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Openness To Experience And Creative Capacity Among Active First Responders, William Reagan
Openness To Experience And Creative Capacity Among Active First Responders, William Reagan
Walden Dissertations and Doctoral Studies
Because emergency services demand adaptive, creative problem-solving within procedurally rigid cultures, this study examined whether Openness to Experience predicted creative capacity among active first responders and whether age or tenure moderated that relationship. A cross-sectional design used N = 117 first responders from eight agencies. Openness was measured with the Big Five Inventory-2 (percentile ranks); creativity was assessed with the Divergent Association Task (DAT; n = 116) and the Consensual Assessment Technique (CAT; n = 111). Covariates were age, tenure, rank, gender, and, for 46 participants at one agency, a dispatch-derived operational exposure score. In the full sample, Openness did …
Staff Education To Improve Behavioral Health Integration In Primary Care, Nelly Endah Atu
Staff Education To Improve Behavioral Health Integration In Primary Care, Nelly Endah Atu
Walden Dissertations and Doctoral Studies
This staff education project addressed a persistent gap in the delivery of integrated physical and mental healthcare for patients with co-occurring conditions. Fragmented care in primary care contributes to untreated mental health needs, increased patient distress, higher costs, and poor outcomes. The aim of this project was to develop, deliver, and evaluate a staff education program equipping nurses, nurse practitioners, and interdisciplinary team members with the knowledge, skills, and practical strategies needed to improve behavioral health integration in primary care. The practice question was, among interdisciplinary staff in a community health setting, did the implementation of an evidence-based, ADDIE-designed staff …
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Walden Dissertations and Doctoral Studies
Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …
Staff Education To Implementation Of Fall Prevention Education To Improve Fall Prevention Knowledge Among Nurses And Cnas In A Nursing Home, Margret Nkechi Anabaronye
Staff Education To Implementation Of Fall Prevention Education To Improve Fall Prevention Knowledge Among Nurses And Cnas In A Nursing Home, Margret Nkechi Anabaronye
Walden Dissertations and Doctoral Studies
This project was a staff education initiative designed to enhance fall-prevention knowledge among nurses and certified nursing assistants (CNAs) in a nursing home setting. The practice problem addressed was the high incidence of patient falls among older adults, which is a persistent safety concern in caregiving facilities since it leads to injury, decreased quality of life, and heightened healthcare costs. The project aimed to determine whether implementing a fall-prevention educational initiative would enhance staff knowledge and confidence levels on fall prevention. Analytical strategies used in this project included quantitative pre- and posttests and descriptive statistics to measure changes in participants’ …
Staff Education To Improve Diabetic Care In A Primary Care Setting, Sally Uyen Nguyen
Staff Education To Improve Diabetic Care In A Primary Care Setting, Sally Uyen Nguyen
Walden Dissertations and Doctoral Studies
Inadequate patient education, inconsistent screening, missed referrals, and follow up with diabetes patients are challenges primary care managers and staff must overcome. Patients may experience negative effects that lead to poor health outcomes, delayed diagnosis, and undertreatment when provider and staff members are not educated about diabetes. The practice-focused question guiding the Doctor of Nursing Practice (DNP) staff education project involved exploring whether a staff education intervention on standardized diabetes care and screening protocols could improve physicians, managers, and medical assistants’ (MAs) knowledge of diabetes care in primary care clinics. The purpose of this project was to enhance staff knowledge …
Non-Veteran Civilian Manager Perceptions About Supporting Employee Military In Civilian Workplace Transitions, Sandra Gail Piggee
Non-Veteran Civilian Manager Perceptions About Supporting Employee Military In Civilian Workplace Transitions, Sandra Gail Piggee
Walden Dissertations and Doctoral Studies
One of the largest populations seeking employment in private sector industries is military veterans. The active-duty military careers end for over 200,000 individuals per year, and over two-thirds of veterans resign from private sector industry positions within 2 years of post-service transition due to difficulties with their transition. This can lead to a lack of career advancement, professional development, and employee benefits. The purpose of this generic qualitative study was to explore perceptions of non-veteran civilian managers in private sector industries about how to support employees who are veterans in making a successful transition from the military into civilian employment. …
Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils
Walden Dissertations and Doctoral Studies
Cervical cancer remains a significant public health concern, with African American and Hispanic women experiencing disproportionately higher incidence and mortality rates in the United States. Socioeconomic factors, including income, education, employment status, and place of residence, may contribute to these disparities by affecting access to preventive services, timely diagnosis, and follow-up care. This quantitative cross-sectional study examined associations between these factors and cervical cancer incidence among African American and Hispanic women while controlling for age and health insurance status. Guided by the socio-ecological model, the study used 2022 Behavioral Risk Factor Surveillance System data from N = 33,886 African American …
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
Walden Dissertations and Doctoral Studies
Single mothers were largely absent from the COVID-19 literature, despite being head of household in approximately 80% of single-parent homes. The purpose of this phenomenological qualitative research study was to gain insight into the lived experiences of single mothers during the COVID-19 pandemic. This study addressed how this group connected with family, friends, and others in meaningful ways despite government-imposed lockdowns and restrictions. This phenomenon was explored through Erik Erikson’s psychosocial development theory, with a focus on the intimacy versus isolation stage. An Eriksonian perspective on relationship building and maintenance in adulthood can help better understand and address the social …
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Walden Dissertations and Doctoral Studies
Treatment retention, specifically as it pertains to offenders who are mandated to receive substance use treatment rather than serve standard incarceration sentences, is receiving more scholarly attention. Although prior research indicates an association between substance use treatment and reduced criminal behavior, many studies have methodological limitations. The purpose of this quantitative non-experimental, comparative study was to compare treatment completion outcomes for mandated and non-mandated offenders and to examine individual predictors of treatment completion, thereby addressing gaps in the current research. Secondary data from adult offenders receiving treatment at an inpatient substance use rehabilitation facility were analyzed. The risk-needs-responsivity model was …
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty
Walden Dissertations and Doctoral Studies
According to the American Counseling Association (ACA, 2014) Code of Ethics, professional counselors are responsible to monitor their own impairment. Specific interventions to prevent impairment and foster counselor professional well-being (PWB) and resiliency are imperative in a profession in which it is ethically required to continuously provide competent counseling. The purpose of this study was to explore the narratives of licensed counselors’ PWB during the onset of and successively during the coronavirus disease 2019 (COVID-19) pandemic. The theoretical orientation for this study was Dewey’s theory of experience. Nine counselor participants who were licensed by May 2018 shared detailed accounts of …
Burnout, Compassion Fatigue, Secondary Trauma, And Experiences With Death And Dying Among Organ And Tissue Recovery Professionals: A Hermeneutic Phenomenological Study, Shelby Andreasen
Walden Dissertations and Doctoral Studies
Professionals in organ and tissue recovery have complex job roles that affect the outcomes of patients who wait for a life-saving organ or a life-enhancing tissue graft. This profession had little research regarding burnout, compassion fatigue, and secondary trauma, as well as how consistent involvement with deceased patients affects these professionals and the outcomes of their cases. The purpose of this qualitative phenomenological study was to explore the lived experiences of 11 organ and tissue recovery professionals (OTRPs). Constructivist self-development theory was applied to understand OTRPs’ lived experiences of compassion fatigue, secondary trauma, and burnout, as well as the impact …
Staff Education On Fall Reduction For Residents Of Long-Term Care Facility, Lauretta Ifeoma Iwuala-Mcwilliams
Staff Education On Fall Reduction For Residents Of Long-Term Care Facility, Lauretta Ifeoma Iwuala-Mcwilliams
Walden Dissertations and Doctoral Studies
Falls pose a major safety risk for elderly individuals living in long-term care facilities, leading to injuries, hospitalizations, loss of autonomy, increased healthcare expenses, and higher morbidity and mortality rates. In the facility involved in this project, the incidence of falls was above anticipated benchmarks. Factors such as high staff turnover and reliance on agency staff resulted in inconsistent knowledge among personnel regarding fall prevention measures. Purpose: This Doctor of Nursing Practice quality improvement initiative aimed to implement and assess an evidence-based educational program designed to enhance staff understanding and skills related to fall-risk assessment, the identification of both intrinsic …
Effective Strategies For Implementing Artificial Intelligence To Improve Businesses’ Value Chains, Jehan Forsythe
Effective Strategies For Implementing Artificial Intelligence To Improve Businesses’ Value Chains, Jehan Forsythe
Walden Dissertations and Doctoral Studies
Organizational leaders are increasingly adopting artificial intelligence (AI) to improve business operations; however, leaders of small and medium enterprises (SMEs) continue to face challenges associated with AI adoption. Understanding strategies for effective AI integration may facilitate AI adoption in SMEs, helping to enhance organizational value and improve competitive positioning. Grounded in Porter’s value chain framework, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies that U.S. SME leaders use to integrate AI into their value chain to increase organizational value and gain a competitive advantage. The participants were six U.S. SME leaders who led …
Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton
Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton
Walden Dissertations and Doctoral Studies
Coaching is recommended for prekindergarten (PK) teachers following professional development (PD) to increase implementation of instruction practices with fidelity in early childhood (EC) programs. The problem addressed in this study was PK teachers were challenged to engage in coaching experiences after PD to implement instructional practices with fidelity in a large EC program located in the Mideastern United States. Framed by Knowles’s adult learning theory, the purpose of this basic qualitative study was to explore PK teachers’ perspectives on coaching experiences after receiving PD to implement instructional practices with fidelity. Semistructured interview data were collected from eight PK teachers who …
Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang
Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang
Walden Dissertations and Doctoral Studies
Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …
Staff Education To Improve Early Identification Of Behavioral Escalation And Timely Clinical Intervention In An Adult Group Home Setting, Gayduo Barr
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) staff education project addressed a gap in staff knowledge regarding the early identification of behavioral escalation and timely intervention in an adult group home setting. The practice-focused question was: Does staff education about early identification of behavioral escalation and timely clinical intervention improve the knowledge of staff working in an adult group home setting? The purpose was to improve staff knowledge of behavioral escalation, triggers, trauma-informed care, and intervention strategies. I delivered a structured educational intervention to 14 house managers. Educational content included behavioral escalation stages, triggers, de-escalation techniques, trauma-informed care, documentation, and …
Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann
Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann
Walden Dissertations and Doctoral Studies
Orthopedic manual physical therapy (OMPT) fellowship programs focus on improving clinical skills and professional development in physical therapy. OMPT fellowship programs are 1–3-year postprofessional subspecialty training programs in manual physical therapy requiring prior orthopedic clinical experience. The problem that was addressed in this study is that professional competencies are not adequately assessed after program completion of an OMPT fellowship in the Southern United States. Grounded in Dreyfus’s skill acquisition model, the purpose of this basic qualitative study was to explore OMPT fellowship graduates’ perceptions of the professional competencies developed and recommendations for assessing these competencies in future graduates. Data were …
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell
Walden Dissertations and Doctoral Studies
Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Walden Dissertations and Doctoral Studies
Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Walden Dissertations and Doctoral Studies
Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff
Walden Dissertations and Doctoral Studies
Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) staff education project, I addressed inconsistent staff knowledge of evidence-based strategies for preventing and controlling hypertension among African American women in an outpatient primary care setting. The practice-focused question was: In an outpatient clinical setting, what was the impact of an evidence-based staff education program on healthcare providers' knowledge of hypertension prevention and control strategies for African American women, as measured by pretest and posttest scores? The purpose of this project was to implement and evaluate a structured staff education program to improve providers' knowledge of evidence-based strategies for preventing and controlling hypertension …
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams
Walden Dissertations and Doctoral Studies
A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus
Walden Dissertations and Doctoral Studies
Police use of excessive force is an enduring challenge for criminal justice institutions and the public, particularly, affecting minority communities. This has contributed to diminished public confidence in U.S. policing institutions. Prior empirical studies among law enforcement officers, indicate that Black minorities have been discriminated by police officers. Stress research links social stress to mental health and identifies police brutality as an anticipatory stressor for minority groups. The purpose of this qualitative case study was to identify factors, including job-related stressors, and racial bias, that contribute to officers using excessive force, so to fill the gap in research, and develop …
Best-Practice Patient Education On Glp-1, Low-Glycemic Diet, Intermittent Fasting, And Exercise For Weight Loss In Obese Nondiabetics, Clara Green
Walden Dissertations and Doctoral Studies
Executive Summary: Clinical Practice Guideline Best-Practice Patient Education on GLP-1, Low-Glycemic Diet, Intermittent Fasting, and Exercise for Weight Loss in Obese Nondiabetics by Clara Green MS, Walden University, 2020 BS, University of Texas at El Paso, 2014 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2026
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Experiences Of Resilience During Divorce For Black Women Who Attend Church, Tracey Ann Grant
Walden Dissertations and Doctoral Studies
Across the globe, divorce is a challenging situation that affects family relationships and disrupts social networks. Divorced women often experience a decline in their health and well-being immediately postdivorce. The problem addressed in this study is that divorcing women tend to experience more negative or undesirable impacts on their mental health (e.g., depression) postdivorce than men and often find involvement in church to be a source of support or added stress. The purpose of this generic qualitative study was to investigate how recently divorced Black women describe how their involvement in church may have supported their mental health and resilience …