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A Comparative Analysis Of Rural And Urban Mental Health Counselors’ Burnout Levels During The Covid-19 Pandemic, Pietro Martucci
A Comparative Analysis Of Rural And Urban Mental Health Counselors’ Burnout Levels During The Covid-19 Pandemic, Pietro Martucci
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic substantially increased occupational demands on mental health counselors, intensifying burnout and threatening clinician well-being, workforce sustainability, and quality of care. Guided by Resiliency Theory, this quantitative cross-sectional study examined burnout among rural and urban mental health counselors during the COVID-19 pandemic, with geographic location serving as the independent variable. Participants included 108 licensed master’s- and doctoral-level counselors in the United States who provided direct clinical services in rural or urban settings between March 1, 2020, and March 1, 2021. Data were collected using an online survey that included a demographic questionnaire and the Maslach Burnout Inventory–Human Services …
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that approximately 34% of African American male students had dropped out of high school in an urban public school district in the Northern United States. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this basic qualitative study was to explore school social workers’ perceptions of the effectiveness of strategies used to reduce dropout rates among African American male high school students. Purposive sampling was used to recruit 10 school social workers from one urban public school district who worked with African American male students at risk of dropping out. Data was collected …
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Walden Dissertations and Doctoral Studies
The rise of online health information has increased access to cancer resources but also amplified misinformation, creating trust gaps that threaten prevention, treatment, and health equity. This study examined how trust in cancer information sources, online information-seeking, and healthcare perceptions relate among U.S. adults. Guided by the health information seeking behavior, the socioecological model, and the structural influence model of health communication, data from the 2022 Health Information National Trends Survey (N = 6,197) were analyzed with logistic regression, mediation, and moderation modeling, controlling for demographics. Trust in government agencies predicted greater cancer information seeking (odds ratio [OR] = 1.94, …
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
Walden Dissertations and Doctoral Studies
Physical inactivity among older adults remains a major national and global public health concern linked to preventable morbidity, mortality, and rising healthcare costs. Physical therapists are uniquely positioned to promote physical activity (PA) through health education, yet their engagement in this role is not well defined. This quantitative cross-sectional study examined associations between clinical practice factors—years of experience, board certification status, and practice setting—and three domains of the theoretical domains framework (knowledge, skills, and behavioral regulation) related to PA promotion among older adults. The framework guided identification of behavioral and contextual factors influencing therapists’ delivery of PA promotion interventions. Data …
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Minority Leaders’ Impact On Corporate Diversity And Organizational Change, Nana Kwasi Amponsah
Walden Dissertations and Doctoral Studies
Workplace diversity continues to face criticism due to the limited representation of minority groups, with little progress made in the corporate sector. Despite corporations’ efforts to increase diversity and inclusion in the workplace, a notable lack of minority leadership persists in upper management roles. The purpose of this explanatory sequential mixed-method study was to explore the factors that affect the selection of minority leaders and how corporate executives utilize diversity, equity, and inclusion (DEI) initiatives to foster significant organizational change, even in the face of ongoing underrepresentation in upper management. Social dominance theory, anti-egalitarianism, and social construction theory grounded this …
Coworkers' Lived Experiences Of Being Exposed To Healthcare Professionals Misusing Substances, Juratu Garuba-Agbebaku
Coworkers' Lived Experiences Of Being Exposed To Healthcare Professionals Misusing Substances, Juratu Garuba-Agbebaku
Walden Dissertations and Doctoral Studies
Despite the harm of substances, coworkers in hospitals, healthcare facilities, and urgent care centers found themselves among healthcare professionals who misused substances such as alcohol and prescription medication. Grounded in social cognitive theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of coworkers who have been exposed to healthcare professionals’ substance misuse. The participants consisted of 12 healthcare professionals working in various hospitals, healthcare facilities, and urgent care centers in the United States. Data were collected using semistructured interviews. Through Colaizzi’s seven-step analysis, five themes emerged: (a) emotional experiences, (b) ethical reflections, (c) cognitive …
A Caregiver’S Perspective Of Caring For Children With Intellectual Disabilities, Lajoy Johnson Law
A Caregiver’S Perspective Of Caring For Children With Intellectual Disabilities, Lajoy Johnson Law
Walden Dissertations and Doctoral Studies
Current estimates reported by the National Institute of Health suggest that between 1.4 and 2.2 million children in the United States have some form of intellectual disability. These children need caregivers, yet in the literature there is a lack of studies focusing on the experiences of caregivers raising children with intellectual disabilities. Further, there is a lack of public policies and programs for Washington, D.C. caregivers. The purpose of this general qualitative study was to explore the lived experiences of these caregivers in Washington, D.C. and to identify what policies, programs, and services are needed to support them. Guided by …
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Walden Dissertations and Doctoral Studies
Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Walden Dissertations and Doctoral Studies
Clinical supervision practices, although essential to counselor development, often reflect limited cultural competence among supervisors contributes to unclear expectations, conflicting roles, and isolation, leading to stress, negative internalization, and compromised professional development. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of racial and ethnic minority supervisees in clinical supervision within the mental health counseling profession. The research question was: What are the lived experiences of racial and ethnic minority supervisees who have been involved in clinical supervision? The framework guiding the study was hermeneutic phenomenology. Data from interviews with eight participants were analyzed using the …
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Walden Dissertations and Doctoral Studies
Organizations increasingly rely on business process outsourcing (BPO) to reduce costs, access specialized expertise, and improve efficiency; however, failure rates in BPO initiatives remain high, leading to financial loss, operational disruptions, and reduced competitiveness. Business leaders who lack effective strategies to manage outsourcing projects risk eroding customer satisfaction and organizational performance. Grounded in transaction cost economics and the resource-based view, the purpose of this qualitative single-case study was to explore strategies some business leaders used to successfully manage BPO initiatives. The participants included 10 senior managers from organizations in the southeastern United States who had demonstrated success in overseeing outsourcing …
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Walden Dissertations and Doctoral Studies
Despite ongoing eradication efforts, female genital mutilation and cutting (FGM/C) remains a major public health and human rights concern in Ethiopia. This quantitative study was conducted to examine how circumciser type (traditional cutter, birth attendant, or health professional) influences FGM/C prevalence and severity among girls ages 0–14, considering the moderating effects of residence and mothers’ FGM status, while controlling for age and income. Guided by the social ecological model and using 2016 E Ethiopian Demographic Health Surveys data, analysis indicates a significant association between circumciser type and FGM/C type (χ² (2, N = 1,553) = 6.86, p = .032), which …
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Walden Dissertations and Doctoral Studies
A persistent gap exists involving health outcomes for Black women in the United States, regardless of socioeconomic status when compared to Black men and White women. This qualitative case study involved exploring the influence of social support on health-seeking behaviors among Black women. Sixteen participants, between ages 22 to 49 from nine states, were recruited. Data was collected using semi-structured interviews based on the social support theory. An analysis of the network composition showed that family members (including mothers, fathers, sisters, and partners), friends, community support groups not connected to social media, and online community support groups were the most …
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
Walden Dissertations and Doctoral Studies
E-cigarette use among U.S. high school students is a significant public health issue. Factors such as mattering, sexual orientation, and gender identity (SOGI) influence e-cigarette use among adolescents, yet few studies have explored the relationship between mattering and e-cigarette use when considering SOGI. This quantitative study explored the association between past 30-day e-cigarette use and mattering among Maine high schoolers while controlling for SOGI and grade level. This correlational cross-sectional study used the 2023 Maine Integrated Youth Health Survey data, and the socioecological model served as the theoretical foundation. A multivariate binary logistic regression analysis indicated a significant association between …
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Walden Dissertations and Doctoral Studies
In this qualitative study, attachment styles of women who are attracted to violent incarcerated men were investigated. Bowlby’s attachment styles were used to develop an insight into the women who are attracted to violent incarcerated men. Steinberg’s theory of love was used for a more intimate view into the women and their pursuit of relationships with incarcerated males. The findings revealed that the women identify as having anxious attachment styles and are insecure-ambivalent/resistant. Those with anxious attachment styles yearn to develop supportive relationships as their insecurities hinder them from developing trust, satisfaction, commitment, and interdependence. As for being insecure-ambivalent/resistant, it …
Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty
Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty
Walden Dissertations and Doctoral Studies
The lack of diversity in healthcare management is a social issue that can lead to increased implicit bias and adverse effects on patient care and quality. This study examined the underrepresentation of Black RNs in leadership roles within healthcare. The purpose of this qualitative descriptive study was to explore the perceptions of Black RNs in leadership regarding the opportunities and resources they need for advancement, as outlined in three research questions. A sample of 10 BSN nurses responded to 10 semi-structured interview questions, grounded in critical race theory. Codes were developed from responses, resulting in nine themes and 16 sub-themes, …
Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul
Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul
Walden Dissertations and Doctoral Studies
This doctoral staff education project was developed to address a significant gap in nursing practice, specifically the limited knowledge of outpatient clinical staff regarding cultural, social, and health literacy factors that influence the management of chronic hypertension in African American (AA) patients. Through this project, I aimed to equip clinical staff with evidence-based, culturally competent strategies to promote equitable, patient-centered care. This project was guided by the following practice-focused question: Can an evidence-based practice educational session on how external factors impact the management of chronic hypertension in the AA population enhance staff knowledge and understanding? Using the analysis, design, development, …
Exploring U.S. Sports Marketing Strategies For Maximizing A Fluid Fan Base, Dylan Houseworth
Exploring U.S. Sports Marketing Strategies For Maximizing A Fluid Fan Base, Dylan Houseworth
Walden Dissertations and Doctoral Studies
Fluid fandom, characterized by consumers’ shifting allegiances across players, teams, and organizations, has become increasingly prevalent within the U.S. sports marketplace. Many U.S. sports marketing managers lack clearly defined, evidence-based strategies for effectively engaging fluid fans, creating uncertainty around how to maintain brand loyalty, competitive positioning, and long-term organizational viability. Grounded in Stryker’s identity theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies U.S. sports marketing managers use to engage and maximize a fluid fan base. A purposeful sampling of six sports marketing professionals from U.S.-based organizations was selected, with each participant required to have a …
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Walden Dissertations and Doctoral Studies
Humane education (HE) encompasses multiple concepts, including animal ethics, ecological environment, and social justice. The problem prompting this study was that individuals who have graduated from a higher education HE program face challenges in successfully integrating HE into their K–12 classrooms. Grounded by Weil's solutionary approach to HE, the purpose of this basic qualitative study was to explore the teaching experiences of individuals who graduated from a higher education HE program and successfully integrated HE into their classrooms. Participants were purposefully sampled from a small population of educators who completed a U.S. degree or certificate program in HE and successfully …
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Walden Dissertations and Doctoral Studies
Type II diabetes (DB2) is one of the leading causes of death in the United States, whether directly or as a comorbidity. This is especially alarming for Native Americans, who have the highest DB2 prevalence and death rates when compared to their non-Native American peers. This qualitative phenomenological study explored the lived experiences of Lumbee Tribe members in Robeson County regarding DB2. The health belief model was used as a lens through which to understand and interpret findings. In-person semi-structured audio-recorded interviews were conducted with 12 participants recruited through social media. Data were coded and analyzed using deductive thematic analysis. …
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …
Unintended Consequences Of California’S Proposition 12 Affecting Low-Income Communities, Blanca Estella Garcia
Unintended Consequences Of California’S Proposition 12 Affecting Low-Income Communities, Blanca Estella Garcia
Walden Dissertations and Doctoral Studies
The background of this study established context describing the 2018 implementation of Proposition 12 in California, a law intended to improve animal welfare standards. The central problem identified the law’s unintended effects on multiple stakeholders, which prior literature suggested could include increased production costs and limit consumer access. However, existing studies have focused on theoretical and economic projections, leaving gaps in understanding secondary data research and practical impacts on farmers and low-income consumers. The purpose of the study was to examine unforeseen consequences of Proposition 12, with attention to its direct and indirect impacts on animal welfare, farmers, and low-income …
Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams
Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams
Walden Dissertations and Doctoral Studies
Academic scholars have researched the impact of artificial intelligence (AI) on privacy, trust, and data governance; however, substantial gaps remain—particularly regarding how AI influences consumer trust and privacy among Texas consumers subscribed to digital platforms. The purpose of this generic qualitative study was to explore how Texas consumers experience and perceive online platforms for personal and private use regarding online data privacy and trust, underscoring the gap in prior research on how state-level consumer protection laws, such as the Texas Deceptive Trade Practices Act (DTPA), address concerns relative to data trust, privacy, and digital protection. The conceptual framework that guided …
Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley
Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley
Walden Dissertations and Doctoral Studies
Independent quick-service restaurant owners face challenges sustaining their businesses beyond 5 years of operation. Many independent quick-service restaurant owners are concerned about maintaining sustainable business operations, as failure can negatively affect owners, employees, and the communities they serve. Grounded in the resourcebased view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful sustainability strategies that quick-service restaurant owners used to survive beyond 5 years. The participants were six independent, quick-service restaurant owners operating in the state of Maryland who employed effective sustainability strategies to survive for more than 5 years. Data were collected using semistructured …
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Walden Dissertations and Doctoral Studies
Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …
Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell
Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell
Walden Dissertations and Doctoral Studies
Approximately one in six youth ages 6 to 17 years old in the United States have a mental health disorder, such as depression and anxiety. Out of the 119,000 youth in Michigan in that age group, roughly 57.8% are not receiving proper mental health support services. Students are at school for a large majority of their day, so it is important that they have access to school-based services. The purpose of this basic qualitative study was to understand the perceptions of secondary education teachers in Wayne County, Michigan, on school-based mental health support services. Using the community level and the …
Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson
Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson
Walden Dissertations and Doctoral Studies
Information technology (IT) supply chains need innovative technology integration strategies to create and maintain a competitive advantage. IT supply chain managers who lack effective technology supply chain integration strategies risk decreased competitive advantage and reduced profitability. Grounded in the Technology Acceptance Model, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective innovative technology integration strategies supply chain managers use to enhance profitability. Participants consisted of six IT and supply chain managers with at least 5 years’ experience in integration of technology into supply chains. Data was collected through semi-structured interviews and a review of …
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks
Walden Dissertations and Doctoral Studies
Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Walden Dissertations and Doctoral Studies
Abstract The staff education project to improve knowledge of probiotic use and benefits with antibiotic use, has shown to improve patient recovery and outcome. The post-implementation impact of the project is increased awareness of probiotic use and their benefits to prevent Antibiotic. Associated Diarrhea at the project site organization. I identified no limitations in the project. Staff education can be used worldwide to prevent digestive diseases with the use of probiotics supplements or probiotic food. Probiotics use is to improve patient outcomes by maintaining gut microbiome and digestive health. The evidence-based practice solution of a staff education on probiotic use …
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
The Lived Experiences Of African American Child Sexual Abuse Survivors And Their Relationships With The Perpetrators, Anita Joyner
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) can be detrimental to survivors well into adulthood and can affect the relationships of everyone with whom they are involved. Knowing the perpetrator is a determining factor in the equation and is associated with increased odds of behavioral health challenges among survivors. This is especially true within African American communities, where cultural violence results in an increased level of trauma. The purpose of this qualitative study was to examine the lived experiences of African American CSA survivors and their relationships with the perpetrators. As part of the phenomenological design, data were collected through semi-structured interviews with …