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Depression, Education, And Quality Of Life In Women With Endometriosis, Ria N. Gajar
Depression, Education, And Quality Of Life In Women With Endometriosis, Ria N. Gajar
Walden Dissertations and Doctoral Studies
Endometriosis is a chronic gynecologic condition associated with physical, psychological, and social burden. Guided by Engel’s biopsychosocial model, this study examined associations between depressive symptoms and general, physical, and mental health-related quality of life (HRQoL) among U.S. women aged 20–54 years with self-reported physician-diagnosed endometriosis. Data came from the 2005–2006 National Health and Nutrition Examination Survey. The analytic domain included 104 women; complete-case samples for the general and physical analyses included 102. Survey-weighted logistic regression accounted for the complex survey design and covariates. Elevated depressive symptoms were associated with higher adjusted odds of fair or poor general health (aOR = …
Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro
Effects Of The Efficient Implementation Of Corporate Finance Strategy On Company Performance, Benjamin Adewale Olugbemiro
Walden Dissertations and Doctoral Studies
The present global business environment requires organizations to be proactive, dynamic, innovative, and resilient in the face of increasing competition. Corporate executives must understand how effective implementation of finance strategies influences performance and how these strategies can be leveraged to support sustainable, socially responsible initiatives. The purpose of this qualitative case study was to improve the understanding of corporate executives’ perspectives about the effects of the efficient implementation of corporate finance strategy on company performance. The conceptual framework included Modigliani and Miller’s capital structure theory, stakeholder theory, and agency theory. The participants comprised 13 senior corporate executives and finance managers …
North Dakota Emergency Medical Personnel’S Perceptions Of Human Trafficking, Jessica Evans
North Dakota Emergency Medical Personnel’S Perceptions Of Human Trafficking, Jessica Evans
Walden Dissertations and Doctoral Studies
Human trafficking is an abhorrent human rights violation, and victims experience a myriad of health disturbances while being exploited. Victims often seek emergency medical care, but research consistently shows that emergency medical personnel (EMP) are largely unprepared to screen, identify, and respond to them. However, there has been no research exploring their preparedness to screen, identify, and respond to victims of human trafficking, the barriers and challenges to identification of human trafficking victims, and training needs to improve screening, identification, and response to human trafficking victims in North Dakota. This study employed a generic qualitative approach grounded in constructivism. The …
Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter
Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter
Walden Dissertations and Doctoral Studies
Women who experience both sexual trauma and abortion within their lifetime are highly likely to struggle with serious mental health symptoms; however, social work students and practitioners lack education and knowledge on how to serve these women. Recent events, including the uprising of gender and race related movements, COVID-19, heightened political division, and increased governmental control on abortion rights also impact social-work practice. Acknowledging intersectionality, the purpose of this qualitative study was to explore the experiences of abortion for Black women in the Southern United States who have a history of sexual trauma. The experiences of 6 Black women with …
The Relationship Between Medical Mistakes, Organizational Culture, And Patient Safety In South Florida Hospitals, Tachaumbi Lamaya Williams
The Relationship Between Medical Mistakes, Organizational Culture, And Patient Safety In South Florida Hospitals, Tachaumbi Lamaya Williams
Walden Dissertations and Doctoral Studies
The present study investigated the relationship between safety-promoting management structures and medical errors in South Florida hospitals. The purpose of the study was to determine if safety-promoting management frameworks reduce medical errors. Using Donabedian’s model, the main research question focused on whether specific organizational management systems are significantly associated with the frequency and severity of medical mistakes in these hospitals. Using a quantitative, cross-sectional research design, the study analyzed secondary data, initially collected by Leapfrog group. Data analysis involved descriptive statistics to profile the sample’s demographics and baseline characteristics, followed by inferential statistical tests to assess the primary hypothesis. Findings …
Staff Education On Preventing Benzodiazepines Related Falls In Older Adults, Dafnee Gilles
Staff Education On Preventing Benzodiazepines Related Falls In Older Adults, Dafnee Gilles
Walden Dissertations and Doctoral Studies
In geriatric psychiatric setting, falls rates are higher than general wards and could reach up to 13-25 falls per 1000 hospital days. High use of benzodiazepines in older adults is a major cause of increased falls despite recommendations to avoid its prescription to the population. This DNP staff education project focused on training nurses working in an 80 bed capacity geriatric psychiatric facility on best evidence based practice of preventing falls associated with use of BZDs. The identified practice issue was knowledge deficit on evidence based best practices to prevent falls in older adults under BZDs medications. The project aims …
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Determinants Of Clinical Supervisor Self-Efficacy In Substance Use Disorder Counseling, Victoria A. Nagel
Walden Dissertations and Doctoral Studies
Substance use disorder counselors face increasing challenges in responding to a growing and more severely affected population, often presenting with co-occurring mental health conditions and complex clinical needs. Clinical supervision plays a critical role in supporting counselor development, yet little is known about the factors that contribute to clinical supervisors’ self-efficacy in providing supervision for alcohol and drug counselors. The purpose of this quantitative correlational study was to examine whether years of counseling experience, years of substance use disorder (SUD) counseling experience, years as a clinical supervisor, professional counseling credentials, and supervisory credentials predicted self-efficacy among clinical supervisors. This study …
Staff Education To Improve Knowledge On Early Recognition Of Staff Burnout In Nurses Working In Long-Term Care, Geraldine Ndeng Akonwah
Staff Education To Improve Knowledge On Early Recognition Of Staff Burnout In Nurses Working In Long-Term Care, Geraldine Ndeng Akonwah
Walden Dissertations and Doctoral Studies
This doctoral project was a practice-based staff education project aimed at educating nurses concerning early burnout recognition. The educational intervention was chosen to promote awareness and knowledge related to the concept of burnout and self-care among nurses employed in a long-term care facility. The practice problem addressed was the high prevalence of nurse burnout and the limited ability of nurses to recognize early signs of burnout. The problem is significant in nursing practice as burnout is detrimental to the clinical judgment, patient safety, job satisfaction and staff retention. The guiding question of the project was as follows: Does a staff …
Faculty Perceptions About The Challenges Of Declining Enrollment In A Caribbean University, Courtney Palmer
Faculty Perceptions About The Challenges Of Declining Enrollment In A Caribbean University, Courtney Palmer
Walden Dissertations and Doctoral Studies
The precipitous decline in enrollment is a concerning aspect of higher education. The problem addressed in this study was that faculty members at a local university on a Caribbean island have faced an approximate 44% reduction in student enrollment over the past six years. Guided by the new learning compact framework (NLC), the purpose of this basic qualitative study was to explore industrial technology lecturers' perceptions from one Caribbean Island university about the challenges they experience from declining enrollment and examine their suggestions to improve enrollment. Twelve lecturers with tertiary-level teaching experience at the institution were interviewed using semi-structured interviews. …
Invisible Man: Mental Health Providers And How Implicit Bias Manifests When Treating African American Men, Jamila Kali Robinson
Invisible Man: Mental Health Providers And How Implicit Bias Manifests When Treating African American Men, Jamila Kali Robinson
Walden Dissertations and Doctoral Studies
African American men continue to face disproportionate barriers to engagement, accurate diagnosis, and equitable nonbiased treatment in mental health settings. The purpose of the qualitative narrative inquiry was to explore how implicit bias and sociocultural assumptions manifest among mental health providers who diagnose and treat African American men. Bronfenbrenner’s ecological systems theory, which considers the influences of all the systems that shape an individual’s lived experiences, was the study’s theoretical framework. Semi-structured interviews were conducted with five licensed mental health providers who worked in large hospital systems, private practice, or community-based clinics. The interview data were analyzed using Braun and …
Exploring Strategies For Leadership In Small Businesses, Edward B. King
Exploring Strategies For Leadership In Small Businesses, Edward B. King
Walden Dissertations and Doctoral Studies
Small businesses face challenges in maintaining leadership continuity. Unstable leadership transitions can jeopardize business survival. Business leaders are concerned with selecting qualified succession leadership to avoid increased business costs and operational disruptions. Grounded in replacement planning theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies used by business leaders in small Oklahoma enterprises to select qualified leadership successors. The participants were six leaders of small businesses in the U.S. state of Oklahoma who had successful strategies for selecting qualified leadership successors. Data were sourced from semistructured interviews and publicly available organizational documents. Thematic …
Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes
Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes
Walden Dissertations and Doctoral Studies
The nursing shortage is a critical global issue that significantly impacts emergency nurses (ER), leading to increased workloads, psychological stress, and heightened exposure to workplace violence (WPV). This phenomenon raises concerns among healthcare administrators and nurse leaders who seek strategies to improve retention and ensure quality patient care. The purpose of this qualitative study was to explore the meaning of workload, stress, and WPV among ER nurses during the U.S. nursing shortage. Guided by Herzberg’s two-factor theory, the study employed a phenomenological approach to capture nurses’ lived experiences. Data were collected through semi-structured interviews with eight ER nurses from diverse …
Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena
Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena
Walden Dissertations and Doctoral Studies
Healing generational trauma involves counselors’ understanding and recognizing the symptoms of unhealthy coping mechanisms in adults who witnessed adverse emotional reactions as children. Generational trauma occurs when generations have trouble building healthy relationships and pass unhealthy coping mechanisms to future generations. There has been a reported increase in youth and adults seeking mental health services for generational trauma. The problem was that there was insufficient information about how counselors recognize and respond to the symptoms of generational trauma or what treatment methods or modalities to use to support patients. The purpose of this generic qualitative study was to explore the …
Understanding Reporting Decisions: Qualitative Exploration Of Hate Crime Underreporting Among Minority Transgender Individuals, Shanise Anita Benitez
Understanding Reporting Decisions: Qualitative Exploration Of Hate Crime Underreporting Among Minority Transgender Individuals, Shanise Anita Benitez
Walden Dissertations and Doctoral Studies
Minority transgender individuals experience disproportionately high rates of hate‑motivated violence, yet these incidents remain substantially underreported. This qualitative study examined the social, structural, and identity‑based factors that influence reporting decisions among minority transgender adults in the United States. Guided by Bandura’s social learning theory and Crenshaw’s intersectionality theory, the study examined how participants’ lived experiences, community-based observations, and intersecting marginalized identities influence their perceptions of safety, trust, and institutional legitimacy. Semi‑structured interviews with minority transgender participants were analyzed using thematic analysis to identify patterns related to reporting behaviors, community‑driven coping strategies, and barriers to formal engagement with law enforcement. Findings …
Teachers And Administrators' Perceptions Of School Resource Officers, Shameka J. Duncan
Teachers And Administrators' Perceptions Of School Resource Officers, Shameka J. Duncan
Walden Dissertations and Doctoral Studies
School Resource Officers (SROs) play a significant role in middle and high schools in Metro Atlanta; however little research has included the perceptions of school administrators and teachers about their roles. The purpose of this descriptive qualitative study was to explore the perceptions of teachers and administrators regarding the roles of SROs and their perspectives on the practices that could enhance collaboration among these stakeholders in ensuring school safety. Informed by Gregory’s theory of perception, the study investigated how educators and administrators described their interactions with SROs. Data was gathered via semi-structured interviews with three teachers and three administrators and …
Impact Of Incentive Policies On Mathematics And Science Teachers’ Retention In Guyana’S Rural Secondary Schools, Verna Adrian
Impact Of Incentive Policies On Mathematics And Science Teachers’ Retention In Guyana’S Rural Secondary Schools, Verna Adrian
Walden Dissertations and Doctoral Studies
Research on teacher retention in rural areas highlights persistent challenges, including geographic isolation, limited resources, and inadequate support. Studies have shown that financial incentives are critical for sustaining teacher retention, but a gap in the literature exists as to what specific non-financial challenges may also be important in influencing teachers’ long-term commitment. To address the social problem of teacher retention in rural secondary schools in Guyana, this study assessed the effectiveness of incentive policies in retaining teachers across four selected regions facing unique challenges. Data were collected through semi structured interviews and analyzed using thematic analysis. The purpose of this …
Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro
Trauma Coping Mechanisms Among Police In Small Departments, Peter Michael Ungaro
Walden Dissertations and Doctoral Studies
Mental health services are available to police officers, but many do not utilize these resources due to stigma, shame, and fear of job loss. This reluctance often forces officers to handle mental health issues alone, frequently leading to unhealthy coping strategies that negatively impact their well-being and job performance. While advancements in mental health support exist, they primarily serve larger departments, leaving the needs of small departments largely unmet. The foundation of the study was rooted in resilience theory, which holds that the impact of trauma on an individual is determined not by the event itself but by the coping …
Community Reintegration Programs For Successful Reentry For Individuals Deemed Not Guilty By Reason Of Insanity, Joanna Baker
Community Reintegration Programs For Successful Reentry For Individuals Deemed Not Guilty By Reason Of Insanity, Joanna Baker
Walden Dissertations and Doctoral Studies
Very little research has been conducted on the institution of community reintegration programs for individuals deemed not guilty by reason of insanity (NGRI). In the United States, each state can determine the path for community reentry with the NGRI population. California has a strategic and supportive reentry program that requires services such as drug testing, individual therapy, and close monitoring. Other states, including North Carolina, do not have a reentry program in place for the NGRI population. No research exists comparing states with conditional release programs and states without these programs. Consistence in community reintegration programs among all states can …
Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Experiences Of Care-Seeking Parents With Children With Autism Spectrum Disorder In India, Yash Navnit Patel
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD) affects approximately 18 million individuals in India, yet the factors influencing parental care-seeking behavior were not well understood. Guided by the health belief model, the purpose of this basic qualitative study was to explore how parents’ perceived severity of a child’s symptoms, parental beliefs about the causes of autism, and perceived mental and physical health outcomes of caregiving influence parents’ intention to seek services for children aged 1–10 years diagnosed with ASD in India. Data were collected using semistructured interviews with 10 mothers of autistic children. Data were analyzed using Braun and Clarke’s six-step thematic analysis. …
Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee
Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee
Walden Dissertations and Doctoral Studies
This is a qualitative case study on Organization X that used the Baldrige Framework to investigate employee burnout, a growing concern associated with staff turnover, reduced job satisfaction, depression, and disengagement. The goal was to examine how organizational leaders assess the effectiveness of burnout prevention strategies, identify organizational factors and leadership practices that either mitigate or increase burnout, and discover key factors that contribute to burnout. Semi-structured interviews, guided by the Baldrige Framework, were conducted with three leaders at Organization X. The themes resulting from interviews included burnout, open-ended communication, team cohesion, real-time protection, ethical leadership and authenticity, restoring norms, …
Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren
Proposal For An Intensive Outpatient Program, Dorcas Olatokunbo Ogundemuren
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) executive leadership systems improvement program presents the design of an evidence-based intensive outpatient program (IOP) in a community psychiatric clinic in the central region area of Maryland, to address the practice problem of fragmented transitions from inpatient psychiatry to routine outpatient services. This practice gap contributes to avoidable 30-day readmissions and prolonged emergency department boarding. The guiding practice question was as follows: In behavioral health organizations, how does a leadership-driven IOP implementation affect care transitions, staff engagement, and protocol adherence compared with existing discharge workflows? Local organizational indicators reveal elevated psychiatric readmission rates and …
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis
Walden Dissertations and Doctoral Studies
This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …
The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen
The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen
Walden Dissertations and Doctoral Studies
Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …
Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle
Early Childhood Teachers’ Experiences Establishing Positive School-Home Relationships, Jayme Michelle Doyle
Walden Dissertations and Doctoral Studies
The problem in this study was that at Windland Elementary School (WES; pseudonym) early childhood teachers experienced a 16% decrease in parent satisfaction with the school's ability to eliminate or reduce barriers to parent engagement. Framed by six types of activities that encompass family engagement from Epstein et al., the purpose of this study was to explore early childhood teachers' experiences in establishing and maintaining school-home relationships at WES. Data were collected through semistructured interviews with 10 Kindergarten through Grade 3 teachers who had at least 3 years’ teaching experience at WES. Thematic analysis using open coding yielded four key …
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Citizen Perceptions Of Law Enforcement Use Of Facial Recognition Technology, Helena Raye Weiskittel
Walden Dissertations and Doctoral Studies
Use of facial recognition technology (FRT) in criminal investigations is potentially controversial in terms of privacy rights. This study involved examining public perceptions regarding police officers’ use of FRT in criminal investigations. A qualitative research method and descriptive design were used to explore participants’ perceptions of FRT. The procedural justice theory and a pragmatic paradigm guided this general qualitative research. The target population for the study was 10 participants from the United States. Results of this study showed privacy concerns involved a lack of public anonymity and the risk of data breaches due to facial recognition. This shows use of …
Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo
Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo
Walden Dissertations and Doctoral Studies
Patient falls remain a significant patient safety concern in emergency departments (EDs) despite the routine use of fall risk screening tools. At the project site, continued fall events suggested a gap in staff knowledge, confidence, and consistent application of evidence-based fall prevention strategies. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted staff education intervention would improve ED nursing staff's knowledge, confidence, and intent to identify fall risk, implement prevention strategies, and respond appropriately to patient falls. Guided by the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) instructional design model, an evidence-based educational intervention was developed …
Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra
Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra
Walden Dissertations and Doctoral Studies
Inpatient falls continue to represent a significant nurse-sensitive quality indicator associated with patient injury, extended hospital stays, and increased healthcare costs. Despite the presence of established fall-prevention protocols, inconsistent completion of fall-risk assessments and uneven application of prevention strategies contributed to ongoing fall events at the project site. The practice problem addressed in this Doctor of Nursing Practice (DNP) project was the lack of consistent staff knowledge and application of evidence-based fall-prevention practices. The purpose of this evidence-based quality improvement project was to implement and evaluate a structured fall-prevention staff education program to increase inpatient staff knowledge related to fall-prevention …
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Walden Dissertations and Doctoral Studies
Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …
Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu
Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu
Walden Dissertations and Doctoral Studies
Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …
Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin
Impact Of Electronic Immunization Record On Accurate Clinical Decision-Making In Ghana, Jacob B. Arhin
Walden Dissertations and Doctoral Studies
The increasing complexity of healthcare delivery in Ghana highlighted the need for accurate and timely data-driven decision-making in clinical settings. The study examined how implementation affects the accuracy of immunization records, the speed of clinical decision-making, and overall immunization coverage rates in Ghanaian healthcare facilities. A quasi-experimental, cross-sectional design was used to compare clinical encounters in facilities that implemented the EIR with those that continued using paper-based systems. The Technology Acceptance Model guided the assessment of how healthcare providers’ perceptions of the EIR affected system utilization, while the Data-Driven Decision-Making framework and Anderson’s Behavioral Health Theoretical Model provided additional conceptual …