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Articles 1141 - 1170 of 16612
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Staff Education Project For Nursing Staff At An Adult Mental Health Clinic To Address Inconsistencies And Inadequacies In Suicide Risk Screening, Grace Oluwasade Awodele
Staff Education Project For Nursing Staff At An Adult Mental Health Clinic To Address Inconsistencies And Inadequacies In Suicide Risk Screening, Grace Oluwasade Awodele
Walden Dissertations and Doctoral Studies
This staff education initiative was designed for nursing personnel at an adult mental health clinic, aiming to address inconsistencies and inadequacies in suicide risk screening practices among health care providers. Despite regular patient interactions, staff frequently lack the necessary knowledge, confidence, and standardized tools to identify individuals at risk for suicide, leading to missed opportunities for early intervention. The existing gap in practice jeopardized patient safety, led to preventable harm, and highlighted the need for evidence-based screening protocols, such as the Ask Suicide-Screening Questions (ASQ) tool, to facilitate timely, equitable, and effective suicide prevention in nursing practice. The project focused …
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Walden Dissertations and Doctoral Studies
Clinical supervision practices, although essential to counselor development, often reflect limited cultural competence among supervisors contributes to unclear expectations, conflicting roles, and isolation, leading to stress, negative internalization, and compromised professional development. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of racial and ethnic minority supervisees in clinical supervision within the mental health counseling profession. The research question was: What are the lived experiences of racial and ethnic minority supervisees who have been involved in clinical supervision? The framework guiding the study was hermeneutic phenomenology. Data from interviews with eight participants were analyzed using the …
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Walden Dissertations and Doctoral Studies
Organizations increasingly rely on business process outsourcing (BPO) to reduce costs, access specialized expertise, and improve efficiency; however, failure rates in BPO initiatives remain high, leading to financial loss, operational disruptions, and reduced competitiveness. Business leaders who lack effective strategies to manage outsourcing projects risk eroding customer satisfaction and organizational performance. Grounded in transaction cost economics and the resource-based view, the purpose of this qualitative single-case study was to explore strategies some business leaders used to successfully manage BPO initiatives. The participants included 10 senior managers from organizations in the southeastern United States who had demonstrated success in overseeing outsourcing …
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Walden Dissertations and Doctoral Studies
Despite ongoing eradication efforts, female genital mutilation and cutting (FGM/C) remains a major public health and human rights concern in Ethiopia. This quantitative study was conducted to examine how circumciser type (traditional cutter, birth attendant, or health professional) influences FGM/C prevalence and severity among girls ages 0–14, considering the moderating effects of residence and mothers’ FGM status, while controlling for age and income. Guided by the social ecological model and using 2016 E Ethiopian Demographic Health Surveys data, analysis indicates a significant association between circumciser type and FGM/C type (χ² (2, N = 1,553) = 6.86, p = .032), which …
Teachers’ Experiences With The Use Of Read-Alouds For Fourth- And Fifth-Grade Students, Shervita Bryant
Teachers’ Experiences With The Use Of Read-Alouds For Fourth- And Fifth-Grade Students, Shervita Bryant
Walden Dissertations and Doctoral Studies
The research problem addressed in this basic qualitative study was the inconsistent use and implementation of teacher read-alouds among fourth- and fifth-grade teachers in an urban district. Guided by Clark and Peterson’s cognitive process teacher model, Rumelhart’s schema theory, and Gough and Tunmer’s simple view of reading, the purpose of this project study was to explore teachers’ experiences and perceptions regarding their use of read-alouds as part of their regular reading instruction. Two research questions were developed to explore teachers’ experiences of the support received for using the read-aloud. Semistructured interviews were conducted with 10 fourth- and fifth-grade teachers. Data …
Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson
Perceptions Of Juvenile Justice Professionals Regarding The Effectiveness Of Juvenile Reentry Programs And Recidivism In The Southwest Region, Lei Anne Johnson
Walden Dissertations and Doctoral Studies
Juvenile recidivism persists in the U.S. justice system, highlighting the need for effective reentry programs. However, limited research exists on juvenile justice professionals’ perceptions of program success. The purpose of this qualitative study was to explore these professionals’ perceptions regarding the effectiveness of juvenile reentry programs in reducing recidivism. Guided by Bandura’s social learning theory, the study examined how observation and modeling influence youth behavior during reentry. The research questions focused on professionals’ perceptions of program effectiveness and how these perceptions impact recidivism reduction efforts. A qualitative phenomenological design involved semi-structured interviews with 13 juvenile justice professionals in the southwest …
Social Construction Of Female-Headed Households Participating In Hud Public Housing Programs, Emma Forks
Social Construction Of Female-Headed Households Participating In Hud Public Housing Programs, Emma Forks
Walden Dissertations and Doctoral Studies
The problem this study addressed involved factors associated with long-term program involvement of female-headed households living in public and vouchered housing. The literature indicated a significant gap regarding the reasons women who received federal housing assistance stayed in government housing. The purpose of this generic qualitative study was to examine the experiences of female-headed households living in public housing and Housing Choice Voucher (HCV) housing in a Central Texas region, specifically to identify the factors that limited their ability to leave these programs. Using Schneider and Ingram’s social construction of target populations theory, the data was collected from eight participants …
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Walden Dissertations and Doctoral Studies
A persistent gap exists involving health outcomes for Black women in the United States, regardless of socioeconomic status when compared to Black men and White women. This qualitative case study involved exploring the influence of social support on health-seeking behaviors among Black women. Sixteen participants, between ages 22 to 49 from nine states, were recruited. Data was collected using semi-structured interviews based on the social support theory. An analysis of the network composition showed that family members (including mothers, fathers, sisters, and partners), friends, community support groups not connected to social media, and online community support groups were the most …
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
Walden Dissertations and Doctoral Studies
E-cigarette use among U.S. high school students is a significant public health issue. Factors such as mattering, sexual orientation, and gender identity (SOGI) influence e-cigarette use among adolescents, yet few studies have explored the relationship between mattering and e-cigarette use when considering SOGI. This quantitative study explored the association between past 30-day e-cigarette use and mattering among Maine high schoolers while controlling for SOGI and grade level. This correlational cross-sectional study used the 2023 Maine Integrated Youth Health Survey data, and the socioecological model served as the theoretical foundation. A multivariate binary logistic regression analysis indicated a significant association between …
For Evidence-Based Suicide Risk Assessment, Monica Molah
For Evidence-Based Suicide Risk Assessment, Monica Molah
Walden Dissertations and Doctoral Studies
This clinical practice guideline (CPG) project was developed to address a practice gap regarding the lack of systemic approach to suicide assessment in adult patients. This Doctor of Nursing Practice (DNP) project identified a significant gap in care at a private mental health clinic, which lacked a consistent, evident-based approach to suicide risk assessment. The inconsistency increased the likelihood of under-identifying at risk patients, posing substantial medical-legal and patient safety concerns. The practice-focused question guiding this project was: Does the evidence support the development of a CPG for suicide risk screening that receives an AGREE II quality score by an …
Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty
Black Nurses In Leadership Roles: Resources And Opportunities Needed For Advancement, Patrick W. Petty
Walden Dissertations and Doctoral Studies
The lack of diversity in healthcare management is a social issue that can lead to increased implicit bias and adverse effects on patient care and quality. This study examined the underrepresentation of Black RNs in leadership roles within healthcare. The purpose of this qualitative descriptive study was to explore the perceptions of Black RNs in leadership regarding the opportunities and resources they need for advancement, as outlined in three research questions. A sample of 10 BSN nurses responded to 10 semi-structured interview questions, grounded in critical race theory. Codes were developed from responses, resulting in nine themes and 16 sub-themes, …
Exploring U.S. Sports Marketing Strategies For Maximizing A Fluid Fan Base, Dylan Houseworth
Exploring U.S. Sports Marketing Strategies For Maximizing A Fluid Fan Base, Dylan Houseworth
Walden Dissertations and Doctoral Studies
Fluid fandom, characterized by consumers’ shifting allegiances across players, teams, and organizations, has become increasingly prevalent within the U.S. sports marketplace. Many U.S. sports marketing managers lack clearly defined, evidence-based strategies for effectively engaging fluid fans, creating uncertainty around how to maintain brand loyalty, competitive positioning, and long-term organizational viability. Grounded in Stryker’s identity theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies U.S. sports marketing managers use to engage and maximize a fluid fan base. A purposeful sampling of six sports marketing professionals from U.S.-based organizations was selected, with each participant required to have a …
Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul
Staff Education On Evidence-Based Practice On External Factors That Impact Management Of Chronic Hypertension In African American Patients, Stella Ngozi Paul
Walden Dissertations and Doctoral Studies
This doctoral staff education project was developed to address a significant gap in nursing practice, specifically the limited knowledge of outpatient clinical staff regarding cultural, social, and health literacy factors that influence the management of chronic hypertension in African American (AA) patients. Through this project, I aimed to equip clinical staff with evidence-based, culturally competent strategies to promote equitable, patient-centered care. This project was guided by the following practice-focused question: Can an evidence-based practice educational session on how external factors impact the management of chronic hypertension in the AA population enhance staff knowledge and understanding? Using the analysis, design, development, …
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Walden Dissertations and Doctoral Studies
In this qualitative study, attachment styles of women who are attracted to violent incarcerated men were investigated. Bowlby’s attachment styles were used to develop an insight into the women who are attracted to violent incarcerated men. Steinberg’s theory of love was used for a more intimate view into the women and their pursuit of relationships with incarcerated males. The findings revealed that the women identify as having anxious attachment styles and are insecure-ambivalent/resistant. Those with anxious attachment styles yearn to develop supportive relationships as their insecurities hinder them from developing trust, satisfaction, commitment, and interdependence. As for being insecure-ambivalent/resistant, it …
Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola
Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola
Walden Dissertations and Doctoral Studies
Occupational injuries remain prevalent across various industries, resulting in significant financial burdens for both organizations and employees through increased workers’ compensation claims. One potential contributing factor is substance use in the workplace, which has been linked to decreased productivity, impaired judgment, and workplace conflict. Despite these risks, the relationship between substance use and occupational injuries remains underexplored. As such, grounded in constructivism and interpretivism, this study investigated the extent to which substance use influences injury outcomes and whether its role is underestimated in workplace incident reporting by analyzing worker’s compensation claims in Ohio. A mixed-methods approach was employed, combining a …
Information Technology Managers’ Strategies For Securing Organizational Networks From Cyberattacks, Damilola O. Jibowu
Information Technology Managers’ Strategies For Securing Organizational Networks From Cyberattacks, Damilola O. Jibowu
Walden Dissertations and Doctoral Studies
Cyberattacks increasingly threaten enterprise networks, creating significant risks to sensitive data and business operations. The purpose of this qualitative pragmatic inquiry was to explore the strategies Information Technology (IT) managers use to secure organizational networks from cyberattacks. Participants consisted of seven experienced IT managers with a minimum of 5 years of network security management experience, purposefully selected through LinkedIn. The study was grounded in integrated systems theory, which emphasizes the interdependence of technology, processes, and risk management within organizations. Data were collected through semistructured interviews and document analysis to examine practical approaches to securing networks. Thematic analysis identified eight core …
Care Navigator Role In The Management Of Patients' Access At A Mental And Behavioral Health Clinic, Bernadine Grinage
Care Navigator Role In The Management Of Patients' Access At A Mental And Behavioral Health Clinic, Bernadine Grinage
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Bernadine Grinage 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. Sue Bell, Committee Chairperson, Nursing Faculty Dr. Diane Whitehead, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Abstract The practice issue cited by clinical staff of a rural mental and behavioral clinic (RMBHC) was fragmented versus holistic care, increase emergency room (ER) visits, inadequate access and patient attrition rate …
Relationship Between A Company's Owner Demographics, Socioeconomic Conditions, And Entrepreneurial Funding, Frances J. Arrington
Relationship Between A Company's Owner Demographics, Socioeconomic Conditions, And Entrepreneurial Funding, Frances J. Arrington
Walden Dissertations and Doctoral Studies
Entrepreneurial funding remains a persistent challenge for U.S. business owners, particularly as firms navigate demographic shifts and post-COVID-19 pandemic economic conditions. This challenge is important to entrepreneurs, investors, and lenders who rely on access to capital to support business development and economic growth. Grounded in Hersey and Blanchard’s situational leadership theory, the purpose of this quantitative, ex post facto study was to examine the relationship between gender of owner, age of firm, effect of COVID-19, and entrepreneurial funding. Data were collected from 309 U.S. employer firms drawn from a national small business credit survey. A binomial logistic regression analysis was …
Strategies To Mitigate Supply Chain Disruptions In Small Restaurant Business, Aminu Hassan
Strategies To Mitigate Supply Chain Disruptions In Small Restaurant Business, Aminu Hassan
Walden Dissertations and Doctoral Studies
Supply chain disruptions can impact the operational capability of small restaurant businesses, thereby affecting their financial health. Some small restaurant supply chain managers lack effective strategies to manage supply chain disruptions. Grounded in Oliver and Webber’s supply chain management theory, the purpose of this qualitative pragmatic inquiry was to explore strategies small restaurant supply chain managers use to manage supply chain disruptions. The participants were 10 small restaurant supply chain managers located in Baltimore who effectively mitigated the effects of at least one significant supply chain disruption. Data were collected using semistructured interviews and publicly available documents and reports. Through …
Effect Of Stages Of Prehospital Hypertensive Crisis And Length-Of-Stay On Acute Stroke Readmission, Thomas Bob Ross Phd
Effect Of Stages Of Prehospital Hypertensive Crisis And Length-Of-Stay On Acute Stroke Readmission, Thomas Bob Ross Phd
Walden Dissertations and Doctoral Studies
Stroke is the second leading cause of mortality and the third leading cause of disability, affecting over 800,000 Americans annually. Traditional stroke research has focused on in-hospital settings, but not on prehospital stroke admissions, despite evidence that over 75% of acute stroke cases managed by emergency medical services involve prehospital hypertensive crises (HTN-C). HTN-C is classified into three systolic blood pressure (SBP) stages: Stage 1 (140–159 mm Hg), Stage 2 (160–179 mm Hg), and Stage 3 (≥180 mm Hg), the latter associated with organ damage. Hypertension correlates with longer hospital stays and more intensive interventions in hospitalized patients, but HTN-C …
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Walden Dissertations and Doctoral Studies
Type II diabetes (DB2) is one of the leading causes of death in the United States, whether directly or as a comorbidity. This is especially alarming for Native Americans, who have the highest DB2 prevalence and death rates when compared to their non-Native American peers. This qualitative phenomenological study explored the lived experiences of Lumbee Tribe members in Robeson County regarding DB2. The health belief model was used as a lens through which to understand and interpret findings. In-person semi-structured audio-recorded interviews were conducted with 12 participants recruited through social media. Data were coded and analyzed using deductive thematic analysis. …
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Walden Dissertations and Doctoral Studies
Humane education (HE) encompasses multiple concepts, including animal ethics, ecological environment, and social justice. The problem prompting this study was that individuals who have graduated from a higher education HE program face challenges in successfully integrating HE into their K–12 classrooms. Grounded by Weil's solutionary approach to HE, the purpose of this basic qualitative study was to explore the teaching experiences of individuals who graduated from a higher education HE program and successfully integrated HE into their classrooms. Participants were purposefully sampled from a small population of educators who completed a U.S. degree or certificate program in HE and successfully …
Leadership Strategies For Capturing And Transferring The Knowledge Of Experienced Workers In Canadian Higher Education Organizations, Dean Allan Bulloch
Leadership Strategies For Capturing And Transferring The Knowledge Of Experienced Workers In Canadian Higher Education Organizations, Dean Allan Bulloch
Walden Dissertations and Doctoral Studies
Higher education institutions face a risk of knowledge loss when they fail to implement strategies for transferring knowledge from experienced to less experienced employees. Canadian higher education managers are particularly concerned about the adverse impact of losing explicit and valuable tacit knowledge. Grounded in the socialization, externalization, combination, and internalization model, this qualitative pragmatic inquiry study identified and explored successful strategies employed by eight Canadian higher education managers to capture and transfer knowledge from experienced employees, thereby sustaining performance. Data were collected through semistructured interviews and a review of public documents, including strategic plans, annual reports, and accountability statements. Through …
Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez
Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez
Walden Dissertations and Doctoral Studies
In this qualitative study, the evolving perceptions of law enforcement among child immigrants from Central and South America following their immigration to the United States were investigated. Anchored in social learning theory, the aim was to discern whether interactions with law enforcement in their home countries and the United States influence these perceptions. A phenomenological approach was used to conduct in-depth interviews with six Latino individuals who immigrated between the ages of 7 and 17 and are at least 18 years old at the time of their interview. Participants were recruited through purposeful sampling, and interview questions were used to …
Unintended Consequences Of California’S Proposition 12 Affecting Low-Income Communities, Blanca Estella Garcia
Unintended Consequences Of California’S Proposition 12 Affecting Low-Income Communities, Blanca Estella Garcia
Walden Dissertations and Doctoral Studies
The background of this study established context describing the 2018 implementation of Proposition 12 in California, a law intended to improve animal welfare standards. The central problem identified the law’s unintended effects on multiple stakeholders, which prior literature suggested could include increased production costs and limit consumer access. However, existing studies have focused on theoretical and economic projections, leaving gaps in understanding secondary data research and practical impacts on farmers and low-income consumers. The purpose of the study was to examine unforeseen consequences of Proposition 12, with attention to its direct and indirect impacts on animal welfare, farmers, and low-income …
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Walden Dissertations and Doctoral Studies
The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Walden Dissertations and Doctoral Studies
Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …
Effective Leadership Strategies For Aligning Vision And Mission To Drive Sustainability, Nyree Price
Effective Leadership Strategies For Aligning Vision And Mission To Drive Sustainability, Nyree Price
Walden Dissertations and Doctoral Studies
Organizational leaders often struggle when ambitious innovation outpaces the systems, structures, and leadership practices needed to support consistent operational performance. When leaders fail to implement effective resolution strategies to align the organizational vision and mission with operational effectiveness, it impacts long-term operational effectiveness, productivity, and long-term sustainability. This qualitative single case study was an exploration of the strategies used by some business leaders in a mid-sized, for-profit telecommunications firm in the Midwest United States. The study applied the Baldrige Excellence Framework as the conceptual lens. Data were collected through semistructured interviews with executive leaders and through an analysis of internal …