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Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Walden Dissertations and Doctoral Studies
Adults with spinal muscular atrophy (SMA) may experience significant disability-related stressors, yet mental health services remain underused within this population. Although prior research has identified barriers to service use among individuals with SMA and people with disabilities more broadly, there is less literature about how adults with SMA experience the mental health care system. The purpose of this qualitative phenomenological study was to explore lived experiences of adults living in the United States with SMA as they relate to this system. Guided by the biopsychosocial model and Andersen’s behavioral model, the study involved addressing the question: What are lived experiences …
Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Walden Dissertations and Doctoral Studies
Breast cancer-specific mortality in the United States remains higher among women in rural and socioeconomically disadvantaged areas, yet few population-based studies have been conducted to jointly scrutinize demographic and structural determinants of this disparity. Informed by the social determinants of health framework, this secondary data analysis, using records from the SEER Research Plus database, examined the association between age at diagnosis, race and ethnicity, rural/urban residence, county-level median household income, and breast cancer-specific mortality among U.S. women aged 18 and older diagnosed with malignant invasive breast cancer between 2010 and 2020 (N = 285,865). Bivariate chi-square tests and binary logistic …
The Psychosocial Experience Of Black Pentecostal Pastors In Western America Post-Pandemic, Isaiah Kelley
The Psychosocial Experience Of Black Pentecostal Pastors In Western America Post-Pandemic, Isaiah Kelley
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic disrupted religious institutions, altering how Black pastors provided spiritual leadership, community support, and social connection. Limited research has examined how these disruptions affected the social identity and psychosocial well-being of African American Pentecostal pastors. This qualitative phenomenological study explored the lived experiences of 11 African American Pentecostal pastors in the western United States following COVID-19 church closures. Guided by social identity theory, semi-structured interviews examined changes in participants’ social identity. Data were analyzed using Moustakas’s phenomenological approach: first- and second-cycle coding, member checking, reflective journals, and thematic analysis. Four themes emerged: psychological and emotional burden, social isolation …
Leadership, Employee Sustainability, And Organizational Resilience, Lois D. Saunders
Leadership, Employee Sustainability, And Organizational Resilience, Lois D. Saunders
Walden Dissertations and Doctoral Studies
Ineffective leadership practices can be counterproductive to an organization’s goals. This issue is important to executives because ineffective leadership practices can contribute to employee disengagement, increased turnover, and reduced organizational performance. Grounded in transformational and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore leadership practices used by executives to promote employee sustainability and organizational resilience in private sector organizations within the Washington metropolitan (District of Columbia, Maryland, and Virginia [DMV]) region. The participants were 10 executives from private sector organizations in the DMV region who served in CEO, senior management, and operational leadership roles and …
Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti
Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti
Walden Dissertations and Doctoral Studies
Syphilis remains an ongoing public health concern among African American men. Elevated rates during the COVID-19 pandemic further underscored the need for focused attention on this population. The risk factors driving syphilis diagnosis among African American men during a pandemic like COVID-19 remain poorly understood. The purpose of this quantitative cross-sectional study was to examine the association between sexual orientation and syphilis diagnosis among African American men in Colorado. Social cognitive theory was applied to understand the interaction among sexual orientation, HIV status, age, and syphilis diagnosis. Sexual orientation categories include men who have sex with men (MSM), men who …
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on educating providers to fill in knowledge gaps in how to effectively manage chronic pain. The lack of knowledge about the evidence-based recommendations for treating chronic pain was the practice gap. Standardized training protocols to instruct pain management professionals and address disparities in chronic pain management care should be in place to guarantee that all patients in need of chronic pain management have access to culturally appropriate education.
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
Walden Dissertations and Doctoral Studies
In Washington, DC, African American single mothers continued to experience food insecurity despite available assistance, as financial and bureaucratic barriers limited access to and utilization of these programs. This problem is relevant because identifying barriers to food assistance can inform recommendations to improve Supplemental Nutrition Assistance Program (SNAP) implementation and effectiveness. Findings from existing literature, conducted primarily from clients’ perspectives, found that food insecurity remained prevalent among African American single mothers. However, limited research has examined the perspectives of SNAP workers, known as street-level bureaucrats, who implement food assistance policies and mediate access to benefits. The purpose of this generic …
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Walden Dissertations and Doctoral Studies
The growing population of internally displaced persons (IDPs) in Nigeria presents significant public health challenges for children with physical disabilities. This study investigated how physical disabilities affect daily life, mobility, access to resources, and health outcomes among internally displaced children in IDP camps in Benue State, Nigeria. Guided by the ecological model of health behavior, the study examined caregivers’ experiences of children’s self-care, daily activities, environmental and interpersonal conditions, sanitation, and access to healthcare. A basic qualitative design used semi-structured interviews with parents and caregivers selected through purposive and snowball sampling. Data were analyzed using Braun and Clarke’s six-phase thematic …
Standardized Screening And Monitoring Of Bioidentical Hormone Replacement Therapy In Women Ages 35–50, Amanda Ellen Hampton
Standardized Screening And Monitoring Of Bioidentical Hormone Replacement Therapy In Women Ages 35–50, Amanda Ellen Hampton
Walden Dissertations and Doctoral Studies
In this quality improvement project, I evaluated a pilot implementation of a standardized bioidentical hormone replacement therapy (BHRT) screening and monitoring tool embedded within the electronic health record (EHR) at an integrative medicine practice in the southeastern United States. Grounded in the Johns Hopkins evidence based practice (EBP) model, the project addressed a documented gap in consistent screening, initiation, and monitoring of hormone replacement therapy (HRT) for women ages 35 to 50 presenting with menopausal symptoms. The practice focused question examined whether a standardized, EHR embedded BHRT screening and monitoring tool could improve screening rate compliance, laboratory monitoring adherence, and …
Human Service Professionals’ Support And Practice-Informed Strategies For Uninsured And Underinsured Adults Needing Mental Health-Related Services In Brazoria County, Texas, Henry Palacios
Walden Dissertations and Doctoral Studies
Access to mental health-related services has remained a significant human services concern for uninsured and underinsured adults in Brazoria County, Texas, where financial, transportation, provider-capacity, and service-coordination barriers affected access and continuity of care. The purpose of this qualitative modified action research study was to explore how human service professionals supported uninsured and underinsured adults needing mental health-related services and to identify practice-informed strategies to improve access, coordination, and continuity of care. Lewin’s change theory provided the theoretical framework. The research question explored how human service professionals supported this population and identified strategies to strengthen access, coordination, and continuity of …
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Walden Dissertations and Doctoral Studies
Employee disengagement during organizational change can reduce workforce commitment, increase resistance, and delay implementation. Some information technology (IT) project managers lack effective strategies to foster employee engagement during organizational change. Effective employee engagement is important to IT project managers because workforce commitment can influence the successful implementation of change. The purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies that IT project managers use to foster employee engagement during organizational change. Kotter’s eight-step change model grounded the research project. The participants were seven U.S. IT project managers with at least 3 years of project management …
Teachers’ Perspectives On Student-Centered Technology Integration, Kiyana Janise Bell
Teachers’ Perspectives On Student-Centered Technology Integration, Kiyana Janise Bell
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the inconsistent integration of student-centered technology among elementary teachers in an urban school district in the southeastern United States. Grounded in the technological pedagogical content knowledge framework, the purpose of this study was to explore teachers’ perspectives on the factors influencing their integration of student-centered technology. Using a basic qualitative design, semistructured interviews were conducted with 10 experienced certified K–5 teachers with at least 1 year of experience integrating technology into the curriculum. Data were analyzed through two-cycle inductive coding and thematic analysis resulting in six themes: teachers (1) demonstrated foundational …
Comparative Evaluation Of Practical Functional Assessment And Traditional Functional Behavior Assessment: Practitioner Perspectives On Efficiency, Resource Utilization, And Social Validity Across Practice Settings, Mathew Dinga Gwangwaa
Walden Dissertations and Doctoral Studies
As the field of applied behavior analysis (ABA) expands across diverse settings, there is an increasing need for assessment models that balance empirical rigor with practical feasibility. This quantitative, non-experimental study was an examination of the perceptions and experiences of board certified behavior analysts (BCBAs) and board certified behavior analysts doctorate (BCBA-Ds) regarding the comparative utility of traditional functional behavior assessment (FBA) and practical functional assessment (PFA). Data were collected from Board Certified Behavior Analysts (BCBAs) and BCBA-Ds using a structured, cross-sectional online survey assessing three primary domains: efficiency, resource utilization, and social validity. Descriptive findings indicated that practitioners perceived …
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Walden Dissertations and Doctoral Studies
Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Walden Dissertations and Doctoral Studies
Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …
Effective Strategies Nonprofit Leaders Use To Implement Agile And Lean Methodologies To Improve Project Performance Outcomes And Organizational Sustainability, Mariette Njumbe
Walden Dissertations and Doctoral Studies
Limited resources challenge nonprofit organizations to improve project performance and organizational sustainability. Although agile and lean methodologies can enhance adaptability, efficiency, and continuous improvement, many nonprofit leaders lack effective strategies to implement them in mission-driven environments. The purpose of this qualitative pragmatic inquiry was to explore strategies nonprofit leaders use to implement agile and lean methodologies to improve project performance and organizational sustainability. The project was grounded in an integrated conceptual framework of agile project management and lean thinking. Participants were nine nonprofit leaders. Data were collected through semistructured interviews and public documents and analyzed using thematic analysis. Five themes …
Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay
Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay
Walden Dissertations and Doctoral Studies
Prostate cancer incidence has increased among younger men in the United States, and treatment affects both patient survival and family well-being. This quantitative retrospective study examined survival among young men diagnosed with prostate cancer who received chemotherapy, radiation therapy, and/or prostatectomy, while accounting for socioeconomic factors of residence and ethnicity. Social cognitive theory was the framework. Ordinal logistic regression was used to determine whether treatment method, socioeconomic factors of residence and ethnicity predicted survival among young men diagnosed with prostate cancer. Data was sourced from the National Cancer Database Participant User File 2004-2021 specific to prostate cancer. The study cohort …
Relationship Between Aleks Use, Implementation Models, And Grade 9 Students’ Achievement On Algebra 1 Summative Assessments, Deneen Alfordburke
Relationship Between Aleks Use, Implementation Models, And Grade 9 Students’ Achievement On Algebra 1 Summative Assessments, Deneen Alfordburke
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was Grade 9 students’ achievement on the Algebra 1 New Jersey Student Learning Assessment (NJSLA) continued to be below the proficiency level that is defined by the state, despite implementation of Assessment and Learning in Knowledge Spaces (ALEKS) Algebra 1 software. The study was grounded in Doignon and Falmagne’s knowledge space theory (KST) which evaluates students’ current knowledge levels and guides them along individualized learning paths based on what they are ready to learn next. The purpose of this nonexperimental quantitative study was to determine whether the predictor variables Grade 9 students’ …
Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars
Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars
Walden Dissertations and Doctoral Studies
Understanding debt and the quality of life in older adults after retirement is an important area of concern. Many older adults are forced by escalating debt to reduce spending on essential needs, such as health care, nutrition, and housing, and their physical and mental health is thereby directly compromised. These essential needs represent core social determinants of health, and their erosion under financial strain can have effects on older adults' overall well-being. The purpose of this generic qualitative study was to explore the experiences and perceptions of human services practitioners who were actively assisting older adults struggling with debt in …
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Walden Dissertations and Doctoral Studies
The foster care system faces a persistent challenge in retaining foster parents, resulting in adverse outcomes for foster children. The literature identifies multiple reasons for foster parent attrition (e.g., foster agency dissatisfaction, life changes, and lack of resources and support). This study explored former foster parents’ narratives of exiting foster care. I illuminated how foster care agencies treat foster parents who exit the system and how this affects their attitude about the foster care system. General systems theory (GST) was used to guide the analysis. The research design was basic qualitative, and purposive and snowball sampling were used to recruit …
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Walden Dissertations and Doctoral Studies
Employee turnover and declining workplace productivity remain persistent challenges for healthcare organizations operating in a rapidly evolving industry environment. Healthcare leaders are concerned about employees’ intent to leave, as it is the strongest predictor of rising turnover, directly threatening both productivity and organizational stability. Grounded in equity theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies healthcare leaders use to retain employees and increase workplace productivity in a changing healthcare environment. The participants were seven healthcare leaders who had implemented effective strategies to retain employees and increase workplace productivity in a changing healthcare environment. Data …
Socioecological Factors Associated With Advanced Primary Tumor Category At Diagnosis Among Adults With Head And Neck Cancer Residing In Pennsylvania And New Jersey, Diane Elizabeth Crawford
Socioecological Factors Associated With Advanced Primary Tumor Category At Diagnosis Among Adults With Head And Neck Cancer Residing In Pennsylvania And New Jersey, Diane Elizabeth Crawford
Walden Dissertations and Doctoral Studies
Disparities in head and neck cancer (HNC) diagnosis may contribute to poorer outcomes among socially and economically disadvantaged populations. This quantitative secondary data analysis examined associations between socioecological factors and advanced primary tumor category among adults with HNC residing in Pennsylvania and New Jersey. Guided by the socioecological model, deidentified data (N = 350) from two Fox Chase Cancer Center research protocols were analyzed using three domain-specific multivariable logistic regression models. Primary tumor category was classified as lower (Tis–T2) or advanced (T3–T4) based on tumor size and/or local extent. Black participants had greater adjusted odds of advanced primary tumor category …
Displaced By Disaster: Examining The Effects Of Hurricanes Maria And Irma On Chronic Homelessness In The United States Virgin Islands, Clinton Hart
Walden Dissertations and Doctoral Studies
The United States Virgin Islands (USVI) is an island territory that is geographically isolated and has a fragile economy that has a limited capacity to address homelessness particularly when exacerbated by natural disasters. Existing literature demonstrated that major hurricanes can be associated with displacement, housing instability, and increased demand for emergency housing resources among socially vulnerable populations. However, limited longitudinal quantitative research has examined the impact of hurricanes on changes in homelessness trends in the USVI, representing a gap in territory-specific research. The purpose of this quantitative interrupted time series study was to examine homelessness trends associated with hurricanes Irma …
Enhancing Hiv Knowledge And Resource Awareness Among Chief Nursing Officers, Susan Louise Cooper Bailey
Enhancing Hiv Knowledge And Resource Awareness Among Chief Nursing Officers, Susan Louise Cooper Bailey
Walden Dissertations and Doctoral Studies
Human immunodeficiency virus (HIV) remains a significant public health concern in rural communities, where limited specialty care, geographic isolation, transportation barriers, and stigma may delay testing and entry into care. The Texas Panhandle is a geographically expansive rural region served by rural hospitals with limited resources. Although area HIV services are available, they are inconsistently utilized. Although chief nursing officers (CNOs) influence practice and care coordination, knowledge gaps regarding HIV guidelines, prevention strategies, and regional resources may limit identification, referral, and continuity of care. The purpose of this doctor of nursing practice (DNP) project was to determine whether a targeted …
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Walden Dissertations and Doctoral Studies
African American males between the ages of 18 and 29 have lower rates of successful completion in drug court programs compared to other populations, increasing their risk of incarceration and recidivism. This study examined whether participation in the Habilitation Empowerment Accountability Therapy (HEAT) program, a culturally responsive intervention, was associated with improved drug court graduation outcomes among African American male participants. Guided by cognitive behavioral theory, a quantitative retrospective causal-comparative design was used to analyze archival data from 96 African American male participants enrolled in a drug treatment court program in Columbia, Missouri. A chi-square test of independence was conducted …
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
Walden Dissertations and Doctoral Studies
This study examines leadership in a community policing context. It addresses a long-standing problem: injustice, inequality, and unfair treatment. Specifically, it examines community policing and the impact of law enforcement leadership, particularly servant leadership, on policing outcomes. Greenleaf’s Theory of Servant Leadership guided this study. Participants included mid- to senior-level law enforcement officers with community policing experience, at least three years of leadership experience, and at least 18 years of age. Recruitment occurred through social media outlets such as Facebook and Instagram. Data were collected through semi-structured interviews with 19 participants. Thematic analysis produced six themes: community engagement and partnerships; …
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Walden Dissertations and Doctoral Studies
For many women leaving military service, the path to civilian life involves a fundamental renegotiation of identity. Gender-specific pressures, institutional norms, and fractured belonging compound reintegration, yet the lived experiences of women veterans navigating competing identities remain underexplored. The purpose of this phenomenological study was to understand the lived experiences of women veterans at least 5 years postdischarge who struggled with identity dissonance between their military and civilian identities. The study was informed by reculturation theory. Seven women veterans participated in semistructured interviews, and data were analyzed using Braun and Clarke’s thematic analysis, revealing five themes: institutions, culture, and unequal …
Why Was I Stopped? How Police Encounters Shape The Perceptions Of Black Adults, Darilyn Anita Monk
Why Was I Stopped? How Police Encounters Shape The Perceptions Of Black Adults, Darilyn Anita Monk
Walden Dissertations and Doctoral Studies
Racial disparities in police encounters persist in Illinois, where Black adults are disproportionately subjected to investigatory stops despite ongoing oversight efforts. This study examined how citizens affected by these stops experienced and interpreted these encounters. The participants were seven Black adults from Lake County, Illinois. Data were collected using semi-structured interviews. Thematic analysis revealed racial profiling and discrimination as central, structuring features of police interactions. Participants described being stopped without clear justification, subjected to heightened suspicion, and treated as presumptively criminal. These encounters were understood not as isolated incidents but as patterned practices, producing mistrust, anxiety, and diminished perceptions of …
Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley
Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley
Walden Dissertations and Doctoral Studies
Third-sector organizations (TSOs) face challenges providing effective evidence in reducing stress and burnout for human services professionals (HSPs) to remain in the field. Burnout is a social phenomenon that has received much attention in the helping professions for the past 50 years, due to the nature of the work that HSPs perform. Researchers have confirmed that HSPs are at critical risk of burnout, which affects not only their health and work performance, but also their delivery of service. Current literature lacks studies on what supports HSPs’ need in TSOs to reduce their stress and burnout to remain in the field. …
Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing
Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing
Walden Dissertations and Doctoral Studies
Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …