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Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Walden Dissertations and Doctoral Studies
Black men experience disproportionate mental health disparities, particularly in relation to depression, yet remain less likely to engage in formal mental health treatment due to cultural stigma and barriers to care. The Black church, a historically trusted institution within the Black community, may influence how depression is understood and managed. The purpose of this generic qualitative study was to explore how Black men in Inkster, Michigan perceive the role of the Black church in influencing their understanding and management of depression. The Health, Illness, Men, and Masculinities (HIMM) framework guided this study. Data were collected through semi-structured interviews with 10 …
Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes
Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes
Walden Dissertations and Doctoral Studies
High employee turnover in small U.S. technology firms undermines productivity and disrupts workforce stability. Small U.S. technology business leaders are concerned with employee turnover because persistent workforce attrition weakens operational continuity, increases organizational strain, and limits the ability to sustain a stable and effective workforce. Grounded in psychological capital (PsyCap) theory, this qualitative pragmatic inquiry was to explore leadership strategies used by small U.S. technology business leaders in North Carolina to mitigate negative employee experiences that contribute to turnover and reduced productivity. Data were collected using semistructured interviews and publicly available organizational documents. Using thematic analysis, three themes emerged: (a) …
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Educators’ Experiences With Structured Word Inquiry For Spelling Underachievement In K–8 Students, Leah Skinner
Walden Dissertations and Doctoral Studies
The problem addressed in this basic qualitative study was that K–8 students in the western United States continue to experience spelling underachievement despite structured literacy interventions. Grounded in Bowers and Kirby’s structured word inquiry (SWI) framework, the purpose of this study was to explore educators’ experiences implementing SWI for spelling instruction with K–8 students in the western United States. Data were collected through semistructured interviews with 16 K–8 educators with SWI experience who were selected through purposive and snowball sampling. Thematic analysis using open and axial coding resulted in six themes. Findings indicated that educators perceived SWI as an effective, …
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Walden Dissertations and Doctoral Studies
African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high teacher turnover, including traditionally certified, second-career teachers (TCSCTs), in United States classrooms, despite support and additional resources provided. The purpose of this qualitative study was to examine TCSCTs’ perceptions on the reasons and their recommendations to remain in the classroom. Ingersoll's teacher turnover and retention framework was used to conceptually frame this study. Using a basic qualitative design, semistructured interviews were conducted with 12 TCSCTs. Data were analyzed through thematic analysis. The following themes emerged: TCSCTs remain in the profession primarily due to a sense of purpose in their …
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Walden Dissertations and Doctoral Studies
Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
Walden Dissertations and Doctoral Studies
Immobility is a significant concern given that nearly half of all hospitalized adults are immobile during their hospitalization, placing them at increased risk for adverse outcomes. As a result, it is critical for nurses to implement strategies that promote safe, structured patient mobility. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on patient mobility and standardized mobility tool utilization increased knowledge and confidence among nursing staff in an acute care setting. Ten participants volunteered to attend the educational intervention. The average age of the participants was 44.30 years (SD …
Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass
Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass
Walden Dissertations and Doctoral Studies
Organizational change initiatives in higher education often lead to decreased job satisfaction among administrative staff. Higher education leaders are concerned with maintaining employee job satisfaction during such periods because disengagement among administrative staff can reduce performance and increase turnover. The purpose of this qualitative pragmatic inquiry was to explore strategies higher education leaders use to improve administrative staff job satisfaction during organizational change. Lewin’s change management theory served as the foundation for the capstone research project. Data were collected through semistructured interviews with a purposive sample of six higher education leaders in the United States who had implemented change initiatives …
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Walden Dissertations and Doctoral Studies
Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Walden Dissertations and Doctoral Studies
Prediabetes is a significant public health concern in the United States, as many individuals remain undiagnosed or inadequately managed, which increases the risk of progression to type 2 diabetes and associated complications. Primary care settings are essential for early identification and prevention. However, gaps in staff knowledge and inconsistent application of evidence-based guidelines frequently hinder effective management. This Doctor of Nursing Practice (DNP) staff education project aimed to enhance healthcare staff knowledge and confidence in screening for and managing prediabetes within a primary care clinic. The central question guiding this project was whether evidence-based staff education could improve healthcare staff …
Beyond Social Media: Effective Innovative Strategies For Small Cleaning Services To Engage Decision-Makers And Secure Contracts, Danielle Edwesa Gaskins
Beyond Social Media: Effective Innovative Strategies For Small Cleaning Services To Engage Decision-Makers And Secure Contracts, Danielle Edwesa Gaskins
Walden Dissertations and Doctoral Studies
Small cleaning service businesses often encounter challenges when attempting to reach decision-makers and obtain commercial contracts. Small cleaning service business leaders are concerned with securing contracts because the continual acquisition of agreements underpins both business stability and growth. Grounded in the service-dominant logic, the purpose of this qualitative pragmatic inquiry was to explore strategies small cleaning business leaders use to engage decision-makers and win contracts without relying on the use of social media marketing. The participants were five leaders from small cleaning businesses in the United States who had successfully secured contracts through alternative engagement strategies. Data were gathered using …
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Walden Dissertations and Doctoral Studies
Although adverse childhood experiences (ACEs) are known to influence criminal behavior in adulthood, their potential influence on serial killer actions has not been scrutinized. This study was an investigation of how ACEs might affect serial killer actions later in life. The trauma-control model provided a conceptual framework for the investigation. Marono et al.’s research featuring behavior sequence analysis (BSA) was broadened to examine the impact of psychological abuse, sexual abuse, physical abuse, violence against animals, head injury, and bullying serial killer behaviors like stalking or sexual assault. The participants were 364 anonymized male serial killers from the Radford/Florida Gulf Coast …
Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles
Walden Dissertations and Doctoral Studies
Many small and medium-sized enterprise (SME) leaders in Grenada struggle to implement digital technologies effectively, which limits business sustainability, competitive advantage, and scalability. This issue is particularly concerning for SME leaders, as ineffective digital implementation threatens business survival, workforce stability, and economic resilience in small island developing states (SIDS). Grounded in a composite conceptual framework integrating the technology–organization–environment framework and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME leaders in Grenada used to implement digital technologies to achieve sustainability, competitive advantage, and scalability. The participants were six SME leaders in Grenada with at …
A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long
A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long
Walden Dissertations and Doctoral Studies
The emergence of illicitly manufactured fentanyl has increased clinical uncertainty during buprenorphine induction in medication-assisted treatment for opioid use disorder. The purpose of this quantitative, retrospective cohort study, guided by the Transtheoretical Model (TTM), was to examine whether prescriber-level buprenorphine induction practices and experiences with precipitated withdrawal were associated with reported buprenorphine induction challenges, and whether county-level fentanyl prevalence contributed to these challenges after accounting for geographic clustering. Secondary, de-identified archival data were obtained from the National Institute on Drug Abuse Clinical Trials Network study CTN-0134 and included 64 prescribers practicing in fentanyl-endemic settings. Buprenorphine induction challenges were operationalized as …
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Walden Dissertations and Doctoral Studies
The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Walden Dissertations and Doctoral Studies
Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Walden Dissertations and Doctoral Studies
Ineffective business strategies can lead to premature closure. Small business owners who struggle to develop long-term strategies may experience failure as a result. Grounded in the resource-based view and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore practical strategies used by massage therapy small business owners to sustain their businesses for more than 5 years. The participants were 10 massage therapy small business owners who had sustained their businesses for more than 5 years. Data were collected through semistructured interviews, business documents, and public records. Through thematic analysis, six themes were …
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure including pressure associated from shear. Surgical patients are estimated to represent 42% of hospital acquired PIs. PIs result in poor patient outcomes, increase length of stay, add billions to heath care costs are no longer reimbursed by Centers for Medicare/Medicaid Services. Prevention of PI is different in the perioperative setting due to the complexities of surgery. This project focused on developing, delivering, and evaluating a robust education program for perioperative staff on PI prevention in the perioperative setting. The …
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Walden Dissertations and Doctoral Studies
Hepatitis B virus (HBV) presents a significant public health burden in Sierra Leone. Although the estimated prevalence was 8.7% in 2021, comprehensive statistical data has been limited in general. Programmatic interventions for HBV control such as systematic screening and vaccination have remained limited as well. The purpose of this quantitative cross-sectional study was to examine the relationship between screening and vaccination practices and HBV prevalence in Sierra Leone while controlling for age, sex, education and health care access. The theoretical framework incorporated the Integrated Screening Action model, which highlights screening as a critical disease prevention strategy, and the Social Ecological …
Succession Strategies For Family Business Owners, Sara Ann Neel
Succession Strategies For Family Business Owners, Sara Ann Neel
Walden Dissertations and Doctoral Studies
Family business succession remains a persistent challenge, as many family-owned enterprises fail to survive transitions in leadership and ownership. Family business owners and stakeholders are concerned with ineffective succession because failed transitions can threaten business longevity, family relationships, and the preservation of multigenerational wealth and legacy. Grounded in the family business three-circle model and stewardship theory, the purpose of this qualitative pragmatic inquiry was to explore effective succession strategies used by some family business owners to improve succession outcomes. The participants were eight senior family business owners in Texas whose business revenues were between $3 million and $250 million. Data …
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Walden Dissertations and Doctoral Studies
Mental health professionals working with Hispanic populations often face challenges in addressing grief, a culturally multifaceted experience influenced by traditions and familial and community practices. The purpose of this qualitative study was to examine psychologists’ self-efficacy and preparedness in managing grief among Hispanic individuals who have been affected by COVID-19, address cultural factors in grief management, and identify demographic or professional factors that predict higher self-efficacy in working with Hispanic clients. Data were collected at a single point in time from eight psychologists who were actively working or had worked with Hispanic populations during COVID-19 to explore psychologists’ self-efficacy, preparedness, …
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice quality improvement project, I used a staff education intervention to address nursing knowledge gaps related to catheter-associated urinary tract infection (CAUTI) prevention in a large outpatient urology clinic in the southeastern United States. Registered nurses (N = 28) participated in a single, 45-minute, in-person education session comprising PowerPoint slides, facilitated discussion, and printed job aids based on national guidelines. I used a single-group pre-/posttest design to evaluate the effect of the intervention. The primary outcome was staff knowledge measured using a paper-based, 17-item knowledge test administered immediately before and after the session. The secondary …
Association Between Childhood Exposure To Family Substance Abuse, Mental Health Issues, And Cervical Screening Among Women Ages 18-65 In South Carolina, Ashley Laine Hamm
Association Between Childhood Exposure To Family Substance Abuse, Mental Health Issues, And Cervical Screening Among Women Ages 18-65 In South Carolina, Ashley Laine Hamm
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) have been associated with adverse health outcomes in adulthood; however, less is known about their relationship with preventive health behaviors such as cervical cancer screening. The purpose of this quantitative, correlational study was to examine associations between selected ACEs and cervical cancer screening among women aged 18–65 in South Carolina. Data were drawn from the 2020 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and included 1,323 women. Binary logistic regression analyses were used to examine unadjusted and adjusted associations between ACE exposures and being up to date with Pap testing, controlling for age, race/ethnicity, income, …
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
Walden Dissertations and Doctoral Studies
Advanced medical technology use among individuals with physical disabilities remains understudied, creating a significant gap in understanding its impact on quality-of-life (QoL) outcomes across demographic and age groups. Guided by the social ecological model, the purpose of this quantitative study was to examine associations between advanced medical technology use, disability status, demographic factors (age, gender, and race/ethnicity), and QoL outcomes using 2017–2018 National Health and Nutrition Examination Survey data. The sample included 9,254 individuals age 6 years and older with physical functional limitations and complete technology-use and QoL data. Advanced medical technology use was significantly associated with improved QoL (p < .001). Disability status demonstrated a statistically significant but modest association with technology use, OR = 0.84, 95% CI [0.83, 0.85], p < .001. Age-stratified analyses indicated that advanced technology use significantly predicted improved QoL among adults aged 20 years and older, OR = 6.90, 95% CI [6.89, 6.91], p < .001, but not among youths aged 6–19 years (p = .929). Gender was a significant predictor of technology use, with females having higher odds than males, OR = 1.07, 95% CI [1.06, 1.08], p < .001. Race/ethnicity was also significantly associated with technology use; compared with non-Hispanic White adults, Mexican American (OR = 0.43, 95% CI [0.42, 0.44], p < .001), other Hispanic (OR = 0.58, 95% CI [0.57, 0.59], p < .001), and non-Hispanic Black adults (OR = 0.79, 95% CI [0.78, 0.80], p < .001) had lower odds of advanced medical technology use. The study may inform health care stakeholders about strategies to promote equitable access to advanced medical assistive technologies for social change
Effective Postmerger Strategies To Enhance Shareholder Value In The Banking Industry, Olajide Farouq Adenrele
Effective Postmerger Strategies To Enhance Shareholder Value In The Banking Industry, Olajide Farouq Adenrele
Walden Dissertations and Doctoral Studies
Bank mergers continue to produce unintended declines in shareholder value, posing risks to financial stability, customer confidence, and long-term competitiveness in the southeastern United States. This challenge is especially critical for senior banking leaders, who must ensure that postmerger activities strengthen rather than undermine institutional performance. The purpose of this qualitative pragmatic inquiry was to examine the business strategies used by bank leaders in the southeastern United States to mitigate the unintended negative effects of postmerger activities on shareholder value. The study, grounded in agency theory, involved six senior bank leaders responsible for merger integration in the region. Data from …
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) screening rates are lower in rural areas than in urban settings. Individuals in rural areas have lower screening rates due to geographic isolation, provider shortages, and socioeconomic barriers. The purpose of this integrative review was to identify and synthesize best practices for implementing evidence-based strategies to increase CRC screening rates in rural primary care clinics. A systematic literature search across multiple databases identified 24 relevant articles published between 2019 and 2025. The Johns Hopkins Evidence-Based Practice Model (JHEBPM) rated articles for evidence and quality, while the Theoretical Domains Framework (TDF) guided the analysis. Thematic analysis identified four …
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Walden Dissertations and Doctoral Studies
The problem explored in this study was that during the COVID-19 pandemic, teachers began using new or existing technology for which they were unprepared. Framed by Davis’ technology acceptance model (TAM), the purpose of this basic qualitative study was to examine the experiences of middle school teachers’ technology use during and after the pandemic, including their perceived usefulness of the technology in their classrooms, their intended use of the technology moving forward, and what support they may need from administration to continue using technology consistently. Data was collected through interviews with 10 teachers who taught during and after the COVID-19 …
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …