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The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
Walden Dissertations and Doctoral Studies
Prolonged undiagnosed posttraumatic stress disorder (PTSD) has been examined from various perspectives and represents a significant medical concern across diverse populations. Research on PTSD often targets specific groups, such as postpartum women or military veterans. This narrow focus in much of the literature tends to obscure the broader impact of prolonged undiagnosed PTSD on the general population, thereby overlooking the critical need to highlight systemic shortcomings that hinder effective interventions and reform. Furthermore, personal narratives detailing the challenges individuals face when seeking help or treatment – factors that contribute to delays in care – and the subsequent effects on their …
Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman
Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman
Walden Dissertations and Doctoral Studies
Across the health care continuum, organizations face persistent nursing shortages and the challenge of integrating novice nurses into clinical practice, often with limited skills and underdeveloped critical thinking abilities. Nurse residency programs have been integrated by many facilities to provide support for new novice nurses in transitioning from academia to the professional nursing role. This quantitative, quasi-experimental research project was conducted at a community-based hospital with an existing 8- to 10-week nurse residency program that had very limited stakeholder involvement. The purpose of the project was to create an educational training module for key stakeholders to strengthen awareness of why …
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Walden Dissertations and Doctoral Studies
While national and state-level literature has documented racial inequities in school discipline, limited research has focused on how these policies are specifically implemented and perceived within the Charlotte Metropolitan Statistical Region School. The purpose of this basic qualitative study was to examine factors related to higher rate of expulsions and school suspensions of Black high school students in the CMSR Schools in comparison to their peers through the lens of the critical race theory. This research was used to engage teachers and administrators on current school suspension and expulsion policies while encouraging modifications to those policies that warranted equity and …
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Walden Dissertations and Doctoral Studies
Student response systems (SRS) and audience response systems (ARS) in the elementary classroom are sometimes used to assess students while keeping them engaged and offering them immediate feedback. The purpose of this basic qualitative study was to explore teachers’ perspectives on challenges of and resources needed to implement SRS and ARS in urban elementary schools in the Northeast United States. The conceptual framework for this study included the technology acceptance model and the theory of planned behavior. Semistructured interviews with 12 urban elementary school teachers from the Northeast United States were analyzed using a qualitative data analysis procedure by coding, …
The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins
The Repeal Of Welfare Lifetime Ban, Sympathy Sutton Huggins
Walden Dissertations and Doctoral Studies
The Welfare Lifetime Ban imposed severe restrictions on women’s access to essential resources during the critical period following incarceration. By denying housing assistance, food aid, and employment services, the policy created significant barriers to reintegration and undermines both criminal justice and social welfare reform. Little is known about the long-term impacts of the ban or the absence of effective rehabilitative policy alternatives. Few studies have examined its outcomes within the framework of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). The findings within (PRWORA) enactment briefly stabilized a decline in welfare recipients, and employment rates increased temporarily for single …
Parents’ Experiences With The Social-Emotional Development Of Toddlers With A Diagnosis Of Autism Spectrum Disorder After Completing Early Intervention, Veronica Bayer
Walden Dissertations and Doctoral Studies
The social-emotional development of autistic toddlers is a critical area of concern for parents and early childhood professionals. Parents need to understand how early intervention programs influence this development, as it can significantly impact long-term outcomes for children with autism. Grounded in the DIR (Developmental, Individual-differences, Relationship-based) theory by S. I. Greenspan and S. Wieder, the purpose of this basic qualitative study was to explore the experiences parents had with their autistic toddlers’ social-emotional development after completing an early intervention program. The participants comprised of eight parents whose toddlers completed an early intervention program and were later diagnosed with autism. …
Exploring Public Health Nurses’ Perceptions Of Syringe Services Programs In Southern Rural Areas, Joel Lowery
Exploring Public Health Nurses’ Perceptions Of Syringe Services Programs In Southern Rural Areas, Joel Lowery
Walden Dissertations and Doctoral Studies
Public health nurses are potentially key stakeholders in syringe services program (SSP) implementation in rural areas, where they can act as liaisons between public health, private healthcare, and the community. However, little research reflects an in-depth understanding of how public health nurses perceive SSPs in rural areas. The purpose of this qualitative study was to explore the perceptions of syringe services programs held by public health nurses practicing in rural areas with no existing SSPs in southern states and ascertain their potential roles in facilitating harm reduction for people who inject drugs. This study was guided by a conceptual framework …
Moderating Effect Of Age And Supervisory Status On Telework And Job Satisfaction Among Federal Employees, Chelsea Eckert
Moderating Effect Of Age And Supervisory Status On Telework And Job Satisfaction Among Federal Employees, Chelsea Eckert
Walden Dissertations and Doctoral Studies
The postpandemic U.S. federal workforce has experienced shifts in policies and practices about telework, with mixed empirical evidence on its relationship with job satisfaction. Federal government leaders must understand this impact on telework and job satisfaction. Guided by self-determination theory and socioemotional selectivity theory, the purpose of this quantitative correlational study was to examine the relationship between telework usage and job satisfaction among federal employees, with age and supervisory status as moderating variables. Secondary data were from the 2023 Federal Employee Viewpoint Survey, with approximately 625,000 participants. The results of the multiple linear regression were statistically significant, F(11, 552,670) = …
Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young
Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young
Walden Dissertations and Doctoral Studies
Breast and cervical cancer screening reduces mortality; however, women with disabilities and mental health challenges experience persistent disparities in access to preventive services. The purpose of this quantitative study was to examine the relationships between self-reported serious difficulty hearing, serious difficulty seeing, and frequent mental distress with breast (mammogram) and cervical (Pap test) cancer screening use among women in the United States (mammogram model, n = 844; Pap model n = 774), using the 2023 Behavioral Risk Factor Surveillance System dataset. The social-ecological model provided the framework. Two logistic regression models were conducted, adjusting for age, race/ethnicity, education, income, marital …
Mold Exposure And Cognitive Health During Menopausal Transitions: A Quantitative Analysis Using Secondary Data, Holly Jeannette Burns
Mold Exposure And Cognitive Health During Menopausal Transitions: A Quantitative Analysis Using Secondary Data, Holly Jeannette Burns
Walden Dissertations and Doctoral Studies
Mold exposure and menopausal transition have been independently linked to cognitive decline, yet their interaction among socioeconomically disadvantaged populations has not been well examined. This quantitative study is an exploration of how menopausal transition influences the relationship between mold exposure and cognitive health outcomes among women aged 40 to 60 living in low-income housing in the United States. Bronfenbrenner’s ecological systems theory was used to guide the cross-sectional design using secondary data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES; N = 149). Weighted logistic regression and Hayes’ PROCESS (Models 2 and 4) were used to test associations …
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Walden Dissertations and Doctoral Studies
Relationship Between Parent Demographics and Attitudes About Their Child’s Diabetes in Nigerian Parents who Live in the United States by Vivian Obioma Eluwa Nwankwo MA, Walden University, 2018 BA, University of Nigeria, 1992 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University August 2025
The Victims’ Experience: Emotional Spiritual Abuse In The Christian Community, Arianna Branae Dotson
The Victims’ Experience: Emotional Spiritual Abuse In The Christian Community, Arianna Branae Dotson
Walden Dissertations and Doctoral Studies
In recent years, greater attention has been paid to the effects of sexual abuse within Christianity. There was a need for greater understanding of the psychological aspect of spiritual abuse within familial dynamics. The purpose of this qualitative study was to describe the phenomenon of emotional spiritual abuse that victims experience within Christian families. Using a theoretical foundation based on Bronfenbrenner's ecological systems theory and Bowen's family systems theory, this study focused on relationships within victims’ microsystem, mesosystem, and exosystem. It also explored the concept of emotional triangles in times of conflict. The data source consisted of one-on-one participant interviews …
Subjective Excessive Daytime Sleepiness And Frailty Progression In Veterans Over 50 With Insomnia, Mona Amirmazaheri
Subjective Excessive Daytime Sleepiness And Frailty Progression In Veterans Over 50 With Insomnia, Mona Amirmazaheri
Walden Dissertations and Doctoral Studies
Frailty is common in aging veterans and linked to adverse outcomes. This retrospective cohort study of 6,824 veterans with insomnia examined whether excessive daytime sleepiness, sleep treatments, and PTSD affected frailty progression over four years. Frailty was measured using a validated index, with models adjusted for demographics and comorbidities, including chronic coronary insufficiency. Manuscript 1 showed that a higher Epworth Sleepiness Scale (ESS) score (range 0-24) was independently associated with a higher frailty index (FI) (p < .001). A clinical threshold of ≥11 indicated EDS and greater odds of frailty worsening compared to scores <11 (adjusted odds ratio (aOR) = 1.16, 95% CI [1.02, 1.32], p = .021). There was no significant interaction between ESS and time, suggesting that sEDS reflects persistently elevated frailty levels rather than accelerated decline. Manuscript 2 showed that nonpharmacologic sleep interventions were protective, while pharmacotherapy was associated with increased frailty risk. Cognitive behavioral therapy for insomnia was associated with lower odds of frailty worsening (aOR = 0.31, 95% CI [0.19, 0.53], p < .001), and continuous positive airway pressure therapy also reduced risk (aOR = 0.55, 95% CI [0.39, 0.76], p < .001). In contrast, sleep medications were associated with increased odds of frailty progression (aOR = 1.16, 95% CI [1.02, 1.32], p = .021). Manuscript 3 showed that PTSD was not associated with baseline frailty levels but showed a significant time interaction (B = 0.001, p = .008), indicating modest acceleration of frailty progression among affected veterans. Findings support positive social change through early sEDS screening and trauma-informed, nonpharmacologic sleep care to reduce frailty in veterans.
Strategies Hospitality Business Leaders Use To Retain Employees During Organizational Change, Jennifer Harris Nyanfor
Strategies Hospitality Business Leaders Use To Retain Employees During Organizational Change, Jennifer Harris Nyanfor
Walden Dissertations and Doctoral Studies
High employee turnover during organizational change can weaken the hospitality sector’s operational efficiency, leading to inconsistencies in service delivery and reduced productivity. To mitigate these effects, hospitality business leaders are encouraged to adopt evidence-based retention practices that strengthen employee commitment and sustain organizational success. Grounded in job embeddedness theory, the purpose of this qualitative pragmatic inquiry was to explore strategies hospitality business leaders used to retain employees during organizational change. Six hospitality business leaders from the Southeastern United States region were participants in semistructured interviews. The four themes that emerged through thematic analysis were clear communication, competitive compensation, rapport building, …
Compassion Fatigue And Daily Spiritual Experience Among Mental Health Male Technicians In Locked Facilities, Felicia Mar'shae Davis Ramsey
Compassion Fatigue And Daily Spiritual Experience Among Mental Health Male Technicians In Locked Facilities, Felicia Mar'shae Davis Ramsey
Walden Dissertations and Doctoral Studies
Mental health provider’s ongoing exposure to clients’ traumatic experiences can cause increased compassion fatigue. Due to negative implications on mental health professionals’ work and personal life experiences, researchers have increasingly studied burnout, compassion fatigue, and stress. The study included a qualitative design with a phenomenological approach using interpretative phenomenological analysis (IPA) to interview mental health providers across specialties and regulations to acquire understanding of professionals lived experiences of compassion within their personal lives, work lives, and spirituality. The purpose of this study was to explore the lived experiences of compassion fatigue in male mental health technician and how they use …
Factors Affecting Business Growth Among U.S. African Immigrant Entrepreneurs, Ken Barnes
Factors Affecting Business Growth Among U.S. African Immigrant Entrepreneurs, Ken Barnes
Walden Dissertations and Doctoral Studies
African immigrant entrepreneurs experience obstructions in growing their businesses into nationally recognized names in the United States. Business leaders and policymakers need to understand the obstructions inhibiting African immigrant entrepreneurs’ success. Grounded in human capital theory, the purpose of this qualitative single case study was to explore the factors experienced by African immigrant entrepreneurs as obstructions for African immigrant-owned businesses from growing into nationally recognized names in the United States. The participants comprised 15 African immigrant entrepreneurs from California, New York, New Jersey, and Texas, each with a minimum of 5 years of business ownership experience and an annual minimum …
Resources And Strategies Needed To Address The Problem Of Child Labor In Erbil, Kurdistan Region Of Iraq, Evan Faiq
Walden Dissertations and Doctoral Studies
Child labor is an international practice that has been on the rise in some parts of the world including Erbil, the Kurdistan region of Iraq. The purpose of this qualitative study was to explore the different resources needed but not available for the victims, how child labor has impacted the community, and how the criminal justice system can better approach the child labor issue and reduce it in Erbil, Kurdistan region of Iraq. Social conflict theory was used to guide the study. Data were collected from 15 interviews with individuals from different areas of the criminal justice department, local organizations …
Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine
Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic increased the utilization of telehealth in managing chronic conditions such as heart failure. Existing research has primarily focused on patient experiences with specific telehealth platforms or settings, limiting generalizability within the diverse United States healthcare system. The purpose of this qualitative study, guided by the health promotion model, was to describe patient experiences with self-management of heart failure while receiving medical care through any type of telehealth service (e.g., telephone, video calls, remote monitoring) in the United States. Twenty-two participants were interviewed who met the criteria of having a diagnosis of heart failure and using telehealth since …
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Exploring Ex-Offenders’ Perceptions Of Their Learning Experiences And The Shape Of Criminal Activity In Louisiana, Carla Buntyn
Walden Dissertations and Doctoral Studies
This qualitative study examined the lived experiences of 12 formerly incarcerated males in Louisiana between the ages of 18 and 25, with a focus on their perspectives related to schooling, social environments, and involvement in criminal activity. Guided by general strain theory, the research explored how participants described their learning experiences under Common Core standards and whether they perceived connections between those experiences and their criminal activity. The research question asked: How do American male ex-offenders between the ages of 18 and 25 in Louisiana describe the relationship between Common Core learning experiences and their criminal activity? Data were collected …
Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John
Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project implemented a standardized program to strengthen knowledge, confidence, and adherence to venous stasis ulcer (VSU) prevention among staff in an outpatient vascular clinic. The practice problem was the lack of standardized staff education, leading to inconsistent patient teaching and recurrent ulceration. VSUs are a significant public health challenge, increasing morbidity, healthcare utilization, and reducing quality of life (He et al., 2024). The practice-focused question for this project was: In frontline medical staff at a vascular outpatient clinic, does a staff education program on a standardized approach to patient education for VSU …
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Walden Dissertations and Doctoral Studies
More than 50% of women experience excessive weight gain during pregnancy or are overweight at the start of pregnancy, increasing their risk of short and long-term maternal and fetal complications. The literature highlights the relationship between sociocultural factors and excessive gestational weight gain (EGWG) and the need to explore these factors in ethnic subgroups. The purpose of this descriptive qualitative study, guided by Nola Pender’s health promotion model, was to explore the sociocultural factors that influence EGWG for pregnant women living in Puerto Rico. Semi-structured interviews were conducted with seven participants recruited from public and private prenatal clinics in Puerto …
Strategies For Addressing Junior College Attrition Among Female African American Nontraditional Students, Antweshia Hawes-Wood
Strategies For Addressing Junior College Attrition Among Female African American Nontraditional Students, Antweshia Hawes-Wood
Walden Dissertations and Doctoral Studies
Female African American nontraditional students (25+ years with family and work demands) have high attrition rates, they leave degree programs before graduating, worsening socioeconomic disparities. This phenomenological study described their experiences with support services, which shaped student self-efficacy related to completing programs, and identified what changes were needed to improve support for higher graduation rates among female African American nontraditional students participating in 2-year degree programs offered by junior colleges. Guided by Bean’s industrial model of student attrition and Fishbein and Aizen’s importance of intention model, the study posed two research questions: What are the lived experiences of female nontraditional …
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Walden Dissertations and Doctoral Studies
Despite the proven efficacy of the incident command system (ICS), police agencies face obstacles in effective critical incident response. This qualitative study explored the cultural, structural, and potential training barriers that hinder the adoption of the ICS within police agencies. The purpose was to investigate how police can more effectively adopt this unified command structure designed for multiagency emergency response. Guided by the theory of planned behavior, the research question addressed how California police officers’ attitudes, perceived social norms, and sense of behavioral control influence their adoption of incident command system principles. Data were collected using semistructured Zoom interviews with …
Educating Nurses On The Use Of The Mindfulness-Based Stress Reduction For Managing Work-Related Stress, Linda Alaekwe
Educating Nurses On The Use Of The Mindfulness-Based Stress Reduction For Managing Work-Related Stress, Linda Alaekwe
Walden Dissertations and Doctoral Studies
Mindfulness-based stress reduction (MBSR) is an evidence-based approach designed to help individuals manage stress, anxiety, and emotional exhaustion through mindfulness practices. The practice problem addressed in this project was the lack of knowledge among healthcare providers about using MBSR to manage workplace stress effectively. The purpose of this staff educational project was to develop and deliver an MBSR module aimed at improving providers’ knowledge of its principles and applications. The practice-focused question was: Upon educating healthcare providers on MBSR techniques, is there an increase in providers’ knowledge on MBSR as evidenced by pre- and postsurvey findings? I used the analysis, …
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
Walden Dissertations and Doctoral Studies
In this qualitative phenomenological study, the perceived barriers to services among Hispanic immigrant community members in Southern Connecticut were explored. The study was grounded in social disorganization theory and cultural conflict theory to identify the specific obstacles these communities face, understand the underlying causes, and examine the broader societal and criminal justice implications. Data were collected through open-ended anonymous questionnaires with participants from Hispanic immigrant communities. The findings revealed that fear of deportation, language barriers, and limited education about available services and resources were the most perceived barriers. These challenges were found to significantly affect the integration and well-being of …
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Walden Dissertations and Doctoral Studies
As a result of inadequate forecasting methods, Information Technology leaders experience inconsistent project flow and increased project failure. IT leaders who cannot predict project failure trends to better forecast and improve project management flow risk project failure and financial loss. Grounded in Porter’s five forces model, the purpose of this qualitative pragmatic inquiry was to explore strategies that some IT leaders use to predict project failures to better forecast project failures to improve project management flow and reduce expenditures. The participants were six senior-level IT professionals who successfully predicted project failures to better forecast project failures to improve project management …
Comparing Parents' And School Officials' Perceptions Of School Safety In A Rural Community In North Texas, Gidget S. Pettibon
Comparing Parents' And School Officials' Perceptions Of School Safety In A Rural Community In North Texas, Gidget S. Pettibon
Walden Dissertations and Doctoral Studies
With different types and sizes of school districts across the United States, not all federal safety and security recommendations will work for every school district. The school district stakeholders are important components to help administrators understand whether the current policies are working and provide recommendations for change. The purpose of this qualitative study was to explore and compare the perceptions of parents and school officials on safety practices at a rural school district in North Texas. Using routine activity theory, this study provided information on how current practices were perceived by stakeholders in ensuring a safe school environment. Data were …
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Walden Dissertations and Doctoral Studies
A lack of effective strategies to transition from print publishing to web publishing can adversely impact newspaper publishers’ sustainability and profitability. Business leaders of established newspaper publishers are concerned, as they require such strategies to enhance and maintain financial viability. Grounded in Christensen’s disruptive innovation theory, the purpose of this qualitative pragmatic inquiry was to explore the effective strategies some Jamaican newspaper publishers used to transition from print publishing to web publishing to improve and sustain profitability. The project participants included six business leaders from established Jamaican newspaper publishers. Data were collected from semistructured interviews, public websites, and other publicly …
Neighborhood Conditions And Screen-Time Impact On U.S. Children And Adolescents’ Mental Health, Robert L. Burries
Neighborhood Conditions And Screen-Time Impact On U.S. Children And Adolescents’ Mental Health, Robert L. Burries
Walden Dissertations and Doctoral Studies
Child and adolescent mental health problems are increasing, creating a critical public health concern. Both neighborhood disadvantage and excessive screen use have been implicated as risk factors, yet their interplay remains underexplored. This study investigated whether screen time mediates the relationship between neighborhood conditions and mental health outcomes in U.S. youth. Grounded in Bronfenbrenner’s ecological systems theory, the study addressed three questions: (a) Do neighborhood conditions predict youth mental health outcomes? (b) Is screen time associated with these outcomes? (c) Does screen time mediate the neighborhood–mental health relationship? A cross-sectional secondary analysis of the 2018–2019 National Survey of Children’s Health …
Exploring Effective Technological And Innovation Strategies For Sustaining Fintech Startups In Nairobi, Kenya, Beyond 5 Years, Esay Kollie
Walden Dissertations and Doctoral Studies
Some small financial technology, or fintech, startup leaders in Nairobi, Kenya, lack the technological and innovation strategies required to sustain operations beyond 5 years. High failure rates among fintech startups in the early stages of operation affect financial inclusion and economic development in the region. Grounded in resource-based view theory, this qualitative pragmatic inquiry was to explore effective technological and innovation strategies fintech startup leaders in Nairobi use to sustain operations beyond 5 years. Data was collected through semistructured interviews with eight fintech startup leaders from different firms. Thematic analysis revealed seven major themes: (a) leveraging technological infrastructure, (b) innovating …