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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 …
Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn
Staff Education For The Management Of Cooccurring Mental Health And Substance Disorders, Jackie Ijeoma Penn
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was the development and evaluation of a staff education initiative aimed at improving nurses’ knowledge and confidence in managing patients with co-occurring mental health and substance use disorders. The practice problem was the lack of structured training, which left nurses underprepared and contributed to inconsistent care and poorer outcomes. Addressing this gap is essential in nursing practice to ensure safe, equitable, and patient-centered care. The practice-focused question for this project was: Does staff education in a behavioral health setting improve nurses’ knowledge and confidence in managing cooccurring mental health and substance use disorders, …
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 …
Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta
Walden Dissertations and Doctoral Studies
Survivors of same-sex intimate partner violence (IPV) face negative mental health consequences. A lack of research exists on how social support, emotional and coping regulation, and counselors’ behaviors, knowledge, and skills affect the help-seeking behaviors and therapeutic outcomes of survivors of same-sex IPV. Addressing the gap is important because recent studies report an increase in same-sex IPV but low levels of help-seeking behaviors in response. If unaddressed, IPV can affect the well-being and safety of those partnered individuals. The purpose of this qualitative hermeneutic phenomenological study was to explore the experiences of same-sex IPV survivors who received therapeutic counseling. The …
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, …
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 …
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Alba Gisel Ayala
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Alba Gisel Ayala
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …
Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …
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 …
Staff Education For Nurses To Increase Nursing Staff Knowledge On Hospital-Acquired Infection Prevention, Mimi M. Farride
Staff Education For Nurses To Increase Nursing Staff Knowledge On Hospital-Acquired Infection Prevention, Mimi M. Farride
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project focused on a staff education initiative aimed at reducing hospital-acquired infections (HAIs) in healthcare settings. HAIs contribute to patient morbidity, extended hospital stays, and increased healthcare costs. Despite established infection control policies, inconsistencies in adherence had highlighted the need for targeted education. The central practice question guiding this project, conducted in a hospital setting, was, “How did implementing a comprehensive infection prevention education program for healthcare staff influence their knowledge?” The primary goal was to educate staff with the skills needed to minimize infection risks and enhance patient outcomes through effective prevention techniques. …
Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan
Secondary Teachers’ Instructional Strategies And Challenges In Teaching English Language Learners In Mississippi, Megan Cara Morgan
Walden Dissertations and Doctoral Studies
Mainstream high school teachers in a district in the state of Mississippi have struggled to consistently implement research-based strategies that address the needs of English Language Learners (ELLs). Guided by Echevarría et al.’s sheltered instruction observation protocol (SIOP), the purpose of this basic qualitative study was to explore the instructional practices implemented by mainstream high school teachers at a Title I high school in a Mississippi district that are aligned with research-based practices and the challenges they reported in improving ELL student achievement in mainstream classrooms. Data were collected from semistructured interviews with nine teachers from a Title I high …
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 …
Staff Education For Catheter-Related Urinary Tract Infection Prevention In Intensive Care, Ascar Boinett
Staff Education For Catheter-Related Urinary Tract Infection Prevention In Intensive Care, Ascar Boinett
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) staff education project was conducted to address inconsistent adherence to catheter-associated urinary tract infection (CAUTI) prevention bundles in an adult intensive care unit (ICU). CAUTIs remain a leading cause of morbidity, extended hospital stays, and increased healthcare costs. The project aimed to improve nurses’ knowledge and attitudes regarding CAUTI prevention through structured education and the integration of daily catheter reassessment checklists into practice. A quantitative pretest–posttest design was used to measure changes in participants’ knowledge and attitudes following two 45-minute educational sessions. Forty-two ICU nurses participated in the intervention. Data were analyzed using descriptive …
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 …
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 …
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 …
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 …
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 …
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Walden Dissertations and Doctoral Studies
I designed this Doctor of Nursing Practice staff education project to enhance the ability of primary care nurses at a mental health outpatient clinic to manage depression in patients who are non-compliant with treatment. Currently, nurses lack structured training in recognizing and addressing depression, which contributes to inconsistent care, increased relapse and readmission rates, lower patient satisfaction, and greater healthcare utilization. This project aimed to provide evidence-based education to close a critical gap in practice that affects care quality, continuity, nurse confidence, and patient outcomes. The guiding practice-focused question was: In primary care nurses at a mental health outpatient clinic, …
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 …
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 Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Walden Dissertations and Doctoral Studies
Psychiatric advance directives (PADs) are binding documents through which a patient who has severe mental illness can specify their treatment preferences before becoming mentally ill in a crisis. PADs support patient autonomy, shared decision-making, and reduce the reliance on coercive or involuntary treatments. However, patient record reviews in this practice setting revealed that PAD documentation was not frequently practiced, and nurses were not even aware of or confident enough to assist patients in preparing these directives. This DNP project was designed to bridge this gap by implementing a formal staff education program that would improve the knowledge and awareness of …
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 …
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Walden Dissertations and Doctoral Studies
Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical gap in care at a 24-bed, combined, intensive care unit (ICU): The absence of a standardized, evidence-based clinical practice guideline (CPG) for managing diabetic ketoacidosis (DKA). DKA is a life-threatening emergency requiring timely, coordinated, and evidence-driven management. Despite its prevalence, the project site ICU lacked formal guidelines, resulting in fragmented care delivery and inconsistent treatment practices. Project site leadership expressed concerns that the absence of a unified protocol contributed to increased workload for nurses and physicians with frequent interruptions for order verification and delays that compromised patient safety and care …
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Walden Dissertations and Doctoral Studies
Abstract Thirty-day hospital readmissions continue to be an increasing problem for healthcare administrators due to quality and costs. This study was conducted to examine whether gender and race were related to 30-day readmissions in urban and rural counties of North Carolina and Wisconsin. Research questions included the dependent variable of 30-day acute hospital readmissions and the independent variables of race (Black and White) and gender (male and female). The framework was Donabedian’s quality of care model consisting of three components: structure, process, and outcomes. Centers for Medicare and Medicaid Services secondary data were gathered in 2022 from 595,294 patients in …
It Leadership Strategies In Healthcare Systems That Leverage Dynamic Capabilities For Digital Transformations, Marshall Lee Pearson
It Leadership Strategies In Healthcare Systems That Leverage Dynamic Capabilities For Digital Transformations, Marshall Lee Pearson
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that some health care information technology (IT) leaders lack strategies to leverage dynamic capabilities to drive strategic renewal and expected outcomes, constraining health care access, quality, and cost improvements. Grounded in the Dynamic Capabilities Framework for Digital Transformation, this pragmatic qualitative study explored strategies that some IT leaders in health care systems use to leverage dynamic capabilities for digital transformation. The study conducted six semistructured interviews with senior IT leaders in U.S. provider-based health care systems with at least five years of strategic leadership experience, triangulated data with publicly available documents, and applied …
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 …