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Staff Education Project On Genetic Testing In A Psychiatric Facility, Chinenye Vivian Akpuaka
Staff Education Project On Genetic Testing In A Psychiatric Facility, Chinenye Vivian Akpuaka
Walden Dissertations and Doctoral Studies
The project was an educational DNP project that aimed to improve staff knowledge on genetic testing. The practice focused question was “Will an education module on best practices for genetic testing increase self-reported knowledge among health care professionals in a mental health clinic?” The purposes of genetic testing in psychiatry are to improve pharmacological therapy through better prescription of the right medications (Pinzón-Espinosa et al., 2022). The implementation of genetic testing at the project site is limited due to gaps in knowledge and attitudes as well as efficacy of this intervention. The leaders at the practicum site supported the potential …
Predictive Study Of The Relationship Between Self-Care And Professional Quality Of Life Among Licensed Counselors Impacted By Covid-19, Maria G. Billings
Predictive Study Of The Relationship Between Self-Care And Professional Quality Of Life Among Licensed Counselors Impacted By Covid-19, Maria G. Billings
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has created unprecedented challenges for mental health professionals, significantly increasing burnout and secondary traumatic stress while reducing available resources and limiting opportunities for compassion satisfaction. The purpose of this cross-sectional, quantitative survey study was to determine whether self-care engagement predicts levels of burnout, secondary traumatic stress, and compassion satisfaction among counselors. Grounded in Stamm’s theoretical framework on compassion satisfaction and compassion fatigue, the Self-Care Assessment Worksheet (SCAW) was used to measure self-care engagement, and the Professional Quality of Life Scale (ProQOL-V) was used to assess burnout, secondary traumatic stress, and compassion satisfaction. The sample included 59 licensed …
Exploring Strategies In Manufacturing To Reduce Loss Of Workers And The Costs Associated With Turnover, Aaron Sterrett
Exploring Strategies In Manufacturing To Reduce Loss Of Workers And The Costs Associated With Turnover, Aaron Sterrett
Walden Dissertations and Doctoral Studies
High employee turnover rates in the U.S. manufacturing firms create significant operational and financial challenges. Leaders of U.S. manufacturing firms seek to address employee turnover, which threatens productivity, profitability, and long-term sustainability. Grounded in the competing values framework, this qualitative pragmatic inquiry project aimed to identify and explore manufacturers' efficient management strategies to reduce employee turnover. The participants were five individuals who work in different management roles within the manufacturing industry and have assisted in developing successful employee retention strategies. Data were collected using semistructured interviews and a review of organizational information. Four themes were identified during qualitative coding analysis: …
Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones
Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones
Walden Dissertations and Doctoral Studies
Maternal depression, including perinatal depression (PND), poses significant public health risks to women, infants, and families. Although routine PND screening is recommended, limited research has examined screening and referrals among military spouses, an underserved population affected by frequent relocations and deployments. This study examined how permanent change of station (PCS) frequency affects PND screening and referrals to mental health services. Grounded in Bronfenbrenner’s socioecological model and the CDC’s social ecological model of health, eight research questions explored associations between PCS frequency, PND screening, referrals, and the moderating roles of military branch and deployment status. A quantitative cross-sectional design was used …
Novice Early Childcare Educators’ Experiences Applying Pre-Service Education Knowledge And Theories In Practice At Childcare Centers, Jodi Mcbride
Walden Dissertations and Doctoral Studies
Some novice early childhood educators (ECEs) experience barriers to applying knowledge gained during their pre-service education in practice and experimenting with their roles at childcare centers. The purpose of this basic qualitative study was to explore novice ECEs’ experiences of barriers to applying knowledge gained during their pre-service education in practice at childcare centers. Mezirow’s transformative learning theory grounded this study by describing adult learners’ personal transformation from obtaining and understanding new knowledge to applying it in practice. For this study, eight adult learners who completed an early childhood education program, had up to 5 years’ experience, held a current …
Lived Experiences Of Black African Non-Denominational Pastor’S Perceptions, Attitudes, And Beliefs Of Mental Health, And Their Referral Practice In The United States, Esther Paul
Walden Dissertations and Doctoral Studies
The high frequency of mental health issues within the Black African Christians communities and the insufficient use of mental health resources, was the driving forces for this study. This qualitative study aimed to explore the attitudes, beliefs, and lived experiences of non-denominational Black African pastors on mental health and identified potential barriers to mental health care and create culturally appropriate solutions by investigating their experiences. The theoretical basis of this study was centered on Goffman’s social stigma theory, which was created by Erwin Goffman, the social identity theory (SIT), and the role identity theory, the latter which served as the …
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott
Walden Dissertations and Doctoral Studies
Primary unpaid family caregivers of Alzheimer’s care recipients endure physical fatigue, emotional stress, psychological pressures, and health issues that could hinder their capacity to deliver consistent care. Respite care services can help reduce caregiver burden and enhance health outcomes; therefore, examining and evaluating their effectiveness is beneficial in meeting the needs of primary unpaid family caregivers. This study was conducted to address a lack of information in the literature and to evaluate the efficacy of respite care services for primary unpaid family caregivers of Alzheimer’s care recipients in Alaska and their caregivers’ awareness of and motivation to utilize these services …
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best
Walden Dissertations and Doctoral Studies
African American women residing in rural communities have seen substantial increases in preventable diseases resulting from obesity. The research problem addressed in this study surrounded the perspectives that African American women have towards initiating a fitness program. The purpose of this study was to explore those perspectives utilizing a sample population of African American women living in Salisbury, North Carolina. This study embraced the Theory of Reasoned Action (TRA) created by Prachaseree et al., (2021) and the Self-Determination Theory (Deci & Ryan, 1991) as the conceptual frameworks. Three research questions guiding this study were: What specific barriers do African American …
Social Determinants, Covid-19, And Geographic Disparities In African American Mental Health Access, Jennifer Marie Washington
Social Determinants, Covid-19, And Geographic Disparities In African American Mental Health Access, Jennifer Marie Washington
Walden Dissertations and Doctoral Studies
Disparities in service use of mental health care persist in the United States, and African Americans have been disproportionately affected. The COVID-19 pandemic worsened these disparities, increasing barriers such as stigma, lack of culturally appropriate care, distance, and affordability. The purpose of this quantitative, nonexperimental, and correlational study was to examine the relationships between sociodemographic factors and the use of mental health counseling or therapy services. Bronfenbrenner’s ecological systems theory was applied to examine how the systemic factors in the mesosystem, exosystem, and macrosystem work together to influence care availability. Specifically, the study examined the relationship between race, income, education, …
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Educating Staff On Using Medication-Assisted Treatment (Mat) In Opioid Use Disorder (Oud), Demie Alaekwe
Walden Dissertations and Doctoral Studies
Medication-assisted treatment (MAT) programs, especially those led by providers, can expand access to care for persons with opioid use disorder (OUD). The gap in practice at the site was the insufficient knowledge among nurses on how to effectively use MAT in treating OUD. The purpose of this staff educational project was to design and implement a training module to educate mental health providers on the principles and interventions of MAT. The practice-focused question was: Does educating nurses on MAT principles while incorporating evidence from the literature improve their knowledge as measured by pre- and post-test? The ADDIE pedagogy model was …
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Effective Strategies Nursing Home Leaders Use To Implement Changes And Increase Staff Retention And The Quality Of Patient Care, Evaristus C. Chu
Walden Dissertations and Doctoral Studies
Ineffective retention strategies for nursing home staff can negatively affect the continuity of patient care, employee morale, and patient outcomes. Nursing home leaders who struggle to implement changes and increase staff retention and quality of patient care are at high risk of business instability. Grounded in Greenleaf’s servant leadership conceptualization and Kotter’s eight-step change model, the purpose of this qualitative pragmatic inquiry was to explore strategies nursing home leaders use to implement change, retain staff, and enhance the quality of patient care. Data sources consisted of semistructured interviews, public websites, and current and archival public documents. Thematic analysis yielded five …
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the influence of leadership on low treatment completion rates in a nonprofit outpatient substance use disorder program in the Pacific Northwest region of the United States. The purpose of this case study was to examine how leadership styles, decision-making processes, and supervisory alignment affected client engagement and treatment outcomes at the program. The study was grounded in the Baldrige Excellence Framework, which provided a systems-thinking lens to assess leadership behavior and organizational performance. Data were collected through semistructured interviews with two senior leaders and a review of limited internal documents, including the organization’s …
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
Walden Dissertations and Doctoral Studies
African American women veterans' race and gender present challenges as the compounded nature of the racism and sexism they experience creates specific barriers to seeking access to mental health treatment. Much of the research to date has focused on the interconnections between African American women veterans' state of mental health and their experiences in the military; however, their lived experience of encountering barriers to seeking access to mental health treatment has remained unexplored. The purpose of this phenomenological study was to explore African American women veterans' lived experience of encountering barriers to seeking access to mental health treatment to better …
Strategies Senior Human Resource Leaders Use To Implement Flexible Work Arrangements, Valena R. Bewry
Strategies Senior Human Resource Leaders Use To Implement Flexible Work Arrangements, Valena R. Bewry
Walden Dissertations and Doctoral Studies
Flexible work arrangements (FWAs) have become increasingly significant in contemporary workplace settings, particularly for their role in enhancing employee morale and promoting work-life balance. Education stakeholders and employees are concerned with the failure to implement FWAs, as it may hinder employee productivity and retention. Grounded in the conceptual framework of Theory Z, the purpose of this qualitative pragmatic inquiry was to explore senior HR leaders’ strategies to implement successful flexible work arrangements for employees. The study involved six educational leaders from the northeastern United States who successfully implemented flexible work arrangements. Data were collected through semi structured interviews and publicly …
Self-Initiated Police Activity, Crime, And Complaints Against Police, Vincent Joseph Schaan
Self-Initiated Police Activity, Crime, And Complaints Against Police, Vincent Joseph Schaan
Walden Dissertations and Doctoral Studies
This quantitative study aimed to examine the statistical relationship between self-initiated police activity, citizen complaints against police officers, sustained findings of misconduct, and crime within three police agencies located in the southwest United States. Prevailing law enforcement perception fueled by protests and riots infers that reducing proactive policing will decrease complaints. Using chi-square and binary logistic regression, this study analyzed 53,585 police and public contacts to answer three core questions. The statistical tests found a statistically significant inverse relationship between self-initiated police activity and complaints against police, with an odds ratio of 2.386 (95% CI: 1.62,3.50; p<.001). The findings indicate that officers who engage in self-initiated police activity have a 35.95% lower statistical probability of facing a citizen complaint. This study also found no statistically significant relationship between actual police misconduct and self-initiated police activity. The findings advocate for evidence-based decision-making based on statistical data, which found a reduced probability of complaints when law enforcement officers initiate public and police interactions. These findings contribute to positive social change by providing critical knowledge and information, and creating the potential for law enforcement officers and agencies to improve their relationships with the public by reducing complaints. Increasing self-initiated police activity provides a gateway to a reduction in crime and fewer complaints against police; therefore, data and information may motivate agencies and officers to increase self-initiated police activity to help reduce complaints and reduce crime.
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Successful Strategies Used By Leaders In The U.S. Medical Device Industry To Increase Employee Engagement, Jason Brockway
Walden Dissertations and Doctoral Studies
Disengaged employees present significant challenges to firm profitability and competitiveness in the U.S. medical device industry. Leaders of U.S. medical device firms are concerned disengaged employees could negatively impact organizational sustainability. The purpose of this qualitative pragmatic inquiry study was to explore strategies used by leaders in the U.S. medical device industry to enhance employee engagement. Purposeful sampling of six medical device leaders in Massachusetts was used; participants held leadership roles, had at least five years of leadership experience, and were directly involved in employee engagement. The study was grounded in Kahn’s engagement theory, focusing on psychological meaningfulness, safety, and …
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
Walden Dissertations and Doctoral Studies
The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …
Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander
Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander
Walden Dissertations and Doctoral Studies
Opioid abuse is a significant problem in the United States. People with opioid use disorder (OUD) visit the emergency room (ER) for pain management. OUD is the overuse and abuse of opioids, which can result in dependence, relapses, and death. Nurses in the ER and medical-surgical units face challenges in distinguishing OUD from chronic pain. The purpose of this qualitative interpretive phenomenological study, guided by Benner’s novice-to-expert framework, was to explore the lived experiences of ER and medical-surgical nurses who provide care to OUD patients. Eight ER and medical-surgical nurses were interviewed using semi-structured interviews. The main themes from coding …
Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr.
Effective Strategies For Placing Underrepresented Women In Senior Management Positions: Shared Strategies, George Alexander Pegram Jr.
Walden Dissertations and Doctoral Studies
Underrepresentation of women in senior management positions within the tech industry poses a significant challenge in terms of organizational equity and effectiveness. Business leaders are concerned with this disparity, as it reflects systemic barriers to women’s advancement. Grounded in the people’s capability maturity model (P-CMM), the purpose of this qualitative pragmatic inquiry was to explore strategies that senior executives in the Washington, DC tech industry use to promote women to senior management positions. The participants were eight senior women executives purposefully selected for their leadership roles. Data was collected using semistructured interviews. Through thematic analysis, four themes were identified: personalized …
Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic
Employee Engagement As A Mediator Between Transformational Leadership And Organizational Commitment, Catherine Despotovic
Walden Dissertations and Doctoral Studies
The hospitality industry in the Southeast United States plays a vital role in economic growth but faces leadership challenges that impact employee engagement and organizational commitment. Hospitality industry leaders should understand these challenges that disrupt service quality and negatively impact customer satisfaction and organizational stability. The purpose of this quantitative correlational study was to examine the relationship between transformational leadership, employee engagement, and organizational commitment in the hospitality industry of the Southeast United States. The participants were 100 full-time hospitality employees who completed the Multifactor Leadership Questionnaire, Organizational Commitment Questionnaire, and Utrecht Work Engagement Scale. The results revealed significant positive …
Teachers’ Experiences With Researched-Based Programs And Strategies To Help Struggling Readers In Grades 6–8, Ebony Camille Dixon
Teachers’ Experiences With Researched-Based Programs And Strategies To Help Struggling Readers In Grades 6–8, Ebony Camille Dixon
Walden Dissertations and Doctoral Studies
The problem in this qualitative study was that adolescent students in Grades 6–8 in a rural district in the southeastern United States were struggling with reading and had inadequate reading comprehension achievement. The purpose of this basic qualitative study was to investigate how teachers implemented researched-based practices of reading intervention programs and the strategies they deemed beneficial to use while aiding struggling students. Marzano’s nine instructional strategies were used to frame the study. The 12 participants were reading teachers, interventionists, and specialists. Data were collected via semi-structured interviews and were analyzed using thematic analysis with open and axial coding. The …
Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall
Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall
Walden Dissertations and Doctoral Studies
The lack of employee engagement negatively impacts organizations through revenue loss, poor productivity, and toxic cultures. Purchasing managers are concerned with decreased employee engagement as it negatively impacts productivity and revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies purchasing managers use to increase engagement and productivity. The participants were six managers who have been successful in implementing strategies to increase employee engagement. Data were collected using semistructured interviews. Through thematic analysis, three key themes were identified: (a) communication, (b) leadership styles, and (c) culture. A key recommendation is for purchasing managers …
Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi
Using The Token Economy To Improve Show Rates In An Outpatient/Community Mental Health Clinic, Gertrude Nabila Ndansi
Walden Dissertations and Doctoral Studies
The type of project was a quality improvement intervention. The identified practice problem was limited appointment shows among patients with appointments. Outpatient clinics often struggle with patients not showing up for appointments. Addressing this gap was critical for improving patient outcomes and resource efficiency. The practice problem must be addressed within the context of nursing practice by enhancing access to consistent mental health care and giving patients more timely support, leading to better outcomes and overall wellbeing.
A Clinical Practice Guideline For Enhanced Rehabilitation Assessment In Poststroke Patients, Chanda Honeywood
A Clinical Practice Guideline For Enhanced Rehabilitation Assessment In Poststroke Patients, Chanda Honeywood
Walden Dissertations and Doctoral Studies
This doctoral project aimed to develop clinical practice guidelines (CPG) to strengthen the assessment of poststroke patients for rehabilitation. The project sought to adopt an evidence-based approach to develop standardized recommendations that can help in the timely and appropriate rehabilitation of stroke survivors, thereby reducing the risk of long-term disability and readmissions. Stroke is a significant cause of disability and poor functional recovery, increased healthcare costs, and lower quality of life for patients occur because of poor rehabilitation assessment. While rehabilitation protocols already exist, discrepancies in patient evaluations result in intervention delays and ineffective uptake of rehabilitation programs, limiting the …
The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister
The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister
Walden Dissertations and Doctoral Studies
There are currently four generations in the workplace—Generation Z, millennials, Generation X, and baby boomers—each having its own values and motivations due to different life experiences. Leaders are facing new challenges regarding how to motivate each generation in relation to rewards, recognition, and work values. It was unknown whether there are empirical differences in motivation and leadership preferences based on generational cohort. The purpose of this study was to examine how the members of four different generations are motivated based on their preferred rewards and recognition, and the work values they hold. The targeted population were members of Generation Z, …
Employee Engagement And Productivity Among Remote Workers In The Finance Industry, Mauriom Ndikeh
Employee Engagement And Productivity Among Remote Workers In The Finance Industry, Mauriom Ndikeh
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic and its related restrictions made remote work a defining feature of the modern workforce. Some finance industry leaders lack effective employee engagement strategies to increase productivity in remote work environments. The purpose of this qualitative pragmatic inquiry project was to identify and explore successful employee engagement strategies some finance industry leaders used to increase productivity in remote work environments. This project was grounded in Kahn’s employee engagement theory. The participants were six finance industry leaders from financial organizations in the Northeast and Mid-Atlantic regions of the United States. Data were collected using semistructured Zoom interviews, field notes, …
Bias In Media Portrayals Of Filicide Cases Involving African American Women, Channing Lelar Collins
Bias In Media Portrayals Of Filicide Cases Involving African American Women, Channing Lelar Collins
Walden Dissertations and Doctoral Studies
This study was conducted to examine racial disparities in media portrayals of filicide cases involving African American and Caucasian women, exploring how systemic biases and societal narratives influenced public perception, policy, and the child welfare and legal systems. Using a qualitative content analysis of 42 cases involving African American women and 20 involving Caucasian women, framing techniques, language, and imagery were analyzed. The research addressed three questions were (a) What narratives and framing were used?, (b) How did these differ across racial lines?, and (c) What are the broader societal and systemic implications? Results showed that media coverage of African …
Preoperative Clinical Practice Guidelines For Patients Undergoing Coronary Artery Bypass Graft Surgery, Marjorie Badong Yumul
Preoperative Clinical Practice Guidelines For Patients Undergoing Coronary Artery Bypass Graft Surgery, Marjorie Badong Yumul
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Marjorie B. Yumul has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Patricia Schweickert, Committee Chairperson, Nursing Faculty Dr. Diane Whitehead, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Executive Summary: Clinical Practice Guideline Preoperative Clinical Practice Guidelines for Patients Undergoing Coronary Artery Bypass Graft Surgery by Marjorie B. Yumul MS, University of the Philippines Manila, 2003 BS, La Concordia, …
Efficacy Of New Jersey's Child Protection Policy Among Local Superior Courts, Nerissa G. Collins
Efficacy Of New Jersey's Child Protection Policy Among Local Superior Courts, Nerissa G. Collins
Walden Dissertations and Doctoral Studies
Despite the existence of New Jersey Department of Children and Family (NJDCF) policy guidelines, it remained unclear whether New Jersey superior courts consistently applied these principles and guidelines in Department of Child Protection and Permanency (CP&P) child abuse cases. Limited research had been conducted to examine how courts interpreted and adhered to these policies in legal rulings, leaving a gap in understanding how NJDCF principles influenced judicial decision-making. This gap in the literature made it difficult to assess whether policy guidelines effectively shaped court outcomes in ways that supported child protection and welfare. Child protective advocate attitudes and opinions concerning …
Examining The Relationship Between Employee Engagement, Job Satisfaction, And Turnover Intention In Healthcare Organizations, Nadiel Arocho-Saez
Examining The Relationship Between Employee Engagement, Job Satisfaction, And Turnover Intention In Healthcare Organizations, Nadiel Arocho-Saez
Walden Dissertations and Doctoral Studies
Turnover intention among healthcare staff adversely affects the delivery of high-quality patient care and compromises healthcare organizations' financial sustainability. Effectively managing factors influencing turnover intention is critical for healthcare leaders to reduce turnover. Grounded in the Herzberg’s two-factor theory, the purpose of the quantitative correlational study was to examine the relationship between employee engagement, job satisfaction, and turnover intention in healthcare organizations. Primary data were collected from 74 nurses employed at a large multi-hospital healthcare organization in the Pacific Northwest of the United States, who completed an anonymous online survey using existing questionnaires. Data were analyzed using multiple linear regression. …