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Walden Dissertations and Doctoral Studies

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Attention Deficit Hyperactivity Disorder, Livia L. Klein Oct 2025

Attention Deficit Hyperactivity Disorder, Livia L. Klein

Walden Dissertations and Doctoral Studies

: A lack of knowledge among nurses and healthcare staff in providing evidence-based practice (EBP) medication treatment and patient care for individuals who have attention-deficit/hyperactivity disorder (ADHD) was evident at a Midwest substance use and mental health facility. For nurses and staff caring for those with ADHD, appropriate patient treatment is essential in helping patients avoid struggles in their daily lives. To address this problem, I developed, implemented, and evaluated a staff education program on ADHD treatment in the project. The practice question focused on whether participants of the education program improved their knowledge of medication and treatment management, as …


Shared Family Identity And Emotional Abuse From A Childhood Caregiver As Predictors Of Self-Censorship Willingness, Jillian Theryon Oct 2025

Shared Family Identity And Emotional Abuse From A Childhood Caregiver As Predictors Of Self-Censorship Willingness, Jillian Theryon

Walden Dissertations and Doctoral Studies

Childhood emotional abuse may be underreported and unnoticed. The purpose of this quantitative cross-sectional study was to examine whether shared family identity (SFI) with an emotionally abusive childhood caregiver was linked to self-censorship of social and political opinions in adulthood. The study also examined whether this relationship is intensified among those with a strong sense of SFI with that caregiver. Linear multiple regression analysis of survey data collected from 119 participants, recruited through Survey Monkey Audience, revealed that willingness to self-censor was significantly shaped by the interaction between SFI and emotional abuse, especially overcontrol. Although SFI is often seen as …


Perspectives Of Nursing Faculty On The Barriers, Opportunities, And Teaching Strategies For Developing Peer Feedback Skills Among Entry-Level Nursing Students, Anna Kornienko Oct 2025

Perspectives Of Nursing Faculty On The Barriers, Opportunities, And Teaching Strategies For Developing Peer Feedback Skills Among Entry-Level Nursing Students, Anna Kornienko

Walden Dissertations and Doctoral Studies

Peer feedback benefits nursing education and practice by fostering collegial relationships and promoting the quality of care, yet students often lack training to engage effectively. While existing research has examined student perspectives, the experiences and strategies employed by nursing faculty remain underexplored. The purpose of this qualitative study, guided by the student feedback literacy framework, was to explore the perspectives of nursing faculty on the barriers, opportunities, and strategies for developing peer feedback skills among undergraduate nursing students. Seventeen Canadian nursing faculty participated in semi-structured virtual interviews. Analysis revealed five themes that aligned with the study’s three foci: strategies (a) …


Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen Oct 2025

Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen

Walden Dissertations and Doctoral Studies

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Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt Oct 2025

Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt

Walden Dissertations and Doctoral Studies

The inability to retain volunteers critically undermines nonprofit leaders’ capacity to deliver consistent and effective services to vulnerable community populations, threatening organizational stability and mission fulfillment. Persistent challenges with volunteer retention hinder nonprofit leaders’ operations, reduce program reach, and drive up recruitment costs, weakening organizational sustainability. Grounded in Maslow’s hierarchy of needs, this qualitative multiple case study explored effective strategies that nonprofit leaders use to retain volunteers and support organizational sustainability. Five nonprofit leaders from the U.S. East Coast were participants and selected because each demonstrated success in volunteer retention. The themes that emerged from thematically analyzing semistructured interviews and …


The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins Oct 2025

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 …


Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young Oct 2025

Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young

Walden Dissertations and Doctoral Studies

Breast and cervical cancer screening reduces mortality; however, women with disabilities and mental health challenges experience persistent disparities in access to preventive services. The purpose of this quantitative study was to examine the relationships between self-reported serious difficulty hearing, serious difficulty seeing, and frequent mental distress with breast (mammogram) and cervical (Pap test) cancer screening use among women in the United States (mammogram model, n = 844; Pap model n = 774), using the 2023 Behavioral Risk Factor Surveillance System dataset. The social-ecological model provided the framework. Two logistic regression models were conducted, adjusting for age, race/ethnicity, education, income, marital …


Business Incubator Managers’ Strategic Approaches To Enhance Sustainable Competitive Advantage For Nigerian Startups, Adekunle Seye Ogunniyi Oct 2025

Business Incubator Managers’ Strategic Approaches To Enhance Sustainable Competitive Advantage For Nigerian Startups, Adekunle Seye Ogunniyi

Walden Dissertations and Doctoral Studies

The inability of many Nigerian startups to sustain operations beyond their first five years remains a critical challenge for startup leaders. Startup leaders who lack effective strategies and capabilities to outperform competitors risk extinction within the entrepreneurial ecosystem. Grounded in the resource-based view (RBV) and Porter’s five forces (P5F) framework, the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by business incubator managers to enhance sustainable competitive advantage for Nigerian startups. The participants included six business incubator managers in Nigeria who had successfully implemented strategies that supported the survival and growth of startups beyond five years. …


Immigrant Catholics’ Perspectives And Engagement On Climate Crisis, Tison Vadakkekudiyil Thomas Oct 2025

Immigrant Catholics’ Perspectives And Engagement On Climate Crisis, Tison Vadakkekudiyil Thomas

Walden Dissertations and Doctoral Studies

In this generic qualitative study, how immigrant Catholics in the United States make sense of climate change and environmental justice was examined, addressing a critical gap in understanding how faith and cultural identity shape environmental engagement among marginalized communities. Guided by sensemaking theory and the Catholic principle of integral ecology, as outlined in Pope Francis’s Laudato Si’, the research question addressed how church-going immigrant Catholics in Maryland perceive and engage with the climate crisis, considering their religious beliefs and concerns for environmental justice. Seventeen first-and second-generation adult immigrants participated in semistructured interviews, and data were analyzed using Braun and Clarke’s …


Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula Oct 2025

Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula

Walden Dissertations and Doctoral Studies

Background: CLABSIs remain a significant cause of morbidity, mortality, and increased healthcare costs, particularly in hospitalized patients requiring long-term vascular access. Despite established guidelines, inconsistent adherence to central line dressing change protocols persists within the DNP project organization, often due to insufficient staff knowledge and variability in practice. This practice gap increases the risk of catheter site contamination and leads to preventable CLABSI events, creating a clear need for intervention. Method: A designed educational program that integrated interactive lectures, case studies, and simulation-based activities. A pre- and post-intervention assessment to measure changes in participants’ knowledge and self-reported confidence in applying …


Leadership Styles, Multigenerational Providers, Motivation, And Satisfaction In Mental Health Workplace Settings, Terri Adeshola Oct 2025

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 …


Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi Oct 2025

Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi

Walden Dissertations and Doctoral Studies

Missed appointments remain a critical issue in health care, as they contribute to poorer patient health outcomes, treatment discontinuity, and increased system costs. Improving staff knowledge in this area is essential for ensuring timely, equitable, and effective patient care. This doctoral project was a staff education initiative designed to enhance community support workers (CSWs’) knowledge of methods for encouraging patient adherence to clinic appointments through psychoeducational training. The practice problem addressed was the inconsistency in staff use of evidence-based strategies to motivate and support patients in maintaining clinic attendance. The practice-focused question guiding the project was: Does psychoeducation improve CSWs’ …


Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis Oct 2025

Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis

Walden Dissertations and Doctoral Studies

The inability to sustain employee retention amid expanded remote work practices highlights the urgent responsibility of leaders to confront the growing disparity between high job demands and insufficient resources that jeopardize employee engagement and organizational stability. Human resource (HR) leaders have a critical responsibility to address the effects of ineffective remote work strategies, which can lower morale, reduce performance, and increase turnover, weakening workforce cohesion and stability. Grounded in the job demands-resources (JD-R) model, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective HR strategies and processes for supporting remote workers. Data sources included semistructured …


Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones Oct 2025

Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones

Walden Dissertations and Doctoral Studies

Older Black women living in public housing have been identified as a high-risk group for experiencing barriers to and underutilization of mental health services. Accessing and utilizing mental health care in public housing complexes is challenging due to persistent barriers that discourage residents from seeking treatment. The older adult population, particularly Black women, remains inadequately served and experiences some of the poorest health outcomes, in part because of underreporting of health concerns and limited treatment-seeking behaviors. The purpose of this study was to explore older Black women’s experiences of accessing mental health care while living in public housing and to …


Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas Oct 2025

Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas

Walden Dissertations and Doctoral Studies

Teacher attrition presents a significant challenge for Northeastern State Middle School Districts (NSMSD), threatening educational stability and student outcomes. This qualitative study examined Grade 6–8 teachers’ perceptions of resilience as a factor influencing their decisions to remain in the teaching profession. Grounded in resilience theory, the study explored how teachers overcame professional challenges and identified supports that promoted retention, addressing a gap in existing research. Using a basic qualitative design, semistructured interviews were conducted with 14 purposefully selected middle school teachers from NSMSD. Reflexive thematic analysis using open coding revealed five key themes: individual resilience factors, relational supports and collegial …


Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake Oct 2025

Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake

Walden Dissertations and Doctoral Studies

The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …


Hiv/Aids Among Young People In South Sudan: Assessing Misconceptions About Transmission, Healthcare Access, And Cultural/Religious Factors, John Valent Abore Oct 2025

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 Oct 2025

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 …


Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins Oct 2025

Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins

Walden Dissertations and Doctoral Studies

African American students in the United States have long faced systemic barriers to high school completion, which were further intensified by the COVID-19 pandemic. The purpose of this quantitative, correlational-predictive study was to examine the extent to which parental SES and school location predict graduation outcomes among African American students in southeastern public high schools from 2019 to 2024. Grounded in Bandura’s social learning theory, the study explored how environmental and socioeconomic contexts influence academic achievement. Three research questions guided the study: (1) To what extent do parental SES and location combined predict the number of African American graduates? (2) …


Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam Oct 2025

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 Oct 2025

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 …


A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson Oct 2025

A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson

Walden Dissertations and Doctoral Studies

The project is a Clinical Practice Guideline (CPG) for managing Gastrointestinal (GI) toxicities related to Glucagon-like Peptide-Receptor Agonist 1 (GLP-1RA) and Glucose-dependent insulinotropic polypeptide/Glucagon-like peptide-1Receptor Agonist (GIP/GLP-1RA) medications. Many patients are seeking weight loss with these agents, which cause GI toxicities that lead prescribers to have patients remain at lower doses that are sub-therapeutic or discontinue therapy. Advanced Practice Registered Nurses (APRNs) are prescribing these therapies for patients and lack an evidence-based CPG for properly managing the most common GI toxicities. APRNs can successfully monitor and manage GI symptoms to promote tolerability and treatment adherence. The project question focuses on …


Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman Oct 2025

Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman

Walden Dissertations and Doctoral Studies

Across the health care continuum, organizations face persistent nursing shortages and the challenge of integrating novice nurses into clinical practice, often with limited skills and underdeveloped critical thinking abilities. Nurse residency programs have been integrated by many facilities to provide support for new novice nurses in transitioning from academia to the professional nursing role. This quantitative, quasi-experimental research project was conducted at a community-based hospital with an existing 8- to 10-week nurse residency program that had very limited stakeholder involvement. The purpose of the project was to create an educational training module for key stakeholders to strengthen awareness of why …


Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers Oct 2025

Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers

Walden Dissertations and Doctoral Studies

While national and state-level literature has documented racial inequities in school discipline, limited research has focused on how these policies are specifically implemented and perceived within the Charlotte Metropolitan Statistical Region School. The purpose of this basic qualitative study was to examine factors related to higher rate of expulsions and school suspensions of Black high school students in the CMSR Schools in comparison to their peers through the lens of the critical race theory. This research was used to engage teachers and administrators on current school suspension and expulsion policies while encouraging modifications to those policies that warranted equity and …


Moderating Effect Of Age And Supervisory Status On Telework And Job Satisfaction Among Federal Employees, Chelsea Eckert Oct 2025

Moderating Effect Of Age And Supervisory Status On Telework And Job Satisfaction Among Federal Employees, Chelsea Eckert

Walden Dissertations and Doctoral Studies

The postpandemic U.S. federal workforce has experienced shifts in policies and practices about telework, with mixed empirical evidence on its relationship with job satisfaction. Federal government leaders must understand this impact on telework and job satisfaction. Guided by self-determination theory and socioemotional selectivity theory, the purpose of this quantitative correlational study was to examine the relationship between telework usage and job satisfaction among federal employees, with age and supervisory status as moderating variables. Secondary data were from the 2023 Federal Employee Viewpoint Survey, with approximately 625,000 participants. The results of the multiple linear regression were statistically significant, F(11, 552,670) = …


The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins Oct 2025

The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins

Walden Dissertations and Doctoral Studies

The Welfare Lifetime Ban imposed severe restrictions on women’s access to essential resources during the critical period following incarceration. By denying housing assistance, food aid, and employment services, the policy created significant barriers to reintegration and undermines both criminal justice and social welfare reform. Little is known about the long-term impacts of the ban or the absence of effective rehabilitative policy alternatives. Few studies have examined its outcomes within the framework of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). The findings within (PRWORA) enactment briefly stabilized a decline in welfare recipients, and employment rates increased temporarily for single …


Subjective Excessive Daytime Sleepiness And Frailty Progression In Veterans Over 50 With Insomnia, Mona Amirmazaheri Oct 2025

Subjective Excessive Daytime Sleepiness And Frailty Progression In Veterans Over 50 With Insomnia, Mona Amirmazaheri

Walden Dissertations and Doctoral Studies

Frailty is common in aging veterans and linked to adverse outcomes. This retrospective cohort study of 6,824 veterans with insomnia examined whether excessive daytime sleepiness, sleep treatments, and PTSD affected frailty progression over four years. Frailty was measured using a validated index, with models adjusted for demographics and comorbidities, including chronic coronary insufficiency. Manuscript 1 showed that a higher Epworth Sleepiness Scale (ESS) score (range 0-24) was independently associated with a higher frailty index (FI) (p < .001). A clinical threshold of ≥11 indicated EDS and greater odds of frailty worsening compared to scores <11 (adjusted odds ratio (aOR) = 1.16, 95% CI [1.02, 1.32], p = .021). There was no significant interaction between ESS and time, suggesting that sEDS reflects persistently elevated frailty levels rather than accelerated decline. Manuscript 2 showed that nonpharmacologic sleep interventions were protective, while pharmacotherapy was associated with increased frailty risk. Cognitive behavioral therapy for insomnia was associated with lower odds of frailty worsening (aOR = 0.31, 95% CI [0.19, 0.53], p < .001), and continuous positive airway pressure therapy also reduced risk (aOR = 0.55, 95% CI [0.39, 0.76], p < .001). In contrast, sleep medications were associated with increased odds of frailty progression (aOR = 1.16, 95% CI [1.02, 1.32], p = .021). Manuscript 3 showed that PTSD was not associated with baseline frailty levels but showed a significant time interaction (B = 0.001, p = .008), indicating modest acceleration of frailty progression among affected veterans. Findings support positive social change through early sEDS screening and trauma-informed, nonpharmacologic sleep care to reduce frailty in veterans.


Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn Oct 2025

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 …


Compassion Fatigue And Daily Spiritual Experience Among Mental Health Male Technicians In Locked Facilities, Felicia Mar'shae Davis Ramsey Oct 2025

Compassion Fatigue And Daily Spiritual Experience Among Mental Health Male Technicians In Locked Facilities, Felicia Mar'shae Davis Ramsey

Walden Dissertations and Doctoral Studies

Mental health provider’s ongoing exposure to clients’ traumatic experiences can cause increased compassion fatigue. Due to negative implications on mental health professionals’ work and personal life experiences, researchers have increasingly studied burnout, compassion fatigue, and stress. The study included a qualitative design with a phenomenological approach using interpretative phenomenological analysis (IPA) to interview mental health providers across specialties and regulations to acquire understanding of professionals lived experiences of compassion within their personal lives, work lives, and spirituality. The purpose of this study was to explore the lived experiences of compassion fatigue in male mental health technician and how they use …


Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine Oct 2025

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 …