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Full-Text Articles in Entire DC Network
Mental Health Services Utilization And Health Insurance Status Among Firefighters, Yvette Evans
Mental Health Services Utilization And Health Insurance Status Among Firefighters, Yvette Evans
Walden Dissertations and Doctoral Studies
Firefighting exposes individuals to significant psychological dangers, leading to mental health issues like anxiety, depression, and posttraumatic stress disorder. This study investigated the underuse of mental health services among firefighters, focusing on the relationship between health insurance status and service utilization while considering age, gender, race, and ethnicity. Data from the National Health Interview Survey within the Integrated Public Use Microdata Series were analyzed using a quantitative approach. The study employed logistic regression to examine the likelihood of mental health service utilization based on health insurance status, adjusting for demographic factors. The sample included 1,526 firefighters, predominantly male (78.9%) and …
Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller
Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller
Walden Dissertations and Doctoral Studies
Hospital administrators have been challenged due to length of stay (LOS) among patients suffering with chronic obstructive pulmonary disease (COPD). The purpose of this quantitative study was to examine whether there was a relationship between age, gender, and length of stay for COPD patients in Florida during the year 2019. The dependent variable was COPD length of stay, and independent variables were age and gender in Florida community hospitals during 2019. The Donabedian model was selected as the theoretical framework for this study to address structure, process, and outcomes associated with COPD readmissions. Secondary data was obtained from the Healthcare …
Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer
Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer
Walden Dissertations and Doctoral Studies
In the healthcare industry, safeguarding the confidentiality, integrity, and accessibility of IT systems is crucial. However, some organizations face difficulties in implementing effective segregation of duties (SoD) processes, which can lead to increased risks. This is a major concern for healthcare IT leaders and organizations, as inadequate SoD can compromise patient data security and disrupt operational efficiency. The purpose of this qualitative, pragmatic study was to explore the strategies used by senior IT leaders to implement SoD processes. The transformational leadership theory was used as the conceptual framework for the study. The participants included seven IT leaders at Northeastern U.S. …
A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas
A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas
Walden Dissertations and Doctoral Studies
Cultural and social factors, such as ethnic and racial backgrounds, religion, and supernatural beliefs, influence mental health utilization among African Americans. Past studies show that Rastafarians underutilize mental health services due to the stigma associated with mental health. However, there remains a gap in the literature regarding the incorporation of culturally sensitive and inclusive approaches in mental illness treatment. Per the biopsychosocial (BPS) pathways framework, biological, psychological, and social factors interact to provide a holistic architype of mental illness. The framework can be applied to understand how mental health stigma is influenced by personal beliefs, experiences, values, cultural, and societal …
High School Teachers’ Perceptions On Implementing Curriculum-Based Standards For Students With Autism Spectrum Disorder, Kevin Keogh Iacoboni
High School Teachers’ Perceptions On Implementing Curriculum-Based Standards For Students With Autism Spectrum Disorder, Kevin Keogh Iacoboni
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that special education (SPED) teachers struggle to implement curriculum-based standards into their instruction of high school students with autism spectrum disorder (ASD) in a Mid-Atlantic state’s system of nonpublic schools. Guided by Billingsley’s schematic representation and Vygotsky’s zone of proximal development, the purpose of this qualitative study was to explore high school teachers’ perceptions on their successes, challenges, and resources provided for implementing the state-mandated curriculum-based standards for students with ASD in the Mid-Atlantic state’s nonpublic schools. For this basic qualitative design, semistructured interviews were conducted with 10 high school SPED teachers from …
Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw
Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw
Walden Dissertations and Doctoral Studies
Leaders in nonprofit adult education frequently struggle with maintaining financial sustainability, a challenge that can compromise their operations and the positive influence they have on their communities. This issue is critical for education leaders and policymakers who rely on these institutions to support workforce development and foster economic growth. Grounded in the Baldrige framework, the purpose of this qualitative single-case study was to identify and explore the strategies employed by leaders of a Caribbean nonprofit adult education organization to enhance their organization’s sustainability. The participants were four leaders from an adult education facility in St. Lucia, the Caribbean. Data sources …
Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor
Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor
Walden Dissertations and Doctoral Studies
The special needs population faces increased vulnerability during disasters, yet disaster planning often overlooks their unique requirements. This study focuses on the experiences and perceptions of emergency managers in the Southeastern United States. The purpose of the study was to examine the extent to which emergency management plans recognize and address the needs of special populations and identify training gaps. The research questions aimed to uncover the factors that influence inclusive planning, training effectiveness, and resource allocation. Grounded in the Disaster Health Framework, the study utilized a qualitative research design involving surveys with 14 emergency managers, followed by thematic analysis …
Strategies Leaders In Affordable Housing Can Use To Decrease Property Management Turnover And Increase Professional Tenure, Marisa T. Baldwin-Woodhouse
Strategies Leaders In Affordable Housing Can Use To Decrease Property Management Turnover And Increase Professional Tenure, Marisa T. Baldwin-Woodhouse
Walden Dissertations and Doctoral Studies
Executive leaders of rental housing in the affordable housing sector have a high turnover rate of property managers, resulting in wasted time, compliance concerns, loss of institutional knowledge, deterioration of operational costs, and lost revenue, negatively impacting employee commitment. Grounded in the job embeddedness theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies that some executive leaders in affordable housing can use to decrease property manager turnover and increase professional tenure. The participants comprised eight executive leaders who oversaw property managers in affordable housing in the United States. Data were collected from semistructured interviews, and thematic …
Reducing Use Of Force In Law Enforcement Through Higher Education, Joseph J. Davern
Reducing Use Of Force In Law Enforcement Through Higher Education, Joseph J. Davern
Walden Dissertations and Doctoral Studies
This quantitative research study examined whether earning a college degree reduced police officers’ use of force in Massachusetts during 2023. Reducing force incidents is a concern for both citizens and law enforcement due to increasing public scrutiny and a need to improve community-police relations. The purpose of this study was to determine whether police officers with college degrees are less likely to use force during citizen encounters compared to those with only a high school diploma. The first research question explored the difference in the amount of force used by municipal police officers with college degrees versus those with high …
Parents’ Experience Of The Effects Of Racism On The Psychological And Physical Health Of Teenagers With Intellectual And Developmental Disabilities, Akane Nakamura
Walden Dissertations and Doctoral Studies
Many children and adults in the United States experience developmental disabilities and mental health challenges, leading to bias, marginalization, and economic hardship. Racism exacerbates these issues for individuals with intellectual and developmental disabilities (IDD), increasing depression, isolation, and health disparities. The purpose of this study was to explore parents' perspectives on the impact of racism on the psychological and physical health of teenagers aged 13–18 years with moderate IDD in the Northwestern United States. Disability critical race theory provided a lens for examining how race and disability intersect to create barriers for these teenagers. The research method was qualitative. Phenomenology …
Cannabis And Covid: An Interrupted Time Series Analysis Of Their Impact On Mental Health-Related Hospital Visits In Rural Arizona (2016-2023), Jennifer Megan Suter
Cannabis And Covid: An Interrupted Time Series Analysis Of Their Impact On Mental Health-Related Hospital Visits In Rural Arizona (2016-2023), Jennifer Megan Suter
Walden Dissertations and Doctoral Studies
Arizona’s rural communities face shortages in mental health care services. In 2020, the nearly simultaneous onset of the COVID-19 pandemic and the legalization of recreational cannabis introduced overlapping public health stressors that may have disproportionately affected these vulnerable populations. However, their combined impact on rural mental health remains understudied. This three-manuscript dissertation employed interrupted time series analyses to assess how these events influenced monthly hospital visits for schizophrenia, psychosis, cannabis-induced psychosis, and suicidal behaviors among rural Arizona adults aged 21 and older. A total of 16,468 records from the Arizona State Inpatient and Emergency Department Databases (SID and SEDD) met …
Experiences And Meaning Of Seeking Help And Resources For Male Victims Of Intimate Partner Violence, Dr. Cierra A. Ozolin
Experiences And Meaning Of Seeking Help And Resources For Male Victims Of Intimate Partner Violence, Dr. Cierra A. Ozolin
Walden Dissertations and Doctoral Studies
Experiences and Meaning of Seeking Help and Resources for Male Victims of Intimate Partner Violence by Cierra Ozolin MSW, Walden University, 2022 BA, BS, Central Washington University 2019 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University August 2025
The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn
The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn
Walden Dissertations and Doctoral Studies
Due to insurance status, COVID-19 has restricted how and when patients can access healthcare providers. In the health services community, examining obstetric care services during the coronavirus outbreak was important because it increased awareness about how changes to maternal healthcare access affect the health of the mother and unborn child during a pandemic. The theories and/or concepts that grounded this study include the intersectionality theory, which examined the connections between social groups and systems as individuals try to access health services based on health insurance reform, depending on their race. The purpose of this study was to determine if there …
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Walden Dissertations and Doctoral Studies
Early detection and treatment of latent tuberculosis infection (LTBI) is crucial in preventing active TB and supporting elimination efforts. However, adherence to LTBI treatment is challenging, especially among racial and ethnic minorities, with Black/African Americans showing particularly low rates. A quantitative retrospective chart review was conducted to examine sociodemographic factors affecting LTBI adherence in Black/African American individuals and to evaluate various adherence strategies. Using the health belief model, 435 deidentified secondary data records were analyzed from the Houston Health Department from 2012 to 2022, covering both native and foreign-born Black/African American patients undergoing LTBI treatment. Descriptive and inferential statistics, including …
Parents Of Adolescents On Electronic Use And Attention Deficit Hyperactivity Disorder: Parental Perspectives, Sleep, Internalization, Jessica Wiepking
Parents Of Adolescents On Electronic Use And Attention Deficit Hyperactivity Disorder: Parental Perspectives, Sleep, Internalization, Jessica Wiepking
Walden Dissertations and Doctoral Studies
ADHD in adolescents is a common diagnosis, with exposure to daily electronic use. There is strong evidence for a relationship between electronic use and ADHD in adolescents. However, there is a gap on electronic use, internalized feelings, and sleep behaviors in ADHD adolescents and how sleep behaviors might impact that relationship. ADHD has its core symptoms that impact the individual daily. These symptoms need to be taken into consideration when looking at internalized feelings and sleep behavior patterns. The theoretical framework that aligns with this study is the Dopaminergic Dysregulation Theory (DDT). This theory is a module that suggests that …
In-Home Supports For The Developmentally Disabled Population: A Heuristic Phenomenological Study Of Sc’ Experiences, Stephen Troy Davis
In-Home Supports For The Developmentally Disabled Population: A Heuristic Phenomenological Study Of Sc’ Experiences, Stephen Troy Davis
Walden Dissertations and Doctoral Studies
Despite occupying a central role in the developmental disabilities systems of 48 states, SC do not have a voice in program or policy development and are not well represented in the disabilities literature. The purpose of this study was to understand the experiences of SC who work with individuals with intellectual and developmental disabilities in southeastern Pennsylvania. The theoretical lenses through which the study was viewed were Bronfenbrenner’s ecological systems theory and Wolfensberger’s social role valorization. The study was guided by research questions aimed at illuminating the intensity of support coordinators’ experiences by uncovering how they experience and define their …
Relationship Between Indulgent Parenting, Household Composition, And Parental Efficacy In Managing Adolescents' Smartphone Use, Bernice Cook
Relationship Between Indulgent Parenting, Household Composition, And Parental Efficacy In Managing Adolescents' Smartphone Use, Bernice Cook
Walden Dissertations and Doctoral Studies
Smartphones have become an integral part of society, resulting in increased adolescent dependence on smartphone applications. This dependence poses challenges for parents in managing the risk of problematic smartphone use among adolescents aged 11-17 years old. Rapid technological advancements have significantly reshaped parenting practices, necessitating greater adaptability and impacting adolescent development. Guided by Bandura’s self-efficacy theory, this correlational study examines how indulgent parenting and household composition, including demographic variables such as race, gender, education, employment, and income, predict parental self-efficacy in managing adolescent smartphone use. A convenience sample of 238 U.S. parents, with at least one adolescent aged 11-17 years, …
Prosecuting Attorneys’ Experiences And Perceptions Of Evidence That Most Often Leads To Wrongful Convictions At The Pretrial Stage, Shari Lee Barton Harrell
Prosecuting Attorneys’ Experiences And Perceptions Of Evidence That Most Often Leads To Wrongful Convictions At The Pretrial Stage, Shari Lee Barton Harrell
Walden Dissertations and Doctoral Studies
Before trial, prosecuting attorneys obtain and review evidence, including the types of evidence (i.e., perjury/false accusations, official misconduct, mistaken eyewitness testimony, false/misleading forensic evidence, false confessions, and inadequate defense counsel) that most often lead to wrongful convictions. The role of the prosector after conviction has been explored. The scholarly community needed to understand how prosecuting attorneys view this evidence at the pretrial stage so some wrongful convictions may be prevented. The purpose of this study was to explore prosecuting attorneys’ experience and perceptions regarding the evidence that most often leads to wrongful convictions at the pretrial stage. As part of …
Improving Employee Engagement Through Effective Change Management, Whitney Cearrow Sims
Improving Employee Engagement Through Effective Change Management, Whitney Cearrow Sims
Walden Dissertations and Doctoral Studies
Human resources (HR) managers often face challenges due to ineffective change management strategies, which can lead to reduced employee engagement, decreased performance, and increased turnover. This issue is important to HR managers and organizational leaders who seek to improve workforce engagement and retention. Grounded in Kotter’s eight step change management model and Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies HR managers use to improve employee engagement. The participants were five HR managers from manufacturing companies in the southeast region in Georgia who had implemented effective change management strategies that improved employee engagement. …
Drug Recognition Experts’ Perspectives On The State Of Maryland’S Legalization Of Cannabis And Its Impact On Impaired Driving, Raymond D. Brooks
Drug Recognition Experts’ Perspectives On The State Of Maryland’S Legalization Of Cannabis And Its Impact On Impaired Driving, Raymond D. Brooks
Walden Dissertations and Doctoral Studies
Motor vehicles have become both affordable and practical to own. As a result, law enforcement has been tasked with enforcing laws related to safe vehicular operation on the roadways nationwide. Further, much like alcohol, drug influence causes concern for motorists, and with the introduction of cannabis legalization, there is a clash between use, public interaction and vehicle operation. Cannabis consumption in public, the perception that use is allowed anywhere, and the impact that impairment has while driving can be a concern for those tasked with enforcing laws that some perceive to be allowed. This study introduces cannabis legalization within the …
Perceived Experiences Of Native American Men During Incarceration In Tribal Jail, Stacy Marie Becker
Perceived Experiences Of Native American Men During Incarceration In Tribal Jail, Stacy Marie Becker
Walden Dissertations and Doctoral Studies
The subject of this dissertation is the Perceived Experiences of Native American Men during Incarceration in Tribal Jail. The reason for this research is to determine what practices are rehabilitative and what practices are detrimental to this population. This is important to learn so that criminal justice professionals will be able to consider possible changes that can be made to make recidivism less likely among this population while increasing practices that are conducive to rehabilitation. This work was researched using the Indigenous Standpoint Theory which is meant to reflect the experiences and views of the research participants without analysis through …
African American Women's Lived Experience Of The Process And Outcomes Of Psychotherapy For Depression, Eva Coleman Springs
African American Women's Lived Experience Of The Process And Outcomes Of Psychotherapy For Depression, Eva Coleman Springs
Walden Dissertations and Doctoral Studies
The study of individuals’ experiences in psychotherapy has resulted in improvements in delivery of services to clients. The purpose of the current study was to use Aragon’s primary provider theory as the theoretical foundation to explore African American women’s perceptions of the process and outcomes of their psychotherapy for depression. Phenomenological methodology was used to explore a sample of nine African American women’s perceptions of the process and outcomes of their psychotherapy for depression and other mental health issues. Participants answered nine semi-structured interview questions to describe their experiences of at least one session of psychotherapy in the 2023 calendar …
Staff Education Project: Staff Education To Improve Nurses’ Knowledge, Self-Efficacy, And Motivation In Supporting Medication Adherence, Giovanna Happy
Staff Education Project: Staff Education To Improve Nurses’ Knowledge, Self-Efficacy, And Motivation In Supporting Medication Adherence, Giovanna Happy
Walden Dissertations and Doctoral Studies
Medication nonadherence among individuals with psychiatric disorders remains a significant barrier to recovery, ranging from 40% to 60%. Contributing factors include fear of side effects, stigma, cognitive limitations, and complex regimens. This staff education project addressed challenges through the implementation of a structured, evidence-based intervention to improve adherence-supportive practices among 14 outpatient psychiatric nurses. A preimplementation needs assessment revealed inconsistent application of adherence strategies and low staff confidence. The project’s objective was to evaluate whether a structured education program could improve nurses’ knowledge by 15%, confidence by 15%, and willingness by 3.5 points on a Likert scale to promote medication …
Staff Education On Colorectal Cancer Screening To Improve Knowledge And Usage, Mary Tessie Thullah Bangura
Staff Education On Colorectal Cancer Screening To Improve Knowledge And Usage, Mary Tessie Thullah Bangura
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Staff Education on Colorectal Cancer Screening to Improve Knowledge and Usage
Healthcare Professionals’ Experiences Regarding Barriers And Facilitators Of The Hospital Readmissions Reduction Program, Abrin Jacobson
Healthcare Professionals’ Experiences Regarding Barriers And Facilitators Of The Hospital Readmissions Reduction Program, Abrin Jacobson
Walden Dissertations and Doctoral Studies
The Hospital Readmissions Reduction Program (HRRP), developed by the Centers for Medicare and Medicaid Services, aims to reduce avoidable readmissions through financial penalties. While HRRP has been associated with modest reductions in readmissions, it has also been linked to the problem of unintended outcomes such as increased mortality and inequitable penalties for hospitals serving socioeconomically disadvantaged populations. The literature presents a limited understanding of how hospital-based healthcare professionals (HHPs) implement HRRP. The purpose of this generic qualitative study was to explore how HHPs perceive the implementation of HRRP requirements and the barriers and facilitators that influence compliance. Grounded in Lipsky’s …
Big Five Personality Traits As Predictors Of Funeral Directors’ Job Satisfaction, Teresa Busick
Big Five Personality Traits As Predictors Of Funeral Directors’ Job Satisfaction, Teresa Busick
Walden Dissertations and Doctoral Studies
By 2037, annual deaths in the United States are expected to exceed 3.6 million, over 1 million more than in 2015. At the same time, the funeral service industry faces a serious staffing problem, with about 50% of funeral directors leaving the profession within 2 years. These combined challenges highlight the need to understand what contributes to job satisfaction and helps to retain these workers in this essential field. This quantitative correlational study examined whether the Big Five personality traits predict job satisfaction among funeral directors. Thus, the Big Five model of personality traits was used to guide the study. …
Communication Enhancement Strategies To Mitigate Functional Siloes In Head Start Programs, Maryom G. Mccloud
Communication Enhancement Strategies To Mitigate Functional Siloes In Head Start Programs, Maryom G. Mccloud
Walden Dissertations and Doctoral Studies
Inefficient internal communication between program and financial operations may negatively affect organizational performance and profitability. Some Head Start Program (HSP) leaders are concerned with communication failures because of the potential to negatively impact business productivity and profitability. Grounded in business process re-engineering, the purpose of this qualitative single case study was to explore strategies used by HSP leaders to increase communications between program and financial operations to increase profitability. The participants were four HSP leaders located in the Northern Region of the United States, who successfully implemented such strategies. Data were collected from semistructured interviews and company documents. Through thematic …
Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix
Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix
Walden Dissertations and Doctoral Studies
Falls in nursing home facilities are prevalent, and numbers continue to rise as residents grow older and antipsychotic (AP) medications are prescribed more frequently. The purpose of this quantitative study was to investigate whether frequency of falls was related to the use of AP medications. Data (N=100) were collected from 2020 incident reports, investigation sheets, and patient charts generated by the State Department of Public Health regarding resident falls and the use of AP medications in a nursing home Facility located in the Southern United States. Social Cognitive Theory (SCT) was used to understand specific behavior patterns such as personal, …
Experiences Of Managing And Living With Autoimmune Addison’S Disease In The Younger And Newly Diagnosed Adults: An Interpretative Phenomenological Analysis, Mathew Horodner
Walden Dissertations and Doctoral Studies
There is a lack of knowledge regarding the experiences of managing and living with autoimmune Addison’s disease (AD) in the younger and newly diagnosed adults. AD research usually focuses on biological or medication studies. Thus, the purpose of this qualitative study was to understand the lived experiences of the younger and newly diagnosed adults living with autoimmune AD. Consisting of the complex integration of biological, psychological, and social factors, Engel’s biopsychosocial model served as the study’s conceptual framework. I conducted this study to include the experiences of managing and living with autoimmune AD in the younger (18–35) and newly diagnosed …
Strategies Used By Public Relations And Communications Executives To Implement Ethical Use Standards For Ai, Karl Bateson
Strategies Used By Public Relations And Communications Executives To Implement Ethical Use Standards For Ai, Karl Bateson
Walden Dissertations and Doctoral Studies
Public relations and communications (PR&C) executives’ ineffective artificial intelligence (AI) strategies to develop and apply ethical frameworks for AI implementation can negatively impact organizations’ brand reputation. Grounded in AI4People and stakeholder theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective AI strategies PR&C executives used to develop and apply ethical frameworks for AI implementation while maintaining their organizations’ brand reputations. The participants were six PR&C executives who used effective strategies to develop and apply ethical frameworks for AI implementation while maintaining their organization’s brand reputation. Data were collected using semistructured interviews, public websites, …