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Walden Dissertations and Doctoral Studies

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Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella Nov 2025

Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella

Walden Dissertations and Doctoral Studies

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …


The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres Nov 2025

The Experience Of Black Mothers Preparing Their Black Sons For Race-Related Risks, Yamilka Torres

Walden Dissertations and Doctoral Studies

Despite progress in addressing racism in the United States, its effects remain deeply entrenched, particularly for Black families. Research on Black parenting shows that parents adapt their strategies to protect children from criminalization, discussing violence, providing safety within the home, and limiting exposure to unsafe environments while also managing their own stress. Yet limited attention has been given to how Black mothers prepare their sons for race-related risks within the modern sociopolitical climate shaped by the #BlackLivesMatter movement. The purpose of this basic qualitative research study was to explore how Black mothers prepare their Black sons for race-related risks. Carter’s …


Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller Nov 2025

Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller

Walden Dissertations and Doctoral Studies

This quantitative study was conducted to investigate the relationship between crisis call responding and job satisfaction among police officers and whether gender moderates this relationship. With crisis helpline calls rising over the past decade, officers face increasing emotional labor demands, particularly female officers in male-dominated environments. While past research has explored stress and gender differences in law enforcement, few studies have examined their interaction. Using the job demands-resources model and gender role congruity theory, this study employed a correlational design with simple linear regression and Hayes’ PROCESS macro to test moderation effects. Participants included 78 police officers from central Texas …


Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson Nov 2025

Hospice Clinical Social Workers’ Perceptions On Reducing Burnout Through Empowerment And Self-Care Practices, Chasity Johnson

Walden Dissertations and Doctoral Studies

Burnout is common among hospice clinical social workers due to the emotionally demanding nature of the profession and heavy caseloads. This study explored how hospice clinical social workers perceive the role of empowerment and self-care practices in reducing burnout. The qualitative design used semi-structured interviews with ten hospice clinical social workers. Thematic analysis identified five categories: indicators of burnout, team-based/relational support, systemic and workload pressures, organizational culture, and values and professional identity. The themes that emerged from the five categories were emotional, physical, and professional; interdisciplinary support and supervisory support; workload and organizational demands; organizational challenges and policy limitations; workplace …


Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo Nov 2025

Experiences Of Baccalaureate Prepared Nurses On Their Transition To Novice Faculty Members, Theresa Jade Lombardo

Walden Dissertations and Doctoral Studies

The shortage of qualified nursing faculty in Canada threatens the ability to educate sufficient numbers of nurses to meet healthcare demands. Despite this, limited research explores how baccalaureate-prepared nurses experience the transition into nursing faculty roles. The purpose of this qualitative study, guided by Schoening’s nurse educator transition model, was to explore the experiences of baccalaureate prepared nurses on the transition to novice nurse faculty members teaching in 2-year diploma prepared nursing programs in Northwestern Ontario. Five semi-structured interviews were conducted with baccalaureate-prepared novice nursing faculty members, analyzed, and transcribed using Zoom. Data were coded and analyzed using Saldana’s first …


Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis Nov 2025

Parents’ Sustained Recovery From Substance Use During The Coronavirus Pandemic, Amanda Antis

Walden Dissertations and Doctoral Studies

Parents in recovery from substance abuse rely on social support and programs to maintain their sobriety consistently. However, specific programs crucial for their social and mental well-being, such as most 12-step groups and recovery centers, were shut down during the COVID-19 pandemic. Despite some research on the impact of substance abuse during the pandemic, little attention has been given to sustained recovery. Therefore, the purpose of this descriptive qualitative study was to explore how parents maintained recovery from substance use amid the COVID-19 pandemic. Schlossberg’s transition process model served as the theoretical framework for this study. Semistructured interviews with nine …


Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta Nov 2025

Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta

Walden Dissertations and Doctoral Studies

Survivors of same-sex intimate partner violence (IPV) face negative mental health consequences. A lack of research exists on how social support, emotional and coping regulation, and counselors’ behaviors, knowledge, and skills affect the help-seeking behaviors and therapeutic outcomes of survivors of same-sex IPV. Addressing the gap is important because recent studies report an increase in same-sex IPV but low levels of help-seeking behaviors in response. If unaddressed, IPV can affect the well-being and safety of those partnered individuals. The purpose of this qualitative hermeneutic phenomenological study was to explore the experiences of same-sex IPV survivors who received therapeutic counseling. The …


Integrating Successful Advanced Technology Adoption Strategies In Organizational Human Resource Management, Darnetta P. Franklin Nov 2025

Integrating Successful Advanced Technology Adoption Strategies In Organizational Human Resource Management, Darnetta P. Franklin

Walden Dissertations and Doctoral Studies

Human resource (HR) leaders in medium- to large-sized organizations across the Northeast United States continue to experience challenges when adopting advanced HR technologies, including artificial intelligence, virtual reality, blockchain, and cloud-based systems. HR leaders are concerned about employee resistance to change, limited training resources, and financial constraints, which hinder employee engagement and operational efficiency. Grounded in diffusion of innovations theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies HR leaders implement to successfully integrate advanced HR technologies while maintaining workforce engagement and performance. The participants included six HR leaders from diverse industries with successful experience in …


The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka Nov 2025

The Perceptions And Lived Experiences Of German Volunteers Aged 55 Or Older In Development Service In Tanzania, Barbara Wohanka

Walden Dissertations and Doctoral Studies

As global aging trends and longer life expectancy encourage many seniors to seek meaningful engagement through volunteering, this research examined how such activities influence their perceptions and experiences. While much of the existing literature on volunteering in later life has concentrated on individuals involved in local community service, little research has addressed what motivates seniors to volunteer abroad. The purpose of this qualitative study was to examine the perceptions and lived experiences of German volunteers aged 55 or older in development service in Tanzania and the influence of these experiences on their lives. The theoretical framework examined the guiding approaches …


Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine Nov 2025

Faculty Perceptions Of Efforts To Address The Underrepresentation Of Minority Full-Time Faculty In U.S. Nursing Programs, Akua Oxendine

Walden Dissertations and Doctoral Studies

The problem for this study is that, despite longstanding efforts to promote diversity in higher education, faculty from racial and ethnic minorities remain underrepresented in nursing programs in the United States. Guided by critical race theory, the purpose of this basic qualitative study was to explore nursing faculty perceptions of the effectiveness and challenges of institutional efforts to address underrepresentation. Using purposive sampling, 12 nursing faculty members with knowledge of or experience with diversity initiatives were recruited as participants. Data were collected through semistructured interviews. Through a six-phase thematic analysis, nursing faculty identified five critical insights: (a) diversity messaging often …


Implementation Strategies For Microservice Architecture In The Banking Sector, Gururaj Achar Nov 2025

Implementation Strategies For Microservice Architecture In The Banking Sector, Gururaj Achar

Walden Dissertations and Doctoral Studies

Information technology (IT) leaders in regulated banking face significant risks related to system complexity and cybersecurity when implementing large-scale systems. Although microservice architecture (MSA) offers enhanced scalability and agility, IT leaders lack specific strategic guidance for its effective adoption within highly regulated banking environments. Grounded in the Technology Acceptance Model, the purpose of this qualitative, pragmatic study was to explore effective MSA adoption strategies for IT architects and managers transitioning legacy systems to support risk and compliance management. Data were collected through semistructured interviews with seven banking IT leaders and were analysed using thematic analysis. Three themes emerged: adoption drivers …


Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr Nov 2025

Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr

Walden Dissertations and Doctoral Studies

This study addressed the impact of stigma and cultural beliefs on help-seeking behaviors among the Igbo tribe in Nigeria. The importance of this issue lies in its potential to increase access to mental health services and foster well-being among Igbo community members who might be harmed by stigma and cultural barriers. The study's theoretical framework was the cultural theory of mental illness, which emphasizes how cultural values and beliefs influence how people perceive and express their mental health. This study aimed to offer guidance for interventions and programs that address mental health disparities in the Igbo community by comprehending the …


The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson Nov 2025

The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson

Walden Dissertations and Doctoral Studies

The Strong Black Woman (SBW) schema has been explored during the past two decades; however, limited research has been conducted on the phenomenological experiences of Black women who identify with the characteristics of the SBW schema and their impact on Black and African American marriages. The purpose of this study was to explore the lived experiences of married African American women in modern day marriages who endorse the characteristics of the superwoman schema. This qualitative study was an interpretative phenomenological analysis and focused on the lived experiences of this population. Individual interviews of 12 married African American women who identified …


Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan Nov 2025

Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan

Walden Dissertations and Doctoral Studies

Mainstream high school teachers in a district in the state of Mississippi have struggled to consistently implement research-based strategies that address the needs of English Language Learners (ELLs). Guided by Echevarría et al.’s sheltered instruction observation protocol (SIOP), the purpose of this basic qualitative study was to explore the instructional practices implemented by mainstream high school teachers at a Title I high school in a Mississippi district that are aligned with research-based practices and the challenges they reported in improving ELL student achievement in mainstream classrooms. Data were collected from semistructured interviews with nine teachers from a Title I high …


Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis Nov 2025

Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis

Walden Dissertations and Doctoral Studies

The phenomenon of Military sexual trauma (MST) among male survivors is significantly underreported and lacking in scholarly research. The purpose of this qualitative generic study was to explore male veteran MST survivors’ perspectives on military culture and institutional betrayal. Cultural spillover theory provided the framework, emphasizing that a culture that legitimizes violence to achieve its goals has the potential to foster illegitimate violence within that culture. The primary research question in this study was: What are the perceptions and experiences of male veteran MST survivors on military institutional culture and MST? Six semi-structured interviews were conducted via Zoom with male …


Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González Nov 2025

Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González

Walden Dissertations and Doctoral Studies

Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …


Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch Nov 2025

Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch

Walden Dissertations and Doctoral Studies

Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …


Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh Nov 2025

Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh

Walden Dissertations and Doctoral Studies

In Nigeria long-standing sociocultural norms dictate widowhood practice, which widows are expected to undergo when they lose their husbands. The impact of this ancient culture, which has continuously been encouraged from generation to generation to date, has been devastating for widows. The purpose of this generic qualitative study was to investigate the effects of widowhood practices on the well-being of young widows in southeastern Nigeria. Feminist theory was the conceptual framework. Through semistructured, audio-recorded interviews conducted via Zoom, data were collected from 10 young widows between age 18 to 45 in the southeastern Nigeria. After the data were collected, Braun …


Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers Nov 2025

Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers

Walden Dissertations and Doctoral Studies

Abstract Thirty-day hospital readmissions continue to be an increasing problem for healthcare administrators due to quality and costs. This study was conducted to examine whether gender and race were related to 30-day readmissions in urban and rural counties of North Carolina and Wisconsin. Research questions included the dependent variable of 30-day acute hospital readmissions and the independent variables of race (Black and White) and gender (male and female). The framework was Donabedian’s quality of care model consisting of three components: structure, process, and outcomes. Centers for Medicare and Medicaid Services secondary data were gathered in 2022 from 595,294 patients in …


It Leadership Strategies In Healthcare Systems That Leverage Dynamic Capabilities For Digital Transformations, Marshall Lee Pearson Nov 2025

It Leadership Strategies In Healthcare Systems That Leverage Dynamic Capabilities For Digital Transformations, Marshall Lee Pearson

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that some health care information technology (IT) leaders lack strategies to leverage dynamic capabilities to drive strategic renewal and expected outcomes, constraining health care access, quality, and cost improvements. Grounded in the Dynamic Capabilities Framework for Digital Transformation, this pragmatic qualitative study explored strategies that some IT leaders in health care systems use to leverage dynamic capabilities for digital transformation. The study conducted six semistructured interviews with senior IT leaders in U.S. provider-based health care systems with at least five years of strategic leadership experience, triangulated data with publicly available documents, and applied …


A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas Nov 2025

A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas

Walden Dissertations and Doctoral Studies

Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …


Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell Nov 2025

Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell

Walden Dissertations and Doctoral Studies

Childhood Sexual Abuse (CSA), traumatic sexual violence within trusted relationships, continues to impact children in the United States and often leads to insecure attachments in adulthood. There was a gap in the literature concerning the experiences of adult survivors of CSA within marginalized communities, where such experiences are frequently ignored. The purpose of this qualitative descriptive phenomenological study was to explore how adult survivors of CSA from marginalized populations develop attachments. Bowlby argued that maintaining mental health in adulthood depends on forming healthy and secure relationships during childhood. Bowlby’s attachment theory served as the framework to understand how early attachment …


Integrating Psychotherapy And Medication Management In A Primary Care Clinic, Patricia Nkhono Nov 2025

Integrating Psychotherapy And Medication Management In A Primary Care Clinic, Patricia Nkhono

Walden Dissertations and Doctoral Studies

A knowledge deficit in integrating supportive psychotherapy with medication management to treat patients’ psychiatric challenges was identified in a primary care clinical setting. I developed a staff education project to close the knowledge gaps of nurses and nurse practitioners related to an evidence-based protocol that incorporated supportive therapy in individualized treatment plans. The project’s aim was to develop, implement, and evaluate the staff education program. The focused project question centered on whether staff education would increase staff knowledge and drive increased supportive therapy orders at admission of patients. Clinical staff registered nurses and nurse practitioners (N = 5) participated in …


Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser Nov 2025

Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser

Walden Dissertations and Doctoral Studies

The problem investigated through this study was that arts integration (AI) was not implemented into Grades 6 through 8 curricula with consistency at a local project-based middle school (PBMS, a pseudonym). Grounded in Martin’s arts as a second language framework, the purpose of this basic qualitative study was to explore middle school teacher successes, challenges, and resources needed to implement AI into Grades 6 through 8 at PBMS. Semistructured interviews were conducted with nine middle school educators who were experienced with AI implementation at PBMS. Through thematic analysis using open and axial coding, teachers indicated that successes are seen when …


Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin Nov 2025

Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin

Walden Dissertations and Doctoral Studies

A major gap in acute care is the delayed initiation of palliative consultations. Although over 58 million people worldwide could benefit, only 14% receive such care. Despite evidence that early involvement improves outcomes, providers often overlook their value, leading to late referrals, typically after repeated hospitalizations or near end-of-life, when hospice may be more appropriate. This Doctor of Nursing Practice (DNP) educational intervention addressed a critical practice-focused question to enhance healthcare providers’ understanding of palliative care improve hospital-based patient outcomes. The intervention aimed to demonstrate a ≥20% knowledge gain from pretest to posttest scores related to distinguishing palliative care from …


Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos Nov 2025

Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos

Walden Dissertations and Doctoral Studies

Business leaders of homeschool consulting and testing services are experiencing a critical challenge in attracting new clients, which threatens their ability to sustain operations. Grounded in the Baldrige excellence framework and the diffusion of innovation theory, the purpose of this qualitative single case study was to explore effective strategies used by one business leader of a homeschool consulting and testing services organization in North Carolina to attract clients and sustain operations. Data sources included (a) semistructured interviews, (b) organizational archival records and documents, (c) public data such as reports and websites, and (d) literature including peer-reviewed articles and books. Findings …


Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy Nov 2025

Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy

Walden Dissertations and Doctoral Studies

Summary The ineffective use of the PHQ-9 tool to assess depression during primary care was the problem that this quality improvement project aimed to resolve, which is a hindrance to timely diagnosis and equitable behavioral health care. Inconsistent use of screening of depression was tackled in the project. The treatment and detection of it at its early stages were constrained by gaps in provider knowledge and confidence. The project assessed the effect of a formal staff educational intervention to increase knowledge, confidence, and the probability of incorporating the PHQ-9 depression screening tool into the workflow of a primary care clinic. …


How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney Nov 2025

How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney

Walden Dissertations and Doctoral Studies

The work of previous researchers has shown officers to have higher rates of depression, posttraumatic stress disorder (PTSD), generalized anxiety, and suicidality than the public, and a lower rate of mental health service-seeking. Stigma, both public and self-stigma, has been revealed by previous researchers to be the predominant barrier that deters officers from seeking out needed and/or desired services. A gap in research existed in examining alternative service types, and whether law enforcement officers perceived these service types as more or less stigmatizing than traditional methods. This study employed a quantitative research design to predict the probability that law enforcement …


Impact Of Team Coaching, Team Resilience, And Team Learning Agility On Team Adaptive Performance In Volatility, Uncertainty, Complexity, And Ambiguity Environments, Devon Morris Nov 2025

Impact Of Team Coaching, Team Resilience, And Team Learning Agility On Team Adaptive Performance In Volatility, Uncertainty, Complexity, And Ambiguity Environments, Devon Morris

Walden Dissertations and Doctoral Studies

With volatile and rapidly changing environments, teams are under increasing pressure to adapt and maintain performance. This quantitative, cross-sectional correlational study examined the extent to which team coaching predicts team adaptive performance in volatility, uncertainty, complexity, and ambiguity environments, with team resilience as a mediator and team learning agility as a moderator. An integrated theoretical framework combining conservation of resources theory, social cognitive theory, goal-setting theory, and team coaching theory grounded this study. Participants included 291 working professionals with at least 3 months of team membership and coaching experience, spanning various industries, including technology, healthcare, finance, and government sectors. They …


The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson Nov 2025

The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson

Walden Dissertations and Doctoral Studies

This quantitative study explored how past experiences with racial microaggressions affect emotional reactions to racially charged media and whether factors like age and gender influence that response. Using Minority Stress Theory as a guide, 183 African American adults completed the Racial and Ethnic Microaggressions Scale and the State-Trait Anxiety Inventory before and after watching a racially provocative film clip. The first analysis found no direct link between microaggression exposure and emotional change. However, further testing with analysis of variance showed that people with higher exposure reported much stronger emotional distress than those with lower exposure, F(1,180) = 38.12, p < .001, η² = .175. When demographic factors were added in a hierarchical regression, the model became significant, F(7,175) = 2.06, p = .036, R² = .076, showing that age (β = .086, p = .009) and gender (β = 1.505, p = .039) influenced emotional responses. Thus, older African American women showed the strongest distress, suggesting that the combined effects of race, gender, and age increase vulnerability to racial stress. These findings support the idea that racial trauma is complex and shaped by overlapping social identities. The study highlights the need for culturally sensitive mental health support, inclusive media portrayals, and greater awareness of generational and caregiving stress among African American women. By showing how overlapping identities shape emotional well-being, this research advances social change through empathy, reduced stigma, and institutional accountability, encouraging equity-driven practices that foster racial healing, fairness, and psychological resilience across communities.