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The Perception Of Therapists About Compassion Fatigue And Burnout After Working With Victims Of Domestic Violence, Bernadine Edwards
The Perception Of Therapists About Compassion Fatigue And Burnout After Working With Victims Of Domestic Violence, Bernadine Edwards
Walden Dissertations and Doctoral Studies
This qualitative study involved gaining a better understanding of the perceptions of therapists who work with domestic violence victims, and how the therapists’ work may contribute to the development of compassion fatigue and burnout in the treating therapists. The goal was to gather firsthand data regarding the lived experiences of therapists. This study involved conducting semi-structured interviews with six counselors, listening to lived experiences, reading transcriptions, taking and reading notes in a journal during and after interviews, and analyzing data. The social ecological theory guided the study. The research identified 11 key themes highlighting the significant stress associated with this …
The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley
The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley
Walden Dissertations and Doctoral Studies
Public school district leaders are challenged with funding K-12 education that creates the desired student academic performance. Grounded in student-based budgeting theory, this quantitative ex post facto study aimed to investigate the relationship between K–12 public school funding, per-pupil expenditures, student achievement, and graduation rates in Georgia. The study included secondary data from 51 North Georgia public school districts for the 2018–2019 school year. Multiple regression analysis was completed to examine the relationship between the independent variables—state funding, per-pupil expenditures, and academic achievement in math, science, and language arts—and the dependent variable: graduation rates. The results of the analysis were …
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Walden Dissertations and Doctoral Studies
Telehealth has emerged as a transformative approach to healthcare delivery, particularly for populations facing geographic, financial, and mobility-related barriers. In rural communities such as Sumter, South Carolina, seniors 50 and older continue to experience challenges in accessing timely care, including limited transportation, provider shortages, digital illiteracy, and financial constraints. Conducted by Andersen’s Behavioral Model of Health Services Use (ABMHSU), this qualitative phenomenological study explored the lived experiences of seven seniors in Sumter to understand how telehealth influences engagement in healthcare. This study was guided by three research questions (RQ) that examined seniors’ experiences using ABMHSU, focusing on predisposing factors, enabling …
In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs
In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs
Walden Dissertations and Doctoral Studies
Counselor educators lack an in-depth understanding of the unique needs and experiences of African American women with binge eating behavior, leading them to be ill-equipped to train counselors to meet these culturally specific needs. As a result of this study, counselor educators were able to understand how African American women experience binge eating behavior, enhancing training for counselors. This qualitative study included a transcendental phenomenological approach and focused on providing answers regarding the lived experiences of African American women with binge eating behavior during their binge eating episodes. Semistructured interviews with eight African American women with binge eating behavior were …
Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne
Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne
Walden Dissertations and Doctoral Studies
Abstract A lack of effective communication strategies to increase employee productivity and profitability is a concern among leaders in the finance industry. This problem is important because, without such strategies, organizations might experience decreased employee morale and misalignment, which could reduce productivity and profitability. Grounded in leader–member exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective communication strategies that senior finance leaders use to increase employee productivity and organizational profitability. Participants were six senior leaders from the finance industry in the Cayman Islands, each with at least 5 years of executive responsibility over …
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Walden Dissertations and Doctoral Studies
Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Walden Dissertations and Doctoral Studies
Organizations may experience negative impacts, such as the loss of valuable employees and disruptions in team dynamics, when coaching interventions lead to challenges against organizational norms or policies. Coaching industry leaders must understand the negative impacts as indicators of workplace vulnerability affecting employees and productivity. The purpose of this qualitative phenomenological study was to explore how coachees describe their lived experiences of strengths-based coaching (SBC) and its impact on their psychological well-being (PWB). The SBC’s dual outcomes on PWB, using a conceptual framework that integrates positive psychology coaching, Ryff’s model of PWB, and social exchange theory, grounded this study. The …
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Walden Dissertations and Doctoral Studies
Abstract The staff education project to improve knowledge of probiotic use and benefits with antibiotic use, has shown to improve patient recovery and outcome. The post-implementation impact of the project is increased awareness of probiotic use and their benefits to prevent Antibiotic. Associated Diarrhea at the project site organization. I identified no limitations in the project. Staff education can be used worldwide to prevent digestive diseases with the use of probiotics supplements or probiotic food. Probiotics use is to improve patient outcomes by maintaining gut microbiome and digestive health. The evidence-based practice solution of a staff education on probiotic use …
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Walden Dissertations and Doctoral Studies
The transition from graduate education to clinical practice marks a pivotal point in the professional journey of advanced practice registered nurses (APRNs). Despite rigorous preparation, many APRN MSN graduates struggle to adapt to the complex expectations of autonomous practice. The lack of structured mentorship, inconsistent orientation processes, and unclear performance expectations contribute to high stress, role confusion, and early turnover. This Doctor of Nursing Practice Executive Leadership project addressed this critical issue by evaluating whether an interprofessional team could achieve consensus on developing a best practice program to guide APRN MSN graduates’ transition to independent clinical practice. This initiative was …
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) can be detrimental to survivors well into adulthood and can affect the relationships of everyone with whom they are involved. Knowing the perpetrator is a determining factor in the equation and is associated with increased odds of behavioral health challenges among survivors. This is especially true within African American communities, where cultural violence results in an increased level of trauma. The purpose of this qualitative study was to examine the lived experiences of African American CSA survivors and their relationships with the perpetrators. As part of the phenomenological design, data were collected through semi-structured interviews with …
A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss
A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss
Walden Dissertations and Doctoral Studies
Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Walden Dissertations and Doctoral Studies
The doctoral project investigates the impact of education on Clinical Documentation Integrity (CDI) nurses in enhancing the accuracy and quality of clinical documentation within healthcare organizations. Clinical documentation plays a crucial role in accurately reflecting patient care and is essential for capturing proper diagnoses, coding, and reimbursement. In contrast, inaccurate or incomplete documentation can lead to misdiagnoses, poor patient outcomes, and financial deficits. Due to frequent updates in clinical guidelines and coding standards, CDI professionals require continuous, specialized training to stay informed with ever-changing medical terminology, disease processes, and coding regulations. By enhancing the CDI education, the aim is to …
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Walden Dissertations and Doctoral Studies
Abstract This Doctor of Nursing Practice project involved the development and quality appraisal of a clinical practice guideline (CPG) for early depression screening in adults with opioid use disorder (OUD), addressing the absence of standardized, evidence-based screening protocols in addiction treatment settings. Guided by the practice-focused question of whether existing evidence supports the development and evaluation of such a guideline using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, a systematic synthesis of 35 research articles was conducted, with 15 high-level studies informing guideline development. A multidisciplinary panel of four experts evaluated the CPG using the …
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Walden Dissertations and Doctoral Studies
Summary This doctoral project was a staff education program designed to improve depression screening among patients in an adult primary care setting. The practice problem addressed was the lack of standardized depression screening that led to inconsistent detection, delayed diagnosis, and fragmented mental health care. A move to address the issue is critical in nursing practice since nurses play a central role in early identification, patient advocacy, and integration of behavioral health into primary care. The practice-focused question guiding the project was, Will implementing a nursing staff education program impact their knowledge of Clinical Practice Guideline (CPG) for depression screening …
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Walden Dissertations and Doctoral Studies
This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …
Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork
Walden Dissertations and Doctoral Studies
Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …
African American Small Business Success Strategies, Zena Foster
African American Small Business Success Strategies, Zena Foster
Walden Dissertations and Doctoral Studies
Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Walden Dissertations and Doctoral Studies
Abstract Outpatient addiction treatment centers face significant challenges from inefficient appointment scheduling systems that contribute to high no-show rates, delayed care, and weakened organizational performance. These barriers affect more than daily operations; they disrupt the flow of treatment, increase patient disengagement, and place additional strain on limited healthcare resources. For patients navigating substance use disorders, a missed appointment may jeopardize continuity of care and undermine recovery efforts. This integrative review explored strategies to improve scheduling efficiency and enhance patient engagement in outpatient addiction care. A systematic search of recent U.S. studies was conducted and appraised using the Johns Hopkins Evidence-Based …
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Walden Dissertations and Doctoral Studies
As baby boomers, Generation X, millennials, and Generation Z converge in healthcare settings, their distinct values and work styles influence organizational culture, communication, and collaboration, ultimately affecting patient care outcomes. This study was conducted to explore the impact of generational differences on registered nurses’ intentions to leave their organizations or the nursing profession. By examining how these generational differences shape nurses’ intentions to leave their organizations, the study can help to identify challenges and opportunities for healthcare leadership. Through an analysis of generational expectations and workforce dynamics, this research aimed to inform strategies for supporting retention, enhancing job satisfaction, and …
Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech
Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech
Walden Dissertations and Doctoral Studies
An increasing focus on the recovery, rights, and autonomy of individuals with serious mental illnesses has led to ongoing debate regarding the practice and legal regulation of involuntary commitment (IVC). To ensure ethical and appropriate patient care throughout this complex process, more knowledge is needed about social workers’ decision-making process regarding the use of IVC. The purpose of this study was to investigate the decision-making processes associated with IVC for inpatient psychiatric treatment in North Carolina using the biomedical ethics framework. More specifically, the study addressed how licensed social workers describe their experiences and decision-making processes when determining whether to …
The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward
The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward
Walden Dissertations and Doctoral Studies
Abstract The problem that was addressed through this study is that Black women are underrepresented in executive leadership roles in the United States. Grounded in Ladson-Billings’ critical race theory and Hill Collins’ Black feminist theory, the purpose of this basic qualitative study was to explore the perceptions and experiences of Black women executives regarding the challenges they face in attaining executive leadership roles and their recommendations to address the underrepresentation of Black women in executive leadership roles. Data were collected using semistructured interviews of 13 adult Black female executive leaders in a private sector organization who had at least 2 …
The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes
The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes
Walden Dissertations and Doctoral Studies
Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Walden Dissertations and Doctoral Studies
Scholarly literature has found that post-traumatic stress impacts first responders; however, little attention has been paid to how first responders learn resiliency through post-traumatic growth (PTG). The purpose of this hermeneutic phenomenological study was to explore a gap in the literature of first responders who learned resiliency through posttraumatic growth following a critical incident in the line of duty. The research study was grounded in Heidegger’s philosophy of hermeneutic phenomenology, guided by resiliency theory , and informed by post-traumatic growth theory. Seven first responders from multiple disciplines were invited to participate in semi-structured interviews designed to provide rich and reflective …
Effective Digital Marketing Strategies For Small Businesses, Shannon Springob
Effective Digital Marketing Strategies For Small Businesses, Shannon Springob
Walden Dissertations and Doctoral Studies
The inability of many small businesses to effectively use digital marketing is a critical challenge for small business owners. Small business owners who lack effective digital marketing strategies are at greater risk of facing failure. Grounded in the do-it-yourself (DIY) behavioral theory, this qualitative pragmatic inquiry was conducted to identify, analyze, and explore the effective strategies employed by small business owners in the development and implementation of effective digital marketing campaigns. The participants included six small business owners in the United States who have used DIY digital marketing strategies within their businesses. Data were collected using semistructured interviews. Thematic analysis …
From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker
From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker
Walden Dissertations and Doctoral Studies
Children’s animated films have often been analyzed for problematic depictions of gender and cultural stereotypes, but far less attention has been given to how these narratives may portray psychological adversity and transformation. This study addressed this gap by examining how posttraumatic growth (PTG) is symbolized through the narrative arcs of ten Disney films released between 2013 and 2023. The purpose of this research was to explore how these films illustrate themes of emotional transformation, utilizing a theoretical foundation based on Tedeschi and Calhoun’s PTG model, which emphasizes five domains of growth following adversity: appreciation of life, enhanced relationships, personal strength, …
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Walden Dissertations and Doctoral Studies
Scientists and health professionals have established the connection among physical activity and overall wellbeing. In more recent years, scholars have also researched the correlation among increased self-connection with increased overall well-being. Nevertheless, insignificant data has been gathered to investigate the impact of predictor variables upon the connection between exercise and wellbeing. This research study examined the mediating effect of self-connection among the relationship between exercise and wellbeing. The current study’s purpose was to gain better insights on how self-connection predicts a person’s physical activity, contributing to comprehensive insights how exercise habits may predict a person’s wellbeing by using a cross-sectional …
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Walden Dissertations and Doctoral Studies
Educating students with autism spectrum disorder (ASD) in under resourced schools remains a persistent equity concern in the United States. This study addressed a gap in the existing research, as prior studies have examined special education policy and school-level implementation challenges, but few have explored the experiences of general education teachers implementing inclusion in low-socioeconomic public schools. The purpose of this generic qualitative study was to explore the barriers general education teachers encounter in providing equitable education and their recommendations for improving inclusion. The study was guided by Ingram and Schneider’s (1993) social construction theory, which explains how marginalized groups …
Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders
Small Business Owners’ Effective Strategies For Retaining Childcare Workers In Private Daycare Centers, Velma Williams Sanders
Walden Dissertations and Doctoral Studies
Ineffective retention strategies can lead to employee turnover. Private childcare business owners who struggle to improve employee retention may find their business confronting attrition as a result. Grounded in job embeddedness theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective retention strategies used by private childcare business owners to reduce high employee turnover rates. The participants were eight private childcare business owners who had implemented retention strategies. Data were collected through semistructured interviews, public websites, and public documents. Through thematic analysis, five themes were identified: (a) providing competitive rewards and family support; (b) …
Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams
Examining Job Demands And Resource Factors Impacting Job Satisfaction Amongst School Social Workers, Charmagne Williams
Walden Dissertations and Doctoral Studies
The purpose of this quantitative study was to investigate the relationship between job demands and resources and job satisfaction among school social workers in North Carolina. School social workers are vital members of the school ecosystem, supporting the development and well-being of students, families, and communities. Grounded in the Job Demands-Resources (JD-R) theoretical framework, the impact of years of experience, caseload size, role ambiguity, burnout, and job autonomy on job satisfaction among school social workers was examined. The current study included 92 school social workers from twelve counties in the Sandhills and Research Triangle regions of North Carolina who completed …