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Walden Dissertations and Doctoral Studies

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Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro Feb 2026

Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro

Walden Dissertations and Doctoral Studies

The present global business environment requires organizations to be proactive, dynamic, innovative, and resilient in the face of increasing competition. Corporate executives must understand how effective implementation of finance strategies influences performance and how these strategies can be leveraged to support sustainable, socially responsible initiatives. The purpose of this qualitative case study was to improve the understanding of corporate executives’ perspectives about the effects of the efficient implementation of corporate finance strategy on company performance. The conceptual framework included Modigliani and Miller’s capital structure theory, stakeholder theory, and agency theory. The participants comprised 13 senior corporate executives and finance managers …


Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena Feb 2026

Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena

Walden Dissertations and Doctoral Studies

Healing generational trauma involves counselors’ understanding and recognizing the symptoms of unhealthy coping mechanisms in adults who witnessed adverse emotional reactions as children. Generational trauma occurs when generations have trouble building healthy relationships and pass unhealthy coping mechanisms to future generations. There has been a reported increase in youth and adults seeking mental health services for generational trauma. The problem was that there was insufficient information about how counselors recognize and respond to the symptoms of generational trauma or what treatment methods or modalities to use to support patients. The purpose of this generic qualitative study was to explore the …


Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel Feb 2026

Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) affects approximately 18 million individuals in India, yet the factors influencing parental care-seeking behavior were not well understood. Guided by the health belief model, the purpose of this basic qualitative study was to explore how parents’ perceived severity of a child’s symptoms, parental beliefs about the causes of autism, and perceived mental and physical health outcomes of caregiving influence parents’ intention to seek services for children aged 1–10 years diagnosed with ASD in India. Data were collected using semistructured interviews with 10 mothers of autistic children. Data were analyzed using Braun and Clarke’s six-step thematic analysis. …


Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro Feb 2026

Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro

Walden Dissertations and Doctoral Studies

Mental health services are available to police officers, but many do not utilize these resources due to stigma, shame, and fear of job loss. This reluctance often forces officers to handle mental health issues alone, frequently leading to unhealthy coping strategies that negatively impact their well-being and job performance. While advancements in mental health support exist, they primarily serve larger departments, leaving the needs of small departments largely unmet. The foundation of the study was rooted in resilience theory, which holds that the impact of trauma on an individual is determined not by the event itself but by the coping …


Impact Of Incentive Policies On Mathematics And Science Teachers’ Retention In Guyana’S Rural Secondary Schools, Verna Adrian Feb 2026

Impact Of Incentive Policies On Mathematics And Science Teachers’ Retention In Guyana’S Rural Secondary Schools, Verna Adrian

Walden Dissertations and Doctoral Studies

Research on teacher retention in rural areas highlights persistent challenges, including geographic isolation, limited resources, and inadequate support. Studies have shown that financial incentives are critical for sustaining teacher retention, but a gap in the literature exists as to what specific non-financial challenges may also be important in influencing teachers’ long-term commitment. To address the social problem of teacher retention in rural secondary schools in Guyana, this study assessed the effectiveness of incentive policies in retaining teachers across four selected regions facing unique challenges. Data were collected through semi structured interviews and analyzed using thematic analysis. The purpose of this …


Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee Feb 2026

Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee

Walden Dissertations and Doctoral Studies

This is a qualitative case study on Organization X that used the Baldrige Framework to investigate employee burnout, a growing concern associated with staff turnover, reduced job satisfaction, depression, and disengagement. The goal was to examine how organizational leaders assess the effectiveness of burnout prevention strategies, identify organizational factors and leadership practices that either mitigate or increase burnout, and discover key factors that contribute to burnout. Semi-structured interviews, guided by the Baldrige Framework, were conducted with three leaders at Organization X. The themes resulting from interviews included burnout, open-ended communication, team cohesion, real-time protection, ethical leadership and authenticity, restoring norms, …


Community Reintegration Programs For Successful Reentry For Individuals Deemed Not Guilty By Reason Of Insanity, Joanna Baker Feb 2026

Community Reintegration Programs For Successful Reentry For Individuals Deemed Not Guilty By Reason Of Insanity, Joanna Baker

Walden Dissertations and Doctoral Studies

Very little research has been conducted on the institution of community reintegration programs for individuals deemed not guilty by reason of insanity (NGRI). In the United States, each state can determine the path for community reentry with the NGRI population. California has a strategic and supportive reentry program that requires services such as drug testing, individual therapy, and close monitoring. Other states, including North Carolina, do not have a reentry program in place for the NGRI population. No research exists comparing states with conditional release programs and states without these programs. Consistence in community reintegration programs among all states can …


Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren Feb 2026

Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) executive leadership systems improvement program presents the design of an evidence-based intensive outpatient program (IOP) in a community psychiatric clinic in the central region area of Maryland, to address the practice problem of fragmented transitions from inpatient psychiatry to routine outpatient services. This practice gap contributes to avoidable 30-day readmissions and prolonged emergency department boarding. The guiding practice question was as follows: In behavioral health organizations, how does a leadership-driven IOP implementation affect care transitions, staff engagement, and protocol adherence compared with existing discharge workflows? Local organizational indicators reveal elevated psychiatric readmission rates and …


Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu Feb 2026

Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu

Walden Dissertations and Doctoral Studies

Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …


Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis Feb 2026

Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis

Walden Dissertations and Doctoral Studies

This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …


The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen Feb 2026

The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen

Walden Dissertations and Doctoral Studies

Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …


Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel Feb 2026

Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel

Walden Dissertations and Doctoral Studies

Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …


Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo Feb 2026

Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo

Walden Dissertations and Doctoral Studies

Patient falls remain a significant patient safety concern in emergency departments (EDs) despite the routine use of fall risk screening tools. At the project site, continued fall events suggested a gap in staff knowledge, confidence, and consistent application of evidence-based fall prevention strategies. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted staff education intervention would improve ED nursing staff's knowledge, confidence, and intent to identify fall risk, implement prevention strategies, and respond appropriately to patient falls. Guided by the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) instructional design model, an evidence-based educational intervention was developed …


Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra Feb 2026

Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra

Walden Dissertations and Doctoral Studies

Inpatient falls continue to represent a significant nurse-sensitive quality indicator associated with patient injury, extended hospital stays, and increased healthcare costs. Despite the presence of established fall-prevention protocols, inconsistent completion of fall-risk assessments and uneven application of prevention strategies contributed to ongoing fall events at the project site. The practice problem addressed in this Doctor of Nursing Practice (DNP) project was the lack of consistent staff knowledge and application of evidence-based fall-prevention practices. The purpose of this evidence-based quality improvement project was to implement and evaluate a structured fall-prevention staff education program to increase inpatient staff knowledge related to fall-prevention …


Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle Feb 2026

Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle

Walden Dissertations and Doctoral Studies

The problem in this study was that at Windland Elementary School (WES; pseudonym) early childhood teachers experienced a 16% decrease in parent satisfaction with the school's ability to eliminate or reduce barriers to parent engagement. Framed by six types of activities that encompass family engagement from Epstein et al., the purpose of this study was to explore early childhood teachers' experiences in establishing and maintaining school-home relationships at WES. Data were collected through semistructured interviews with 10 Kindergarten through Grade 3 teachers who had at least 3 years’ teaching experience at WES. Thematic analysis using open coding yielded four key …


Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte Feb 2026

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte

Walden Dissertations and Doctoral Studies

Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …


Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin Feb 2026

Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin

Walden Dissertations and Doctoral Studies

The increasing complexity of healthcare delivery in Ghana highlighted the need for accurate and timely data-driven decision-making in clinical settings. The study examined how implementation affects the accuracy of immunization records, the speed of clinical decision-making, and overall immunization coverage rates in Ghanaian healthcare facilities. A quasi-experimental, cross-sectional design was used to compare clinical encounters in facilities that implemented the EIR with those that continued using paper-based systems. The Technology Acceptance Model guided the assessment of how healthcare providers’ perceptions of the EIR affected system utilization, while the Data-Driven Decision-Making framework and Anderson’s Behavioral Health Theoretical Model provided additional conceptual …


Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown Feb 2026

Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown

Walden Dissertations and Doctoral Studies

Mental health conditions affect 59 million individuals annually in the United States, translating to one in every four adults. Given this, mental health has emerged as a critical component of an individual’s overall health and well-being, with nurses being pivotal in identifying and addressing mental health concerns. However, research indicates that nurses often lack the knowledge and awareness to conduct mental health assessments. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on mental health assessments increased knowledge and awareness among nurses working in a local organization. A total of …


The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy Feb 2026

The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …


Staff Education Project Staff Education To Increase Knowledge Of The Patient Health Questionnaire-9 Screening Tool, Linda Ejem Feb 2026

Staff Education Project Staff Education To Increase Knowledge Of The Patient Health Questionnaire-9 Screening Tool, Linda Ejem

Walden Dissertations and Doctoral Studies

This staff education doctoral project focused on educating nursing staff about the Patient Health Questionnaire-9 (PHQ-9) for depression screening in inpatient psychiatric care. Addressing this issue is crucial, as poor adherence leads to missed diagnoses and treatment, increased hospital visits, and poor patient outcomes. Low adherence to the PHQ-9 depression screening protocol has emerged as a significant practice gap. The purpose of this doctoral project was to increase nursing staff knowledge of the PHQ-9 depression screening tool in psychiatric care through staff education. The practice-focused question was: Does education on PHQ-9 depression symptoms improve nursing staff knowledge as compared pre- …


The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga Feb 2026

The Predicting Value Of Grit And Helicopter Parenting On Relational Satisfaction, Ashley Ann Puga

Walden Dissertations and Doctoral Studies

Helicopter parenting has been extensively studied within the emerging adult population. However, previous studies have recruited their participants solely from a university setting. The current literature on grit and emerging adults is limited. Therefore, this study sought to add to the current literature by recruiting emerging adults through multiple platforms, such as multiple social media platforms, to allow non-university participants. This study also sought to add to the current literature on emerging adults and grit. Utilizing the theories of social learning theory and self-determination theory, the purpose of this quantitative, correlational study was to determine if helicopter parenting and grit …


Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson Feb 2026

Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson

Walden Dissertations and Doctoral Studies

This staff education project addressed a practice gap in a psychiatric facility where nonclinical staff frequently submitted incomplete referral documentation for patients with co-occurring medical and psychiatric conditions. Due to the facility’s inability to provide acute medical stabilization, medical clearance is required before nurse practitioners can determine admission appropriateness. The project question was, Does educating intake staff on a standardized referral checklist improve knowledge of referral criteria, as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model informed evidence translation, and the analysis, design/development, implementation, and evaluation (ADDIE) instructional design model underpinned the development and evaluation …


Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu Feb 2026

Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu

Walden Dissertations and Doctoral Studies

This doctoral project implemented a staff education program to promote nursing knowledge of resilience training and stress management at an outpatient mental health clinic. Workplace stress contributes to medication errors and to poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Nurse Communication scores, both of which undermine patient safety. The practice-based question was: Does resilience education enhance stress management strategy knowledge from pre- to post-education? The purpose was to evaluate whether structured resilience education improved nursing knowledge of stress management, guided by the analysis, design, development, implementation, and evaluation (ADDIE) model. Using the Johns Hopkins evidence-based practice (JHEBP) …


Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran Feb 2026

Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran

Walden Dissertations and Doctoral Studies

As Generation X (GenX) women near full retirement age, concerns about retirement preparedness have increased due to limited time to save and greater dependence on employer-sponsored retirement plans. The purpose of this qualitative single case study was to explore Gen X women’s perceptions of their retirement preparedness and to identify themes that influence effective retirement planning. Life cycle theory, the theory of reasoned action, and vested interest theory ground the conceptual framework for this study, which together explain how individuals anticipate future needs and engage in intentional financial behaviors. The study primarily focused on participants’ perceptions of retirement preparedness and …


Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor Feb 2026

Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor

Walden Dissertations and Doctoral Studies

Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …


Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele Feb 2026

Staff Education On Mindfulness-Based Intervention To Reduce Burnout Among Mental Health Clinicians, Abosede Oyeronke Oyedele

Walden Dissertations and Doctoral Studies

Clinician burnout is increasingly prevalent in outpatient mental health settings due to high emotional demands, heavy caseloads, and limited organizational resources, contributing to reduced job satisfaction, increased turnover, and diminished quality of care. The gap in practice at the project center revealed a deficiency in knowledge among mental health clinic staff regarding effective stress management and burnout prevention, which led to the practice question: Does educating providers and staff on mindfulness-based interventions improve knowledge, as evidenced by pre- and postsurveys? To close this gap, this Doctor of Nursing Practice (DNP) project educated staff members on mindfulness-based interventions (MBIs). The Walden …


Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel Feb 2026

Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel

Walden Dissertations and Doctoral Studies

There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …


Staff Education For Timely Sepsis Intervention At The Medical Center, Latonya Summers-Oliver Feb 2026

Staff Education For Timely Sepsis Intervention At The Medical Center, Latonya Summers-Oliver

Walden Dissertations and Doctoral Studies

This project developed a staff education program to clarify the concept of “time zero,” essential for timely sepsis intervention, in alignment with the SEP-1 core measure by CMS, which prescribes evidence-based treatment bundles within specific time frames. Aiming to improve staff knowledge in sepsis identification, treatment, and management, the program incorporated a literature review supporting educational strategies that enhance mortality rates and clinical outcomes. Using pre- and posttest assessments, the study demonstrated significant improvements in staff knowledge following targeted education on sepsis recognition and timely management. The findings underscore the importance of standardized, accessible training programs to improve clinical response, …


Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota Feb 2026

Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a practice-focused staff education initiative designed to improve clinical staff knowledge, confidence, and readiness to educate adult patients enrolled in a Tirzepatide weight-management program. Tirzepatide has demonstrated superior weight-loss outcomes compared to other glucagon-like peptide-1 (GLP-1) receptor agonists; however, inconsistent staff education practices related to medication administration, adverse-event management, and lifestyle counseling present a gap in practice. Variability in staff knowledge and teaching approaches may reduce confidence, contribute to inconsistent patient education, and limit the effectiveness of evidence-based care delivery. The purpose of this DNP project was to address this practice gap …


Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion Feb 2026

Exploring The Impact Of Childhood Sexual Abuse On Self-Esteem And Interpersonal Trust In African American Women, Elizabeth Omorodion

Walden Dissertations and Doctoral Studies

Although childhood sexual abuse (CSA) is known to affect survivors’ subsequent self- esteem and interpersonal trust levels, its long-term impacts among African American women were not fully understood. The purpose of this qualitative phenomenological study, which was grounded in attachment theory and trauma theory, was to explore how CSA shapes African American women’s self-esteem, interpersonal trust, and healing processes in adulthood. To answer the study’s seven research questions, semistructured interviews were conducted with eight African American women. The use of Braun and Clarke’s reflexive thematic analysis approach yielded seven themes: (a) impaired trust, (b) disrupted self-esteem, (c) resilience and strength …