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Articles 781 - 810 of 13409
Full-Text Articles in Entire DC Network
How Case Management Can Improve Access To Outpatient Mental Health Clinics For Low-Income African American Women, Marie Daphney Vilseant
How Case Management Can Improve Access To Outpatient Mental Health Clinics For Low-Income African American Women, Marie Daphney Vilseant
Walden Dissertations and Doctoral Studies
Abstract: African American women face deeply rooted systemic challenges that affect their access to mental health care treatment. There are no case management techniques that are strategic and equity driven and offer individualized support tailored to the needs of African American women, especially those from low-income backgrounds. The purpose of this study was to explore the role of case management as a potential solution to improve access to outpatient mental health services for this under-served group. The Anderson behavioral model for health care was utilized to understand access and utilization of health care services. The review question focused on case …
The Environmental Mental Health Services Needed For Youth Ages 18-25 Aging Out Of The Foster Care System, Keelin Leger
The Environmental Mental Health Services Needed For Youth Ages 18-25 Aging Out Of The Foster Care System, Keelin Leger
Walden Dissertations and Doctoral Studies
Youth transitioning out of foster care experience increased mental health challenges that affect their ability to age out successfully to independence. In this qualitative modified action study, the environmental mental health services needed for adolescents, aged 18 to 25, aging out of the foster care system in Lafayette Parish, Louisiana were explored. This study was guided by the Families Rising framework. Purposeful sampling was used to recruit 20 participants who provided insights to this study. Participants were reached by posting flyers on social media and the online platform forums, and they signed the consent form to participate. The data were …
Teacher Perspectives Of Their Challenges In Supporting K-3 Students In Mathematics Proficiency, Jasmine Chanel Mills
Teacher Perspectives Of Their Challenges In Supporting K-3 Students In Mathematics Proficiency, Jasmine Chanel Mills
Walden Dissertations and Doctoral Studies
The problem for this study was that mathematics preparation for students in K–3 classrooms often does not lead to mathematics proficiency for third grade students. Guided by Wigfield’s expectancy value theory, the purpose of this qualitative study was to explore teachers’ perspectives of children’s expectations and values related to mathematics and challenges teachers describe in supporting children’s mathematics achievement. Data were collected through 12 semistructured interviews with K–3 teachers in in a public school district in the eastern United States. Thematic analysis using open coding resulted in six themes which indicated that teacher beliefs and expectations are associated with mathematics …
Staff Education To Streamline Congestive Heart Failure Education, Shannon Hunter
Staff Education To Streamline Congestive Heart Failure Education, Shannon Hunter
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is a progressive disease that affects a diverse population. Patient-centered education is key to lowering rehospitalizations and mortality rates. Although nurses are essential providers of patient-centered education, those in acute care settings often have unclear directions for implementing and documenting CHF education. Multiple educational materials within electronic health record (EHR) systems further complicate the process and highlight the practice gap. The aim of this Doctor of Nursing Practice (DNP) project was to streamline CHF education by clarifying the role of nurses in education delivery and documentation, potentially enhancing nurse confidence and improving patient health outcomes, with …
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Strategies To Improve Team Cohesion Among Hybrid And Remote Teams To Improve Customer Satisfaction, Leslie Collins
Walden Dissertations and Doctoral Studies
A lack of team cohesion among hybrid and remote teams can negatively affect customer satisfaction. Customer service leaders require effective strategies to improve team cohesion in increasingly flexible work environments; however, limited understanding exists regarding the strategies these leaders use to foster cohesion in hybrid and remote work settings. Grounded in the composite conceptual framework of theories of group development and customer focus, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that some leaders in the South Central region of the U.S. customer service organizations use to improve team cohesion among hybrid and remote …
Staff Education For The Management Of Chronic Pain In Patients With Mental Health Disorders, Jude Osagie Ukpebor
Staff Education For The Management Of Chronic Pain In Patients With Mental Health Disorders, Jude Osagie Ukpebor
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a practice-focused quality improvement staff education initiative designed to address a gap in nurses’ knowledge related to chronic pain management in patients with mental health disorders. Chronic pain frequently coexists with psychiatric conditions, yet nurses often lack formal education on biopsychosocial, trauma-informed, and non-pharmacologic pain management approaches, contributing to fragmented and inequitable care. Addressing this gap is essential to improving patient outcomes and advancing evidence-based nursing practice. The practice-focused question asked whether implementing a targeted nurse education program would improve nurses’ knowledge related to chronic pain management in patients with mental health disorders. …
Attribution Of Behavior And Misdiagnosis In Mental Health Evaluation Of Primary School Children, E’Mon Ambers
Attribution Of Behavior And Misdiagnosis In Mental Health Evaluation Of Primary School Children, E’Mon Ambers
Walden Dissertations and Doctoral Studies
The problem of misdiagnosis of mental health conditions in primary school aged children because of attributions related to misbehavior is a significant issue. The purpose of this qualitative multiple case study was to explore a selected sample of educators’ and mental health professionals’experiences and perceptions of the risks of attribution errors in mental health misdiagnosis among primary school-aged children in Richmond, VA. The research questions addressed how stakeholders perceive the role of attribution errors in professional practice contributing to misdiagnosis, as well as what practice-based and systemic changes stakeholders propose to enhance diagnostic accuracy. Narrative data was collected from educators …
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Pharmacy Service Quality Strategies To Mitigate Prescription-Only Medicines Stockouts, Martin Mulomba
Walden Dissertations and Doctoral Studies
Some patients in Lusaka, Zambia experience adverse health outcomes when pharmacists are not able to fill life-saving, prescription-only medications (POMs) because of supply-chain shortages. Important to pharmacists are strategies to improve POMs supply and mitigate out-of-stock occurrences. Grounded in the SERVQUAL theory as the conceptual framework, the purpose of this qualitative multiple case study was to explore the service quality strategies pharmacists employ to mitigate shortages and enhance patient care. The participants were eight pharmacists who successfully mitigated POMs shortages for improved customer service. Data were collected using semistructured interviews and publicly available documents. Data were analyzed thematically and six …
Strategies Some Small Business Owners Use To Implement New Accounting Technology, Susie Annmarie Stewart-Branch
Strategies Some Small Business Owners Use To Implement New Accounting Technology, Susie Annmarie Stewart-Branch
Walden Dissertations and Doctoral Studies
Abstract Small business owners often face challenges when implementing accounting information systems, resulting in inefficiencies and reduced competitiveness. The study was grounded in the technology acceptance model (TAM), which guided examination of how small business owners implemented, evaluated, and sustained accounting software use while addressing implementation challenges and leveraging internal and external support. Data were collected through semi-structured interview questions from six small business owners who used accounting software such as QuickBooks, and thematic analysis identified five themes: (a) change management and organizational culture, (b) importance of external support and strategic partnerships, (c) measuring effectiveness through operational and client metrics, …
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Staff Education To Enhance Psychiatric Medication Adherence In Psychiatric Care, Emmanuel Nusta
Walden Dissertations and Doctoral Studies
Medication non-adherence affects 49% of psychiatric patients and contributes to poor outcomes and increased hospitalizations. At the project site, 40% of patients demonstrated suboptimal adherence and 12 medication-related incidents occurred. Nursing staff lacked specialized training in motivational interviewing and comprehensive adherence assessment. This project developed and implemented an evidence-based educational program to enhance nursing competencies in psychiatric medication adherence counseling. Seven nursing staff members (5 registered nurses, 2 licensed practical nurses) participated in a 90-minute session incorporating the four-domain assessment framework, motivational interviewing techniques, and psychoeducational strategies. The ADDIE framework guided program development with interactive discussions, case-based learning, and role-play …
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing Practice staff education project was to strengthen nurses’ knowledge and confidence in suicide risk assessments. Suicide remains a crucial patient safety issue, and nurses report uncertainty in early recognition and intervention; therefore, brief, practice-proximal training is essential. The practice-focused question that informed this project’s purpose was whether a short education module with pre- and post testing improves nurses’ knowledge and confidence in suicide risk assessment. Three nurses participated in a structured session covering risk factors, warning signs, standardized screening, and safety planning. I then used descriptive analysis to compare their pre- and posttest …
Predicting Perceived Immigrant Threat To National Identity Based On Christian Nationalism, White Racial Centrality, And Social Dominance Orientation, Anna Caroline Kinney
Predicting Perceived Immigrant Threat To National Identity Based On Christian Nationalism, White Racial Centrality, And Social Dominance Orientation, Anna Caroline Kinney
Walden Dissertations and Doctoral Studies
Immigrants remain frequent targets of anti-immigrant hate speech, often amplified by right-wing media. Demographic factors such as Christian nationalism (i.e., the desire to preserve Christian symbols, beliefs, and policies preserved as the established religion of the United States), White racial centrality (i.e., an automatic association between the self and the White ingroup), and social dominance orientation (i.e., support for group-based hierarchies and inequality) significantly shape perceptions of immigrants as a threat to national identity. Although prior research has examined these factors independently, their relative importance in predicting perceived immigrant threat remains limited. Informed by intergroup threat theory, this quantitative study …
Reflective Parenting, Psychological Needs, And Parental Interpretation Of Children’S Negative Emotions, Julia Pappas
Reflective Parenting, Psychological Needs, And Parental Interpretation Of Children’S Negative Emotions, Julia Pappas
Walden Dissertations and Doctoral Studies
Parents’ ability to understand and respond effectively to children’s negative emotions plays a critical role in children’s emotional development and regulation. However, it remains unclear whether parents interpret negative emotions as potential signals of underlying psychological needs. Based in the conceptual framework of parental reflective functioning and basic psychological needs theory, and grounded in interpretivist- constructivist paradigm, the purpose of this basic qualitative study was to examine how parents interpret children’s negative emotions and how their meaning-making processes relate to basic psychological needs. Semistructured interviews were conducted with parents of children between ages 3 and 9 years old (N = …
Leadership Strategies Used By Entrepreneurial Ecosystem Resource Providers To Support Entrepreneurial Success, Sarah Niehaus
Leadership Strategies Used By Entrepreneurial Ecosystem Resource Providers To Support Entrepreneurial Success, Sarah Niehaus
Walden Dissertations and Doctoral Studies
Failure to collaborate effectively within entrepreneurial ecosystems remains a significant concern for leaders of entrepreneurial ecosystem organizations. Without clear, actionable collaboration strategies, these leaders may struggle to support entrepreneurial success and make informed decisions that enhance financial performance. Grounded in Mockler’s complex adaptive systems theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies some leaders within entrepreneurial ecosystem organizations use to collaborate in a manner that supports entrepreneurial success. Participants included seven leaders of entrepreneurial ecosystem organizations located in the Midwest United States with successful experiences using such strategies. Data were collected from semistructured …
Self-Stigma Of Seeking Help, Psychological Safety, And Employee Assistance Program Use In Nurses, Latisha Lenee Marshall
Self-Stigma Of Seeking Help, Psychological Safety, And Employee Assistance Program Use In Nurses, Latisha Lenee Marshall
Walden Dissertations and Doctoral Studies
Employee assistance programs (EAPs) remain underutilized across various U.S. work sectors, including nursing. There are several barriers that impede nurses from using EAP services, including self-stigma of seeking help (SSOSH) and psychological safety (PS). The purposes of this study, which used the health promotion model as its theoretical framework, were to determine (a) if there was a difference in the level of SSOSH in nurses who have used EAPs and those who have not used EAPs, (b) if there was a difference in the level of PS in nurses who have used EAPs and nurses who have not used EAPs, …
Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana
Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana
Walden Dissertations and Doctoral Studies
In the digital economy, organizations face an increasing number of data breaches that compromise sensitive information and erode consumer trust. Some organizational leaders are concerned about the lack of effective strategies to manage data breaches and restore stakeholder confidence, which threatens organizations’ reputation and financial stability, and long-term trust in digital systems. Grounded in cybersecurity risk management theory (CRMT) and situational crisis communication theory (SCCT), the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by data managers in Virginia, Maryland, and Washington, DC, to manage data breaches and rebuild consumer trust. Participants were 10 experienced data …
Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Walden Dissertations and Doctoral Studies
There are unsuccessful treatment outcomes with Tuberculosis (TB) disease, although effective therapies exist. This study aimed to identify predictors of unsuccessful treatment using the socioecological model. A quantitative cross-sectional study and multinomial logistic regression analysis were used to measure the associations between long-term care (LTC), homelessness, correctional facility, Human Immunodeficiency Virus (HIV), diabetes, excess alcohol, illicit drug use, and TB treatment outcomes of death, lost to follow-up, and treatment refusal. The sample consisted of 7,589 individuals aged 15 and older with pulmonary TB between 2017 and 2021, residing in California, Ohio, and Maryland. Findings indicated a correlation between community factors …
Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla
Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla
Walden Dissertations and Doctoral Studies
Primary care physicians face high rates of burnout, with electronic health record (EHR) documentation identified ass a significant contributing factor. EHR systems consume substantial physician time, diverting attention from meaningful patient interactions toward administrative tasks and increasing documentation burden. The purpose of this study is to identify and evaluate best practices for minimizing the documentation burden on primary care providers. The review question centered on how best practices can be implemented by healthcare administrators to reduce the physician documentation burden in primary care. This integrative review used the sociotechnical systems theory framework to identify and evaluate effective strategies to alleviate …
Unpacking Domestic Violence Intervention Programs, Lauren Pagan
Unpacking Domestic Violence Intervention Programs, Lauren Pagan
Walden Dissertations and Doctoral Studies
Domestic violence is a public health concern and most existing literature has focused on service delivery for victims, opposed to interventions for perpetrators. The Duluth model is the most common model guiding groups for perpetrators, yet results on its effectiveness have been inconsistent and unclear. Counselors and counselor educators lack the empirical support needed to effectively apply the Duluth model while working with the people who abuse. The purpose of this qualitative, existential–phenomenological study was to explore the lived experiences of participants in Duluth Model-based, domestic violence intervention programs (DVIPs). Guided by existential–phenomenological theory, this study addressed the research question: …
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Walden Dissertations and Doctoral Studies
Mobile fraud attack rates are increasing rapidly. Financial institutions, cybersecurity managers, and regulators need effective strategies to reduce consumer financial harm and operational risk. Grounded in the cybernetics model, this qualitative, pragmatic inquiry identified the cybersecurity strategies that cybersecurity professionals use at financial institutions to mitigate data breaches for mobile customers accessing financial data. Data were collected from five cybersecurity professionals through semistructured interviews and from publicly available documents and guidance issued by financial institutions and standards bodies. Six significant themes emerged from thematic analysis: implementing multifactor authentication, deploying virtual private networks (VPNs), delivering user education, promoting regular account monitoring, …
Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase
Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase
Walden Dissertations and Doctoral Studies
This qualitative study examined the troubling intersection of parental separation, domestic violence and paternal filicide, issues that profoundly challenge societal and legal frameworks. Although domestic violence and marital dissolution are recognized risk factors for child maltreatment, their role in paternal filicide, specifically when motivated by parental separation, has been understudied. Using a purposeful and criterion-based sampling strategy, cases were drawn from the Center for Judicial Excellence database of children murdered during divorce, parental separation, and child custody disputes. After applying predefined inclusion and exclusion criteria, the final sample consisted of 113 biological fathers responsible for the deaths of 263 children …
Staff Education To Improve Diabetes Management Knowledge For Primary Healthcare Providers, Helen Njoku
Staff Education To Improve Diabetes Management Knowledge For Primary Healthcare Providers, Helen Njoku
Walden Dissertations and Doctoral Studies
I developed this Doctor of Nursing Practice staff education project to improve primary healthcare providers’ knowledge of diabetes management. Given the vital role nurses, advanced practice providers, and physicians play in patient education, chronic illness management, and care coordination, this issue must be addressed within nursing practice. The practice-focused question guiding this project was: Among primary healthcare providers, does implementing a structured diabetes education training program, compared to the current standard practice, improve provider knowledge in diabetes management? The purpose of this project was to develop, implement, and evaluate a targeted education intervention session. As analytical strategies, I employed expert …
Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers
Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) project, the primary focus was on addressing knowledge of workplace bullying within the hospital setting. The project involved developing and implementing an educational program to raise awareness, prevent workplace bullying, and effectively respond to it among healthcare staff. Workplace bullying harms physical and emotional well-being, reduces productivity, increases absenteeism, and increases turnover. The practice-focused question was as follows: In a hospital setting, does implementing a workplace violence (WPV) prevention education program for healthcare workers lead to increased knowledge of WPV incidents, awareness, and management among staff? Using evidence-based strategies and resources, the DNP …
Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford
Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford
Walden Dissertations and Doctoral Studies
Black women experience intimate partner violence (IPV) at disproportionately high rates, yet most research has focused on those from lower socioeconomic backgrounds, overlooking how educated Black women navigate relationships after IPV. While extensive studies have examined the health consequences of IPV among Black women, less attention has been given to their experiences with intimacy, trust, and partner selection post-IPV. Additionally, existing research on relationship formation after IPV has largely centered on other racial groups, leaving the unique challenges faced by Black educated women underexplored. The purpose of this phenomenological study was to explore how Black, educated women describe their experiences …
Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland
Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland
Walden Dissertations and Doctoral Studies
Burnout rates for mental health workers are impacted due to budget restrictions in treatment programs. Fiscal challenges and their impact on the experiences of mental health providers have yet to be explored within correctional settings. There is a lack of research concerning mental health professional’s self-efficacy beliefs when providing treatment services to inmates. The purpose of this qualitative, phenomenological study was to explore mental health professional’s self-efficacy beliefs in correctional systems with context towards diminishing fiscal resources. Self-efficacy theory and prison rehabilitation management theory are the theoretical frameworks used as the foundation for this study. The research question was designed …
Staff Education On The Use Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) For The Identification And Management Of Excessive Alcohol Use, Vivienne Tsopndou Nkengafac
Staff Education On The Use Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) For The Identification And Management Of Excessive Alcohol Use, Vivienne Tsopndou Nkengafac
Walden Dissertations and Doctoral Studies
Summary The project was a practice-focused quality improvement project endeavor aimed at augmenting staff utilization of an evidence-based screening instrument for alcohol use disorder (AUD). The problem under study in an outpatient behavioral health setting stemmed from insufficient staff understanding and poor implementation of established screening and intervention protocols, heightening the risk of under identification and ineffective management of AUD. Resolving this issue is crucial in nursing practice because nurses play a pivotal role in early identification, brief intervention, referral to treatment, and fair care provision for patients with substance problems. The project was centered on the following practice-focused question: …
Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu
Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu
Walden Dissertations and Doctoral Studies
Early-onset atopic dermatitis (AD) affects approximately 10-20% of children in the United States, and emerging evidence suggests potential links between early immune dysregulation and neurodevelopmental outcomes. Limited research has examined whether early AD serves as a specific risk factor for later ASD diagnosis. Guided by life course theory, the purpose of this study was to examine whether AD diagnosed within the first two years of life predicts later diagnosis of ASD among U.S. children younger than five years. A secondary analysis of the Fragile Families and Child Wellbeing Study was conducted using a retrospective cohort design. The sample included 2,949 …
Need For A Psychiatric Facility To Develop A Clinical Practice Guideline On Self-Care To Give To Patients Upon Discharge, Judith Agwu
Walden Dissertations and Doctoral Studies
The project is a Doctor of Nursing Practice (DNP) clinical practice guideline (CPG) on the need for a psychiatric facility to develop a CPG on self-care to give to patients upon discharge. The practice problem was a healthcare facility did not have guidelines to educate patients on self-care upon discharge. Addressing the problem within nursing practice can promote self-care practices and improve overall health outcomes for patients with mental illnesses. The practice-focused question that guided this project was: will a CPG potentially increase self-care among discharged patients? The purpose of the study was to develop a CPG on self-care for …
Students’ Perceptions Of The Use Of Technology In Rural Elementary Schools, Evadney Moncrieffe - Jumpp
Students’ Perceptions Of The Use Of Technology In Rural Elementary Schools, Evadney Moncrieffe - Jumpp
Walden Dissertations and Doctoral Studies
Rapid technological advancements have transformed educational experiences, optimizing learning outcomes while providing interesting experiences to learners and educators. More insight was needed on how students perceive learning via technology, as this information can shape how teachers implement technology, especially in rural elementary schools. The main purpose of this research was to investigate the perceptions of students in rural areas between Grades 1–5 regarding the increased use of technology education. The research questions concerned how students in rural elementary schools perceive (a) the use of technology in education and (b) the quality of the teaching–learning process when using or mediating technological …
Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston
Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston
Walden Dissertations and Doctoral Studies
Abstract A high incidence of on-duty firefighter sudden cardiac death (SCD) results in increased costs and decreased organizational performance. Fire department leaders are concerned about the financial burden of SCDs as they put strain on departmental budgets and subsequently limit operational readiness. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore how fire department leaders used cost-effective strategies to reduce SCD episodes among on-duty firefighters. Participants comprised six fire department leaders located on the East Coast of the United States who had successfully implemented strategies to minimize firefighter SCD. Data were collected using …