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Nurse Education On Nonpharmacological Management Of Knee Osteoarthritis, Toyin Mary Ajayi
Nurse Education On Nonpharmacological Management Of Knee Osteoarthritis, Toyin Mary Ajayi
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project aims to fill the gaps in the management of knee osteoarthritis (OA) in adults aged 40 to 75 years in a primary care practice. Knee OA is a common chronic disease that significantly impacts pain, mobility, and quality of life. Although there is empirical evidence that nonpharmacological interventions, including exercise, weight control, and self-management education, are effective, these methods are not consistently used in clinical practice, and pharmacologic treatment continues to be used. The project was designed to inform healthcare personnel about evidence-based nonpharmacological strategies to improve patient outcomes and reduce reliance on …
Elected Sheriffs’ Election Process And How It Affects Their Behavior, Brian James Ardoin
Elected Sheriffs’ Election Process And How It Affects Their Behavior, Brian James Ardoin
Walden Dissertations and Doctoral Studies
Scholars have widely examined how electoral pressures influence the behavior of judges and prosecutors; however, less attention has been given to how elections affect law enforcement leaders. This quantitative study examined whether sheriff election cycles in Louisiana were associated with changes in law enforcement behavior. Louisiana parish sheriffs occupy a unique role as both elected officials and chief law enforcement executives, which may create incentives that influence enforcement priorities. Using secondary arrest data from the Federal Bureau of Investigation Uniform Crime Reporting program, this study analyzed parish-level arrest patterns from 2009 through 2019 to determine whether deputies’ arrest behavior differed …
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter
Walden Dissertations and Doctoral Studies
Adult Protective Services (APS) workers play a crucial role in providing care, support, and services to older and adult clients with special needs. There was a lack of empirical data on the long-term retention of APS investigators and on how burnout affects their intentions to resign. Departments consistently rely on a cycle of using newer, less experienced investigators who may not know about community and state services or department policies and procedures to connect clients. The purpose of this quantitative correlational study was to examine the relationship between personal, work-related, and client-related burnout and APS investigators’ intention to resign. Data …
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Perceptions Of Fourth-Year Undergraduate College Students With Attention Deficit Hyperactivity Disorder On Academic Success, Olympia Shante Jenkins
Walden Dissertations and Doctoral Studies
The problem addressed through this study is the low graduation rate of students with attention deficit hyperactivity disorder (ADHD) across the United States. Guided by Mezirow’s transformative learning theory, the purpose of this qualitative study was to explore the perceptions of fourth-year undergraduate college students with ADHD on the academic support or methods that contributed to their perseverance in college. For this basic qualitative design, semistructured interviews were conducted with 10 undergraduate college students who self-reported a diagnosis of ADHD and had successfully completed the first 3 years of their education. Through thematic analysis and open, inductive coding, the following …
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Performance-Based Budgeting Implementation Strategies For Improving Financial Performance, Waleed Ibrahim Alsyaegh
Walden Dissertations and Doctoral Studies
The lack of effective strategies for allocating organizational financial resources can lead to adverse business outcomes. Business managers are concerned about the ineffective allocation of financial resources, as it can impede financial performance and sustainability.Grounded in stakeholder theory, the purpose of this qualitative single-case study was to explore the performance-based budgeting strategies that business managers use to sustain financial profitability. The participants were 10 business managers who oversee subsidiaries that successfully implemented performance-based budgeting.Data were collected through semistructured interviews and the review of organization documents. Through thematic analysis, four themes were identified: (a) traditional versus contemporary budgeting; (b) importance of …
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Women Veterans’ Experiences Applying For Veterans Affairs Compensation For Military Sexual Trauma-Related Ptsd, Bridget Strong
Walden Dissertations and Doctoral Studies
Military sexual trauma (MST)—sexual harassment or assault during military service—is more common among women and is a leading cause of posttraumatic stress disorder (PTSD). Veterans Affairs (VA) disability for MST-related PTSD offers financial support, free healthcare, and validation, but women face barriers and uneven access to supports (veteran service organizations, trained advocates, trauma-informed clinicians), reducing their chances of favorable decisions. In this generic qualitative study, semi-structured interviews were conducted with 11 purposively sampled women veterans representing diverse service eras, branches, and adjudication outcomes. Analysis was guided by feminist theory to shift focus from individual blame to structural factors, including how …
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Walden Dissertations and Doctoral Studies
Child support policy in the United States has been widely studied as a method to ensure financial responsibility; however, existing research has identified concerns regarding enforcement practices and their disproportionate impact on African American noncustodial fathers in Georgia. Limited qualitative research examined how Georgia fathers experience and interprets these policies, creating a gap in understanding how policy implementation influences paternal engagement. The purpose of this qualitative study was to examine how African American noncustodial fathers in Georgia perceived the child support process and to explore how modernization of enforcement policies might improve paternal engagement. Guided by policy feedback theory, this …
Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Investigating The Relationship Amongst Nursing Students’ Academic Self-Efficacy And Mindfulness, Joshua Josey
Walden Dissertations and Doctoral Studies
Undergraduate nursing education presents ongoing challenges related to student stress and persistence, and the COVID-19 pandemic further complicated these existing challenges for many students and programs. In this quantitative, correlational, cross-sectional study, the relationships among state mindfulness, trait mindfulness, and academic self-efficacy in undergraduate nursing students were examined and whether state and trait mindfulness predicted academic self-efficacy was tested. Participants were recruited through nursing student Facebook groups and completed an anonymous SurveyMonkey questionnaire that included the State Mindfulness Scale, the Mindful Attention Awareness Scale, the Academic Behavioral Confidence Scale, and demographic items. Data were collected over 6 weeks ending August …
Exploring Leadership Strategies And Personnel Integration Practices During The Post- Merger Phase Influence The Success Of Mergers And Acquisitions, Rebekah Dumas
Walden Dissertations and Doctoral Studies
Mergers and acquisitions (M&A) have been widely used as a growth strategy; however, many organizations fail to achieve their desired outcomes. This ongoing risk is a major concern for business leaders because ineffective post-merger personnel integration can disrupt workforce stability, reduce productivity, and hinder organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore the strategies business leaders used to integrate personnel during post-merger transitions. Data were collected through semistructured interviews with eight business leaders from global corporations who had successfully executed mergers and acquisitions, along with a review of publicly available …
The Lived Experiences Of The Strong Black Woman Cultural Convention On Black Women Counselors’ Emotional Intelligence, Pranati Walker
The Lived Experiences Of The Strong Black Woman Cultural Convention On Black Women Counselors’ Emotional Intelligence, Pranati Walker
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) is a critical competency for counselors due to the relational and emotionally demanding nature of counseling. Although existing literature explored EI among Black women broadly, limited research examined the experiences of Black women counselors (BWCs). This descriptive phenomenological study was guided by the philosophy of phenomenology and explored the lived experiences and impact of the SBW cultural convention on the EI of BWCs. The researcher explored the lived experiences of BWCs regarding the SBW cultural convention and its impact on emotional intelligence. Participant data from eight semi-structured interviews were collected. The participants identified as female gender identity, …
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Strategies Case Managers Use To Communicate With Limited English Proficient Patients, Joel Cruz
Walden Dissertations and Doctoral Studies
Patients with limited English proficiency (LEP) face ongoing communication barriers that heighten medical errors and health disparities because nurse leaders in acute care settings lack empirically informed guidance on leadership practices that effectively implement language services. Grounded in transformational leadership (TL) theory, the purpose of this qualitative pragmatic inquiry project was to explore how nurse leaders perceive, experience, and enact strategies to address the language access needs of LEP patients. The participants were six nurse leaders from across the Midwest region, who successfully led nursing teams to improve communication with LEP patients. Data were collected using semistructured interviews, government proactive …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
It Strategies Used To Implement Enterprise Resource Planning Systems, Michele Doverspike
It Strategies Used To Implement Enterprise Resource Planning Systems, Michele Doverspike
Walden Dissertations and Doctoral Studies
Enterprise resource planning (ERP) system implementation represents a significant challenge for small businesses, with failure rates that can lead to substantial financial losses and operational disruption. Information Technology (IT) managers in small businesses face a gap in evidence-based strategies tailored to their organizational context, increasing the risk of implementation failure and its associated financial and operational consequences. Grounded in general systems theory, the purpose of this qualitative multicase study was to explore the strategies IT managers use to implement ERP systems in small businesses in central Pennsylvania. The participants were six IT managers from small businesses in Pennsylvania who had …
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Factors That Contribute To Successful Supervision For Pretrial Defendants With Diagnosed Mental Health Disorders, Kisha Gordon
Walden Dissertations and Doctoral Studies
Individuals with mental health disorders are overrepresented in the criminal justice system, yet minimal evidence exists on how risk-based case management influences pretrial supervision. Existing literature focuses on post-conviction populations, with limited focus on pretrial defendants, particularly those with mental health disorders and gaps in how gender and mental health intersect to influence supervision outcomes. The study addressed the problem of whether risk-based case management improves pretrial outcomes for defendants with mental health needs and vary by gender or case management components. The purpose of this quantitative, non-experimental, retrospective design study was to examine the relationship between case management and …
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
Walden Dissertations and Doctoral Studies
Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Leadership Strategies To Reduce Burnout Among Physicians In Academic Medical Centers In The State Of California, Navdip Kaur Hothi
Walden Dissertations and Doctoral Studies
Physician burnout in academic medical centers remains a persistent healthcare administration challenge, with nearly half of U.S. physicians reporting symptoms of burnout in recent years. The issue threatens workforce sustainability, patient safety, and organizational financial stability, particularly in California’s academic medical centers, were physicians face complex clinical, academic, and operational demands. The integrative review examines leadership strategies that reduce physician burnout in California’s academic medical centers, aiming to lower rates from about 45% to under 30%. Transformational Leadership Theory guided the examination of leadership-driven organizational and system level approaches to burnout reduction. Twenty-seven sources were appraised using the Johns Hopkins …
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
The Relationship Between Leadership Communication Strategies And Employee Productivity, Motivation, And Engagement, Christopher Tucker
Walden Dissertations and Doctoral Studies
Business leaders are concerned that change leaders’ communication strategy impacts organizational productivity and performance. These challenges can be attributed to business leaders and human resources managers not understanding the relationship between employee motivation, engagement, productivity, and leaders’ communication strategy. Grounded in the composite conceptual framework of Kotter’s eight-step model for change and the Burke-Litwin causal model of organizational performance, the purpose of this quantitative correlational project was to examine the relationship between employee’s motivation, engagement, productivity, and leaders’ communication strategy. The participants were 77 human resources professionals in the United States with at least 5 years of experience in their …
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Walden Dissertations and Doctoral Studies
Burnout in supervisors/managers working in residential substance use disorder (SUD) treatment settings poses serious threats to the agency, staffing, and client care. Behavioral health leaders need to understand how organizational culture and leadership practices shape burnout and resilience in their teams. This qualitative case study drew on the Leadership and Workforce categories of the Baldrige Excellence Framework to examine the influence of leadership and organizational culture on staff emotional well-being and resilience at a Boston-area nonprofit residential SUD treatment center. The study sought to answer: (a) how organizational culture and leadership affect supervisor and manager well-being and resilience; and (b) …
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Perceived Bias And Barriers Among Black Women In Professional Leadership, Rochelle Wilhelmina Gilbert
Walden Dissertations and Doctoral Studies
Black women have long contributed to leadership in academia, government, and the nonprofit sector, yet they remain significantly underrepresented in senior leadership roles in higher education. When Black women are missing from leadership, institutions lose out on talent, students lose out on representation, and society loses out on the full range of perspectives needed to solve complex problems. Grounded in Black Feminist Thought, this general qualitative study explored the experiences and perceptions of bias and barriers among Black women serving in leadership roles at the dean level and above in higher education. Data were collected through structured interviews with seven …
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Lived Experiences Of Eye Movement Desensitization And Reprocessing (Emdr) Certified, Staci Ekblad
Walden Dissertations and Doctoral Studies
This phenomenological study explored counselors’ lived experiences of utilizing Eye Movement Desensitization and Reprocessing (EMDR) with children ages 8 to 12 years of age. Guided by a Husserlian approach, the research examined how clinicians make meaning of adapting EMDR—traditionally conceptualized as a structured, eight-phase protocol—for developmental and relational responsiveness within child psychotherapy. Through phenomenological reduction and epoché, counselors described a shift in consciousness from viewing EMDR as a rigid procedure to experiencing it as a flexible, relationally attuned process grounded in the child’s lived world. Counselors described the phenomenon of implementing EMDR with children with playful adaptations and co-regulation. The …
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Walden Dissertations and Doctoral Studies
Criminal cannibalism is a rare form of violent offending that remains understudied despite public attention. This gap limits understanding of the psychosocial characteristics and life experiences of individuals who engage in cannibalistic behavior. The purpose of this qualitative study was to explore psychosocial characteristics within the life experiences of North American males who engaged in cannibalistic behavior and identify common themes. Grounded in social control theory and self-control theory, the study examined how weakened social bonds and diminished self-regulation may relate to extreme deviance. The guiding research question focused on identifying common psychosocial characteristics within this population. A descriptive phenomenological …
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Psychometric Properties Of A Newly Developed Self-Report Scale To Determine The Relationship Between Retained Primary Reflexes And Behavioral Signs And Symptoms In An Adult Population, Joan Marie Macmillan
Walden Dissertations and Doctoral Studies
Many adults suffer from mental health issues, often caused by retained primary reflexes. There are current gaps in the literature surrounding primary reflex assessment methods. The purpose of this quantitative psychometric study was to evaluate the psychometric properties of a new behavioral self-assessment scale used to identify retained primary reflexes from behavioral indicators, while also determining if statistically significant relationships exist among study variables. The theoretical foundation for this cross-sectional study was based on the neurodevelopmental and neurobehavioral work of Melillo, while conceptually benefiting from several neuroplasticity related frameworks, such as those developed by Ayres, Bach-y-Rita, and Masgutova. The self-report …
Shift Work And Shift Change And Police Officers’ Subjective Well-Being, Macey Silano
Shift Work And Shift Change And Police Officers’ Subjective Well-Being, Macey Silano
Walden Dissertations and Doctoral Studies
This phenomenological study explored the lived experiences of police officers working second and third shifts and how these schedules impacted their subjective well-being, mental health, relationships, and life satisfaction. This study addressed an important research problem because limited research has examined how night shifts and shift changes impact police officers’ well-being. The purpose of this qualitative study was to examine how police officers experienced shift work and shift changes while working second and third shifts and how they made meaning of these experiences in relation to subjective well-being. Using interpretative phenomenological analysis, this study was grounded in restorative rest and …
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Using Geospatial Environmental And Income Variables As Predictors Of Diabetes In Appalachia, John Kunicki Huth
Walden Dissertations and Doctoral Studies
Diabetes remains disproportionately prevalent in Appalachia, and macroenvironmental contributors remain poorly understood. Guided by spatial epidemiology, this quantitative, cross-sectional ecological study examined whether county-level environmental factors including distance to mine, distance to landfill, distance to water, mean annual precipitation, mean annual temperature, forest classification, distance to impervious surface, and median income were independently and collectively associated with diabetes cases per capita in West Virginia, used as a surrogate for Appalachia. Research questions addressed environmental predictors of diabetes cases per capita with and without controlling for median income. Publicly available county-level data from 53 West Virginia counties representing adults aged 20 …
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how Florida police officers perceived changes in their spiritual and religious beliefs following prolonged exposure to critical incidents. The research question asked how officers interpreted, adapted, and transformed their spiritual or religious beliefs in response to repeated critical incident exposure. Nine sworn frontline officers participated and were interviewed using a semi structured protocol. Transcripts were analyzed inductively using thematic analysis. Three primary findings emerged: (1) Career and Impact captured cumulative occupational exposure that prompted moral appraisal and coping, and participants did not report uniform loss of faith; (2) Spiritual Belief followed three common trajectories—stability, strengthening/reaffirmation, …
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper
Walden Dissertations and Doctoral Studies
Resistance to patient experience initiatives remains a persistent challenge in acute care hospitals, often undermining organizational efforts to improve engagement, culture, and care delivery despite broad acknowledgment of their importance. Healthcare leaders need to understand this challenge as a primary indicator affecting patient experience outcomes. The purpose of this qualitative narrative inquiry was to explore the factors that cause resistance to change faced by patient experience leaders (PELs) in the acute care hospital setting. The theory of planned behavior grounded this study. The participants consisted of 15 PELs working in acute care hospitals across the United States. Data were collected …
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Exploring The Role Of Family Engagement In Youth Behavioral Health Programs, Jordon R. Washington-Trahan
Walden Dissertations and Doctoral Studies
The behavioral health leaders at Organization X do not have a clear and practical way to engage family members in youth behavioral health programs. When caregivers are not actively involved in youth behavioral health treatment, youth may disengage from missed appointments and discontinue treatment prematurely. The present case study focused on Organization X, a small behavioral health organization located in the Southeastern United States. The Baldrige Framework of Excellence was the conceptual framework for this study, with a focus on consumer engagement and workforce operations. Semi structured and structured interviews were conducted with three behavioral health leaders. Data were collected …
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …