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Walden Dissertations and Doctoral Studies

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Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji Jul 2026

Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji

Walden Dissertations and Doctoral Studies

This staff education project addressed inconsistent staff knowledge of prenatal depression screening and follow-up protocols in an outpatient behavioral health practice serving prenatal patients. Prenatal depression is a nursing practice concern because delayed identification and inconsistent follow-up may affect maternal well-being, infant outcomes, family functioning, and timely access to behavioral health support. The practice-focused question was: According to the evidence, among clinical staff in an outpatient maternal mental health setting, what is the impact of structured staff education on adherence to prenatal depression screening on follow-up protocol knowledge? The purpose was to improve clinical staff knowledge through a structured education …

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Ai Vs. Licensed Psychologists: A Comparative Analysis Of Treatment Plan Quality For Treating Psychological Distress, Michael Edward Maloney Jul 2026

Ai Vs. Licensed Psychologists: A Comparative Analysis Of Treatment Plan Quality For Treating Psychological Distress, Michael Edward Maloney

Walden Dissertations and Doctoral Studies

The study was conducted to investigate whether statistically significant differences exist in the quality of treatment plans developed by artificial intelligence (AI) platforms versus treatment plans generated by licensed psychologists, with a focus on intervention specificity and clinical appropriateness. Given the rapid proliferation of digital mental health technologies and the persistent shortage of licensed mental health professionals, empirical evaluation of AI-driven clinical tools has become a critical area of inquiry. Grounded in dual process theory (DPT), which conceptualizes decision making as the product of both intuitive and analytical cognitive systems, the study employed a quantitative, between-groups design. Sixty-six licensed psychologists …

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Metropolitan Public School Counselors’ Perceptions On Implementing The Ohio K–3 Social And Emotional Learning Standards, Sharon Johnson Jul 2026

Metropolitan Public School Counselors’ Perceptions On Implementing The Ohio K–3 Social And Emotional Learning Standards, Sharon Johnson

Walden Dissertations and Doctoral Studies

In 2019, the Ohio Department of Education adopted K–12 Social and Emotional Learning (SEL) standards to support students’ emotional, behavioral, and academic development; however, the problem is that implementation remains optional across districts, resulting in variability in school counselors’ access and consistency. Although SEL implementation has been examined in educational settings, there is a gap due to a lack of available research that have explored metropolitan K-3 public school counselors’ lived experiences implementing the Ohio K-3 SEL standards. The purpose of this transcendental phenomenological study was to explore metropolitan K-3 public school counselors lived experiences implementing the Ohio K-3 SEL …

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Relationship Between Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Marketta Mccollough Jul 2026

Relationship Between Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Marketta Mccollough

Walden Dissertations and Doctoral Studies

The disproportionately high prevalence of obesity among African American young adults is a significant public health crisis rooted in systemic inequities. The purpose of this quantitative cross-sectional study was to examine the relationships between internet use for health information, perceived social support (online and offline), and obesity in this population. Grounded in the social cognitive theory (SCT), this study investigated how these behavioral and environmental factors interact to influence body mass index. Using secondary data from the 2021–2023 National Health and Nutrition Examination Survey, a complex samples logistic regression with a Bonferroni correction (α = .0125) was conducted on an …

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Proposal For A Comprehensive Workplace Violence Program In An Acute Care Facility, Christin V. Timmons Jul 2026

Proposal For A Comprehensive Workplace Violence Program In An Acute Care Facility, Christin V. Timmons

Walden Dissertations and Doctoral Studies

Workplace violence (WPV) in healthcare is a growing threat to caregiver safety, workforce stability, and patient outcomes. At a newly opened acute care facility, the absence of a comprehensive WPV prevention program posed a gap in practice, creating safety risks and regulatory vulnerability. A literature search was conducted using CINAHL, PubMed/ MEDLINE, ProQuest Nursing & Allied Health collection, and Google Scholar. A total of 50 articles were identified with 11 articles meeting all inclusion criteria. Collectively, findings supported comprehensive, multicomponent WPV prevention programs to integrate leadership engagement, structured governance, staff education, environmental controls, and continuous data monitoring to improve safety …

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The Relative Strength Of Social Media Motives, Perceived Race Relations, And The Centrality Of Black Identity In Predicting Black Community Activism, Johnnie Gordon Jul 2026

The Relative Strength Of Social Media Motives, Perceived Race Relations, And The Centrality Of Black Identity In Predicting Black Community Activism, Johnnie Gordon

Walden Dissertations and Doctoral Studies

As social media has become a central context for identity development, sociopolitical awareness, and civic engagement among Black emerging adults, exposure to racialized content, experiences of online discrimination, and competing narratives regarding racial progress may heighten awareness of systemic inequities and strengthen collective racial identity. To date, the potential of these experiences to motivate engagement in Black community activism to advocate for community empowerment has not been investigated. Informed by social identity theory, this quantitative study assessed the relative importance of motives for social media use, perceived racial progress, and Black identity centrality in predicting Black community activism among emerging …

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Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis Jul 2026

Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis

Walden Dissertations and Doctoral Studies

Emotional competence is essential for effective clinical practice, professional development, and client care. However, limited research has examined how emotional competence develops among students in fully online doctoral clinical psychology programs. This qualitative descriptive phenomenological study explored how students enrolled in online doctoral clinical psychology programs experience the development of emotional competence during clinical field training. Guided by Goleman’s emotional competence framework, the lived experiences of doctoral students as they developed emotional awareness, emotional regulation, empathy, and relationship management skills was examined. Data were collected through semistructured interviews with 10 purposively selected participants enrolled in online doctoral clinical psychology programs …

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Association Between Resource Availability And Wellbeing Of Autism Patients In Ghana, Kwabena Aduse-Poku Jul 2026

Association Between Resource Availability And Wellbeing Of Autism Patients In Ghana, Kwabena Aduse-Poku

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that presents significant challenges for children and families in Ghana, where resources remain limited. Grounded in the social ecological model, this quantitative cross-sectional study examined the associations between autism management programs and wellbeing, defined briefly as independent functioning in daily life and learning of autism patients enrolled in selected institutions in Accra and Kumasi, Ghana. Data were collected from N=122 autism patients using structured questionnaires that were completed by caregivers and program staff. Binary logistic regression analyses were conducted to assess relationships between program type, regional location, and years of enrollment and …

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Association Between Opioids And Leukemia/Lymphoma In Adults Living In The United States, Brenda Sue Newberry-Colasanti Jul 2026

Association Between Opioids And Leukemia/Lymphoma In Adults Living In The United States, Brenda Sue Newberry-Colasanti

Walden Dissertations and Doctoral Studies

Opioid prescribing rates and opioid misuse remain high throughout the United States. Exposure to opioids has been positively associated with various cancers; however, research evaluating associations between opioid exposure and hematologic cancers like leukemia and lymphoma is limited. Using the Socio- Ecological Model as a foundation, this quantitative cross-sectional study aimed to analyze the association between medicinal opioid use, opioid misuse, and leukemia/lymphoma while exploring how selected social determinants of health (SDOH) may modify that relationship. Secondary data were pooled from the 2015–20-year United States National Survey on Drug Use and Health (NSDUH). One thousand three hundred and twenty binary …

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Effective Work-Life Balance Strategies That Small Business Owners Use To Increase Personal And Organizational Resilience, Anquinett Pope Jul 2026

Effective Work-Life Balance Strategies That Small Business Owners Use To Increase Personal And Organizational Resilience, Anquinett Pope

Walden Dissertations and Doctoral Studies

Small business owners frequently sustain their businesses at the cost of their personal health, which poses long-term threats to both organizational sustainability and resilience. The sustainability of a small business is often inseparable from the health, well-being, and decision-making capacity of its owner. The purpose of this qualitative single case study was to identify and explore effective strategies employed by some small business owners to balance personal and professional obligations to enhance business sustainability. The study was focused on one small business owner from a consulting firm based in the United Kingdom. The project was grounded in the Baldrige excellence …

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Health Literacy And Diabetes Self-Care Behavior, Eucharia Amaefule Jul 2026

Health Literacy And Diabetes Self-Care Behavior, Eucharia Amaefule

Walden Dissertations and Doctoral Studies

Limited health literacy is a significant barrier to effective diabetes self-management among adults with type 2 diabetes mellitus (T2DM), yet nationally representative evidence using comprehensive health literacy measures remains limited. Guided by the health belief model, the purpose of this quantitative, secondary data analysis using cross-sectional data was to examine the relationship between health literacy and diabetes self-care behaviors among U.S. adults with T2DM and determine whether education level moderated this relationship. Data from the 2016 Behavioral Risk Factor Surveillance System were analyzed for U.S. adults (N = 9, 535) with self-reported T2DM. Diabetes self-care behaviors included blood glucose monitoring, …

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High School Educational Leaders’ Perceptions On College And Career Readiness Programs, Sabrina Cosey-Davis Jul 2026

High School Educational Leaders’ Perceptions On College And Career Readiness Programs, Sabrina Cosey-Davis

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that despite the widespread availability of college and career readiness (CCR) programs in high schools, these programs are inconsistently designed, implemented, and aligned at the school level. Grounded in Conley’s CCR framework, the purpose of this study was to explore high school educational leaders’ perceptions on the design, implementation, and alignment of CCR programs within their schools. For this basic qualitative design, data were collected through semistructured interviews with 15 educational leaders including administrators, counselors, and department heads. Data were analyzed using Braun and Clarke’s six-phase thematic analysis with the following …

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A Program Proposal For A Leadership-Driven, Evidence-Based, Intentional Rounding Playbook, Jacqueline Butler Brown Jul 2026

A Program Proposal For A Leadership-Driven, Evidence-Based, Intentional Rounding Playbook, Jacqueline Butler Brown

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality. In an acute care hospital in Northeast Georgia, intentional rounding is an established practice. Inconsistent communication, variable leadership engagement, and limited accountability are practice gaps that have reduced its effectiveness in improving patient experience outcomes. A comprehensive literature review using PubMed, CINAHL, MEDLINE, and the Cochrane Library yielded 15 peer-reviewed studies that consistently support intentional rounding as an evidence-based strategy for improving patient satisfaction. As the team leader for this Executive Leadership System Improvement Project, I proposed the development of an Evidence-Based, Leader-Driven Intentional Rounding Program Playbook to standardize enhanced rounding …

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African American Women Counselors’ Lived Experiences Of Burnout Due To Microaggressions, Anquitra Walton Jul 2026

African American Women Counselors’ Lived Experiences Of Burnout Due To Microaggressions, Anquitra Walton

Walden Dissertations and Doctoral Studies

Within the counseling profession, African American women navigate unique challenges in the workplace, often experiencing microaggressions that contribute to stress, self-doubt, and emotional exhaustion. While systemic racial issues drive workplace microaggressions, counselor educators and supervisors remain ill-equipped to support African American women through the resulting burnout. The purpose of this qualitative study was to explore the lived experiences of African American women counselors to understand how microaggressions can lead to burnout and affect their psychological well-being. Guided by a transcendental-phenomenological qualitative framework, semi-structured interviews were conducted to capture participants’ experiences, exploring the lived experiences of African American women counselors who …

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North Dakota’S New Health Initiative The Multi-Partner Health Collaborative, Krissie L. Mayer Jul 2026

North Dakota’S New Health Initiative The Multi-Partner Health Collaborative, Krissie L. Mayer

Walden Dissertations and Doctoral Studies

North Dakota’s declining health outcomes and continued disparities demonstrate a need for a coordinated, multisector approach to statewide health improvement. This qualitative case study examined stakeholder perceptions of the initial effectiveness and potential sustainability of the Multi‑Partner Health Collaborative (MPHC) in advancing the State Health Improvement Plan (SHIP). Using systems theory (ST), the study explored how executive leadership, the steering committee, and goal groups function as interdependent subsystems whose alignment, communication, and feedback loops influence overall performance. Semi-structured interviews, analyzed thematically, reflected the patterns related to collaboration, SHIP implementation, barriers to effectiveness, and factors shaping long-term sustainability. Stakeholders generally viewed …

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Grit And Psychological Well-Being As Predictors Of Job Persistence Among K–12 Teachers In The United States, Tina Marie Sheppard Jul 2026

Grit And Psychological Well-Being As Predictors Of Job Persistence Among K–12 Teachers In The United States, Tina Marie Sheppard

Walden Dissertations and Doctoral Studies

Throughout the United States, K–12 public school teachers are leaving the profession, contributing to teacher shortages and instability in classrooms and schools. Teacher persistence is critical to student success, yet little was known about the nature of the predictive relationship between grit and psychological well-being on job persistence among K–12 public school teachers in the United States. Guided by the framework of positive psychology, the purpose of this quantitative nonexperimental correlational study was to investigate the nature of the predictive relationship between the independent variables grit, as measured by the 12-Item Grit Scale, and psychological well-being, as measured by the …

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The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn Jul 2026

The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn

Walden Dissertations and Doctoral Studies

The Flint, Michigan, water crisis of 2014, with lead contamination of drinking water, adversely affected predominantly Black, socioeconomically disadvantaged residents. However, no research has investigated residents’ experiences, especially their trust in local and state government leaders. The purpose of this study was to explore the lived experiences of the Flint water crisis and its psychological effects. Rawls’s theory of justice provided the framework for the study. Three research questions guided this qualitative descriptive phenomenological study. Information from eight Flint residents was collected through semi-structured interviews. Data analysis followed Giorgi’s descriptive phenomenological steps. Five strong themes emerged: understanding individual perceptions, views …

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How Female Leaders Perceive The Influence Of Gender On Career Advancement In The Indonesian Construction Industry, Jadeviput Suwanarat Jul 2026

How Female Leaders Perceive The Influence Of Gender On Career Advancement In The Indonesian Construction Industry, Jadeviput Suwanarat

Walden Dissertations and Doctoral Studies

Women who work in leadership positions in the construction industry in Indonesia face gender related challenges. Grounded in Acker’s theory of gendered organizations, this qualitative hermeneutic phenomenological study examined how women leaders experience and interpret gender-related workplace challenges. I collected data through semistructured interviews with nine women leaders in the Greater Jakarta Metropolitan Area and analyzed the data using the modified van Kaam method. Manual coding produced seven emergent themes. Key findings showed that gender inequality is embedded in organizational culture, policies, and everyday practices rather than occurring as isolated incidents. Women leaders reported heightened scrutiny, the need to continually …

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Principals' Perceived Leadership Training For Inclusive K-12 Education, Lettie E. Webster Jul 2026

Principals' Perceived Leadership Training For Inclusive K-12 Education, Lettie E. Webster

Walden Dissertations and Doctoral Studies

Adequate training and professional development enhance school principals’ effectiveness in leading inclusive K-12 schools. The problem addressed in this study was the gap in the literature on K-12 principals’ perceptions of the essential elements of preparation and ongoing professional development needed for effective leadership in inclusive educational settings. The purpose of this qualitative study was to explore K-12 school principals’ perceptions of essential components of preparation for effective leadership and the role of ongoing professional development in enhancing their effectiveness as leaders in inclusive educational settings. Beard’s engaged school leadership theory served as the conceptual framework. For this basic qualitative …

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Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit Jul 2026

Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit

Walden Dissertations and Doctoral Studies

Childhood sexual victimization is associated with long-term psychological, emotional, and functional challenges that may persist into adulthood. Despite a growing body of literature on childhood trauma, limited research has explored its residual effects on adult functionality among Black Caribbean immigrants. The purpose of this qualitative phenomenological study was to explore the residual effects of childhood sexual victimization on adult functionality among Black Caribbean immigrants. Purposive and snowball sampling were used to recruit 9 participants through social media platforms. Rational choice theory served as the conceptual framework to examine how trauma-related and sociocultural factors shaped participants' decision-making processes. Data were collected …

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Food And Drug Administration Audit Outcomes And Their Association With Class I And Class Ii Food Recalls, Mark Baker Jul 2026

Food And Drug Administration Audit Outcomes And Their Association With Class I And Class Ii Food Recalls, Mark Baker

Walden Dissertations and Doctoral Studies

Foodborne illness and food recalls remain major public health concerns in the United States. Guided by the Theory of Planned Behavior, the purpose of this quantitative secondary analysis was to examine whether Food and Drug Administration (FDA) inspection classifications, warning letters, and prior 24-month inspection frequency were associated with facility involvement in a subsequent Class I or Class II food recall. Question-specific analytic files were created from publicly available FDA administrative records. Eligible records included FDA-regulated food facilities with qualifying inspection or warning letter events and sufficient data to assess recall involvement within a 12-month follow-up period. The final analytic …

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Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson Jul 2026

Perceived Level Of Preparedness For A Terrorist Event Between State, Local And Tribal Law Enforcement Officers, Herbert Henderson

Walden Dissertations and Doctoral Studies

In this quantitative cross-sectional study, differences in perceived preparedness among state, local, and tribal law upon Kingdon’s multiple streams approach and Baumgartner and Jones’ punctuated equilibrium theory to explain administrative changes in law enforcement following the September 11, 2001, attacks. Data were collected from 53 full-time police officers across state, local and tribal agencies using a web-based survey instrument measuring enforcement officers in a northern border region were examined. Officers’ perceived preparedness to identify, prevent, and respond to future terrorist threats were evaluated. Whether perceived preparedness differed by agency type and whether officers with military experience or advanced homeland security …

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Administrative Discharge Strategies To Decrease Readmission Rates Of Black Patients In Acute Care Hospitals, Patricia Cummings Jul 2026

Administrative Discharge Strategies To Decrease Readmission Rates Of Black Patients In Acute Care Hospitals, Patricia Cummings

Walden Dissertations and Doctoral Studies

High 30-day hospital readmission rates among Black patients remain a healthcare administration problem associated with high costs and poor care quality. The purpose of this integrative review was to identify evidence-based discharge planning strategies to reduce hospital readmissions among Black patients. The review question was used to examine strategies healthcare administrators can implement to enhance discharge planning for Black patients. Donabedian’s structure-process-outcome model guided the review. A literature search yielded 87 relevant articles; 27 articles published from 2021 through 2026 were appraised using the Johns Hopkins evidence-based practice model, and 25 were used in this review. Thematic analysis resulted in …

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Bahamian Human Resource Practitioners' Perceptions Of Public Service Performance, Lanisha Tamar Rolle Jul 2026

Bahamian Human Resource Practitioners' Perceptions Of Public Service Performance, Lanisha Tamar Rolle

Walden Dissertations and Doctoral Studies

Strong, capable public service systems are essential to meeting society's needs, and perceptions of public-service performance indicate how people ultimately respond to and value public sector systems and performance. While the literature documented the perspectives of public service employees and citizens, and found that they generally believed that public service was inefficient and ineffective due to excessive bureaucracy, autocratic leadership, and political influence, little was known about the perspectives of other stakeholders who participate in or are affected by the public service performance process. The purpose of this generic qualitative study was to bridge the knowledge gap by gathering Bahamian …

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Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti Jul 2026

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …

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The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves Jul 2026

The Perceived Professional Impact Of Exposure To Stress Experienced By Mental Health Therapists During The Covid-19 Pandemic, Bianca J. Reaves

Walden Dissertations and Doctoral Studies

COVID-19 changed the methods in which therapy was traditionally delivered. Mental health therapists switched from in-person to virtual sessions during the pandemic. There was a gap in research related to stress levels of mental health therapists in the telehealth field. Adaptations were made by mental health therapists to provide services and as a result virtual platforms were used to connect with the community served. This qualitative research study was an exploration of mental health therapists perceived responses to stress or burnout in relation to a global pandemic. The theoretical foundation used to assess perceived stress is the Stress Theory. The …

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Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer Jul 2026

Examination Of Maternal Mortality, Mental Health Conditions, And Co-Occurring Factors, Laura Eileen Skaarer

Walden Dissertations and Doctoral Studies

Maternal mortality (MM) continues to be a public health concern in the state of Arizona. There is little to no research investigating the relationship between MM and mental health conditions co-occurring with contributing factors among women who have died in Arizona while pregnant or within 1 year of the end of a pregnancy. The purposes of this quantitative study, guided by the three delays model (3DM), were to examine (a) MM and mental health conditions as the primary underlying cause of death; (b) MM and mental health conditions surrounding death; and (c) significant contributing factors (i.e., discrimination, knowledge, lack of …

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An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate Jul 2026

An Exploration Of Factors Affecting Investments In Productivity Improvement, Gregory Springate

Walden Dissertations and Doctoral Studies

Canada has exhibited lower productivity growth since 1990, resulting in substantially reduced gains in citizens’ standards of living despite the importance of sustainable productivity to economic prosperity. Understanding the primary factors that influence productivity growth is a critical concern for Canadian government leaders, as it is a key indicator of the nation’s economic vitality, competitiveness, and citizens’ quality of life. The purpose of this qualitative multiple case study was to explore the factors that influenced the investment in productivity improvement of organizations in the energy sector in the Edmonton region of Alberta, Canada. The COSO internal control framework guided this …

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Clinical Practice Guideline To Improve Medication Adherence In Adults With Chronic Conditions In Outpatient Settings, Mulumbwa Chishimba Jul 2026

Clinical Practice Guideline To Improve Medication Adherence In Adults With Chronic Conditions In Outpatient Settings, Mulumbwa Chishimba

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice project was conducted to develop and assess a clinical practice guideline (CPG) to enhance medication adherence among adult patients with chronic illnesses in an outpatient setting. Adverse health-related outcomes include worsening chronic illness and developing complications, frequent hospital admissions, and rising costs of healthcare services. While some interventions are recommended based on the available literature, most outpatient facilities do not have systematic practices for monitoring and enhancing medication adherence among patients with chronic conditions. The evidence-based question was: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II …

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Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson Jul 2026

Staff Education To Decrease Workplace Violence Through De-Escalation Training In The Emergency Department, Tyrani Anderson

Walden Dissertations and Doctoral Studies

Workplace violence remains a significant issue in healthcare settings, particularly in emergency departments where psychiatric patients may present with aggressive behaviors. Nurses and healthcare staff are frequently exposed to verbal threats, intimidation, and physical aggression, which negatively impact staff safety, job satisfaction, and patient care quality. Despite workplace violence prevention policies, gaps remain in staff preparedness when managing escalating patient behaviors. The purpose of this Doctor of Nursing Practice project was to implement an evidence-based de-escalation training program to improve staff knowledge about managing aggressive psychiatric patients in the emergency department. The practice- focused question was: Can staff education on …

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