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Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …
Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung
Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung
Walden Dissertations and Doctoral Studies
Summary Adult attention-deficit/hyperactivity disorder (ADHD) remains significantly underdiagnosed in outpatient psychiatric settings despite its substantial impact on functioning and long-term mental health outcomes. At the project site, inconsistent screening practices, limited clinician familiarity with DSM-5-TR adult diagnostic criteria, and variable application of the Adult ADHD Self-Report Scale (ASRS) contributed to delayed or missed diagnoses, representing a clear practice gap. This Doctor of Nursing Practice (DNP) project implemented a structured, nurse-led staff education program to improve clinician knowledge, diagnostic accuracy, and standardized workflow adoption for adult ADHD screening using the ASRS. Guided by national evidence-based guidelines, the intervention emphasized DSM-5-TR criteria, …
Food Security Through Church-Sponsored Food Programs, Samantha Scott
Food Security Through Church-Sponsored Food Programs, Samantha Scott
Walden Dissertations and Doctoral Studies
A south-suburban Cook County, IL city lacks grocery stores with high-quality food options, which contributes to food insecurity. Residents often rely on highly processed, low-nutrient foods, contributing to nutritional vulnerability. Friendship Church’s food bank sporadically serves this food desert, but sustaining its operations is challenging. Using community-based participatory action research design and the food security theory, data were collected from 25 semistructured interviews with food bank beneficiaries and church staff/volunteers and analyzed using reflective thematic analysis. The four dimensions were examined: availability, access, utilization, and stability. Two questions guided the research: How do parishioners in one south-suburban Cook County community …
Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer
Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer
Walden Dissertations and Doctoral Studies
This study explored how informal caregivers of colorectal cancer (CRC) gain access to supportive care services at integrated cancer care institutions. Although supportive care aims to improve the quality of life for patients and caregivers, there is limited research on how informal caregivers participate in distress screening, and no standard process exists across settings. This study used a qualitative phenomenological approach to explore the lived experiences of 10 oncology nurses with screening informal caregivers for distress and referring them to supportive care within integrated cancer care institutions. The Global Supportive Care Framework for Cancer Care served as the theoretical framework …
Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren
Staff Education To Reduce The Incidence Of Bias In Managing Patients With Opioid Use Disorder In A Rehabilitation Center, Almarie Alison Mclaren
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed stigma and implicit bias toward individuals with opioid use disorder (OUD) within a rehabilitation subacute care setting. OUD remains a significant public health concern and at the project site, inconsistent staff education was identified as a practice gap requiring intervention. The purpose of this practice-focused DNP project was to evaluate the impact of a structured staff education intervention on healthcare staff knowledge, attitudes, and confidence in caring for patients with OUD. The project was guided by a thorough evidence search. The project was implemented using brief, unit-based educational sessions delivered to interdisciplinary …
General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson
General And Special Education Teachers’ Perceptions Of Challenges In Inclusive Secondary College Preparatory Science Courses, Jennifer Wilson
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that secondary coteachers struggle to support students with disabilities in inclusionary college preparatory science classes. Grounded in Bandura’s theory of collective agency and supported by Pratt’s framework for achieving symbiosis, the purpose of this study was to explore secondary coteachers’ experiences and challenges as well as their perceptions of collaboration and professional development opportunities related to coteaching in inclusive college preparatory science classrooms in the Mid-Atlantic region of the United States. For this basic qualitative design, semistructured interviews were conducted with 10 secondary college preparatory science coteachers. The data were analyzed …
Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson
Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson
Walden Dissertations and Doctoral Studies
Employee disengagement is an organizational disruption that erodes trust, weakens culture, and undermines the performance systems leaders depend on to drive results. Functional leaders are concerned with employee disengagement because it can lead to poor organizational performance and affect organizational success. Grounded in leader–member exchange (LMX) theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies functional leaders use to foster employee engagement in a working environment to enhance organizational success. The project participants were six functional leaders working in an e-commerce order fulfillment center in the southeastern United States. Data were collected through semistructured interviews and …
Competitive Advantage Strategies For Independent Restaurant Owners, Bobby Mccrary
Competitive Advantage Strategies For Independent Restaurant Owners, Bobby Mccrary
Walden Dissertations and Doctoral Studies
Independent restaurant owners often face challenges in achieving a sustainable competitive advantage, resulting in poor business performance and loss of profitability. Identifying practical competitive advantage strategies is essential for independent restaurant owners to surpass five years of business operations. Grounded in resource-based view theory, the purpose of this multiple case study was to explore effective competitive advantage strategies independent restaurant owners used to sustain operations beyond five years. Purposeful sampling was used to select four independent restaurant owners located in Wichita, Kansas, who sustained operations beyond five years through competitive advantage strategies. Data were collected from semistructured interviews and from …
Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett
Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett
Walden Dissertations and Doctoral Studies
In a comprehensive mental health facility, patients diagnosed with major depression continue to experience depressive symptoms despite treatment. Despite using standard treatment with antidepressants and psychotherapy, facility data showed that 40% of these patients are still experiencing depression symptoms that negatively impact their overall functioning and quality of life. There is evidence supporting exercise as an effective strategy for depression treatment. Therefore, a staff education project was proposed to educate staff about exercise for depression management in adults. A thorough literature search in four databases yielded 12 articles with high quality evidence supporting educating staff to use exercise for depression …
Education To Nursing Staff On Evidence-Based Lifestyle Interventions For Hypertension, Meagan Deese
Education To Nursing Staff On Evidence-Based Lifestyle Interventions For Hypertension, Meagan Deese
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a staff education project that addressed a practice gap in a primary care setting related to limited nursing knowledge of evidence-based lifestyle interventions for hypertension management. Hypertension is a prevalent chronic condition and a major contributor to cardiovascular morbidity and mortality. Although clinical guidelines recommend lifestyle modification as first-line management, nurses may receive limited formal training in nonpharmacologic interventions. The practice-focused question was, in a primary care setting, does a nursing education program on evidence-based lifestyle interventions for hypertension improve nursing knowledge as measured pre- to post education? The purpose of the …
Strategies For Retaining Employees In The Global Healthcare Industry, Tanisha L. Smith
Strategies For Retaining Employees In The Global Healthcare Industry, Tanisha L. Smith
Walden Dissertations and Doctoral Studies
High healthcare employee turnover rates pose a significant threat to organizational productivity, workforce stability, and patient outcomes. Healthcare leaders are concerned with high employee turnover because it contributes to rising operational costs, employee burnout, and a decline in the quality of patient care. Grounded in Herzberg’s two-factor theory of motivation, this qualitative, pragmatic inquiry identified and explored effective strategies that healthcare leaders use to retain employees to maintain organizational productivity and enhance patient outcomes. Data were collected from nine healthcare leaders in the United States using semistructured interviews and publicly available documents. Through thematic analysis with triangulation and member checking …
Enhancing Rn Confidence In Early Recognition And Treatment Of Sepsis, Tiffany Lee Gossai
Enhancing Rn Confidence In Early Recognition And Treatment Of Sepsis, Tiffany Lee Gossai
Walden Dissertations and Doctoral Studies
Background: Sepsis is a leading cause of mortality in U.S. hospitals, with delays in recognition and treatment significantly contributing to poor patient outcomes. Nurses are essential to early identification and timely intervention; however, gaps in confidence and preparedness persist, particularly among newly hired staff. Traditional educational approaches may be insufficient to support rapid clinical recognition and evidence-based management. Purpose: This staff education project evaluated whether participation in a virtual sepsis escape room during general nursing orientation improved newly hired nurses’ confidence in early identification and treatment of sepsis. Methods: A virtual escape room was integrated into an existing general nursing …
Better It Disaster Recovery And Procedures To Improve Response After Computer Crime, Allan Eduardo Arroyo-Melendez
Better It Disaster Recovery And Procedures To Improve Response After Computer Crime, Allan Eduardo Arroyo-Melendez
Walden Dissertations and Doctoral Studies
A lack of an effective disaster recovery plan (DRP) can negatively impact business outcomes following a cyberattack. Information technology (IT) managers are concerned that the lack of DRP may increase the risk of ransomware, fines, and public distrust. Grounded in the unified theory of acceptance and use of technology, the purpose of this qualitative pragmatic inquiry study is to explore strategies that some IT managers use to implement a DRP. The participants are four IT managers in the southeast United States. Data were collected through semistructured interviews and a review of publicly available documents. Through thematic analysis, three themes were …
Clinical Practice Guidelines For Suicide Risk Assessment, Jelitta Cleatus
Clinical Practice Guidelines For Suicide Risk Assessment, Jelitta Cleatus
Walden Dissertations and Doctoral Studies
In this doctoral project, I developed a clinical practice guideline (CPG) to address the lack of a standardized suicide risk assessment protocol at a Texas mental health clinic. At project initiation, suicide risk assessment at the facility was inconsistent due to the absence of a CPG. The guideline incorporated the Columbia-Suicide Severity Rating Scale (C-SSRS), a validated instrument that improved early detection of suicidal ideation and behaviors, which were often under recognized in older adults. This inconsistency led to the following clinical question, Does the evidence support the development of a CPG for assessing suicide risk among high-risk patients using …
Investigating Sex Offenders’ Experience Of Being Registered As A Sex Offender, Stacey Mitchell-Swingle
Investigating Sex Offenders’ Experience Of Being Registered As A Sex Offender, Stacey Mitchell-Swingle
Walden Dissertations and Doctoral Studies
In society, sex offenders are subject to unforeseen consequences of the sex offender registry. The purpose of this qualitative study was to investigate how the sex offender registry contributes to the mental distress of registered sex offenders and their concerns about recidivism. This study addressed a gap in understanding the sex offender registry experiences from the offender’s perspective. The research question addressed how adult male registrants describe their experiences of mental distress associated with registration and how they perceive registration as shaping their risk of reoffending. The theoretical framework was John Braithwaite’s reintegrative shaming theory, with a specific focus on …
Lived Experiences Of Law Enforcement Officers Assigned To Co-Response Teams Responding To Mental Health Crises, Roxanne Miller
Lived Experiences Of Law Enforcement Officers Assigned To Co-Response Teams Responding To Mental Health Crises, Roxanne Miller
Walden Dissertations and Doctoral Studies
Law enforcement officers are increasingly called upon to respond to mental health crises, yet their experiences as members of co-response teams (CRTs) remain underexplored. This study was conducted to address that gap by examining the lived experiences of officers assigned to CRTs that pair specially trained officers with mental health clinicians to respond jointly to calls involving individuals in crisis. The purpose of this qualitative phenomenological study was to describe how officers experience CRT work and how it shapes their perceptions, practices, and professional identity. The study was guided by Lazarus and Folkman’s transactional theory of stress, appraisal, and coping, …
Impact Of Burnout And Empathy On Correctional Officers’ Aggression, Sagan Ladd
Impact Of Burnout And Empathy On Correctional Officers’ Aggression, Sagan Ladd
Walden Dissertations and Doctoral Studies
Correctional officers experience persistent occupational stress that places them at elevated risk for burnout, which may negatively affect emotional functioning and increase aggression. Guided by general strain theory, this quantitative nonexperimental correlational study examined the relationships between burnout, empathy, and aggression among uniformed correctional officers working in U.S. jails and prisons. Participants (N = 58) completed the Maslach Burnout Inventory, the Interpersonal Reactivity Index, and the Buss–Perry Aggression Questionnaire–Short Form through an anonymous online survey. Simple and multiple linear regression analyses were conducted to answer three research questions. Results indicated that burnout significantly predicted aggression, F(1, 56) = 12.38, p < .001, R² = .18, such that higher burnout was associated with higher aggression scores. Empathy did not significantly predict aggression, F(1, 56) = 2.32, p = .133, R² = .04, though the relationship trended negatively. A multiple regression analysis revealed that burnout and empathy together significantly predicted aggression, F(2, 55) = 7.74, p = .001, R² = .19; however, burnout remained the only significant predictor when controlling for empathy. Additional analyses indicated that burnout significantly predicted all four facets of aggression: verbal aggression, physical aggression, anger, and hostility. These findings suggest that burnout plays a central role in aggression among correctional officers and highlight the importance of organizational and mental health interventions aimed at reducing burnout to promote staff well-being and institutional safety.
How Case Management Can Improve Access To Outpatient Mental Health Clinics For Low-Income African American Women, Marie Daphney Vilseant
How Case Management Can Improve Access To Outpatient Mental Health Clinics For Low-Income African American Women, Marie Daphney Vilseant
Walden Dissertations and Doctoral Studies
Abstract: African American women face deeply rooted systemic challenges that affect their access to mental health care treatment. There are no case management techniques that are strategic and equity driven and offer individualized support tailored to the needs of African American women, especially those from low-income backgrounds. The purpose of this study was to explore the role of case management as a potential solution to improve access to outpatient mental health services for this under-served group. The Anderson behavioral model for health care was utilized to understand access and utilization of health care services. The review question focused on case …
The Environmental Mental Health Services Needed For Youth Ages 18-25 Aging Out Of The Foster Care System, Keelin Leger
The Environmental Mental Health Services Needed For Youth Ages 18-25 Aging Out Of The Foster Care System, Keelin Leger
Walden Dissertations and Doctoral Studies
Youth transitioning out of foster care experience increased mental health challenges that affect their ability to age out successfully to independence. In this qualitative modified action study, the environmental mental health services needed for adolescents, aged 18 to 25, aging out of the foster care system in Lafayette Parish, Louisiana were explored. This study was guided by the Families Rising framework. Purposeful sampling was used to recruit 20 participants who provided insights to this study. Participants were reached by posting flyers on social media and the online platform forums, and they signed the consent form to participate. The data were …
Staff Education To Streamline Congestive Heart Failure Education, Shannon Hunter
Staff Education To Streamline Congestive Heart Failure Education, Shannon Hunter
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is a progressive disease that affects a diverse population. Patient-centered education is key to lowering rehospitalizations and mortality rates. Although nurses are essential providers of patient-centered education, those in acute care settings often have unclear directions for implementing and documenting CHF education. Multiple educational materials within electronic health record (EHR) systems further complicate the process and highlight the practice gap. The aim of this Doctor of Nursing Practice (DNP) project was to streamline CHF education by clarifying the role of nurses in education delivery and documentation, potentially enhancing nurse confidence and improving patient health outcomes, with …
Teacher Perspectives Of Their Challenges In Supporting K-3 Students In Mathematics Proficiency, Jasmine Chanel Mills
Teacher Perspectives Of Their Challenges In Supporting K-3 Students In Mathematics Proficiency, Jasmine Chanel Mills
Walden Dissertations and Doctoral Studies
The problem for this study was that mathematics preparation for students in K–3 classrooms often does not lead to mathematics proficiency for third grade students. Guided by Wigfield’s expectancy value theory, the purpose of this qualitative study was to explore teachers’ perspectives of children’s expectations and values related to mathematics and challenges teachers describe in supporting children’s mathematics achievement. Data were collected through 12 semistructured interviews with K–3 teachers in in a public school district in the eastern United States. Thematic analysis using open coding resulted in six themes which indicated that teacher beliefs and expectations are associated with mathematics …
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Walden Dissertations and Doctoral Studies
Medication non-adherence affects 49% of psychiatric patients and contributes to poor outcomes and increased hospitalizations. At the project site, 40% of patients demonstrated suboptimal adherence and 12 medication-related incidents occurred. Nursing staff lacked specialized training in motivational interviewing and comprehensive adherence assessment. This project developed and implemented an evidence-based educational program to enhance nursing competencies in psychiatric medication adherence counseling. Seven nursing staff members (5 registered nurses, 2 licensed practical nurses) participated in a 90-minute session incorporating the four-domain assessment framework, motivational interviewing techniques, and psychoeducational strategies. The ADDIE framework guided program development with interactive discussions, case-based learning, and role-play …
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Walden Dissertations and Doctoral Studies
Some patients in Lusaka, Zambia experience adverse health outcomes when pharmacists are not able to fill life-saving, prescription-only medications (POMs) because of supply-chain shortages. Important to pharmacists are strategies to improve POMs supply and mitigate out-of-stock occurrences. Grounded in the SERVQUAL theory as the conceptual framework, the purpose of this qualitative multiple case study was to explore the service quality strategies pharmacists employ to mitigate shortages and enhance patient care. The participants were eight pharmacists who successfully mitigated POMs shortages for improved customer service. Data were collected using semistructured interviews and publicly available documents. Data were analyzed thematically and six …
Strategies Some Small Business Owners Use To Implement New Accounting Technology, Susie Annmarie Stewart-Branch
Strategies Some Small Business Owners Use To Implement New Accounting Technology, Susie Annmarie Stewart-Branch
Walden Dissertations and Doctoral Studies
Abstract Small business owners often face challenges when implementing accounting information systems, resulting in inefficiencies and reduced competitiveness. The study was grounded in the technology acceptance model (TAM), which guided examination of how small business owners implemented, evaluated, and sustained accounting software use while addressing implementation challenges and leveraging internal and external support. Data were collected through semi-structured interview questions from six small business owners who used accounting software such as QuickBooks, and thematic analysis identified five themes: (a) change management and organizational culture, (b) importance of external support and strategic partnerships, (c) measuring effectiveness through operational and client metrics, …
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Walden Dissertations and Doctoral Studies
A lack of team cohesion among hybrid and remote teams can negatively affect customer satisfaction. Customer service leaders require effective strategies to improve team cohesion in increasingly flexible work environments; however, limited understanding exists regarding the strategies these leaders use to foster cohesion in hybrid and remote work settings. Grounded in the composite conceptual framework of theories of group development and customer focus, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that some leaders in the South Central region of the U.S. customer service organizations use to improve team cohesion among hybrid and remote …
Staff Education For The Management Of Chronic Pain In Patients With Mental Health Disorders, Jude Osagie Ukpebor
Staff Education For The Management Of Chronic Pain In Patients With Mental Health Disorders, Jude Osagie Ukpebor
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a practice-focused quality improvement staff education initiative designed to address a gap in nurses’ knowledge related to chronic pain management in patients with mental health disorders. Chronic pain frequently coexists with psychiatric conditions, yet nurses often lack formal education on biopsychosocial, trauma-informed, and non-pharmacologic pain management approaches, contributing to fragmented and inequitable care. Addressing this gap is essential to improving patient outcomes and advancing evidence-based nursing practice. The practice-focused question asked whether implementing a targeted nurse education program would improve nurses’ knowledge related to chronic pain management in patients with mental health disorders. …
Attribution Of Behavior And Misdiagnosis In Mental Health Evaluation Of Primary School Children, E’Mon Ambers
Attribution Of Behavior And Misdiagnosis In Mental Health Evaluation Of Primary School Children, E’Mon Ambers
Walden Dissertations and Doctoral Studies
The problem of misdiagnosis of mental health conditions in primary school aged children because of attributions related to misbehavior is a significant issue. The purpose of this qualitative multiple case study was to explore a selected sample of educators’ and mental health professionals’experiences and perceptions of the risks of attribution errors in mental health misdiagnosis among primary school-aged children in Richmond, VA. The research questions addressed how stakeholders perceive the role of attribution errors in professional practice contributing to misdiagnosis, as well as what practice-based and systemic changes stakeholders propose to enhance diagnostic accuracy. Narrative data was collected from educators …
Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana
Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana
Walden Dissertations and Doctoral Studies
In the digital economy, organizations face an increasing number of data breaches that compromise sensitive information and erode consumer trust. Some organizational leaders are concerned about the lack of effective strategies to manage data breaches and restore stakeholder confidence, which threatens organizations’ reputation and financial stability, and long-term trust in digital systems. Grounded in cybersecurity risk management theory (CRMT) and situational crisis communication theory (SCCT), the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by data managers in Virginia, Maryland, and Washington, DC, to manage data breaches and rebuild consumer trust. Participants were 10 experienced data …
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice staff education project was to strengthen nurses’ knowledge and confidence in suicide risk assessments. Suicide remains a crucial patient safety issue, and nurses report uncertainty in early recognition and intervention; therefore, brief, practice-proximal training is essential. The practice-focused question that informed this project’s purpose was whether a short education module with pre- and post testing improves nurses’ knowledge and confidence in suicide risk assessment. Three nurses participated in a structured session covering risk factors, warning signs, standardized screening, and safety planning. I then used descriptive analysis to compare their pre- and posttest …
Predicting Perceived Immigrant Threat To National Identity Based On Christian Nationalism, White Racial Centrality, And Social Dominance Orientation, Anna Caroline Kinney
Predicting Perceived Immigrant Threat To National Identity Based On Christian Nationalism, White Racial Centrality, And Social Dominance Orientation, Anna Caroline Kinney
Walden Dissertations and Doctoral Studies
Immigrants remain frequent targets of anti-immigrant hate speech, often amplified by right-wing media. Demographic factors such as Christian nationalism (i.e., the desire to preserve Christian symbols, beliefs, and policies preserved as the established religion of the United States), White racial centrality (i.e., an automatic association between the self and the White ingroup), and social dominance orientation (i.e., support for group-based hierarchies and inequality) significantly shape perceptions of immigrants as a threat to national identity. Although prior research has examined these factors independently, their relative importance in predicting perceived immigrant threat remains limited. Informed by intergroup threat theory, this quantitative study …