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Effective Resilience Of African American Adolescent Mothers In Urban Communities, Charlene Spicer-Harmon
Effective Resilience Of African American Adolescent Mothers In Urban Communities, Charlene Spicer-Harmon
Walden Dissertations and Doctoral Studies
No abstract provided.
Elevation, Demographic Composition, And Suicide Rates: A Municipality-Level Analysis In Colorado And Wyoming, Steven Loader
Elevation, Demographic Composition, And Suicide Rates: A Municipality-Level Analysis In Colorado And Wyoming, Steven Loader
Walden Dissertations and Doctoral Studies
No abstract provided.
Reducing Hospital-Acquired Pressure Injuries In Acute Care Facilities: Evidence-Based Strategies For Improving Patient Safety And Cms Compliance, Hugo Aldhair Lopez
Reducing Hospital-Acquired Pressure Injuries In Acute Care Facilities: Evidence-Based Strategies For Improving Patient Safety And Cms Compliance, Hugo Aldhair Lopez
Walden Dissertations and Doctoral Studies
No abstract provided.
Staff Education To Enhance Depression Screening Using The Patient Health Questionnaire-9, Thabile Ngcobo
Staff Education To Enhance Depression Screening Using The Patient Health Questionnaire-9, Thabile Ngcobo
Walden Dissertations and Doctoral Studies
No abstract provided.
Rural, Multigrade Kindergarten Through Grade 8 Teachers’ Experiences With Differentiated Instruction In A Northwestern State, Kristi Lynn Borge
Rural, Multigrade Kindergarten Through Grade 8 Teachers’ Experiences With Differentiated Instruction In A Northwestern State, Kristi Lynn Borge
Walden Dissertations and Doctoral Studies
No abstract provided.
Decision-Making Of Adult Children Not Using Schedule I Substances Like Their Parents, Deanna Alberta Mccloe
Decision-Making Of Adult Children Not Using Schedule I Substances Like Their Parents, Deanna Alberta Mccloe
Walden Dissertations and Doctoral Studies
No abstract provided.
The Lived Experiences Of Mental Health Clinicians Treating Adolescents Diagnosed With Oppositional Defiant Disorder, Gilbert Hernandez
The Lived Experiences Of Mental Health Clinicians Treating Adolescents Diagnosed With Oppositional Defiant Disorder, Gilbert Hernandez
Walden Dissertations and Doctoral Studies
No abstract provided.
Strategies To Increase Service Utilization And Profitability In The Non-Emergency Medical Transportation Business, Ugochukwu Obidiugwu Onyemaobi
Strategies To Increase Service Utilization And Profitability In The Non-Emergency Medical Transportation Business, Ugochukwu Obidiugwu Onyemaobi
Walden Dissertations and Doctoral Studies
Underutilization of services is a concern for business managers because it reduces organizational profitability and efficiency. Business leaders in non-emergency medical transportation organizations are particularly affected by this issue due to its impact on operational sustainability. Grounded in change management and innovation theories, this qualitative pragmatic inquiry explores strategies managers use to mitigate service underutilization and increase profitability. The participants were six managers of non-emergency medical transportation businesses who implemented successful strategies to mitigate service underutilization and increase profitability. Data were collected using semi-structured interviews and publicly available documents. Through thematic analysis, six themes were identified: (a) optimizing scheduling efficiency, …
Perceptions Of Instructional Accommodations Among Nursing Students With Information Processing Disorder, Imaobong Aliyu
Perceptions Of Instructional Accommodations Among Nursing Students With Information Processing Disorder, Imaobong Aliyu
Walden Dissertations and Doctoral Studies
Instructional accommodations in nursing education often emphasize testing adjustments, while classroom-based instructional support for students with information processing challenges remains underexamined. This descriptive qualitative study explored pre-licensure nursing students’ perceptions of instructional accommodations for students with information processing disorders in Southern California. Guided by humanistic learning theory, the study addressed the research question: What are the perceptions of instructional accommodations in the classroom setting among pre-licensure nursing students with information processing disorders? Seven pre-licensure nursing students participated in semistructured Zoom interviews. Data were analyzed using an inductive process consistent with Saldaña’s analytic approach. Analysis revealed one overarching theme- Instructional accommodations …
Strategies Used By Software Leaders To Manage Technical Debt, Noel G. Alexander
Strategies Used By Software Leaders To Manage Technical Debt, Noel G. Alexander
Walden Dissertations and Doctoral Studies
A lack of effective strategies for managing software technical debt (TD) can negatively affect organizational performance. Software leaders are concerned that unmanaged TD threatens business growth and competitiveness. Grounded in bounded rationality theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies used by software leaders to reduce software TD. The participants were six senior software leaders from private software companies in the United States. Data were collected through semistructured interviews and the review of publicly available industry reports. Through thematic analysis, four themes were identified: (a) balancing product delivery and technical health; (b) leadership, stewardship, and …
Narratives From Law Enforcement Officers Who Leave Policing, Hector Rene Matascastillo
Narratives From Law Enforcement Officers Who Leave Policing, Hector Rene Matascastillo
Walden Dissertations and Doctoral Studies
Beginning in May 2020, a national exodus of law enforcement officers (LEOs) from the profession occurred. There has been speculation about the causes, including social unrest and trauma, while some claim that there has always been this level of attrition. The purpose of this study was to capture the narratives of LEOs regarding what motivated them to leave the profession after May 2020 and before achieving their retirement goals. The theoretical lens of general strain theory guided this study, as it posits that people under great strain resort to options that they would not usually consider, such as leaving the …
The Role Of Dollar Store Proliferation In Influencing Diabetes And Obesity Rates In West Virginia, Kelli L. Keith
The Role Of Dollar Store Proliferation In Influencing Diabetes And Obesity Rates In West Virginia, Kelli L. Keith
Walden Dissertations and Doctoral Studies
Dollar stores are the fastest growing food retail format and are highly concentrated in rural, low-income communities including West Virginia, where diabetes and obesity prevalence rank among the highest in the United States. Although these retailers increase physical access to food, concerns remain about their limited healthier food options and potential contribution to chronic disease disparities. Guided by the socioecological model, this three-manuscript dissertation examined how dollar store density and healthier food availability related to county-level diabetes and obesity prevalence in West Virginia. Manuscript 1 used a cross-sectional ecological design with all 55 West Virginia counties, using data from USDA, …
The Correlation Of Beer, Wine, And Liquor Excise Tax With Alcohol-Impaired Traffic-Related Deaths In All 50 U.S. States, Paul R. Amigh Ii
The Correlation Of Beer, Wine, And Liquor Excise Tax With Alcohol-Impaired Traffic-Related Deaths In All 50 U.S. States, Paul R. Amigh Ii
Walden Dissertations and Doctoral Studies
Alcohol-impaired driving remains a persistent public health and safety problem in the United States, resulting in thousands of preventable deaths each year and substantial societal costs. Policymakers frequently rely on alcohol excise taxes as a deterrence strategy; however, evidence regarding the effectiveness of taxation alone in reducing alcohol-impaired traffic fatalities remains mixed. The purpose of this quantitative, correlational study, grounded in economic deterrence theory, was to assess relationships between state-level beer, wine, and liquor excise tax rates and alcohol-impaired traffic fatality rates per 100,000 population in 2019. A cross-sectional design used secondary data from all 50 U.S. states and the …
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Perceived Influence Of Childhood Domestic Violence Exposure On Intimate Relationships Among Heterosexual African American Men, Ronnie Lyman
Walden Dissertations and Doctoral Studies
Childhood exposure to domestic violence (DV) remains a significant and underexplored issue within clinical social work, particularly as it pertains to African American men. This doctoral project involved addressing limited understanding of how heterosexual African American men who were exposed to DV in childhood perceived these early experiences in terms of shaping their emotional wellbeing and intimate partner relationships in adulthood. Guided by the intergenerational transmission of violence theory, this study involved exploring reflective narratives of men who experienced such exposure. Via a basic qualitative research design, data were collected through semi-structured interviews with seven purposefully selected participants who were …
Staff Education On The Implementation Of Walking Interventions, Cynthia Ononobi
Staff Education On The Implementation Of Walking Interventions, Cynthia Ononobi
Walden Dissertations and Doctoral Studies
The doctoral project was a staff education project aimed at improving the knowledge of psychiatric nurses on the use of structured walking interventions to manage depression. The practice problem was related to the lack of consistency in the application of walking as a treatment for depression. This gap was significant to address because psychiatric nurses are in the center of behavioral activation, and insufficient knowledge may deny patients the right to potentially valuable, affordable, and nonpharmacological treatment. The practice-based question was: Among psychiatric nursing staff does education on structured walking intervention, compared to standard care, improve staff knowledge and skills …
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
A Grounded Theory Approach To Explaining Leadership And Leadership Processes Among Oncology Social Workers, Larmender Amia Davis
Walden Dissertations and Doctoral Studies
The absence of comprehensive field-specific leadership theories leaves oncology social work leaders insufficiently equipped to navigate organizational challenges such as policy shifts, financial pressures, and workforce dynamics. The purpose of this qualitative grounded theory study was to generate an explanatory theory of leadership grounded in the experiences of social work leaders practicing in oncology settings. The grounded theory and a conceptual framework on leadership processes, ethical identity, and organizational context guided this study. Data were collected through semistructured interviews with 12 oncology social work leaders in the United States. Five categories emerged and were analyzed using the constant comparative method: …
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran
Walden Dissertations and Doctoral Studies
A mental health therapist is a licensed professional who is trained to identify any barriers or regression during the recovery process with their female patients’ psychological experiences from sexual violent trauma (SVT) perpetrated by a degree of familiar offenders. In this study, the therapists’ perceptions identified the impact of the SVT committed by a familiar offender toward the female victim’s recovery process. The theoretical foundation included betrayal trauma theory, moral injury, and victimology. The research question addressed how therapists described the psychological recovery of female patients who experienced sexual violence by a familiar offender. The research design was data collection …
Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi
Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi
Walden Dissertations and Doctoral Studies
The increasing use of telehealth in autism care has created opportunities to improve caregiver satisfaction as it remains a critical challenge in pediatric specialty settings. The purpose of this integrative review was to identify strategies that healthcare administrators can implement to improve caregiver satisfaction with telehealth platforms and optimize care delivery for autism patients. Using an integrative review methodology and viewed from the lens of the unified theory of acceptance and use of technology framework, evidence from 20 research and non-research sources published between 2018 and 2025 were analyzed, using the Johns Hopkins nursing evidence-based practice model and synthesized. The …
Health-Related Quality Of Life Of Women With Polycystic Ovary Syndrome In Malaysia, Stephanie Yang
Health-Related Quality Of Life Of Women With Polycystic Ovary Syndrome In Malaysia, Stephanie Yang
Walden Dissertations and Doctoral Studies
Polycystic ovarian syndrome (PCOS) is the most prevalent endocrine condition among women of reproductive age. PCOS is known to be a chronic disease that presents significant physical and body image issues, which in turn are associated with lowered emotional and health-related quality of life. Previous studies point to widespread dissatisfaction and delays with the diagnosis of PCOS and a lack of information provided by doctors. This phenomenological study was guided by Wilson and Cleary’s model of health-related quality of life to explore the health-related quality of life in Malaysian women with PCOS. Seven Malaysian women aged 29 to 50 years …
The Association Between Racial Discrimination And Pregnancy-Related Hypertension Among Department Of Health And Human Services Regions Between 2016 And 2022, Emily Chew
Walden Dissertations and Doctoral Studies
This quantitative study examined the association between racial discrimination and pregnancy-related hypertension among women age 18–40 in the United States, and how this relationship is modified by age and the Department of Health and Human Services (HHS) regions (states). Guided by the social ecological model, this research measured whether race, place, and lived experiences of discrimination contributed to disparities in maternal health outcomes. The study utilized the Centers for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System data set (2016–2022) which represented 81% of United States live births (n=249,970). The independent variable was self-reported racial discrimination during pregnancy, delivery, …
Strategies To Improve Diversity In Leadership And The Representation Of Black Women Within An Integrated Nonprofit Health Care System, Dominique Clark
Strategies To Improve Diversity In Leadership And The Representation Of Black Women Within An Integrated Nonprofit Health Care System, Dominique Clark
Walden Dissertations and Doctoral Studies
Black women have been underrepresented in health care leadership, specifically at the senior level. The purpose of this integrative review was to identify strategies that could be implemented to increase representation for Black women in health care leadership, with emphasis on senior leadership. The review question centered on sustainable strategies and best practices that support an increased representation of Black women in health care leadership. Relational leadership theory (RLT) served as the theoretical framework, demonstrating that leadership advancement is influenced by relational networks. A comprehensive literature review identified 50 articles that were critically appraised using the John Hopskins evidence tools, …
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Prenatal Care Access And Pregnancy Outcomes Among Black Women Ages 15–44 In Cook County, Illinois, Deandrea Heggins
Walden Dissertations and Doctoral Studies
Maternal health disparities affecting Black women in the United States remain a persistent public health concern due to inequities in prenatal care access and adverse birth outcomes. Prior research has shown that socioeconomic conditions, insurance coverage, and systemic barriers influence prenatal care utilization and maternal outcomes; however, limited research has examined how Medicaid coverage, household income, preterm birth, and birth weight are collectively associated with prenatal care access among Black women in Cook County, Illinois. The purpose of this quantitative correlational study was to examine the relationships among these factors and access to prenatal care among Black women ages 15–44 …
Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth
Exercise Behavior Determinants Of The United States Military And Veterans, Ira Seth
Walden Dissertations and Doctoral Studies
Despite organizational policy and access to physical activity facilities, the U.S. Department of Defense has observed an increase in the prevalence of service members classified as overweight or obese. Guided by the social-ecological model, this quantitative study investigated the work-related exercise determinants within the U.S. military community. Voluntarily recruited current and former service members from Stars and Stripes completed the Office Exercise Behavior Determinant Scale and the International Physical Activity Questionnaire, along with demographic and biometric questions, to identify physical activity behavior and potential barriers. Findings revealed statistical significance related to exercise duration and military variables (e.g., occupation, race/ethnicity), as …
Information Security Strategies To Thwart Cybersecurity Attacks In The Financial Services Industry, Donovan Anthony Miles
Information Security Strategies To Thwart Cybersecurity Attacks In The Financial Services Industry, Donovan Anthony Miles
Walden Dissertations and Doctoral Studies
Financial markets and industries are vulnerable to ransomware attacks. Information technology (IT) security subject matter experts (SMEs) are concerned about ransomware cyberattacks on critical infrastructure that threaten their customers’ financial privacy and the institution’s reputation, causing severe financial losses and diminishing productivity. Grounded in the diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry was to explore strategies IT security SMEs use to increase the implementation of existing solutions to thwart cybersecurity attacks in the financial services sector. The participants were six IT security SMEs in the financial industry in the Northeast United States who were responsible for …
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Human Service Professionals’ Perceptions Culturally Competent Resources For Transracial Adoption, Rachelle Tau-Stewart
Walden Dissertations and Doctoral Studies
Transracial adoption continues to increase in the United States, particularly in states with predominantly White populations; yet, culturally competent preparation and postadoption resources remain limited. The lack of structured cultural socialization and race-responsive supports places transracially adopted youth at increased risk for identity disruption, mental health challenges, and experiences of racism and microaggressions. The purpose of this qualitative action research study was to explore human service professionals’ perceptions of the services needed to provide culturally competent resources for transracial adoption in Washington State. Guided by the Transracial Adoption Parenting Series framework developed by the Coalition for Children, Youth, and Families, …
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Strategies To Reduce Diagnostic Wait Times In Vha Facilities, Frankie Loadz Odlens Beaubrun
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, providing care to millions of veterans annually. Diagnostic service wait times affect veteran access to timely diagnoses and subsequent eligibility for disability benefits, vocational rehabilitation, and social services. The purpose of this integrative review was to identify evidence-based strategies to reduce diagnostic wait time within the VHA. The guiding review question addressed what strategies VA medical centers can use to reduce diagnostic wait times. Guided by Donabedian’s structure-process-outcome framework, a comprehensive literature search initially identified 487 sources across multiple databases. Subsequently, systematic screening and application …
Lived Experiences Of Husbands Of Deployed Military Spouses, Timothy Lee Heath
Lived Experiences Of Husbands Of Deployed Military Spouses, Timothy Lee Heath
Walden Dissertations and Doctoral Studies
The focus of this study was to explore the lived experiences of civilian husbands during the deployment of their active-duty spouses. Although there is plenty of information concerning the negative and demanding impacts of deployment on female spouses and children, more is needed to understand the lived experiences of husbands of deployed soldiers. Research has confirmed that husbands of deployed soldiers have distinctive gender-specific needs that have been inadequately addressed, leading to adverse psychosocial effects. The couple adaptation to traumatic stress model and gender role theory served as the frameworks for this study to identify the psychosocial issues faced by …
Strategies Of It Leaders For Deploying Cloud-Native Applications In Emerging Markets, Peter Ekhator
Strategies Of It Leaders For Deploying Cloud-Native Applications In Emerging Markets, Peter Ekhator
Walden Dissertations and Doctoral Studies
Cloud-native applications are transforming organizational information technology (IT) operations by enabling scalability, flexibility, and cost efficiency. However, some IT leaders in emerging markets lack evidence-based strategies for successfully deploying cloud-native applications. IT leaders and organizational decision-makers are concerned because ineffective deployment limits the ability to leverage cloud technologies for innovation, operational resilience, and sustained competitiveness. Grounded in the technology–organization–environment (TOE) framework, the purpose of this qualitative pragmatic inquiry was to explore strategies IT leaders use to deploy cloud-native applications in emerging-market contexts. Data were collected using semistructured interviews from 10 IT leaders with experience deploying cloud-native applications and were supplemented …
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Occupational Stressors Correlated With Depression And Burnout Among Criminal Defense Attorneys, Fay Frances Spence
Walden Dissertations and Doctoral Studies
No prior studies have compared occupational stressors of criminal defense lawyers by practice setting (public defender, court-appointed, or retained). In this mixed-method study, the goal was to identify occupational stressors perceived by criminal defense lawyers in different settings and to determine if those stressors were correlated with depression, anxiety, and burnout, using Maslach’s burnout-engagement continuum as the theoretical framework. Based on stressors identified in semistructured interviews with 15 criminal defense lawyers, the Criminal Defender Stress Survey (CDSS) was created to measure the frequency and perceived intensity of identified stressors. The CDSS was incorporated into an online survey, along with the …
Bound By Belief: Exploring The Influence Of Internalized Rape Myths On Survivor Agency And Identity, Arika I. White
Bound By Belief: Exploring The Influence Of Internalized Rape Myths On Survivor Agency And Identity, Arika I. White
Walden Dissertations and Doctoral Studies
This qualitative study explored how internalized RMA impacts survivors’ cognitive processing, coping strategies, and psychological agency, as observed by licensed psychotherapists who treat sexual assault survivors. Despite extensive literature on the societal impacts of RMA, less attention has been given to understanding how these cultural myths are internalized by survivors and manifest intrapsychically, influencing self-perception, self-blame, and identity reconstruction following trauma. Using a phenomenological approach, semi-structured interviews with therapists provided meta-level insights into how survivors’ narratives reflect internalized cultural stigma and misogynistic beliefs. Thematic analysis was used to identify patterns of maladaptive coping, internalized misogyny, and diminished agency, revealing how …