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Walden Dissertations and Doctoral Studies

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Preschool Special Educators' Perceptions On Using Role-Play To Improve Language Development For Preschoolers With Autism, Ini Udosen Apr 2026

Preschool Special Educators' Perceptions On Using Role-Play To Improve Language Development For Preschoolers With Autism, Ini Udosen

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that preschool special educators are not consistently integrating role-play strategies when teaching language development to children with autism spectrum disorder (ASD) at ABC district (a pseudonym), a district in the southeastern United States. Grounded in Vygotsky’s social learning construct, the purpose of this study was to explore the perceptions of preschool special educators on using role-playing exercises to model proper communication behaviors and to improve learning skills as well as other advantages of role-play activities for children with ASD at ABC district. For this basic qualitative study, semistructured interviews were conducted …


Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr Apr 2026

Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr

Walden Dissertations and Doctoral Studies

Primary caregivers of teenage violent offenders play a vital role in identifying and addressing safety concerns, providing emotional and financial support, and meeting individual developmental and psychosocial needs. As more grandparents assume the role of primary caregiver, the need for targeted interventions to support their emotional and psychosocial health continues to grow, emphasizing the increasing importance of population-specific support for grandparents caring for their grandchildren. Problems arise when grandparents take on this role without access to interventions or resources that are designed for caring for adjudicated teen violent offenders. This qualitative generic study involved exploring emotional challenges faced by custodial …


Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis Apr 2026

Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis

Walden Dissertations and Doctoral Studies

Shingles (herpes zoster) causes substantial morbidity, especially among adults over age 50 in the United States. There is a need to better understand the reasons behind low vaccination rates among adults over age 50 given the associated risks for infection and adverse health outcomes that can reduce their quality of life. This qualitative interpretative phenomenological study explored how individuals’ perceptions of the benefits, barriers, susceptibility, and severity of shingles influence vaccine intentions and identified what factors influence vaccine uptake. The health belief model was used to guide the study. Data were collected from one-on-one semistructured virtual interviews with eight adults …


Influence Of Moral Development, Religiosity, Achieved Belongingness, And Collective Narcissism On Conspiracy Theory Beliefs, Barbara Mahoney Lee Apr 2026

Influence Of Moral Development, Religiosity, Achieved Belongingness, And Collective Narcissism On Conspiracy Theory Beliefs, Barbara Mahoney Lee

Walden Dissertations and Doctoral Studies

Belief in conspiracy theories has been linked to prejudice and societal instability, underscoring the importance of understanding the psychological factors that shape such beliefs. This quantitative correlational survey research examined the extent to which moral development, religiosity, achieved belongingness, collective narcissism, and political party affiliation predict conspiracy theory beliefs. Wood’s three-tier model of conspiracy theory beliefs provided the conceptual framework for the study. Using validated quantitative measures in an anonymous, demographically stratified sample (N = 279), a stepwise regression analysis assessed how individual and group-level factors contribute to conspiratorial thinking. Although political party affiliation was not an initial focus, preliminary …


Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell Apr 2026

Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell

Walden Dissertations and Doctoral Studies

Hypovitaminosis D is a significant public health concern in the United States associated with inadequate sunlight exposure and insufficient dietary intake. Asthma is a chronic respiratory condition that progressively worsens over time. While asthma is typically managed through individual-level treatment approaches, population-level strategies such as vitamin D supplementation and food fortification policies have not been implemented. A five-tier Public Health Impact Pyramid theoretical foundation guided this nonexperimental quantitative cross-sectional study. Data from 2013-2014 and 2017-2018 NHANES (n = 1,456) was evaluated for relationships between vitamin D supplementation, duration of sunlight exposure, and food security index, with asthma, asthma exacerbation severity, …


Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher Mar 2026

Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher

Walden Dissertations and Doctoral Studies

The issue of driving under the influence (DUI) is a continuous problem in rural communities, especial those in Indian Country. Alcohol use and abuse has long been a health concern for these communities contributing to higher mortality rates and increased incarceration rates for American Indian / Alaskan Native (AIAN) populations. Wellness courts, using the problem-solving court model, have been successful in helping DUI offenders achieve sobriety and wellness. While the model has been successful, there remains a lack of qualitative research into why participants find success in these programs; especially marginalized populations such as AIAN. This phenomenological qualitative study was …


Grade 8 Mathematics Teachers’ Perceptions Of Students’ Low Performance In A Northeast U.S. State, Jheneal Dixon Mar 2026

Grade 8 Mathematics Teachers’ Perceptions Of Students’ Low Performance In A Northeast U.S. State, Jheneal Dixon

Walden Dissertations and Doctoral Studies

The problem that was addressed through the study is that 82% of Grade 8 students score below proficiency on the end of year mathematics exam in a Northeast state. Grounded in Deci and Ryan’s self-determination theory, Maslow’s hierarchy of needs, and Gay’s culturally responsive theory, the purpose of this qualitative study was to explore Grade 8 mathematics teachers’ perceptions of the factors contributing to students’ low performance and the resources needed to support student success. For this basic qualitative design, semistructured interviews with 10 Grade 8 mathematics teachers were conducted. Through thematic analysis, the following four themes emerged: teachers were …


Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton Mar 2026

Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton

Walden Dissertations and Doctoral Studies

Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …


Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill Mar 2026

Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill

Walden Dissertations and Doctoral Studies

Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …


Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar Mar 2026

Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar

Walden Dissertations and Doctoral Studies

A lack of effective strategies for adopting generative artificial intelligence (GenAI) limits business leaders in the Caribbean’s ability to enhance business performance and decision-making. Business executives, shareholders, employees, and policymakers are vested in the success of Caribbean businesses to remain competitive and become more efficient. Grounded in the technology acceptance model (TAM), the purpose of this qualitative, pragmatic inquiry project was to identify and explore the strategies Caribbean business leaders use to successfully adopt GenAI, thereby enhancing business performance and decision-making. The participants were seven business leaders from for-profit organizations in the English-speaking Caribbean. Data were collected using semistructured interview-based …


The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett Mar 2026

The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett

Walden Dissertations and Doctoral Studies

Homelessness is a worldwide, complex social problem that has impacted groups like women and children. In recent studies, researchers have demonstrated that homeless mothers can face mental health challenges and stressors related to parenting, while homeless children can experience emotional and physical difficulties. Parental resources have been cited as a tool to help homeless families address stress and development in distinct settings in current research; however, there was limited research on how faith-based non-profits utilize parental resources to help homeless mothers. The purpose of the generic qualitative study was to learn the perceptions and experiences of faith-based non-profit human services …


Contributing Factors To The Rise In Juvenile Gun-Related Homicides: Investigating Criminal Behavior In Southern Georgia, Tracey Hudson Mar 2026

Contributing Factors To The Rise In Juvenile Gun-Related Homicides: Investigating Criminal Behavior In Southern Georgia, Tracey Hudson

Walden Dissertations and Doctoral Studies

Gun-related juvenile homicides continue to be a critical public health and social issue, disproportionally affecting African American males aged 17. Prior research identified poverty, neighborhood violence, individual and familial risks, gang affiliation, and inadequate education as contributors to the increase in juvenile gun-related homicides. In this study, the relationship between gun-related juvenile homicides and poverty, violent crimes, and gang affiliation were examined from 2019 to 2023 in 66 counties within South Georgia. Guided by sociological positivism, a quantitative non-experimental design was used using secondary data sources that included juvenile homicide totals, demographic characteristics, poverty levels, violent crime rates, and gang …


Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates Mar 2026

Exploring The Process Of Using Equine-Assisted Psychotherapy To Treat Anxiety, Danica Yates

Walden Dissertations and Doctoral Studies

Anxiety is the most rapidly growing mental health problem globally, particularly among adolescents and young adults. Mental health clinicians need effective integrative health treatment strategies to address the anxiety epidemic. The purpose of this qualitative generic study was to explore the perspectives of clinicians on the process of using equine-assisted psychotherapy (EAP) to treat adolescents and young adults with anxiety through the lens of a somatic theory, bioenergetics. Data were collected using semi-structured interviews with 12 EAP clinicians and analyzed using Braun and Clarke’s thematic analysis. Three themes were identified: 1. The process of EAP is highly effective because energetic …


Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay Mar 2026

Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was the high percentage of novice teachers leaving the profession during the first 5 years of teaching in a Southwestern state. Grounded in Mitchell et al.'s job embeddedness theory, the purpose of this qualitative study was to explore K-12 teachers’ perspectives on factors influencing their decision to remain in the education profession, as well as K-12 administrators’ perspectives on influencing novice teachers’ decisions to persist in the education profession in a Southwestern state. For this basic qualitative design, data were collected from 10 teachers and three administrators and analyzed using Braun and …


Falls In Inpatient Hospital Settings, Merlina Constantine Mar 2026

Falls In Inpatient Hospital Settings, Merlina Constantine

Walden Dissertations and Doctoral Studies

Inpatient falls are a common and preventable problem that affects health care costs, patient safety, and clinical quality. Inpatient falls occur within hospitals, cause harm, extend hospitalization, and require additional healthcare funding. Falls harm a patient’s physical health and cause emotional trauma, decrease patient satisfaction, and undermine confidence in the hospital care systems. Falls are therefore a significant concern in the nursing practice environment because nurses form the first component of prevention, monitoring, and intervention. This doctoral project aimed to re-educate and reinforce staff understanding of clinical guidelines to prevent inpatient falls through evidence-based interventions targeting environmental, behavioral, and organizational …


Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton Mar 2026

Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton

Walden Dissertations and Doctoral Studies

Ineffective employee well-being strategies can contribute to elevated levels of voluntary turnover, resulting in increased employee replacement costs, lost organizational knowledge, and operational disruption. Human resource (HR) leaders who do not successfully develop employee well-being strategies may find their organization facing operational disruptions as a result. Grounded in social sustainability and the European corporate sustainability frameworks, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective employee well-being strategies used by HR leaders to reduce employee turnover and employee replacement costs. The participants were 10 HR leaders who had implemented effective employee well-being strategies. Data …


Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel Mar 2026

Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel

Walden Dissertations and Doctoral Studies

No abstract provided.


Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer Mar 2026

Exercise Effects On Decreased Levels Of Depression In Female Breast Cancer Patients, Dorothy Y. Spencer

Walden Dissertations and Doctoral Studies

Breast cancer patients with major depressive disorder (MDD) are at a high risk of experiencing pain and fatigue, anxiety and substance use, poor quality of life, marital spouses with elevated depression, impaired sexual functioning, sleep disorders, poor immune system functioning, rapid progression of cancer, and higher mortality rates. Grounded in Fritz Heider’s attribution theory, the purpose of this quantitative quasi-experimental study was to examine the relationship between physical exercise and a decrease in MDD. The participants comprised of 15 female breast cancer patients, 18 years of age and older, who may have experienced depression. The participants completed the Beck Depression …


Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards Mar 2026

Effect Of Physical Custody On Relationship Satisfaction In Adults, Mathew Aaron Richards

Walden Dissertations and Doctoral Studies

Custody decisions are often informed by attachment-based arguments, yet little research has examined long-term effects of custody type on adult outcomes. This study involved examining whether joint versus sole physical custody predicted relationship satisfaction, testing both parental attachment and socioeconomic status as mediators. Data were collected from 226 adult participants (mean age = 33.42), whose parents separated before age 13. Validated measures were used to assesse relationship satisfaction, parental attachment, and socioeconomic status. Participants who grew up in joint physical custody arrangements reported significantly higher relationship satisfaction compared to those who experienced sole physical custody (b = 0.54, p = …


Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela Mar 2026

Exploring The Lived Experiences Of African American Women In Counseling For Body Dysmorphia, Sitonja Valenzuela

Walden Dissertations and Doctoral Studies

African American women may experience body dysmorphia differently due to cultural, racial, and societal influences that shape their body perceptions and counseling experiences. Guided by a Heideggerian theoretical foundation, this hermeneutic phenomenological study aimed to explore how African American women experience receiving counseling for body dysmorphia in the United States. The guiding research question was: How do African American women with body dysmorphia experience receiving help in counseling? Eight African American women participated in in-depth, semi-structured interviews, and data analytic procedures were analyzed using the hermeneutic circle. Key findings revealed body dysmorphia as a persistent, embodied experience shaped by racialized …


The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett Mar 2026

The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett

Walden Dissertations and Doctoral Studies

No abstract provided.


Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips Mar 2026

Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips

Walden Dissertations and Doctoral Studies

The United States Department of Defense and Bureau of Labor Statistics estimated that female veterans and nurses experience work-related trauma at rates of 51% or higher. While many studies have examined their mental health outcomes, posttraumatic worsening of physical health has been less studied in this population. This generic qualitative inquiry was conducted to gain a deeper understanding of the subjective lived experiences of female nurses and veterans' work-related traumatic exacerbation of an existing respiratory disorder. The coping strategies developed, the potential barriers they overcame, and the support systems used were examined. The theoretical framework that grounded this study was …


Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry Mar 2026

Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry

Walden Dissertations and Doctoral Studies

Surgical site infections (SSIs) remain one of the most frequent and preventable complications following abdominal hysterectomy. Existing literature has focused on clinical and procedural risk factors, while less is known about how social conditions shape surgical outcomes. This gap is especially concerning for women in New York State (NYS) where differences in income, marital status, primary payer, rurality, and county-level food insecurity may influence postoperative outcomes and subsequent care. The socioecological model provided the foundation for this retrospective cohort study by examining how social drivers of health (SDoH) are associated with SSI incidence following abdominal hysterectomy, and whether food insecurity …


U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals Mar 2026

U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals

Walden Dissertations and Doctoral Studies

Pharmacists play a pivotal role in public health, particularly in promoting vaccination. However, vaccine hesitancy among pharmacists significantly undermines their willingness to provide effective patient counseling and to advocate for vaccination, potentially eroding public trust in vaccines. This descriptive-phenomenological study sought to understand the factors contributing to pharmacists’ COVID-19 vaccine hesitancy and how this hesitancy affected their willingness to recommend vaccines to patients. Twenty practicing pharmacists were interviewed via Zoom between September 23 and October 14, 2025. The health belief model helped interpret the study findings. Thematic analysis, as described by Braun and Clarke, was conducted to identify and interpret …


Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh Mar 2026

Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh

Walden Dissertations and Doctoral Studies

During the stage of late adolescence, marriage presents unique challenges, with partners navigating several developmental tasks in tandem with forming and maintaining marital relationships. Partner responsiveness has been consistently identified as a key factor for personal wellbeing and relationship satisfaction. Limited research has explored how late adolescent married individuals describe this dynamic. The purpose of this qualitative transcendental phenomenological study was to explore lived experiences of late adolescent married individuals between 18 and 20 who described their experiences with partner responsiveness during this transitional period. This study was grounded in Bronfenbrenner’s ecological systems theory in order to explore how relational …


Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller Mar 2026

Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller

Walden Dissertations and Doctoral Studies

There is a high rate of women in their late 20s and early 30s that are in destructive relationships, many because of decisions that were made during adolescence . Little research has focused on understanding the decision making process of entering intimate, long-term romantic relationships from the viewpoint of adult women in their late 20s through 30s who made that decision during adolescence. This phenomenological study allowed for a greater understanding of adolescent decision making, specifically about entering intimate, long-term romantic relationships. The research questions were (a) What are the lived experiences of young women as they enter intimate, long-term …


Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones Mar 2026

Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones

Walden Dissertations and Doctoral Studies

Nursing leadership in Belize is lacking but crucial to the well-being of patients, families, and the healthcare team. The purpose of this non-experimental, descriptive, comparative study was to a) determine the difference in leadership self-efficacy for current nurse leaders with three years or less of leadership experience compared to current nurse leaders with more than three years of leadership experience in Belize, and b) examine the differences in leadership self-efficacy between nurses in a leadership position and nurses not in a leadership position in Belize. The theories supporting the study were Burns’ transformational leadership theory and leadership self-efficacy, based on …


Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud Mar 2026

Standardizing Data-Sharing And Communication Procedures Among Healthcare Providers To Enhance Disaster Response, Bahaeldin Mahmoud

Walden Dissertations and Doctoral Studies

Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology …


Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee Mar 2026

Elementary Administrators’ Use Of Positive Behavioral Interventions And Supports As A School Reform Model For Discipline, Rashida Patrecé Lee

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was that elementary administrators struggle to implement the positive behavioral interventions and supports (PBIS) framework as a school reform model for discipline at a Southern school district (SSD). Grounded in Bandura’s theory on social learning, the purpose of this qualitative study was to explore elementary administrators’ perceptions of their successes, challenges, and recommendations for using the PBIS framework as a school reform model for discipline in the SSD. For this basic qualitative design, semistructured interviews were conducted with 12 administrators that implemented the PBIS framework in their schools. Through thematic analysis using …


From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li Mar 2026

From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li

Walden Dissertations and Doctoral Studies

Silo mentality within nonprofit behavioral health organizations creates barriers to effective leadership communication and undermines change management efforts. This case study involved examining how siloed practices influenced leadership communication during organizational change at a nonprofit behavioral health organization in a rural area of California. The study was grounded in the Baldrige Excellence Framework, which emphasizes leadership, workforce engagement, and systems alignment. Data were collected through semi-structured interviews with leaders at multiple organizational levels and review of internal archival documents. Thematic analysis revealed 3 central themes: siloed decision-making, information gatekeeping, and inconsistent communication, as well as localized resilience practices that were …