR performance standards impact the workforce. Policy feedback theory grounded this study as it was used to examine the feedback effects of the CFSR on child welfare caseworkers. The research question was “How are the federal performance …
Exploring Lived Experiences And Perceptions Of Individuals With Substance-Use Disorder Recovery Management From A Biopsychosocial Perspective, Robin Carter Priest
Exploring Lived Experiences And Perceptions Of Individuals With Substance-Use Disorder Recovery Management From A Biopsychosocial Perspective, Robin Carter Priest
Walden Dissertations and Doctoral Studies
Substance-use disorder (SUD) poses significant biological, psychological, and sociological impacts that negatively affect areas of employment, health, family systems, and interactions with social welfare and legal agencies. Although there has been research on SUD treatment, relapse rates remain high at approximately 40%–75%, demonstrating a gap in the literature involving individuals who completed SUD treatment and continuation or management of recovery. Grounded in phenomenological theory and through a biopsychosocial lens, this qualitative study explored the lived experiences and perceptions of individuals with substance-use disorder managing their recovery. Data were collected from 8 individuals who completed partial hospitalization or intensive-outpatient levels of …
College Persistence And Tribal Nation-Building Among American Indian Undergraduate Students, Brittany Ann Boone
College Persistence And Tribal Nation-Building Among American Indian Undergraduate Students, Brittany Ann Boone
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that little is known regarding attempts at higher education persistence and tribal nation-building affecting each other among American Indian (AI) undergraduate college students in Oklahoma. The purpose of this qualitative study was to explore the experiences of AI undergraduate students enrolled at a college or university in Oklahoma regarding higher education persistence and tribal nation-building. Astin’s theory of student involvement was the conceptual framework that guided this study because of its focus on the connection between student involvement and persistence. The research question addressed how AI undergraduate students describe their experiences …
Enhancing Disaster Response Through Mental Health Resilience: A Force Field Analysis, Veronica Portillo-Bradford
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 …
Nigerian Immigrant Mothers’ Parenting Style In Supporting Academic Achievement In Their Children, Ganiyat Olasumbo Saidu
Nigerian Immigrant Mothers’ Parenting Style In Supporting Academic Achievement In Their Children, Ganiyat Olasumbo Saidu
Walden Dissertations and Doctoral Studies
Supporting their children’s academic activities while navigating the socioeconomic norms of the new system continues to be a significant challenge for most immigrant parents in urban areas of the United States. However, there is inadequate literature on the parenting behaviors used by Nigerian immigrant parents to support their children’s academic achievement. The purpose of this qualitative study was to understand how Nigerian immigrant mothers describe the parenting styles that support their children’s academic achievement. The theoretical framework for this study was Bandura’s (1977) social cognitive theory and Baumrind’s (1966) theory of parenting styles. For this basic qualitative study, the population …
The Perceptions Of Middle School Educators Concerning Failed Proficiency In Reading And Writing By Multilingual Learners, Carolyne Carter
The Perceptions Of Middle School Educators Concerning Failed Proficiency In Reading And Writing By Multilingual Learners, Carolyne Carter
Walden Dissertations and Doctoral Studies
Multilingual learners (MLs) education has been a topic of study among scholars for many years. The problem that was investigated is that middle school (MS) English Language Arts (ELA) teachers are challenged to improve reading and writing instruction for MLs. The purpose of this qualitative study was to explore the challenges MS ELA teachers face when trying to improve the reading and writing proficiency of MLs. The conceptual frameworks that guided this study were Vygotsky’s sociocultural theory of literacy and Ladson-Billing’s theory on culturally relevant pedagogy. For this basic qualitative design, data were collected through 11 semistructured interviews with MS …
First-Generation Black And Latinx Students And Their Perceived Level Of Postsecondary Education Preparedness, Shawanna Burton
First-Generation Black And Latinx Students And Their Perceived Level Of Postsecondary Education Preparedness, Shawanna Burton
Walden Dissertations and Doctoral Studies
First-generation Black and Latinx students report challenges of belonging and preparation in the transition to college. Limited research on these experiences hinders counselors’ support for these students. The purpose of this hermeneutic phenomenological study was to explore first-generation Black and Latinx college students’ meaning of their high school experiences. A hermeneutic phenomenology conceptual framework was used to explore the lived experiences of first-generation Black and Latinx college students, focusing on how guidance from high school counselors influenced their sense of belonging, persistence, and degree attainment in postsecondary education. Data were collected from nine participants through semistructured interviews and analyzed using …
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus (T2DM) remains a significant public health concern in the United States, with non-Hispanic Black women bearing a disproportionately high burden of the disease. Although this group has a lower overall prevalence of gestational diabetes mellitus (GDM), those who develop GDM face an increased risk of progressing to T2DM. The purpose of this quantitative, correlational study was to explore the relationship between GDM, physical activity, weight status, and T2DM development among non-Hispanic Black women. Secondary data from the National Health and Nutrition Examination Survey, collected from 2017 through March 2020, were analyzed. The health belief model served …
Service Learning And Association To Social Responsibility And The Process Of Cultural Competence In Nursing Practice, Helene Kay Hegge
Service Learning And Association To Social Responsibility And The Process Of Cultural Competence In Nursing Practice, Helene Kay Hegge
Walden Dissertations and Doctoral Studies
Service Learning and Association to Social Responsibility and the Process of Cultural Competence in Nursing Practice by Helene Hegge MSN, Walden University, 2011 BSN, Mount Marty University, 1986 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Nursing Walden University August 2025 Cultural competence and social responsibility are essential qualities of baccalaureate-prepared nurses. Cultural competence and social responsibility can occur in nursing students following their service learning (SL) experience and remain to influence practice as a professional nurse. The purpose of this basic qualitative study using 18 individual interviews of nurses who participated in …
The Progressive Changes In Posttraumatic Symptoms And Posttraumatic Growth Associated With Traumatic Incident Reduction, Joseph L. Mcclory
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 …
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Walden Dissertations and Doctoral Studies
The nature of nursing practice—persistent exposure to patient suffering—often results in compassion fatigue for staff. Compassion/emotional fatigue can affect nurses’ mental well-being, which can manifest in burnout, decreased empathy, and emotional numbness. These outcomes can eventually reduce job satisfaction for nurses and nursing assistants, increase errors during patient care, and lead to poorer patient outcomes. Prioritizing caregivers' mental health may improve the quality of nursing care. Mindfulness-based therapy (MBT) is an approach that may ensure the mental health and emotional stability of those who care for patients while also being a comparatively easy, accessible, and affordable tool. The goal of …
Exploration Of How Study District-Wide Stakeholders Achieved Reading Success For Students With Disabilities, Kisha Hairston
Exploration Of How Study District-Wide Stakeholders Achieved Reading Success For Students With Disabilities, Kisha Hairston
Walden Dissertations and Doctoral Studies
The problem that this study addressed is that students with disabilities (SWDs) demonstrated low reading achievement in U.S. public schools as shown by annual state standardized scores. The study district achieved the anomaly of more than 50% of SWDs achieving Proficient and Advanced on the state reading assessment. The gap in practice was that it was unknown how the study district stakeholders achieved such success in SWDs’ reading achievement. The purpose of this basic qualitative study was to investigate how archival data supports and how teachers and administrators explain the successful reading achievement of SWDs in the study school district. …
Education For Home Infusion Nurses, Ann Marie Wilson
Education For Home Infusion Nurses, Ann Marie Wilson
Walden Dissertations and Doctoral Studies
This document presents an executive summary of a staff education initiative designed for home infusion nurses, submitted in fulfillment of requirements for the Doctor of Nursing Practice at Walden University. The project aims to address the specialized educational needs of nurses in the home infusion setting, where evolving clinical procedures and patient safety standards demand advanced competency and knowledge. Through the development and implementation of targeted educational strategies, the project seeks to enhance nurses' skills, promote best practices in infusion therapy, and improve health outcomes for patients receiving infusion care at home. Key objectives include identifying gaps in current education, …
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
Walden Dissertations and Doctoral Studies
The problem explored in this study was the low graduation rate of first-generation college students at the university study site. Using Bandura’s self-efficacy theory, the purpose of this basic qualitative study was to explore first-generation college graduates’ beliefs about their educational experience as students upon entering a bachelor’s degree program, identify obstacles, and understand ways to master those obstacles to successfully graduate. Six first-generation college graduates from the study site were recruited from FIRST, an on-campus support organization, for semistructured interviews using purposeful sampling. Due to COVID and the closing of the university study site at the time of recruitment, …
The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson
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 …
Staff Education On Nonpharmacological Strategies To Reduce Restraint Use., Abigail Addo
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 …
Experiences Of Immigrant Adults About English As A Second Language Classes With Instructors Who Do Not Speak Learners’ Languages, Gatluak Pal
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of research on the experiences of adult immigrant English language (EL) learners regarding their engagement in college-level English as a second language (ESL) courses with instructors who do not speak the learners’ native language. Researchers have reported that EL-learning immigrant adults are not actively engaging in their learning process. The purpose of this basic qualitative study was to investigate the experiences of EL-learning adult immigrants regarding their engagement in ESL college classes with instructors who do not speak the native language of their learners. A basic qualitative study was conducted using …
Effects Of Elementary And Secondary School Emergency Relief Grants On Math And English Language Arts Standardized Test Scores In Connecticut, Zoe Robinson
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the decrease in proficiency levels in math and English Language Arts (ELA) of 3rd- to 8th-grade students on standardized tests following the COVID-19 pandemic in Connecticut (CT). The purpose of this quantitative study was to examine the difference between the mean change in math and ELA standardized test scores for Grades 3-8 for 4 years before and 4 years after the introduction of the Elementary and Secondary School Emergency Relief (ESSER) grant funding in CT, while controlling for all other funds received. The theory that supported this study was Lezotte’s school effectiveness and …
Lived Experiences Of Transgender And Non-Conforming Individuals Related To Gender Separation Bathroom Policies, Patricia Ojea
Lived Experiences Of Transgender And Non-Conforming Individuals Related To Gender Separation Bathroom Policies, Patricia Ojea
Walden Dissertations and Doctoral Studies
The transgender and gender non-conforming population experiences discrimination when using public restrooms, but scholarly researchers do not know how the varying degrees of acceptance or rejection impact their daily lives. The purpose of this qualitative study was to better understand the lived experiences of transgender and non-conforming (TGNC) adults to determine if bathroom legislation helps alleviate adversity experienced by this group. Kingdon's multiple-streams framework and Meyer's minority stress theory were the theoretical frameworks that served as this study's foundation. The research questions for this study focused on how the lack of enabling restroom policies in New Jersey impacts TGNC adults …
Racial Moderation Of Infant Mortality Risk And Protective Factors In The United States, Temitope Oluwaseun Akinsola
Racial Moderation Of Infant Mortality Risk And Protective Factors In The United States, Temitope Oluwaseun Akinsola
Walden Dissertations and Doctoral Studies
The rate of infant mortality is a pressing health issue in the United States, as ethnic minorities are disproportionately affected. This study addressed how race controls the predictive power of demographic, socioeconomic, and geographic factors on infant mortality. Using a quantitative correlational design, secondary data from 181 individuals listed in the CDC-National Vital Statistics System database were used, which contains nationally aggregated data related to infant mortality rates. Bronfenbrenner’s social ecological model guided the study, and multiple regression and moderation models were used to examine socioeconomic status and access to healthcare on infant mortality outcomes. Results indicated that race significantly …
Examining Home Confinement Of Offenders In The Mississippi Delta, Malcolm Davis
Examining Home Confinement Of Offenders In The Mississippi Delta, Malcolm Davis
Walden Dissertations and Doctoral Studies
Recidivism was identified as a persistent problem in the criminal justice system. Accordingly, prison overcrowding was also an identified problem in the prison system. The purpose of this study was to examine the experiences of home confinement for offenders in the Mississippi Delta. This research used rehabilitation theory to conduct a qualitative analysis of home confinement in the Mississippi Delta, as well as identify any unique challenges to the program presented by rural conditions. A purposive sampling technique was used to solicit participation, and a total of 12 participants were included in the study. The participants were interviewed using a …
The Relationship Of Organizational Health Safety Efforts Specific To Covid-19 And Perceived Organizational Support On Affective Organizational Commitment, Suzzee Meusel
Walden Dissertations and Doctoral Studies
When health safety efforts for COVID-19 are perceived negatively, the implementation of health safety efforts by employers may not be effective and are therefore likely to fail in protecting employee health, such as in the agriculture industry. Guided by social exchange theory, organizational support theory, and the theory of organizational commitment, this quantitative correlational study involved examining relationships between organizational health safety efforts specific to COVID-19 (OHSE-C19), perceived organizational support (POS), and affective organizational commitment (AOC) among poultry hatchery employees. The study entailed analyzing survey and opinion poll data from 90 participants from two poultry hatcheries in Iowa and Pennsylvania, …
Employees’ Perceptions Of Their Performance Based On Continuous Training In Hospitals, Mohamad El Fakih
Employees’ Perceptions Of Their Performance Based On Continuous Training In Hospitals, Mohamad El Fakih
Walden Dissertations and Doctoral Studies
Training perceived as irrelevant or insufficient may lead to disengagement, lower performance, and even burnout, particularly in high-stress healthcare environments. The specific research problem is that Lebanese hospitals fail to adopt tailored training strategies that effectively enhance healthcare workers’ perceptions of their performance. The purpose of this qualitative interpretive phenomenological study was to explore the lived experiences of hospital employees in Lebanon, focusing on how ongoing training influenced their perceived job performance. Social learning theory, organizational learning theory, and institutional theory grounded this study. The participants comprised nine hospital administrators in Beirut. Data were collected using in-depth, semistructured interviews. Ten …