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Psychotropic Medication Nonadherence Among Psychiatric Patients Using Motivational Interviewing, Kate Ananga Pabai
Psychotropic Medication Nonadherence Among Psychiatric Patients Using Motivational Interviewing, Kate Ananga Pabai
Walden Dissertations and Doctoral Studies
This educational intervention involved enhancing knowledge and competency of nursing staff in terms of application of motivational interviewing (MI) techniques to improve adherence to prescribed psychotropic medications among patients with mental health conditions. The project met criteria for a staff education initiative, directly addressing the ongoing issue of psychotropic medication nonadherence, a prevalent and pressing challenge at the project site. Clinicians observed frequent missed doses and treatment discontinuation, leading to symptom relapse, emergency room visits, and avoidable hospital admissions. These outcomes emphasized the need for a targeted intervention to support frontline nursing staff. The practice-focused question guiding the project was: …
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Walden Dissertations and Doctoral Studies
This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis
Walden Dissertations and Doctoral Studies
The increasing prevalence of mental health concerns among students in the United States has amplified the demand for comprehensive school-based mental health services. School counselors are often positioned as frontline providers of this support, yet research suggests they face numerous systemic and role-related challenges. This qualitative phenomenological study was conducted to explore school counselors’ perceptions of their roles in providing mental health services, the barriers they encounter, and the ways in which self-efficacy is shaped by these experiences. Ten school counselors from diverse school settings participated in semistructured interviews. Thematic analysis revealed five central themes: (a) roles and responsibilities, (b) …
The Physical Characteristics Linked To The Perception Of Criminality Of Female Offenders, Jennifer Anne Chapman
The Physical Characteristics Linked To The Perception Of Criminality Of Female Offenders, Jennifer Anne Chapman
Walden Dissertations and Doctoral Studies
Gender disparities can be seen throughout the criminal justice system, where females are seen as weak and incapable of causing harm. This quantitative study sought to add to the existing research regarding physical characteristics linked to criminality. The labeling theory explains how physical characteristics labeled as deviant can alter a person’s perception when deciding whether an individual is violent. The research questions explored the physical characteristics linked to the perception of violent female offenders as well as the relationship between the gender of the participant and their ability to successfully identify a violent female offender. A mixture of statistical designs …
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
On The Use Of Wearable Continuous Glucose Monitors (Cgms), Jovita Ozonnadi
Walden Dissertations and Doctoral Studies
This DNP project implemented an educational module on the use of continuous glucose monitoring devices (CGM) to increase staff knowledge of diabetic care and glycemic control for the diabetic population in a community healthcare clinic. Diabetes mellitus is a significant health concern that poses a substantial challenge to the community and the American healthcare system with a higher burden of diabetes complications found among the low income, uninsured, and minority populations. Poor glycemic control is a major health issue that significantly increases the risk of developing diabetes-related complications such as heart and kidney diseases, and obesity. The adoption of CGM …
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Walden Dissertations and Doctoral Studies
The scholarly community understands little about the experiences of lesbian, gay, bisexual, and transgender (LGBT) young adults as they transition out of the foster care system. This study explored the lived experiences and difficulties encountered by LGBT young adults after exiting foster care. Grounded in Erikson’s theory of psychosocial development, this qualitative dissertation employed a phenomenological design to interpret how participants made sense of their transitions. Recruitment was conducted through a flyer posted on Facebook and the Department of Children and Family Services; 10 LGBT young adults participated in 60-minute interviews. Using interpretative phenomenological analysis, the study revealed six overarching …
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe
Walden Dissertations and Doctoral Studies
NAEYC accreditation is a hallmark of quality in early learning and lack of accreditation suggested a gap in practice. The problem that was the focus of this research is that only 12% of early childhood center-based programs in the United States are accredited by the National Association for the Education of Young Children (NAEYC). The purpose of the study was to explore perspectives of childcare center directors regarding NAEYC accreditation. Knowles’s adult learning provided the conceptual framework for this study and guided 3 research questions about directors’ perspectives of barriers, benefits, and the necessary support they associated with NAEYC accreditation. …
Staff Education To Improve Preceptors’ Knowledge Base To Adapt Teaching Methods Across Generations, Lucretia Dennise Sanders
Staff Education To Improve Preceptors’ Knowledge Base To Adapt Teaching Methods Across Generations, Lucretia Dennise Sanders
Walden Dissertations and Doctoral Studies
Today’s nursing workforce consists of individuals from multiple generational cohorts, which creates a dynamic mix of nurses whose behavior and work reflect the cultural and historical events that shaped their generation. As the nursing workforce becomes increasingly multigenerational, nurse educators and leaders face growing challenges in ensuring that onboarding practices meet the needs of diverse learners. In the local organization, leaders and clinical educators observed inconsistencies in preceptorship practices and onboarding experiences, particularly for newly hired nurses. As a result, leaders determined that an educational intervention focused on generational teaching strategies was needed. Thus, the purpose of this Doctor of …
Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Walden Dissertations and Doctoral Studies
Although negative experiences and unfair factors in the K–12 educational experiences of Black males are well-researched, very little research is found on the positive contributions toward their educational success. As some Black males successfully complete K–12 schooling and advance to the college level, it is imperative to understand the factors that positively contributed to their educational advancement. Guided by Yosso’s theory of community cultural wealth, this basic qualitative study explored six aspects of cultural capital—the aspirational, familial, linguistic, resistant, navigational, and social capital—that contributed to the educational success and advancement of Black males during their journeys through the U.S. K–12 …
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash
Walden Dissertations and Doctoral Studies
See attached
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Walden Dissertations and Doctoral Studies
There is insufficient understanding regarding the educational leadership practices that have enabled one elementary school, out of 23, to achieve continuous school improvement in ELA and mathematics in Grades 3–5 over 3 consecutive academic years. Although all schools in the district implemented a uniform curriculum, the study site consistently increased the percentage of students scoring proficient or above in both subjects during 2022, 2023, and 2024, as measured by the state end-of-grade assessment. This qualitative single-case study explored how an elementary principal in a suburban Georgia district achieved continuous improvement through distinctive leadership practices. Grounded in Kouzes and Posner’s framework …
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
Walden Dissertations and Doctoral Studies
Despite new and emerging communications technologies to improve access to 911 emergency services for people with speech, hearing, and cognitive disabilities, there continue to be access barriers for those who may require silent communications due to the nature of the emergency. Chat rooms in 911 communications present a promising solution to this challenge. However, the current literature has inadequately examined the use of chat rooms in 911 communications, mainly due to the nascent nature of this technology. This study aimed to fill that gap by providing valuable insights to enhance access to 911 emergency services for individuals who may require …
Mental Health Services Utilization And Health Insurance Status Among Firefighters, Yvette Evans
Mental Health Services Utilization And Health Insurance Status Among Firefighters, Yvette Evans
Walden Dissertations and Doctoral Studies
Firefighting exposes individuals to significant psychological dangers, leading to mental health issues like anxiety, depression, and posttraumatic stress disorder. This study investigated the underuse of mental health services among firefighters, focusing on the relationship between health insurance status and service utilization while considering age, gender, race, and ethnicity. Data from the National Health Interview Survey within the Integrated Public Use Microdata Series were analyzed using a quantitative approach. The study employed logistic regression to examine the likelihood of mental health service utilization based on health insurance status, adjusting for demographic factors. The sample included 1,526 firefighters, predominantly male (78.9%) and …
Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker
Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker
Walden Dissertations and Doctoral Studies
Culturally responsive supervision has been shown to be beneficial to supervisees (Adams et al., 2023). A research gap exists in culturally responsive clinical supervision through the lens of supervisees’ experiences; as a result, supervisors are ill-equipped to offer culturally responsive clinical supervision. The purpose of this narrative inquiry study was to explore supervisees’ culturally responsive experiences in clinical supervision. Grounded in critical race theory, this study highlights the narratives of marginalized voices as they share their stories of developing culturally responsive skills through clinical supervision. That is, the research question explored the experiences of counseling supervisees as they develop culturally …
A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas
A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas
Walden Dissertations and Doctoral Studies
Cultural and social factors, such as ethnic and racial backgrounds, religion, and supernatural beliefs, influence mental health utilization among African Americans. Past studies show that Rastafarians underutilize mental health services due to the stigma associated with mental health. However, there remains a gap in the literature regarding the incorporation of culturally sensitive and inclusive approaches in mental illness treatment. Per the biopsychosocial (BPS) pathways framework, biological, psychological, and social factors interact to provide a holistic architype of mental illness. The framework can be applied to understand how mental health stigma is influenced by personal beliefs, experiences, values, cultural, and societal …
Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor
Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor
Walden Dissertations and Doctoral Studies
The special needs population faces increased vulnerability during disasters, yet disaster planning often overlooks their unique requirements. This study focuses on the experiences and perceptions of emergency managers in the Southeastern United States. The purpose of the study was to examine the extent to which emergency management plans recognize and address the needs of special populations and identify training gaps. The research questions aimed to uncover the factors that influence inclusive planning, training effectiveness, and resource allocation. Grounded in the Disaster Health Framework, the study utilized a qualitative research design involving surveys with 14 emergency managers, followed by thematic analysis …
Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller
Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller
Walden Dissertations and Doctoral Studies
Hospital administrators have been challenged due to length of stay (LOS) among patients suffering with chronic obstructive pulmonary disease (COPD). The purpose of this quantitative study was to examine whether there was a relationship between age, gender, and length of stay for COPD patients in Florida during the year 2019. The dependent variable was COPD length of stay, and independent variables were age and gender in Florida community hospitals during 2019. The Donabedian model was selected as the theoretical framework for this study to address structure, process, and outcomes associated with COPD readmissions. Secondary data was obtained from the Healthcare …
Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw
Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw
Walden Dissertations and Doctoral Studies
Leaders in nonprofit adult education frequently struggle with maintaining financial sustainability, a challenge that can compromise their operations and the positive influence they have on their communities. This issue is critical for education leaders and policymakers who rely on these institutions to support workforce development and foster economic growth. Grounded in the Baldrige framework, the purpose of this qualitative single-case study was to identify and explore the strategies employed by leaders of a Caribbean nonprofit adult education organization to enhance their organization’s sustainability. The participants were four leaders from an adult education facility in St. Lucia, the Caribbean. Data sources …
Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer
Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer
Walden Dissertations and Doctoral Studies
In the healthcare industry, safeguarding the confidentiality, integrity, and accessibility of IT systems is crucial. However, some organizations face difficulties in implementing effective segregation of duties (SoD) processes, which can lead to increased risks. This is a major concern for healthcare IT leaders and organizations, as inadequate SoD can compromise patient data security and disrupt operational efficiency. The purpose of this qualitative, pragmatic study was to explore the strategies used by senior IT leaders to implement SoD processes. The transformational leadership theory was used as the conceptual framework for the study. The participants included seven IT leaders at Northeastern U.S. …
Strategies Leaders In Affordable Housing Can Use To Decrease Property Management Turnover And Increase Professional Tenure, Marisa T. Baldwin-Woodhouse
Strategies Leaders In Affordable Housing Can Use To Decrease Property Management Turnover And Increase Professional Tenure, Marisa T. Baldwin-Woodhouse
Walden Dissertations and Doctoral Studies
Executive leaders of rental housing in the affordable housing sector have a high turnover rate of property managers, resulting in wasted time, compliance concerns, loss of institutional knowledge, deterioration of operational costs, and lost revenue, negatively impacting employee commitment. Grounded in the job embeddedness theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies that some executive leaders in affordable housing can use to decrease property manager turnover and increase professional tenure. The participants comprised eight executive leaders who oversaw property managers in affordable housing in the United States. Data were collected from semistructured interviews, and thematic …
Parents’ Experience Of The Effects Of Racism On The Psychological And Physical Health Of Teenagers With Intellectual And Developmental Disabilities, Akane Nakamura
Walden Dissertations and Doctoral Studies
Many children and adults in the United States experience developmental disabilities and mental health challenges, leading to bias, marginalization, and economic hardship. Racism exacerbates these issues for individuals with intellectual and developmental disabilities (IDD), increasing depression, isolation, and health disparities. The purpose of this study was to explore parents' perspectives on the impact of racism on the psychological and physical health of teenagers aged 13–18 years with moderate IDD in the Northwestern United States. Disability critical race theory provided a lens for examining how race and disability intersect to create barriers for these teenagers. The research method was qualitative. Phenomenology …
Reducing Use Of Force In Law Enforcement Through Higher Education, Joseph J. Davern
Reducing Use Of Force In Law Enforcement Through Higher Education, Joseph J. Davern
Walden Dissertations and Doctoral Studies
This quantitative research study examined whether earning a college degree reduced police officers’ use of force in Massachusetts during 2023. Reducing force incidents is a concern for both citizens and law enforcement due to increasing public scrutiny and a need to improve community-police relations. The purpose of this study was to determine whether police officers with college degrees are less likely to use force during citizen encounters compared to those with only a high school diploma. The first research question explored the difference in the amount of force used by municipal police officers with college degrees versus those with high …
Cannabis And Covid: An Interrupted Time Series Analysis Of Their Impact On Mental Health-Related Hospital Visits In Rural Arizona (2016-2023), Jennifer Megan Suter
Cannabis And Covid: An Interrupted Time Series Analysis Of Their Impact On Mental Health-Related Hospital Visits In Rural Arizona (2016-2023), Jennifer Megan Suter
Walden Dissertations and Doctoral Studies
Arizona’s rural communities face shortages in mental health care services. In 2020, the nearly simultaneous onset of the COVID-19 pandemic and the legalization of recreational cannabis introduced overlapping public health stressors that may have disproportionately affected these vulnerable populations. However, their combined impact on rural mental health remains understudied. This three-manuscript dissertation employed interrupted time series analyses to assess how these events influenced monthly hospital visits for schizophrenia, psychosis, cannabis-induced psychosis, and suicidal behaviors among rural Arizona adults aged 21 and older. A total of 16,468 records from the Arizona State Inpatient and Emergency Department Databases (SID and SEDD) met …
The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn
The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn
Walden Dissertations and Doctoral Studies
Due to insurance status, COVID-19 has restricted how and when patients can access healthcare providers. In the health services community, examining obstetric care services during the coronavirus outbreak was important because it increased awareness about how changes to maternal healthcare access affect the health of the mother and unborn child during a pandemic. The theories and/or concepts that grounded this study include the intersectionality theory, which examined the connections between social groups and systems as individuals try to access health services based on health insurance reform, depending on their race. The purpose of this study was to determine if there …
Experiences And Meaning Of Seeking Help And Resources For Male Victims Of Intimate Partner Violence, Dr. Cierra A. Ozolin
Experiences And Meaning Of Seeking Help And Resources For Male Victims Of Intimate Partner Violence, Dr. Cierra A. Ozolin
Walden Dissertations and Doctoral Studies
Experiences and Meaning of Seeking Help and Resources for Male Victims of Intimate Partner Violence by Cierra Ozolin MSW, Walden University, 2022 BA, BS, Central Washington University 2019 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University August 2025
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Walden Dissertations and Doctoral Studies
Early detection and treatment of latent tuberculosis infection (LTBI) is crucial in preventing active TB and supporting elimination efforts. However, adherence to LTBI treatment is challenging, especially among racial and ethnic minorities, with Black/African Americans showing particularly low rates. A quantitative retrospective chart review was conducted to examine sociodemographic factors affecting LTBI adherence in Black/African American individuals and to evaluate various adherence strategies. Using the health belief model, 435 deidentified secondary data records were analyzed from the Houston Health Department from 2012 to 2022, covering both native and foreign-born Black/African American patients undergoing LTBI treatment. Descriptive and inferential statistics, including …
Parents Of Adolescents On Electronic Use And Attention Deficit Hyperactivity Disorder: Parental Perspectives, Sleep, Internalization, Jessica Wiepking
Parents Of Adolescents On Electronic Use And Attention Deficit Hyperactivity Disorder: Parental Perspectives, Sleep, Internalization, Jessica Wiepking
Walden Dissertations and Doctoral Studies
ADHD in adolescents is a common diagnosis, with exposure to daily electronic use. There is strong evidence for a relationship between electronic use and ADHD in adolescents. However, there is a gap on electronic use, internalized feelings, and sleep behaviors in ADHD adolescents and how sleep behaviors might impact that relationship. ADHD has its core symptoms that impact the individual daily. These symptoms need to be taken into consideration when looking at internalized feelings and sleep behavior patterns. The theoretical framework that aligns with this study is the Dopaminergic Dysregulation Theory (DDT). This theory is a module that suggests that …
In-Home Supports For The Developmentally Disabled Population: A Heuristic Phenomenological Study Of Sc’ Experiences, Stephen Troy Davis
In-Home Supports For The Developmentally Disabled Population: A Heuristic Phenomenological Study Of Sc’ Experiences, Stephen Troy Davis
Walden Dissertations and Doctoral Studies
Despite occupying a central role in the developmental disabilities systems of 48 states, SC do not have a voice in program or policy development and are not well represented in the disabilities literature. The purpose of this study was to understand the experiences of SC who work with individuals with intellectual and developmental disabilities in southeastern Pennsylvania. The theoretical lenses through which the study was viewed were Bronfenbrenner’s ecological systems theory and Wolfensberger’s social role valorization. The study was guided by research questions aimed at illuminating the intensity of support coordinators’ experiences by uncovering how they experience and define their …
Drug Recognition Experts’ Perspectives On The State Of Maryland’S Legalization Of Cannabis And Its Impact On Impaired Driving, Raymond D. Brooks
Drug Recognition Experts’ Perspectives On The State Of Maryland’S Legalization Of Cannabis And Its Impact On Impaired Driving, Raymond D. Brooks
Walden Dissertations and Doctoral Studies
Motor vehicles have become both affordable and practical to own. As a result, law enforcement has been tasked with enforcing laws related to safe vehicular operation on the roadways nationwide. Further, much like alcohol, drug influence causes concern for motorists, and with the introduction of cannabis legalization, there is a clash between use, public interaction and vehicle operation. Cannabis consumption in public, the perception that use is allowed anywhere, and the impact that impairment has while driving can be a concern for those tasked with enforcing laws that some perceive to be allowed. This study introduces cannabis legalization within the …
Perceived Experiences Of Native American Men During Incarceration In Tribal Jail, Stacy Marie Becker
Perceived Experiences Of Native American Men During Incarceration In Tribal Jail, Stacy Marie Becker
Walden Dissertations and Doctoral Studies
The subject of this dissertation is the Perceived Experiences of Native American Men during Incarceration in Tribal Jail. The reason for this research is to determine what practices are rehabilitative and what practices are detrimental to this population. This is important to learn so that criminal justice professionals will be able to consider possible changes that can be made to make recidivism less likely among this population while increasing practices that are conducive to rehabilitation. This work was researched using the Indigenous Standpoint Theory which is meant to reflect the experiences and views of the research participants without analysis through …