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Effective Strategies For Onboarding Programs Mitigating Turnover Of Recently Separated Veterans, Jamie Reed
Effective Strategies For Onboarding Programs Mitigating Turnover Of Recently Separated Veterans, Jamie Reed
Walden Dissertations and Doctoral Studies
High rates of early turnover among recently separated veterans weaken workforce stability and disrupt both family and organizational outcomes. Employers, veteran service organizations, and families are concerned that without comprehensive onboarding programs, veterans’ adjustment and retention will suffer. Grounded in Schlossberg’s adult transition theory and the 4S transition model, the purpose of this qualitative pragmatic inquiry was to explore effective onboarding strategies to mitigate turnover among recently separated veterans. The participants were six business leaders with experience onboarding veterans in Department of Defense-contracted industries in the United States. Data were collected through semistructured interviews and publicly available documents. Through thematic …
Lived Experiences Of Black Counselor Educator Mothers: Intersecting Identities In Academic And Professional Spaces, Althea Genae Collins
Lived Experiences Of Black Counselor Educator Mothers: Intersecting Identities In Academic And Professional Spaces, Althea Genae Collins
Walden Dissertations and Doctoral Studies
Black counselor educator mothers navigate intersecting identities. Despite growing attention to women of color, scholarship remains limited on how Black counselor educator mothers manage caregiving and professional duties. This gap contributes to practices that overlook labor, taxation, and strains that affect retention and the ability to thrive. The purpose of this hermeneutic phenomenological study was to answer the question of what the lived experiences of Black counselor educator mothers are as they navigate the intersecting identities of race, gender, and motherhood in their personal and professional lives. This study also answered the question of what meaning Black counselor educator mothers …
The Role Of Dollar Store Proliferation In Influencing Diabetes And Obesity Rates In West Virginia, Kelli L. Keith
The Role Of Dollar Store Proliferation In Influencing Diabetes And Obesity Rates In West Virginia, Kelli L. Keith
Walden Dissertations and Doctoral Studies
Dollar stores are the fastest growing food retail format and are highly concentrated in rural, low-income communities including West Virginia, where diabetes and obesity prevalence rank among the highest in the United States. Although these retailers increase physical access to food, concerns remain about their limited healthier food options and potential contribution to chronic disease disparities. Guided by the socioecological model, this three-manuscript dissertation examined how dollar store density and healthier food availability related to county-level diabetes and obesity prevalence in West Virginia. Manuscript 1 used a cross-sectional ecological design with all 55 West Virginia counties, using data from USDA, …
Empowering Nurses To Save Lives: Suicide Prevention Education And Training For Outpatient Nurses In Prince George’S County, Maryland, Oludoyin O. Ajala
Empowering Nurses To Save Lives: Suicide Prevention Education And Training For Outpatient Nurses In Prince George’S County, Maryland, Oludoyin O. Ajala
Walden Dissertations and Doctoral Studies
Suicide remains a significant public health concern, with increasing prevalence across diverse populations. Outpatient nurses frequently encounter individuals at risk for suicide; however, many report limited confidence and inconsistent use of evidence-based assessment tools, contributing to missed opportunities for early intervention. The purpose of this Doctor of Nursing Practice staff education project was to implement a structured suicide prevention education program to improve nurses’ knowledge, confidence, and ability to identify and manage suicide risk. The practice-focused question examined whether implementing a structured suicide prevention education program for outpatient nurses would increase knowledge and confidence in identifying and intervening with patients …
Mindfulness-Based Interventions To Improve Anxiety And Depression Outcomes In Adult Patients, Eunice Onyinye Nsofor
Mindfulness-Based Interventions To Improve Anxiety And Depression Outcomes In Adult Patients, Eunice Onyinye Nsofor
Walden Dissertations and Doctoral Studies
Anxiety and depression are among the most prevalent mental health conditions and significantly affect quality of life, daily functioning, and healthcare utilization among adult patients. Despite strong evidence supporting mindfulness-based interventions (MBIs) as effective nonpharmacologic approaches for managing anxiety and depression, these interventions remain underutilized in many clinical settings due to limited staff knowledge and inconsistent referral practices. The purpose of this evidence-based practice (EBP) project was to implement and evaluate a structured staff education program designed to improve staff knowledge of mindfulness-based interventions for adult patients with anxiety and depression. The practice-focused question examined whether staff education on MBIs …
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Walden Dissertations and Doctoral Studies
Childhood exposure to domestic violence (DV) remains a significant and underexplored issue within clinical social work, particularly as it pertains to African American men. This doctoral project involved addressing limited understanding of how heterosexual African American men who were exposed to DV in childhood perceived these early experiences in terms of shaping their emotional wellbeing and intimate partner relationships in adulthood. Guided by the intergenerational transmission of violence theory, this study involved exploring reflective narratives of men who experienced such exposure. Via a basic qualitative research design, data were collected through semi-structured interviews with seven purposefully selected participants who were …
Staff Education On The Implementation Of Walking Interventions, Cynthia Ononobi
Staff Education On The Implementation Of Walking Interventions, Cynthia Ononobi
Walden Dissertations and Doctoral Studies
The doctoral project was a staff education project aimed at improving the knowledge of psychiatric nurses on the use of structured walking interventions to manage depression. The practice problem was related to the lack of consistency in the application of walking as a treatment for depression. This gap was significant to address because psychiatric nurses are in the center of behavioral activation, and insufficient knowledge may deny patients the right to potentially valuable, affordable, and nonpharmacological treatment. The practice-based question was: Among psychiatric nursing staff does education on structured walking intervention, compared to standard care, improve staff knowledge and skills …
Staff Education On Structured Phq-9 Administration To Enhance Depression Screening In Outpatient Mental Health Care, Zekarias F. Abessa
Staff Education On Structured Phq-9 Administration To Enhance Depression Screening In Outpatient Mental Health Care, Zekarias F. Abessa
Walden Dissertations and Doctoral Studies
In outpatient mental health settings, inconsistent use of the Patient Health Questionnaire-9 (PHQ-9) due to gaps in knowledge and lack of standardized training can lead to missed opportunities for early identification of depression and delayed treatment. Mental health nurses play a key role in screening and early intervention, underscoring the criticality of this role in practice. The Doctor of Nursing Practice (DNP) project explored whether a structured PHQ-9 staff education program could improve staff knowledge compared to baseline practice. The project involved using an intervention-based quality improvement design to enhance staff knowledge of administering and interpreting the PHQ-9 screening tool. …
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
Walden Dissertations and Doctoral Studies
The absence of comprehensive field-specific leadership theories leaves oncology social work leaders insufficiently equipped to navigate organizational challenges such as policy shifts, financial pressures, and workforce dynamics. The purpose of this qualitative grounded theory study was to generate an explanatory theory of leadership grounded in the experiences of social work leaders practicing in oncology settings. The grounded theory and a conceptual framework on leadership processes, ethical identity, and organizational context guided this study. Data were collected through semistructured interviews with 12 oncology social work leaders in the United States. Five categories emerged and were analyzed using the constant comparative method: …
Empowering Mental Healthcare Providers Through A Breathing Exercises Educational Program To Enhance Stress Management And Resilience At An Outpatient Mental Health Clinic, Ophelia Osinachi Matthews
Empowering Mental Healthcare Providers Through A Breathing Exercises Educational Program To Enhance Stress Management And Resilience At An Outpatient Mental Health Clinic, Ophelia Osinachi Matthews
Walden Dissertations and Doctoral Studies
This staff education project involved enhancing stress management and resilience among mental healthcare providers by introducing diaphragmatic and box breathing techniques. The practice problem was the high prevalence of occupational stress and burnout among outpatient mental health providers, which has been linked with decreased job satisfaction, reduced patient care quality, and increased staff turnover. The purpose of this doctoral project was to design, implement, and evaluate an evidence-based educational program that was aimed at empowering providers with simple, accessible, and effective stress-reduction strategies. The guiding practice-focused question involved determining the impact and increases in knowledge regarding a breathing exercises educational …
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Walden Dissertations and Doctoral Studies
A mental health therapist is a licensed professional who is trained to identify any barriers or regression during the recovery process with their female patients’ psychological experiences from sexual violent trauma (SVT) perpetrated by a degree of familiar offenders. In this study, the therapists’ perceptions identified the impact of the SVT committed by a familiar offender toward the female victim’s recovery process. The theoretical foundation included betrayal trauma theory, moral injury, and victimology. The research question addressed how therapists described the psychological recovery of female patients who experienced sexual violence by a familiar offender. The research design was data collection …
Perceptions Of Novice Elementary Teachers Working In Mainstream Classrooms With English Language Learner Students, Cristin Mccue
Perceptions Of Novice Elementary Teachers Working In Mainstream Classrooms With English Language Learner Students, Cristin Mccue
Walden Dissertations and Doctoral Studies
Research indicates preservice teacher training frequently does not foster the pedagogical and linguistic expertise required to support students developing English proficiency. The problem addressed through this study was that novice teachers do not have the skills and knowledge to meet the learning needs of English language learners (ELLs) in mainstream classrooms. Guided by the integrated collaborative learning approach, the purpose of this basic qualitative study was to examine how novice teachers perceive the challenges of supporting ELLs in mainstream classrooms and the types of support they believe are necessary for student success. Data were collected through semistructured interviews with 10 …
Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi
Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi
Walden Dissertations and Doctoral Studies
The increasing use of telehealth in autism care has created opportunities to improve caregiver satisfaction as it remains a critical challenge in pediatric specialty settings. The purpose of this integrative review was to identify strategies that healthcare administrators can implement to improve caregiver satisfaction with telehealth platforms and optimize care delivery for autism patients. Using an integrative review methodology and viewed from the lens of the unified theory of acceptance and use of technology framework, evidence from 20 research and non-research sources published between 2018 and 2025 were analyzed, using the Johns Hopkins nursing evidence-based practice model and synthesized. The …
Successful Strategies Business Leaders Use To Implement Artificial Intelligence For Achieving Financial Benefits, Swain C. Riley
Successful Strategies Business Leaders Use To Implement Artificial Intelligence For Achieving Financial Benefits, Swain C. Riley
Walden Dissertations and Doctoral Studies
Ineffective implementation of artificial intelligence (AI) strategies can erode organizational performance. Senior business leaders who struggle to integrate AI into core operations may find their organizations facing increased costs, reduced efficiency, and weakened competitiveness. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies business leaders use to implement AI technologies to reduce costs and improve profitability. The participants were 10 senior business leaders who successfully implemented AI strategies within their organizations and were recruited via professional networking platforms. Data were collected through semistructured interviews and publicly available …
Optimizing The Charge Nurse Role To Improve Workflow And Communication In A Community Living Center, Ndidi Kalu Ibe
Optimizing The Charge Nurse Role To Improve Workflow And Communication In A Community Living Center, Ndidi Kalu Ibe
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project evaluated the impact of optimizing the charge nurse role on workflow efficiency and communication within a Community Living Center. Identified practice gaps included role ambiguity, inconsistent delegation, and communication breakdowns, which contributed to delays in care and decreased staff satisfaction. An evidence-based approach was used to standardize charge nurse responsibilities, strengthen leadership practices, and introduce structured communication processes. The project demonstrated that improving role clarity and leadership consistency supports more effective delegation, enhances team communication, and improves care coordination. Outcome included increased staff engagement, improved workflow efficiency, and enhanced patient safety. This initiative …
Staff Education To Improve Culturally Responsive Mental Health Care For African Immigrants, Martha Eseh
Staff Education To Improve Culturally Responsive Mental Health Care For African Immigrants, Martha Eseh
Walden Dissertations and Doctoral Studies
Mental health disparities among African immigrant populations are often influenced by cultural stigma, limited mental health literacy, and providers’ insufficient understanding of culturally specific beliefs and help-seeking behaviors. In outpatient psychiatric settings, these gaps can negatively affect engagement, diagnosis, and treatment outcomes. The purpose of this quality improvement project was to evaluate whether a structured staff education program could improve provider knowledge of culturally responsive care for African immigrant patients. Guided by the Johns Hopkins Evidence-Based Practice model, a pretest–posttest design was implemented with 13 interprofessional staff members, including psychiatric providers, therapists, and support staff, in an outpatient mental health …
Telehealth Workflow Optimization, Taku Ajongakoh Stella
Telehealth Workflow Optimization, Taku Ajongakoh Stella
Walden Dissertations and Doctoral Studies
This evidence-based quality improvement (EBQI) project addresses the 36% telehealth no-show rate at an outpatient behavioral health clinic in Maryland. High attrition rates currently compromise continuity of care and result in a projected annual revenue loss of $124,000. The present project proposed a standardized workflow redesign in the current Integrated Care Approach (ICA) notes Electronic Health Record (EHR) system to address the manual outreach inconsistency. Significant interventions involved the activation of automated multimodal reminders at 72-hour, 24-hour, and 1-hour intervals, and the obligatory 24-hour technical pre-verification connection. Moreover, the project introduced a systematic 48-hour follow-up procedure of missed visits to …
The Association Between Racial Discrimination And Pregnancy-Related Hypertension Among Department Of Health And Human Services Regions Between 2016 And 2022, Emily Chew
Walden Dissertations and Doctoral Studies
This quantitative study examined the association between racial discrimination and pregnancy-related hypertension among women age 18–40 in the United States, and how this relationship is modified by age and the Department of Health and Human Services (HHS) regions (states). Guided by the social ecological model, this research measured whether race, place, and lived experiences of discrimination contributed to disparities in maternal health outcomes. The study utilized the Centers for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System data set (2016–2022) which represented 81% of United States live births (n=249,970). The independent variable was self-reported racial discrimination during pregnancy, delivery, …
Student Perspectives On Title Ix Policy Across North Texas College Campuses, Felicia Chism
Student Perspectives On Title Ix Policy Across North Texas College Campuses, Felicia Chism
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how North Texas higher education students’ lived experiences with Title IX (TIX) shaped their perceptions of the policy’s fairness, accessibility, and implementation. The study addressed the problem that experiential perspectives of TIX remain underexplored, despite their importance for understanding institutional accountability and student trust. Guided by the social ecological model and organizational justice theory, the research investigated how individual, relational, institutional, and societal factors influenced students’ interpretations of TIX processes. Eight students from North Texas public universities who had direct involvement in a closed TIX case participated in semi‑structured interviews. Data were analyzed using Moustakas’s …
Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins
Strategies For Integrated Primary Care Clinics To Improve Administrative Costs Due To Medication Nonadherence, Michael A. Watkins
Walden Dissertations and Doctoral Studies
Medication non-adherence is a pervasive issue that drives up administrative costs for integrated primary care clinics. Total administrative costs for medication non-adherence account for one-quarter of U.S. healthcare expenditures. The purpose of this integrative review was to identify cost-reduction strategies that integrated primary care clinic administrators can implement to offset costs associated with medication nonadherence. The theoretical framework for this integrative review was Bertalanffy’s general systems theory. The review question was to identify strategies that primary care clinics could implement to reduce administrative costs associated with patient medication nonadherence. A comprehensive literature search yielded 1,892 potential articles. A quality analysis …
Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon
Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon
Walden Dissertations and Doctoral Studies
Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …
Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth
Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth
Walden Dissertations and Doctoral Studies
Despite organizational policy and access to physical activity facilities, the U.S. Department of Defense has observed an increase in the prevalence of service members classified as overweight or obese. Guided by the social-ecological model, this quantitative study investigated the work-related exercise determinants within the U.S. military community. Voluntarily recruited current and former service members from Stars and Stripes completed the Office Exercise Behavior Determinant Scale and the International Physical Activity Questionnaire, along with demographic and biometric questions, to identify physical activity behavior and potential barriers. Findings revealed statistical significance related to exercise duration and military variables (e.g., occupation, race/ethnicity), as …
Information Security Strategies To Thwart Cybersecurity Attacks In The Financial Services Industry, Donovan Anthony Miles
Information Security Strategies To Thwart Cybersecurity Attacks In The Financial Services Industry, Donovan Anthony Miles
Walden Dissertations and Doctoral Studies
Financial markets and industries are vulnerable to ransomware attacks. Information technology (IT) security subject matter experts (SMEs) are concerned about ransomware cyberattacks on critical infrastructure that threaten their customers’ financial privacy and the institution’s reputation, causing severe financial losses and diminishing productivity. Grounded in the diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry was to explore strategies IT security SMEs use to increase the implementation of existing solutions to thwart cybersecurity attacks in the financial services sector. The participants were six IT security SMEs in the financial industry in the Northeast United States who were responsible for …
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Walden Dissertations and Doctoral Studies
Transracial adoption continues to increase in the United States, particularly in states with predominantly White populations; yet, culturally competent preparation and postadoption resources remain limited. The lack of structured cultural socialization and race-responsive supports places transracially adopted youth at increased risk for identity disruption, mental health challenges, and experiences of racism and microaggressions. The purpose of this qualitative action research study was to explore human service professionals’ perceptions of the services needed to provide culturally competent resources for transracial adoption in Washington State. Guided by the Transracial Adoption Parenting Series framework developed by the Coalition for Children, Youth, and Families, …
Healthcare Institutions’ Influences On Health Literacy Levels In Mothers In Greensboro, North Carolina, Wole Ajala
Healthcare Institutions’ Influences On Health Literacy Levels In Mothers In Greensboro, North Carolina, Wole Ajala
Walden Dissertations and Doctoral Studies
Immigrant populations experience persistent challenges within the U.S. healthcare system, including marginalization, discrimination, and limited access to understandable health information, which contribute to health disparities. Factors such as low income, cultural differences, and intersecting identities related to gender and race further compound these challenges. This qualitative phenomenological study examined how these social determinants of health influenced the health literacy experiences of African immigrant mothers in Greensboro, North Carolina. Data were collected through encrypted WhatsApp audio interviews with eight African immigrant mothers who had used healthcare services in the United States. Interview recordings were transcribed verbatim and analyzed using inductive thematic …
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, providing care to millions of veterans annually. Diagnostic service wait times affect veteran access to timely diagnoses and subsequent eligibility for disability benefits, vocational rehabilitation, and social services. The purpose of this integrative review was to identify evidence-based strategies to reduce diagnostic wait time within the VHA. The guiding review question addressed what strategies VA medical centers can use to reduce diagnostic wait times. Guided by Donabedian’s structure-process-outcome framework, a comprehensive literature search initially identified 487 sources across multiple databases. Subsequently, systematic screening and application …
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Walden Dissertations and Doctoral Studies
No prior studies have compared occupational stressors of criminal defense lawyers by practice setting (public defender, court-appointed, or retained). In this mixed-method study, the goal was to identify occupational stressors perceived by criminal defense lawyers in different settings and to determine if those stressors were correlated with depression, anxiety, and burnout, using Maslach’s burnout-engagement continuum as the theoretical framework. Based on stressors identified in semistructured interviews with 15 criminal defense lawyers, the Criminal Defender Stress Survey (CDSS) was created to measure the frequency and perceived intensity of identified stressors. The CDSS was incorporated into an online survey, along with the …
Neurodiverse Secondary School Educators Transitioning To Online Teaching During Covid-19 Pandemic, Leane Pupo
Neurodiverse Secondary School Educators Transitioning To Online Teaching During Covid-19 Pandemic, Leane Pupo
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic affected individuals, families, communities, and a variety of workplaces across the world. Many studies have addressed the impact of the emergency transition from on-ground to online on educators, students, and their families. However, while there is emerging literature on the impact of COVID-19 on neurodiverse individuals and on neurodiverse individuals in the workplace, there is little or no research on neurodiverse teachers. The purpose of this study was to explore the experiences of neurodiverse educators who transitioned from on-ground to online teaching during the COVID-19 pandemic. Bandura’s social cognitive theory of self-efficacy and Garmezy’s theory of resilience …
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Walden Dissertations and Doctoral Studies
Child support policy in the United States has been widely studied as a method to ensure financial responsibility; however, existing research has identified concerns regarding enforcement practices and their disproportionate impact on African American noncustodial fathers in Georgia. Limited qualitative research examined how Georgia fathers experience and interprets these policies, creating a gap in understanding how policy implementation influences paternal engagement. The purpose of this qualitative study was to examine how African American noncustodial fathers in Georgia perceived the child support process and to explore how modernization of enforcement policies might improve paternal engagement. Guided by policy feedback theory, this …
Staff Education To Improve Knowledge Of Evidence-Based Engagement Strategies To Reduce No-Show Rates, Jerrica Luster
Staff Education To Improve Knowledge Of Evidence-Based Engagement Strategies To Reduce No-Show Rates, Jerrica Luster
Walden Dissertations and Doctoral Studies
High no-show rates in outpatient mental health settings remain a persistent barrier to effective care delivery, negatively affecting continuity of care, patient outcomes, and access to services. In the identified practice setting, inconsistent use of evidence-based engagement strategies beyond standard reminder practices contributed to missed appointments. The purpose of this Doctor of Nursing Practice project was to evaluate whether a structured staff education intervention on evidence-based engagement strategies would improve staff knowledge as a foundation for enhancing appointment adherence. A quantitative pre- and posttest design was used to evaluate knowledge change following the intervention. Participants included outpatient mental health clinic …