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Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD) affects approximately 18 million individuals in India, yet the factors influencing parental care-seeking behavior were not well understood. Guided by the health belief model, the purpose of this basic qualitative study was to explore how parents’ perceived severity of a child’s symptoms, parental beliefs about the causes of autism, and perceived mental and physical health outcomes of caregiving influence parents’ intention to seek services for children aged 1–10 years diagnosed with ASD in India. Data were collected using semistructured interviews with 10 mothers of autistic children. Data were analyzed using Braun and Clarke’s six-step thematic analysis. …
Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee
Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee
Walden Dissertations and Doctoral Studies
This is a qualitative case study on Organization X that used the Baldrige Framework to investigate employee burnout, a growing concern associated with staff turnover, reduced job satisfaction, depression, and disengagement. The goal was to examine how organizational leaders assess the effectiveness of burnout prevention strategies, identify organizational factors and leadership practices that either mitigate or increase burnout, and discover key factors that contribute to burnout. Semi-structured interviews, guided by the Baldrige Framework, were conducted with three leaders at Organization X. The themes resulting from interviews included burnout, open-ended communication, team cohesion, real-time protection, ethical leadership and authenticity, restoring norms, …
Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren
Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) executive leadership systems improvement program presents the design of an evidence-based intensive outpatient program (IOP) in a community psychiatric clinic in the central region area of Maryland, to address the practice problem of fragmented transitions from inpatient psychiatry to routine outpatient services. This practice gap contributes to avoidable 30-day readmissions and prolonged emergency department boarding. The guiding practice question was as follows: In behavioral health organizations, how does a leadership-driven IOP implementation affect care transitions, staff engagement, and protocol adherence compared with existing discharge workflows? Local organizational indicators reveal elevated psychiatric readmission rates and …
Program Proposal For A Nurse Led Pre-Procedure Readiness Program, Walter Magramo
Program Proposal For A Nurse Led Pre-Procedure Readiness Program, Walter Magramo
Walden Dissertations and Doctoral Studies
Same-day outpatient procedural cancellations represent a persistent challenge for healthcare organizations, negatively affecting patient safety, access, operational efficiency, and financial performance. This Doctor of Nursing Practice (DNP) executive leadership project proposes the implementation of a nurse-led, artificial intelligence (AI)–enhanced preprocedural readiness program within an outpatient procedural department. The initiative integrates standardized nurse-led readiness checklists, AI-supported clinical decision support embedded in the electronic health record, structured nurse-led outreach, and standardized patient and staff education to proactively identify and address preventable barriers to procedural readiness. Internal organizational data identified a sustained same-day cancellation rate of approximately 22%, with most cancellations attributable to …
Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes
Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes
Walden Dissertations and Doctoral Studies
Digital transformation projects have a failure rate of 66% to 84%, costing U.S. companies billions of dollars each year. Organizational leaders need to understand the implications of these costly failures, leading to substantial financial losses. The purpose of this qualitative descriptive phenomenological study was to explore the reasons for digital transformation project failures from the perspective of the lived experiences of U.S. project managers. The conceptual framework consisted of Lewin’s 3-stage change management model, Correani et al.’s digital transformation implementation model, Herzberg’s 2-factor theory of motivation-hygiene, and von Bertalanffy’s systems theory. The participants were 13 U.S. active, certified professional project …
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Walden Dissertations and Doctoral Studies
This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …
Staff Education To Address Financial Barriers In Outpatient Psychiatric Care, Yvette Taffou Kamayou
Staff Education To Address Financial Barriers In Outpatient Psychiatric Care, Yvette Taffou Kamayou
Walden Dissertations and Doctoral Studies
This staff education project addressed financial barriers that prevent psychiatric outpatients from accessing consistent care. High no-show rates in outpatient psychiatry, often 20–40%, stem largely from costs such as co-pays, transportation, and medication, leading to missed appointments, poorer outcomes, and increased healthcare costs. The practice-focused question was “In an outpatient psychiatric clinic, does a targeted staff education program on non-judgmental financial discussions, sliding-scale fees, and telehealth options improve staff knowledge, confidence, and patient referral rates to resources over 8 weeks?” The purpose was to implement and evaluate a structured educational intervention to equip staff with tools for addressing financial barriers, …
The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen
The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen
Walden Dissertations and Doctoral Studies
Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …
Multimodal Interventions To Assist In Reducing No Show Rates In An Outpatient Primary Care Setting, Amelia Barber
Multimodal Interventions To Assist In Reducing No Show Rates In An Outpatient Primary Care Setting, Amelia Barber
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) incorporated a Clinical Practice Guideline (CPG) approach to address a practice issue of increased no show rates of patients scheduled for follow-up appointments in an adult outpatient primary care setting. Missed appointments symbolize a long-standing practice problem in ambulatory care, exacerbating challenges like healthcare expenses, fragmented care, inefficient resource utilization, and delayed treatment often resulting in negative patient outcomes. The project’s purpose was to develop an evidence-based CPG with integrated multimodal patient outreach strategies, including patient portal, text messaging, transportation support, and live reminder calls within Electronic Health Record (EHR) system to prevent and/or …
Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle
Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle
Walden Dissertations and Doctoral Studies
The problem in this study was that at Windland Elementary School (WES; pseudonym) early childhood teachers experienced a 16% decrease in parent satisfaction with the school's ability to eliminate or reduce barriers to parent engagement. Framed by six types of activities that encompass family engagement from Epstein et al., the purpose of this study was to explore early childhood teachers' experiences in establishing and maintaining school-home relationships at WES. Data were collected through semistructured interviews with 10 Kindergarten through Grade 3 teachers who had at least 3 years’ teaching experience at WES. Thematic analysis using open coding yielded four key …
Staff Education Project On Enhancing Provider Knowledge And Confidence In Adolescent Depression Assessment Using The Phq-9 Tool, Beatrice Ogoh Stephens
Staff Education Project On Enhancing Provider Knowledge And Confidence In Adolescent Depression Assessment Using The Phq-9 Tool, Beatrice Ogoh Stephens
Walden Dissertations and Doctoral Studies
Adolescent depression is a developing public health issue, especially in underprivileged areas where delayed diagnosis and treatment are caused by uneven screening procedures and inadequate provider training. By increasing provider and staff knowledge, confidence, and use of the Patient Health Questionnaire-9 (PHQ-9) for systematic teen depression screening, this staff education project filled a practice gap in a primary care clinic. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that was guided by the ADDIE instructional design approach. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that …
The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn
Walden Dissertations and Doctoral Studies
In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …
Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller
Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project focused on the development and expert appraisal of a clinical practice guideline (CPG) to improve home-based comfort care in hospice settings. Terminally ill patients frequently experience distressing symptoms such as pain, dyspnea, and nausea, yet inconsistent symptom management and documentation practices persist across hospice care (Henson et al., 2020). A CPG was developed to evaluate a comfort care kit for patients. The CPG was independently reviewed by a three-member expert panel using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, which consists of 23 items that are organized into …
Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne
Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was an executive leadership proposal to develop an evidence-based program plan for standardized postpartum mental health screening and structured referral processes within an obstetric clinic. The practice problem was inconsistent postpartum mental health screening and follow up. Internal organizational data demonstrated elevated no-show and cancellation rates among obstetric patients referred for mental health services, reflecting gaps in care coordination, particularly for rural and underserved populations. The purpose of this project was to develop a comprehensive program plan guided by the following practice-focused question: Will a standardized postpartum mental health screening and structured referral program …
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Walden Dissertations and Doctoral Studies
Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …
Staff Education To Enhance Phq-9 Depression Screening In A Mental Health Clinic, Constance Gawum Chingo
Staff Education To Enhance Phq-9 Depression Screening In A Mental Health Clinic, Constance Gawum Chingo
Walden Dissertations and Doctoral Studies
Doctor of Nursing Practice Project Summary Lack of standardization in the implementation and documentation of the Patient Health Questionnaire-9 (PHQ-9) was noted in this outpatient mental health clinic, impeding reproducible depression screening and evidence-based monitoring. The purpose of this Doctor of Nursing Practice (DNP) project was to examine whether staff education, enhanced by clinical workflow aids, could foster uniform PHQ-9 documentation in applicable patient encounters. Strategies employed included a systematic staff education session, a quick reference guide, an electronic health record (EHR) guide, and provision of prompt guidance and support during adoption. A pre- and post-quality improvement assessment was conducted …
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Walden Dissertations and Doctoral Studies
Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Walden Dissertations and Doctoral Studies
Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
Walden Dissertations and Doctoral Studies
Mental health stigma among healthcare professionals remains a barrier to help-seeking behaviors, workforce well-being, and psychological safety. This Doctor of Nursing Practice project addressed a practice gap by providing standardized, evidence-based staff education to reduce mental health stigma. The practice-focused question examined whether implementing an evidence-based staff education guideline improved healthcare professionals’ knowledge, attitudes, and confidence regarding mental health stigma. An evidence-based educational intervention was developed using the ADDIE instructional design model and informed by an integrative literature review. The intervention was delivered through structured staff education sessions and evaluated using pre- and post-intervention design. Results demonstrated improved knowledge of …
Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin
Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin
Walden Dissertations and Doctoral Studies
The increasing complexity of healthcare delivery in Ghana highlighted the need for accurate and timely data-driven decision-making in clinical settings. The study examined how implementation affects the accuracy of immunization records, the speed of clinical decision-making, and overall immunization coverage rates in Ghanaian healthcare facilities. A quasi-experimental, cross-sectional design was used to compare clinical encounters in facilities that implemented the EIR with those that continued using paper-based systems. The Technology Acceptance Model guided the assessment of how healthcare providers’ perceptions of the EIR affected system utilization, while the Data-Driven Decision-Making framework and Anderson’s Behavioral Health Theoretical Model provided additional conceptual …
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Walden Dissertations and Doctoral Studies
Burnout is a significant concern in nursing practice as it is linked to emotional exhaustion, decreased job satisfaction, compromised patient safety, and increased nurse turnover—especially in high-acuity settings. Targeted education is essential to supporting nurse well-being and sustaining high-quality care This doctoral project entailed the implementation of a structured, practice-focused educational intervention to address nurse burnout and limited awareness of mental health resources in an acute care setting. The guiding question was, among acute care nurses, does participation in a one-day educational workshop on burnout and available mental health resources improve knowledge and awareness of burnout prevention compared to before …
Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown
Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown
Walden Dissertations and Doctoral Studies
Mental health conditions affect 59 million individuals annually in the United States, translating to one in every four adults. Given this, mental health has emerged as a critical component of an individual’s overall health and well-being, with nurses being pivotal in identifying and addressing mental health concerns. However, research indicates that nurses often lack the knowledge and awareness to conduct mental health assessments. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on mental health assessments increased knowledge and awareness among nurses working in a local organization. A total of …
Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran
Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran
Walden Dissertations and Doctoral Studies
As Generation X (GenX) women near full retirement age, concerns about retirement preparedness have increased due to limited time to save and greater dependence on employer-sponsored retirement plans. The purpose of this qualitative single case study was to explore Gen X women’s perceptions of their retirement preparedness and to identify themes that influence effective retirement planning. Life cycle theory, the theory of reasoned action, and vested interest theory ground the conceptual framework for this study, which together explain how individuals anticipate future needs and engage in intentional financial behaviors. The study primarily focused on participants’ perceptions of retirement preparedness and …
The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy
The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy
Walden Dissertations and Doctoral Studies
The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …
Staff Education To Nurse Practitioners On Proper Std Treatment, Jolanda Monique Amey
Staff Education To Nurse Practitioners On Proper Std Treatment, Jolanda Monique Amey
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project implemented a structured staff education project to strengthen nurse practitioner knowledge related to the diagnosis and treatment of sexually transmitted diseases in a public health setting. Nurse practitioners often serve as the primary providers of sexually transmitted disease care for underserved and uninsured populations. Maintaining current knowledge of Centers for Disease Control and Prevention (CDC) treatment guidelines is essential to reducing reinfection, limiting transmission, and promoting safe, evidence-based care. When guideline knowledge is inconsistent or outdated, opportunities for appropriate treatment may be missed. The practice-focused question guiding this project was “Among nurse practitioners in …
Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Walden Dissertations and Doctoral Studies
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Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Walden Dissertations and Doctoral Studies
Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Walden Dissertations and Doctoral Studies
Due to complex neurological deficits that raise the risk of falls, falls among persons admitted to inpatient tele-neurology units represent a substantial and continuous problem in nursing practice. A preliminary evaluation conducted at the project site revealed inconsistent fall prevention procedures, inconsistent use of risk assessments, and a lack of a standardized, evidence based strategy to lower fall risk in this especially susceptible group. A practice focused investigation into whether the adoption of a standardized, nurse led fall prevention bundle would improve staff adherence to fall prevention protocols and lower the incidence of inpatient falls over a six month period …