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African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran
African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) can have detrimental impacts on lifelong functioning. Although African Americans experience disproportionately higher rates of community violence, one type of ACE, the potential long-term impacts of exposure to such violence and of historical oppression on their parenting practices in adulthood, was little understood. In this qualitative study, an ethnographic approach was used to explore African American parents’ perceptions of how early exposure to community violence (before age of 18) and the intergenerational transmission of historical oppression influenced their current parenting practices. The conceptual framework, which integrated Engel’s biopsychosocial model and Bowen’s family systems theory, provided a …
Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin
Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin
Walden Dissertations and Doctoral Studies
This qualitative study explored how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman (SBW) role. This study investigated how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman role and how they interpret this role in relation to coping with depression. Guided by a social constructionist framework, the study used a qualitative design. Eight women who identified as middle-class, experienced depression, and endorsed the SBW role participated in semi-structured interviews. Braun and Clarke’s six phase thematic analysis revealed six themes: therapy as cultural …
Implementation Strategies For Microservice Architecture In The Banking Sector, Gururaj Achar
Implementation Strategies For Microservice Architecture In The Banking Sector, Gururaj Achar
Walden Dissertations and Doctoral Studies
Information technology (IT) leaders in regulated banking face significant risks related to system complexity and cybersecurity when implementing large-scale systems. Although microservice architecture (MSA) offers enhanced scalability and agility, IT leaders lack specific strategic guidance for its effective adoption within highly regulated banking environments. Grounded in the Technology Acceptance Model, the purpose of this qualitative, pragmatic study was to explore effective MSA adoption strategies for IT architects and managers transitioning legacy systems to support risk and compliance management. Data were collected through semistructured interviews with seven banking IT leaders and were analysed using thematic analysis. Three themes emerged: adoption drivers …
Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr
Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr
Walden Dissertations and Doctoral Studies
This study addressed the impact of stigma and cultural beliefs on help-seeking behaviors among the Igbo tribe in Nigeria. The importance of this issue lies in its potential to increase access to mental health services and foster well-being among Igbo community members who might be harmed by stigma and cultural barriers. The study's theoretical framework was the cultural theory of mental illness, which emphasizes how cultural values and beliefs influence how people perceive and express their mental health. This study aimed to offer guidance for interventions and programs that address mental health disparities in the Igbo community by comprehending the …
The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson
The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson
Walden Dissertations and Doctoral Studies
The Strong Black Woman (SBW) schema has been explored during the past two decades; however, limited research has been conducted on the phenomenological experiences of Black women who identify with the characteristics of the SBW schema and their impact on Black and African American marriages. The purpose of this study was to explore the lived experiences of married African American women in modern day marriages who endorse the characteristics of the superwoman schema. This qualitative study was an interpretative phenomenological analysis and focused on the lived experiences of this population. Individual interviews of 12 married African American women who identified …
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe
Walden Dissertations and Doctoral Studies
Abstract Rural African Americans experience a higher prevalence of Type 2 diabetes compared to their White counterparts, yet little research has explored the roles of food insecurity and educational attainment in this disparity. The purpose of this quantitative, correlational study was to examine whether food insecurity and educational attainment were associated with the prevalence of Type 2 diabetes among African Americans aged 18 to 65 years in rural Southern United States, using the World Health Organization’s social determinants of health framework. Data from the 2019-2022 IPUMS National Health Interview Survey (N=793) were analyzed both descriptively and using multiple logistic regression …
Over Reliance On Antidepressant Medication In Long-Term Care Facilities: Rethinking Mental Health Approaches, Kaylene Elder
Over Reliance On Antidepressant Medication In Long-Term Care Facilities: Rethinking Mental Health Approaches, Kaylene Elder
Walden Dissertations and Doctoral Studies
Depression is a prevalent mental health condition among older adults in long-term care (LTC) facilities and is often managed primarily through antidepressant medications. While these medications can be effective, their overuse in elderly populations increases the risk of falls, sedation, cognitive decline, and adverse drug interactions. This project addresses the need for safer, evidence-based alternatives by promoting non-pharmacological interventions that support holistic well-being. The proposed approach integrates gratitude journaling, vitamin D testing to identify deficiencies, and vitamin D supplementation for residents experiencing mild to moderate depressive symptoms. Implementation is led by nursing staff and supported by the interdisciplinary care team, …
Special Education Teachers' Experience Implementing Constant Time Delays On Young Adults With Autism Spectrum Disorder To Improve Employment Stability, Ayodele Salihu
Walden Dissertations and Doctoral Studies
Individuals with autism spectrum disorder (ASD) often encounter challenges in securing and maintaining employment. With appropriate support, they can gradually develop the functional and social skills necessary to perform job tasks independently, fostering long-term employment and greater autonomy. Achieving independence depends on both the cognitive abilities of individuals with ASD and the instructional strategies educators employ to engage them effectively in the learning process. Constant time delay (CTD) is an evidence-based practice that has demonstrated significant benefits for individuals with ASD in skill acquisition and task mastery. This qualitative study explored the experiences of special education (SPED) teachers in implementing …
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Educating Staff On Hourly Rounding Toward Fall Prevention In A Long-Term Care Facility, Princess Aminata Kanu
Walden Dissertations and Doctoral Studies
The identified problem at the project site facility was rising incidences of patient falls, which was attributed to insufficient staff knowledge of evidence-based strategies for preventing falls, including purposeful hourly rounding (PHR). Research has demonstrated that PHR effectively reduces the risk of falls among patients by allowing clinicians to proactively address patient needs. The purpose of this staff education project was to enhance healthcare providers’ knowledge of PHR and its role in fall prevention. The practice-focused question that guided this project was: For staff in a long-term care facility, will training on hourly rounding increase knowledge toward the goal of …
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Beyond The Headlines: Exploring The Mental Health Impacts Of Police Brutality On Social Media In Black Americans, Kai'annica Walters
Walden Dissertations and Doctoral Studies
Studies show Black Americans face high police brutality, leading to mental health issues like PTSD, depression, and anxiety. The purpose of this qualitative interpretive phenomenological study is to explore the lived experiences of Black Americans who have been exposed to police brutality on social media and how it impacts their racial identity and emotional well-being. This study employed critical race theory as both a theoretical lens and a conceptual framework to examine how race and systemic inequalities shape legal systems and societal narratives. I used IPA to explore how people interpret their experiences and the meanings they assign. This study …
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Walden Dissertations and Doctoral Studies
The phenomenon of Military sexual trauma (MST) among male survivors is significantly underreported and lacking in scholarly research. The purpose of this qualitative generic study was to explore male veteran MST survivors’ perspectives on military culture and institutional betrayal. Cultural spillover theory provided the framework, emphasizing that a culture that legitimizes violence to achieve its goals has the potential to foster illegitimate violence within that culture. The primary research question in this study was: What are the perceptions and experiences of male veteran MST survivors on military institutional culture and MST? Six semi-structured interviews were conducted via Zoom with male …
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Walden Dissertations and Doctoral Studies
A lack of effective strategies to improve employee retention and organizational performance is a concern for healthcare leaders. Without such strategies, organizations may incur costs through recruitment and training, reduce productivity due to workflow disruption and knowledge gaps, damage employee morale by increasing workloads for remaining employees, and harm the organization’s reputation, potentially affecting patient relationships, hindering growth, and eroding any competitive advantage. Grounded in Penrose’s resource-based view theory, this qualitative pragmatic inquiry was to identify and explore the effective strategies healthcare leaders use to improve employee retain and organizational performance. Participants were six leaders of healthcare organizations located in …
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Walden Dissertations and Doctoral Studies
Prostate cancer screening has been a focus of scholars since the late 20th century, as researchers have sought to address persistent disparities in early detection and mortality rates among African American men. Researchers have demonstrated that cultural beliefs, mistrust of the medical system, and limited access to healthcare significantly influence prostate cancer screening behaviors within this population. However, researchers have yet to establish how younger African American men specifically interpret prostate cancer risk and how their beliefs and attitudes shape decisions regarding screening participation. The purpose of this study was to explore the beliefs, perceptions, and attitudes of younger African …
Staff Education Program To Improve Nurses' Knowledge Of Diabetes Self-Management Education (Dsme) Toward Reducing Readmissions, Vivian Adaora Okechukwu
Staff Education Program To Improve Nurses' Knowledge Of Diabetes Self-Management Education (Dsme) Toward Reducing Readmissions, Vivian Adaora Okechukwu
Walden Dissertations and Doctoral Studies
This project was a staff education program to enhance nurses' knowledge and skills in Diabetes Self-Management Education (DSME) in reducing hospital readmission. Diabetes mellitus is a chronic metabolic disorder that occurs as a direct result of the body's inability to produce enough insulin or the inability to utilize insulin in the bloodstream effectively, consequently accounting for life-threatening health complications. At the local organization, where diabetes is the third leading cause of hospitalization, evidence shows that it critically affects about 25% of the patient population. Also, some care providers at the organization do not have the distinctive competencies to give DSME …
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Walden Dissertations and Doctoral Studies
Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Walden Dissertations and Doctoral Studies
Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Walden Dissertations and Doctoral Studies
Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …
Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh
Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh
Walden Dissertations and Doctoral Studies
In Nigeria long-standing sociocultural norms dictate widowhood practice, which widows are expected to undergo when they lose their husbands. The impact of this ancient culture, which has continuously been encouraged from generation to generation to date, has been devastating for widows. The purpose of this generic qualitative study was to investigate the effects of widowhood practices on the well-being of young widows in southeastern Nigeria. Feminist theory was the conceptual framework. Through semistructured, audio-recorded interviews conducted via Zoom, data were collected from 10 young widows between age 18 to 45 in the southeastern Nigeria. After the data were collected, Braun …
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice project in physical medicine and rehabilitation (PM&R), the focus was on enhancing education for acute care nurses about the benefits of inpatient rehabilitation for appropriate patients. The practice problem was the underutilization of inpatient rehabilitation despite its proven benefits in improving patient outcomes and reducing readmissions. With this project, I aimed to educate nurses on identifying suitable candidates for inpatient rehabilitation, thereby improving patient care transitions and outcomes. The practice-focused question revolved around assessing the effectiveness of educational interventions in increasing nurse knowledge and referral rates to inpatient rehab. Analytical strategies included pre- and …
Enhancing Patient Follow-Up: Creating And Evaluating Clinical Practice Guidelines On Appointment Reminders Using The Agree Ii Tool, Goretti Numfor
Enhancing Patient Follow-Up: Creating And Evaluating Clinical Practice Guidelines On Appointment Reminders Using The Agree Ii Tool, Goretti Numfor
Walden Dissertations and Doctoral Studies
This report presents the outcomes of a quality improvement (QI) DNP practicum project situated at an outpatient facility. The preparation for the practicum project included a situational assessment to determine feasible changes and an appropriate strategy of change leadership. The target practice problem is missed appointments. Keeping appointments is a defining element of plans for care for medical services that require regular assessments and updates. In psychiatric nursing, reminders dictate schedules for the nurse practitioners because they indicate expected encounters and commitments. At the same time, unplanned changes could demand a change of the appointments or rescheduling. Best practice guidelines …
The Impact Of Access To Mental Health Services For Minority Offenders From The Perspective Of Mental Health Professionals, Quentin Eugne Mills
The Impact Of Access To Mental Health Services For Minority Offenders From The Perspective Of Mental Health Professionals, Quentin Eugne Mills
Walden Dissertations and Doctoral Studies
Many reintegrating offenders residing in northwest Florida’s rural areas are negatively impacted by a lack of access to mental health professionals. Inaccessibility to treatment service providers impacts the offender’s physical, mental and economic well-being. While research studies focus on examining access barriers in metropolitan jurisdictions, a gap remains in understanding how this issue adversely impacts offenders in rural communities. This qualitative research study examined the impact of inaccessibility to treatment services related to minority offenders in rural jurisdictions. Grounded by the intersectional theory and the general strain theory, this study utilized interviews with six mental health professionals who counseled offenders …
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Walden Dissertations and Doctoral Studies
Dental health is a critical component of overall well-being but is not a mandatory benefit in the Traditional Medicare or Medicare Advantage programs. Few researchers explore whether the generosity of supplemental benefits in Medicare Advantage, such as dental coverage, are associated with better beneficiary experience and retention in the program. The purpose of this quantitative study was to explore the potential associations between supplemental dental benefits generosity and voluntary disenrollment in Medicare Advantage plans. Penchansky and Thomas’ theory of access (1981) and Rivera-Hernandez et al.’s (2021) Medicare Advantage plan choice and retention framework were used to understand the associations between …
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Walden Dissertations and Doctoral Studies
In Colorado, early childhood education (ECE) directors are often not fully prepared to lead and develop high-quality teaching teams, which is integral to offering high-quality programming to children and families in the early years of development. Framed by transformational leadership theory, the purpose of this basic qualitative study was to explore Colorado ECE directors' experiences with training and support, and the resources needed to develop ECE directors to lead high-quality programming . Data were collected through semistructured interviews with 13 Colorado ECE directors from center-based programs that serve children from birth to 8 years. Thematic analysis using open coding yielded …
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that there is a gap in the literature about the preparation of mid to lower elementary novice teachers to teach students with low-socioeconomic status (low-SES) in several districts throughout the Southern United States. Grounded in social justice theory, the purpose of the basic qualitative design was to explore lower to middle elementary teachers' perceptions on their preservice preparation to teach low-SES students. For this basic qualitative design, 12 novice teachers participated in semistructured interviews. Data were analyzed through thematic analysis with the following three top themes emerging: (a) poor preparation towards …
Comparison Of Two Clinical Education Models On Confidence, Resilience, Organizational Commitment, And Stress And Burnout Of New Graduate Registered Nurses, Lenore Reilly
Walden Dissertations and Doctoral Studies
The transition to independent clinical practice is a stressful experience that may lead many new graduate RNs (NGRNs) to leave their first role within a year. Effective clinical education can help prepare NGRNs for the dynamic environment of the acute care setting. The purposes of this study, guided by Meleis’s transitions theory, were to determine if there was (a) a difference in confidence in NGRNs who experienced a dedicated education unit (DEU) and NGRNs who experienced a traditional clinical education model (TCEM), (b) a difference in resilience in NGRNs who experienced a DEU and NGRNs who experienced a TCEM, (c) …
Telemental Health Utility: Working Toward Foster Carer Role Satisfaction And Placement Stability, Carlos David Ortiz
Telemental Health Utility: Working Toward Foster Carer Role Satisfaction And Placement Stability, Carlos David Ortiz
Walden Dissertations and Doctoral Studies
Approximately 400,000 children in the Child Welfare System have an average of more than three placement disruptions while in care in what is termed placement instability (PI). PI is a known toxin to children’s neurodevelopment that predisposes them to a life of poor behavioral outcomes. Previous research shows that foster parents dissatisfied with their carer role contributed to PI by quitting or terminating a child’s placement. However, an important gap remains in the PI literature about the ability of telemental health (TMH) to provide adequate support to foster parents, to increase satisfaction in the carer role and potentially decrease the …
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
Walden Dissertations and Doctoral Studies
Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Threads Of Attachment: Exploring Relationship Development Among Marginalized Populations Of Childhood Sexual Abuse Survivors, Eunique S. Powell
Walden Dissertations and Doctoral Studies
Childhood Sexual Abuse (CSA), traumatic sexual violence within trusted relationships, continues to impact children in the United States and often leads to insecure attachments in adulthood. There was a gap in the literature concerning the experiences of adult survivors of CSA within marginalized communities, where such experiences are frequently ignored. The purpose of this qualitative descriptive phenomenological study was to explore how adult survivors of CSA from marginalized populations develop attachments. Bowlby argued that maintaining mental health in adulthood depends on forming healthy and secure relationships during childhood. Bowlby’s attachment theory served as the framework to understand how early attachment …
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Brotherhood: Black Male Perception On The Impact Of Mentorship, Berinda Hollis-Sapp
Walden Dissertations and Doctoral Studies
During the adolescent stage of development, identity is a foundational aspect of one’s development, and its absence leads to a negative outcome, characterized by role confusion. Positive interventions are necessary to develop a strong sense of self. The purpose of this generic qualitative project was to explore the perspectives of black males and the impact of mentorship on their identity during adolescence. The theoretical framework chosen for this study was Erikson’s identity versus role confusion, the fifth stage of his psychosocial development theory. Based on this concept, the research supported the idea that adolescent Black males should participate in culturally …
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Staff Education On Fall Prevention In The Emergency Department, Linda Odoh
Walden Dissertations and Doctoral Studies
This DNP staff education project was an initiative focused on improving fall-related knowledge among faculty members. The practice problem identified at the local project site was the frequent rate of patient falls. Analysis established the role of staff in the inefficient implementation of best practices and to the staff’s limited knowledge regarding the application of existing fall prevention strategies. The practice-focused question for this project was, In the emergency department setting, how does a fall prevention education program compared to pre-implementation practices, affect staff knowledge of fall prevention strategies within three months? The purpose of the project was to improve …