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The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence
The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence
Walden Dissertations and Doctoral Studies
The Centers for Disease Control and Prevention considers suicide and suicide ideation as a severe public health issue among older men and people with disabilities. The purpose of this study was to determine if there is a predictive relationship between the level of disability, type of disability (i.e., physical, visual, hearing), functional disability, (i.e., mobility, activities of daily living (ADLs), instrumental activities of daily living (iADLs), and having multiple disabilities on suicide ideation among men with a disability who are aged 60 years and older while controlling for age, depression, marital status and retirement status. The interpersonal-psychological theory of suicidal …
Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe
Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe
Walden Dissertations and Doctoral Studies
Public sector organizations face increasing cybersecurity risks due to the growing complexity of digital infrastructure, expanding attack surfaces, and evolving threat landscapes. Despite the increasing risk, many Information Technology (IT) leaders continue to struggle with implementing comprehensive and sustainable strategies to protect information systems. Grounded in Ajzen’s theory of planned behavior, the purpose of qualitative pragmatic inquiry was to explore effective cybersecurity strategies IT leaders in the public sector use to protect organizations from cyberattacks, maintain public trust, and prevent financial losses. The project examined how attitudes, subjective norms, and perceived behavioral control influence leaders’ cybersecurity practices. Data were collected …
Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe
Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe
Walden Dissertations and Doctoral Studies
Many U.S. tech companies are grappling with the challenge of sustaining high employee performance. It's crucial for information technology (IT) executives and business leaders to adopt strategies that support high employee performance, as this is vital for fostering innovation, promoting staff well-being, and ensuring reliable service. Grounded in Bass and Avolio’s transformational leadership theory, this qualitative pragmatic inquiry sought to determine which leadership practices employed by experienced IT supervisors most effectively elevate employee performance. Purposive sampling was used to recruit seven IT organizational leaders with at least five years of supervisory experience and demonstrated success in performance-enhancing initiatives. Data from …
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Walden Dissertations and Doctoral Studies
Despite increasing participation, women have remained significantly underrepresented in elected political office. Existing literature on women elected to political positions highlights persistent gender disparities in representation, access, and political influence. Scholars have examined the structural, cultural, and institutional barriers that women face when seeking and holding public office. While recent research has increasingly focused on intersectionality and the diverse experiences of women in politics, gaps remain in capturing their personal narratives and day-to-day realities. The purpose of this generic qualitative study was to examine the experiences of women currently serving in political positions to understand how prior career opportunities influenced …
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that low-level writing skills among postsecondary, non-traditional students contributed to poor essay grades, a lack of persistence, and low test scores, resulting in increased drop-out rates. A college writing center in a large city in the Northeastern United States developed an innovative, asynchronous tutorial to improve students' writing skills. The purpose of this basic qualitative study was to explore the experiences of non-traditional students at a four-year college regarding an on-demand asynchronous writing tutorial offered by the college writing center. The technology acceptance model was used to frame the study because it has …
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
Walden Dissertations and Doctoral Studies
The novel Coronavirus Disease 2019 (COVID-19), first detected in Wuhan, China, is caused by a new virus strain: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11, 2020, COVID-19 was classified as “the second pandemic of the 21st century” by the World Health Organization. To better control the spread of the virus, governments and communities adopted several established public health protocols to quell the spread of the disease and decrease the resulting morbidity and mortality. Specific measures included masking, hand hygiene, social distancing and disinfection. Though these are proven measures, not much was known about adherence in the home …
Best Practices In Healthcare Leadership Succession Planning To Improve Vamc Executive Leadership Stability, Randi Marie Farris
Best Practices In Healthcare Leadership Succession Planning To Improve Vamc Executive Leadership Stability, Randi Marie Farris
Walden Dissertations and Doctoral Studies
The Veterans Health Administration’s (VHA) current succession planning and management practice has been identified as a significant opportunity for alignment with evidence-based practice. This integrative review aimed to synthesize evidence-based healthcare succession management to improve executive leadership stability in Veterans Affairs Medical Centers (VAMC). This integrative review provided an analysis of empirical and non-empirical literature from 2002 to 2025 for best practices to increase the stability of VAMC executive leadership. The strategic human resource management (SHRM) framework was selected as the conceptual framework to inform a comprehensive process, as succession management is one element of a much larger human capital …
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Walden Dissertations and Doctoral Studies
Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease-related liver fibrosis) is a growing public health problem in the United States. The purpose of this study was to assess the prevalence of MASLD-related advanced fibrosis in the United States and assess whether type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) were independent risk factors for MASLD-related advanced fibrosis. This study was a quantitative cross-sectional analysis of the National Health and Nutrition Examination Survey data from 2011 to 2020, grounded in the social ecological theory. Participants (N = 21,829) were included if they were ≥18 years, excluded if …
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Walden Dissertations and Doctoral Studies
A primary care medical clinic experienced an increase in hospital readmission for hypertensive patients, as evidenced by a consistent lack of standardized patient education on medication adherence and a notable increase in readmission rates for uncontrolled hypertension. Hypertension is a significant public health problem associated with an elevated risk of heart disease, stroke, and kidney disease. The gap in practice identified was a lack of knowledge among the medical staff in teaching patients about hypertension medication adherence. The practice-focused question was: Does educating primary care medical staff on the importance of medication adherence in hypertension improve knowledge, as evidenced by …
Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade
Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade
Walden Dissertations and Doctoral Studies
This quality improvement staff education program addressed the delayed treatment of patients with dementia at the outpatient project facility. Patients with depression were treated according to protocol; however, the practitioners were not recognizing that some of these patients with depression had dementia and required a different plan of treatment. This knowledge gap had the potential to result in delayed diagnosis, inadequate patient support, and less favorable patient outcomes. This evidence-based education program was developed to increase healthcare practitioners’ competency in recognizing dementia and providing early referral and treatment. I determined the effectiveness of the educational intervention by analyzing the data …
Effectiveness Of An Educational Program To Enhance Medication Adherence Knowledge For Licensed Vocational Nurses In An Outpatient Psychiatric Clinic, Imelda Okoli
Walden Dissertations and Doctoral Studies
This staff education project focused on the practice problem of a knowledge deficit of licensed vocational nurses (LVNs) related to evidence-based medication adherence strategies for psychiatric patients. The practice-focused question addressed how effective an education would be for improving medication adherence knowledge, confidence, and practice readiness among LVNs in an outpatient psychiatric clinic. It is important to address this practice gap because insufficient knowledge of medication adherence could limit LVNs’ ability to engage patients and foster higher medication adherence. Participants were nine LVNs working in an outpatient psychiatric facility who attended face-to-face education sessions. LVNs completed a pretest, followed by …
Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day
Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day
Walden Dissertations and Doctoral Studies
This dissertation firmly highlighted the critical necessity for effective diversion plans tailored to nonviolent offenders, presenting a compelling qualitative analysis of the lived experiences of 12 former nonviolent offenders and their views on diversion centers. The research employed in-depth interviews as the primary data collection method, engaging participants aged 18 and older who had committed nonviolent offenses, had no pending legal cases, and had been released from incarceration or probation within the past six months. To analyze the data, NVivo 15 and MAXQDA software were utilized, ensuring a rigorous and systematic approach to organizing and interpreting unstructured data, developing robust …
Maternal Mortality In Zambia: Associations With Health Services Utilization, Birth Spacing, And Province, Selina Mubwanga
Maternal Mortality In Zambia: Associations With Health Services Utilization, Birth Spacing, And Province, Selina Mubwanga
Walden Dissertations and Doctoral Studies
Maternal mortality remains one of the leading public health issues in Zambia characterized by elevated maternal mortality rates among women of reproductive age. This research study investigated the effect of birth spacing, province type and location, and maternal health services utilization on maternal deaths among women in the Lusaka, Eastern, Central, and North-Western provinces of Zambia. The theoretical underpinning of this investigation drew upon the social-ecological systems framework. Using secondary data from the 2018 Zambia Demographic and Health Survey (ZDHS) of 1,868 women aged 15–49 years, the study adopted a quantitative, descriptive, cross-sectional research design. Binary logistic regression analysis revealed …
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
Walden Dissertations and Doctoral Studies
This doctoral project seeks to bridge the existing knowledge gap in using Metformin to manage childhood obesity in patients with metabolic syndrome. The primary goal was to develop a complete toolkit to educate healthcare providers on utilizing Metformin in obese children with metabolic syndrome. Metabolic syndrome, characterized by higher triglycerides, decreased high-density lipoprotein cholesterol, increased blood pressure, elevated fasting plasma glucose, and increased waist circumference, offers considerable health hazards for children. The practice-focused question is, Is the toolkit deemed useful to providers for treating obesity in children with metabolic syndrome using metformin?” The project employed the theory of planned behavior, …
Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez
Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez
Walden Dissertations and Doctoral Studies
This capstone research project involved examining foster care alumni who successfully graduated from Master of Social Work (MSW) programs as full-time students. The purpose of this study was to address resilience factors and this population’s perceptions of barriers, resilience, and success in terms of completing full-time MSW programs and career outcomes. The resiliency theory and a strength-based-perspective were frameworks for this research. This basic qualitative research study involved using purposive sampling, and 11 foster care alumni were interviewed who graduated from full-time MSW graduate programs in the United States. Through thematic analysis, themes emerged were lack of economic resources impacting …
Effective Leadership Strategies To Reduce Project Delays Resulting From Risk Management, Safiriyu Adebola Koya
Effective Leadership Strategies To Reduce Project Delays Resulting From Risk Management, Safiriyu Adebola Koya
Walden Dissertations and Doctoral Studies
Walden University College of Management and Human Potential This is to certify that the doctoral study by Safiriyu Adebola Koya 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. Hyuk Kim, Committee Chairperson, Doctor of Business Administration Faculty Dr. Yvonne Doll, Committee Member, Doctor of Business Administration Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Effective Leadership Strategies to Reduce Project Delays Resulting from Risk Management by Safiriyu Adebola Koya MBA, Southern New Hampshire University, 2022 BS, …
Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson
Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson
Walden Dissertations and Doctoral Studies
This doctoral project is an evaluation of a quality improvement initiative that applied a mixed method approach to evaluate the impact of the Comprehensive Unit-based Safety Program (CUSP) on hand hygiene (HH) compliance and healthcare-associated infection rates. The project was conducted in the United States of America (USA), Florida in an acute care hospital. The practice problem addressed was the persistent low adherence to HH protocols among healthcare staff, a critical issue in nursing practice due to its direct link to preventable patient harm. Quantitative data demonstrated a substantial reduction in infection rates following the implementation of the CUSP program. …
Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati
Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are unfortunate events that can impact all healthcare system stakeholders. In-patient nursing units such as medical surgical (med surg) units are facing challenges in nursing practice in initiating prevention measures and reducing the incidents of hospital-acquired pressure injuries (HAPIs). The nursing staff’s lack of knowledge can lead to nursing practice issues, poor patient outcomes, and be costly. The purpose of this Doctor of Nursing Practice (DNP) staff education project was to educate nursing staff in initiating pressure injury (PI) prevention measures to avoid HAPI events in the hospital. The practice-focused question examined if providing education to med …
Motivational Factors Affecting Female Students' Choice Of Stem And Non-Stem Majors At Us Universities, Buthaina Ruyyashi
Motivational Factors Affecting Female Students' Choice Of Stem And Non-Stem Majors At Us Universities, Buthaina Ruyyashi
Walden Dissertations and Doctoral Studies
The problem addressed in this study is the persistently low enrollment of female undergraduate students in science, technology, engineering, and mathematics (STEM) majors within U.S. universities. The purpose of this quantitative study was to examine the relationship between female undergraduate students' choice of STEM versus non-STEM majors and their motivational factors, as measured by the Motivations Influencing Course Choice (MICC) survey. The study was grounded in social cognitive career theory, which emphasizes the role of self-efficacy, outcome expectations, and personal goals in academic decision-making. The analysis assessed the predictive power of career aspiration, interest, helping, and loafing in determining major …
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …
Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa
Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa
Walden Dissertations and Doctoral Studies
Objective This project aimed to enhance nursing staff knowledge and engagement in evidence-based fall prevention strategies, addressing the practice problem of inconsistent staff education and the absence of a standardized fall prevention protocol, contributing to high patient fall rates in acute care settings. Design The project employed an educational session both in-person and online. A pre- and post-test education design, utilizing knowledge assessments (pre-test and post-test) and qualitative feedback to evaluate the impact of a structured education program on nursing staff knowledge related to fall prevention. The education module focused on risk assessment tools, including the Morse Fall Scale, and …
Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint
Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint
Walden Dissertations and Doctoral Studies
This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …
Prisoner Re-Entry Into Society And Criminal Justice Social Work Practice, Aleeyah S. Norvell
Prisoner Re-Entry Into Society And Criminal Justice Social Work Practice, Aleeyah S. Norvell
Walden Dissertations and Doctoral Studies
This study explores the challenges faced by social workers in supporting the successful reintegration of formerly incarcerated individuals. Social workers play a critical role in the U.S. criminal justice system, yet they often encounter systemic barriers that limit their ability to meet clients’ basic needs, such as housing, employment, and healthcare. Using a generic qualitative research design, the study was conducted using semi-structured interviews with a sample of eight licensed social workers, using open-ended questions to gather rich, detailed accounts of their experiences. Guided by social learning theory and using thematic analysis, the findings reveal significant obstacles in adapting to …
The Association Between Unemployment, Income, Education, Healthcare Access, Mental Health And High-Risk Hiv Behavior In The United States, Tia Smith
Walden Dissertations and Doctoral Studies
High-risk HIV behavior remains a critical public health concern in the United States, particularly among socioeconomically and psychologically vulnerable populations. Despite extensive prevention efforts, a gap persists in understanding how structural and mental health factors jointly contribute to HIV risk. This study addresses that gap by examining the association between socioeconomic status (SES), including income, education, employment, and healthcare access, and mental health status (diagnosis of depression and days of poor mental health) on high-risk HIV behavior at the individual level. Guided by the social determinants of health (SDOH) theoretical framework, the study utilized secondary data for over 40,000 adults …
Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion
Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion
Walden Dissertations and Doctoral Studies
The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …
The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor
The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor
Walden Dissertations and Doctoral Studies
Physical therapists and physical therapy students are susceptible to overuse and postural-related injuries related to computer work, lifting, and transferring patients. An effective technique for musculoskeletal dysfunction is instrument assisted soft tissue mobilization (IASTM) self-care. The purpose of this phenomenological qualitative study was to better understand the lived experiences of physical therapists and physical therapy students who are trained in IASTM self-care. The theoretical foundation for this study was the health belief model (HBM), which proposes that one’s beliefs strongly influence behavior change. In alignment with HBM, research questions related to the participants’ beliefs regarding the perceived threat of not …
Socioeconomic Determinants Of Depression And Anxiety Disorders In Puerto Ricans Living On The Island And The Mainland, Herman Alvarado
Socioeconomic Determinants Of Depression And Anxiety Disorders In Puerto Ricans Living On The Island And The Mainland, Herman Alvarado
Walden Dissertations and Doctoral Studies
Research shows that, among Hispanics, depression and anxiety disorders are the two most prevalent mental disorders, particularly for Puerto Ricans. The socioecological model approaches mental health conditions from a perspective where multiple levels in society influence health-related behaviors. Based on this approach, this quantitative study looked at how socioeconomic factors - marital status, education, employment, and residential status were related to a diagnosis of depression or anxiety in Puerto Ricans. This study also explored whether there were differences between two groups of Puerto Ricans: those living on the island compared to those living in the 50 states. Analysis was conducted …
Staff Education Program To Improve Nursing Knowledge On Fall Prevention Strategies, Chioma C. Achonye
Staff Education Program To Improve Nursing Knowledge On Fall Prevention Strategies, Chioma C. Achonye
Walden Dissertations and Doctoral Studies
In nursing practice, falls among adults aged 65 and above are a critical concern due to their potential to cause serious injuries and complications. As a result, fall prevention has become a top priority for healthcare providers striving to ensure patient safety and quality. The Doctor of Nursing Practice (DNP) project was designed to address the issue of falls in long-term care facilities by implementing a staff education program focused on patient fall risk assessment, identifying intrinsic and extrinsic factors influencing falls, and implementing evidence-based interventions. The DNP project practice-focused question was Does an education program on fall prevention strategies …
Staff Education To Improve Staff Knowledge On Preeclampsia, Doris Wanmban Fombo
Staff Education To Improve Staff Knowledge On Preeclampsia, Doris Wanmban Fombo
Walden Dissertations and Doctoral Studies
Preeclampsia is a disorder that usually develops after 20 weeks of pregnancy and can lead to serious adverse outcomes or death for the mother and fetus if not promptly diagnosed and managed. Hence, a staff education project was designed and implemented to enhance staff knowledge of preeclampsia. The practice problem was limited staff knowledge of preeclampsia a pregnancy complication that can affect both the mother and fetus. The practice-focused question explored whether a staff education project on preeclampsia affected office staff knowledge. The purpose of the project was to develop and implement a staff education program to improve staff knowledge …
Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin
Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin
Walden Dissertations and Doctoral Studies
This quantitative study explored the experiences of LGBTQ veterans residing in Ohio, examining the relationship between the coming out process, social acceptance, and minority stress. Lesbian, gay, bisexual, trans, and queer (LGBTQ) military veterans face higher rates of minority stressors, resulting in higher rates of suicidal ideation and mental health issues, which impact healthcare practices that affirm their identity. Discrimination, microaggressions, coming out, identity disclosure, and social belonging were identified as key contributing factors. Guided by Meyer’s minority stress theory, the study aimed to assess whether levels of outness, and identification with the LGBTQ community correlated with experiences of minority …