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Exploring Clinical Social Workers' Challenges And Strategies For Co-Occurring Disorders In Private Practice Settings, Shakeena Y. Speller
Exploring Clinical Social Workers' Challenges And Strategies For Co-Occurring Disorders In Private Practice Settings, Shakeena Y. Speller
Walden Dissertations and Doctoral Studies
Co-occurring mental health (MH) and substance use disorders (SUDs) pose a significant challenge for social work practice, especially for licensed clinical social workers (LCSWs) in private practice who often work with limited resources and support. The purpose of this basic qualitative study was to explore the service delivery, care coordination strategies, and challenges of LCSWs in private practice working with co-occurring MH and SUDs. Moore’s social work practice model of case management was used to explain how LCSWs in private practice settings manage complex cases within fragmented MH and SU care systems. Semistructured interviews were used to collect data from …
Leadership In Quality Improvement In Academic Children’S Hospitals, Tiffany Enriquez
Leadership In Quality Improvement In Academic Children’S Hospitals, Tiffany Enriquez
Walden Dissertations and Doctoral Studies
To orient children’s academic leaders to basic competency in quality improvement (QI) practices, academic children’s hospitals must overcome leadership diversity deficits and prepare for QI practice readiness. Leadership is a key factor in enhancing patients’ care outcomes, though practice models do not allow for organizational advancements. The distributed leadership (DL) theory on leadership applies in contexts where the leadership role in QI is not solely centralized to a single individual but is decentralized and spread to include all parties involved. This paper sought to determine the effects of leadership on QI in children’s hospitals and further establish the best leadership …
Implementing A Mindfulness Program To Reduce Burnout Rates, Nadine G. Kakanou
Implementing A Mindfulness Program To Reduce Burnout Rates, Nadine G. Kakanou
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Nadine Kakanou 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. Sue Bell, Committee Chairperson, Nursing Faculty Dr. Mary Bemker Houghtaling, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Summary Burnout rates among mental healthcare workers remain a concern affected by the increasing demands of the profession and the COVID-19 pandemic. The identified practice gap among mental healthcare staff members at the northern …
Administrators’ And Teachers’ Perceptions And Experiences Regarding Alternative Discipline For Disabled Students, Wanda Charlotte Early
Administrators’ And Teachers’ Perceptions And Experiences Regarding Alternative Discipline For Disabled Students, Wanda Charlotte Early
Walden Dissertations and Doctoral Studies
Compared to other students, students with emotional and behavioral disorders receive more disciplinary consequences from within the public school system, which often means that students with emotional and behavioral disorders do not receive the same education. The purpose of this qualitative generic design study was to explore the perceptions and experiences of administrators and teachers in the public school system regarding using alternative discipline for African American students diagnosed with behavioral and emotional disabilities or disorders. The disability critical race framework was used as a framework for this study. Responses were generated through in-depth, semi-structured interviews of 10 participants. Thematic …
Staff Education Program On The Vanderbilt Adhd Diagnostic Rating Scale, Rabiatu Bangura
Staff Education Program On The Vanderbilt Adhd Diagnostic Rating Scale, Rabiatu Bangura
Walden Dissertations and Doctoral Studies
This DNP project evaluated the effectiveness of a structured staff education program designed to enhance healthcare professionals’ knowledge and utilization of the Vanderbilt ADHD Assessment Scale (VAS) in children aged ≥2 to ≤18 years. The practice problem addressed in this project was the inconsistent use and limited knowledge of the VAS among healthcare staff, which can lead to underdiagnosis or delayed diagnosis. The practice-focused question was: Will a staff education program specifically designed to instruct healthcare professionals on using the Vanderbilt ADHD Assessment Scale in children ≥2 years to ≤18 years increase their knowledge? Targeted educational sessions were implemented, and …
Staff Education For Nurses And Mental Health Technicians, Aminah Shanell Abdikadir
Staff Education For Nurses And Mental Health Technicians, Aminah Shanell Abdikadir
Walden Dissertations and Doctoral Studies
Restraint and seclusion persist as considerable hazards to both patients and healthcare personnel in some mental health institutions. These interventions correlate with heightened trauma, injury, and extended duration of stay. The goal of the project was to instruct nurses and mental health technicians in verbal de-escalation strategies to diminish incidences of restraint and isolation as part of a practice reform initiative. Ten staff members engaged in pre- and post-training evaluations to assess knowledge, confidence, and readiness to apply de-escalation tactics. Data were examined using paired t tests. Results indicated statistically significant enhancements in staff knowledge, and confidence along with willingness …
Online Graduate Academic Experiences Of Adults With Bipolar Disorder, Paola Ann Faiman-Mullins
Online Graduate Academic Experiences Of Adults With Bipolar Disorder, Paola Ann Faiman-Mullins
Walden Dissertations and Doctoral Studies
Research regarding older adults with hidden disabilities in the field of adult online learning remains scarce, including a lack of research on older adults with a diagnosis of bipolar disorder. Although the needs and struggles of college students with bipolar disorder aged 18-25 in online learning have been identified, few studies have been done to uncover the needs and struggles of older learners with bipolar disorder aged 40-65. This study explored the academic experiences of these individuals to better understand their unidentified and unmet needs. This study was grounded within the community of inquiry framework. This basic qualitative study recruited …
Navigating The Labyrinth: Transition Planning Process For Reintegration Of Inmates With Chronic Illnesses And Disabilities, Courtney Ashley Dean
Navigating The Labyrinth: Transition Planning Process For Reintegration Of Inmates With Chronic Illnesses And Disabilities, Courtney Ashley Dean
Walden Dissertations and Doctoral Studies
Most offenders face challenges with successfully reintegrating, especially those living with chronic illness and/or disabilities. Transition interventions employed by mental health professionals are not universal and vary from facility to facility. While recidivism, community stigmatization, reoffending, and reconviction are explored in extant literature, little has been done to examine the difficulties faced by the professionals who work with this population as they get ready to plan for transitioning this disenfranchised group back into society. This study is an exploration of the role of professional counselors in facilitating successful transition planning for inmates living with chronic illnesses and/or disabilities. Guided by …
Teachers' Perceptions Of Education Policies To Reduce Racial And Gender Achievement Gaps, Lisa Mondett Davis
Teachers' Perceptions Of Education Policies To Reduce Racial And Gender Achievement Gaps, Lisa Mondett Davis
Walden Dissertations and Doctoral Studies
Teachers possess valuable knowledge about classroom experiences that remains untapped in educational policymaking, particularly concerning persistent achievement gaps for Black female students, which have resulted in less effective student academic growth outcomes when compared to White female peers. Although prior research has indicated the implementation of targeted education policies, few studies have explored how excluding educators’ insights about these policies have caused the achievement gap to widen based on race and gender comparisons. Grounded in Black feminist theory, the purpose of this qualitative intrinsic case study was to explore Black female teachers’ perspectives of how education policies influence the achievement …
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Walden Dissertations and Doctoral Studies
Extensive research suggests that effective and meaningful teacher preparation programs can help reduce novice teacher attrition. The problem addressed in this study was the high middle school teacher turnover in an urban school district (USD, a pseudonym) in Georgia, despite the implementation of coaching programs for novice teachers. Guided by Yerkes and Dodson’s challenge-hindrance model, the purpose of this basic qualitative study was to explore novice middle school teachers’ perceptions on the support received, the challenges encountered in their first year, and the usefulness of mentoring, professional development, and instructional coaching received at USD. Semistructured interviews were conducted with 12 …
The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower
The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic created a mental health crisis within the United States. Previous research examining locus of control and mental health issues during the pandemic revealed that individuals with an external locus of control exhibited increased mental health symptoms. Research also found that political attitudes played a role regarding COVID-19 with liberal-leaning individuals and Democrats reporting higher levels of emotional distress during the pandemic. The purpose of this quantitative, nonexperimental, correlational study was to determine the extent to which political ideology moderates the relationship between locus of control and COVID-19-related anxiety and stress. Locus of control was the theoretical foundation …
Psychologists’ Competency And Training Regarding Treating Transgender And Non-Conforming Youth With Gender Dysphoria, Amydth Chumacero
Psychologists’ Competency And Training Regarding Treating Transgender And Non-Conforming Youth With Gender Dysphoria, Amydth Chumacero
Walden Dissertations and Doctoral Studies
There is limited evidence-based research on required competency, training, assessment, and treatment practices for psychologists who treat transgender and non-conforming (TGNC) youth with gender dysphoria. Eleven licensed psychologists with at least 5 years of experience treating TGNC youth were recruited through social media and snowball recruiting to participate in this qualitative Delphi study. Using multicultural competency theory as a guide, these experts were asked to develop a consensus regarding the minimum competencies and training to treat TGNC youth, as well as what they thought the standards should be for assessment and treatment. Data were collected in three rounds of online …
Experiences Of Low-Risk, Low-Need Participants In A Gender-Neutral And Inclusive Domestic And Intimate Partner Violence Intervention Program, Kenneth W. Robison
Experiences Of Low-Risk, Low-Need Participants In A Gender-Neutral And Inclusive Domestic And Intimate Partner Violence Intervention Program, Kenneth W. Robison
Walden Dissertations and Doctoral Studies
Traditional batterer intervention programs often prioritize male-perpetrator-female-victim models, thereby overlooking diverse relationship contexts and marginalized populations. Understanding participants’ experiences is essential for researchers, policymakers, counselor educators, and practitioners to develop alternatives to one-size-fits-all gender- specific strategies, which aligns with the call for more robust evidence-based practices. The purpose of this hermeneutic phenomenological qualitative study, guided by van Manen’s framework, was to explore the lived experiences of low-risk, low-need participants who completed a gender-neutral and inclusive domestic and intimate partner violence intervention program. The research answered what essential themes emerged from the participants’ lived experiences. Data were collected from (n=8) participants …
Impact Of A Standardized Discharge Teaching Protocol For Congestive Heart Failure Patients In Emergency Room, Walker Annor
Impact Of A Standardized Discharge Teaching Protocol For Congestive Heart Failure Patients In Emergency Room, Walker Annor
Walden Dissertations and Doctoral Studies
This doctoral project was a staff education initiative to improve nursing knowledge through a standardized, evidence-based teaching discharge protocol for congestive heart failure (CHF) patients in emergency room (ER) observation units. CHF is a leading cause of hospital readmissions, often due to gaps in discharge education. Strengthening nursing clinical expertise by improving knowledge through standardized education supports effective teaching and promotes patient adherence. This project sought to answer the following practice-focused question: Does implementing staff education on CHF discharge practices result in an increase in staff knowledge? A PowerPoint presentation was created based on the analysis, design, development, implementation, and …
Complaints Against Police Officers, Allegation Dispositions, And Suspension Length In New York City, Nathan Michael Hunter
Complaints Against Police Officers, Allegation Dispositions, And Suspension Length In New York City, Nathan Michael Hunter
Walden Dissertations and Doctoral Studies
Extant literature on police officer misconduct has shown that it was possible to identify problem officers in a proactive manner. Yet serious misconduct incidents continued to occur that strain the relationship between the public and police, including the government serving both entities. The New York Police Department was the largest city police force in the United States, with approximately 33,475 full-time sworn officers, and in 2023, New York City (NYC) paid $298 million in settlements related to claims against police officers. Considering this, further research into police officer misconduct was warranted to fill a gap in the literature that can …
Preventing Female Inmates’ High Recidivism In One Parole Reentry Program, Erika Galarza
Preventing Female Inmates’ High Recidivism In One Parole Reentry Program, Erika Galarza
Walden Dissertations and Doctoral Studies
Recidivism among formerly incarcerated women is a challenging issue for one state prison system. Effective and fully enrolled programs to support recently released women are essential to stopping recidivism, as women often face problems such as trauma, abuse, or mental health disorders, all of which may require special care. The purpose of this study was to determine the primary outcomes of the One Parole Reentry Program’s (OPRP) effectiveness in preventing female recidivism at prison facilities and what improvements may enhance future outcomes. The state’s parole program curriculum assessment guidelines and their rehabilitation model were used as the framework to assess …
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
Walden Dissertations and Doctoral Studies
Despite several social investment programmes (SIPs) to reduce poverty, Nigeria had a high poverty rate, particularly in remote rural areas. The SIPs included conditional cash transfers (CCTs) to eligible households under certain conditions, such as extreme poverty in remote rural areas without access to water, electricity, shelter, basic health care, and education. While a few studies conducted on the effectiveness of CCTs have shown that Nigeria invested significant resources in poverty alleviation without the desired results due to factors like poor implementation and corruption, none reflects the perspective of CCT beneficiaries. The purpose of this study was to fill this …
Effects Of Healthcare Administrators And Icu Nurses’ Perspectives Of Leader Bullying On Work And Physical Six Sigma/Lean Training, Agha Raza
Walden Dissertations and Doctoral Studies
Despite the U.S. government-funded initiatives, public responsiveness, and antibullying legislation to improve healthcare, leadership bullying behavior remains a serious concern in hospital intensive care units (ICUs). The ICU nursing involves high stress levels and hospital work conditions, which lead to bullying behaviors. When ICU nurse leaders do not participate in work and physical Six Sigma/Lean training, they may develop different perceptions of leaders’ bullying behavior compared to those whose leaders participate in this training. The purpose of this nonexperimental quantitative cross-sectional survey study was to discover any significant relationships between the type of Six Sigma/Lean training (descendant, ascendant, and horizontal) …
Staff Education For Nursing Teach-Back Facilitation To Reduce Frequent Readmission, Chikamunario Joy Ekeke
Staff Education For Nursing Teach-Back Facilitation To Reduce Frequent Readmission, Chikamunario Joy Ekeke
Walden Dissertations and Doctoral Studies
Background: Teach-Back method of education is a simple technique that can be used to check, and correct inaccurate recall of patients’ instructions. It has a great impact on patients’ recall and understanding of discharged information in a healthcare setting and to help minimize hazards such as non-medication adherence, frequent re-hospitalization, and poor self-care/home care (Talevski et al., 2020). Gap in Practice/Problem: “Frequent readmission (30 days Return) of patients in a Rural Psychiatric Center.” The Practice Focus Question: “Does staff education on “teach-back” facilitate the knowledge and confidence level of staff in providing discharged patient education and subsequently minimize frequent rehospitalization?” …
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Walden Dissertations and Doctoral Studies
Cyberterrorists use cyberspace to communicate their threats and conduct their actions to intimidate their political, religious, or ideological control. The literature reviewed on cyberterrorism and international law has been limited and continues to develop as cyberterrorists develop their skills and capabilities to conduct cyberattacks. A gap exists in the literature on how nation-states respond to a cyberattack, cyber warfare, or cyberterrorism under international laws and policies. The problem is that international laws are being outpaced by the development of new technology, which cybercriminals and cyberterrorists can circumvent in order to escape punishment for a cyberattack. The purpose of this basic …
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Walden Dissertations and Doctoral Studies
Sustainability planning in small suburban cities, particularly as it relates to waste management programs, remains an underexplored area in scholarly research. Without long-term planning, these cities often react to issues in a fragmented manner rather than implementing proactive policies, negatively affecting public health and well-being. The purpose of this study was to examine sustainable waste management policy processes that enable sustainability planning in Midwestern small suburban cities. Using Jones et al.’s local adaptive capacity framework and Q-methodology, viewpoint patterns were analyzed to understand what motivates decision-makers to foster an environment conducive to sustainability planning. Thirty-one participants representing three local government …
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Walden Dissertations and Doctoral Studies
Perceptions of higher education leaders (HELs) regarding faculty attrition and effective strategies to help manage challenges associated with voluntary and involuntary resignations were unknown. Guided by Bush’s educational management theory, the purpose of this basic qualitative study was to explore HELs’ perceptions regarding faculty attrition. Research questions investigated perceptions of HELs regarding faculty attrition and how they perceived faculty attrition in their institutions. Semistructured interviews were conducted with 12 HELs, including academic deans, vice provosts, department chairpersons, program directors, and board of regents members. Thematic analysis was conducted using open and axial coding of the interview data. Themes included provision …
The Experience Of Spirituality And Self-Image In Sexually Abused Women, Nereyda Sullins
The Experience Of Spirituality And Self-Image In Sexually Abused Women, Nereyda Sullins
Walden Dissertations and Doctoral Studies
I explored the role of spirituality and self-image in the healing processes of adult women who have experienced sexual abuse. Using trauma theory as a guiding framework, I sought to understand how survivors engage with spirituality to reconstruct their identities and navigate their recovery. I aimed to contribute to the growing body of literature on trauma recovery by offering insights into the ways survivors integrate spiritual practices and self-perceptions to foster resilience. A qualitative phenomenological approach was used to capture the lived experiences of 12 women who had experienced sexual abuse and engaged with spirituality as a coping mechanism. Thematic …
Behavioral Health Leadership’S Role In Enhancing Family Reunification Success In Residential Care., Porscha Profitt
Behavioral Health Leadership’S Role In Enhancing Family Reunification Success In Residential Care., Porscha Profitt
Walden Dissertations and Doctoral Studies
This qualitative case study examined the role of behavioral health leadership (BHL) in facilitating effective family reunification within residential treatment settings, focusing on Organization X in Northern California. The study addressed the persistent issue of high recidivism rates among youth with intellectual and co-occurring mental health disorders following discharge from therapeutic foster care. Using the Baldrige Excellence Framework as a guiding model, the research explored how BHLs assess reunification success, engage families, and navigate systemic and individual challenges that hinder sustainable transitions to home environments. Data collection involved semi-structured interviews with administrators and supplemented by organizational documents and reports. Thematic …
The Need For Training That Supports Students With Emotional And Behavioral Disorders For General Educators, Stacey Warren
The Need For Training That Supports Students With Emotional And Behavioral Disorders For General Educators, Stacey Warren
Walden Dissertations and Doctoral Studies
Research shows that general education teachers experience the most success serving special education students in the general education setting when they are well prepared to support these students’ unique needs. The problem addressed in this study was that middle school general education teachers were unprepared to include students with emotional and behavioral disorders (EBD) in the general education classroom in one local Southeastern U. S. school district. Guided by Knowles’s adult learning theory, the purpose of this qualitative case study was to explore the training middle school general education teachers received to support students with EBD in the classroom and …
Improving Evidence-Based Depression Screening In A Primary Care Clinic, Stella Ndukwe
Improving Evidence-Based Depression Screening In A Primary Care Clinic, Stella Ndukwe
Walden Dissertations and Doctoral Studies
Depression affects more than 21 million U.S. adults annually and is a leading cause of disability worldwide. Unidentified and untreated depression is associated with poor patient outcomes including chronic disease, disease exacerbation, increased healthcare utilization, decreased quality of life, and suicide. The aim of this staff education project was to increase the use of the Patient Health Questionnaire-9 (PHQ-9) for depression screening in a primary care clinic. The clinical practice problem identified was the underutilization of a standardized depression screening tool, leading to missed or delayed depression diagnoses. The project addressed the question of whether education of the health care …
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that the application and enrollment rates for African Americans pursuing a medical education/degree are lower than those of other ethnicities in the United States. The purpose of this basic qualitative study was to investigate the perspectives of admissions committee members regarding the low application and enrollment of African American students in medical school and to investigate their recommendations for improvement. Using critical race theory as the conceptual framework, semistructured interviews were conducted with seven experienced medical school admissions professionals. Qualitative content analysis was used, employing deductive and inductive coding. Seven themes emerged: (a) …
The Effects Of Crossfit And Pharmacology On Generalized Anxiety Disorder Symptoms And Self-Efficacy Levels, Priscilla Kay Fleming
The Effects Of Crossfit And Pharmacology On Generalized Anxiety Disorder Symptoms And Self-Efficacy Levels, Priscilla Kay Fleming
Walden Dissertations and Doctoral Studies
Nearly half of individuals diagnosed with generalized anxiety disorder (GAD) who are provided with an SSRI or SNRI medication do not experience a clinically meaningful reduction of symptoms or a full remission of symptoms. A gap in the literature existed for comparisons of treatment approaches and their outcomes for GAD symptoms and self-efficacy levels. Research questions for this study were: Is there a difference in GAD symptoms between the CrossFit participants and pharmacology participants at the point of three months treatment regimen?, and Is there a difference in self-efficacy levels between the CrossFit participants and pharmacology participants at the point …
Microlearning As An Effective Training Method For Healthcare Employees To Improve Competencies And Organizational Success, Laqurandra Weeks
Microlearning As An Effective Training Method For Healthcare Employees To Improve Competencies And Organizational Success, Laqurandra Weeks
Walden Dissertations and Doctoral Studies
Challenges in keeping healthcare employees motivated raise concerns to organizational leaders because of healthcare’s changing and complex environments. Healthcare leaders are concerned because, without the proper training, an employee’s level of competence may negatively affect the quality of care they provide and patient safety. The specific research problem is the lack of lived experiences regarding the effectiveness of microlearning that have not readily had access to healthcare employees’ feedback and their preference for learning to apply skills and knowledge in the workplace. Grounded in microlearning theory, the purpose of this qualitative hermeneutic study was to explore the lived experiences of …
Staff Education To Improve Patient Follow Through And Continuity Of Care, Aitenobhan Cynthia Ofeinmun
Staff Education To Improve Patient Follow Through And Continuity Of Care, Aitenobhan Cynthia Ofeinmun
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project was conducted in the adult inpatient psychiatric unit of a behavioral health facility in Texas over 4 weeks. The project involved addressing the absence of standardized staff practices related to patient follow through after discharge. This practice gap contributed to fragmented continuity of care and inconsistent discharge planning. The project’s practice-focused question was: How does staff education on patient follow through impact staff knowledge? The goal was to determine whether an evidence-based staff education program could improve staff knowledge and promote efficiency in terms of discharge practices. Education was delivered through …