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Development Of A Clinical Practice Guideline For The Prevention Of Catheter-Associated Urinary Tract Infections (Cautis) In A Skilled Nursing Facility, Marford Okoye
Walden Dissertations and Doctoral Studies
Abstract (as displayed in your dissertation/thesis): This Doctor of Nursing Practice (DNP) project focused on developing a clinical practice guideline (CPG) and accompanying checklist to prevent catheter-associated urinary tract infections (CAUTIs) in adult inpatients within a skilled nursing facility. CAUTIs represent the most prevalent healthcare-associated infections in both acute and long-term care environments, contributing to increased patient morbidity, prolonged hospitalization, and elevated healthcare costs. A key issue identified was inconsistent adherence to evidence-based practices related to catheter insertion, maintenance, and timely removal—posing a significant threat to patient safety. The guiding practice question for this project was: Will a clinical practice …
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 …
Telemental Health Utility: Working Toward Foster Carer Role Satisfaction And Placement Stability, Carlos David Ortiz
Telemental Health Utility: Working Toward Foster Carer Role Satisfaction And Placement Stability, Carlos David Ortiz
Walden Dissertations and Doctoral Studies
Approximately 400,000 children in the Child Welfare System have an average of more than three placement disruptions while in care in what is termed placement instability (PI). PI is a known toxin to children’s neurodevelopment that predisposes them to a life of poor behavioral outcomes. Previous research shows that foster parents dissatisfied with their carer role contributed to PI by quitting or terminating a child’s placement. However, an important gap remains in the PI literature about the ability of telemental health (TMH) to provide adequate support to foster parents, to increase satisfaction in the carer role and potentially decrease the …
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Walden Dissertations and Doctoral Studies
Previous researchers have found that face to face bullying by students directed towards postsecondary education faculty may result in negative mental and emotional impacts. The virtual environment provides a unique opportunity for student-to-faculty bullying behaviors, known as cyberbullying, to occur. Researchers have not yet studied how psychology faculty in particular experience stress when cyberbullied by students. The purpose of this qualitative study, rooted in phenomenological design, was to improve the understanding of how psychology faculty who are cyberbullied by students experience stress. Contrapower harassment theory was used to ground these research questions and design. The research questions examined the experiences …
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Walden Dissertations and Doctoral Studies
Childhood Sexual Abuse (CSA), traumatic sexual violence within trusted relationships, continues to impact children in the United States and often leads to insecure attachments in adulthood. There was a gap in the literature concerning the experiences of adult survivors of CSA within marginalized communities, where such experiences are frequently ignored. The purpose of this qualitative descriptive phenomenological study was to explore how adult survivors of CSA from marginalized populations develop attachments. Bowlby argued that maintaining mental health in adulthood depends on forming healthy and secure relationships during childhood. Bowlby’s attachment theory served as the framework to understand how early attachment …
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Walden Dissertations and Doctoral Studies
During the adolescent stage of development, identity is a foundational aspect of one’s development, and its absence leads to a negative outcome, characterized by role confusion. Positive interventions are necessary to develop a strong sense of self. The purpose of this generic qualitative project was to explore the perspectives of black males and the impact of mentorship on their identity during adolescence. The theoretical framework chosen for this study was Erikson’s identity versus role confusion, the fifth stage of his psychosocial development theory. Based on this concept, the research supported the idea that adolescent Black males should participate in culturally …
Medication Adherence Educational Module For Outpatient Nurses, Catherine Omidiwura
Medication Adherence Educational Module For Outpatient Nurses, Catherine Omidiwura
Walden Dissertations and Doctoral Studies
Medication nonadherence remains a key deterrent to high-quality care in the outpatient environment, resulting in ineffective disease control, preventable hospitalization, and rising healthcare costs. Nearly half of patients with chronic illnesses, such as diabetes, high blood pressure, and mental disorders, do not take medication as prescribed. Outpatient nurses, who are at the core of mandating compliance, are often not provided with much formalized education to effectively promote compliance. This Doctor of Nursing Practice (DNP) project addressed this knowledge gap through the development and implementation of an educational module to enhance nurses’ knowledge about measures for medication adherence. The practice question …
Staff Education: Teaching Patients To Manage Their Hypertension, Andrea Arroyo
Staff Education: Teaching Patients To Manage Their Hypertension, Andrea Arroyo
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project on staff education addresses the practice problem of staff knowledge deficits in educating patients on hypertensive management. The project question was: Will evidence-based hypertension management education increase staff knowledge? The project evaluated the effectiveness of a structured educational program in training personnel on how to educate patients on optimal hypertension management techniques. The project used evidence-based literature to bridge a clinical practice gap, educate staff, and empower healthcare professionals to improve patient care. Ten participants were a part of the project. A pre-survey was administered, followed by a PowerPoint presentation on how to …
Staff Education To Critical Care Nurses On Spiritual Care, Revrey Darita Amey
Staff Education To Critical Care Nurses On Spiritual Care, Revrey Darita Amey
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice (DNP) project included staff education for critical care nurses. Patients should receive spiritual care to decrease anxiety and depression that often accompany serious illnesses. Spiritual care encompasses inner peace, connection to others, transcendence, and the meaning and purpose of life. This project aimed to teach critical care nurses the importance of providing spiritual care to their patients. The project was designed to increase nursing knowledge, skills, and attitudes of spiritual care by conducting a 30-minute didactic staff education session in the critical care unit. Nurses completed a pretest and posttest using the Spiritual Care …
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 …
Mitigation Strategies For Burnout Prevention, Judith Nm Lamarre
Mitigation Strategies For Burnout Prevention, Judith Nm Lamarre
Walden Dissertations and Doctoral Studies
This doctoral project is a staff education initiative aimed at increasing staff knowledge on burnout mitigation strategies. The project describes the practice challenge and why staff practice must address it. Psychiatric burnout leads to emotional exhaustion, professional dissatisfaction, and patient safety concerns. The work aims to answer the practice-focused question and the purpose of the doctoral project, specifically asking: Will a structured educational session on evidence-based burnout mitigation strategies increase staff knowledge? Staff knowledge was measured using pre- and post-education surveys. The pre-survey results showed mean score of 60%, while the post-survey results showed a mean score of 80%, reflecting …
Staff Education On Cancer-Related Fatigue Assessments, Tamira Walker
Staff Education On Cancer-Related Fatigue Assessments, Tamira Walker
Walden Dissertations and Doctoral Studies
A staff education DNP project was designed and implemented with a focus on the analysis, synthesis, and application of best practices to enhance staff knowledge and performance through targeted education on fatigue assessments in cancer care. The project sought to answer the question: Does oncology nurse staff education increase knowledge of fatigue assessments in patients with cancer as compared pre to post education? The purpose of this project was to address a knowledge deficit by increasing staff knowledge on fatigue assessment in an ambulatory care setting by recognizing that cancer-related fatigue (CRF) is a complex, multifactorial symptom that often goes …
Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin
Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin
Walden Dissertations and Doctoral Studies
A major gap in acute care is the delayed initiation of palliative consultations. Although over 58 million people worldwide could benefit, only 14% receive such care. Despite evidence that early involvement improves outcomes, providers often overlook their value, leading to late referrals, typically after repeated hospitalizations or near end-of-life, when hospice may be more appropriate. This Doctor of Nursing Practice (DNP) educational intervention addressed a critical practice-focused question to enhance healthcare providers’ understanding of palliative care improve hospital-based patient outcomes. The intervention aimed to demonstrate a ≥20% knowledge gain from pretest to posttest scores related to distinguishing palliative care from …
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Walden Dissertations and Doctoral Studies
This DNP staff education project was an initiative focused on improving fall-related knowledge among faculty members. The practice problem identified at the local project site was the frequent rate of patient falls. Analysis established the role of staff in the inefficient implementation of best practices and to the staff’s limited knowledge regarding the application of existing fall prevention strategies. The practice-focused question for this project was, In the emergency department setting, how does a fall prevention education program compared to pre-implementation practices, affect staff knowledge of fall prevention strategies within three months? The purpose of the project was to improve …
Integrating Psychotherapy And Medication Management In A Primary Care Clinic, Patricia Nkhono
Integrating Psychotherapy And Medication Management In A Primary Care Clinic, Patricia Nkhono
Walden Dissertations and Doctoral Studies
A knowledge deficit in integrating supportive psychotherapy with medication management to treat patients’ psychiatric challenges was identified in a primary care clinical setting. I developed a staff education project to close the knowledge gaps of nurses and nurse practitioners related to an evidence-based protocol that incorporated supportive therapy in individualized treatment plans. The project’s aim was to develop, implement, and evaluate the staff education program. The focused project question centered on whether staff education would increase staff knowledge and drive increased supportive therapy orders at admission of patients. Clinical staff registered nurses and nurse practitioners (N = 5) participated in …
Improving Staff Knowledge And Confidence In Hypertension Patient Education Through Health Literacy Training, Blessing Ukomadu
Improving Staff Knowledge And Confidence In Hypertension Patient Education Through Health Literacy Training, Blessing Ukomadu
Walden Dissertations and Doctoral Studies
Summary This DNP staff education project focuses on providing health literacy training. The practice problem identified at the local project site was inadequate patient education it may have resulted from a number of factors,. poor blood pressure control. The practice-focused question for this project was as follows: “Will staff education on health literacy and patient education improve staff knowledge and confidence in providing HTN patient education?” The purpose of this doctoral project was to enhance healthcare providers' capacity to deliver effective, evidence-based hypertension education. Eventually, providers would acquire effective communication that would improve patient understanding and self-management. Awareness of this …
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project addresses a critical issue in outpatient mental health care: transportation barriers faced by adult mental health patients, particularly older adults. These barriers contribute to high no-show rates, which disrupt care continuity, worsen mental health outcomes, and increase reliance on emergency services. The project proposes the implementation of a structured transportation assistance program to enhance appointment adherence and reduce missed visits resulting from transportation challenges. The practice-focused question guiding this project is: In adult mental health patients with transportation barriers, does implementing a structured transportation assistance program improve appointment adherence rates over a 12-week …
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. …
The Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
The Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored the unique challenges faced by women of color professors in higher education, who often experience imposter syndrome due to systemic barriers and underrepresentation. The purpose of this study was to gain an in-depth understanding of how these professors experienced and made meaning of imposter syndrome in academic settings. The central research question examined the meaning of imposter syndrome among women of color professors in higher education. This study was grounded in intersectionality and self-determination theory, which provided frameworks for understanding how multiple identities influenced feelings of inadequacy and professional identity. Participants included 12 women of …
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 …
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
Walden Dissertations and Doctoral Studies
This exploratory study examined the lived experiences of parents whose autistic children turned 21 and aged out school and services provided by the federally funded Free Appropriate Public Education (FAPE) program. Although researchers have conducted numerous studies on autism, limited research has focused specifically on the stress parents face when their autistic child turns 21 and loses access to FAPE. The purpose of this qualitative narrative inquiry was to gain a deeper understanding of the emotional, logistical, and systemic challenges these parents encountered during the transition out of high school. Family Systems Theory provided the conceptual framework for exploring these …
The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene
The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene
Walden Dissertations and Doctoral Studies
Sexual assault is a pervasively dangerous crime affecting persons of all ages, races, and genders, both in the United States and globally. Essential in the safeguarding of American citizens, U.S. law enforcement officers are among the first responders on scene to investigate reports of sexual assault claims. However, echoed in previous research are the sentiments of victim-survivors who experienced negative encounters with officers who exhibited an implicit lack of victim-centered training and were dismissive in their investigative approach. Consequently, this gap in the literature requires exploration; therefore, this study focuses on the lived experiences of U.S. law enforcement officers and …
Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy
Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy
Walden Dissertations and Doctoral Studies
Summary The ineffective use of the PHQ-9 tool to assess depression during primary care was the problem that this quality improvement project aimed to resolve, which is a hindrance to timely diagnosis and equitable behavioral health care. Inconsistent use of screening of depression was tackled in the project. The treatment and detection of it at its early stages were constrained by gaps in provider knowledge and confidence. The project assessed the effect of a formal staff educational intervention to increase knowledge, confidence, and the probability of incorporating the PHQ-9 depression screening tool into the workflow of a primary care clinic. …
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, …
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 …
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Staci Mason
Walden Dissertations and Doctoral Studies
Research has shown that due to their intersecting identities, Black women must contend with both racism and sexism in the workplace, resulting in oppressive work environments and limited access to career advancement. Studies also highlighted Black women’s disillusionment with workplace diversity, equity, and inclusion (DEI) programming and its role in addressing these negative impacts. However, these issues have not been studied through the perceptions of Black women leaders at national associations of regulatory boards. The purpose of this generic qualitative study was to examine perceptions of these Black women regarding the impact of DEI programs on their career. Using Benet’s …
The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson
The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson
Walden Dissertations and Doctoral Studies
This quantitative study explored how past experiences with racial microaggressions affect emotional reactions to racially charged media and whether factors like age and gender influence that response. Using Minority Stress Theory as a guide, 183 African American adults completed the Racial and Ethnic Microaggressions Scale and the State-Trait Anxiety Inventory before and after watching a racially provocative film clip. The first analysis found no direct link between microaggression exposure and emotional change. However, further testing with analysis of variance showed that people with higher exposure reported much stronger emotional distress than those with lower exposure, F(1,180) = 38.12, p < .001, η² = .175. When demographic factors were added in a hierarchical regression, the model became significant, F(7,175) = 2.06, p = .036, R² = .076, showing that age (β = .086, p = .009) and gender (β = 1.505, p = .039) influenced emotional responses. Thus, older African American women showed the strongest distress, suggesting that the combined effects of race, gender, and age increase vulnerability to racial stress. These findings support the idea that racial trauma is complex and shaped by overlapping social identities. The study highlights the need for culturally sensitive mental health support, inclusive media portrayals, and greater awareness of generational and caregiving stress among African American women. By showing how overlapping identities shape emotional well-being, this research advances social change through empathy, reduced stigma, and institutional accountability, encouraging equity-driven practices that foster racial healing, fairness, and psychological resilience across communities.
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Walden Dissertations and Doctoral Studies
The program created a more encouraging recovery environment by greatly increasing staff competency in relapse prevention. Staff reported having more conversations with patients about preventing relapses. These enhancements might result in lower relapse rates and better long-term recovery outcomes.
Community-Based Counselors’ Preparedness For Providing Trauma-Informed Care, Lashaunda Smith
Community-Based Counselors’ Preparedness For Providing Trauma-Informed Care, Lashaunda Smith
Walden Dissertations and Doctoral Studies
This constructivist grounded theory study examined how community-based mental health counselors perceive their preparedness to provide trauma-informed care. Guided by Charmaz’s constructivist grounded theory, semistructured interviews were analyzed through coding and constant comparison to co-construct meaning around counselors’ lived experiences. This study explored how counselors define, develop, and sustain preparedness for trauma-informed care. The purpose was to generate an interpretive understanding of how counselors constructed meaning around their preparedness, including how training, supervision, and professional experiences shaped their ability to serve trauma-affected clients. Participants included 12 master’s-level licensed and pre-licensed community-based mental health counselors with experience serving trauma-affected clients. Findings …
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Walden Dissertations and Doctoral Studies
This grounded qualitative study explored the common themes of ecotherapy in practice. The research problem was the limited understanding of how counselors implement ecotherapy in clinical practice, hindering the field’s ability to fully integrate nature-based approaches into mental health treatment. The purpose of this grounded theory study was to explore counselor perspectives on ecotherapy using the biophilia hypothesis and Swarbrick’s wellness model. The research questions focused on how licensed mental health counselors understood, implemented, and evaluated the impact of ecotherapy. Qualitative data were collected through an online survey with open-ended questions from 15 licensed counselors across the United States who …