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Staff Education To Critical Care Nurses On Spiritual Care, Revrey Darita Amey
Staff Education To Critical Care Nurses On Spiritual Care, Revrey Darita Amey
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice (DNP) project included staff education for critical care nurses. Patients should receive spiritual care to decrease anxiety and depression that often accompany serious illnesses. Spiritual care encompasses inner peace, connection to others, transcendence, and the meaning and purpose of life. This project aimed to teach critical care nurses the importance of providing spiritual care to their patients. The project was designed to increase nursing knowledge, skills, and attitudes of spiritual care by conducting a 30-minute didactic staff education session in the critical care unit. Nurses completed a pretest and posttest using the Spiritual Care …
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Educators’ Experiences Implementing Arts Integration At A Project-Based Middle School, Luba S. Lesser
Walden Dissertations and Doctoral Studies
The problem investigated through this study was that arts integration (AI) was not implemented into Grades 6 through 8 curricula with consistency at a local project-based middle school (PBMS, a pseudonym). Grounded in Martin’s arts as a second language framework, the purpose of this basic qualitative study was to explore middle school teacher successes, challenges, and resources needed to implement AI into Grades 6 through 8 at PBMS. Semistructured interviews were conducted with nine middle school educators who were experienced with AI implementation at PBMS. Through thematic analysis using open and axial coding, teachers indicated that successes are seen when …
Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson
Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson
Walden Dissertations and Doctoral Studies
Research on police culture often contrasts the “warrior” mentality, linked to aggression and control, with the “guardian” mentality, which emphasizes empathy, restraint, and community trust. Yet little research explores how police academy instructors, who shape officers’ professional identities, understand and teach these opposing orientations. This phenomenological study examined how Oklahoma police academy instructors perceive the influence of warrior and guardian mentalities on officers’ decision making and behavior in use of force encounters. Grounded in symbolic interaction theory, the study explored how meaning, socialization, and thought interact to construct officers’ self-concepts and guide behavior under pressure. Fifteen semi-structured interviews were conducted, …
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Walden Dissertations and Doctoral Studies
Previous researchers have found that face to face bullying by students directed towards postsecondary education faculty may result in negative mental and emotional impacts. The virtual environment provides a unique opportunity for student-to-faculty bullying behaviors, known as cyberbullying, to occur. Researchers have not yet studied how psychology faculty in particular experience stress when cyberbullied by students. The purpose of this qualitative study, rooted in phenomenological design, was to improve the understanding of how psychology faculty who are cyberbullied by students experience stress. Contrapower harassment theory was used to ground these research questions and design. The research questions examined the experiences …
Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin
Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin
Walden Dissertations and Doctoral Studies
A major gap in acute care is the delayed initiation of palliative consultations. Although over 58 million people worldwide could benefit, only 14% receive such care. Despite evidence that early involvement improves outcomes, providers often overlook their value, leading to late referrals, typically after repeated hospitalizations or near end-of-life, when hospice may be more appropriate. This Doctor of Nursing Practice (DNP) educational intervention addressed a critical practice-focused question to enhance healthcare providers’ understanding of palliative care improve hospital-based patient outcomes. The intervention aimed to demonstrate a ≥20% knowledge gain from pretest to posttest scores related to distinguishing palliative care from …
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Telepsychiatry For Veterans Who Are Homeless, Vivian J. White
Walden Dissertations and Doctoral Studies
This project was a clinical practice guideline (CPG) for mental health providers to expand telepsychiatry services to veterans who are homeless in a day treatment center. The practice problem was the lack of a standardized approach to increase access to mental health care. This CPG supports nurses in implementing evidence-based interventions to reduce mental health disparities and promote equitable care delivery for veterans who are homeless. The guideline was aimed to ensure safe, effective, and coordinated mental health care through integration with interprofessional teams. The project question was: Does the evidence support development of a CPG for provision of telepsychiatry …
Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos
Effective Strategies For Business Leaders Of Homeschool Consulting And Testing Services To Attract New Clients And Sustain Operations, Chartel Arnida Amos
Walden Dissertations and Doctoral Studies
Business leaders of homeschool consulting and testing services are experiencing a critical challenge in attracting new clients, which threatens their ability to sustain operations. Grounded in the Baldrige excellence framework and the diffusion of innovation theory, the purpose of this qualitative single case study was to explore effective strategies used by one business leader of a homeschool consulting and testing services organization in North Carolina to attract clients and sustain operations. Data sources included (a) semistructured interviews, (b) organizational archival records and documents, (c) public data such as reports and websites, and (d) literature including peer-reviewed articles and books. Findings …
The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene
The Lived Experience Of U.S. Law Enforcement Officers And The Challenges They Face While Investigating Sexual Assault Victim Reports, Ariekan Josephs-Greene
Walden Dissertations and Doctoral Studies
Sexual assault is a pervasively dangerous crime affecting persons of all ages, races, and genders, both in the United States and globally. Essential in the safeguarding of American citizens, U.S. law enforcement officers are among the first responders on scene to investigate reports of sexual assault claims. However, echoed in previous research are the sentiments of victim-survivors who experienced negative encounters with officers who exhibited an implicit lack of victim-centered training and were dismissive in their investigative approach. Consequently, this gap in the literature requires exploration; therefore, this study focuses on the lived experiences of U.S. law enforcement officers and …
Community-Based Counselors’ Preparedness For Providing Trauma-Informed Care, Lashaunda Smith
Community-Based Counselors’ Preparedness For Providing Trauma-Informed Care, Lashaunda Smith
Walden Dissertations and Doctoral Studies
This constructivist grounded theory study examined how community-based mental health counselors perceive their preparedness to provide trauma-informed care. Guided by Charmaz’s constructivist grounded theory, semistructured interviews were analyzed through coding and constant comparison to co-construct meaning around counselors’ lived experiences. This study explored how counselors define, develop, and sustain preparedness for trauma-informed care. The purpose was to generate an interpretive understanding of how counselors constructed meaning around their preparedness, including how training, supervision, and professional experiences shaped their ability to serve trauma-affected clients. Participants included 12 master’s-level licensed and pre-licensed community-based mental health counselors with experience serving trauma-affected clients. Findings …
Deprescription Of Benzodiazepine, Oji Gibson
Deprescription Of Benzodiazepine, Oji Gibson
Walden Dissertations and Doctoral Studies
Background: Benzodiazepines are commonly prescribed for anxiety disorders; however, long-term use increases risks of dependence, cognitive impairment, falls, and overdose. Despite established guidelines recommending time-limited use, inappropriate chronic prescribing remains prevalent in primary care. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based clinical practice guideline (CPG) to reduce benzodiazepine overprescribing for adults with anxiety disorders in a primary care setting. The goal was to improve prescriber adherence to current best practices and promote patient safety. Methods: This quality improvement project utilized the Johns Hopkins Evidence-Based Practice Model to guide development, …
How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney
How Law Enforcement Officers’ Perceived Public And Self-Stigma Predicts Their Willingness To Seek Mental Health Services, Elizabeth Mae Mooney
Walden Dissertations and Doctoral Studies
The work of previous researchers has shown officers to have higher rates of depression, posttraumatic stress disorder (PTSD), generalized anxiety, and suicidality than the public, and a lower rate of mental health service-seeking. Stigma, both public and self-stigma, has been revealed by previous researchers to be the predominant barrier that deters officers from seeking out needed and/or desired services. A gap in research existed in examining alternative service types, and whether law enforcement officers perceived these service types as more or less stigmatizing than traditional methods. This study employed a quantitative research design to predict the probability that law enforcement …
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Experiences Of Formerly Incarcerated College Minority Men Criminalized For Behavioral Issues, Francine Zysk
Walden Dissertations and Doctoral Studies
The school-to-prison pipeline, where minority men experience decreased academic performance, higher truancy rates, and increased vulnerability to arrest, persists in the United States. The purpose of this qualitative study was to explore how systemic racism is experienced by formerly incarcerated, college-educated Black men who were criminalized for behavioral issues that contributed to their incarceration. The research problem was a lack of knowledge of the experiences of educational environments and disciplinary systems that perpetuate racialized behavioral labeling and contribute to the school-to-prison pipeline. Grounded in the theoretical framework of institutional racism, the study featured a constructivist paradigm to capture participants' experiences. …
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
The Stress Parents Face When Their Autistic Child Turns 21, Everetta Joyce Irene Davis
Walden Dissertations and Doctoral Studies
This exploratory study examined the lived experiences of parents whose autistic children turned 21 and aged out school and services provided by the federally funded Free Appropriate Public Education (FAPE) program. Although researchers have conducted numerous studies on autism, limited research has focused specifically on the stress parents face when their autistic child turns 21 and loses access to FAPE. The purpose of this qualitative narrative inquiry was to gain a deeper understanding of the emotional, logistical, and systemic challenges these parents encountered during the transition out of high school. Family Systems Theory provided the conceptual framework for exploring these …
Impact Of Team Coaching, Team Resilience, And Team Learning Agility On Team Adaptive Performance In Volatility, Uncertainty, Complexity, And Ambiguity Environments, Devon Morris
Walden Dissertations and Doctoral Studies
With volatile and rapidly changing environments, teams are under increasing pressure to adapt and maintain performance. This quantitative, cross-sectional correlational study examined the extent to which team coaching predicts team adaptive performance in volatility, uncertainty, complexity, and ambiguity environments, with team resilience as a mediator and team learning agility as a moderator. An integrated theoretical framework combining conservation of resources theory, social cognitive theory, goal-setting theory, and team coaching theory grounded this study. Participants included 291 working professionals with at least 3 months of team membership and coaching experience, spanning various industries, including technology, healthcare, finance, and government sectors. They …
The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson
The Impact Of Microaggression Exposure On Emotional Reactivity And Distress Following An Emotionally Provocative Movie Scene, Gwendolyn Jefferson
Walden Dissertations and Doctoral Studies
This quantitative study explored how past experiences with racial microaggressions affect emotional reactions to racially charged media and whether factors like age and gender influence that response. Using Minority Stress Theory as a guide, 183 African American adults completed the Racial and Ethnic Microaggressions Scale and the State-Trait Anxiety Inventory before and after watching a racially provocative film clip. The first analysis found no direct link between microaggression exposure and emotional change. However, further testing with analysis of variance showed that people with higher exposure reported much stronger emotional distress than those with lower exposure, F(1,180) = 38.12, p < .001, η² = .175. When demographic factors were added in a hierarchical regression, the model became significant, F(7,175) = 2.06, p = .036, R² = .076, showing that age (β = .086, p = .009) and gender (β = 1.505, p = .039) influenced emotional responses. Thus, older African American women showed the strongest distress, suggesting that the combined effects of race, gender, and age increase vulnerability to racial stress. These findings support the idea that racial trauma is complex and shaped by overlapping social identities. The study highlights the need for culturally sensitive mental health support, inclusive media portrayals, and greater awareness of generational and caregiving stress among African American women. By showing how overlapping identities shape emotional well-being, this research advances social change through empathy, reduced stigma, and institutional accountability, encouraging equity-driven practices that foster racial healing, fairness, and psychological resilience across communities.
Perspectives Of Therapists Treating First Responders On The Role Of Peer Support In Psychological Recovery And Development Of Ptsd Symptoms, Audrey Ramos
Walden Dissertations and Doctoral Studies
First responders face an increased risk of posttraumatic stress disorder (PTSD) due to repeated exposure to traumatic events. While traditional treatments like cognitive-behavioral therapy and medication remain standard, peer support has become a supplementary strategy. However, limited research has investigated how licensed therapists view the role of peer support in clinical care. Therapists’ perspectives on the effectiveness, limitations, and integration of peer support in first responder PTSD recovery were explored in this qualitative, phenomenological study. Guided by Lazarus and Folkman’s transactional model of stress and coping and Masten’s resilience theory, how peer support serves as both a coping mechanism and …
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Structured Transportation Assistance Program In Adult Mental Health Populations, Olajumoke Omolola Jongbo
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project addresses a critical issue in outpatient mental health care: transportation barriers faced by adult mental health patients, particularly older adults. These barriers contribute to high no-show rates, which disrupt care continuity, worsen mental health outcomes, and increase reliance on emergency services. The project proposes the implementation of a structured transportation assistance program to enhance appointment adherence and reduce missed visits resulting from transportation challenges. The practice-focused question guiding this project is: In adult mental health patients with transportation barriers, does implementing a structured transportation assistance program improve appointment adherence rates over a 12-week …
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Exploring Counselor Perspectives On The Role Of Ecotherapy In Mental Health Treatment: A Qualitative Study, Kimberly Seid
Walden Dissertations and Doctoral Studies
This grounded qualitative study explored the common themes of ecotherapy in practice. The research problem was the limited understanding of how counselors implement ecotherapy in clinical practice, hindering the field’s ability to fully integrate nature-based approaches into mental health treatment. The purpose of this grounded theory study was to explore counselor perspectives on ecotherapy using the biophilia hypothesis and Swarbrick’s wellness model. The research questions focused on how licensed mental health counselors understood, implemented, and evaluated the impact of ecotherapy. Qualitative data were collected through an online survey with open-ended questions from 15 licensed counselors across the United States who …
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Understanding The Barriers And Challenges Of Spanish-Speaking Latinos Who Received Calaim Initiative Social Support Services, Jessica De Lara Vallejo
Walden Dissertations and Doctoral Studies
Spanish-speaking Latinos continue to face significant barriers when attempting to access social support services through healthcare initiatives such as California Advancing and Innovating Medi-Cal (CalAIM). Despite previous efforts to address this issue, this population continues to encounter barriers such as systemic discrimination, language barriers, and limited access to culturally responsive care. This qualitative study was guided by the consolidated framework for implementation research and used an interpretative phenomenological analysis approach to explore the lived experiences of Spanish-speaking Latino parents whose children received CalAIM asthma home remediation (AHR) services. The purpose of this study was to understand the barriers and challenges …
Improving Retention Of Newly Hired Nurses In Home Care, Chidi D. Ihezue
Improving Retention Of Newly Hired Nurses In Home Care, Chidi D. Ihezue
Walden Dissertations and Doctoral Studies
In the home care setting, there is an increasing need for home care services due to aging populations and the rising prevalence of chronic diseases, as well as a scarcity of qualified home care staff to meet the health needs of patients in this setting. A home care agency's onboarding program, particularly its capacity to deliver comprehensive orientation and robust mentoring for new nurses, plays a crucial role in supporting the retention of newly employed nursing staff within the home care environment. Research indicates that without ongoing support and close monitoring, newly hired nurses may disengage during the onboarding and …
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Examining Social Workers’ Perceptions Of Collaborating With Police Officers To Foster Community Trust In Oklahoma, Lashonda Lanette Dale
Walden Dissertations and Doctoral Studies
The current study was administered in order to examine Oklahoman social workers’ perception of collaborating with police officers to foster community trust. The goal was to determine whether the collaboration amongst social and police officer fostered trust when collaborating during services calls. The theory of planned behavior and policing (TPBP) studied by Ishoy and giving credit to Ajzen’s were the foundational theory used to support this study. Collaboration among social workers and police officers can foster community trust and benefit both parties. Such collaboration could also lead to joint training and education, as well as alleviating public fears and misconceptions. …
Intimate Partner Violence: Serving Heterosexual Male And Same-Sex Victims, David Welch
Intimate Partner Violence: Serving Heterosexual Male And Same-Sex Victims, David Welch
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is an ongoing social problem across nationalities, cultures, socioeconomic statuses, sexual orientations, and genders. Historically, research into IPV has focused on the heterosexual female victim and male perpetrator paradigm, including identifying the root causes of this phenomenon and appropriate treatment models. There is a distinct gap in the current literature addressing how therapists in the psychological community approach working with heterosexual male and same-sex victims of IPV, beginning with case conceptualization. To explore the unique case conceptualization considerations of therapists as they encounter heterosexual male and same-sex IPV victims in their practice, a general phenomenological research …
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Improving Hiring Processes In Manufacturing: Hiring Strategies To Support Well-Being And Organizational Effectiveness, Timothy J. Winn
Walden Dissertations and Doctoral Studies
Delays and inefficiencies in the hiring process can significantly hinder production and create instability within the manufacturing workforce. This, in turn, has a negative effect on employee well-being and the overall effectiveness of the organization. The purpose of this qualitative research project, grounded in the Job Demands-Resources model, was to explore successful strategies hiring managers use to address hiring inefficiencies. The study was guided by a pragmatic inquiry design and included semistructured interviews with six hiring managers in the manufacturing sector who held responsibilities related to hiring. Data were analyzed using thematic analysis following Braun and Clarke’s six-step framework. Data …
Improving Healthcare Providers’ Knowledge On Heart Failure Self-Care Management, Linda Nkeiruka Ukwu
Improving Healthcare Providers’ Knowledge On Heart Failure Self-Care Management, Linda Nkeiruka Ukwu
Walden Dissertations and Doctoral Studies
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Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Walden Dissertations and Doctoral Studies
Emergency department (ED) overcrowding has become an increasingly critical issue for the healthcare system of Puerto Rico, resulting in delayed care and increased patient morbidity, among other challenges faced by hospital leaders and administrators. This paper explores evidence-based strategies tailored to the Puerto Rican healthcare context to alleviate ED overcrowding. An integrative review of literature published between 2020 and 2025 was conducted. For this review, 15 articles were selected and appraised using the Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals. The strategies gleaned from the literature comprised six themes and 21 subthemes, centered on two major outcomes: …
Staff Education To Improve Phq-9 Depression Screening And Management In Primary Care, Elizabeth Ezeamaka
Staff Education To Improve Phq-9 Depression Screening And Management In Primary Care, Elizabeth Ezeamaka
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project aimed to improve staff knowledge and enhance the consistency in administering and interpreting the Patient Health Questionnaire-9 (PHQ-9) within a mental health clinical setting. The practice problem was significant because variability in PHQ-9 use resulted in unreliable depression screening data, potentially leading to missed detection of depression or suicidal ideation, which undermines patient safety and quality of care. The guiding practice-focused question was: Among healthcare staff administering the PHQ-9, what effect does an educational program have on their knowledge related to the administration, documentation, and interpretation of depression screening? The purpose of …
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Walden Dissertations and Doctoral Studies
Summary This doctoral, practice-focused quality improvement project used a mixed-methods design to evaluate the usability, acceptability, and clinical integration of a nutrition screening tool in a mental health outpatient clinic. The project addresses a key practice gap, the lack of evaluation of the implementation of a systematic nutrition screening for individuals with severe mental illness (SMI), which contributes to worsening psychiatric symptoms and delayed recovery. Aligning with nursing’s holistic and patient-centered framework, the initiative aimed to strengthen interprofessional collaboration and preventive care. The guiding practice-focused questions addressed: How usable and acceptable is the clinical practice guideline (CPG) tool among clinic …
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Walden Dissertations and Doctoral Studies
Despite increasing attention to public service motivation (PSM) in organizational research, there is a notable absence of studies examining the experiences of women in military contexts, particularly within the United States Coast Guard (USCG). This generic qualitative study, grounded in PSM theory, explored why junior-level women in the USCG prematurely exited military service. While existing research on PSM and women is limited and none specifically focused on women in the USCG, this study addressed that gap by interviewing 16 junior-level women who had separated from the USCG between four and eight years prior. The purpose of the study was to …
Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison
Perceptions Of K–5 Teacher Challenges In Supporting Military-Connected Children Overseas Who Experience Trauma, Lachanda Garrison
Walden Dissertations and Doctoral Studies
Teachers serving U.S. military-connected students (MCS) overseas regularly address student trauma in the classroom that stems from relocation and separation events due to parents’ or guardians’ military service. The problem addressed in this study was that Grade K–5 teachers struggle to support overseas who experience trauma. The purpose of this basic qualitative study was to explore Grade K–5 teachers’ perceptions of the challenges to support MCS overseas who have experienced trauma. The study was guided by three principles from Soma and Allen’s trauma informed model, which emphasizes understanding trauma as an experience, prioritizing social and emotional skill development, and supporting …
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
Walden Dissertations and Doctoral Studies
In many educational settings, marginalized populations—African American or Black students, Hispanic students, students in special education programs, and economically disadvantaged students—struggle with traditional assessments, which may create learning gaps. Grounded in Dewey, Vygotsky, and Bruner’s theories, the research problem and purpose of this qualitative single context exploratory case study was to explore high school teachers use of PBL as an innovation to address issues of equity, social justice, and cultural relevance to engage marginalized high school students. Purposeful sampling was utilized to identify 11 high school teachers who employ PBL from multiple campuses in a single school district. Data sources …