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Full-Text Articles in Entire DC Network
Improving Evidence-Based Depression Screening In A Primary Care Clinic, Stella Ndukwe
Improving Evidence-Based Depression Screening In A Primary Care Clinic, Stella Ndukwe
Walden Dissertations and Doctoral Studies
Depression affects more than 21 million U.S. adults annually and is a leading cause of disability worldwide. Unidentified and untreated depression is associated with poor patient outcomes including chronic disease, disease exacerbation, increased healthcare utilization, decreased quality of life, and suicide. The aim of this staff education project was to increase the use of the Patient Health Questionnaire-9 (PHQ-9) for depression screening in a primary care clinic. The clinical practice problem identified was the underutilization of a standardized depression screening tool, leading to missed or delayed depression diagnoses. The project addressed the question of whether education of the health care …
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Cyberterrorism And International Laws: Need For Cyber Inclusion, Carla A. Lechette-Danberry
Walden Dissertations and Doctoral Studies
Cyberterrorists use cyberspace to communicate their threats and conduct their actions to intimidate their political, religious, or ideological control. The literature reviewed on cyberterrorism and international law has been limited and continues to develop as cyberterrorists develop their skills and capabilities to conduct cyberattacks. A gap exists in the literature on how nation-states respond to a cyberattack, cyber warfare, or cyberterrorism under international laws and policies. The problem is that international laws are being outpaced by the development of new technology, which cybercriminals and cyberterrorists can circumvent in order to escape punishment for a cyberattack. The purpose of this basic …
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Sustainability Planning For Waste Management In Midwestern Small Suburban Cities, Karen Frances Goodwin
Walden Dissertations and Doctoral Studies
Sustainability planning in small suburban cities, particularly as it relates to waste management programs, remains an underexplored area in scholarly research. Without long-term planning, these cities often react to issues in a fragmented manner rather than implementing proactive policies, negatively affecting public health and well-being. The purpose of this study was to examine sustainable waste management policy processes that enable sustainability planning in Midwestern small suburban cities. Using Jones et al.’s local adaptive capacity framework and Q-methodology, viewpoint patterns were analyzed to understand what motivates decision-makers to foster an environment conducive to sustainability planning. Thirty-one participants representing three local government …
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Higher Education Leaders’ Perspectives Regarding Faculty Attrition, Alexandria Angel Draper
Walden Dissertations and Doctoral Studies
Perceptions of higher education leaders (HELs) regarding faculty attrition and effective strategies to help manage challenges associated with voluntary and involuntary resignations were unknown. Guided by Bush’s educational management theory, the purpose of this basic qualitative study was to explore HELs’ perceptions regarding faculty attrition. Research questions investigated perceptions of HELs regarding faculty attrition and how they perceived faculty attrition in their institutions. Semistructured interviews were conducted with 12 HELs, including academic deans, vice provosts, department chairpersons, program directors, and board of regents members. Thematic analysis was conducted using open and axial coding of the interview data. Themes included provision …
The Experience Of Spirituality And Self-Image In Sexually Abused Women, Nereyda Sullins
The Experience Of Spirituality And Self-Image In Sexually Abused Women, Nereyda Sullins
Walden Dissertations and Doctoral Studies
I explored the role of spirituality and self-image in the healing processes of adult women who have experienced sexual abuse. Using trauma theory as a guiding framework, I sought to understand how survivors engage with spirituality to reconstruct their identities and navigate their recovery. I aimed to contribute to the growing body of literature on trauma recovery by offering insights into the ways survivors integrate spiritual practices and self-perceptions to foster resilience. A qualitative phenomenological approach was used to capture the lived experiences of 12 women who had experienced sexual abuse and engaged with spirituality as a coping mechanism. Thematic …
Effects Of Healthcare Administrators And Icu Nurses’ Perspectives Of Leader Bullying On Work And Physical Six Sigma/Lean Training, Agha Raza
Walden Dissertations and Doctoral Studies
Despite the U.S. government-funded initiatives, public responsiveness, and antibullying legislation to improve healthcare, leadership bullying behavior remains a serious concern in hospital intensive care units (ICUs). The ICU nursing involves high stress levels and hospital work conditions, which lead to bullying behaviors. When ICU nurse leaders do not participate in work and physical Six Sigma/Lean training, they may develop different perceptions of leaders’ bullying behavior compared to those whose leaders participate in this training. The purpose of this nonexperimental quantitative cross-sectional survey study was to discover any significant relationships between the type of Six Sigma/Lean training (descendant, ascendant, and horizontal) …
Behavioral Health Leadership’S Role In Enhancing Family Reunification Success In Residential Care., Porscha Profitt
Behavioral Health Leadership’S Role In Enhancing Family Reunification Success In Residential Care., Porscha Profitt
Walden Dissertations and Doctoral Studies
This qualitative case study examined the role of behavioral health leadership (BHL) in facilitating effective family reunification within residential treatment settings, focusing on Organization X in Northern California. The study addressed the persistent issue of high recidivism rates among youth with intellectual and co-occurring mental health disorders following discharge from therapeutic foster care. Using the Baldrige Excellence Framework as a guiding model, the research explored how BHLs assess reunification success, engage families, and navigate systemic and individual challenges that hinder sustainable transitions to home environments. Data collection involved semi-structured interviews with administrators and supplemented by organizational documents and reports. Thematic …
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
The Low Application And Enrollment Rates Of African Americans Applying To Medical School, Kirsten Pittman
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that the application and enrollment rates for African Americans pursuing a medical education/degree are lower than those of other ethnicities in the United States. The purpose of this basic qualitative study was to investigate the perspectives of admissions committee members regarding the low application and enrollment of African American students in medical school and to investigate their recommendations for improvement. Using critical race theory as the conceptual framework, semistructured interviews were conducted with seven experienced medical school admissions professionals. Qualitative content analysis was used, employing deductive and inductive coding. Seven themes emerged: (a) …
The Effects Of Crossfit And Pharmacology On Generalized Anxiety Disorder Symptoms And Self-Efficacy Levels, Priscilla Kay Fleming
The Effects Of Crossfit And Pharmacology On Generalized Anxiety Disorder Symptoms And Self-Efficacy Levels, Priscilla Kay Fleming
Walden Dissertations and Doctoral Studies
Nearly half of individuals diagnosed with generalized anxiety disorder (GAD) who are provided with an SSRI or SNRI medication do not experience a clinically meaningful reduction of symptoms or a full remission of symptoms. A gap in the literature existed for comparisons of treatment approaches and their outcomes for GAD symptoms and self-efficacy levels. Research questions for this study were: Is there a difference in GAD symptoms between the CrossFit participants and pharmacology participants at the point of three months treatment regimen?, and Is there a difference in self-efficacy levels between the CrossFit participants and pharmacology participants at the point …
How School Professionals Perceive They Can Engage Parents In Helping Children In Fifth Grade Cope Adaptively With Stress, Hector Alejandro Soto
How School Professionals Perceive They Can Engage Parents In Helping Children In Fifth Grade Cope Adaptively With Stress, Hector Alejandro Soto
Walden Dissertations and Doctoral Studies
National education statistics indicate issues of aggressive behaviors in middle schools, such as bullying and disrespecting teachers. This suggests that fifth-grade students could benefit from parental intervention to manage stress and reduce such behaviors. However, there is limited information on effectively engaging parents in this process. The study involved a purposive sample of 20 school professionals from four schools in a large southwestern U.S. school district who were invited to address this gap. Nine professionals completed the online survey of six qualitative, open-ended questions regarding engaging parents in helping fifth graders cope with stress. The questions focused on establishing meaningful …
Lived Experiences Of Hispanic Parents Considering Early Intervention Services For Developmentally Delayed Children, Karina Proffer
Lived Experiences Of Hispanic Parents Considering Early Intervention Services For Developmentally Delayed Children, Karina Proffer
Walden Dissertations and Doctoral Studies
Studies have demonstrated that children benefit significantly from Early Intervention (EI) services due to brain plasticity and rapid early development. EI supports growth and establishes foundational skills in cognitive, social, emotional, motor, language, and daily living domains. Research indicates that children who participate in EI programs experience positive outcomes in their academic trajectories. However, limited studies examine the lived experiences of Hispanic parents with children diagnosed with autism or intellectual disabilities who did not utilize EI services. This study explores the factors influencing these parents' decisions and experiences that hinder their children’s participation in the program. The Theory of Planned …
Strategies For Intimate Partner And Domestic Violence Survivorship, Kimberly Renee Best
Strategies For Intimate Partner And Domestic Violence Survivorship, Kimberly Renee Best
Walden Dissertations and Doctoral Studies
Domestic violence victims suffer not only physical abuse but also emotional, psychological, and economic violence, leading to long-term trauma, poverty, and recovery barriers. At least 40% of victims of abuse and their children have experienced some form of violence. The lack of shelters, counseling, and legal support deepens the sense of hopelessness victims often feel. In this study, the gap in literature was addressed by exploring coping strategies of survivors of intimate partner and domestic violence in rural North Carolina. The social and economic effects of survivorship were explored in this study, especially the disruptions caused by the COVID-19 pandemic, …
Staff Education To Improve Patient Follow Through And Continuity Of Care, Aitenobhan Cynthia Ofeinmun
Staff Education To Improve Patient Follow Through And Continuity Of Care, Aitenobhan Cynthia Ofeinmun
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project was conducted in the adult inpatient psychiatric unit of a behavioral health facility in Texas over 4 weeks. The project involved addressing the absence of standardized staff practices related to patient follow through after discharge. This practice gap contributed to fragmented continuity of care and inconsistent discharge planning. The project’s practice-focused question was: How does staff education on patient follow through impact staff knowledge? The goal was to determine whether an evidence-based staff education program could improve staff knowledge and promote efficiency in terms of discharge practices. Education was delivered through …
Avoiding Recidivism Of Recently Released Offenders In North Carolina, Josue Genaro Galvez
Avoiding Recidivism Of Recently Released Offenders In North Carolina, Josue Genaro Galvez
Walden Dissertations and Doctoral Studies
There is a problem with recidivism in the North Carolina prison system and the United States. This study fills the gap in the literature by focusing on what life experiences contribute to behaviors in recently released offenders not to reoffend in North Carolina. Edmund Husserl's (1913) Transcendental Phenomenology used several angles of perception and a thematic analysis of the participant’s lived experiences. This study employed a purposive sampling method by targeting 17 participants who may have represented characteristics of the intended population. Researchers do not know what kept these released offenders from avoiding prison. This phenomenological design focused on the …
Microlearning As An Effective Training Method For Healthcare Employees To Improve Competencies And Organizational Success, Laqurandra Weeks
Microlearning As An Effective Training Method For Healthcare Employees To Improve Competencies And Organizational Success, Laqurandra Weeks
Walden Dissertations and Doctoral Studies
Challenges in keeping healthcare employees motivated raise concerns to organizational leaders because of healthcare’s changing and complex environments. Healthcare leaders are concerned because, without the proper training, an employee’s level of competence may negatively affect the quality of care they provide and patient safety. The specific research problem is the lack of lived experiences regarding the effectiveness of microlearning that have not readily had access to healthcare employees’ feedback and their preference for learning to apply skills and knowledge in the workplace. Grounded in microlearning theory, the purpose of this qualitative hermeneutic study was to explore the lived experiences of …
Culturally Responsive Pedagogy In Mathematics Instructional Practices For Students With Disabilities, Pendo S. Nyanda
Culturally Responsive Pedagogy In Mathematics Instructional Practices For Students With Disabilities, Pendo S. Nyanda
Walden Dissertations and Doctoral Studies
Middle school mathematics special education teachers struggle to integrate culturally responsive pedagogy (CRP) into their instructional practices for students with disabilities (SWDs). The purpose of this basic qualitative study was to explore middle school mathematics special education teachers’ understanding of CRP and the support needed to integrate it into mathematics teaching practices. CRP was the conceptual framework for this study, explaining that teaching practices that integrate students’ cultural backgrounds promote their academic success. Two research questions guided the exploration of teachers' understanding of CRP and the support they believe is needed for integrating it. The study collected data through semistructured …
Examining The Transition Planning Process For Students With High-Functioning Autism Spectrum Disorder, Sara Elizabeth Mathis
Examining The Transition Planning Process For Students With High-Functioning Autism Spectrum Disorder, Sara Elizabeth Mathis
Walden Dissertations and Doctoral Studies
Students with high-functioning autism spectrum disorder (ASD) typically experience less postsecondary success when compared to their neurotypical peers. The specific problem addressed in this study is that many students with ASD in the rural communities of Southwest Missouri are not experiencing post-graduation success. Guided by Schlossberg’s transition theory and Kohler’s taxonomy for transition programming 2.0, the purpose of this basic qualitative study was to explore secondary special education teachers’ perceptions of the transition planning process for students with ASD related to successes, challenges, and needed support. Ten special education teachers, representing five different schools, who worked directly with the transition …
Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano
Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano
Walden Dissertations and Doctoral Studies
Problematic sexuality among college students is a complex and understudied issue, particularly regarding gender-based differences in affective instability and sexual compulsivity. While prior research has focused mainly on male populations, limited evidence exists about how these factors manifest among female students or whether gender moderates these relationships. The purpose of this quantitative correlational study is to examine whether gender moderates the relationship between factors affecting sexual compulsivity as measured by the Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). The MIDSA, originally developed for male sexual offenders, has since been administered to both male and female populations. Findings from hierarchical …
Staff Education To Improve Gestational Diabetes Knowledge In Family Practice Staff, Lawretta Udogadi Aghomon
Staff Education To Improve Gestational Diabetes Knowledge In Family Practice Staff, Lawretta Udogadi Aghomon
Walden Dissertations and Doctoral Studies
The project was a staff education program on gestational diabetes mellitus (GDM) that was carried out in an outpatient primary health facility to help improve staff knowledge of GDM. GDM is a pregnancy complication where women with no history of diabetes become hyperglycemic during their gestational period. According to the Centers for Disease Control and Prevention, the percentage of mothers giving birth who received a diagnosis of diabetes during pregnancy has increased in the last 10 years. Limited healthcare staff knowledge is a constraint in preventing the increase of GDM incidence. The practice-focused question was: Among healthcare staff at a …
Professional Identity Development Of Black Women Counselor Education And Supervision Students In Predominantly White Institutions, Demetria Kathryn Burleson
Professional Identity Development Of Black Women Counselor Education And Supervision Students In Predominantly White Institutions, Demetria Kathryn Burleson
Walden Dissertations and Doctoral Studies
Black women in counselor education and supervision (CES) programs at predominantly White institutions (PWIs) accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) face unique challenges that significantly influence their professional identity development (PID). Systemic barriers, such as microaggressions, racial stereotyping, and limited institutional support, remain pervasive and underexplored in literature. The purpose of this qualitative hermeneutic phenomenological study was to explore the lived experiences of PID among Black women enrolled in CES doctoral programs at CACREP-accredited PWIs. This qualitative study, guided by Heidegger’s hermeneutic phenomenology and informed by intersectionality and social cognitive career theory, aimed …
Early Childhood Educators’ Experiences Facilitating Learning Of Noncognitive Skills, Amanda Taylor
Early Childhood Educators’ Experiences Facilitating Learning Of Noncognitive Skills, Amanda Taylor
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that early childhood educators need help supporting young children in learning noncognitive skills, such as socialization, perseverance, and self-efficacy. The purpose of this basic qualitative study was to explore early childhood educators’ experiences facilitating the learning of noncognitive skills, specifically socialization, perseverance, and self-efficacy. The study was grounded in the conceptual frameworks Nagaoka et al.’s noncognitive framework and Stingher’s learning to learn in early childhood framework. Data were collected through semistructured interviews with eight local early childhood educators who teach 3- and 4-year-olds, who were contacted via email, word of mouth, …
The Experience Of Non-English Speaking Hispanic Patients During Kidney Transplant Evaluation, Ana Ivette Merced-Castro
The Experience Of Non-English Speaking Hispanic Patients During Kidney Transplant Evaluation, Ana Ivette Merced-Castro
Walden Dissertations and Doctoral Studies
There has been an increase in the incidence of Hispanics being diagnosed with end stage renal disease (ESRD), which has evolved from the rise in type 2 diabetes and hypertension. However, Hispanics and African American people are less likely to receive kidney transplants than non-Hispanic White individuals, and many Hispanics referred for transplants often do not complete the evaluation process due to its complexities. The purpose of this qualitative narrative descriptive study, guided by the socioeconomic model, was to explore the lived experiences of non-English-speaking Hispanic patients during the kidney transplant evaluation process. Six participants were recruited for the individual …
A Qualitative Analysis Of Teachers' Perceptions Of School Security Measures, Rozetta Michelle Isaac
A Qualitative Analysis Of Teachers' Perceptions Of School Security Measures, Rozetta Michelle Isaac
Walden Dissertations and Doctoral Studies
This study explored the lived experiences of six middle school teachers who provided their perceptions of school safety measures at their work locations. This phenomenological qualitative study aimed to examine whether the participants feel safe while at work. The theoretical framework that guided this study was PET (Punctuated Equilibrium Theory) which focuses on policy change over time. Participants were given a survey questionnaire to answer. The survey questionnaire contained open-ended survey questions. The survey was utilized in lieu of in-person interviews (due to COVID -19 restrictions). Participants were asked open-ended questions about their experiences and perceptions regarding school safety measures. …
Teachers' Multiculturalism And Digital Learning Choices For Students With Limited Or Interrupted Formal Education, Jitka Nelsonova Brychtova
Teachers' Multiculturalism And Digital Learning Choices For Students With Limited Or Interrupted Formal Education, Jitka Nelsonova Brychtova
Walden Dissertations and Doctoral Studies
The English language learner environment in U.S. secondary schools is increasingly complex due to the growing numbers of students with limited or interrupted formal education (SLIFE) who require a culturally responsive approach. Teachers are not prepared to meet the needs of SLIFE, especially in the technology-enhanced classrooms. A gap in the literature exists regarding the culturally responsive use of digital learning resources (DLRs) with high school SLIFE. The purpose of this quantitative study was to examine whether the teachers’ self-reported multicultural teaching competencies (skills and knowledge) predict the choice of DLRs used with SLIFE. The study was grounded in Vygotsky’s …
Effective Strategies Remote Business Leaders Use For Monitoring And Improving Remote Employees’ Performance, Lama Najem
Effective Strategies Remote Business Leaders Use For Monitoring And Improving Remote Employees’ Performance, Lama Najem
Walden Dissertations and Doctoral Studies
The shift to remote work has created leadership challenges in communication, career development, performance monitoring, trust, and time management. Remote business leaders are increasingly concerned about maintaining employee engagement and productivity, as ineffective leadership strategies can result in disengagement, reduced performance, and higher turnover in virtual work environments. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that remote business leaders used to support work-from-home employees and sustain organizational performance. The participants were eight remote team business leaders from the United States, Lebanon, and the United Arab Emirates. Data were …
Experiences Of Social Workers Assisting Victims Of Domestic Violence Who Own Pets, Kimberly Elizabeth Bolesta
Experiences Of Social Workers Assisting Victims Of Domestic Violence Who Own Pets, Kimberly Elizabeth Bolesta
Walden Dissertations and Doctoral Studies
Victims of domestic violence often face significant barriers when attempting to leave abusive relationships, one of which is the presence of pets. Victims form strong bonds with their pets, and if left behind with abusers, pets may be harmed or killed. When victims flee relationships, they may go to shelters. Domestic violence shelters are often unable to accommodate victims who bring pets. Victims may experience trauma and stress when turned away from shelters. Social workers may be unable to assist victims and their pets due to lack of resources. This study involved using Hobfoll’s theory of conservation of resources as …
Efficient Pharmaceutical Supply Chain Management Strategies For Tertiary Care Hospitals In The Caribbean, Lee Ann Salandy
Efficient Pharmaceutical Supply Chain Management Strategies For Tertiary Care Hospitals In The Caribbean, Lee Ann Salandy
Walden Dissertations and Doctoral Studies
This review aims to identify evidence-based quality improvement strategies and practical operational solutions to boost pharmaceutical supply chain performance in tertiary care hospitals in the Caribbean. This integrative review synthesizes empirical and non-empirical sources related to pharmaceutical supply chain systems and is grounded in Lean Six Sigma methodologies and supply and demand theory. The articles reviewed, published between 2014 and 2025, were appraised using the Johns Hopkins Evidence-Based Practice Model. Key themes identified included Lean Six Sigma principles, with subthemes such as lean distribution focus, value stream mapping, and the DMAIC process. The supply and demand theme included factors in …
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Walden Dissertations and Doctoral Studies
COVID-19 highlighted the longstanding systemic and structural racism that produced poor health outcomes in Black communities. Black minorities in the United States were disproportionately affected by the COVID-19 pandemic, with less access to health resources, low vaccine rates, and mistrust of healthcare providers and organizations. This interpretative phenomenological analysis (IPA) explored trust-related health beliefs with medical systems among Black Americans since COVID-19. The study explored the trust-related health beliefs through the six constructs of the health belief model—perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy. Data was collected through semi-structured interviews of six participants who …
Self-Efficacy In Women Using Bioidentical Hormone Replacement: A Factor Analysis, Shanna Persin
Self-Efficacy In Women Using Bioidentical Hormone Replacement: A Factor Analysis, Shanna Persin
Walden Dissertations and Doctoral Studies
Bioidentical hormone replacement therapy has gained increasing attention as an alternative to traditional hormone replacement therapy (BHRT), yet research on self-efficacy related to BHRT adherence remains limited. Guided by Bandura’s social cognitive theory, this quantitative study examined the applicability of the hormone replacement self-efficacy (HRT-SE) scale in a population of BHRT users. Using factor analysis, this study assessed the reliability and validity of the HRT-SE scale in measuring self-efficacy among women using BHRT. The study recruited a convenience sample of 628 participants through online peri/menopause and hormone therapy support groups, collecting self-reported data on confidence in managing BHRT regimens. Findings …
Mass Shooting Perceptions, Public Mental Illness Stigma, And Social Media Use: A Regression Analysis, Kayla Cross
Mass Shooting Perceptions, Public Mental Illness Stigma, And Social Media Use: A Regression Analysis, Kayla Cross
Walden Dissertations and Doctoral Studies
Mental illness is frequently associated with mass shootings in news media, which can result in negative stigma among individuals diagnosed with mental illness. While mental illness and mass shootings have been explored previously, social media perceptions have not yet been examined in relation to mental illness stigma and mass shootings. The purpose of this study was to examine public mental illness stigma, mass shootings, and perceptions through social media in a correlational study subjected to regression analysis. The theoretical framework for the study was based on Tajfel and Turner et al.’s theory of social identity and intergroup behaviors. The analysis …