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Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus (T2DM) remains a significant public health concern in the United States, with non-Hispanic Black women bearing a disproportionately high burden of the disease. Although this group has a lower overall prevalence of gestational diabetes mellitus (GDM), those who develop GDM face an increased risk of progressing to T2DM. The purpose of this quantitative, correlational study was to explore the relationship between GDM, physical activity, weight status, and T2DM development among non-Hispanic Black women. Secondary data from the National Health and Nutrition Examination Survey, collected from 2017 through March 2020, were analyzed. The health belief model served …
Exploring The Effective Ai Adoption And Integration Strategies Technology Firm Leaders Use To Mitigate Risks And Enhance Organizational Performance, Bona Eze
Walden Dissertations and Doctoral Studies
Leveraging artificial intelligence (AI) to enhance organizational performance has emerged as a fundamental focus in modern enterprises. Technology firm leaders are concerned with AI adoption and integration strategies, as poorly aligned AI approaches lead to resource wastage and the inability to achieve competitive advantages. Grounded in the technology acceptance model, the purpose of this qualitative pragmatic inquiry was to explore the effective AI adoption and integration strategies technology firm leaders use to mitigate risks and enhance organizational performance. The participants were 10 technology firm leaders who had implemented AI adoption and integration in their firms. Data were collected by conducting …
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
Walden Dissertations and Doctoral Studies
Maternal mental health disparities in the United States continue to impact reproductive-age women, especially those from underserved populations. In this quantitative study, how healthcare accessibility and socioeconomic status (SES) influenced psychological stress and maternal mental health outcomes was examined. Bronfenbrenner’s socioecological model and critical race theory guided the theoretical framework. Secondary data from the 2019 Behavioral Risk Factor Surveillance System were used to analyze three research questions related to the predictive relationships between systemic factors and mental health outcomes, and differences in stress across age groups. Key variables included insurance coverage, access to a personal doctor, cost-related barriers, income, employment …
Staff Education To Pediatric Healthcare Providers On How To Prevent Unintentional Childhood Injuries., Peter Cleveland Collins
Staff Education To Pediatric Healthcare Providers On How To Prevent Unintentional Childhood Injuries., Peter Cleveland Collins
Walden Dissertations and Doctoral Studies
This staff education quality improvement Doctor of Nursing Practice (DNP) project was focused on teaching pediatric healthcare providers how to provide education during wellness visits to prevent unintentional childhood injury. The practice problem at the clinic was that pediatric providers lacked knowledge about injury prevention. A literature review showed that unintentional childhood injuries are the leading cause of death in this population. The practice-focused question determined was to determine if, after educating providers, they have improved knowledge and intent to educate their patients. I used the analysis, design, development, implementation and evaluation (ADDIE) model to guide this project. The participants …
Strategies To Improve Work–Life Balance Among Remote Millennials To Increase Employee Productivity, Paige Frost
Strategies To Improve Work–Life Balance Among Remote Millennials To Increase Employee Productivity, Paige Frost
Walden Dissertations and Doctoral Studies
A lack of effective strategies to improve work-life balance for remote millennial employees is a concern for healthcare leaders. Without such strategies, organizations may struggle to remain competitive and ensure sustainability. Grounded in Homans’s social exchange theory, this qualitative pragmatic inquiry identified and explored the effective strategies healthcare leaders use to improve work-life balance for remote millennial employees to increase productivity. Participants were six leaders of healthcare organizations located in the southeastern United States with at least 2 years of leadership experience managing remote employees. Data were collected through semistructured interviews and analyzed using Braun and Clarke’s six-step thematic analysis. …
Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter
Strategies Broadband Industry Leaders Use To Retain Customers, Anthony Lester Carter
Walden Dissertations and Doctoral Studies
Disparities in broadband access and the reliability of services are still a major issue for communities throughout the United States. Broadband information technology (IT) managers often lack effective customer retention strategies, which can seriously impact their organization's growth and profitability. This pragmatic qualitative project, grounded in Morgan and Hunt’s commitment-trust theory of relationship marketing, was to explore strategies employed by IT managers at broadband companies to retain customers and ensure financial viability and sustainability. The study included semistructured interviews with 10 IT managers from broadband providers in the Philadelphia region of the United States who possessed relevant expertise involving customer …
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Walden Dissertations and Doctoral Studies
Poor maternal health-seeking behavior (MHSB) has contributed to persistently high maternal mortality in rural northern Nigeria. Despite increasing access to health information via media platforms, little is known about the association between media exposure and MHSB in this region. In this study, the association between mass media exposure (radio and television) and MHSB was investigated using institutional delivery as a proxy. The health belief model was applied as the theoretical framework for this study and sought to answer two key questions focused on whether there is an association between media exposure and MHSB in rural northern Nigeria and what the …
Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin
Counselors With A History Of Sexual Abuse Who Work With Sexually Violent Offenders, Chandra L. Goodwin
Walden Dissertations and Doctoral Studies
Research on counselors who treat sexually violent offenders has emphasized professional challenges, ethical dilemmas, and vicarious trauma, while less attention has been given to clinicians with personal histories of sexual abuse who may face added strain yet also bring unique empathy and resilience to their work. Addressing this gap is critical for the counseling profession, as it informs how training, supervision, and wellness practices can be structured to better support clinicians with lived trauma histories. This qualitative study explored the lived experiences of counselors with personal histories of sexual abuse who work with sexually violent offenders. Grounded in interpretative phenomenological …
Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins
Strategies To Increase The Number Of Black, Indigenous, And People Of Color (Bipoc) Employees In Senior-Level Positions, Renée Michele Collins
Walden Dissertations and Doctoral Studies
Ineffective strategies to increase the number of Black, Indigenous, and people of color (BIPOC) employees in senior-level positions can negatively impact financial performance. Some business leaders lack strategies to increase the number of BIPOC employees in senior-level positions and positively impact financial performance, which could increase risk of business instability. Grounded in multidimensional cultural competency framework; equity, diversity, and inclusion theory; and change management theory, this qualitative pragmatic inquiry was conducted to identify and explore effective strategies business leaders use to increase the number of BIPOC employees in senior-level positions and positively impact financial performance. The participants were eight business …
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Staff Education On Mindfulness-Based Therapy To Address Compassion Fatigue, Samson Ajibola Omowumi
Walden Dissertations and Doctoral Studies
The nature of nursing practice—persistent exposure to patient suffering—often results in compassion fatigue for staff. Compassion/emotional fatigue can affect nurses’ mental well-being, which can manifest in burnout, decreased empathy, and emotional numbness. These outcomes can eventually reduce job satisfaction for nurses and nursing assistants, increase errors during patient care, and lead to poorer patient outcomes. Prioritizing caregivers' mental health may improve the quality of nursing care. Mindfulness-based therapy (MBT) is an approach that may ensure the mental health and emotional stability of those who care for patients while also being a comparatively easy, accessible, and affordable tool. The goal of …
The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh
The Moderating Influence Of Generation On Leadership Style, Job Satisfaction, And Intent To Leave Among Child Welfare Workers, Kelly Cavanaugh
Walden Dissertations and Doctoral Studies
The declining retention rate among U.S. child welfare workers is a significant concern. Research suggested that as millennials enter the workforce, adopting leadership styles that best meet the needs of each generation and/or facilitate congruence between organizational goals and the distinct work values of both the younger and older generations will help increase retention. Specifically, supervisors needed to identify a leadership style that best satisfied the needs of millennials who are stereotypically less loyal to organizations and exhibit higher job mobility than older generations. The purpose of this quantitative study was to examine the extent to which generational cohort moderated …
Exploration Of How Study District-Wide Stakeholders Achieved Reading Success For Students With Disabilities, Kisha Hairston
Exploration Of How Study District-Wide Stakeholders Achieved Reading Success For Students With Disabilities, Kisha Hairston
Walden Dissertations and Doctoral Studies
The problem that this study addressed is that students with disabilities (SWDs) demonstrated low reading achievement in U.S. public schools as shown by annual state standardized scores. The study district achieved the anomaly of more than 50% of SWDs achieving Proficient and Advanced on the state reading assessment. The gap in practice was that it was unknown how the study district stakeholders achieved such success in SWDs’ reading achievement. The purpose of this basic qualitative study was to investigate how archival data supports and how teachers and administrators explain the successful reading achievement of SWDs in the study school district. …
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
Walden Dissertations and Doctoral Studies
Single mothers receiving cash welfare assistance through the Temporary Assistance for Needy Families (TANF) program, may not be prepared for economic self-sufficiency due to TANF’s primary focus on employment and limited focus on self-sufficiency barriers. Past studies have found that cash welfare assistance recipients may not become self-sufficient due to low-wage employment, limited education, and the lack of a public policy-based standardization of the concept of economic self-sufficiency. The purpose of this study was to examine the experiences of single mother TANF recipients pursuing economic self-sufficiency through the lens of the capabilities approach, life chances theory, and the feminization of …
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Walden Dissertations and Doctoral Studies
Adult obesity rates have increased from approximately 15% in 1980 to more than 40% of adults in 2018, and the rates continue to increase. White-collar workers are disproportionately impacted as a result of the sedentary work performed in a white-collar work environment. Increased levels of obesity result in elevated levels of psychological stress, chronic health conditions, and increased organizational costs. The purpose of this basic qualitative study was to understand the lived experiences of the obese white-collar worker who has used a worksite wellness program to lose weight and to understand what additional support was needed to achieve weight loss. …
Social Service Supervisors' Perceptions Of Professional Development Training, Jaida Elaine Patterson
Social Service Supervisors' Perceptions Of Professional Development Training, Jaida Elaine Patterson
Walden Dissertations and Doctoral Studies
Chafee Independent Living Skills and Goals Program (CILSGP) is a federally mandated program for public child welfare organizations that provide services to adolescents and young adults in the foster care system. The problem that was addressed through this study was that program administrators are unsure of the additional professional development (PD) needs of the social service supervisors at the study site, a foster care independent living program for youth. The purpose of this basic qualitative study was to investigate social service supervisors’ perceptions on the PD they receive; the influence the PD has on their self-concept as a learner, their …
Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara
Staff Education To Implement The Phq-9 For Depression Screening, Lydia Emuobosa Opara
Walden Dissertations and Doctoral Studies
Depression is common yet frequently underdiagnosed in group home settings serving adult and geriatric residents. This Doctor of Nursing Practice (DNP) project aimed to improve staff knowledge and promote routine use of the Patient Health Questionnaire-9 (PHQ-9), a validated depression screening tool, through an evidence-based educational intervention. A practice gap was identified at the project site due to inconsistent use and documentation of the PHQ-9, primarily linked to staff knowledge deficits. The project explored whether educating staff on PHQ-9 administration, scoring, and documentation would lead to improved knowledge, as measured by pre- and post-intervention assessments. Guided by the ADDIE instructional …
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
First-Generation College Students' Perceptions Of Undergraduate Degree Completion, Melinda Dianna Howard
Walden Dissertations and Doctoral Studies
The problem explored in this study was the low graduation rate of first-generation college students at the university study site. Using Bandura’s self-efficacy theory, the purpose of this basic qualitative study was to explore first-generation college graduates’ beliefs about their educational experience as students upon entering a bachelor’s degree program, identify obstacles, and understand ways to master those obstacles to successfully graduate. Six first-generation college graduates from the study site were recruited from FIRST, an on-campus support organization, for semistructured interviews using purposeful sampling. Due to COVID and the closing of the university study site at the time of recruitment, …
Coping Self-Efficacy, Acculturation, Gender, Socioeconomic Status, And Perceived Discrimination As Predictors Of Depression Among Nigerian Immigrants In The United States, Olatunde O. Osibote
Coping Self-Efficacy, Acculturation, Gender, Socioeconomic Status, And Perceived Discrimination As Predictors Of Depression Among Nigerian Immigrants In The United States, Olatunde O. Osibote
Walden Dissertations and Doctoral Studies
Nigerian immigrants represent one of the fastest-growing immigrant populations in the United States. Relocating to a new country can be a major source of stress, often increasing individuals’ vulnerability to mental health challenges. While considerable research has examined predictors of depression in the general population and among certain immigrant groups, limited attention has been given to these factors in the context of Nigerian immigrants in the U.S. This study aimed to address that gap by applying Berry’s acculturation theory to investigate predictors of depression within this population. A quantitative, cross-sectional, correlational survey design was used to examine whether acculturation, socioeconomic …
Strategies For Addressing The School Vaping Problem In The United States, Shanika Cole
Strategies For Addressing The School Vaping Problem In The United States, Shanika Cole
Walden Dissertations and Doctoral Studies
Vaping has become a pressing health concern among students, providing easy access to nicotine and other harmful chemicals. In schools, this issue threatened student well-being, discipline, and policy enforcement, underscoring the need for effective prevention. The purpose of this mixed-method study was to examine of the U.S. school practices and policies addressing vaping and (b) the development of a strategic prevention and intervention plan informed by the American Stop Smoking Intervention Study Framework (ASSIST Model). The study focused on one public school system and sought to answer practice-based research questions: How can the Board of Education effectively decrease vaping incidence …
Educating Staff To Use The Teach-Back Method For Patient Education Toward Increasing Adherence To Psychotropic Medication In A Mental Health Setting, Robert Kalugo
Walden Dissertations and Doctoral Studies
Educating Staff to Use the Teach-Back Method for Patient Education Toward Increasing Adherence to Psychotropic Medication in a Mental Health Setting by Robert Kalugo MS, Walden University, 2024 BS, Massachusetts College of Pharmacy and Health Sciences, 2016 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025
Preparation And Support For Leadership Role In A Jamaican University, Tracy-Ann Keisha Dacres
Preparation And Support For Leadership Role In A Jamaican University, Tracy-Ann Keisha Dacres
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that academic leaders receive limited preparation and support at a Jamaican university, which poses challenges to effective leadership, teaching quality, and institutional success. Based on Katz’s three-skilled model, the purpose of this basic qualitative study was to explore academic leaders’ perceptions of their preparation and support to carry out their leadership roles in a Jamaican university. Semistructured interviews were conducted with eight purposefully selected academic leaders with a minimum of 4 years of experience. Through axial and thematic coding, the following nine themes emerged: (a) leaders rely on different pathways for …
Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips
Understanding The Impact Of Patient Engagement In Effective Management Of Chronic Conditions, Tracey Phillips
Walden Dissertations and Doctoral Studies
This study was developed to address the partner site's need for an evidence-based approach to improving patient engagement among elderly individuals managing chronic diseases. Low engagement, often driven by poor provider–patient communication, non-compliance, and limited use of healthcare technology, was identified as a barrier to effective self-management and optimal health outcomes. Guided by the social cognitive theory, behavioral, cognitive, and environmental factors influencing engagement and self-efficacy were examined. Two practice-focused questions examined: identifying barriers to engagement and the impact of the provider–patient relationship on outcomes. The purpose of the project was to develop an evidence-based approach to enhance patient engagement. …
Coping Strategies Of African American Cisgender Female Veterans After Experiencing Military Sexual Trauma, Denise Loretta Bullock
Coping Strategies Of African American Cisgender Female Veterans After Experiencing Military Sexual Trauma, Denise Loretta Bullock
Walden Dissertations and Doctoral Studies
The United States Veterans Health Administration (VHA) provides care for female veterans who have experienced military sexual trauma (MST), which is harassment and physical assault that occurs while on active military duty. This generic qualitative study involved understanding coping skills of cisgender African American female veterans who experienced MST and the impact of race on their coping skills. A significant gap exists in literature regarding how African American female veterans have coped with MST. This study involved using the transactional theory of stress and coping, which asserts coping responses reflect an imbalance between demands of a person’s environment and what …
Strategies Used By Tribal Chairpersons Within The Minnesota Chippewa Tribe To Enhance Internal Controls And Integrate Modern Technologies, Luke Aaron Warnsholz
Strategies Used By Tribal Chairpersons Within The Minnesota Chippewa Tribe To Enhance Internal Controls And Integrate Modern Technologies, Luke Aaron Warnsholz
Walden Dissertations and Doctoral Studies
Strategies Used by Tribal Chairpersons Within the Minnesota Chippewa Tribe to Enhance Internal Controls and Integrate Modern Technologies by Luke Warnsholz MBA, Bemidji State University, 2021 BS, Rasmussen University, 2020 Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2025 Operational inefficiencies and increased risk exposure within the Minnesota Chippewa Tribe have been linked to outdated internal controls and limited technological modernization. This issue is important to tribal governments because it affects financial oversight, service delivery, and long-term sustainability in tribal governance. This qualitative pragmatic inquiry capstone research project …
The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson
The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson
Walden Dissertations and Doctoral Studies
The Impact of Social Support on Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective and Risk Factors by Mofoluwakemi Omololu Johnson MSW, University of Ibadan, 2007 BSc, University of Ilorin, 2003 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University August 2025 Camouflaging strategies used by individuals with autism spectrum disorder (ASD) to mask or compensate for autistic traits are often linked to adverse mental health out-comes. This quantitative correlational study investigated the relationship between perceived social support and camouflaging behaviors in young adults with autism. Grounded …
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Walden Dissertations and Doctoral Studies
Scholarly literature review found a gap in the identification of barriers experienced by pediatric office providers (POPs) for the provision of early childhood development (ECD) surveillance among culturally and linguistically diverse (CALD) children under the age of three years. The barriers may inhibit access to recommended screenings at defined milestones during the state of neurogenesis, whereby a child’s life trajectory may be negatively impacted and further handicap society at large. This qualitative study aimed to explore the access barriers and remedial strategies identified in the reconstructed narratives of southeast Florida POPs. The research design was premised on the behavioral model …
Effective Strategies Nonprofit Leaders Use To Enhance Volunteer Recruitment, Noelle Lauren Pollack
Effective Strategies Nonprofit Leaders Use To Enhance Volunteer Recruitment, Noelle Lauren Pollack
Walden Dissertations and Doctoral Studies
Human aid nonprofit organizations across the United States face significant challenges in recruiting volunteers, which impacts their ability to deliver essential services to vulnerable populations. The issue is important to nonprofit leaders because a lack of volunteers threatens organizational operations and sustainability. The purpose of this qualitative research project, grounded in self-determination theory, was to explore successful strategies nonprofit leaders use to enhance volunteer recruitment. The study was guided by a pragmatic inquiry design and included semistructured interviews with seven nonprofit leaders in Nashville, Tennessee who held roles responsible for volunteer recruitment. Data were collected through interviews and volunteer program …
Experiences Of Immigrant Adults About English As A Second Language Classes With Instructors Who Do Not Speak Learners’ Languages, Gatluak Pal
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of research on the experiences of adult immigrant English language (EL) learners regarding their engagement in college-level English as a second language (ESL) courses with instructors who do not speak the learners’ native language. Researchers have reported that EL-learning immigrant adults are not actively engaging in their learning process. The purpose of this basic qualitative study was to investigate the experiences of EL-learning adult immigrants regarding their engagement in ESL college classes with instructors who do not speak the native language of their learners. A basic qualitative study was conducted using …
Strategies For Faith-Based Organizations To Maintain A Competitive Advantage In Operations And Financial Stability, Pocahontas Shaniqua Atkinson
Strategies For Faith-Based Organizations To Maintain A Competitive Advantage In Operations And Financial Stability, Pocahontas Shaniqua Atkinson
Walden Dissertations and Doctoral Studies
Nonprofit organization leaders face numerous challenges in sustaining donations and memberships. Faith-based organizations in particular have experienced declining membership over the past seventy years, which negatively impacts their ability to provide community services. This problem is important to nonprofit and faith-based leaders because financial stability and membership engagement are essential to maintaining operations and fulfilling organizational missions. Grounded in the Baldrige Excellence Framework, the purpose of this qualitative single case study was to identify and explore effective strategies nonprofit faith-based leaders use to increase and sustain membership and donations. Participants were four senior business leaders with experience in business operations …
Navigating Grief In The Digital Age: A Phenomenological Study Of Young Widows Using Instagram For Support And Connection, Mariah Jasmine Sandoval
Navigating Grief In The Digital Age: A Phenomenological Study Of Young Widows Using Instagram For Support And Connection, Mariah Jasmine Sandoval
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored the lived experiences of young widows who use Instagram for grief support following the death of a spouse. Young widows often face disenfranchised grief and limited access to traditional support systems, which can impede emotional processing and identity reconstruction. Grounded in Continuing Bonds Theory, which posits that ongoing connections with the deceased can be adaptive, the study examined how Instagram facilitates or complicates grief by enabling emotional expression, maintaining bonds, and fostering engagement with a community of shared loss. The central research question asked: How do young widows describe their experiences using Instagram for grief …