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Articles 1381 - 1410 of 16613
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Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Teachers’ Perceptions Of The National Professional Development Policies And Mathematics Performance In Guyana, Nicola Marcia Johnson
Walden Dissertations and Doctoral Studies
The Ministry of Education in Guyana has focused on improving primary students’ performance in mathematics; however, low student performance persists. The problem addressed in this study was the limited understanding of how Guyanese primary teachers used the national professional development policies (NPDP) to address the low performance of students on the Math National Grade 6 Assessment (MNGSA). Grounded in Bandura’s social cognitive theory and Senge’s systems thinking theory, the purpose of this study was to explore Guyanese primary teachers’ perceptions of their successes and challenges using the NPDP to address the low performance of students on the MNGSA. For this …
Development Of An Evidence-Based Educational Intervention To Advance Nurse Knowledge In Comprehensive Care Of Patients With Congestive Heart Failure, Jessica Smith
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project was a staff education intervention to increase nursing staff knowledge. Congestive heart failure (CHF) remains one of the leading causes of hospitalizations and has the highest readmission rates within 30 days of a previous admission. Consistent evidence reveals improving nursing knowledge reduces complications, improves self-management support, lowers readmission rates in this particular patient population. The DNP project was developed as a staff education intervention and focused on 30 nurses working on a telemetry unit in an acute care hospital. The project question was whether an educational intervention would increase general nursing knowledge caring …
Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey
Effective Strategies For Managing Employee Resistance During Organizational Change In Healthcare Settings, Jelela Nicole Curvey
Walden Dissertations and Doctoral Studies
Employee resistance to organizational change reflects significant challenges for healthcare organizations. Healthcare leaders are concerned with employee resistance as it negatively influences patient care outcomes. Grounded in Lewin’s three-stage change model, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies healthcare leaders used to manage employee resistance during organizational change. Six healthcare leaders participated, each of whom had successfully implemented change initiatives while minimizing resistance. Data were collected through semistructured interviews and publicly available documents. Through thematic analysis, three themes emerged: (a) transparent communication and employee involvement, (b) supportive leadership behavior and emotional intelligence, …
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Walden Dissertations and Doctoral Studies
Underutilizing trauma-informed approaches in correctional rehabilitation has had detrimental consequences, particularly for gang-involved populations. Theories of personality, responsivity, and stress suggest that gang-affiliated individuals, shaped by coercive environments, may develop psychological reactions such as fear, guilt, and moral shame that contribute to posttraumatic stress disorder (PTSD) and moral injury (MI). This study examined whether gang role, psychopathy, and perpetration predicted PTSD and MI among 70 incarcerated adult males. Participants completed the Moral Injury Outcome Scale (MIOS), the PTSD Checklist for DSM-5 (PCL-5), and the Levenson Self-Report Psychopathy Scale (LSRP). Two hierarchical regressions were conducted. In the PTSD model, only education …
Developing A Clinical Practice Guideline For Screening Patients With Generalized Anxiety Disorder, Ijeoma Christiana Onyeagocha
Developing A Clinical Practice Guideline For Screening Patients With Generalized Anxiety Disorder, Ijeoma Christiana Onyeagocha
Walden Dissertations and Doctoral Studies
No Abstract Available
Staff Education To Improve Medicare Lung Cancer Screening And Processes, Ashley Mccammon
Staff Education To Improve Medicare Lung Cancer Screening And Processes, Ashley Mccammon
Walden Dissertations and Doctoral Studies
The doctoral project was a staff education initiative to address underutilization of low-dose computed tomography (LDCT) lung cancer screening among Medicare-eligible patients at the project site. Lung cancer is the leading cause of cancer death, and LDCT screening reduces mortality by up to 20%. Internal data from the project site revealed that only 20.13% of eligible patients completed screening, underscoring the need for structured staff education to improve knowledge and support early detection. The practice focused question asked: Will a staff education on Medicare LDCT screening and processes increase staff knowledge towards the ultimate goal of increasing LDCT screening rates? …
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Walden Dissertations and Doctoral Studies
Critical food safety violations in food facilities are severe infractions that may affect the quality and safety of foods as well as the health and wellbeing of consumers in Canada. In 2023, Alberta Health Services heightened scrutiny on these violations in Calgary. However, no investigation has been undertaken to document its potential effects on types and trend (from the previous year) of food safety violations in food facilities across Calgary regions. The purpose of this quantitative study was to examine the associations between Calgary regions of Canada, Year (2022 versus 2023), and the number of types of critical food safety …
The Relationship Between Theory Of Planned Behavior Constructs And Small Business Owners’ Tax Evasion And Avoidance Behaviors, Kenyatta Patton
The Relationship Between Theory Of Planned Behavior Constructs And Small Business Owners’ Tax Evasion And Avoidance Behaviors, Kenyatta Patton
Walden Dissertations and Doctoral Studies
The U.S. Department of the Treasury incurs substantial costs due to a tax gap, and the U.S. Internal Revenue Service has limited capacity to implement non-enforcement strategies without a deeper understanding of the behavioral drivers of tax non-compliance. Grounded in the theory of planned behavior, the purpose of this quantitative, correlational study was to explore the relationships between small business owners’ attitudes toward taxation, social norms, perceived behavioral control, and tax compliance behaviors. The participants comprised 121 small business owners in the Atlanta, Georgia, metropolitan area. They completed a combined survey consisting of the ethics of tax evasion survey instrument …
Disability Accommodations In Field Education: Exploring The Msw Student Perspective, Alicia Dawn Melnick
Disability Accommodations In Field Education: Exploring The Msw Student Perspective, Alicia Dawn Melnick
Walden Dissertations and Doctoral Studies
The number of students with disabilities is increasing, yet little is known about how graduate social work students navigate accommodation during field placements. This study addressed the limited understanding of Master of Social Work (MSW) students’ experiences applying Americans with Disabilities Act (ADA) accommodations in practicum settings. How accommodations are managed can determine whether disabled students gain equitable access to training and the profession. The purpose of this exploratory qualitative study was to examine how MSW students with disabilities describe their experiences with applying ADA accommodations during field placements. Critical disability theory guided the study, emphasizing ableism and structural barriers …
Google Search Trends And Their Correlation With Covid-19 Cases And Vaccination Rates In Austria, Stefanie Wendell
Google Search Trends And Their Correlation With Covid-19 Cases And Vaccination Rates In Austria, Stefanie Wendell
Walden Dissertations and Doctoral Studies
Timely digital surveillance is essential because clinical reporting often lags. This quantitative, longitudinal correlational study tested whether weekly Google searches in Austria signal changes in COVID-19 cases and vaccination uptake, and short-term case-vaccination dynamics, guided by Rogers’ Diffusion of Innovations Theory. Weekly Google Trends indices (0-100) and nationally reported surveillance totals (weekly counts of new cases and vaccine doses) were aggregated; cases: N = 175 weeks (Feb 2020–Jun 2023); vaccinations: N = 132 weeks (Dec 2020–Jun 2023). Time series correlations and lagged growth models showed that symptom-related searches consistently rose 1 week before reported cases (Δlog cases_t on Δlog searches_{t−1}: …
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic heightened challenges for young adults transitioning from foster care to independence. Research shows that foster care alumni faced barriers in education, employment, housing, and health due to limited support networks. Yet, little is known about how emergency policies, such as the Consolidated Appropriations Act (CAA) of 2021, affected them. The purpose of this qualitative study was to explore the perceptions and experiences of foster care alumni who received financial aid through the Act. The research question: What were the experiences and perceptions of foster care alumni (aged 18-26) who received funds via the CAA of 2021 during …
Improving Discharge Planning To Reduce Readmissions In Non-Teaching Urban Hospitals, Darlene Michelle Taylor
Improving Discharge Planning To Reduce Readmissions In Non-Teaching Urban Hospitals, Darlene Michelle Taylor
Walden Dissertations and Doctoral Studies
Hospital discharge planning is a critical determinant of patient outcomes, organizational performance, and financial sustainability. Many non-teaching urban hospitals continue to struggle with high readmission rates, especially among socially vulnerable populations such as the homeless. The purpose of this integrative review was to examine discharge planning strategies that would reduce readmissions, enhancing patient throughput, and mitigating financial penalties in non-teaching urban hospitals. The review question focused on effective discharge planning strategies that would improve readmission rates in non-teaching urban hospitals. A systematic integrative review of peer-reviewed studies published between 2020 and 2025 was conducted and 25 quantitative and qualitative studies …
Challenges And Successes In Retaining Direct Support Professionals For People With Intellectual And Developmental Disabilities In Group Home Settings, Erica Kay Evans
Challenges And Successes In Retaining Direct Support Professionals For People With Intellectual And Developmental Disabilities In Group Home Settings, Erica Kay Evans
Walden Dissertations and Doctoral Studies
Abstract Challenges and Successes in Retaining Direct Support Professionals for People with Intellectual and Developmental Disabilities in Group Home Settings by Erica Kay Evans MA, Walden University, 2016 BA, University of Phoenix, 2013 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Walden University November 2025
Development Of An Evidence-Based Clinical Practice Guideline For Discharging Patients With Substance Use Disorder (Sud) From Outpatient Treatment To Community Care, Emmanuel Onyeani
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient treatment center for discharging patients with substance use disorder (SUD), addressing the need for follow-up care and relapse prevention due to the widespread impact of SUD. Clinical practice guidelines (CPG) help healthcare professionals make informed decisions for specific clinical situations. The guiding question asked whether an expert panel would evaluate and validate a CPG developed from current, evidence-based literature and recommendations with 70% agreement using the AGREE II tool. The CPG focused on continuity of care, access to resources, and relapse prevention strategies. Seven expert …
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Walden Dissertations and Doctoral Studies
Poor nutrition is a major contributor to death in the United States, and residents of public housing face disproportionate challenges in maintaining adequate nutrition. Public housing is the nation’s oldest housing subsidy program, providing more than one million units for millions of residents, many of whom are women, minorities, and unmarried individuals with incomes below the poverty line. The purpose of this generic qualitative study was to explore public housing professionals’ perspectives on using a mobile food unit located within housing communities to help reduce food insecurity. Feminist intersectionality theory provided the framework for this study, emphasizing how overlapping systems …
The Effects Of Pediatric Traumatic Brain Injury On Sexual Criminal Offense, Brooke Leslie Luckhardt
The Effects Of Pediatric Traumatic Brain Injury On Sexual Criminal Offense, Brooke Leslie Luckhardt
Walden Dissertations and Doctoral Studies
Traumatic brain injury during childhood and adolescence is a significant social problem and is particularly damaging to long term cognitive and mental health. Major growth and maturation occur within the brain from age 6 months to 25 years and any interruption to this process can be detrimental to long term cognitive and emotional adjustment. Research has shown that pediatric traumatic brain injury can cause aggression, agitation, mood disorder, and socially inappropriate behavior. However, the study of how sustaining a traumatic brain injury during the time of pediatric development could potentially affect future sexually inappropriate behavior has not been explored. This …
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Walden Dissertations and Doctoral Studies
Abstract Initiation of use of e-cigarettes is attributed to many factors and must be understood to curtail health-related problems such as cardiovascular and pulmonary diseases that are associated with use of tobacco products. This study used the Social Cognitive Theory to analyze how curiosity and peer influence could be possible predictors of e-cigarette use among youth in the United States. Predictors of flavor preference and acquisition were also examined. Data were acquired from the Centers for Disease Control and Prevention’s 2018 National Youth Tobacco Survey (N = 20,189). Statistical tests to determine existing relations and associations were binary and multinomial …
Advancing Diversity, Equity, And Inclusion At The National Rural Health Resource Center: An Integrative Review, Ambresha Ruth Johnson
Advancing Diversity, Equity, And Inclusion At The National Rural Health Resource Center: An Integrative Review, Ambresha Ruth Johnson
Walden Dissertations and Doctoral Studies
Rural healthcare institutions face diversity, equity, and inclusion (DEI) challenges similar to those encountered by all healthcare organizations, particularly in effectively integrating DEI initiatives into their operational framework. The purpose of this integrative review was to identify evidence-based strategies for advancing DEI initiatives at The National Rural Health Resource Center, guided by the equity, diversity, and inclusion (EDI) framework. An integrative review process based on available literature investigated literature on leadership development, standardized metrics, and community engagement. An integrative review of peer-reviewed literature included 21 articles and was conducted to evaluate effective DEI implementation strategies in rural healthcare settings. The …
Examining Emergent Patterns Of Behavior In White Female Sexual Homicide Offenders, Kristin Bemis
Examining Emergent Patterns Of Behavior In White Female Sexual Homicide Offenders, Kristin Bemis
Walden Dissertations and Doctoral Studies
The majority of studies on sexual homicide offenders (SHOs) have been conducted on male sexual homicide offenders (MSHOs). In many aspects, this is due to society’s reluctance to view women as capable of sexual murder. There have only been a handful of studies conducted on female sexual homicide offenders (FSHOs). However, these studies found substantial differences between MSHOs and FSHOs, as well as between White FSHOs and Black FSHOs. Since prior studies on FSHOs have all been quantitative, this study employed a qualitative case study approach to analyze FSHOs. Using rational choice theory, 12 White FSHO cases were examined, using …
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the gap in literature about K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Grounded in Fuller’s concerns of teachers framework and Foucault’s seminal work on the historical treatment of members of the LGBTQIA+ community, the purpose of this basic qualitative study was to explore K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Purposeful and snowball sampling were used to recruit 11 K–5 teachers who self-identified as having implemented the New Jersey LGBTQIA+-inclusive curriculum. Data collected through semistructured interviews were analyzed using a priori codes in …
Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula
Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula
Walden Dissertations and Doctoral Studies
Background: CLABSIs remain a significant cause of morbidity, mortality, and increased healthcare costs, particularly in hospitalized patients requiring long-term vascular access. Despite established guidelines, inconsistent adherence to central line dressing change protocols persists within the DNP project organization, often due to insufficient staff knowledge and variability in practice. This practice gap increases the risk of catheter site contamination and leads to preventable CLABSI events, creating a clear need for intervention. Method: A designed educational program that integrated interactive lectures, case studies, and simulation-based activities. A pre- and post-intervention assessment to measure changes in participants’ knowledge and self-reported confidence in applying …
Leadership Styles, Multigenerational Providers, Motivation, And Satisfaction In Mental Health Workplace Settings, Terri Adeshola
Leadership Styles, Multigenerational Providers, Motivation, And Satisfaction In Mental Health Workplace Settings, Terri Adeshola
Walden Dissertations and Doctoral Studies
A problem confronting organizations, including mental health organizations, is how leadership will address motivation and satisfaction in a diverse, multigenerational workforce. The purpose of this quantitative, cross-sectional correlational study was to examine the relationship between multigenerational licensed clinician providers and perceptions of their supervisors’ leadership style to predict their motivation and job satisfaction in mental health workplace settings. Transformational leadership theory grounded this study. The participants comprised 93 licensed clinician providers from mental health organizations in three generational cohorts, Baby Boomer, Generation X, and Millennial, in the Middle Atlantic, Pacific, South Atlantic, West-South Central, and East-North Central regions of the …
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Walden Dissertations and Doctoral Studies
: A lack of knowledge among nurses and healthcare staff in providing evidence-based practice (EBP) medication treatment and patient care for individuals who have attention-deficit/hyperactivity disorder (ADHD) was evident at a Midwest substance use and mental health facility. For nurses and staff caring for those with ADHD, appropriate patient treatment is essential in helping patients avoid struggles in their daily lives. To address this problem, I developed, implemented, and evaluated a staff education program on ADHD treatment in the project. The practice question focused on whether participants of the education program improved their knowledge of medication and treatment management, as …
Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins
Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins
Walden Dissertations and Doctoral Studies
African American students in the United States have long faced systemic barriers to high school completion, which were further intensified by the COVID-19 pandemic. The purpose of this quantitative, correlational-predictive study was to examine the extent to which parental SES and school location predict graduation outcomes among African American students in southeastern public high schools from 2019 to 2024. Grounded in Bandura’s social learning theory, the study explored how environmental and socioeconomic contexts influence academic achievement. Three research questions guided the study: (1) To what extent do parental SES and location combined predict the number of African American graduates? (2) …
Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis
Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis
Walden Dissertations and Doctoral Studies
The inability to sustain employee retention amid expanded remote work practices highlights the urgent responsibility of leaders to confront the growing disparity between high job demands and insufficient resources that jeopardize employee engagement and organizational stability. Human resource (HR) leaders have a critical responsibility to address the effects of ineffective remote work strategies, which can lower morale, reduce performance, and increase turnover, weakening workforce cohesion and stability. Grounded in the job demands-resources (JD-R) model, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective HR strategies and processes for supporting remote workers. Data sources included semistructured …
Immigrant Catholics’ Perspectives And Engagement On Climate Crisis, Tison Vadakkekudiyil Thomas
Immigrant Catholics’ Perspectives And Engagement On Climate Crisis, Tison Vadakkekudiyil Thomas
Walden Dissertations and Doctoral Studies
In this generic qualitative study, how immigrant Catholics in the United States make sense of climate change and environmental justice was examined, addressing a critical gap in understanding how faith and cultural identity shape environmental engagement among marginalized communities. Guided by sensemaking theory and the Catholic principle of integral ecology, as outlined in Pope Francis’s Laudato Si’, the research question addressed how church-going immigrant Catholics in Maryland perceive and engage with the climate crisis, considering their religious beliefs and concerns for environmental justice. Seventeen first-and second-generation adult immigrants participated in semistructured interviews, and data were analyzed using Braun and Clarke’s …
Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones
Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones
Walden Dissertations and Doctoral Studies
Older Black women living in public housing have been identified as a high-risk group for experiencing barriers to and underutilization of mental health services. Accessing and utilizing mental health care in public housing complexes is challenging due to persistent barriers that discourage residents from seeking treatment. The older adult population, particularly Black women, remains inadequately served and experiences some of the poorest health outcomes, in part because of underreporting of health concerns and limited treatment-seeking behaviors. The purpose of this study was to explore older Black women’s experiences of accessing mental health care while living in public housing and to …
A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson
A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson
Walden Dissertations and Doctoral Studies
The project is a Clinical Practice Guideline (CPG) for managing Gastrointestinal (GI) toxicities related to Glucagon-like Peptide-Receptor Agonist 1 (GLP-1RA) and Glucose-dependent insulinotropic polypeptide/Glucagon-like peptide-1Receptor Agonist (GIP/GLP-1RA) medications. Many patients are seeking weight loss with these agents, which cause GI toxicities that lead prescribers to have patients remain at lower doses that are sub-therapeutic or discontinue therapy. Advanced Practice Registered Nurses (APRNs) are prescribing these therapies for patients and lack an evidence-based CPG for properly managing the most common GI toxicities. APRNs can successfully monitor and manage GI symptoms to promote tolerability and treatment adherence. The project question focuses on …
Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt
Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt
Walden Dissertations and Doctoral Studies
The inability to retain volunteers critically undermines nonprofit leaders’ capacity to deliver consistent and effective services to vulnerable community populations, threatening organizational stability and mission fulfillment. Persistent challenges with volunteer retention hinder nonprofit leaders’ operations, reduce program reach, and drive up recruitment costs, weakening organizational sustainability. Grounded in Maslow’s hierarchy of needs, this qualitative multiple case study explored effective strategies that nonprofit leaders use to retain volunteers and support organizational sustainability. Five nonprofit leaders from the U.S. East Coast were participants and selected because each demonstrated success in volunteer retention. The themes that emerged from thematically analyzing semistructured interviews and …
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Walden Dissertations and Doctoral Studies
In fulfilling their role of monitoring individuals outside of a prison setting, probation officers may encounter individuals who have antisocial personality disorder (ASPD) or antisocial personality (ASP) traits. Individuals who have ASP traits and are not diagnosed with ASPD are still impacted by recommendations of punishment, higher recidivism rates, and a lack of treatment resources provided. Individuals in the criminal justice system with ASP traits are not a new phenomenon, but there is a lack of research on the probation officers' experience working with these individuals. The purpose of this study was to examine and explore the experiences of probation …