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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 …
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 …
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 …
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Staff Education To Reduce Relapse Rates Among Individuals With Substance Use Disorders, Joyce Chioma Nwakor
Walden Dissertations and Doctoral Studies
The program created a more encouraging recovery environment by greatly increasing staff competency in relapse prevention. Staff reported having more conversations with patients about preventing relapses. These enhancements might result in lower relapse rates and better long-term recovery outcomes.
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 …
Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy
Staff Education To Improve Primary Care Providers’ Knowledge And Confidence In Utilizing The Phq-9 For Routine Mental Health Screenings, Debra Ann Stewart-Delancy
Walden Dissertations and Doctoral Studies
Summary The ineffective use of the PHQ-9 tool to assess depression during primary care was the problem that this quality improvement project aimed to resolve, which is a hindrance to timely diagnosis and equitable behavioral health care. Inconsistent use of screening of depression was tackled in the project. The treatment and detection of it at its early stages were constrained by gaps in provider knowledge and confidence. The project assessed the effect of a formal staff educational intervention to increase knowledge, confidence, and the probability of incorporating the PHQ-9 depression screening tool into the workflow of a primary care clinic. …
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 …
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 …
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 …
Effect Of Workplace Diversity, Equity, And Inclusion Programs On Black Women Leaders At Nonprofit National Associations Of Regulatory Boards, Staci Mason
Walden Dissertations and Doctoral Studies
Research has shown that due to their intersecting identities, Black women must contend with both racism and sexism in the workplace, resulting in oppressive work environments and limited access to career advancement. Studies also highlighted Black women’s disillusionment with workplace diversity, equity, and inclusion (DEI) programming and its role in addressing these negative impacts. However, these issues have not been studied through the perceptions of Black women leaders at national associations of regulatory boards. The purpose of this generic qualitative study was to examine perceptions of these Black women regarding the impact of DEI programs on their career. Using Benet’s …
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 …
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 Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
The Lived Experiences Of Imposter Syndrome Among Women Of Color Professors In Higher Education, Adrianna Marie Hooker
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored the unique challenges faced by women of color professors in higher education, who often experience imposter syndrome due to systemic barriers and underrepresentation. The purpose of this study was to gain an in-depth understanding of how these professors experienced and made meaning of imposter syndrome in academic settings. The central research question examined the meaning of imposter syndrome among women of color professors in higher education. This study was grounded in intersectionality and self-determination theory, which provided frameworks for understanding how multiple identities influenced feelings of inadequacy and professional identity. Participants included 12 women of …
Patient Safety In Ambulatory Hysteroscopy, Myko Lanier
Patient Safety In Ambulatory Hysteroscopy, Myko Lanier
Walden Dissertations and Doctoral Studies
NA
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Perceptions Of Academic Success Among African American Male High School Graduates In Urban Areas, Anthony Bourne
Walden Dissertations and Doctoral Studies
African American males encounter more severe penalties, academic under-performance, and lower graduation rates compared to their Caucasian male counterparts. Numerous studies have delved into and elucidated the schooling experiences of African American male students from various perspectives, encompassing cultural, structural, racial, community, family, and school viewpoints. However, there remains a scarcity of voices documenting the experiences of African American males who have successfully completed high school in urban settings. The purpose of this descriptive qualitative study was to examine the schooling experiences of African American males who graduated from high schools located in urban settings. The Critical Race Theory and …
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 …
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Experiences And Challenges Of Grades 6-12 Principals And Assistant Principals Supporting Implementation Of Standards-Based Learning, Judith Ann Zeka
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that grades 6-12 principals and assistant principals are unprepared to support teachers’ planning and implementation of standards-based learning in classrooms at mid-size rural school districts in a single midwestern state. Grounded in Senge’s five disciplines of a learning organization, the purpose of this study was to examine grades 6-12 principals’ and assistant principals’ experiences and challenges, the resources needed, and the perceived influence of their leadership in the implementation of standards-based learning in content-area classrooms at the study sites. For this basic qualitative study, semistructured interviews were conducted with 11 principals and two …
Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans
Optimizing Urgent Care Workflow To Improve Wait Times For Patients, Keanna A. Evans
Walden Dissertations and Doctoral Studies
Leaders in urgent care centers across the United States continue to face challenges with patient flow, long wait times, and inconsistent staffing. The purpose of this integrative review was to explore strategies that help improve workflow efficiency and reduce wait times in urgent care settings. The review question pertained to strategies and best practices that could be implemented to improve patient flow management in urgent care centers. This study was guided by general systems theory, which views urgent care as a connected system where people, processes, and technology work together to influence outcomes. A review of literature published within the …
Employee Perception Of Administrator Leadership Behaviors In Southeastern U.S. Hospitals That May Contribute To Employee Turnover, Kim Steele
Walden Dissertations and Doctoral Studies
Given the increasing significance of employee turnover, administrative leadership in U.S. Southeastern hospitals stands at a critical turning point. The specific research problem is that leadership behaviors may create an intolerable environment for employees, leading to an intent to leave and turnover. The purpose of this descriptive phenomenological study was to explore administrative leadership behaviors that contribute to employee turnover, with a specific focus on leadership behaviors in U.S. Southeastern hospitals. The conceptual framework included grounded theory, which examines underlying social processes, and behavioral theory, focusing on leadership practices and behavior change. Fifteen administrative employees, four men and 11 women, …
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 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
N/A
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: …
Implementing A System- Wide Program To Reduce Burnout Among Healthcare Providers, Caroline Njeri Munene
Implementing A System- Wide Program To Reduce Burnout Among Healthcare Providers, Caroline Njeri Munene
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addresses the pervasive health issue of burnout among healthcare providers, focusing on a community mental health clinic where internal data revealed high levels of staff turnover, absenteeism, medication errors, financial constraints, poor patient outcomes, and low staff satisfaction. Shortage of healthcare providers, exposure to patient trauma, high emotional demands, and administrative burdens are the systemic stressors of burnout at the project site mental health facility. These factors collectively underscored the need for a system-wide burnout reduction program to safeguard provider well-being and ensure the delivery of high-quality patient care and safety.
Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu
Stress First Aid Implementation To Address Stress Among Acute Care Nurses, Obioma Maryann Asiegbu
Walden Dissertations and Doctoral Studies
Acute care nurses face persistent occupational stress that contributes to burnout, anxiety, depression, and high turnover rates within healthcare systems. The Stress First Aid (SFA) framework offers a proactive, evidence-based approach to identifying and managing psychological distress among healthcare workers. The purpose of this Doctor of Nursing Practice project was to implement and evaluate the SFA program as a structured, early-intervention model to improve nurse well-being, retention, and patient care outcomes in an acute care setting. Guided by the Stress Continuum Model and organizational change theory, this project emphasized early recognition of stress, peer support mechanisms, and continuous outcome monitoring. …
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. …
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 …