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Staff Education To Instruct Nurses On How To Use The Braden Scale To Increase Their Knowledge, Anna Shedrick
Staff Education To Instruct Nurses On How To Use The Braden Scale To Increase Their Knowledge, Anna Shedrick
Walden Dissertations and Doctoral Studies
No abstract provided.
U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward
U.S. Health Care Leaders’ Strategies To Improve Operational Efficiency Through Artificial Intelligence In Hospital Settings, Antwonne Demarco Ward
Walden Dissertations and Doctoral Studies
Health care leaders in the United States increasingly adopt artificial intelligence (AI) to improve operational efficiency, yet many organizations struggle to achieve sustained operational value from AI initiatives. This problem is important to health care leaders, patients, clinicians, staff, and communities because AI-supported decisions may affect workflow, access, safety, staffing, and trust. The purpose of this qualitative pragmatic inquiry project was to explore strategies U.S. health care leaders used to improve operational efficiency through AI in hospital settings. Eight U.S. health care leaders in hospital settings across the United States participated. The technology-organization-environment framework grounded the project. Data were collected …
Fall Prevention Education Among Older Adults At Townson Assisted Living Facility (Talf), Yolana Farrell-Williams
Fall Prevention Education Among Older Adults At Townson Assisted Living Facility (Talf), Yolana Farrell-Williams
Walden Dissertations and Doctoral Studies
Falls in the elderly are a significant cause of injury, disability, and preventable medical expenditure; thus, fall prevention is an issue to assisted living homes like Townson Assisted Living Facility (TALF). The internal incident reports showed that persistent fall incidents were associated with inconsistent knowledge among the staff and unequal observed compliance with fall-prevention guidelines, indicating a practice gap in the systematized education of nurses. Educational interventions are effective in achieving high-quality staff, adherence to protocols, and outcomes concerning falls. Consequently, the current project was conducted to determine whether a specialized falls-prevention education program would enhance the knowledge and competency …
Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey
Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey
Walden Dissertations and Doctoral Studies
Construction remains one of the most hazardous industries in the United States, while employer-sponsored training opportunities have declined, raising concerns about safety, workforce readiness, and knowledge transfer. Construction leaders need to understand how workers perceive immersive virtual reality (IVR) amid these challenges as an indicator of persistent safety risks, limited workforce preparedness, and ineffective knowledge transfer. The purpose of this single exploratory case study was to examine construction workers’ perceptions of the effectiveness of IVR in transferring knowledge to enhance job performance. Guided by Kirkpatrick’s four-level model of training evaluation, participants’ perceptions of reaction, learning, behavior, and results were examined. …
Perceptions Of African American Males Regarding Legal Risks Of Alcohol Misuse, Tylisha Wright
Perceptions Of African American Males Regarding Legal Risks Of Alcohol Misuse, Tylisha Wright
Walden Dissertations and Doctoral Studies
Alcohol misuse among young adults leads to legal, social, and behavioral consequences in the United States. The justice system unequally impacts young African American males. The purpose of this generic qualitative study was to understand perceptions of legal risks of alcohol misuse among African American young adult males who were formerly adjudicated or nonadjudicated. The research question involved African American young adult males and legal risks associated with misuse of alcohol. The differential association theory guided this study in terms of its emphasis on decision-making and learned social behaviors. Data for this study were collected through semi-structured interviews with eight …
Examining The Relationship Between Employee Engagement, Career Advancement, And Talent Retention, Nadeen Angella Allen
Examining The Relationship Between Employee Engagement, Career Advancement, And Talent Retention, Nadeen Angella Allen
Walden Dissertations and Doctoral Studies
Retaining talent continues to be a challenge for organizations and their business leaders. The problem is important to human resource (HR) business leaders because retaining talent helps reduce turnover costs, preserve institutional knowledge, strengthen workforce stability, and enhance organizational success and competitive advantage. The purpose of this quantitative correlational research project, grounded in the social exchange theory, was to examine the relationships between employee engagement, career advancement, and talent retention among employees working for organizations throughout the southeastern United States. The participants were 78 employees in the southeastern United States who met the exclusion criteria and who completed the Utrecht …
Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas
Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas
Walden Dissertations and Doctoral Studies
College students aged 18–25 transitioning to independent living often experience changes in diet, physical activity, stress, and time management that increase health risks. These challenges may be amplified in semi-urban communities by limited access to healthy food, transportation barriers, and scheduling constraints. This qualitative phenomenological study explored how college students in Huntsville, Texas, perceived and interpreted these lifestyle changes and their influence on perceptions of health and weight. Guided by the social ecological model, the study included 12 participants who were 18–25 years old, enrolled in college, living independently in Huntsville, Texas, and able to describe their experiences with lifestyle …
Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth
Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth
Walden Dissertations and Doctoral Studies
Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …
Licensed Social Workers’ Perceived Structural And Systemic Treatment Barriers For Clients With Severe Mental Illness, Myron Curtis White
Licensed Social Workers’ Perceived Structural And Systemic Treatment Barriers For Clients With Severe Mental Illness, Myron Curtis White
Walden Dissertations and Doctoral Studies
There was a gap in the existing strategies in social work practice regarding the structural and systemic barriers to health care treatment for clients with serious/severe mental illness (SMI). The Centers for Disease Control and Prevention documented that addressing mental health destabilization in the United States is important and requires an understanding of the mental illness to be addressed, including its causal factors, the relationships between the mentally ill and their community/environment, and the methodology for effecting care. This general qualitative study explored what licensed social workers perceived as structural and systemic barriers to health care treatment access for their …
Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju
Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju
Walden Dissertations and Doctoral Studies
Poverty disproportionately affects rural populations, women, and children and is shaped by structural inequalities in access to resources and opportunities, reinforcing cycles of disadvantage. Although existing literature provides extensive quantitative evidence on multidimensional poverty, there remains a limited qualitative understanding of how these deprivations are experienced at the household level. This generic qualitative study addressed this gap by examining the lived experiences of heads of households in Bayelsa West Senatorial District, Nigeria, where poverty incidence and intensity are among the highest nationally. Drawing on Sen’s capability theory, Atkinson’s multidimensional poverty framework, and the social determinants of health model, this study …
Shame, Resilience, And Disclosure Predictors Of Mental Health Seeking In Male Veterans With Ptsd And Military Sexual Trauma, Neftali Melendez
Shame, Resilience, And Disclosure Predictors Of Mental Health Seeking In Male Veterans With Ptsd And Military Sexual Trauma, Neftali Melendez
Walden Dissertations and Doctoral Studies
Male veterans are often the least likely to report military sexual trauma (MST), increasing the experience of shame, fear, fragility, and mental health disorders. The primary goal of this study was to examine the relationship of shame (internal and external), attitudes towards disclosure, and resilience on mental health help-seeking in male veterans who have experienced sexual abuse while in the military. Brown’s theory of shame resilience guided the development of the hypotheses and interpretation of results. Approximately 146 veterans participated in an anonymous online cross-sectional survey using a convenience sampling design and psychometrically validated questionnaires (Mental Help Seeking Attitudes Scale, …
Marketing Strategies To Increase Student Enrollment To Generate Revenue, Jermaine R. Mccain
Marketing Strategies To Increase Student Enrollment To Generate Revenue, Jermaine R. Mccain
Walden Dissertations and Doctoral Studies
Declining student enrollment can reduce district revenue and limit a public school’s ability to sustain educational programs, staffing, and overall organizational effectiveness. Public school business leaders who lack effective marketing strategies to increase student enrollment may experience financial instability, limiting their organization’s capacity to maintain long-term operational sustainability. Grounded in consumer choice theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective marketing strategies public school business leaders use to increase student enrollment to generate district revenue. Participants were six public school business leaders in the southeastern United States. Data were collected through semistructured interviews and …
Maternal Attachment Style As A Moderator Between Maternal Stress And Postpartum Depressive Symptoms, Kristie Lynn Hills
Maternal Attachment Style As A Moderator Between Maternal Stress And Postpartum Depressive Symptoms, Kristie Lynn Hills
Walden Dissertations and Doctoral Studies
This research aimed to discover if maternal attachment style moderates the association between maternal stress and postpartum depressive symptoms for mothers living in the United States. Previous research has indicated a trend of maternal bonding mediating the association between postpartum depression and maternal stress. In this study, attachment theory was utilized as the foundational theory for understanding whether the link between maternal stress and postpartum depressive symptoms vary as a function of maternal attachment style. This quantitative examination was completed using a multiple regression analytic approach. An online questionnaire measured the three study variables. The target population for this study …
The Relationship Between Autistic Traits And Depression Among Self-Reporting College-Aged Adults, Tyler Michael Davis
The Relationship Between Autistic Traits And Depression Among Self-Reporting College-Aged Adults, Tyler Michael Davis
Walden Dissertations and Doctoral Studies
Depression is a prevalent mental health concern among emerging adults, particularly within college populations where academic, social, and developmental stressors are heightened. Autistic traits are increasingly understood as dimensional characteristics that exist across both clinical and non-clinical populations, yet their relationship to depressive symptoms in college-aged adults remains insufficiently understood. The purpose of this quantitative, cross-sectional correlational study was to examine the relationship between self-reported autistic traits and depressive symptoms among non-clinical adults aged 18 to 25. The study was grounded in Beck’s cognitive theory of depression and the diathesis–stress model, which posit that cognitive vulnerabilities interact with environmental stressors …
Navigating Leadership With A History Of Parental Incarceration: An Interpretative Phenomenological Analysis Of Nurse Managers’ Professional Relationships And Coaching Receptivity, Demetria Hazlett
Walden Dissertations and Doctoral Studies
Nurse managers play a critical role in healthcare organizations, yet limited research has examined how early-life adversity, such as parental incarceration, influences leadership relationships and development. The purpose of this qualitative phenomenological study, guided by interpretative phenomenological analysis (IPA), was to explore how nurse managers’ lived experiences of parental incarceration made sense of their influenced attachment-related relational patterns, professional relationships, and receptivity to leadership coaching. The attachment theory and Karpman’s Drama Triangle grounded this study. The participants comprised eight nurse managers in six states within the United States. Data were collected through semistructured interviews and analyzed using the IPA analytic …
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Walden Dissertations and Doctoral Studies
Trauma-informed care is a critical component of supporting students' overall wellness, and school nurses are central to this work. They are often the first professionals to recognize when a student is exhibiting a trauma response or experiencing a mental health concern during the school day. Although evidence-based school health organizations have advanced efforts to ensure that academic environments are prepared to support students’ mental health needs, school nurses are too often left out of these strategic planning processes. Their exclusion not only overlooks their clinical expertise but also weakens the school’s ability to respond effectively and holistically to student needs. …
First Year College Students’ Perceptions Of Their Engagement Skills And Satisfaction In Online Courses, Ryan Ann Mathews
First Year College Students’ Perceptions Of Their Engagement Skills And Satisfaction In Online Courses, Ryan Ann Mathews
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the gap in literature on first-year college students’ perceptions of engagement and satisfaction in online courses. Grounded in the framework of Astin’s student involvement theory and Cotton et al., happy productive theory, the purpose of this basic qualitative study was to explore first-year college students’ perceptions of their engagement and satisfaction in online courses. Semistructured interviews with eight first-year online college students throughout the U.S. were conducted. Through thematic analysis, the following four themes emerged: First-year online college students noted that their (1) engagement skills and study habits, when used consistently, …
Relationship Between Employee Engagement, Gender, And Intention To Quit In The Retail Industry, Lataya V. Mills
Relationship Between Employee Engagement, Gender, And Intention To Quit In The Retail Industry, Lataya V. Mills
Walden Dissertations and Doctoral Studies
Intention to quit remains a significant challenge for retail organizations, contributing to recruitment and training costs, workforce instability, and operational disruptions. The purpose of this quantitative correlational research project was to examine the relationship between employee engagement, gender, and intention to quit among frontline retail employees in the Mid-Atlantic United States. Grounded in employee engagement theory, participants included 71 frontline retail employees. Data were collected using the Utrecht Work Engagement Scale, an Intention to Quit Scale, and demographic questions. Composite scores were calculated for employee engagement and intention to quit, and the data were analyzed using descriptive statistics, reliability analysis, …
The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley
The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley
Walden Dissertations and Doctoral Studies
The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …
African American Women’S Perceptions And Experiences With Weight Management And Ensuing Health Outcomes, Brenda Louise Gill
African American Women’S Perceptions And Experiences With Weight Management And Ensuing Health Outcomes, Brenda Louise Gill
Walden Dissertations and Doctoral Studies
African American women (AAW) experience disproportionately high rates of obesity and chronic disease compared to all other demographic groups in the United States. The purpose of this basic qualitative study was to explore the experiences of AAW aged 36–64 residing in Nashville, Tennessee, regarding food, weight management, and chronic disease management. The social-ecological model (SEM) served as the theoretical framework, providing a multilevel lens through which individual, interpersonal, organizational, community, and societal factors are examined. Three research questions guided the inquiry, examining individual-level experiences, parental and caregivers’ influences, and community and societal-level factors shaping participants’ relationship with food, weight management, …
Racial Profiling In Traffic Enforcement: A Qualitative Exploration Of Police Chiefs' Perspectives On Traffic Stop Data Analysis, Peter J. Didomenica
Racial Profiling In Traffic Enforcement: A Qualitative Exploration Of Police Chiefs' Perspectives On Traffic Stop Data Analysis, Peter J. Didomenica
Walden Dissertations and Doctoral Studies
Racial profiling of people of color by police departments as part of traffic enforcement practices is a pervasive practice in the United States. The practice is a form of systemic racism, the conceptual framework for this study, that has resulted in people and communities of color suffering its deleterious effects. Although statistical analysis of traffic stop data is most effective in uncovering racial profiling in traffic enforcement, most police departments fail to conduct such analysis, and for those departments that do so, there is no uniform judicially accepted method. The purpose of this study was to understand the reasons most …
Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira
Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira
Walden Dissertations and Doctoral Studies
Multiple sclerosis (MS) is a chronic neurological condition with insufficient research regarding risk factors influencing MS severity score (MSSS), progression and diagnosis among Hispanic adults living in the United States. This cross-sectional study assessed factors associated with MS score, progression and diagnosis using secondary data from the International Multiple Sclerosis Microbiome Study (iMSMS). Guided by the ecological model, the study included N = 576 participants with MS. Manuscript 1 explored the association between body mass index (BMI), sodium consumption, and the MS severity score in a Hispanic adult population. A multiple linear regression was conducted to examine whether age and …
Clinical Practice Guideline For Evidence-Based Management Of Chronic Prostatitis, Sandra Castro
Clinical Practice Guideline For Evidence-Based Management Of Chronic Prostatitis, Sandra Castro
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project involved the development, expert appraisal, and implementation of an evidence-based Clinical Practice Guideline (CPG) for chronic prostatitis management in adult male patients at a private outpatient clinic. The practice problem was persistent symptom burden from reliance on antibiotic monotherapy without adjunctive therapies, contributing to recurrent symptoms and decreased quality of life. The purpose was to develop and implement a standardized CPG to improve symptom outcomes and support antimicrobial stewardship. The project question was: In adult male patients with chronic prostatitis, how does a standardized CPG incorporating adjunctive ozone therapy and structured symptom monitoring, …
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
Walden Dissertations and Doctoral Studies
No abstract provided.
Elementary Teachers’ Experiences Providing Feedback During 1:1 Writing Conferences, Trina Gould Williams
Elementary Teachers’ Experiences Providing Feedback During 1:1 Writing Conferences, Trina Gould Williams
Walden Dissertations and Doctoral Studies
No abstract provided.
Mandatory Arrest Laws: Breaking The Cycle Of Violence In Colorado And Nebraska, Ryann Lavata Livingstone
Mandatory Arrest Laws: Breaking The Cycle Of Violence In Colorado And Nebraska, Ryann Lavata Livingstone
Walden Dissertations and Doctoral Studies
No abstract provided.
Parental Participation And Engagement In North Carolina Medicaid Enhanced Mental Health Services For Children And Adolescents, Jonathan Andrew Traylor
Parental Participation And Engagement In North Carolina Medicaid Enhanced Mental Health Services For Children And Adolescents, Jonathan Andrew Traylor
Walden Dissertations and Doctoral Studies
Parental participation and engagement (PPE) are positively associated with improved treatment outcomes for children receiving mental health services; however, parental involvement remains inconsistent among culturally diverse and economically disadvantaged families served through North Carolina Medicaid enhanced mental health services. Barriers to communication, collaboration, and sustained engagement may limit parents’ active participation in treatment planning and service delivery. The purpose of this basic qualitative study was to explore PPE among culturally diverse and economically disadvantaged parents whose children received North Carolina Medicaid enhanced mental health services. The ecological perspective of human development constituted the theoretical framework for this study. Data were …
Effective Strategies For Retaining Millennial Employees In Small Southern Retail Businesses, Justin Nathaniel Moore
Effective Strategies For Retaining Millennial Employees In Small Southern Retail Businesses, Justin Nathaniel Moore
Walden Dissertations and Doctoral Studies
Small retail businesses in the Southern United States continue to experience costly millennial employee turnover, threatening workforce stability and long-term business sustainability. This issue is important to small Southern retail business owners because turnover increases staffing costs, disrupts customer service, and weakens organizational performance. The purpose of this qualitative pragmatic inquiry was to explore strategies some small Southern U.S. retail business owners use to improve millennial employee retention. The job demands–resources model grounded the research project. Participants were six owner-operators in Virginia, Alabama, and Tennessee with at least 5 years of leadership experience managing millennial employees. Data were collected through …
Black Faith-Based Organization Leaders And Their Role In Mental Health, Alyssa Te'rese Green
Black Faith-Based Organization Leaders And Their Role In Mental Health, Alyssa Te'rese Green
Walden Dissertations and Doctoral Studies
Blacks age 65+ have more mental health issues than others but underutilize mental health services because of stigma. The purpose of this generic qualitative study was to identify what leaders in Black faith-based organizations believe their role is in supporting their congregants in accessing/attaining mental health services and how they provide support to their elderly congregants who may not have social support that could identify mental health issues. The health belief model and theory of planned behavior were used to explore mental health knowledge and support for the elderly congregants of faith-based organizations. Semistructured interview data from 10 Black religious …
Telling On Themselves: A Qualitative Study On The Linguistic Markers Of Deception In High-Stakes Speech, James Butcher
Telling On Themselves: A Qualitative Study On The Linguistic Markers Of Deception In High-Stakes Speech, James Butcher
Walden Dissertations and Doctoral Studies
Deception detection in forensic and legal settings has historically relied on behavioral and nonverbal cues. Extensive research has demonstrated that these indicators are unreliable and prone to bias. This reliance has a significant impact on investigations, legal outcomes, and public trust. Although linguistic research has identified individual markers of deceptive speech, limited attention has been given to how multiple linguistic cues interact in real-world, high-stakes contexts. The purpose of this qualitative study was to examine how pronoun shifts, avoidance language, and equivocation cluster together during high-stakes deceptive speech. Truth-default theory (TDT) served as the theoretical foundation, and critical discourse analysis …