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Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) has been shown to be a critical public health and human rights crisis in Sierra Leone driven by patriarchal sociocultural norms. However, despite legislative frameworks like the Domestic Violence Act of 2007, IPV incidents continue to rise, revealing a gap in policy implementation and real-world enforcement. Past research has documented IPV prevalence, yet an empirical evaluation assessing how stakeholders viewed the impact of national policies on prevention and response had not been conducted. The purpose of this study was to explore frontline stakeholders' perceptions regarding the operational influence of existing IPV policies. Grounded in the narrative …
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice
Walden Dissertations and Doctoral Studies
Anxiety is among the most prevalent mental health concerns affecting adults, yet many individuals encounter barriers to traditional mindfulness-based interventions. Running is frequently described as promoting presence, mental clarity, emotional grounding, and relief from anxiety-related distress; however, little qualitative research has explored how adults with anxiety make meaning of their lived experiences of running. The purpose of this interpretative phenomenological analysis (IPA) study was to explore how adults with anxiety describe and make meaning of their lived experiences of running. Guided by embodied cognition and informed by mindfulness and flow theories, this study explored participants' lived experiences of running. Participants …
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
Walden Dissertations and Doctoral Studies
Extensive research shows the brain is malleable and, with experience and knowledge, intelligence can grow. The research problem addressed through this study was that the extent of early childhood educators' knowledge of learnable intelligence and their advocacy for advancement of children’s cognitive capabilities as a developmental goal were unknown. Guided by Perkins’s theory of learnable intelligence, the purpose of this basic qualitative study was to explore K–3 teachers’ perspectives on learnable intelligence as a developmental target and how they advocate for children’s cognitive capabilities in their classrooms. In vivo and axial coding of data from semistructured interviews with 12 participants …
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that persistent reliance on market-oriented affordability strategies continued despite evidence of declining housing affordability in Nashville. Understanding how policy narratives structured accepted solutions may help explain the persistence of existing policy approaches. Research has shown that housing affordability is a significant policy concern in many U.S. cities. Rising housing costs, displacement pressures, and persistent rent burdens have been indicated in studies as contributing factors. However, less attention has been paid to how political and media narratives shape the boundaries of recognized housing policy solutions within local discourse, specifically in Nashville, Tennessee. The purpose …
Staff Education To Improve Knowledge On Accurate Administration Of Medication, Deepu Pudasaini
Staff Education To Improve Knowledge On Accurate Administration Of Medication, Deepu Pudasaini
Walden Dissertations and Doctoral Studies
Medication errors have been a significant problem, primarily due to a lack of continuous monitoring and inadequate training for personnel involved in managing or administering medications in non-healthcare settings. These errors often go undetected or unreported. This Doctor of Nursing Practice (DNP) project was a staff education project to improve staff knowledge of accurate medication administration of medication in a group home. The practice-focused question was: Will a staff education program on the accurate administration of medication improve certified medication technicians’ (CMTs) knowledge about the association between the medication administration process and medication error? The purpose of this DNP staff …
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Walden Dissertations and Doctoral Studies
African Americans experience disproportionately high rates of end-stage renal disease (ESRD) yet continue to experience disparities in access to kidney transplantation, the preferred treatment for ESRD. The purpose of this qualitative action research study was to explore the psychosocial barriers to kidney transplantation for African Americans living with ESRD in south Florida. This capstone project was guided by the tenets of intersectionality theory. Data was obtained through semi-structured interviews with four human services professionals and analyzed using thematic analysis. The findings revealed six interconnected themes: a) social support, b) practical barriers, c) psychological and cognitive barriers to transplant navigation, d) …
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Walden Dissertations and Doctoral Studies
Across the globe, divorce is a challenging situation that affects family relationships and disrupts social networks. Divorced women often experience a decline in their health and well-being immediately postdivorce. The problem addressed in this study is that divorcing women tend to experience more negative or undesirable impacts on their mental health (e.g., depression) postdivorce than men and often find involvement in church to be a source of support or added stress. The purpose of this generic qualitative study was to investigate how recently divorced Black women describe how their involvement in church may have supported their mental health and resilience …
Staff Covid-19 Infections, Staffing Shortages, And Resident Deaths In New York State Nursing Homes, Arun Inayatullah
Staff Covid-19 Infections, Staffing Shortages, And Resident Deaths In New York State Nursing Homes, Arun Inayatullah
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified existing staffing challenges in U.S. nursing homes. Although previous studies have examined the effects of COVID-19 in nursing homes, limited research has examined the association between staff COVID-19 infection counts, staffing shortages, and resident COVID-19 deaths in New York State nursing homes. The purpose of this quantitative correlational study was to examine whether staff COVID-19 infection counts were associated with staffing shortages and resident COVID-19 deaths in New York State nursing homes. The study was guided by the Donabedian structure-process-outcome model. Analyses of the four research questions examined whether staff COVID-19 infection counts were associated with …
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Staff Education To Standardize Chronic Pain Patient Education In Primary Care, Jessica Okpara
Walden Dissertations and Doctoral Studies
Inconsistent delivery and documentation of chronic pain patient education may contribute to variations in patient knowledge, treatment expectations, and engagement in self-management. This Doctor of Nursing Practice staff education and quality improvement project was designed to standardize chronic pain patient education in a primary care setting. The practice-focused question examined whether implementing standardized chronic pain education, compared with non-standardized education, would improve patient knowledge and use of self-management strategies over 10 weeks. Guided by the Johns Hopkins Evidence-Based Practice Model, the project included development of evidence-based education materials, staff preparation, workflow integration, and a standardized documentation process. Clinic staff identified …
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Reducing Nurse Burnout, Oluwarotimi Tunde Aborisade
Walden Dissertations and Doctoral Studies
Nurse burnout is a severe job-related condition that significantly impacts nurses' well-being. Nurse burnout is a growing concern amid the increased demand for healthcare professionals. Research has been conducted to explore nurse burnout and how it affects the quality and safety of patients. Different research has also been conducted to review different interventions to address nurse burnout, including individual and organizational interventions. Some interventions include self-care, mindfulness and meditation, coping and resilience, as well as lifestyle adjustments. Some organizational interventions include workload management, psychological safety, and job redesign. This study was conducted to evaluate the effectiveness of individual interventions to …
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Life Skills Counseling Services Needed For K-8 Self-Contained Students In Essex County, New Jersey, Faith Arianna Healy
Walden Dissertations and Doctoral Studies
Students in special education may experience a variety of barriers to gaining cohesive and consistent life skills training programs. A lack of life skills training for special education students may lead to a lack of social-emotional skills, social awareness, and an overall lack of independence once students have graduated. The purpose of this qualitative single case study was to explore the charter school human service professionals’ perceptions of the life skills counseling services needed for K-8 self-contained students in Essex County, NJ. Botvin Lifeskills Training program was used as the framework for the study. Using a qualitative research model, semistructured …
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Walden Dissertations and Doctoral Studies
Somatic symptoms accompany psychological distress and can affect well-being. Hypnosis has demonstrated effectiveness in reducing psychological distress and related somatic symptoms, but limited research has explored hypnotherapists’ perspectives on its clinical application. The purpose of this qualitative phenomenological study was to explore the experiences of licensed hypnotherapists with 3 years of experience using hypnosis to treat adults experiencing somatic symptoms associated with psychological distress. Guided by Engel’s biopsychosocial model and Hilgard’s neodissociation theory, data were collected through semistructured interviews with 10 licensed hypnotherapists and analyzed using phenomenological reduction and thematic analysis. Analysis resulted in four primary themes: (a) mind–body connection …
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
Walden Dissertations and Doctoral Studies
This organization change process initiative addressed a critical safety practice gap regarding catheter-associated urinary tract infection (CAUTI) prevention in a 450-bed acute care facility. This gap was recognized based on evidence that the facility’s CAUTI Standardized Infection Ratio (SIR) was above the national benchmark—and daily necessity assessment compliance of only approximately 50%. This gap was attributed to an organizational interprofessional culture, which hindered timely device removal. Prolonged catheter dwell times increase patient morbidity, extend hospital stays, and expose the organization to severe financial penalties. The project aimed to safely reduce device dwell times by structurally empowering bedside nurses. I used …
Exploring The Lived Experiences Of African American Couples: Narcissism, Marital Quality, And Spousal Distress, Lindella Lenise Mcdowell
Exploring The Lived Experiences Of African American Couples: Narcissism, Marital Quality, And Spousal Distress, Lindella Lenise Mcdowell
Walden Dissertations and Doctoral Studies
Narcissism is a global phenomenon that is manifested across cultures. Despite research on narcissism and relationships, there is limited literature focusing on diverse cultural backgrounds, particularly African American couples, where one spouse has been diagnosed as exhibiting narcissistic tendencies or traits. Addressing the research gap may foster cultural understanding and encourage recognition of the effects of narcissism within the African American culture and the significance of social support. The purpose of this study was to increase knowledge and awareness of grandiose and vulnerable narcissism’s impact on African American couples. A qualitative phenomenological research design was used. The hierarchical two-dimensional view …
Improving Identification And Initial Management Of Perimenopause In Primary Care, Yewande Banire
Improving Identification And Initial Management Of Perimenopause In Primary Care, Yewande Banire
Walden Dissertations and Doctoral Studies
Perimenopause is a common but frequently underrecognized stage of reproductive aging that can significantly affect women's physical, psychological, cognitive, and sexual well-being. In primary care, inconsistent provider education and the absence of standardized screening and assessment processes often contribute to delayed recognition and fragmented management. The purpose of this Doctor of Nursing Practice quality improvement project was to develop, implement, and evaluate an evidence-based clinical practice guideline to improve the identification and initial management of perimenopause in a primary care setting. Guided by the Johns Hopkins Evidence-Based Practice Model, the project involved synthesizing and critically appraising the literature to develop …
Educating Psychiatric Mental Health Nurse Practitioners On Long-Acting Injectable Antipsychotic Medication Management, Omonzua Mabel Eromosele
Educating Psychiatric Mental Health Nurse Practitioners On Long-Acting Injectable Antipsychotic Medication Management, Omonzua Mabel Eromosele
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project addressed the underutilization of long-acting injectable (LAI) antipsychotic medications in an outpatient mental health center. Although LAI antipsychotics improve medication adherence, reduce relapse, and decrease psychiatric hospitalization, provider knowledge deficits and inconsistent prescribing practices lead to their underuse. The practice-focused question was: Among psychiatric-mental health nurse practitioners (PMHNPs) in an outpatient mental health center, what is the impact of an educational program on the application of LAI antipsychotic medication management on the improvement of staff knowledge? The purpose of this project was to implement and evaluate evidence-based educational intervention to improve …
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Walden Dissertations and Doctoral Studies
Retail banking organizations lose billions of dollars annually to nonofficer employee turnover, disrupting operations, degrading customer service, and burdening human resource (HR) leaders with repeated recruitment costs. When retail bank HR leaders experience nonofficer employee turnover among their frontline workforces, it can influence profitability and community trust. Grounded in stakeholder theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies used by retail bank HR leaders to retain nonofficer talent. The participants were 10 HR leaders in U.S. retail banking institutions who had successfully implemented nonofficer retention strategies. Data were collected using semistructured interviews and …
Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso
Staff Education To Reduce Stress In Assisted Living Nursing Staff, Cherechi Onyenso
Walden Dissertations and Doctoral Studies
In this staff education doctor of nursing practice (DNP) project, I addressed a practice gap associated with inadequate staff knowledge of workplace stress-management strategies in an assisted living facility. Workplace stress in nursing practice is a contributing factor to burnout, reduced job satisfaction, poor teamwork, and a decline in the quality of resident care. The practice-focused question for this project was about whether staff knowledge would be enhanced over an 8-week period in comparison to baseline knowledge as a result of their participation in a structured staff education program on workplace stress management. The purpose of the project was to …
Staff Education To Address Verbal De-Escalation Skills In Correctional Mental Healthcare, Mary L. Goodman
Staff Education To Address Verbal De-Escalation Skills In Correctional Mental Healthcare, Mary L. Goodman
Walden Dissertations and Doctoral Studies
This staff education project evaluated the effects of a structured verbal de-escalation training program on self-efficacy among staff in a federal correctional mental health unit. Staff at the site often reported uncertainty managing escalating behaviors, leading to frequent use of restrictive interventions like restraints and seclusion—practices that can compromise safety, quality of care, and raise ethical concerns. To address this gap, an evidence-based curriculum was implemented for 41 multidisciplinary staff, including nurses, certified nursing assistants, and correctional officers. The curriculum included a PowerPoint presentation, role play, and group discussion. A pre–post design measured changes in staff confidence using a modified …
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Walden Dissertations and Doctoral Studies
Secondary postpartum hemorrhage (SPPH) is a significant contributor to maternal morbidity in the United States and occurs after hospital discharge during the postpartum period. Persistent disparities in terms of maternal outcomes suggest access to prenatal care alone may not adequately address clinical and social factors associated with SPPH. Guided by the Social Ecological Model, which recognizes that health outcomes are influenced by a collective approach to examining health. The purpose of this study was to examine associations between SPPH, prenatal care access, and social determinants of health from 2019 to 2022 while controlling for maternal age, race, and delivery type. …
Psychosocial Experiences Of Secondary School Students Living With Sickle Cell Disease While In School In Lagos State, Nigeria, Toluwalope Yetunde Onuwe
Psychosocial Experiences Of Secondary School Students Living With Sickle Cell Disease While In School In Lagos State, Nigeria, Toluwalope Yetunde Onuwe
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is a lifelong genetic condition significantly impacting the physical, emotional, and social health of those affected. Nigeria has one of the highest global burdens of SCD, yet there is limited research on the psychosocial experiences of secondary school students living with SCD in educational settings. This qualitative study explored these experiences among students in Lagos State, Nigeria. Using the social ecological model and interpreted through the social model of disability, the study examined how school environments, educational practices, and institutional support influenced students' psychosocial well-being and perceived health. Twenty secondary school students participated in 4 in-person …
Beauty Influencer Entrepreneur Marketing Strategies To Grow And Sustain Business And Improve Social Media Analytics, Kelsee Briana Barnes
Beauty Influencer Entrepreneur Marketing Strategies To Grow And Sustain Business And Improve Social Media Analytics, Kelsee Briana Barnes
Walden Dissertations and Doctoral Studies
The lack of marketing strategy knowledge can negatively affect beauty influencer entrepreneurs’ ability to fully leverage digital platforms to build sustainable businesses and strengthen their online presence. Beauty entrepreneurs are concerned, as the lack of marketing strategies can hinder the successful operation of social media platforms and may diminish online visibility. Grounded in Porter’s Five Forces framework, the purpose of this study was to explore the marketing strategies that beauty influencer entrepreneurs use to grow and sustain their social media platforms and improve social media analytics. The participants were eight beauty influencer entrepreneurs across various regions of the United States. …
English Language Arts Remedial Teachers’ Perspectives On Strategies To Close The Academic Achievement Gap Of Minority High School Students, Barbara Williams
English Language Arts Remedial Teachers’ Perspectives On Strategies To Close The Academic Achievement Gap Of Minority High School Students, Barbara Williams
Walden Dissertations and Doctoral Studies
The problem that was addressed throughout this study is that 53% of minority students do not reach proficiency on the English Language Arts (ELA) portion of the Florida Assessment of Student Thinking test compared to the 42% of other student populations at Grover High School (GHS, a pseudonym), a large and diverse high school, despite targeted school improvement interventions each school year. Grounded in Ladson-Billings’s culturally relevant pedagogy, the purpose of this basic qualitative study was to investigate ELA remedial teachers’ perspectives on reading strategies and instructional planning tools that might help minority students close the academic achievement gap. Semistructured …
Staff Education On Improving Staff Knowledge Of Medication Adherence In An Outpatient Psychiatric Facility, Okechukwu Chidiadi
Staff Education On Improving Staff Knowledge Of Medication Adherence In An Outpatient Psychiatric Facility, Okechukwu Chidiadi
Walden Dissertations and Doctoral Studies
This project was a staff education initiative designed to improve staff knowledge of medication adherence at an adult psychiatric outpatient clinic. Addressing this matter is critical because it directly impacts the quality of patient care. The practice focus question was: Among psychiatric mental health staff in a behavioral health facility, what is the impact of a staff educational program on teaching medication adherence to patients on the staff’s knowledge? The purpose of this staff education project was to improve staff knowledge of medication adherence by equipping them with the tools and strategies needed to help patients manage their treatment plans …
Effective Leadership Strategies To Retain For-Profit Education Employees After A Leadership Change, Kimberly Keene
Effective Leadership Strategies To Retain For-Profit Education Employees After A Leadership Change, Kimberly Keene
Walden Dissertations and Doctoral Studies
Ineffective leadership transitions in for profit higher education erode employee morale, trust, and retention. Higher education business leaders recognize that ineffective leadership transitions can contribute to employee disengagement, reduced organizational commitment, and increased turnover, undermining institutional stability, workforce continuity, and organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective leadership strategies used by for-profit education institution leaders to retain key employees after a change in leadership. The participants were 10 leaders employed at for-profit higher education institutions in the southern United States who had successfully implemented leadership strategies …
Exploring Licensed Clinical Social Workers’ Past Trauma And Current Practice: A Strengths-Based Perspective, Michael E. Conner
Exploring Licensed Clinical Social Workers’ Past Trauma And Current Practice: A Strengths-Based Perspective, Michael E. Conner
Walden Dissertations and Doctoral Studies
This qualitative study explored the lived experiences of licensed clinical social workers to examine how they manage, reinterpret, and integrate their childhood trauma into their professional clinical identities. Adverse childhood experiences among clinicians are often framed through a risk-based lens of burnout and impairment, leaving social work leaders without empirical models to support post-traumatic growth and workforce retention. The purpose of this study was to examine how clinicians leverage past adversity to inform contemporary practice. A basic qualitative design was used, with semistructured interviews conducted with 11 participants. Participant narratives were examined through the dual lenses of shattered assumptions theory …
Reducing Seclusion In Inpatient Psychiatric Units Through Staff Education, Amaka Nkala
Reducing Seclusion In Inpatient Psychiatric Units Through Staff Education, Amaka Nkala
Walden Dissertations and Doctoral Studies
Seclusion remains a restrictive intervention used in inpatient psychiatric settings despite evidence linking it to psychological trauma, physical harm, and adverse patient outcomes. This Doctor of Nursing Practice (DNP) staff education project evaluated the effectiveness of a trauma-informed care and de-escalation education program in improving nurses' confidence in managing patient escalation. The project used a pre- and post-intervention quality improvement design with 24 inpatient psychiatric nurses. Participants completed a 10-item, 5-point Likert-scale confidence survey before and after a 30-minute educational session delivered via PowerPoint. Descriptive statistics were used to compare pre- and post-intervention confidence scores. Mean confidence scores increased from …
The Exploration Of Pandemic Educational Equity Among Virginia Schools, James Edward Graves
The Exploration Of Pandemic Educational Equity Among Virginia Schools, James Edward Graves
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified existing educational inequities among marginalized student populations, prompting unprecedented federal investments through the Coronavirus, Aid, Relief, and Economic Security (CARES) Act to support educational continuity. Existing literature findings consistently demonstrated that collaborative leadership, equitable resource allocation, family engagement, and community partnerships improved educational continuity, which reduced learning disparities during the COVID-19 pandemic. Despite substantial resource allocations, limited research has examined parent perceptions regarding the equity and effectiveness of CARES Act-supported educational interventions. The purpose of this generic qualitative study was to explore Virginia high school parents' perceptions of pandemic educational equity, CARES Act financial disbursement strategies, …
Clinical Practice Guideline For A Capstone‑To‑Residency Transition Program, Rebecca Ginika Chinonso
Clinical Practice Guideline For A Capstone‑To‑Residency Transition Program, Rebecca Ginika Chinonso
Walden Dissertations and Doctoral Studies
The transition from student nurse to professional practice remains a vulnerable period marked by role ambiguity, stress, and early turnover. At a large medical center, the lack of a structured bridge between the final capstone experience and the residency program contributed to inconsistent onboarding, reduced confidence, and diminished resilience among new graduates. Addressing this gap is essential for strengthening retention, supporting workforce stability, and improving patient outcomes within nursing practice. An evidence‑based clinical practice guideline (CPG) outlining best‑practice recommendations for a new graduate transition program from capstone to residency was developed for the facility. The practice‑focused question asked whether the …
Immigration Status And Lung Cancer Diagnosis In U.S. First-Generation Immigrants, Valeriya Lockwood
Immigration Status And Lung Cancer Diagnosis In U.S. First-Generation Immigrants, Valeriya Lockwood
Walden Dissertations and Doctoral Studies
The healthy immigrant effect (HIE) is an observed phenomenon in which immigrants exhibit better health outcomes than native-born residents, though relatively few studies have examined its role in chronic diseases in the United States. The purpose of this quantitative cross-sectional study was to assess the associations between immigration status, age, sex, race/ethnicity, median household income, and geographic location and lung cancer diagnosis in first-generation immigrant adults aged 18 or older. The subsequent health trajectory model provided the theoretical framework for the study. Data were obtained from the SEER*Stat Database 1975-2022 (N = 1,993). Binomial regression analysis showed that immigrants were …