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Experiences Of Child Welfare Workers In Ohio Serving Justice-Involved Youth Who Exhibit Aggressive Behaviors, Charnella Boykins
Experiences Of Child Welfare Workers In Ohio Serving Justice-Involved Youth Who Exhibit Aggressive Behaviors, Charnella Boykins
Walden Dissertations and Doctoral Studies
Social workers with high work demands and low resources are likely to experience burnout. The specific social work practice-focused research problems that were addressed in this project were job demands, available resources, and perceptions of burnout in child welfare social workers. The focus was on burnout in social work practice from the perspectives of child welfare social workers providing services to justice-involved children with aggressive behaviors. The practice-focused research questions for this project concerned the participants’ descriptions of job demands and employer-provided resources and their feelings of burnout when working with justice-involved youth who have aggressive behaviors. Bakker and Demerouti’s …
Development And Implementation Of A Treatment History And Authorization Checklist To Improve Access To Spravato Therapy For Treatment-Resistant Depression, Margaret Mae Scott
Development And Implementation Of A Treatment History And Authorization Checklist To Improve Access To Spravato Therapy For Treatment-Resistant Depression, Margaret Mae Scott
Walden Dissertations and Doctoral Studies
Background: Treatment-resistant depression (TRD) presents a significant clinical and administrative challenge, delaying access to evidence-based therapies such as intranasal esketamine (Spravato). Inconsistent documentation and lack of standardized clinical pathways contribute to insurance authorization delays, exacerbating health inequities and care fragmentation. Purpose: This DNP project aimed to develop and implement a standardized Treatment History Checklist and Clinical Practice Guideline to streamline documentation, support timely insurance authorization, and promote equitable access to Spravato therapy for patients with TRD. Methods: Using a systems change framework, the project employed gap analysis, stakeholder engagement, and iterative validation to design tools aligned with payer requirements and …
Staff Education To Improve Staff Knowledge On Self-Care Management Of Hypertension, Zainab Kebbie Turay
Staff Education To Improve Staff Knowledge On Self-Care Management Of Hypertension, Zainab Kebbie Turay
Walden Dissertations and Doctoral Studies
Summary This DNP staff education project focused on improving staff knowledge on self-care management of hypertension. The overarching patient care problem at the project site was uncontrolled hypertension among adult patients with lack of staff knowledge and confidence in delivering related patient education. Addressing uncontrolled hypertension is vital within nursing practice due to its impact on public health and the opportunity for a nurse-led evidence-based intervention to improve patient outcomes. The practice-focused question for this project was: “In adults with uncontrolled hypertension, does staff education program on hypertension self-care management improve staff knowledge on how to educate patients on self-care …
Development Of An Evidence-Based Clinical Practice Guideline For A Comprehensive Care Partner Program For Postpartum Women, Abibat Yusuff
Development Of An Evidence-Based Clinical Practice Guideline For A Comprehensive Care Partner Program For Postpartum Women, Abibat Yusuff
Walden Dissertations and Doctoral Studies
This doctoral project focuses on the development of a clinical practice guideline (CPG) aimed at addressing a critical gap in postpartum care, particularly postpartum depression (PPD), inconsistent follow-up, and low breastfeeding continuation rates, which disproportionately affect African American women and other underserved populations. These gaps contribute to preventable morbidity, poor maternal experiences, and health inequities, making this issue a priority for nursing and public health. The guiding practice-focused question asked if an interdisciplinary team would achieve consensus on a clinical practice guideline for the development of a comprehensive care partner program for postpartum women. Analytical strategies included a systematic evidence …
Development Of An Evidence-Based Educational Intervention To Advance Nurse Knowledge In Comprehensive Care Of Patients With Congestive Heart Failure, Jessica Smith
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project was a staff education intervention to increase nursing staff knowledge. Congestive heart failure (CHF) remains one of the leading causes of hospitalizations and has the highest readmission rates within 30 days of a previous admission. Consistent evidence reveals improving nursing knowledge reduces complications, improves self-management support, lowers readmission rates in this particular patient population. The DNP project was developed as a staff education intervention and focused on 30 nurses working on a telemetry unit in an acute care hospital. The project question was whether an educational intervention would increase general nursing knowledge caring …
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Perpetration-Induced Traumatic Stress And Moral Injury In Adult Male Incarcerated Individuals, Cyrelah Jeanee Raynor
Walden Dissertations and Doctoral Studies
Underutilizing trauma-informed approaches in correctional rehabilitation has had detrimental consequences, particularly for gang-involved populations. Theories of personality, responsivity, and stress suggest that gang-affiliated individuals, shaped by coercive environments, may develop psychological reactions such as fear, guilt, and moral shame that contribute to posttraumatic stress disorder (PTSD) and moral injury (MI). This study examined whether gang role, psychopathy, and perpetration predicted PTSD and MI among 70 incarcerated adult males. Participants completed the Moral Injury Outcome Scale (MIOS), the PTSD Checklist for DSM-5 (PCL-5), and the Levenson Self-Report Psychopathy Scale (LSRP). Two hierarchical regressions were conducted. In the PTSD model, only education …
Executive Summary: Staff Education Project Staff Education To Close A Knowledge Gap Regarding Restraints, Aaron Ross Ledbetter
Executive Summary: Staff Education Project Staff Education To Close A Knowledge Gap Regarding Restraints, Aaron Ross Ledbetter
Walden Dissertations and Doctoral Studies
The purpose of this Executive Summary is to address a gap in knowledge that I attempted to close regarding restraint utilization. Restraints, both physical and chemical, have been prevalent over the past ten years and with their increased utilization during the pandemic which has continued post-pandemic. Nursing as a culture has become more reliant on restraints as it allows more time for nurses to provide care elsewhere. Both physical and psychological complications have been recognized during the utilization of physical restraints. Their prominence, although helpful with time constraints for nurses, have shown to negatively impact the patients who they are …
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Walden Dissertations and Doctoral Studies
Critical food safety violations in food facilities are severe infractions that may affect the quality and safety of foods as well as the health and wellbeing of consumers in Canada. In 2023, Alberta Health Services heightened scrutiny on these violations in Calgary. However, no investigation has been undertaken to document its potential effects on types and trend (from the previous year) of food safety violations in food facilities across Calgary regions. The purpose of this quantitative study was to examine the associations between Calgary regions of Canada, Year (2022 versus 2023), and the number of types of critical food safety …
The Relationship Between Theory Of Planned Behavior Constructs And Small Business Owners’ Tax Evasion And Avoidance Behaviors, Kenyatta Patton
The Relationship Between Theory Of Planned Behavior Constructs And Small Business Owners’ Tax Evasion And Avoidance Behaviors, Kenyatta Patton
Walden Dissertations and Doctoral Studies
The U.S. Department of the Treasury incurs substantial costs due to a tax gap, and the U.S. Internal Revenue Service has limited capacity to implement non-enforcement strategies without a deeper understanding of the behavioral drivers of tax non-compliance. Grounded in the theory of planned behavior, the purpose of this quantitative, correlational study was to explore the relationships between small business owners’ attitudes toward taxation, social norms, perceived behavioral control, and tax compliance behaviors. The participants comprised 121 small business owners in the Atlanta, Georgia, metropolitan area. They completed a combined survey consisting of the ethics of tax evasion survey instrument …
Disability Accommodations In Field Education: Exploring The Msw Student Perspective, Alicia Dawn Melnick
Disability Accommodations In Field Education: Exploring The Msw Student Perspective, Alicia Dawn Melnick
Walden Dissertations and Doctoral Studies
The number of students with disabilities is increasing, yet little is known about how graduate social work students navigate accommodation during field placements. This study addressed the limited understanding of Master of Social Work (MSW) students’ experiences applying Americans with Disabilities Act (ADA) accommodations in practicum settings. How accommodations are managed can determine whether disabled students gain equitable access to training and the profession. The purpose of this exploratory qualitative study was to examine how MSW students with disabilities describe their experiences with applying ADA accommodations during field placements. Critical disability theory guided the study, emphasizing ableism and structural barriers …
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic heightened challenges for young adults transitioning from foster care to independence. Research shows that foster care alumni faced barriers in education, employment, housing, and health due to limited support networks. Yet, little is known about how emergency policies, such as the Consolidated Appropriations Act (CAA) of 2021, affected them. The purpose of this qualitative study was to explore the perceptions and experiences of foster care alumni who received financial aid through the Act. The research question: What were the experiences and perceptions of foster care alumni (aged 18-26) who received funds via the CAA of 2021 during …
Challenges And Successes In Retaining Direct Support Professionals For People With Intellectual And Developmental Disabilities In Group Home Settings, Erica Kay Evans
Challenges And Successes In Retaining Direct Support Professionals For People With Intellectual And Developmental Disabilities In Group Home Settings, Erica Kay Evans
Walden Dissertations and Doctoral Studies
Abstract Challenges and Successes in Retaining Direct Support Professionals for People with Intellectual and Developmental Disabilities in Group Home Settings by Erica Kay Evans MA, Walden University, 2016 BA, University of Phoenix, 2013 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Walden University November 2025
Development Of An Evidence-Based Clinical Practice Guideline For Discharging Patients With Substance Use Disorder (Sud) From Outpatient Treatment To Community Care, Emmanuel Onyeani
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient treatment center for discharging patients with substance use disorder (SUD), addressing the need for follow-up care and relapse prevention due to the widespread impact of SUD. Clinical practice guidelines (CPG) help healthcare professionals make informed decisions for specific clinical situations. The guiding question asked whether an expert panel would evaluate and validate a CPG developed from current, evidence-based literature and recommendations with 70% agreement using the AGREE II tool. The CPG focused on continuity of care, access to resources, and relapse prevention strategies. Seven expert …
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Walden Dissertations and Doctoral Studies
Poor nutrition is a major contributor to death in the United States, and residents of public housing face disproportionate challenges in maintaining adequate nutrition. Public housing is the nation’s oldest housing subsidy program, providing more than one million units for millions of residents, many of whom are women, minorities, and unmarried individuals with incomes below the poverty line. The purpose of this generic qualitative study was to explore public housing professionals’ perspectives on using a mobile food unit located within housing communities to help reduce food insecurity. Feminist intersectionality theory provided the framework for this study, emphasizing how overlapping systems …
The Effects Of Pediatric Traumatic Brain Injury On Sexual Criminal Offense, Brooke Leslie Luckhardt
The Effects Of Pediatric Traumatic Brain Injury On Sexual Criminal Offense, Brooke Leslie Luckhardt
Walden Dissertations and Doctoral Studies
Traumatic brain injury during childhood and adolescence is a significant social problem and is particularly damaging to long term cognitive and mental health. Major growth and maturation occur within the brain from age 6 months to 25 years and any interruption to this process can be detrimental to long term cognitive and emotional adjustment. Research has shown that pediatric traumatic brain injury can cause aggression, agitation, mood disorder, and socially inappropriate behavior. However, the study of how sustaining a traumatic brain injury during the time of pediatric development could potentially affect future sexually inappropriate behavior has not been explored. This …
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Walden Dissertations and Doctoral Studies
Abstract Initiation of use of e-cigarettes is attributed to many factors and must be understood to curtail health-related problems such as cardiovascular and pulmonary diseases that are associated with use of tobacco products. This study used the Social Cognitive Theory to analyze how curiosity and peer influence could be possible predictors of e-cigarette use among youth in the United States. Predictors of flavor preference and acquisition were also examined. Data were acquired from the Centers for Disease Control and Prevention’s 2018 National Youth Tobacco Survey (N = 20,189). Statistical tests to determine existing relations and associations were binary and multinomial …
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Walden Dissertations and Doctoral Studies
Diabetes mellitus (DM) affects 12% of the United States population at an annual cost of $412.9 billion. In the local clinic, 20% of the patient population has a diagnosis of DM. Despite the importance of diabetes self-management education and support (DSMES) in managing DM, patients are often not educated on this important strategy. Leadership identified that patients were reporting a lack of knowledge regarding DSMES practices and that the nurses lacked the necessary knowledge and awareness to educate patients in DSMES. Thus, the purpose of this DNP project was to determine if an educational intervention focused on DM and DSMES …
Examining Emergent Patterns Of Behavior In White Female Sexual Homicide Offenders, Kristin Bemis
Examining Emergent Patterns Of Behavior In White Female Sexual Homicide Offenders, Kristin Bemis
Walden Dissertations and Doctoral Studies
The majority of studies on sexual homicide offenders (SHOs) have been conducted on male sexual homicide offenders (MSHOs). In many aspects, this is due to society’s reluctance to view women as capable of sexual murder. There have only been a handful of studies conducted on female sexual homicide offenders (FSHOs). However, these studies found substantial differences between MSHOs and FSHOs, as well as between White FSHOs and Black FSHOs. Since prior studies on FSHOs have all been quantitative, this study employed a qualitative case study approach to analyze FSHOs. Using rational choice theory, 12 White FSHO cases were examined, using …
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Walden Dissertations and Doctoral Studies
Black individuals with end-stage renal disease (ESRD) have an excessive risk of mortality and experience ongoing inequities in end-of-life (EOL) planning. This basic qualitative study, informed by Sulmasy's biopsychosocial-spiritual model, explored social workers' perspectives about approaches that consider the interplay of physical, psychological, social, and spiritual aspects for mitigating barriers to EOL planning among Black dialysis patients. Data were obtained from semi structured interviews with 10 licensed dialysis social workers in Virginia and Maryland. Thematic analysis with descriptive coding, reflexive journaling, and peer debriefing was employed to analyze qualitative data to ensure trustworthiness. Six themes were identified: (a) building trust …
The Predictive Power Of Social Engagement On Psychological Outcomes Among College Students, Allison J. Gamble
The Predictive Power Of Social Engagement On Psychological Outcomes Among College Students, Allison J. Gamble
Walden Dissertations and Doctoral Studies
Worsening mental health among college students post-COVID is a growing national health crisis. Grounded in Cacioppo’s evolutionary theory of loneliness and Feeney and Collins’ thriving through relationships theoretical perspectives, the purpose of this study was to explore the degree to which social interaction and social support predicted psychological outcomes among undergraduate students. Survey responses from over 74,000 undergraduate students who completed the ACHA-NCHA survey for Fall 2019, 2021, and 2022 were analyzed. The surveys included the Kessler 6 screening for non-specific mental illness, the Diener flourishing scale, and questions to assess the number of hours spent in categorically-sorted social situations …
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the gap in literature about K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Grounded in Fuller’s concerns of teachers framework and Foucault’s seminal work on the historical treatment of members of the LGBTQIA+ community, the purpose of this basic qualitative study was to explore K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Purposeful and snowball sampling were used to recruit 11 K–5 teachers who self-identified as having implemented the New Jersey LGBTQIA+-inclusive curriculum. Data collected through semistructured interviews were analyzed using a priori codes in …
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Special Education High School Teachers’ Challenges With Implementing Social Emotional Learning, Ebonye Young
Walden Dissertations and Doctoral Studies
The problem that this study investigated was that special education high school teachers (SEHSTs) struggled with implementing social emotional learning (SEL) into their teaching of core subjects in Maryland high schools. The purpose of this basic qualitative study was to explore SEHSTs’ perceptions of the challenges with implementing SEL into core subject areas. The conceptual framework that grounded this study was Argyris and Schon’s theory of action. Using a basic qualitative design, 10 SEHSTs participated in semistructured interviews. Participants were Maryland licensed high school special educators with a range of experience in teaching co-taught classes. Coding and thematic analysis were …
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Attention Deficit Hyperactivity Disorder, Livia L. Klein
Walden Dissertations and Doctoral Studies
: A lack of knowledge among nurses and healthcare staff in providing evidence-based practice (EBP) medication treatment and patient care for individuals who have attention-deficit/hyperactivity disorder (ADHD) was evident at a Midwest substance use and mental health facility. For nurses and staff caring for those with ADHD, appropriate patient treatment is essential in helping patients avoid struggles in their daily lives. To address this problem, I developed, implemented, and evaluated a staff education program on ADHD treatment in the project. The practice question focused on whether participants of the education program improved their knowledge of medication and treatment management, as …
Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis
Effective Human Resource Strategies And Processes For Improving Remote Workers’ Engagement, Productivity, And Retention, Lachanta' Rene Chevis
Walden Dissertations and Doctoral Studies
The inability to sustain employee retention amid expanded remote work practices highlights the urgent responsibility of leaders to confront the growing disparity between high job demands and insufficient resources that jeopardize employee engagement and organizational stability. Human resource (HR) leaders have a critical responsibility to address the effects of ineffective remote work strategies, which can lower morale, reduce performance, and increase turnover, weakening workforce cohesion and stability. Grounded in the job demands-resources (JD-R) model, the purpose of this qualitative pragmatic inquiry study was to explore and identify effective HR strategies and processes for supporting remote workers. Data sources included semistructured …
Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones
Experiences Of Accessing Mental Healthcare Among Older Black Women Living In Public Housing, Liza Jane Davis-Jones
Walden Dissertations and Doctoral Studies
Older Black women living in public housing have been identified as a high-risk group for experiencing barriers to and underutilization of mental health services. Accessing and utilizing mental health care in public housing complexes is challenging due to persistent barriers that discourage residents from seeking treatment. The older adult population, particularly Black women, remains inadequately served and experiences some of the poorest health outcomes, in part because of underreporting of health concerns and limited treatment-seeking behaviors. The purpose of this study was to explore older Black women’s experiences of accessing mental health care while living in public housing and to …
Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt
Successful Strategies Used For Volunteer Retention In Nonprofit Organizations, Sheraaron Nicole Hurt
Walden Dissertations and Doctoral Studies
The inability to retain volunteers critically undermines nonprofit leaders’ capacity to deliver consistent and effective services to vulnerable community populations, threatening organizational stability and mission fulfillment. Persistent challenges with volunteer retention hinder nonprofit leaders’ operations, reduce program reach, and drive up recruitment costs, weakening organizational sustainability. Grounded in Maslow’s hierarchy of needs, this qualitative multiple case study explored effective strategies that nonprofit leaders use to retain volunteers and support organizational sustainability. Five nonprofit leaders from the U.S. East Coast were participants and selected because each demonstrated success in volunteer retention. The themes that emerged from thematically analyzing semistructured interviews and …
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Probation Officers' Experiences Working With Individuals Who Have Antisocial Personality Traits, Katherine Ore
Walden Dissertations and Doctoral Studies
In fulfilling their role of monitoring individuals outside of a prison setting, probation officers may encounter individuals who have antisocial personality disorder (ASPD) or antisocial personality (ASP) traits. Individuals who have ASP traits and are not diagnosed with ASPD are still impacted by recommendations of punishment, higher recidivism rates, and a lack of treatment resources provided. Individuals in the criminal justice system with ASP traits are not a new phenomenon, but there is a lack of research on the probation officers' experience working with these individuals. The purpose of this study was to examine and explore the experiences of probation …
Effects Of Foster Care Placement With Kin Or Nonkin On Opiate Abuse And Criminality, Pamela Bouyer
Effects Of Foster Care Placement With Kin Or Nonkin On Opiate Abuse And Criminality, Pamela Bouyer
Walden Dissertations and Doctoral Studies
Opioid abuse has remained a public health crisis with far-reaching economic and social consequences that include costs associated with healthcare and increased foster care placements. Children placed into foster care are at risk themselves for opioid use and delinquency. The purpose of this quantitative research was to explore the causal-comparative relationship between foster care placement with kin (family) or nonkin (nonfamily) and its impacts on opiate abuse and criminal behavior. The Attachment Theory guided this study. Data were collected using a web-based, retrospective survey distributed at behavioral health agencies in Northeast Ohio, social media platforms, and Centiment, an online survey …
Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas
Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas
Walden Dissertations and Doctoral Studies
Teacher attrition presents a significant challenge for Northeastern State Middle School Districts (NSMSD), threatening educational stability and student outcomes. This qualitative study examined Grade 6–8 teachers’ perceptions of resilience as a factor influencing their decisions to remain in the teaching profession. Grounded in resilience theory, the study explored how teachers overcame professional challenges and identified supports that promoted retention, addressing a gap in existing research. Using a basic qualitative design, semistructured interviews were conducted with 14 purposefully selected middle school teachers from NSMSD. Reflexive thematic analysis using open coding revealed five key themes: individual resilience factors, relational supports and collegial …
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Walden Dissertations and Doctoral Studies
The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …