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Predictive Study Of The Relationship Between Self-Care And Professional Quality Of Life Among Licensed Counselors Impacted By Covid-19, Maria G. Billings
Predictive Study Of The Relationship Between Self-Care And Professional Quality Of Life Among Licensed Counselors Impacted By Covid-19, Maria G. Billings
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has created unprecedented challenges for mental health professionals, significantly increasing burnout and secondary traumatic stress while reducing available resources and limiting opportunities for compassion satisfaction. The purpose of this cross-sectional, quantitative survey study was to determine whether self-care engagement predicts levels of burnout, secondary traumatic stress, and compassion satisfaction among counselors. Grounded in Stamm’s theoretical framework on compassion satisfaction and compassion fatigue, the Self-Care Assessment Worksheet (SCAW) was used to measure self-care engagement, and the Professional Quality of Life Scale (ProQOL-V) was used to assess burnout, secondary traumatic stress, and compassion satisfaction. The sample included 59 licensed …
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Walden Dissertations and Doctoral Studies
African American women residing in rural communities have seen substantial increases in preventable diseases resulting from obesity. The research problem addressed in this study surrounded the perspectives that African American women have towards initiating a fitness program. The purpose of this study was to explore those perspectives utilizing a sample population of African American women living in Salisbury, North Carolina. This study embraced the Theory of Reasoned Action (TRA) created by Prachaseree et al., (2021) and the Self-Determination Theory (Deci & Ryan, 1991) as the conceptual frameworks. Three research questions guiding this study were: What specific barriers do African American …
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Walden Dissertations and Doctoral Studies
Primary unpaid family caregivers of Alzheimer’s care recipients endure physical fatigue, emotional stress, psychological pressures, and health issues that could hinder their capacity to deliver consistent care. Respite care services can help reduce caregiver burden and enhance health outcomes; therefore, examining and evaluating their effectiveness is beneficial in meeting the needs of primary unpaid family caregivers. This study was conducted to address a lack of information in the literature and to evaluate the efficacy of respite care services for primary unpaid family caregivers of Alzheimer’s care recipients in Alaska and their caregivers’ awareness of and motivation to utilize these services …
Social Determinants, Covid-19, And Geographic Disparities In African American Mental Health Access, Jennifer Marie Washington
Social Determinants, Covid-19, And Geographic Disparities In African American Mental Health Access, Jennifer Marie Washington
Walden Dissertations and Doctoral Studies
Disparities in service use of mental health care persist in the United States, and African Americans have been disproportionately affected. The COVID-19 pandemic worsened these disparities, increasing barriers such as stigma, lack of culturally appropriate care, distance, and affordability. The purpose of this quantitative, nonexperimental, and correlational study was to examine the relationships between sociodemographic factors and the use of mental health counseling or therapy services. Bronfenbrenner’s ecological systems theory was applied to examine how the systemic factors in the mesosystem, exosystem, and macrosystem work together to influence care availability. Specifically, the study examined the relationship between race, income, education, …
Disability And Leadership: Barriers And Business Culture Perspectives, Ernest Edward Garrett
Disability And Leadership: Barriers And Business Culture Perspectives, Ernest Edward Garrett
Walden Dissertations and Doctoral Studies
Persistent disparities in employment rates between people with disabilities (PWDs) and people without disabilities (PWODs) indicate that PWDs continue to face barriers and challenges to employment opportunities. The research problem is the underrepresentation of PWDs in leadership positions within business cultures and persistent barriers and challenges faced by human resource managers (HRMs) and leaders concerning their hiring and retention. The purpose of this qualitative descriptive study was to explore the varying perspectives of business leaders with disabilities (LWDs) and HRMs concerning the barriers and challenges associated with hiring and retaining PWDs for leadership roles. Critical realism, universal design, and human …
Clinical Practice Guideline: Appropriate Selection Of Mental Health Conditions For Telepsychiatry Visits, Oluwatoyin Sowunmi
Clinical Practice Guideline: Appropriate Selection Of Mental Health Conditions For Telepsychiatry Visits, Oluwatoyin Sowunmi
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) aimed at addressing the practice problem of inappropriate selection of patients for telepsychiatry visits. The issue is significant in nursing practice, as the misalignment between patient needs and telehealth capabilities often results in appointment cancellations. The practice focus question guiding this project was “Does the evidence support development and expert panel validation via the Appraisal of Guideline for Research and Evaluation II (AGREE II) of a CPG for appropriate selection of mental health conditions for telepsychiatry visits that is also approved for use in practice by end users?” The project successfully …
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Walden Dissertations and Doctoral Studies
Medication-assisted treatment (MAT) programs, especially those led by providers, can expand access to care for persons with opioid use disorder (OUD). The gap in practice at the site was the insufficient knowledge among nurses on how to effectively use MAT in treating OUD. The purpose of this staff educational project was to design and implement a training module to educate mental health providers on the principles and interventions of MAT. The practice-focused question was: Does educating nurses on MAT principles while incorporating evidence from the literature improve their knowledge as measured by pre- and post-test? The ADDIE pedagogy model was …
Staff Education On Improving Staff Knowledge Of Type-2 Diabetes Mellitus Management In Psychiatric Outpatients, Adetona Odunuga
Staff Education On Improving Staff Knowledge Of Type-2 Diabetes Mellitus Management In Psychiatric Outpatients, Adetona Odunuga
Walden Dissertations and Doctoral Studies
Summary This staff education initiative was designed to improve healthcare professionals’ knowledge of managing type 2 diabetes mellitus (T2DM) in individuals with psychiatric disorders. This population faced a significantly higher prevalence of T2DM and experienced poorer health outcomes due to fragmented and inadequate care. The practice problem was a staff knowledge deficit in managing patients with T2DM. The practice-focused question that guided the project was: How can an educational intervention enhance nursing staff’s knowledge in managing T2DM in patients with psychiatric disorders? The primary purpose was implementing an evidence-based training program to improve staff knowledge. The project was implemented using …
Sustainability Of Private Historically Black Colleges Or Universities, Herbert A. Stewart
Sustainability Of Private Historically Black Colleges Or Universities, Herbert A. Stewart
Walden Dissertations and Doctoral Studies
In the United States, private Black colleges and universities (HBCUs) have been declining in enrollment, revenues, and profitability, and many have closed permanently. The problem, which is important to HBCU leaders, is the lack effective strategies for sustainability. Grounded in the transformational leadership theory as the conceptual framework, the purpose of this pragmatic inquiry research project was to explore the successful strategies some successful HBCU leaders have used to increase enrollment and maintain profitability for sustainability. Data were collected through personal interviews and publicly available documents or documents provided by participants. Yin’s 5-step process was used for data analysis, which …
Clinical Practice Guideline For Intentional Rounding, Julia Griggs
Clinical Practice Guideline For Intentional Rounding, Julia Griggs
Walden Dissertations and Doctoral Studies
This is a quality improvement clinical practice guideline (CPG) to address the inconsistent staff rounding practices, developed following recognition of a fall rate of 3.2 per 1000 patient days and declining patient satisfaction in the project facility. I developed the CPG using current evidence-based practices to establish standardized procedures for purposeful rounding to enhance patient safety, satisfaction, and care quality. Three experts, including an educator, clinician, and administrator, evaluated the CPG using the Appraisal of Guidelines for Research and Evaluation II (AGREE II), a tool consisting of seven domains used for measuring the methodological rigor and transparency in which a …
Cybersecurity Risk Assessment Methods For Digital Financial Services In Sub-Saharan Africa, Emmanuel Niyikora
Cybersecurity Risk Assessment Methods For Digital Financial Services In Sub-Saharan Africa, Emmanuel Niyikora
Walden Dissertations and Doctoral Studies
The rapid growth of digital financial services (DFS) in Sub-Saharan Africa (SSA) has significantly expanded access to financial services for underserved populations. However, cybersecurity managers within telecommunications regulatory agencies in SSA remain concerned about emerging cyber threats that pose risks to DFS providers and their customers, potentially undermining trust and economic growth. Grounded in the technology-organization-environment framework, the purpose of this qualitative pragmatic inquiry study was to explore strategies cybersecurity managers within telecommunications regulatory bodies in SSA use to assess the cybersecurity readiness of DFS providers. Data were collected using semistructured interviews with six cybersecurity managers from telecommunications regulatory bodies …
Reducing Readmission Rates In A Mental Health Hospital, Zamzam Mohamed
Reducing Readmission Rates In A Mental Health Hospital, Zamzam Mohamed
Walden Dissertations and Doctoral Studies
Summary I designed this clinical practice guideline (CPG) doctoral project to address the critical practice problem of high readmission rates in a mental health unit at a large academic medical center. This quality improvement initiative focused on developing and evaluating CPG to improve discharge planning. I aimed to address gaps in continuity of care, inadequate discharge education, and limited post discharge follow-up, which had been identified as contributing factors to early psychiatric readmissions. The practice-focused question guiding this project was: What evidence supports the development of a discharge planning CPG designed to reduce readmission rates in a mental health unit? …
Teachers’ Perceptions Of The Benefits Of Art Education For Elementary Students With Autism, Brenda Lynn Miller
Teachers’ Perceptions Of The Benefits Of Art Education For Elementary Students With Autism, Brenda Lynn Miller
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of knowledge regarding art teachers’ perceptions of the social and emotional benefits of art classes for elementary school students with autism spectrum disorder (ASD). The purpose of this basic qualitative study was to explore elementary school art teachers’ perspectives regarding the social and emotional benefits of school-based art education for elementary school students with ASD. Schweizer et al.’s art therapy model was the conceptual framework. Semistructured interviews from 12 elementary school art teachers were used to collect data. Data were analyzed using axial coding procedures and thematic analysis. Results produced the …
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Walden Dissertations and Doctoral Studies
Ineffective retention strategies for nursing home staff can negatively affect the continuity of patient care, employee morale, and patient outcomes. Nursing home leaders who struggle to implement changes and increase staff retention and quality of patient care are at high risk of business instability. Grounded in Greenleaf’s servant leadership conceptualization and Kotter’s eight-step change model, the purpose of this qualitative pragmatic inquiry was to explore strategies nursing home leaders use to implement change, retain staff, and enhance the quality of patient care. Data sources consisted of semistructured interviews, public websites, and current and archival public documents. Thematic analysis yielded five …
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the influence of leadership on low treatment completion rates in a nonprofit outpatient substance use disorder program in the Pacific Northwest region of the United States. The purpose of this case study was to examine how leadership styles, decision-making processes, and supervisory alignment affected client engagement and treatment outcomes at the program. The study was grounded in the Baldrige Excellence Framework, which provided a systems-thinking lens to assess leadership behavior and organizational performance. Data were collected through semistructured interviews with two senior leaders and a review of limited internal documents, including the organization’s …
Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg
Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg
Walden Dissertations and Doctoral Studies
The problem addressed through this study was many preschool students in the United States lack the social skills needed to be successful in kindergarten. The study’s purpose was to explore preschool teachers’ perspective regarding some children’s lack of social skills needed for success in kindergarten and the efforts teachers made to promote development of these skills. Using Flavell’s theoretical framework of metacognition and cognitive monitoring, 2 research questions were developed to address teachers’ perspectives and efforts to improve children’s social skills. Twelve preschool teachers from Louisiana with one to twenty years of experience in early childhood were interviewed via Zoom, …
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Walden Dissertations and Doctoral Studies
Disengaged employees present significant challenges to firm profitability and competitiveness in the U.S. medical device industry. Leaders of U.S. medical device firms are concerned disengaged employees could negatively impact organizational sustainability. The purpose of this qualitative pragmatic inquiry study was to explore strategies used by leaders in the U.S. medical device industry to enhance employee engagement. Purposeful sampling of six medical device leaders in Massachusetts was used; participants held leadership roles, had at least five years of leadership experience, and were directly involved in employee engagement. The study was grounded in Kahn’s engagement theory, focusing on psychological meaningfulness, safety, and …
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
Walden Dissertations and Doctoral Studies
African American women veterans' race and gender present challenges as the compounded nature of the racism and sexism they experience creates specific barriers to seeking access to mental health treatment. Much of the research to date has focused on the interconnections between African American women veterans' state of mental health and their experiences in the military; however, their lived experience of encountering barriers to seeking access to mental health treatment has remained unexplored. The purpose of this phenomenological study was to explore African American women veterans' lived experience of encountering barriers to seeking access to mental health treatment to better …
The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez
The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez
Walden Dissertations and Doctoral Studies
This study examined the impact of the 2017 New Jersey regulation requiring vendors to have 1,000 square feet of retail space in order to participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) food program. Specifically, it examined vendors' role in developing the policy and their perspectives on its implementation. Previous research indicated improved policy outcomes by including policy targets in policy dialogue, but there was a lack of research exploring the experiences of vendors. Not known was how the policy affected WIC vendors, the essential frontline suppliers of nutritional foods to WIC participants. The purpose of …
Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah
Staff Education To Addressing Medication Nonadherence Amongst Patients With Mental Health Challenges, Euphemia Mah
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Euphemia Mah has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Corinne Wheeler, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Summary Poor adherence to medication regimens among patients who have a mental illness leads to multiple adverse outcomes, which include symptom exacerbation, decreased quality of life, and repeated hospitalizations. To address this …
Staff Education On Strategies To Eliminate Medication Errors And Promote Medication Compliance In The Community And Healthcare Settings, Rita Nyongkah Yeba
Staff Education On Strategies To Eliminate Medication Errors And Promote Medication Compliance In The Community And Healthcare Settings, Rita Nyongkah Yeba
Walden Dissertations and Doctoral Studies
Patient health is highly influenced by non-adherence to medications and faults in them. Longer diseases, unneeded hospital visits, and growing healthcare expenses are the effects of these problems. Medication errors can arise from incorrect prescriptions, too low or too high doses, poor administration, or inconsistent provider communication. Patients may also neglect their prescriptions for several reasons, including lack of motivation, forgetfulness, or worries about side effects. This initiative aimed to provide medical staff members with techniques meant to help lower errors in the healthcare environment and enhance medication adherence. The aim of this initiative was to instruct the staff members …
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
Walden Dissertations and Doctoral Studies
The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …
Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander
Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander
Walden Dissertations and Doctoral Studies
Opioid abuse is a significant problem in the United States. People with opioid use disorder (OUD) visit the emergency room (ER) for pain management. OUD is the overuse and abuse of opioids, which can result in dependence, relapses, and death. Nurses in the ER and medical-surgical units face challenges in distinguishing OUD from chronic pain. The purpose of this qualitative interpretive phenomenological study, guided by Benner’s novice-to-expert framework, was to explore the lived experiences of ER and medical-surgical nurses who provide care to OUD patients. Eight ER and medical-surgical nurses were interviewed using semi-structured interviews. The main themes from coding …
Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic
Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic
Walden Dissertations and Doctoral Studies
The hospitality industry in the Southeast United States plays a vital role in economic growth but faces leadership challenges that impact employee engagement and organizational commitment. Hospitality industry leaders should understand these challenges that disrupt service quality and negatively impact customer satisfaction and organizational stability. The purpose of this quantitative correlational study was to examine the relationship between transformational leadership, employee engagement, and organizational commitment in the hospitality industry of the Southeast United States. The participants were 100 full-time hospitality employees who completed the Multifactor Leadership Questionnaire, Organizational Commitment Questionnaire, and Utrecht Work Engagement Scale. The results revealed significant positive …
Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr.
Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr.
Walden Dissertations and Doctoral Studies
Underrepresentation of women in senior management positions within the tech industry poses a significant challenge in terms of organizational equity and effectiveness. Business leaders are concerned with this disparity, as it reflects systemic barriers to women’s advancement. Grounded in the people’s capability maturity model (P-CMM), the purpose of this qualitative pragmatic inquiry was to explore strategies that senior executives in the Washington, DC tech industry use to promote women to senior management positions. The participants were eight senior women executives purposefully selected for their leadership roles. Data was collected using semistructured interviews. Through thematic analysis, four themes were identified: personalized …
Challenges Identified By Educators Who Teach Students With Disabilities, Christine Elizabeth Fityere
Challenges Identified By Educators Who Teach Students With Disabilities, Christine Elizabeth Fityere
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that educators are challenged to meet the needs of students with disabilities (SWDs) in the inclusion classrooms at a northeastern school district in New Jersey (NSD, a pseudonym). The purpose of this qualitative study was to explore educator’s experiences with the system of inclusion as well as resources needed to overcome any issues or barriers at NSD. The conceptual framework was von Bertalanffy’s systems theory. For this basic qualitative design, semistructured interviews with 13 educators that were recruited through purposeful sampling from NSD through an email sent by the director of …
Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall
Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall
Walden Dissertations and Doctoral Studies
The lack of employee engagement negatively impacts organizations through revenue loss, poor productivity, and toxic cultures. Purchasing managers are concerned with decreased employee engagement as it negatively impacts productivity and revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies purchasing managers use to increase engagement and productivity. The participants were six managers who have been successful in implementing strategies to increase employee engagement. Data were collected using semistructured interviews. Through thematic analysis, three key themes were identified: (a) communication, (b) leadership styles, and (c) culture. A key recommendation is for purchasing managers …
The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister
The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister
Walden Dissertations and Doctoral Studies
There are currently four generations in the workplace—Generation Z, millennials, Generation X, and baby boomers—each having its own values and motivations due to different life experiences. Leaders are facing new challenges regarding how to motivate each generation in relation to rewards, recognition, and work values. It was unknown whether there are empirical differences in motivation and leadership preferences based on generational cohort. The purpose of this study was to examine how the members of four different generations are motivated based on their preferred rewards and recognition, and the work values they hold. The targeted population were members of Generation Z, …
Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi
Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi
Walden Dissertations and Doctoral Studies
The type of project was a quality improvement intervention. The identified practice problem was limited appointment shows among patients with appointments. Outpatient clinics often struggle with patients not showing up for appointments. Addressing this gap was critical for improving patient outcomes and resource efficiency. The practice problem must be addressed within the context of nursing practice by enhancing access to consistent mental health care and giving patients more timely support, leading to better outcomes and overall wellbeing.
Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha
Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha
Walden Dissertations and Doctoral Studies
This project was developed as a staff education program using the analyze, design, develop, implement, and evaluate (ADDIE) model with a focus on discharge planning in a medical clinic in northern Maryland. There is a gap in discharge planning for older adults due to shortage of providers and inadequate education related to care transitions among the elderly. The care transition process can be improved through education. The practice focused question was: “Does an educational project for nurses on care transitions for the elderly increase knowledge as compared pre-to post education?” The Johns Hopkins evidence-based practice model (Appendix A) was the …