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Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez
Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez
Walden Dissertations and Doctoral Studies
There are over half a million children and adolescents living in foster care in the United States, and many of them endure frequent disruptions to their placements. Disruptions are more common among children with a history of sexual abuse. The disruption of placement increases the likelihood of undesirable outcomes for both the children and their foster parents. Foster parents who are willing to offer a home that is safe and stable for a child in the foster care system are more important than ever. This qualitative study explored foster parents’ experiences of well-being after having fostered children with a history …
Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale
Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale
Walden Dissertations and Doctoral Studies
AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …
Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin
Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin
Walden Dissertations and Doctoral Studies
Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …
The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan
The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan
Walden Dissertations and Doctoral Studies
Occupational therapy students (OTSs) who misuse social media within academic and clinical learning environments may increase the instances of ethical health care violations and breaches of professional codes of conduct. The purpose of this quantitative, cross-sectional study was to assess the social media competency (SMC) scores of OTSs based on year of study, age, and gender. As a result, the research questions were developed to compare the SMC of OTSs based on year of study, age, and gender. The study was grounded by Bandura’s social learning theory and a rationale for allowing social media use in the curriculum. An archived …
Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
Walden Dissertations and Doctoral Studies
AbstractPhysician burnout is prevalent in healthcare today. Contributing factors include emotional exhaustion, depersonalization, and a sense of loss of autonomy. Physician burnout negatively affects a physician’s ability to provide high quality patient care. Physician burnout indicators include poor behavior, mental decline, depression, narcotics and alcohol abuse, suicidal ideation, and suicide completion. Given the negative impact of physician burnout, it is necessary to understand what can counter this phenomenon. Through lived experiences of physicians who self-identified as burned out, the purpose of this study was to explore personal resilience as an interventional strategy to reduce physician burnout. Personal resilience is adapting …
Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn
Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn
Walden Dissertations and Doctoral Studies
This descriptive phenomenological study was conducted to explore how professional counselors described their professional identity development and if professional recognition from psychologists, social workers, psychiatrists, and other professional organizations contributed to professional identity development. Phenomenology was developed by Edmund Husserl and explores insights from others based on their experiences. Licensed clinical professional counselors in Maryland formed the purposive sample that included six participants; each participated in a semi-structured interview. Thematic coding highlighted themes that emerged and included (a) the importance of the Council for Accreditation of Counseling and Related Educational Programs (CACREP), (b) licensure as a stressful process, (c) professional …
Preincarceration Collaborative Religious Coping Strategies Of Black Males With A History Of A Criminal Offense, Pearlette E. Springer
Preincarceration Collaborative Religious Coping Strategies Of Black Males With A History Of A Criminal Offense, Pearlette E. Springer
Walden Dissertations and Doctoral Studies
African Americans are 56% of the incarcerated population in the United States. Black males spend an average of 13.4% of their working lives incarcerated and 82.6% of their working lives addressing the stigma and restrictions associated with incarceration. The purpose of this study was to address a gap in research by exploring the preincarceration collaborative religious coping strategy experiences of Black males with a history of criminal offenses. Pargament’s theory of collaborative religious coping strategy guided the research, interview questions, and data analysis. The qualitative narrative approach with purposeful and snowball sampling was used to recruit and collect data from …
Strategies To Retain Employees In The Mental Health Workplace, Chauncey Janielle Strange
Strategies To Retain Employees In The Mental Health Workplace, Chauncey Janielle Strange
Walden Dissertations and Doctoral Studies
Employee turnover continues to be an issue in the mental health community as mental health business leaders lack strategies to retain employees. Retention strategies are essential to promote continuity, funding, and profitability for mental health agencies and quality service care for patients. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative single case study was to explore strategies mental health business leaders use to retain employees. Participants comprised three mental health center managers from a state agency in northern Louisiana who contributed to employee retention. Data were collected using semistructured interviews and a review of organization performance evaluations, …
An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale
An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale
Walden Dissertations and Doctoral Studies
Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …
Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans
Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans
Walden Dissertations and Doctoral Studies
This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …
Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin
Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin
Walden Dissertations and Doctoral Studies
Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Walden Dissertations and Doctoral Studies
The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …
Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan
Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan
Walden Dissertations and Doctoral Studies
The purpose of this generic qualitative study was to explore the vicarious trauma (VT)experiences of nonlicensed human service professionals (HSPs) between the ages of 30 and 65 from Central Texas who work with male intimate partner violence (IPV) victims. The conceptual framework that guided this study was the constructivist self-development theory. A purposive sample of 11 HSPs who experienced VT because of working with male IPV victims was obtained through flyers posted on social media. Huberman and Miles’s approach to thematic analysis was used to analyze the data and create codes, categories, and themes. The 13 themes that were identified …
Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb
Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb
Walden Dissertations and Doctoral Studies
AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …
Clinical Counseling Supervisors’ Perspectives Of Gatekeeping During Prelicense Supervision, Marquita R. Garrett
Clinical Counseling Supervisors’ Perspectives Of Gatekeeping During Prelicense Supervision, Marquita R. Garrett
Walden Dissertations and Doctoral Studies
AbstractThis interpretive phenomenology qualitative study explored the clinical counseling supervisors’ perceptions of gatekeeping during the supervision of postgraduate prelicense counselor trainees, specifically around problems of professional competence (PPC). This study aimed to address a gap in research surrounding gatekeeping relative to the specific needs of postgraduate prelicense counselor trainees. Exploring the gaps in gatekeeping, specifically around PPC regarding ethics and multiculturalism in clinical supervision, might increase the necessity for professionalism and recommendations for continuity across state lines. Data were collected from nine participants through Zoom interviews and analyzed using an interpretive phenomenological approach. Selection criteria included clinical counseling supervisors with …
How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung
How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung
Walden Dissertations and Doctoral Studies
AbstractSchool counselors serve an important role in providing frontline counseling services to students in local school districts. Professional associations and educational institutions emphasize the importance of professional competence. However, research on professional competence is fragmented, outdated, and unintegrated. This qualitative study explored the development of competence in trainee school counselors during supervision, from the supervisors’ perspectives. Using the conceptual frameworks of self-efficacy and professional identity development, 16 experienced supervisors were interviewed and asked to describe the development of competence in trainee school counselors and how they instructed the development of competence. Thorne’s interpretive description method was combined with a reality-testing …
Faculty-Student And Student-Student Connections Amidst The Covid-19 Pandemic, Fatma Ouled Salem
Faculty-Student And Student-Student Connections Amidst The Covid-19 Pandemic, Fatma Ouled Salem
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic expedited the shift toward distance education by forcing institutions to adapt to the limitations of social distancing mandates. This resulted in a general sense of disconnection and isolation, compounding the other adverse effects of the pandemic. Since faculty-student and student-student connections are consistently identified as best practices in distance counselor education, the aim of this descriptive phenomenological study was to describe the lived experiences of counselor educators during the COVID-19 pandemic relating to faculty-student and student-student connections. A phenomenological framework was used to suspend presuppositions of the phenomenon and to describe the lived experiences of participants. In-depth …
Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson
Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson
Walden Dissertations and Doctoral Studies
One of the challenges brought on by the recent COVID-19 pandemic has been the promotion and use of telehealth services. While recent data from Medicare has depicted an increase in this new service delivery modality (over 4,000%), there has been a stark disparity in the use of telehealth services in lower socioeconomic demographics, such as rural and underrepresented communities, and among Medicare recipients. Equitable, consistent, and optimal service expansion of the telehealth modality requires therapists and leaders of behavioral health organizations to develop and deploy creative tactics to remedy this disparity. In this case study, leaders of Miss Emma's Behavioral …
Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark
Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark
Walden Dissertations and Doctoral Studies
AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Walden Dissertations and Doctoral Studies
Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Walden Dissertations and Doctoral Studies
AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …
An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry
An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry
Walden Dissertations and Doctoral Studies
The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …
Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van
Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van
Walden Dissertations and Doctoral Studies
AbstractQualitative narrative inquiry was used to understand the accounts and experiences of female officers in the United States Army that were once stationed in South Korea, who did not advance to the rank of lieutenant colonel. In today’s military, female officers still face many challenges during their advancement from Major to Lieutenant Colonel, relative to their male counterparts. The specific problem is the underrepresentation of female majors in the Army who compete for promotion to the lieutenant colonel rank. The researcher explored the experiences of 14 female Army officers that served in South Korea and sought out promotions from the …
The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall
The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall
Walden Dissertations and Doctoral Studies
Hispanic immigrants are understudied and underserved; this is a population that continues to battle injustices and discriminatory actions due to immigration policy. The Hispanic population struggles with immigration stress and deportation, which contributes to difficulties such as psychological distress, physical health problems, acculturative stress, employment difficulties, and decreased access to support and services. In this study, a generic qualitative design was utilized to explore immigration stress and the experiences of documented Hispanic immigrants dealing with survivor’s guilt as it relates to the deportation of their loved ones. Relational cultural theory as used in the study to explore the Hispanic population, …
Exploring Social Workers And Self-Care, Justyna Wawrzonek
Exploring Social Workers And Self-Care, Justyna Wawrzonek
Walden Dissertations and Doctoral Studies
First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …
How Behavioral Health Leaders Overcome Barriers To Perinatal Mental And Psychoeducation, Jaime Lorraine Bailey
How Behavioral Health Leaders Overcome Barriers To Perinatal Mental And Psychoeducation, Jaime Lorraine Bailey
Walden Dissertations and Doctoral Studies
Behavioral health supportive services are increasingly becoming integrated into primary care settings. This study focused on strategies to strengthen the knowledge of behavioral health leaders and address the barriers to perinatal mental health support in primary care. A case study was designed to explore the obstacles behavioral health leaders faced managing the limited access to perinatal mental health care, along with the lack of provider psychoeducation on perinatal mental health, in integrated care settings in primary care. This study sought to provide options for better access and quality of care to perinatal patients and increase provider psychoeducation on perinatal mental …
The Barriers Social Workers Face During The Discharge Of Hospital Patients, Nykke Flaum
The Barriers Social Workers Face During The Discharge Of Hospital Patients, Nykke Flaum
Walden Dissertations and Doctoral Studies
This study investigated the psychosocial barriers hospital patients face that would delay their discharge. A delay in discharge can stop new patient admissions, cause further illness to the patient, and cost the hospital money, amongst other issues. Social workers are there as part of the multidisciplinary team to reduce the barriers and length of stay. One of the ways to do this is to detect the psychosocial issue early on in a patient’s admission so that it does not delay the discharge. Social workers investigate these issues during the discharge planning process and while conducting assessments. This study utilized structured …
Understanding The Barriers Of Lgbtq Youth Aging Out Of The Foster Care System, Quadasha Mcilwaine
Understanding The Barriers Of Lgbtq Youth Aging Out Of The Foster Care System, Quadasha Mcilwaine
Walden Dissertations and Doctoral Studies
Historically, there have been significant barriers experienced by youths aging out of the foster care system. A new area of focus highlights youths that identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ). In this study, the opinions of LGBTQ youths who have aged out of the foster care system in North Carolina were explored and the barriers these youths may encounter as they transition into adulthood were illuminated. Bronfenbrenner’s ecological systems theory is the framework that was used to guide this study. A basic qualitative approach was used with semistructured interviews of 10 LGBTQ aged-out youths in North Carolina. …
Perceptions Of Hiv-Positive Patients Towards Faith-Based Community Support In A Rural Setting, James D. Rollins
Perceptions Of Hiv-Positive Patients Towards Faith-Based Community Support In A Rural Setting, James D. Rollins
Walden Dissertations and Doctoral Studies
Studies have demonstrated different perspectives on faith-based organizations (FBOs). Various quantitative studies have been performed for many years; however, there is minimal qualitative research literature investigating the phenomenon of attitudes of HIV-positive patients in a faith-based structure. The purpose of this study was to examine the lived experiences of a sample of 7 participants aged 18-65 from rural areas of a southern U.S. state who have lived with HIV and have sought community support. The focus was on various interventions by rural religious community support programs. Patients’ perceptions and experiences regarding the possible improvement of their quality of life were …
Social Workers’ Perspectives On Why Stepparents Kill, Laquitta Daniella Simms
Social Workers’ Perspectives On Why Stepparents Kill, Laquitta Daniella Simms
Walden Dissertations and Doctoral Studies
The term accidental filicide refers to the death of a child that occurs inadvertently due to abuse or neglect. In this category of child homicides, death was not the intended outcome. Stepparents outnumber biological parents as the primary perpetrators of accidental filicide based on data collected nationwide. There is limited research on how child protection social workers perceive the risk and safety associated with accidental filicide by stepparents. The objective of this study was to investigate the safety and risk factors related to accidental filicide and the perceived barriers through the lens of child protection social workers who investigated allegations …