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Articles 31 - 60 of 13964
Full-Text Articles in Entire DC Network
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 …
Nurse-Led Remote Patient Monitoring In Outpatient Heart Failure, Jackline Ukadike
Nurse-Led Remote Patient Monitoring In Outpatient Heart Failure, Jackline Ukadike
Walden Dissertations and Doctoral Studies
Chronic heart failure (HF) remains a leading cause of avoidable hospital readmissions and emergency department visits due to delayed recognition of early symptom exacerbation between routine outpatient encounters. This doctoral quality improvement project evaluated whether the implementation of an evidence-based, nurse-led remote patient monitoring (RPM) standard operating procedure (SOP) improved early identification of symptom exacerbation compared to standard episodic care among adult heart failure patients (NYHA Class II–III) in an outpatient primary care setting over a 10-week period. Guided by the Plan-Do-Study-Act (PDSA) framework, an evidence-based clinical practice guideline (CPG) and escalation protocol were developed and appraised by a 3-member …
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.
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 …
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 …
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 …
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 …
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 …
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 …
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 …
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; …
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 …
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 …
Development Of An Evidence-Based Clinical Practice Guideline For Glp-1 Medication Management And Weight-Loss Monitoring In Adults, Jeannette Mariela Pena
Development Of An Evidence-Based Clinical Practice Guideline For Glp-1 Medication Management And Weight-Loss Monitoring In Adults, Jeannette Mariela Pena
Walden Dissertations and Doctoral Studies
This doctor of nursing practice project addressed the lack of a standardized clinical practice guideline for glucagon-like peptide-1 (GLP-1)-based medication management and weight-loss monitoring in an outpatient functional health setting. The purpose was to develop an evidence-based guideline to improve provider consistency, patient education, monitoring, documentation, and treatment safety for adults receiving GLP-1-based weight-management therapy. The Johns Hopkins Evidence-Based Practice Model guided question development, evidence appraisal, synthesis, translation, and implementation planning. The guideline incorporated evidence related to adult obesity management, GLP-1-based pharmacotherapy, lifestyle intervention, eligibility assessment, medication selection and titration, adverse-effect monitoring, follow-up, and documentation. Three content experts—a nurse practitioner …
Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower
Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower
Walden Dissertations and Doctoral Studies
African American men experience disproportionately low rates of mental health service utilization and often report negative perceptions of mental illness. Despite documented mental health disparities, limited research has explored how mental health workers understand and apply multicultural competence when providing treatment to African American men. Grounded in the theory of planned behavior and social identity theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of mental health workers regarding multicultural competence in their work with African American men. Data were collected through semi-structured interviews with seven mental health workers recruited through purposive sampling. Interview …
Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi
Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi
Walden Dissertations and Doctoral Studies
This study examined adolescent opioid misuse in the United States and the role of school-based prevention. Guided by the health belief model, the purpose was to test whether participation in school-based drug prevention lessons was associated with past-year opioid misuse among adolescents ages 14–17 and whether race and gender moderated that association. This quantitative, cross-sectional, nonexperimental secondary analysis used the 2019 National Survey on Drug Use and Health (N = 8,965). Analyses included weighted descriptives, chi-square tests, and complex-samples logistic regression controlling for age and socioeconomic status. The sample included adolescents ages 14–17 with complete data on school-based prevention participation, …
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 …
Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson
Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson
Walden Dissertations and Doctoral Studies
While school counselors play a pivotal role in promoting equity and inclusion within educational institutions, they may experience systemic challenges themselves, particularly in predominantly White professional environments. The purpose of this hermeneutic phenomenological study was to explore the experiences of Black American school counselors who experienced racial discrimination in the workplace and how they made meaning of those experiences. The research addressed the lived experiences of Black American school counselors who experienced racial discrimination in the workplace and how they make meaning of those experiences. The study was grounded in hermeneutic phenomenology and critical race theory. Six Black American school …
Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz
Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that local school districts in Texas do not offer a visual arts-integrated curriculum despite the known academic and social-emotional benefits for K–12 students. The purpose of this basic qualitative study was to explore the perceptions of Texas K–12 visual arts teachers regarding arts integration to enhance core content learning. Grounded in Gardner’s multiple intelligences theory, the research questions focused on teachers' perceptions of arts integration and their recommendations for implementation. Data were collected through semistructured interviews with 10 K–12 visual arts teachers in Texas who had at least 1 year of teaching experience. …
Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson
Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson
Walden Dissertations and Doctoral Studies
Parental incarceration is an adverse childhood experience that can influence children’s emotional, educational, relational, and developmental outcomes into adulthood. Although previous research had examined the effects of parental incarceration on children, limited research had explored how young adults perceive their life course development when a parent was incarcerated for a violent crime. The purpose of this generic qualitative study was to explore the perceptions of young adults, age 18–25, regarding their life course development following parental incarceration for a violent crime. Elder’s life course development theory was the framework for this study. Data were collected through semistructured interviews with three …
Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian
Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian
Walden Dissertations and Doctoral Studies
Black American female business owners remain underrepresented in government contracting despite the availability of federal, state, and local procurement opportunities. Some Black American female business owners lack effective strategies to secure government contracts, which may limit business growth and profitability. Grounded in innovation and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies Black American female entrepreneurs use to secure government contracts. The participants were six Black American female entrepreneurs who had successfully secured government contracts and possessed experience navigating government procurement processes. Data were collected using semistructured interviews and organizational documents. Through …
Strategies General Practitioners Use To Effectively Communicate Patient Cases To Medical Specialists In Saudi Arabia, Alshraefarana Alharthi
Strategies General Practitioners Use To Effectively Communicate Patient Cases To Medical Specialists In Saudi Arabia, Alshraefarana Alharthi
Walden Dissertations and Doctoral Studies
Effective communication between general practitioners (GPs) and medical specialists is essential for reducing healthcare costs and improving continuity of care. Healthcare leaders are concerned that ineffective communication between GPs and specialists may contribute to delays in care, fragmented services, and inefficient use of healthcare resources. Grounded in relational coordination theory, the purpose of this qualitative pragmatic inquiry was to explore the effective communication strategies used by six GPs in Saudi Arabia when communicating patient cases to medical specialists to reduce healthcare costs and improve the quality of patient care. The participants were six GPs in Saudi Arabia. Data were collected …
Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim
Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim
Walden Dissertations and Doctoral Studies
Access to health care is a fundamental right of every refugee, yet gaps in implementing Kenya's Refugees Acts of 2006 and 2021 continue to limit access for Somali refugees in Dadaab camp. Existing research has documented resource constraints, movement restrictions, and other barriers to refugee health care, but how policy implementation gaps shape access in Dadaab has not been well explored. The purpose of this qualitative descriptive study was to understand barriers to health care access for Somali refugees resulting from gaps in implementing Kenya's refugee health policies. The narrative policy framework guided the study. Data from semistructured interviews with …
Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun
Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun
Walden Dissertations and Doctoral Studies
Failure to retain employees remains a significant concern for small information technology (IT) business leaders. Without clear, actionable strategies, these leaders may struggle to avoid the high costs associated with employee turnover, negatively affecting revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small IT business leaders in Nigeria use to retain IT employees for business sustainability. Participants included seven small IT business leaders in Nigeria who had used effective strategies to retain employees. Data were collected from semistructured interviews and publicly available documentation. Six themes emerged from …
A Study On Police Budgets And Impact On Public Safety, Vera Thompson
A Study On Police Budgets And Impact On Public Safety, Vera Thompson
Walden Dissertations and Doctoral Studies
Law enforcement agencies face ongoing organizational and resource challenges, yet there is limited research on how changes in police funding relate to crime rates and violent crime. There has been increased public awareness concerning police related encounters with civilians, and this has intensified debates about reducing law enforcement budgets. Current literature indicates that although police funding, staffing, and community trust are closely associated with public safety outcomes, empirical evidence on the relationship between police budget reductions and changes in violent crime and overall crime rates remains limited and insufficient to support definitive policy conclusions. The purpose of this quantitative study …
Nurses' Perceptions On Emotional Exhaustion, Hannah Espera
Nurses' Perceptions On Emotional Exhaustion, Hannah Espera
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that U.S. nurses experience high levels of emotional exhaustion (EE) in their role as professional caregivers, adult learners, and educators. Grounded in Maslach's burnout theory, the purpose of this qualitative study was to explore U.S. nurses’ perceptions of EE as professional caregivers, adult learners, and educators. For this basic qualitative design, semistructured interviews were conducted with 10 nurses licensed in the United States who were working in direct patient care roles, across multiple specialties, and with various levels of experience and licensure. Through in vivo and pattern coding, the following findings …