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Articles 2221 - 2250 of 15656
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The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford
Walden Dissertations and Doctoral Studies
Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor
Walden Dissertations and Doctoral Studies
This DNP project aimed to enhance the quality of care by improving healthcare providers’ knowledge and fostering confidence in the utilization of screening, brief intervention, and referral to treatment (SBIRT). At the practice site, patients were not screened for substance use due to the lack of provider knowledge on evidence-based screening tools. The practice-focused question for this project was, Among healthcare providers in outpatient mental health clinics, does education on the use of the SBIRT screening tool increase their knowledge and skill after educational intervention? The project used a sample of 12 healthcare professionals, including four mental health practitioners and …
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee
Walden Dissertations and Doctoral Studies
This qualitative review used a convergent-parallel design to explore the perspectives of prison administrators and nonprofit reentry program providers regarding inmate rehabilitation iii and reentry services. In 2021, 76,000 inmates were pardoned due to changes in California legislation (Fritz, 2024, p. 1 ). According to a 2024 report, 89,898 inmates are residing in California State prisons- 119% over capacity (Morris, 2024, p. 1 ). This study investigated two key aspects: (1) What rehabilitation and reintegration services are offered to inmates in the California State prison system, and are these services provided upon release? 2. Are inmates required to participate in …
Standardizing Discharge Planning To Reduce Readmission Rates In Outpatient Mental Health Clinics, Navasha Martin
Standardizing Discharge Planning To Reduce Readmission Rates In Outpatient Mental Health Clinics, Navasha Martin
Walden Dissertations and Doctoral Studies
Psychiatric readmission rates remain a major concern in outpatient mental health clinics, often resulting from inconsistent discharge practices and limited patient education. This Doctor of Nursing Practice (DNP) project aimed to develop and evaluate a clinical practice guideline (CPG) to standardize discharge planning and reduce psychiatric readmission rates. Guided by the question: Does evidence support the quality of an evidence-based standardized discharge planning protocol to reduce readmissions?, this project integrated findings from a structured literature review and expert panel evaluation. The CPG was developed using evidence-based strategies and evaluated using the AGREE II instrument, a validated tool for assessing the …
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran
Walden Dissertations and Doctoral Studies
Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko
Walden Dissertations and Doctoral Studies
Some small and medium-sized enterprise (SME) owners in the hotel industry face survival challenges during economic downturns, such as the coronavirus disease (COVID-19) and the 2016 oil glut crisis. SME hotel owners are concerned about addressing these challenges to ensure profitability and sustainability amid economic crises. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME hotel owners used to maintain business success amid economic crises. The participants were six SME hotel owners in Nigeria who had implemented strategies to remain profitable and sustainable. Data were collected through semistructured interviews and a …
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis
Walden Dissertations and Doctoral Studies
Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …
Strategic Planning Processes For Profitability And Sustainability Of Small Restaurants In Alberta, Olufemi Oluwasanu Baiyewun
Strategic Planning Processes For Profitability And Sustainability Of Small Restaurants In Alberta, Olufemi Oluwasanu Baiyewun
Walden Dissertations and Doctoral Studies
Some small restaurant managers struggle to develop and implement strategic planning processes to achieve profitability and sustainability. As customer attendance declines, these managers face economic challenges and reduced daily sales, often stemming from inadequate strategic planning that could support sustained profitability and long-term success. Grounded in resource-based view theory and dynamic capability theory, the purpose of this qualitative multiple case study was to explore the successful strategic planning processes that small restaurant business managers in Alberta, Canada, use to achieve profitability and sustainability beyond 5 years. The participants were six small restaurant managers who successfully implemented strategic planning processes to …
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk
Walden Dissertations and Doctoral Studies
Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth
Walden Dissertations and Doctoral Studies
This doctoral project evaluated the impact of a staff education program aimed at increasing healthcare workers' awareness of workplace stress dangers among teammates in an outpatient hemodialysis center. The identified practice issue was limited knowledge about the facilitators, adverse outcomes, and resources related to occupational stress in healthcare. Lack of education regarding the risks of work-related stress presents a critical concern in nursing practice, significantly affecting caregiver well-being and patient outcomes. Nurses, particularly in high-pressure environments such as hemodialysis centers, often experience unrecognized and unmanaged emotional and physical demands, leading to chronic stress and burnout. Hemodialysis nurses are especially susceptible …
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …
Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh
Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh
Walden Dissertations and Doctoral Studies
During the COVID-19 pandemic, African American adolescents experienced reduced access to needed resources and may have suffered poorer mental health outcomes as a result. The purpose of this quantitative study was to examine the association between race and the availability of mental health resources, food, medical health resources and mental health outcomes among African American adolescents in the United States during the COVID-19 pandemic compared to their White counterparts. The theoretical framework that grounded this study was the Socio Ecological Model. Secondary data from the Centers for Disease Control and Prevention’s Adolescent Behaviors and Experiences Survey database were analyzed. These …
Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder
Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder
Walden Dissertations and Doctoral Studies
The problem this quantitative study addressed was police officers’ willingness to use organizational help-seeking interventions and rely on organizational support to mitigate operational and organizational stress. Previous literature discussed how officers engaged in different maladaptive coping behaviors as a result of work related stressor or low well-being, divorce, depression, prescription drug abuse, alcoholism, and suicide. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between emotional intelligence and well-being among law enforcement agents and examine agents’ willingness to use organizational-based intervention services. The organizational support theory and the social exchange theory provided the theoretical framework for …
Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff
Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff
Walden Dissertations and Doctoral Studies
This study is a description of how educators’ participation in a coordinated approach to violence prevention contributed to employee wellness and school climate. Using principles of psychological capital (PsyCap) theory, archival focus group and interview data were used to describe educator experiences during implementation of a 3-year coordinated approach to school violence in a mid-sized public school district. Findings of the analysis revealed consistent references to feelings of hope, efficacy, resilience, and optimism throughout the study, but with slight shifts in frequency each year based on both internal (i.e. skill development, relationship-building), and external (i.e. administrative support, policy directives, broader …
Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies
Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies
Walden Dissertations and Doctoral Studies
The rapid integration of artificial intelligence (AI) into essential sectors, including healthcare, customer services, and defense, has underscored the importance of user trust in AI systems. Psychological traits such as locus of control (the extent to which individuals attribute outcomes to internal or external factors) and self-efficacy (individuals’ confidence in their ability) have been identified as significant factors influencing trust in these automated systems. Previous studies have independently linked these psychological traits to trust in technology; however, there has been limited exploration of potential moderating effects of locus of control on the relationship between digital technology self-efficacy and trust in …
Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez
Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez
Walden Dissertations and Doctoral Studies
School nutrition managers face the challenge of balancing values-based purchasing (VBP) with maintaining student participation and budgetary stability. While VBP integrates sustainability, environmental impact, and animal safety, these priorities may sometimes compete with traditional goals, such as cost efficiency and meal accessibility. Grounded in program evaluation theory, the purpose of this mixed methods explanatory sequential study was to examine how school food service managers implement VPB, integrating procurement and nutrition transparency while managing participation and costs. The quantitative phase focused on participation trends, cost structures, and procurement metrics across diverse school districts to establish a foundation for understanding VBP’s measurable …
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Walden Dissertations and Doctoral Studies
The incidence of hospital acquired conditions (HACs) has been a persistent problem in the United States that has negatively affected patient safety, care outcomes, and hospital costs and profitability. Effective strategies to reduce HACs and improve compliance with Hospital-Acquired Condition Reduction Program (HACRP) requirements are important for hospital leaders. Grounded in the total quality management conceptual framework, the purpose of this qualitative pragmatic inquiry was to explore how six hospital leaders in the Southeast United States successfully reduced HACs and improved HACRP compliance. Data were collected through personal interviews and publicly available documents. Yin’s 5-step process was used for data …
K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth
K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is increasing job demands and insufficient job resources plaguing K-8 principals across the nation. The purpose of this basic qualitative study was to investigate K-8 principals’ perceptions of increased work demands and their influence on excessive stress, burnout, and turnover in a private, Midwestern school district. Bakker and Demerouti’s job demands-resources theory served as the theoretical foundation for this study. Data were collected from semistructured interviews with 10 principals from the same district. Participant responses were analyzed through several rounds of coding, which led to the emergence of the following six themes: …
Alternatively Certified Early Childhood Special Education Teachers' Perspectives On Remaining In The Classroom, Sena Victoria Ann Belgard Dever
Alternatively Certified Early Childhood Special Education Teachers' Perspectives On Remaining In The Classroom, Sena Victoria Ann Belgard Dever
Walden Dissertations and Doctoral Studies
Alternative teacher certification programs are used nationwide to address the critical teacher shortage in special education. There is a gap in knowledge regarding the challenges that early childhood special education teachers experience, which make them leave the profession at twice the rate of general education teachers. The purpose of this basic qualitative study was to explore alternatively certified early childhood special education teachers’ perspectives on remaining in their teaching positions and the support they need to continue teaching. The study framework was comprised of Day and Gu’s teacher resilience theory. Data were collected from semistructured interviews with 10 prekindergarten to …
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow
Walden Dissertations and Doctoral Studies
Lived Experiences of Sex Offenders on Probation with Housing and Employment by Katheryn Winslow MA, South University, 2013 BS, University of Central Florida, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University May 2025
Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell
Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell
Walden Dissertations and Doctoral Studies
HIV prevention and treatment disparities persist among men in Virginia, particularly in racial and ethnic minority groups. This study examined how insurance type and demographic factors influence prescriptions for antiretroviral treatment (ART) and preexposure prophylaxis (PrEP). Addressing these disparities is critical to advancing public health equity and reducing HIV rates. The purpose was to assess whether age, race, ethnicity, region, and insurance type are associated with the type of oral HIV medication prescribed. Guided by the HIV prevention and care cascade frameworks, the study focused on access and adherence. Using a cross-sectional quantitative design, the study analyzed secondary data from …
Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker
Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker
Walden Dissertations and Doctoral Studies
Existing research revealed that K-12, school-based social work clinicians were utilized in various ways to support students' social-emotional learning (SEL) needs in public K-12 schools in the United States. However, there was a gap in knowledge about the unique approaches K-12 school-based social work clinicians employed to address the SEL needs of non-at-risk students. This basic qualitative study explored how K-12 school-based social work clinicians used empowerment case management practices to address the SEL needs of non-at-risk students. The theoretical framework grounding this study was empowerment theory. Using purposive sampling, semistructured interviews were conducted with five K-12 school-based social work …
Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe
Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe
Walden Dissertations and Doctoral Studies
This staff education project aimed to enhance nurses’ knowledge on medication administration error prevention through targeted education interventions. Medication administration errors are a significant concern in health care, leading to patient harm and reduced quality of care. This project addressed the gap in nursing knowledge regarding strategies to prevent these errors, with the goal of improving patient safety and outcomes. The practice-focused question explored in this project was the following: How does implementing an education program affect nurses’ knowledge and practices related to medication error prevention? The purpose of this doctoral project was to educate nurses on best practices for …
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Walden Dissertations and Doctoral Studies
Ineffective use of marketing metrics by social marketers poses a risk of inconsistent and subjective interpretations of campaign success. Social marketing managers and stakeholders are concerned because unreliable metrics hinder their ability to evaluate performance, justify funding, and replicate effective strategies. The purpose of this qualitative pragmatic inquiry, grounded in general systems theory and foundational social marketing literature, was to explore effective strategies that social marketing campaign managers use to implement metrics sufficient to measure successful campaigns. The participants were ten experienced members of the Social Marketing Association of North America, with effective strategies to implement marketing metrics to measure …
An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers
An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers
Walden Dissertations and Doctoral Studies
Culturally responsive teaching in a global society is critical to students' success. Inclusion is an important part of the culturally responsive learning experience for all types of people. Because identity development takes place during the adolescent years, portrayals of various kinds of individuals throughout the environment and curriculum may support the confidence of students’ identity development. All students can experience improvements through inclusive teaching practices, but particularly students who identify as gender sexual minorities (GSM) can experience improved identity development with inclusive curricula in all areas of schooling. Grounded in identity process theory and sociocultural theory, the purpose of this …
Phenomenological Study Of Gender, Self-Esteem, And Anxiety As Factors Influencing Older Adult Technology Use, Nadine Prosper
Phenomenological Study Of Gender, Self-Esteem, And Anxiety As Factors Influencing Older Adult Technology Use, Nadine Prosper
Walden Dissertations and Doctoral Studies
An increasing number of individuals 65 years of age and older are in the U.S. workforce. Many older workers are hesitant to learn new technology and adapt to digital innovation that may, in the future, automate jobs and abolish more traditional forms of employment. Organizational leaders need to understand the factors influencing older workers’ attitudes and adoption of new technology for greater productivity. The purpose of this qualitative hermeneutic phenomenological study was to examine how gender, self-esteem, and anxiety influence workplace technology utilization among older workers between 66 and 76 years of age in their jobs. The study was grounded …
Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro
Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro
Walden Dissertations and Doctoral Studies
This project addresses the often-overlooked epidemic of intimate partner violence (IPV) in primary care settings through a novel staff education and quality improvement initiative focused on transforming screening practices. A significant challenge in detecting IPV is the inadequate training of healthcare providers and the absence of rigorous screening measures, which leads to unmet patient needs and exacerbated trauma. By enhancing the knowledge of primary care staff regarding IPV and training them to effectively use validated screening tools, the initiative aims to improve detection rates. Analytical strategies, including pre-and post-training questionnaires and role play, were employed to evaluate the effectiveness of …
Staff Education On The Use Of De-Escalation Techniques To Prevent Injury In A Mental Health Clinic, Evelyne Mantab
Staff Education On The Use Of De-Escalation Techniques To Prevent Injury In A Mental Health Clinic, Evelyne Mantab
Walden Dissertations and Doctoral Studies
/Summary Psychiatric emergencies can lead to violent behaviors and pose significant safety risks to patients and staff in mental health settings. It may result in unsafe environments, forcing staff to use restrictive measures that can compromise care quality. Addressing the issue is critical to enhance safety, reduce injuries, and align with trauma-informed nursing practices. The doctor of nursing practice (DNP) student identified a gap in practice. Staff lacked current evidence-based knowledge on effective de-escalation techniques in an outpatient mental health clinic. A practice-focused question was formulated to analyze whether staff education would increase knowledge. The DNP project included in-person education …
Preschool Teachers’ Perspectives Regarding Independent Play As Part Of Their Daily Schedule, Christina L. Saunders
Preschool Teachers’ Perspectives Regarding Independent Play As Part Of Their Daily Schedule, Christina L. Saunders
Walden Dissertations and Doctoral Studies
Research shows that independent child-led play is essential to children’s cognitive and social development. The problem that was the focus of this study was that many preschool teachers do not include independent play in their daily schedules. Guided by Gray’s theory of play, the purpose of this qualitative study was to explore preschool teachers’ perspectives regarding independent play as part of their daily schedule and the challenges they encounter or anticipate in incorporating it. A basic qualitative design with interviews guided data collection with 10 lead preschool teachers who worked with children ages 3 to 5 in independently funded preschools …
Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay
Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay
Walden Dissertations and Doctoral Studies
According to the American Nurses Association (ANA), healthcare workers are five times more likely to suffer a workplace violence (WPV) injury compared to workers in other industries. Given that nurses are the foundation of healthcare delivery, WPV is a cause for concern for most healthcare organizations. In the local organization, leadership has identified an increase in reported WPV occurrences among nurses. Given this, leadership agreed that an educational intervention focused on strategies to address WPV was warranted. Thus, the purpose of this doctor of nursing practice (DNP) project was to determine whether an educational intervention focused on healthy coping mechanisms …