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Relationship Between Adjunct Faculty Workplace Inclusion And Burnout In Online Universities, Allisson Kinkade
Relationship Between Adjunct Faculty Workplace Inclusion And Burnout In Online Universities, Allisson Kinkade
Walden Dissertations and Doctoral Studies
Online universities rely on adjunct faculty even though including them in institutional processes is challenging and might be related to burnout. The relationship between the level of workplace inclusion and burnout of adjunct faculty has not been investigated. The purpose of this quantitative study was to explore the relationship between the level of workplace inclusion and burnout of adjunct faculty at online universities, moderated by instructor age, gender, and the number of years teaching as an adjunct. The conservation of resource theory by Hobfoll was used as the theoretical framework. For this quantitative nonexperimental correlational research design, data from 104 …
Experiences Of Former Foster Youths With Learning Disabilities Who Transitioned Into Adulthood, Phyllis J. Phillips
Experiences Of Former Foster Youths With Learning Disabilities Who Transitioned Into Adulthood, Phyllis J. Phillips
Walden Dissertations and Doctoral Studies
Foster youths with learning disabilities face numerous challenges as they transition out of care, including housing instability, unemployment, and mental health issues. Despite these barriers, research focusing on this specific population is limited. Guided by Taormina’s adult personal resilience theory, this qualitative case study explored the experiences and perceptions of former foster youths with learning disabilities to inform interventions and improve service delivery and policy improvements. The research questions addressed the experiences of former foster youths with learning disabilities transitioning out of care, the unique challenges associated with transitioning out of foster care as experienced by former foster youths with …
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Walden Dissertations and Doctoral Studies
Allostatic load (AL), the cumulative physiological burden of chronic stress, is a significant health problem, and it has been associated with adverse health outcomes, including cognitive functioning. There is a paucity of literature examining associations between AL and incident dementia in the United States. This quantitative study used data from the United States Health and Retirement Study cohort (2016-2020) to examine the association between AL quartile and incident dementia among participants who were aged 56 and older at baseline. Dementia status was determined measuring immediate and delayed recall, serial seven subtraction, and backward count, as well as self-report conditions for …
Staff Education On Medication Nonadherence For Patients With Bipolar Disorder, Julius Chick Abam
Staff Education On Medication Nonadherence For Patients With Bipolar Disorder, Julius Chick Abam
Walden Dissertations and Doctoral Studies
Summary From both the literature and the staff observation in this private practice, bipolar disorder (BD) patients who do not comply with medication are at a higher risk of hospitalization and poor quality of life. The purpose of the project was to implement staff training focused on adherence strategies, including motivational interviewing and psychoeducation to improve medication adherence rates among BD patients. The project question was: Does providing an interactive education program using case studies improve staff knowledge and self-confidence? Different studies support the effectiveness of both psychoeducation and motivational interviewing in improving adherence and functionality in BD. An interprofessional …
Therapists’ Experiences In Cases Of High-Conflict Divorce Among Individuals With Personality Issues, Tamara Soal
Therapists’ Experiences In Cases Of High-Conflict Divorce Among Individuals With Personality Issues, Tamara Soal
Walden Dissertations and Doctoral Studies
High-conflict divorce (HCD) involves prolonged conflict exceeding 2 years, persistent hostility, and extensive court involvement. Mental health professionals often participate as court-appointed expert witnesses or provide therapy at parental request. Therapists' roles become more complex when parents exhibit challenging personality traits. This descriptive qualitative study explored therapists’ experiences in treating children and families in HCD cases where one or both parents displayed complex personality issues or disorders. Greenberg and Gould’s model on mental health professionals in court cases and Freud’s countertransference theory provided the study’s conceptual framework. Data were collected through semistructured interviews with nine therapists, and thematic analysis was …
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic posed unprecedented challenges to public health worldwide, significantly impacting vulnerable populations like obese men in the United States. This qualitative descriptive study involved exploring how these men perceived the pandemic’s impact on their physical and mental health, addressing a critical gap in existing literature. The research question that guided this study was: How did obese men living in the United States perceive the stressor that was the COVID-19 pandemic on their physical and mental health? Guided by the biopsychosocial model, the study involved using semi-structured interviews with 15 participants who were recruited online through social media. Thematic …
The Generalized Anxiety Disorder 7-Item (Gad-7) Tool For Anxiety Screening, Nicholas Tindong
The Generalized Anxiety Disorder 7-Item (Gad-7) Tool For Anxiety Screening, Nicholas Tindong
Walden Dissertations and Doctoral Studies
The staff education project aimed to address the gap in practice regarding the use of the Generalized Anxiety Disorder 7-item (GAD-7) screening tool at a psychiatric clinic. Approximately 40% of the clinic’s patients exhibited symptoms of generalized anxiety disorder (GAD), yet the nurses did not consistently use validated tools to assess anxiety severity, relying instead on unstructured clinical interviews. This inconsistency has resulted in delayed diagnoses and suboptimal patient care. The project sought to improve nursing staff's knowledge and confidence in using the GAD-7 tool through a structured education program guided by the following practice-focused question: Among nurses at a …
Impact Of Medication Adherence On Patients With Bipolar Disorder, Vero Lum Fon
Impact Of Medication Adherence On Patients With Bipolar Disorder, Vero Lum Fon
Walden Dissertations and Doctoral Studies
This staff education project was aimed at improving registered nurses’ (RNs) knowledge on the impact of medication adherence in patients with bipolar disorder. Up to 60% of patients fail to take their prescriptions as recommended, which increases the risk of recurrence and hospitalization and lowers quality of life. The practice-focused question is: Does comprehensive and targeted staff education improve knowledge of healthcare professionals regarding how to optimize medication adherence among patients diagnosed with bipolar disorder? I sought to provide RNs with evidence-based medication adherence and patient care measures to close the knowledge gap. Pre and post-tests were used to assess …
The Role Of Leadership In Improving Discharge Planning For Complex Cases In A Healthcare System, Philmaris Miranda Rodriguez
The Role Of Leadership In Improving Discharge Planning For Complex Cases In A Healthcare System, Philmaris Miranda Rodriguez
Walden Dissertations and Doctoral Studies
Behavioral health organizations face significant challenges in managing psychiatric hospital readmissions, often influenced by social determinants of health (SDOH) such as poverty, education, social support, housing, and food security. This study examines the perspectives of behavioral health leadership on discharge planning in psychiatric hospitals in the southeastern United States, exploring how leadership strategies impact patient readiness for discharge and reduce the risk of readmission. Using the Baldrige Performance Excellence Framework, key performance categories, including leadership, strategy, measurement, and operations, were evaluated to inform actionable improvements in discharge planning and transitional care. Evidence was collected through interviews with healthcare leaders and …
The Roles And Motivation Of Volunteers In State Correctional Facilities, Sherlyn Kimberly Harris
The Roles And Motivation Of Volunteers In State Correctional Facilities, Sherlyn Kimberly Harris
Walden Dissertations and Doctoral Studies
Researchers have demonstrated that volunteers play a vital role in supporting the needs of those incarcerated in state correctional facilities, but the researchers fell short of elaborating on what stimulates the volunteers’ motivation, chosen roles, and selected areas for their contributions. Understanding the motivation of this group is valuable to ensure ongoing commitment for this important community role. The purpose of this study was to explore lived experiences of community state prison volunteers to better understand what motivates them. Dutta-Bergman’s theory of unified responsibility formed the framework for this generic qualitative study. Narrative data from interviews with six participants were …
Residence, Education, Wealth, And Hiv/Aids Prevention Knowledge Among Nigerian Adults, Chinedu Nwaobia Nwaru
Residence, Education, Wealth, And Hiv/Aids Prevention Knowledge Among Nigerian Adults, Chinedu Nwaobia Nwaru
Walden Dissertations and Doctoral Studies
HIV has remained the most prevalent and deadliest epidemic affecting humanity. It is pertinent to note that, despite the number of years since the first case was reported in the early 1980s in the United States, and concerted efforts by local, national, and international governmental and nongovernmental agencies at curbing it, the level of knowledge of HIV transmission and the disease prevention, especially among Nigerians, is still not encouraging. Nigeria, the most populous country in Sub-Saharan Africa ranks second globally as the country with the highest number of people living with HIV/AIDS, which is currently estimated at 3 million. In …
African American Women’S Experience Of Wearing Natural Textured Hair, Tammy White-Jolivette
African American Women’S Experience Of Wearing Natural Textured Hair, Tammy White-Jolivette
Walden Dissertations and Doctoral Studies
African American women’s (AAW’s) experiences of wearing natural textured hair are underrepresented in the literature. This issue, and hair discrimination more broadly, is a form of social injustice that underscores the cultural and social significance of natural hair as a symbol of heritage, identity, and resilience in African American communities. Guided by social comparison and self-concept theories, the purpose of this study was to examine how wearing natural hair influences AAW’s self-perception. The research question was: How do AAW describe their experiences of wearing natural textured hair? The qualitative method featured interpretative phenomenological analysis. Data were collected by conducting in-depth …
A Qualitative Exploration Of Urgent Care Clinic Providers’ Experiences With Patients With Mental Health Concerns, Teresa L. Hodges
A Qualitative Exploration Of Urgent Care Clinic Providers’ Experiences With Patients With Mental Health Concerns, Teresa L. Hodges
Walden Dissertations and Doctoral Studies
With mental health concerns on the rise in the United States and around the world, there has been a call for non-traditional avenues for the treatment of patients with mental health needs. Existing research indicates that in the current post-pandemic era, urgent care clinic providers have begun playing a pivotal role in the treatment of patients with mental health concerns. However, there is a lack of research currently available on the lived experiences of urgent care clinic providers treating of patients with mental health concerns. The purpose of this phenomenological study was to explore the lived experiences of urgent care …
The Effectiveness Of Naloxone Staff Education In Reducing Opioid Overdose Mortality Among Young Adults In An Outpatient Behavioral Clinic, Taiwo Oguntade
The Effectiveness Of Naloxone Staff Education In Reducing Opioid Overdose Mortality Among Young Adults In An Outpatient Behavioral Clinic, Taiwo Oguntade
Walden Dissertations and Doctoral Studies
The Naloxone Staff Education Project was implemented within an outpatient behavioral health practice to address the critical issue of insufficient staff education regarding Naloxone use in opioid overdose responses. Opioid overdoses, particularly among young adults, have become a leading cause of preventable death, with nearly 108,000 deaths recorded in 2022, 76% of which involved opioids. The project aimed to assess the impact of Naloxone education on staff knowledge, competency, and confidence in responding to opioid overdoses among patients aged 18 to 35. Utilizing pre- and post-education assessments, including surveys and interviews, the project evaluated staff readiness to administer Naloxone. Results …
Medical Laboratory Technologist Labor Market And Industry Initiatives To Address Labor Shortages, Jarvis John Surriga
Medical Laboratory Technologist Labor Market And Industry Initiatives To Address Labor Shortages, Jarvis John Surriga
Walden Dissertations and Doctoral Studies
The demand for laboratory testing has increased, requiring more medical laboratory technologists/scientists (MLTs/MLSs) in the United States. However, the supply of qualified MLS workers has decreased, which has caused a critical labor shortage. The purpose of this integrative review was to determine the best practices and strategies for improving the staffing and retention of clinical laboratory staff (CLS) given the growing demand for laboratory services. A search of empirical and nonempirical literature published between 2019 and 2024 yielded 1,935 articles, and exclusions resulted in 66 articles that addressed the problem. The additional examination resulted in 26 articles chosen for further …
Development Of An Evidence-Based Program To Increase Burnout Knowledge Among Psychiatric Mental Health Nurse Practitioners In An Inpatient Psychiatric Hospital, Christianah Agunanne
Development Of An Evidence-Based Program To Increase Burnout Knowledge Among Psychiatric Mental Health Nurse Practitioners In An Inpatient Psychiatric Hospital, Christianah Agunanne
Walden Dissertations and Doctoral Studies
In this staff education project, I addressed burnout prevention among psychiatric mental health nurse practitioners (PMHNPs) in an inpatient psychiatric hospital. Burnout can cause strain on mental health nurses and reduce patient satisfaction, impair quality of care, and increase medical errors. In this project, I developed and applied an evidence-based program (EBP) on burnout for PMHNPs, educating them about the problem and helping identify, avoid, or at least prevent burnout symptoms. I addressed how an EBP staff education program could affect knowledge and recognition of burnout for PMHNPs working in an inpatient psychiatric hospital. The purpose of the project was …
Perspectives Of Residential Treatment Center Staff On Organizational Climate And Rehabilitation, Erika Drayton
Perspectives Of Residential Treatment Center Staff On Organizational Climate And Rehabilitation, Erika Drayton
Walden Dissertations and Doctoral Studies
Residential treatment centers (RTCs) within the juvenile justice system (JJS) are commonly used as an out-of-home placement for adjudicated youths who require more individualized care. Several researchers studied the JJS; however, few explored RTCs or the direct care staff. Probation officers and detention facility staff have been the focus of previous studies. The purpose of this generic qualitative study was to explore the perspectives of RTC staff on organizational climate and rehabilitation of adjudicated youths. The participants included 12 direct care RTC staff age 18 and older who had worked with adjudicated youths for one year or more. Bronfenbrenner’s ecological …
The Lived Experiences Of Police Officers’ Responses To Stranger And Familial Child Abductions, Kennedy Pierce
The Lived Experiences Of Police Officers’ Responses To Stranger And Familial Child Abductions, Kennedy Pierce
Walden Dissertations and Doctoral Studies
When the media covers stories of child abductions, a common misconception is who the abductor is. Despite what the news broadcasts, a child is more likely to be abducted by a family member or acquaintance than a stranger. This qualitative study was conducted to explore the lived experiences of police officers’ responses to stranger and familial abductions using a phenomenological approach to determine how schemas may shape police officers’ perceptions, specifically concerning responding to child abductions. Schema theory suggests schemas are formed based on an occurrence between an individual and their surrounding environment. Nine interviews were conducted of police officers …
Lived Experiences Of Police Use Of Force In Western Utah, Kenny Augustin
Lived Experiences Of Police Use Of Force In Western Utah, Kenny Augustin
Walden Dissertations and Doctoral Studies
The use of force by police officers toward African Americans has been a tense subject in the United States Although statutory law grants the police officers the right to use force, the level and the type of force used by police officers can be seen as problematic. In this study, the lived experiences of African Americans and police officers’ use of force were explored. The purpose of this phenomenological study was to explore whether the lived experiences of African Americans differ from police officers concerning the use of force in Utah and how fear, trust, and confidence influenced behaviors. A …
Relationship Between Self-Silencing And Self-Neglect Behaviors And Disordered Eating And Stigma Toward Seeking Behavioral Health Support Among Black Women Who Adopt The Superwoman Schema, Veanda Hemphill
Walden Dissertations and Doctoral Studies
Self-silencing and self-neglect behaviors, key dimensions of the superwoman schema (SWS), function as protective coping mechanisms in response to psychosocial stressors. However, these behaviors often perpetuate self-sacrifice, leading to an increased risk of physical and mental health decline. The purpose of this quantitative correlational study was to examine the relationship between self-silencing and self-neglect behaviors (independent variables) and disordered eating and stigma toward seeking support from behavioral health services (dependent variables) among Black women who adopt the SWS. The theoretical and conceptual frameworks of silencing the self and intersectionality guided this study. The 78 participants who self-identified as Black and …
A Document Analysis Of School Shooting On College Campuses, Kevin Lavelle Childs
A Document Analysis Of School Shooting On College Campuses, Kevin Lavelle Childs
Walden Dissertations and Doctoral Studies
Despite media outcry and societal outcry, gun violence on college campuses in the United States continues to be an unresolved problem. Prior to on-campus shootings, college campuses were safe locations that were conducive to learning. Sadly, this is no longer the case. The purpose of this qualitative study was to identify the key characteristics of mass shootings on college campuses so that officials would be provided with information that would enable them to create safer campuses. Using a rational choice theory as the conceptual framework, which focused on the perpetrator’s behavior, a document analysis was conducted to identify and understand …
Relationship Between Motivation, Job Satisfaction, And Company Performance In Virtual Teams In The U.S. Insurance Industry, Rena Lois Roundtree
Relationship Between Motivation, Job Satisfaction, And Company Performance In Virtual Teams In The U.S. Insurance Industry, Rena Lois Roundtree
Walden Dissertations and Doctoral Studies
Information technology (IT) leaders in the U.S. insurance industry are concerned with sustaining employee motivation in virtual teams, as it is a key challenge in managing virtual employees. Grounded in Herzberg’s two-factor theory, the purpose of this quantitative ex-post facto study was to examine the relationship between achievement, recognition, and company policy with job satisfaction and company performance. The participants were 54 U.S.-based insurance companies listed in Fortune’s Best Workplaces in Financial Services & Insurance (2021), with data sourced from publicly available financial reports and the U.S. Securities and Exchange Commission’s EDGAR system. The result of the multiple linear regression …
Perceptions Of Clinically Depressed Individuals: Social Media Use, Depressive Symptoms, And Interpersonal Relationships, Rachel N. Fullen
Perceptions Of Clinically Depressed Individuals: Social Media Use, Depressive Symptoms, And Interpersonal Relationships, Rachel N. Fullen
Walden Dissertations and Doctoral Studies
Recent literature has shown an association between social media usage and depressive symptoms, but there remains a gap regarding the perceptions of individuals with clinical depression on their social media usage and their interpersonal relationships. This qualitative study was conducted to uncover how people view social media and their clinical depression as well as the quality of their interpersonal interactions through social media platforms. Semi-structured interviews were conducted with 10 individuals who were diagnosed with clinical depression, used social media for 2 hours daily, and lived with their significant other/partner. The theory applied to this study was Blumler and Katz’s …
Nurse Experiences Of Caring For Children With Autism Spectrum Disorder In Los Angeles Pediatric Intensive Care Units, Makenna Brown
Nurse Experiences Of Caring For Children With Autism Spectrum Disorder In Los Angeles Pediatric Intensive Care Units, Makenna Brown
Walden Dissertations and Doctoral Studies
One in 22 California children is diagnosed with autism spectrum disorder (ASD). In combination with sensory considerations, healthcare costs, and increased healthcare utilization, these children face a lesser quality of care and poorer health outcomes. The literature addresses healthcare needs and experiences from various viewpoints, but does not address the experiences of nurses (RN) caring for children with ASD in the pediatric intensive care unit (ICU). The purpose of this study was to gain an understanding of RN’s challenges, and the helpful strategies utilized in practice. A qualitative, grounded study approach, centered on the patient-and-family centered care conceptual framework, was …
Executive Summary: Educating Staff On The Use Of The Columbia Suicide Severity Rating Scale, Muktar Trawalley
Executive Summary: Educating Staff On The Use Of The Columbia Suicide Severity Rating Scale, Muktar Trawalley
Walden Dissertations and Doctoral Studies
Suicidal ideation is a serious public health concern among individuals, especially in the United States. The Columbia-Suicide severity rating scale (C-SSRS) is the tool used to assess the severity and frequency of suicidal ideations. The gap in practice at this site is that mental health providers lack knowledge of using the C-SSRS. This evidence-based educational project aimed to improve nursing knowledge on using the C-SSRS in a psychiatric mental health facility. A practice-focused question was developed: Among psychiatric nurses in an outpatient mental health facility, does staff education on C-SSRS improve their knowledge of its application over 8 weeks, as …
Hispanic Family Caregivers’ Experiences With Dementia Patients During The Covid-19 Emergency, Vivian Arroyo
Hispanic Family Caregivers’ Experiences With Dementia Patients During The Covid-19 Emergency, Vivian Arroyo
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly impacted caregiving dynamics, particularly for Hispanic family caregivers of dementia patients. This qualitative study explored the experiences, challenges, and coping strategies of these caregivers during the pandemic. The theoretical framework was systems theory. Semistructured interviews were conducted with 12 participants to collect data. Participants were recruited through purposive sampling and responded to open-ended questions regarding their caregiving experiences. The collected data were analyzed using Braun and Clarke’s six-step thematic analysis The findings revealed four themes: (a) caregiving strategies, including time management, collaboration, and reliance on religious faith; (b) self-care experiences, which highlighted the balance between personal …
Skill Development Approach For Poverty Alleviation In India, Sameer Chandra
Skill Development Approach For Poverty Alleviation In India, Sameer Chandra
Walden Dissertations and Doctoral Studies
India’s Poverty Profile revealed that over 65% of the poor reside in rural areas. This study examined the effectiveness of the Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDU-GKY) skill development program in alleviating poverty in Uttar Pradesh, India. Guided by Sen’s capability approach, a quantitative cross-sectional design employing logistic regression analyzed the relationships of candidate qualifications and trade categories, predicting the likelihood of successful job placement. The study analyzed 4,789 randomly selected cases from 14 high-poverty districts in DDU-GKY’s database. The job placement rate within cases was 28.2%, with 71.8% not placed. Candidate qualification significantly predicted the likelihood of job …
The Relationships Between Social Stress, Anxiety, And School Attendance/Absenteeism Among Middle School Students With High-Incidence Disabilities, Rebecca Caroline Canady
The Relationships Between Social Stress, Anxiety, And School Attendance/Absenteeism Among Middle School Students With High-Incidence Disabilities, Rebecca Caroline Canady
Walden Dissertations and Doctoral Studies
Chronic absenteeism has been on the rise across the United States since schools fully reopened to in-person learning after COVID-19-related closures. Historically, students with disabilities are more likely to experience increased rates of absenteeism. However, there is a lack of research on specific psychosocial factors related to school attendance/absenteeism (SA/A) for students with disabilities. The purpose of this quantitative study of archival data was to examine through analyses of variance what extent the relationship between anxiety and SA/A is moderated by social stress among middle school students with high-incidence disabilities. Additionally, trends in the relationship between variables from before and …
Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis
Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis
Walden Dissertations and Doctoral Studies
Rural hospitals experience challenges in supplying the physician workforce, leading to poor organizational and population health outcomes. The purpose of this integrative review was to determine factors that affect physician recruitment and retention in rural hospitals and provide strategies for administrators to support sufficient physician staffing. The review question was used to identify effective strategies to improve physician recruitment and retention in rural hospitals. An integrative review was completed using empirical and nonempirical research published between 2019 and 2024. The results of the literature demonstrated components affecting physician motivation and job satisfaction. Five main themes surfaced: (a) professional education, (b) …
Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle
Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle
Walden Dissertations and Doctoral Studies
In the United States, lung cancer is responsible for killing more people than prostate, breast, and colon cancer combined. African Americans are at a greater risk of dying from the disease due to the infrequency of early detection achieved through screening. This research focused on African American female smokers (AAFS) in the District of Columbia, Maryland, and Virginia between the ages of 50 and 80 with a 20-year pack history and who were smoking or had quit within the past 15 years. A quantitative correlational research design was employed with a sample of 101 participants to explore the relationship between …