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Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Walden Dissertations and Doctoral Studies
The growing population of internally displaced persons (IDPs) in Nigeria presents significant public health challenges for children with physical disabilities. This study investigated how physical disabilities affect daily life, mobility, access to resources, and health outcomes among internally displaced children in IDP camps in Benue State, Nigeria. Guided by the ecological model of health behavior, the study examined caregivers’ experiences of children’s self-care, daily activities, environmental and interpersonal conditions, sanitation, and access to healthcare. A basic qualitative design used semi-structured interviews with parents and caregivers selected through purposive and snowball sampling. Data were analyzed using Braun and Clarke’s six-phase thematic …
Early Elementary Teachers' Experiences Implementing Concrete Representational Abstract Strategies In A Low-Performing District, Grace Sheree Bruce-Spence
Early Elementary Teachers' Experiences Implementing Concrete Representational Abstract Strategies In A Low-Performing District, Grace Sheree Bruce-Spence
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that early elementary students in an achievement zone continued to demonstrate low mathematics achievement, despite the district-wide implementation of the concrete representational abstract (CRA) instructional strategy, designed to promote conceptual understanding through scaffolded stages at a school district in the southeastern United States. In this district, an achievement zone refers to a cluster of schools serving historically underperforming students in high-poverty communities who receive targeted academic support. Grounded in Bruner’s constructivist learning theory, the purpose of this basic qualitative study was to explore kindergarten through third-grade teachers’ experiences implementing the CRA strategy in …
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Walden Dissertations and Doctoral Studies
Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …
Effective Strategies Nonprofit Leaders Use To Implement Agile And Lean Methodologies To Improve Project Performance Outcomes And Organizational Sustainability, Mariette Njumbe
Walden Dissertations and Doctoral Studies
Limited resources challenge nonprofit organizations to improve project performance and organizational sustainability. Although agile and lean methodologies can enhance adaptability, efficiency, and continuous improvement, many nonprofit leaders lack effective strategies to implement them in mission-driven environments. The purpose of this qualitative pragmatic inquiry was to explore strategies nonprofit leaders use to implement agile and lean methodologies to improve project performance and organizational sustainability. The project was grounded in an integrated conceptual framework of agile project management and lean thinking. Participants were nine nonprofit leaders. Data were collected through semistructured interviews and public documents and analyzed using thematic analysis. Five themes …
Relationship Between Aleks Use, Implementation Models, And Grade 9 Students’ Achievement On Algebra 1 Summative Assessments, Deneen Alfordburke
Relationship Between Aleks Use, Implementation Models, And Grade 9 Students’ Achievement On Algebra 1 Summative Assessments, Deneen Alfordburke
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was Grade 9 students’ achievement on the Algebra 1 New Jersey Student Learning Assessment (NJSLA) continued to be below the proficiency level that is defined by the state, despite implementation of Assessment and Learning in Knowledge Spaces (ALEKS) Algebra 1 software. The study was grounded in Doignon and Falmagne’s knowledge space theory (KST) which evaluates students’ current knowledge levels and guides them along individualized learning paths based on what they are ready to learn next. The purpose of this nonexperimental quantitative study was to determine whether the predictor variables Grade 9 students’ …
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Walden Dissertations and Doctoral Studies
Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …
Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay
Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay
Walden Dissertations and Doctoral Studies
Prostate cancer incidence has increased among younger men in the United States, and treatment affects both patient survival and family well-being. This quantitative retrospective study examined survival among young men diagnosed with prostate cancer who received chemotherapy, radiation therapy, and/or prostatectomy, while accounting for socioeconomic factors of residence and ethnicity. Social cognitive theory was the framework. Ordinal logistic regression was used to determine whether treatment method, socioeconomic factors of residence and ethnicity predicted survival among young men diagnosed with prostate cancer. Data was sourced from the National Cancer Database Participant User File 2004-2021 specific to prostate cancer. The study cohort …
Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars
Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars
Walden Dissertations and Doctoral Studies
Understanding debt and the quality of life in older adults after retirement is an important area of concern. Many older adults are forced by escalating debt to reduce spending on essential needs, such as health care, nutrition, and housing, and their physical and mental health is thereby directly compromised. These essential needs represent core social determinants of health, and their erosion under financial strain can have effects on older adults' overall well-being. The purpose of this generic qualitative study was to explore the experiences and perceptions of human services practitioners who were actively assisting older adults struggling with debt in …
Displaced By Disaster: Examining The Effects Of Hurricanes Maria And Irma On Chronic Homelessness In The United States Virgin Islands, Clinton Hart
Walden Dissertations and Doctoral Studies
The United States Virgin Islands (USVI) is an island territory that is geographically isolated and has a fragile economy that has a limited capacity to address homelessness particularly when exacerbated by natural disasters. Existing literature demonstrated that major hurricanes can be associated with displacement, housing instability, and increased demand for emergency housing resources among socially vulnerable populations. However, limited longitudinal quantitative research has examined the impact of hurricanes on changes in homelessness trends in the USVI, representing a gap in territory-specific research. The purpose of this quantitative interrupted time series study was to examine homelessness trends associated with hurricanes Irma …
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President
Walden Dissertations and Doctoral Studies
African American males between the ages of 18 and 29 have lower rates of successful completion in drug court programs compared to other populations, increasing their risk of incarceration and recidivism. This study examined whether participation in the Habilitation Empowerment Accountability Therapy (HEAT) program, a culturally responsive intervention, was associated with improved drug court graduation outcomes among African American male participants. Guided by cognitive behavioral theory, a quantitative retrospective causal-comparative design was used to analyze archival data from 96 African American male participants enrolled in a drug treatment court program in Columbia, Missouri. A chi-square test of independence was conducted …
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Walden Dissertations and Doctoral Studies
For many women leaving military service, the path to civilian life involves a fundamental renegotiation of identity. Gender-specific pressures, institutional norms, and fractured belonging compound reintegration, yet the lived experiences of women veterans navigating competing identities remain underexplored. The purpose of this phenomenological study was to understand the lived experiences of women veterans at least 5 years postdischarge who struggled with identity dissonance between their military and civilian identities. The study was informed by reculturation theory. Seven women veterans participated in semistructured interviews, and data were analyzed using Braun and Clarke’s thematic analysis, revealing five themes: institutions, culture, and unequal …
Development Of An Evidence-Based Clinical Practice Guideline For Glp-1 Medication Management And Weight-Loss Monitoring In Adults, Jeannette Mariela Pena
Development Of An Evidence-Based Clinical Practice Guideline For Glp-1 Medication Management And Weight-Loss Monitoring In Adults, Jeannette Mariela Pena
Walden Dissertations and Doctoral Studies
This doctor of nursing practice project addressed the lack of a standardized clinical practice guideline for glucagon-like peptide-1 (GLP-1)-based medication management and weight-loss monitoring in an outpatient functional health setting. The purpose was to develop an evidence-based guideline to improve provider consistency, patient education, monitoring, documentation, and treatment safety for adults receiving GLP-1-based weight-management therapy. The Johns Hopkins Evidence-Based Practice Model guided question development, evidence appraisal, synthesis, translation, and implementation planning. The guideline incorporated evidence related to adult obesity management, GLP-1-based pharmacotherapy, lifestyle intervention, eligibility assessment, medication selection and titration, adverse-effect monitoring, follow-up, and documentation. Three content experts—a nurse practitioner …
Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley
Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley
Walden Dissertations and Doctoral Studies
Third-sector organizations (TSOs) face challenges providing effective evidence in reducing stress and burnout for human services professionals (HSPs) to remain in the field. Burnout is a social phenomenon that has received much attention in the helping professions for the past 50 years, due to the nature of the work that HSPs perform. Researchers have confirmed that HSPs are at critical risk of burnout, which affects not only their health and work performance, but also their delivery of service. Current literature lacks studies on what supports HSPs’ need in TSOs to reduce their stress and burnout to remain in the field. …
Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower
Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower
Walden Dissertations and Doctoral Studies
African American men experience disproportionately low rates of mental health service utilization and often report negative perceptions of mental illness. Despite documented mental health disparities, limited research has explored how mental health workers understand and apply multicultural competence when providing treatment to African American men. Grounded in the theory of planned behavior and social identity theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of mental health workers regarding multicultural competence in their work with African American men. Data were collected through semi-structured interviews with seven mental health workers recruited through purposive sampling. Interview …
Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi
Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi
Walden Dissertations and Doctoral Studies
This study examined adolescent opioid misuse in the United States and the role of school-based prevention. Guided by the health belief model, the purpose was to test whether participation in school-based drug prevention lessons was associated with past-year opioid misuse among adolescents ages 14–17 and whether race and gender moderated that association. This quantitative, cross-sectional, nonexperimental secondary analysis used the 2019 National Survey on Drug Use and Health (N = 8,965). Analyses included weighted descriptives, chi-square tests, and complex-samples logistic regression controlling for age and socioeconomic status. The sample included adolescents ages 14–17 with complete data on school-based prevention participation, …
Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing
Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing
Walden Dissertations and Doctoral Studies
Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …
Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson
Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson
Walden Dissertations and Doctoral Studies
While school counselors play a pivotal role in promoting equity and inclusion within educational institutions, they may experience systemic challenges themselves, particularly in predominantly White professional environments. The purpose of this hermeneutic phenomenological study was to explore the experiences of Black American school counselors who experienced racial discrimination in the workplace and how they made meaning of those experiences. The research addressed the lived experiences of Black American school counselors who experienced racial discrimination in the workplace and how they make meaning of those experiences. The study was grounded in hermeneutic phenomenology and critical race theory. Six Black American school …
Surviving The Divide: Exploring Endometrial Cancer Survival In Idaho’S Urban And Rural Landscapes, Elena G. Estrada
Surviving The Divide: Exploring Endometrial Cancer Survival In Idaho’S Urban And Rural Landscapes, Elena G. Estrada
Walden Dissertations and Doctoral Studies
Endometrial cancer is the fourth most common gynecologic malignancy in the United States, with a rising incidence among postmenopausal women. Although geographic disparities in cancer outcomes have been documented nationally, survival differences by urban versus rural residence and receipt of surgery remain understudied in Idaho. The purpose of this quantitative, retrospective cohort study was to examine the associations of urban versus rural residence, and receipt of surgery with 5-year survival among women in Idaho, a largely rural and underserved state. Guided by the social-ecological model and social determinants of health, this study used secondary data from the National Cancer Institute, …
Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz
Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that local school districts in Texas do not offer a visual arts-integrated curriculum despite the known academic and social-emotional benefits for K–12 students. The purpose of this basic qualitative study was to explore the perceptions of Texas K–12 visual arts teachers regarding arts integration to enhance core content learning. Grounded in Gardner’s multiple intelligences theory, the research questions focused on teachers' perceptions of arts integration and their recommendations for implementation. Data were collected through semistructured interviews with 10 K–12 visual arts teachers in Texas who had at least 1 year of teaching experience. …
Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson
Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson
Walden Dissertations and Doctoral Studies
Parental incarceration is an adverse childhood experience that can influence children’s emotional, educational, relational, and developmental outcomes into adulthood. Although previous research had examined the effects of parental incarceration on children, limited research had explored how young adults perceive their life course development when a parent was incarcerated for a violent crime. The purpose of this generic qualitative study was to explore the perceptions of young adults, age 18–25, regarding their life course development following parental incarceration for a violent crime. Elder’s life course development theory was the framework for this study. Data were collected through semistructured interviews with three …
Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian
Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian
Walden Dissertations and Doctoral Studies
Black American female business owners remain underrepresented in government contracting despite the availability of federal, state, and local procurement opportunities. Some Black American female business owners lack effective strategies to secure government contracts, which may limit business growth and profitability. Grounded in innovation and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies Black American female entrepreneurs use to secure government contracts. The participants were six Black American female entrepreneurs who had successfully secured government contracts and possessed experience navigating government procurement processes. Data were collected using semistructured interviews and organizational documents. Through …
Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim
Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim
Walden Dissertations and Doctoral Studies
Access to health care is a fundamental right of every refugee, yet gaps in implementing Kenya's Refugees Acts of 2006 and 2021 continue to limit access for Somali refugees in Dadaab camp. Existing research has documented resource constraints, movement restrictions, and other barriers to refugee health care, but how policy implementation gaps shape access in Dadaab has not been well explored. The purpose of this qualitative descriptive study was to understand barriers to health care access for Somali refugees resulting from gaps in implementing Kenya's refugee health policies. The narrative policy framework guided the study. Data from semistructured interviews with …
Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun
Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun
Walden Dissertations and Doctoral Studies
Failure to retain employees remains a significant concern for small information technology (IT) business leaders. Without clear, actionable strategies, these leaders may struggle to avoid the high costs associated with employee turnover, negatively affecting revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small IT business leaders in Nigeria use to retain IT employees for business sustainability. Participants included seven small IT business leaders in Nigeria who had used effective strategies to retain employees. Data were collected from semistructured interviews and publicly available documentation. Six themes emerged from …
A Study On Police Budgets And Impact On Public Safety, Vera Thompson
A Study On Police Budgets And Impact On Public Safety, Vera Thompson
Walden Dissertations and Doctoral Studies
Law enforcement agencies face ongoing organizational and resource challenges, yet there is limited research on how changes in police funding relate to crime rates and violent crime. There has been increased public awareness concerning police related encounters with civilians, and this has intensified debates about reducing law enforcement budgets. Current literature indicates that although police funding, staffing, and community trust are closely associated with public safety outcomes, empirical evidence on the relationship between police budget reductions and changes in violent crime and overall crime rates remains limited and insufficient to support definitive policy conclusions. The purpose of this quantitative study …
Nurses' Perceptions On Emotional Exhaustion, Hannah Espera
Nurses' Perceptions On Emotional Exhaustion, Hannah Espera
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that U.S. nurses experience high levels of emotional exhaustion (EE) in their role as professional caregivers, adult learners, and educators. Grounded in Maslach's burnout theory, the purpose of this qualitative study was to explore U.S. nurses’ perceptions of EE as professional caregivers, adult learners, and educators. For this basic qualitative design, semistructured interviews were conducted with 10 nurses licensed in the United States who were working in direct patient care roles, across multiple specialties, and with various levels of experience and licensure. Through in vivo and pattern coding, the following findings …
Level Of Stroke Center Designation And The Association With Hcahps Nurse Communication Scores And Hcahps Discharge Instruction Scores In North Carolina Hospitals In 2023, Donna Lee Frederick
Level Of Stroke Center Designation And The Association With Hcahps Nurse Communication Scores And Hcahps Discharge Instruction Scores In North Carolina Hospitals In 2023, Donna Lee Frederick
Walden Dissertations and Doctoral Studies
Strokes are costly and the leading cause of disability and a leading cause of death in the United States. Stroke management has improved through a partnership between The Joint Commission and The American Heart Association, which established stroke care center certifications for hospitals nationwide. Despite this progress, North Carolina (NC) remains within the Stroke Belt due to the high prevalence of stroke there. In some areas of NC, the stroke mortality rate is 40% higher than the national average. Guided by the Donabedian model, this quantitative correlational study investigated the association between stroke center designation levels and the Hospital Consumer …
Clinical Supervision In Local County Jails: The Descriptive Experiences Of Mental Health Supervisors, Vanessa Qualls
Clinical Supervision In Local County Jails: The Descriptive Experiences Of Mental Health Supervisors, Vanessa Qualls
Walden Dissertations and Doctoral Studies
The overrepresentation in correctional settings of persons who are seriously mentally ill and/or challenged with addiction has necessitated the presence of qualified mental health professionals. Implementation of quality mental health treatment in correctional settings has been met with various barriers, such as limited resources, physical space constraints, and safety concerns. While these barriers are present in most correctional settings, jails are more likely to encounter individuals who are experiencing acute symptoms related to mental illness and addiction, aggression, and crisis. Mental health counselors make up a significant portion of the mental health workforce in jail settings and may assume clinical …
Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles
Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles
Walden Dissertations and Doctoral Studies
Gaps in counselor education leave many counselors inadequately prepared to initiate sexuality-related conversations with clients. This qualitative hermeneutic phenomenological study was an exploration of the lived experiences of independently licensed mental health counselors and the personal, cultural, and professional meanings they constructed around initiating conversations related to sexuality. Guided by hermeneutic phenomenology and social constructivism, semistructured interviews were conducted with six independently licensed mental health counselors who had practiced independently for at least 5 years and primarily worked with adult clients. Data were analyzed using interpretative phenomenological analysis (IPA). Three overarching themes emerged: (a) societal and religious influences and misconceptions …
The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann
The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann
Walden Dissertations and Doctoral Studies
In recent years, transgender people have been more open to living as the gender they believe they were meant to be, instead of the gender they were born as. With this decision, they are more susceptible to mistreatment and discrimination in the workplace. The purpose of this qualitative study was to explore and understand the experiences and perceptions of discrimination of transgender individuals within workplaces in the U.S. state of Mississippi. Transgender identity development (TID) and social identity theory provided a theoretical framework for examining participants’ lived experiences of perceived transgender workplace discrimination, navigation of this discrimination, and the role …
Relationship Between Financial Performance And Healthcare Quality Outcomes, Ela C. Lena
Relationship Between Financial Performance And Healthcare Quality Outcomes, Ela C. Lena
Walden Dissertations and Doctoral Studies
Hospital leaders face increasing pressure to improve quality outcomes while controlling costs. The evidence is limited on whether hospital financial performance predicts overall quality star ratings. Grounded in the general contingency theory, this quantitative, correlational project examined the predictive relationship between operating margin, current ratio, and a composite of quality metrics represented by the overall hospital Quality Star Rating (QSR). Data included the population of acute care hospitals in Massachusetts with 25 or more beds, yielding a final analytic sample of 54. Four year-specific multiple linear regression models were performed from 2021 through 2024. The analyses did not indicate a …