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Walden Dissertations and Doctoral Studies

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First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller Dec 2025

First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller

Walden Dissertations and Doctoral Studies

First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …


Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin Dec 2025

Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin

Walden Dissertations and Doctoral Studies

Workforce retention among mental health professionals has been a central focus of scholars as behavioral health systems continue to face chronic staffing instability (Hallett et al., 2024). Researchers have demonstrated that burnout, limited organizational support, and resource misalignment significantly influence turnover in these settings (Maslach & Leiter, 2016; Pulman & Fenge, 2024). However, researchers have not yet established how mental health professionals within a single publicly funded, state-operated behavioral health organization interpret the organizational and cultural factors that influence their decision to remain employed. The purpose of this qualitative single-case study was to explore how mental health professionals in a …


Employers’ Best Practices For Retaining Women Employees With Dual Responsibilities Post-Covid-19 Pandemic: A Multiple Case Study, Wenoka E. Nieves Dec 2025

Employers’ Best Practices For Retaining Women Employees With Dual Responsibilities Post-Covid-19 Pandemic: A Multiple Case Study, Wenoka E. Nieves

Walden Dissertations and Doctoral Studies

The challenges women face with dual responsibilities during a crisis often force them to take on additional or multiple responsibilities at home. The specific research problem is that although researchers have investigated job loss during crises, such as the COVID-19 pandemic, the topic of how employers can retain women with dual responsibilities, caring for their family members in their household and working during crises, has not been explored. The purpose of this qualitative multiple case study was to explore the best practices that employers use to retain women employees with dual responsibilities who are caring for their household family members …


Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams Dec 2025

Artificial Intelligence And Consumer Trust, Privacy, And Protection On Digital Platforms, Alheri Gajere Adams

Walden Dissertations and Doctoral Studies

Academic scholars have researched the impact of artificial intelligence (AI) on privacy, trust, and data governance; however, substantial gaps remain—particularly regarding how AI influences consumer trust and privacy among Texas consumers subscribed to digital platforms. The purpose of this generic qualitative study was to explore how Texas consumers experience and perceive online platforms for personal and private use regarding online data privacy and trust, underscoring the gap in prior research on how state-level consumer protection laws, such as the Texas Deceptive Trade Practices Act (DTPA), address concerns relative to data trust, privacy, and digital protection. The conceptual framework that guided …


Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu Dec 2025

Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a staff education initiative based on a comprehensive literature review that emphasized the importance of staff education in improving healthcare outcomes. The practice problem identified was a lack of staff knowledge and education regarding long-acting injectables (LAIs) in clients with schizophrenia, which contributed to inconsistent support for client medication adherence. It was essential to address this issue because nurses play a crucial role in medication management, patient education, and adherence support. The practice-focused question explored was: Will staff education regarding the use of long-acting injectables in clients with schizophrenia to enhance medication adherence improve …


Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton Dec 2025

Teachers’ Perceptions Of Employer-Provided Afterschool Childcare As A Retention Strategy: A Herzberg-Informed Qualitative Case Study, Lakinsha R. Swinton

Walden Dissertations and Doctoral Studies

Teacher retention has been a growing issue, as the rate of teacher vacancies has continued to increase after the COVID-19 pandemic. The increase in teacher vacancies after the pandemic highlighted the importance of retaining and attracting highly qualified teachers for schools and school districts. A coastal South Carolina school district had been providing employee support services to retain current staff and create a competitive advantage over other school districts in attracting new staff. The purpose of this generic qualitative study is to examine the perception of classroom teachers regarding the efficacy of free afterschool childcare as an employee support service …


Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley Dec 2025

Sustainability Strategies For Independent, Quick-Service Restaurant Businesses To Survive Beyond 5 Years, Winston Daniel Pauley

Walden Dissertations and Doctoral Studies

Independent quick-service restaurant owners face challenges sustaining their businesses beyond 5 years of operation. Many independent quick-service restaurant owners are concerned about maintaining sustainable business operations, as failure can negatively affect owners, employees, and the communities they serve. Grounded in the resourcebased view theory, the purpose of this qualitative pragmatic inquiry project was to explore the successful sustainability strategies that quick-service restaurant owners used to survive beyond 5 years. The participants were six independent, quick-service restaurant owners operating in the state of Maryland who employed effective sustainability strategies to survive for more than 5 years. Data were collected using semistructured …


The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley Dec 2025

The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley

Walden Dissertations and Doctoral Studies

Public school district leaders are challenged with funding K-12 education that creates the desired student academic performance. Grounded in student-based budgeting theory, this quantitative ex post facto study aimed to investigate the relationship between K–12 public school funding, per-pupil expenditures, student achievement, and graduation rates in Georgia. The study included secondary data from 51 North Georgia public school districts for the 2018–2019 school year. Multiple regression analysis was completed to examine the relationship between the independent variables—state funding, per-pupil expenditures, and academic achievement in math, science, and language arts—and the dependent variable: graduation rates. The results of the analysis were …


Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield Dec 2025

Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield

Walden Dissertations and Doctoral Studies

Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …


Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree Dec 2025

Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …


Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell Dec 2025

Secondary Education Teachers’ Perspectives On School-Based Mental Health Resources, Madison Rose Litterell

Walden Dissertations and Doctoral Studies

Approximately one in six youth ages 6 to 17 years old in the United States have a mental health disorder, such as depression and anxiety. Out of the 119,000 youth in Michigan in that age group, roughly 57.8% are not receiving proper mental health support services. Students are at school for a large majority of their day, so it is important that they have access to school-based services. The purpose of this basic qualitative study was to understand the perceptions of secondary education teachers in Wayne County, Michigan, on school-based mental health support services. Using the community level and the …


Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy Dec 2025

Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy

Walden Dissertations and Doctoral Studies

Ineffective strategies to reduce burnout for employees can decrease productivity and quality of work, and can increase turnover. Event industry leaders who struggle to reduce burnout of employees with high workload demands are at risk of employee turnover. Grounded in the Job Demands-Resources (JD-R) model, the purpose of this qualitative, pragmatic inquiry research project was to explore effective strategies to reduce burnout for employees with high workload demands. The participants were eight event industry leaders who had effectively implemented strategies to reduce burnout. Data were collected using semistructured interviews and a review of public websites and documents. Using thematic analysis, …


Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson Dec 2025

Effective Technology Integration Strategies Supply Chain Managers Use To Enhance Profitability, Wayne Benson

Walden Dissertations and Doctoral Studies

Information technology (IT) supply chains need innovative technology integration strategies to create and maintain a competitive advantage. IT supply chain managers who lack effective technology supply chain integration strategies risk decreased competitive advantage and reduced profitability. Grounded in the Technology Acceptance Model, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective innovative technology integration strategies supply chain managers use to enhance profitability. Participants consisted of six IT and supply chain managers with at least 5 years’ experience in integration of technology into supply chains. Data was collected through semi-structured interviews and a review of …


In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs Dec 2025

In-Depth Understanding Of Binge Eating Behavior Among African American Women, Maria Ramia Dibbs

Walden Dissertations and Doctoral Studies

Counselor educators lack an in-depth understanding of the unique needs and experiences of African American women with binge eating behavior, leading them to be ill-equipped to train counselors to meet these culturally specific needs. As a result of this study, counselor educators were able to understand how African American women experience binge eating behavior, enhancing training for counselors. This qualitative study included a transcendental phenomenological approach and focused on providing answers regarding the lived experiences of African American women with binge eating behavior during their binge eating episodes. Semistructured interviews with eight African American women with binge eating behavior were …


Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders Dec 2025

Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders

Walden Dissertations and Doctoral Studies

Telehealth has emerged as a transformative approach to healthcare delivery, particularly for populations facing geographic, financial, and mobility-related barriers. In rural communities such as Sumter, South Carolina, seniors 50 and older continue to experience challenges in accessing timely care, including limited transportation, provider shortages, digital illiteracy, and financial constraints. Conducted by Andersen’s Behavioral Model of Health Services Use (ABMHSU), this qualitative phenomenological study explored the lived experiences of seven seniors in Sumter to understand how telehealth influences engagement in healthcare. This study was guided by three research questions (RQ) that examined seniors’ experiences using ABMHSU, focusing on predisposing factors, enabling …


Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie Dec 2025

Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie

Walden Dissertations and Doctoral Studies

Organizations may experience negative impacts, such as the loss of valuable employees and disruptions in team dynamics, when coaching interventions lead to challenges against organizational norms or policies. Coaching industry leaders must understand the negative impacts as indicators of workplace vulnerability affecting employees and productivity. The purpose of this qualitative phenomenological study was to explore how coachees describe their lived experiences of strengths-based coaching (SBC) and its impact on their psychological well-being (PWB). The SBC’s dual outcomes on PWB, using a conceptual framework that integrates positive psychology coaching, Ryff’s model of PWB, and social exchange theory, grounded this study. The …


Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne Dec 2025

Communication Strategies Finance Leaders Use To Increase Employee Productivity And Organizational Profitability, Tricia Ashbourne

Walden Dissertations and Doctoral Studies

Abstract A lack of effective communication strategies to increase employee productivity and profitability is a concern among leaders in the finance industry. This problem is important because, without such strategies, organizations might experience decreased employee morale and misalignment, which could reduce productivity and profitability. Grounded in leader–member exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective communication strategies that senior finance leaders use to increase employee productivity and organizational profitability. Participants were six senior leaders from the finance industry in the Cayman Islands, each with at least 5 years of executive responsibility over …


Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks Dec 2025

Nursing Home Leadership And The Connection To Fostering Quality Care In Nursing Homes, Daphne Hicks

Walden Dissertations and Doctoral Studies

Nursing homes in the U.S. state of Mayland experience a high volume of reports for abuse and neglect and are poorly ranked for responding to complaints, leading to a low overall rating. The purpose of this qualitative study was to explore leadership practices that could result in improvement in quality of care and reductions in abuse and neglect, using a needs assessment and development of a logic model as a precursor for a formative evaluation. The framework applied was Lead Self, Engage Others, Achieve Results, Development Coalitions, and Systems Transformation. Eight nursing home administrators were interviewed to collect primary data, …


Strategies Small And Medium-Size Enterprise Leaders Use To Include Women In Executive Roles To Increase Diversity In Decision Making, Artema L. Wright Dec 2025

Strategies Small And Medium-Size Enterprise Leaders Use To Include Women In Executive Roles To Increase Diversity In Decision Making, Artema L. Wright

Walden Dissertations and Doctoral Studies

Women’s underrepresentation in executive leadership remains a persistent challenge for small- and medium-sized enterprises (SMEs). The SME leaders face difficulty identifying effective strategies to promote and integrate women into executive roles, which limits diversity in decision making and organizational performance. Grounded in social role theory and intersectionality, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies SME leaders used to advance women into executive positions. The participants included eight SME leaders in northern Alabama with direct experience implementing such strategies. Data were collected through semistructured interviews and analyzed using Braun and Clarke’s sixstep …


A Shareholder Primacy Mindset In The Benefit Corporation’S Top Management Team And Greenwashing Actions, Jonathan Wimberly Dec 2025

A Shareholder Primacy Mindset In The Benefit Corporation’S Top Management Team And Greenwashing Actions, Jonathan Wimberly

Walden Dissertations and Doctoral Studies

Benefit corporations exist to benefit society and generate profit for shareholders and stakeholders, but there is evidence that greenwashing is prevalent among these entities. Business leaders need to understand the extent to which a shareholder primacy mindset influences the collective top management team and drives greenwashing in benefit corporations. The purpose of this quantitative correlational study was to determine the relationship between the collective demographic characteristics of top management teams and a shareholder primacy mindset, and to assess the relationship between a shareholder primacy mindset in the top management team of a benefit corporation and greenwashing behavior. Upper echelons theory …


A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss Dec 2025

A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss

Walden Dissertations and Doctoral Studies

Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …


Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu Dec 2025

Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu

Walden Dissertations and Doctoral Studies

The transition from graduate education to clinical practice marks a pivotal point in the professional journey of advanced practice registered nurses (APRNs). Despite rigorous preparation, many APRN MSN graduates struggle to adapt to the complex expectations of autonomous practice. The lack of structured mentorship, inconsistent orientation processes, and unclear performance expectations contribute to high stress, role confusion, and early turnover. This Doctor of Nursing Practice Executive Leadership project addressed this critical issue by evaluating whether an interprofessional team could achieve consensus on developing a best practice program to guide APRN MSN graduates’ transition to independent clinical practice. This initiative was …


Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace Dec 2025

Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace

Walden Dissertations and Doctoral Studies

Abstract This Doctor of Nursing Practice project involved the development and quality appraisal of a clinical practice guideline (CPG) for early depression screening in adults with opioid use disorder (OUD), addressing the absence of standardized, evidence-based screening protocols in addiction treatment settings. Guided by the practice-focused question of whether existing evidence supports the development and evaluation of such a guideline using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, a systematic synthesis of 35 research articles was conducted, with 15 high-level studies informing guideline development. A multidisciplinary panel of four experts evaluated the CPG using the …


The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes Dec 2025

The Experience Of Suicidal Ideation In Adults With Adhesive Arachnoiditis, Kathleen J. Haynes

Walden Dissertations and Doctoral Studies

Suicide is the 11th leading cause of death in the United States. Chronic pain has been linked to death by suicide, and a considerable amount of research has examined how conditions that produce chronic pain increase the risk of SI and suicide attempts. Adhesive arachnoiditis (AA) produces chronic, intense pain and has not been well-studied. It was thought to be a rare condition, but the number of cases has grown dramatically in recent years. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the experience of SI in individuals with AA. The interpersonal theory of suicide was …


African American Small Business Success Strategies, Zena Foster Dec 2025

African American Small Business Success Strategies, Zena Foster

Walden Dissertations and Doctoral Studies

Abstract African American small businesses fail at disproportionately high rates, contributing to job losses, economic instability, and reduced wealth-building opportunities in underserved communities. African American entrepreneurs who fail to address strategic, operational, relational, financial, adaptive, and personal dimensions of business ownership increase the risk to the long-term sustainability of their businesses. Grounded in entrepreneurship theory and human capital theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies African American entrepreneurs in the southeastern United States employ to sustain their businesses beyond five years. The participants were six African American small business owners who had operated their …


Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke Dec 2025

Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke

Walden Dissertations and Doctoral Studies

This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …


Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis Dec 2025

Successful Strategies For Sustaining Women-Owned Businesses Beyond 5 Years, Antoinette Stowers-Lewis

Walden Dissertations and Doctoral Studies

A lack of successful strategies can lead to a high failure rate among small businesses. Women small business owners often express concerns about identifying successful strategies, which research shows are a key predictor of business sustainability. Grounded in entrepreneurship theory and participative leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the successful strategies that some women small business entrepreneurs use to sustain their businesses beyond 5 years. The participants were five women small business owners from different sectors in the East Coast region of the United States who had sustained their businesses beyond 5 …


Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech Dec 2025

Exploring Decision-Making Experiences Of Social Workers Completing Involuntary Commitment First Evaluations For Inpatient Psychiatric Treatment, Jesse Brooke Creech

Walden Dissertations and Doctoral Studies

An increasing focus on the recovery, rights, and autonomy of individuals with serious mental illnesses has led to ongoing debate regarding the practice and legal regulation of involuntary commitment (IVC). To ensure ethical and appropriate patient care throughout this complex process, more knowledge is needed about social workers’ decision-making process regarding the use of IVC. The purpose of this study was to investigate the decision-making processes associated with IVC for inpatient psychiatric treatment in North Carolina using the biomedical ethics framework. More specifically, the study addressed how licensed social workers describe their experiences and decision-making processes when determining whether to …


Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork Dec 2025

Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork

Walden Dissertations and Doctoral Studies

Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …


The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward Dec 2025

The Underrepresentation Of Black Women In Executive Leadership Roles, Bre Hayward

Walden Dissertations and Doctoral Studies

Abstract The problem that was addressed through this study is that Black women are underrepresented in executive leadership roles in the United States. Grounded in Ladson-Billings’ critical race theory and Hill Collins’ Black feminist theory, the purpose of this basic qualitative study was to explore the perceptions and experiences of Black women executives regarding the challenges they face in attaining executive leadership roles and their recommendations to address the underrepresentation of Black women in executive leadership roles. Data were collected using semistructured interviews of 13 adult Black female executive leaders in a private sector organization who had at least 2 …